bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGALAMAN KOMUNIKASI PASIEN HYPNOBIRTHING DI RUMAH SAKIT BERSALIN ANNISA PEKANBARU SELAMA KEHAMILAN
Authors: Syaras Dang
Published: July 2023

Selama masa kehamilan ibu hamil mengalami berbagai perubahan meliputi psikis, fisik, biologis dan perubahan dari lingkungan sekitar. Ibu hamil mulai beradaptasi dan menyesuaikan pola hidup selama proses kehamilan. Berbagai pengalaman selama kehamilan akan menjadi sebuah pengalaman komunikasi terutama untuk ibu hamil yang menggunakan hypnobirthing yang bertujuan untuk mengurangi dan menghilangkan perubahan yang terjadi selama kehamilan. Hypnobirthing salah satu metode self hypnosis dapat membantu ibu hamil menjalani kehamilan dengan tenang, aman dan nyaman serta persiapan persalinan yang minim rasa sakit. Artikel ini membahas mengenai Pengalaman Komunikasi Pasien Hypnobirthing Di Rumah Sakit Bersalin Annisa Pekanbaru Selama Kehamilan. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan dalam penelitian ini dari delapan orang pasien Di Rumah Sakit Bersalin Annisa Pekanbaru. Hasil  penelitian menunjukkan bahwa pengalaman komunikasi pasien hypnobirthing selama kehamilan terjadinya perubahan berupa perubahan fisiologis, psikologis dan sosial. hypnobirthing efektif memberikan manfaat, perubahan dan pengaruh untuk mengontrol, mengorganisir tubuh, jiwa dan pikiran selama kehamilan Kata kunci : Hypnobirthing, Pengalaman komunikasi
Clinical outcomes of hospitalised individuals with spin-induced exertional rhabdomyolysis
Authors: Lim Shermane Yun Wei , Chong Chiara Jiamin , Liu Zhenghong , Kan Juliana Yin Li
Published: July 2023

Introduction: Exertional rhabdomyolysis (ER) is caused by myocyte breakdown after strenuous physical activity. In recent years, the incidence of spin-induced ER (SER) has been increasing. We describe the clinical characteristics, management and outcomes of patients admitted for SER.
Method: A review was conducted for all patients admitted to Singapore General Hospital for SER from 1 March 2021 to 31 March 2022. All patients with the admission diagnosis of “rhabdomyolysis”, “raised creatine kinase (CK) level”, or “elevated CK level” with a preceding history of spin-related physical exertion were included. Patients without a history of exertion, with a history of non-spin related exertion, or with a peak serum CK <1000 U/L were excluded.
Results: There were 93 patients in our final analysis; mean age was 28.6±5.6 years and 66 (71.0%) were female patients. Mean body mass index was 25.0±5.7 kg/m2; 81 (87.1%) patients were first-time spin participants. All patients had muscle pain, 68 (73.1%) had dark urine, 16 (17.2%) muscle swelling and 14 (15.1%) muscle weakness. There were 80 (86.0%) patients with admission CK of >20,000 U/L. Mean admission creatinine was 59.6±15.6 μmol/L. Mean intravenous (IV) hydration received was 2201±496 mL/ day, oral hydration 1217±634 mL/day and total hydration 3417±854 mL/day. There was 1 (1.1%) patient with acute kidney injury, which resolved the next day with IV hydration.
Conclusion: Inpatient management of SER includes laboratory investigations, analgesia and hydration. Risk of complications is low in SER patients. SER patients without risk factors for complications can be considered for hospital-at-home management with bed rest, aggressive hydration and early outpatient review.
Molecular testing in non-small cell lung cancer: A consensus recommendation
Authors: Lai Gillianne Geet Yi , Cheng Xin Min , Ang Yvonne Li’en , Chua Kevin Lee Min , Samol Jens , Soo Ross , Tan Daniel Shao Weng , Lim Tony Kiat Hon , Lim Darren Wan Teck
Published: July 2023

Introduction: Lung cancer remains an important cause of cancer-related mortality in Singapore, with a greater proportion of non-smokers diagnosed with non-small cell lung cancer (NSCLC) in the past 2 decades. The higher prevalence of targetable genomic alterations in lung cancer diagnosed in Singapore compared with countries in the West, as well as the expanding therapeutic landscape for NSCLC in the era of precision medicine, are both factors that underscore the importance of efficient and effective molecular profiling.
Method: This article provides consensus recommendations for biomarker testing for early-stage to advanced NSCLC. These recommendations are made from a multidisciplinary group of lung cancer experts in Singapore with the aim of improving patient care and long-term outcomes.
Results: The recommendations address the considerations in both the advanced and early-stage settings, and take into account challenges in the implementation of biomarker testing as well as the limitations of available data. Biomarker testing for both tumour tissue and liquid biopsy are discussed.
Conclusion: This consensus statement discusses the approaches and challenges of integrating molecular testing into clinical practice for patients with early- to late-stage NSCLC, and provides practical recommendations for biomarker testing for NSCLC patients in Singapore.
Promise and pitfalls of ChatGPT for patient education on coronary angiogram
Authors: Honda Satoshi , Noguchi Teruo
Published: July 2023

The past decade has seen extraordinary and rapid progress in the field of artificial intelligence (AI), which produces computer systems capable of performing tasks that typically require human intelligence.
Script concordance test to assess clinical reasoning in acute medicine
Authors: Fong Jie Ming Nigel , Hoe Rebecca Hui Min , Huang Dorothy Hannah , Wong Jianlin Cheney , Kee Xiang Lee Jamie , Teng Kok Long Albert , Hong Rilong , Saffari Seyed Ehsan , Tan Kevin , Tan Nigel Choon Kiat
Published: July 2023

Clinical reasoning, an essential skill for patient care, can be difficult to assess. We created and validated a script concordance test (SCT) to assess clinical reasoning in acute medicine. This tool was used to provide feedback and targeted remediation for Postgraduate-Year-1 (PGY1) doctors, guide teaching and learning, and facilitate programme evaluation.
Association between genetic polymorphisms in fibrinogen genes and bleeding risk in patients treated with direct oral anticoagulants
Authors: Choi Kyung Hee , Yee Jeong , Song Tae-Jin , Park Junbeom , Gwak Hye Sun
Published: July 2023

This study aimed to investigate the association between polymorphisms in fibrinogen genes and bleeding risk in patients receiving direct oral anticoagulants (DOACs).
ÜNİVERSİTEDE ÖĞRENİM GÖREN GENÇLERİN HUMAN PAPİLLOMA VİRÜS ENFEKSİYONUNA İLİŞKİN BİLGİLERİ
Authors: ÖZTÜRK ÖZEN Derya , TERZİOĞLU Füsun
Published: July 2023

Amaç: Araştırma, sağlıkla ilgili alanlarda öğrenim gören gençlerin human papilloma virüs enfeksiyonuna ilişkin bilgilerini belirlemek amacıyla yapılmıştır.

Yöntem: Tanımlayıcı tipteki araştırmanın örneklemini, Hacettepe Üniversitesi’nin sağlıkla ilgili alanlarında öğrenim gören son sınıf gençleri arasından çalışmaya katılmayı kabul eden 270 genç oluşturmuştur. Veriler, araştırmacılar tarafından ilgili literatür incelenerek oluşturulan “Veri Toplama Formu” ile toplanmıştır. Araştırmadan elde edilen verilerin değerlendirilmesinde, Kruskal Wallis H, Mann Whitney U testleri ile sayı, yüzde, aritmetik ortalama ve ortanca kullanılmıştır.

Bulgular: Gençlerin yarısından fazlasının daha önce human papilloma virüs enfeksiyonu ile ilgili bilgi aldıkları (%67.4), korunmada aşıyı (%64.8), bulaşma yollarını (%53) ve kansere sebep olduğunu (%78.1) bildikleri belirlenmiştir. Gençlerin, üçte birinden az bir kısmının, tanıda pap smear testinin kullanıldığını (%29.3), aşı uygulanmasında en uygun kişileri (%20) ve en uygun yaş aralığını (%5.2) bildikleri belirlenmiştir. Araştırmada gençlerin human papilloma virüs enfeksiyonu bilgi puanı ortancasının 39 olduğu ve bilgi puan ortancasının; Tıp (60.7) ve Hemşirelik (46.4) bölümlerinde öğrenim gören gençlerde en yüksek düzeyde olduğu belirlenmiştir (p
DETERMINING THE DIFFERENCES OF MARRIAGE COMPATIBILITY BETWEEN INFERTIL AND FERTILE WOMEN
Authors: KARACA BIÇAKÇI Nevra , TÜRK DELİBALTA Rukiye
Published: July 2023

Aim: This research was conducted as a descriptive study to determine the marital adjustment differences between infertile and fertile women.

Method: This cross-sectional study was conducted in a city center in eastern Turkey between January 2017 and December 2017. No sample selection was made, all volunteer women were included in the study, and the study was conducted on 96 women in total, n=48 infertile, n=48 fertile women. The data were collected by snowball method using the questionnaire form prepared by the researchers and the marital adjustment scale (MAS). Evaluation of the data was carried out using the Statistical Package for the Social Sciences (SPSS 20.0) package program.

Results: 37.5% of infertile women and 70.8% of fertile women state that they have a happy marriage, and women with a happy marriage are higher in the fertile group. 93.8% of the infertile group and 68.8% of the fertile group stated that it is necessary to have children for a happy marriage. While 54.2% of infertile women stated that they felt worthless, only 2.1% of fertile women stated that they felt worthless. Mean marital adjustment score of infertile women is 34.58±10.18, (min-max=0-60) mean score of marital adjustment scale of fertile women is 40.60±9.80, (min-max=0-60) is higher found. It was determined that the marital adjustment scale scores of the women included in the study were higher than those who received support from their spouses, did not receive support, those who had good communication with their spouses, those who did not have good communication, those whose spouses were interested in them, and those who did not receive attention from their spouses.

Conclusions and Suggestions: In this study, it was determined that infertility brought along various problems in women's marriages. For this reason, it is recommended to increase supportive multidimensional studies that deal with the social and psychological dimensions of infertility.
Proposed Green Retailing Concept for Maintaining the Sustainability in the Company
Authors:   School of Business and Management, Bandung Institute of Technology, Pertiwi Laras Insiya , Hartati Sri ,   School of Business and Management, Bandung Institute of Technology
Published: July 2023

Retail business is a fast growing business in Indonesia. This is indicated by the number of retail businesses that have emerged both on a local and national scale. One of the companies engaged in the retail sector is ‘Berkah’ Swalayan. ‘Berkah’ Swalayan is a local retail company in Lampung and Central Java Provinces. This research aims to identify the internal and external conditions of ‘Berkah’ Swalayan which will then be given strategic recommendations related to green retailing. The topic of green retailing was chosen because this strategy is closely related to sustainable development goals which are currently a big focus and have a good impact on many sectors. Identification and analysis in this study used a mixed method, namely quantitative and qualitative methods. The data used are primary data and secondary data. Primary data comes from in-depth interviews with Berkah Swalayan and a survey of 101 respondents to Berkah Swalayan customers. Determination of the number of respondents using the Slovin formula. Secondary data obtained from literature review. Company analysis using the SWOT tool (Strength, Weakness, Opportunities, Threats). On the other hand, in this study variable validation was also carried out using SmartPLS 4. It was found that decision making related to green retailing was influenced by internal and external factors. Internal factors consist of company values. External factors consist of the influence of social organizations, customers and government. Meanwhile, green retailing can improve cost efficiency. This is because companies can reduce their budget costs for environmentally friendly company needs, for example reducing costs in the supply of plastic and the use of energy-friendly electronic devices. In this study the results obtained in the form of identification of internal and external company conditions. that green retailing is a strategy that can improve cost efficiency. In addition, the concept of green retailing also provides opportunities for companies to develop their business. Therefore, green retailing is a strategy that is recommended to be implemented for retail businesses. Several strategic recommendations are given in the implementation of green retailing. Recommendations for some of these strategies are implementing a ‘bring your own shopping container’ system which will be regulated by a point system, using environmentally friendly electronic devices, creating special eco-friendly angles, optimizing social media, and collaborating with the government, communities and businesses that focus on environmental issues.
LITERATURE REVIEW: FACTORS AFFECTING CHILDREN'S ANXIETY WHEN VISITING THE DENTIST CLINIC IN THE COVID-19 PANDEMIC ERA
Authors:   Department of Pediatric Dentistry, Faculty of Dental Medicine, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia, PRASTYO EKO
Published: July 2023

The influence of the spread of COVID-19 in the world has caused changes in regulations in society, including in dentistry, which have a negative impact on the psychology of pediatric patients. This change can cause an increase in children's anxiety without exception when visiting a dentist's clinic. This study aims to examine what factors can affect children's anxiety when visiting a dentist clinic in COVID-19 pandemic era. Type of research used is Narrative Review by searching for data through Google Scholar database, PubMed, Wiley and ScienceDirect using the keywords of dental anxiety AND child/Pediatric AND COVID-19 and obtained 6 scientific articles relevant to the research objectives. There is an increase in anxiety in children when visiting a dentist clinic in COVID-19 pandemic era which is influenced by lockdown regulations, the presence of parents at home and the age of the child himself.
ACADEMIC ACHIEVEMENT AND ACADEMIC FRAUDULENT BEHAVIOR: EFFECTS OF CAMPUS CULTURE, INFORMATION TECHNOLOGY IMPLEMENTATION, AND ACADEMIC ACHIEVEMENT
Authors:   Faculty of Teacher Training and Education, Universitas Ivet, Semarang, Central Java, Indonesia., SLAMET SLAMET
Published: July 2023

Academic fraud is an act committed by students to get maximum results by committing bad and prohibited acts such as cheating, discussing with friends during exams or other ways. The problems formulated in this study are: 1) does campus culture influence fraudulent academic behavior?; Does the use of information technology influence academic fraud behavior?; and 3) does academic achievement influence academic fraud behavior? This type of quantitative research is an ex post facto model with 118 students at Ivet University Semarang as subjects. Data collection techniques used documentation and questionnaires with instruments that met the requirements of validity and reliability. The data analysis technique was used with the help of SPSS data processing, with the results that: 1) based on descriptive statistical analysis, the academic fraud variable was high, while campus culture was relatively high, while the use of information technology was included in the high criteria and the academic achievement score was relatively high; 2) based on hypothesis testing only campus culture variables have a positive and significant effect on academic cheating, while the variables of information technology use and academic achievement are found to have no significant effect on academic cheating.
SOCIAL STOCK EXCHANGE IN INDIA – TIME TO TAKE CAPITAL MARKET TO SOCIAL WELFARE OBJECTIVES
Authors:   Chevalier T. Thomas Elizabeth College for Women, Chennai, GAYATHIRI DR. J.
Published: July 2023

With major transformations happening in the National Stock Market it comes up with the new launch idea of Social Stock Exchange after decades in the upcoming months. This paper focuses on the framework and the various regulations fixed for listing in the social stock exchange. The concept was down for discussion from the year 2019 but the final nod for the launch of social stock exchange was announced in the month of February 2023 by SEBI. With its discussion and approval process going on various charitable organizations started their talks on the listing process in the social stock exchange. After decades a great transformation and introduction of new sector into the stock market making the investors meet the growth of the social enterprise. Will this be leverage in building a newer network or an added challenge with more intermediaries involving.
ANALYSIS OF PREY PREDATOR INTERACTION WITH HARVESTING SYSTEM ON MATHEMATICAL MODELLING
Authors:   PhD Candidate (Student), College of Natural & Computational Science, Department of Mathematics, Bule Hora University, Bule Hora, Ethiopia., TIRFE TULU LETA
Published: July 2023

In the Modern World, everything will be systematically developed by using best modelling. In our article we will prepare and analyzed in the area of Dynamics of System of Two Prey and One Predator by using Holling Type – II Functional Response, and we designed the model such as First Prey and the Second prey a ratio – dependent response, where harvesting of each prey species is taken into consideration. And also, the model is used to study the Ecological Dynamics of the Fox – Antelope – Rabit (FAR) in a given habitat. We also focus the effect of harvesting on prey species. We discussed Local and Global Stability Analysis of the system were carried out, and also we analyze numerical simulation for particular variables and then, we conclude and show that the Result of Analysis of our model that the Three Species would co – exist if the Antelope and Rabbit were not harvesting beyond their Intrinsic Growth Rate (IGR).
COMMUNICATION SKILLS EDUCATION THROUGH GAMES FOR ELEMENTARY SCHOOL STUDENTS
Authors:   Me Linh Division of Education, Ha Noi, Viet Nam, LAN TRAN THI , HOA DAM THI ,   Faculty of Primary Education, Hanoi Pedagogical University 2, 32 Nguyen Van Linh Street, Xuan Hoa Ward, Phuc Yen District, Vinh Phuc Province, Viet Nam.
Published: July 2023

In Vietnam, implementing the new general education curriculum focuses on nurturing students' competencies and character development. A significant emphasis does place on fostering communication and collaboration skills among students. Consequently, the role of communication skills education within schools is paramount. This article presents various strategies for imparting communication skills through engaging games designed for elementary school students.
ACUTE CORONARY SYNDROME REVEALING AN ECTATIC CORONARY NETWORK: THE CHALLENGES OF MANAGEMENT (CASE REPORT)
Authors:   Cardiology Department B_ Souissi Maternity Hospital _ Avicenne University Hospital _ Faculty of Medicine and Pharmacy Rabat., BENATMANE ASMAE
Published: July 2023

Coronary ectasia is relatively a rare pathological entity, whose pathophysiological mechanisms and management principles are still poorly understood. Atherosclerosis is the predominant etiology with other causes that can be incriminated at lower percentages. These abnormalities expose to a major risk of intracoronary thrombosis by blood stasis, especially since they are most often associated with stenotic lesions conditioning the prognosis of patients. We report the case of a patient admitted to the emergency room for the management of an acute coronary syndrome without ST segment elevation with on coronary angiography an aspect of diffuse coronary ectasia affecting the 3 main coronary arteries, and we discuss a review of the literature concerning this type of condition and specifics of management.
Challenges for the Development and Use of Marine Natural Products
Authors:   Faculdade de Farmácia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003, Lisboa, Portugal., Machado Matilde , Sousa Pedro ,   Faculdade de Farmácia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003, Lisboa, Portugal., Gudz Tetyana ,   Faculdade de Farmácia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003, Lisboa, Portugal., Teixeira Generosa ,   cE3c, Centre for Ecology, Evolution and Environmental Changes & CHANGE - Global Change and Sustainability Institute, Faculdade de Ciências, Universidade de Lisboa, C2, 1749-016, Lisboa, Portugal. & DCFM, Faculdade de Farmácia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003, Lisboa, Portugal.
Published: July 2023

Marine environments are known to be difficult and complex. To survive in hostile environments, living organisms have developed functional and metabolic adaptive mechanisms, which we are still far from knowing and taking full advantage of. Many compounds of marine origin are structurally complex and have unique functionalities, whose potential goes beyond pharmaceuticals, reaching cosmeceuticals, nutraceuticals, biomaterials and energy. Based on knowledge and technical development, cooperation between academia and industry allows for the sustainable use of marine resources. The present survey does not aim to be exhaustive, we intend to have an idea of the present situation and of future prospects.
Primary Thyroid Lymphoma: An Interesting Case Emphasising Early Diagnosis
Authors: Prasad Bipin Kishore , Ranganathan Yamuna , Dwivedi Gunjan , Mukherjee Tanushree , Pathak Abhishek
Published: July 2023

Introduction: Primary thyroid lymphoma is defined as a lymphoma involving only the thyroid gland, or thyroid gland with regional lymph nodes without contiguity or metastasis to other areas at the time of diagnosis. Hashimoto’s thyroiditis is a known risk factor for the disease. It responds well to chemotherapy but since it is a rare clinical entity, the diagnosis is often missed, thereby subjecting the patient to extensive surgery.

Case report: A 69 years old male presented with rapidly progressive swelling in front of neck for 10 days associated with dysphagia, odynophagia and dyspnoea. He had right lobe thyromegaly with multiple cervical lymphadenopathy with ultrasonographic risk stratification of TIRADS 5. Diagnosis was clinched by core biopsy report on immunohistochemistry as Diffuse Large B Cell Non-Hodgkin’s Lymphoma. Positron emission tomography computerized scan revealed 18-fluorodeoxyglucose avid grossly enlarged thyroid lobes and isthmus with multiple bilateral cervical lymph nodes. Documenting the stage of disease as III E, he was managed with Chemo-immunotherapy consisting of RCVP regime with complete remission.

Conclusion: Primary thyroid lymphoma with extra-thyroid involvement can be rapidly progressing and life threatening. However, timely investigation leads to correct diagnosis, appropriate curative medical management and can avoid unwarranted surgery.
Pott’s Puffy Tumour in Mucormycosis: New Presentation of an Old Disease
Authors: Hegde Smita , N Dhanapala , B Ramya , Raj S Pruthvi , S Arunima , Gopi Rahul
Published: July 2023

Introduction: Pott’s puffy tumour (PPT) is a rare but grave complication of frontal sinusitis. During the second wave of Covid-19, there was rise in rhino-orbito-cerebral mucormycosis (ROCM) cases in India. There is a paucity of literature reporting association of frontal osteomyelitis with rhino-orbital cerebral mucormycosis. This study elucidates the clinico-epidemiological profile and clinical outcomes of management of frontal osteomyelitis in patients with ROCM.
Materials & Methods: A retrospective, observational study was conducted at a tertiary hospital from May 2021 to May 2022. 350 patients with covid-19 associated ROCM had reported to the hospital. 12 patients presenting either pre- or post-operatively with doughy swelling over the forehead, with/without oedema of the upper eyelid were clinically diagnosed to have frontal osteomyelitis. Minimal localised defects in the frontal bone were subjected to local excision of granulation tissue, evacuation of pus and biopsy. Cases involving extensive erosions of anterior table of frontal sinus underwent osteoplastic flap with obliteration.
Results: 12 patients presented with frontal osteomyelitis. All received systemic antifungals and broad-spectrum antibiotics.  It sufficed in only 1 case. 2 required additional local debridement. In 4, endoscopic sinus surgery achieved adequate disease control. 5 with extensive disease required osteoplastic flap with obliteration via either eyebrow or bicoronal incision. 
Conclusion: A high index of suspicion is warranted in patients with covid-19 associated mucormycosis who present with a forehead swelling because even though PPT is a rare clinical entity it is associated with potentially life-threatening complications.
Rare Case of Sino-Nasal Rosai Dorfman Disease
Authors: BajaJ Anushree , Khandagale Shruti , Vaze vikrant
Published: July 2023

ABSTRACT :Introduction: Rosai-Dorfman disease (RDD) is a very rare nonneoplastic lymphoproliferative disease with unknown etiology and pathogenesis. It was originally described as sinus histiocytosis with massive lymphadenopathy(SHML). Approximately 43% of Rosai-Dorfman disease show extra nodal involvement wherein the possible sites are skin, CNS, ear, orbit and rarely nose and paranasal sinuses. Definitive diagnosis can be performed by histopathological examination, which shows emperipolesis. The sinus histiocytes are strongly reactive for S-100 protein and CD68, but negative for CD1a. Case Report: The current study presents the case of a 29 year old male patient who had complaints of nasal obstruction since 5 months. Diagnostic Nasal Endoscopy showed mass completely filling both nasal cavities. Histopathological examination concluded the diagnosis of Rosai-Dorfman Disease and Immunohistochemistry (IHC) stained positive for S-100 and CD68, while negative for CD1a, of the surgical specimen after surgical excision by Functional Endoscopic Sinus Surgery. Follow up was done after a week, monthly for 6 months and a year for recurrenceDiscussion: Extranodal RDD, although rarely seen, should be considered in nasal cavity. Even though there is no ideal protocol in the treatment, surgical excision should be considered if there is a functional disorder.
Cross Sectional Study on Thyroid Arteries with Clinical Correlations
Authors: Saha Ankita , Nandy Shantanu
Published: July 2023

Introduction- Thyroid gland is a highly vascular endocrine gland. The aim of our study is to explore thyroid arteries to escape eventual iatrogenic complications.

Materials and Methods- Both sides of neck of total 60 adult embalmed cadavers were dissected in West Bengal (2020-2021).

Results- We found Superior Thyroid Arteries in 100% cases originating from External Carotid Artery in 77.5% cases, Carotid Bifurcation in 11.67% cases, Common Carotid Artery in 7.5% cases, as well as a common trunk with Lingual artery in 1.67% cases, Lingual and Facial arteries in 1.67% cases. Source of origin of Superior Thyroid Artery when compared with level of origin and between male and female cadavers, the result was found statistically significant (p< 0.05). Inferior Thyroid Artery was present in 90% cases and absent in 10% cases. Inferior Thyroid Artery originated from Thyrocervical Trunk in 92.5% cases, Common Carotid Artery in 1.67% cases, Subclavian Artery in 0.83% cases. Thyroidea Ima Artery was found in 3.33% cases arising from Arch of Aorta and Brachiocephalic Trunk.

Conclusion- Knowledge of thyroid arterial variations will help to prevent loss of patient life due to hemorrhage during surgery.
Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy
Authors: Kamar Mohammad Naksh , Mahapatra Srijita , Saha Parna , Khaowas Ajoy , Mukherjee Dwaipayan
Published: July 2023

Introduction
It is generally accepted that the ideal method of tonsillectomy should have less operative time, blood loss, post-operative haemorrhage and morbidity.1
Objective: To compare post-operative pain, intra-operative blood loss and duration of surgery between cold dissection and bipolar diathermy dissection method of Tonsillectomy.
Materials and Methods
This study was a prospective and comparative hospital-based study. It was conducted from January 2021 - June 2022 at the Department of ENT of a tertiary referral hospital, Kolkata. 90 patients were included in this study fulfilling the inclusion and exclusion criteria.
Results
In bipolar diathermy method, the mean total blood loss (in ml) (mean±s.d.) of patients was 15.0778±4.6011 and in cold steel method it was 33.0000±5.8737. Post-operative pain for cold dissection on day 1, day 3 and day 10 was [4.4889±.6613], [2.0222±.7830] and [.3778±.4903] respectively. Post-operative pain for bipolar diathermy on day 1, day 3 and day 10 was [4.9556±.2084], [2.5778±1.0111] and [1.6222±.7474] respectively. Duration (in minutes) for bipolar diathermy dissection was [15.2889±1.9612] and for cold dissection it was [24.0444±2.3351].
 Conclusion
The blood loss and duration were less in bipolar diathermy method but post-operative pain was more as compared to cold steel method.
Keywords
Tonsillectomy, cold steel, bipolar diathermy, post-operative pain.
Comparative Study of Graft Placement Between Medial and Lateral to Malleus in Tympanoplasty
Authors: Ray Somnath , Ghosh Saheli , Jana Ayanangshu , Sit Santanu , Basu Sumit Kumar
Published: July 2023

Abstract

Introduction

Tympanoplasty is a surgical method, to eradicate middle ear infection and improve its function. In tympanoplasty graft can be by overlay or underlay technique. In underlay technique the graft material can be placed either medial or lateral to the handle of malleus.

Objective: To compare the outcome of the surgery when the temporalis fascia graft is placed medial or lateral to the handle of malleus, in terms of complete take up of the graft and hearing improvement after the surgery.

Materials & methods

A prospective and comparative hospital-based study was done in the Otorhinolaryngology (ENT) department of a tertiary referral hospital of Kolkata, from 1st January, 2021 to 30th June, 2022 (18 months). 60 patients were included in the study.

Results

We found that association of tympanic membrane status with group was not statistically significant after 1 month of surgery (p=1.0000) and after 3 months of surgery (p=0.6711). Distribution of mean postoperative hearing gain after 3 months of surgery with group was not statistically significant (p=0.3020).

Conclusion

We found both the techniques are equally effective in terms of complete graft take up and post operative hearing gain after 3 months follow up.
Vergi Aflarının Mükellef Üzerindeki Etkileri
Authors: KURT Serhat
Published: July 2023

Geçmişten günümüze kadar özellikle sosyal devlet olgusunun da artmasıyla birlikte devletlerin görev ve sorumluluklarında da artışların yaşandığı görülmektedir. Bu durum kamu harcamalarında sürekli bir artış seyri oluşmasına neden olmaktadır. Devletlerin kamu harcamalarını finanse etmek için ihtiyaç duydukları en önemli kamu geliri ise vergilerdir. Bu nedenle, devletler bir vergi dönemindeki vergi kapasitelerinin tamamını tahsil etmek isterler. Ancak, kayıp ve kaçakların varlığı nedeniyle bu durum mümkün olmamaktadır. Devletler tahsil edemediği bu kamu alacaklarını vergi affı gibi uygulamalar yoluyla tahsil etmeye çalışmaktadırlar. Vergi affı genel anlamıyla, vergiyle alakalı yükümlülüklerini zamanında yerine getirmeyen ya da eksiksiz yerine getiren mükelleflere uygulanan cezaların affedilmesi olarak tanımlanmaktadır. Vergi affının uygulanmasında siyasi, sosyal, ekonomik faktörler başta olmak üzere birçok neden bulunmaktadır. Tüm bunların yanında temel amaçlarından biri, tahsil edilememiş ve üzerine ceza uygulanmış kamu alacaklarının tahsilatını sağlayarak kısa vadede kamu geliri elde etmektir. Bu durum vergi aflarının olumlu etkisini ve uygulanma amacını gösterse de olumsuz birçok etkisi de bulunmaktadır. Vergi aflarının oluşturduğu bu olumsuz etkilerin temeli ise anayasal vergileme ilkeleriyle ortaya çıkan çelişkilerden kaynaklanmaktadır. Anayasa ve kanunlarla hiçbir düzenlemesi bulunmayan vergi afları; anayasal vergileme ilkelerinden genellik ilkesi, eşitlik ilkesi, adalet ilkesi ve kanunilik ilkeleri ile çelişmektedir. Bu özelliğinden dolayı da vergi bilincine sahip ve vergiyle alakalı yükümlülüklerini zamanında ve eksiksiz yerine getiren mükellefler üzerinde olumsuz etkilere yol açabilmektedir. Çalışmada; vergi aflarının uygulanma nedenleri, anayasal vergileme ilkeleri ile çelişkileri ve mükelleflerin vergiye uyumları üzerindeki olumsuz etkileri belirtilecektir. Sonuç kısmında ise; vergi aflarının uygulandıktan uzun süreçte oluşabilecek olumsuz etkilerini ortadan kaldırmak amacıyla hem aftan yararlanan hem de yükümlülüklerini zamanında yerine getiren mükellefleri düşünerek yapılaması gereken birtakım önerilerde bulunulacaktır.
ÖRGÜT KÜLTÜRÜNÜN ÖRGÜTSEL ATALET ÜZERİNDEKİ ETKİSİNDE İŞBİRLİKÇİLİĞİN ARACILIK ROLÜ
Authors: CÖRÜT Cansu , ÖZKAN Fatmanur
Published: July 2023

Amaç - Her işletmenin kendisine özgü kuralları bulunmaktadır. Çalışanların bir bütün halinde hareket etmesini sağlayan bu kurallar örgüt kültürünü oluşturmaktadır. İşletmeler, sürekli değişen çevre koşullarına uyum gösterebilecek örgüt kültürünü benimsemelidir. Bu durum rekabet avantajı sağlama açısından önemlidir. Ancak örgütsel atalet kavramı değişimde gösterilen direnç ile rekabet avantajını olumsuz etkilemektedir. Araştırmanın amacı örgüt kültürünün örgütsel atalet üzerindeki etkisinde işbirlikçiliğin aracılık rolü ile en aza indirilip örgütsel ataletin etkilerinin örgütte minimum seviyeye ulaştığını ortaya koymaktır.

Yöntem - Araştırmın modeli, Ordu Büyükşehir Belediyesi çalışanlarından toplanan veriler ile Kısmi En Küçük Kareler (PLS) tekniği kullanılarak analiz edilmiştir.

Bulgular - Örgüt kültürünün belirsizlikten kaçınma alt boyutu ile iş birlikçiliği arasında pozitif yönlü ilişki bulunmuştur. Örgüt kültürünün kolektivizm alt boyutu ile örgütsel ataletin alt boyutu olan iç görü ataleti arasında pozitif yönlü ilişki olduğu tespit edilmiştir. Örgüt kültürünün kolektivizm alt boyutu ile iş birlikçiliği arasında pozitif yönlü ilişki bulunmuştur. Örgüt kültürünün uzun erimlilik alt boyutu ile örgütsel ataletin alt boyutu olan iç görü ataleti arasında negatif yönlü ilişki tespit edilmiştir. Örgüt kültürünün uzun erimlilik alt boyutu ile iş birlikçiliği arasında pozitif yönlü ilişki bulunmuştur.

Tartışma - Araştırma sonuçlarına bakıldığında belirsizlikten kaçınma, uzun erimlilik ve kolektivizmin iş birliği davranışı üzerinde etkilerinin olduğu belirlenmiştir. Erillik ve güç mesafesinin işbirliği davranışı üzerinde etkisinin bulunmadığı belirlenmiştir. Ulaşılan bir diğer önemli sonuç ise kolektivizm ile uzun erimliliğin iç görü ataleti üzerinde etkisinin olduğunu belirlemiştir.
CÜMLE UNSURLARI TAHLİLİNE YENİ BİR BAKIŞ
Authors: EYİ Eda
Published: July 2023

Cümle unsurlarının tespit ve tahlil edilmesi, genellikle basit cümle yapısına bağlı olarak yapılmıştır. Bundan dolayı hem basit ve birleşik cümle ayrımında hem de ögelerin doğru bir şekilde ayrılmasında birtakım problemler yaşanmıştır. Oysa cümle unsurlarının doğru bir biçimde tasnif ve tahlil edilmesi için birleşik cümle yapısı, basit cümle yapısından ayrı tutularak hem yüzey hem de derin yapıda incelenmelidir. Bu çalışmada, hem basit hem de birleşik cümle yapısı, söz dizimsel olarak belirtilmiş ve ögelerin bağlamsal ve şekilsel olarak bağlanma biçimleri gösterilmiştir. Birleşik cümle, genel olarak içinde birden fazla yargının bulunduğu cümle olarak bilinmektedir. Yan cümlenin yargısı birden fazla olabilirken; ana cümlede tek bir yargı bulunmakta ve yan cümleye eklenen fiilimsi ekleri, bu yargıları özne ya da tümleç göreviyle ana cümleye bağlamaktadır. Bundan dolayı yan cümlenin yargısı da ana cümlenin yargısına bağlanabilecek cümle unsurunu taşımakta bu unsurlar yan cümleye bağlandıktan sonra ana cümleye bağlanmaktadır. Bu çalışmada, yan cümlenin yargısının göz önünde bulundurulması gerekliliği belirtilmiştir.
İZAHA DAVET MÜESSESESİNİN GELİŞİMİ VE DEĞERLENDİRİLMESİ
Authors: DEMİR Halil İbrahim
Published: July 2023

İVergilendirme, mükelleflerin faaliyetleri nedeniyle ödemekle yükümlü oldukları vergilerin hesaplanıp tahsil edilmesi işlemidir. Vergilendirme, mükelleflerin yasal yükümlülüklerini yerine getirmeleri açısından önemli bir konudur ve aynı zamanda vergi uyuşmazlıklarının da ana kaynağıdır. Vergi uyuşmazlıkları, vergi eksiklikleri veya vergi uyumsuzlukları nedeniyle mükellefler ile idare arasında ortaya çıkan anlaşmazlıklardır. Vergi uyuşmazlıklarının çözümüne ilişkin olarak, mükellefler ile idare arasındaki uyuşmazlıkların çözümü için adli ve idari hukuk yolları mevcuttur. Vergi uyuşmazlıklarının çözümüne yönelik olarak idari aşamada bir çözüm önerisi olarak ortaya çıkan izaha davet uygulaması, mükelleflere vergi uyumsuzluklarını düzeltme ve vergi incelemesine başvurmaktan kaçınma imkânı sağlamayı amaçlamaktadır. İzaha davet uygulaması, mükelleflerin vergi ziyaına sebebiyet veren bir kısım fiillerinin, idarece özellikle teknolojik imkânlar kullanılarak tespiti sonrasında, ağır ve bürokratik bir idari işlem olan vergi incelemesine sevki yerine, mükellef tarafından düzeltme imkânı verilerek uyumsuzluğun kısa yoldan çözümünü öngören bir idari çözüm müessesedir. Uygulamanın 15.07.2016’da yürürlüğe giren ilk hali üç yılı aşkın süre uygulanmış, 01.01.2020’de yapılan kanun değişikliğiyle tekrar revize edilmiştir. Uygulamaya ilişkin ilk yayımlanan tebliğ mülga 482 no.lu tebliğdir. Revize edilmiş uygulama için ise 519 no.lu tebliğ yayımlanmıştır. Uygulama, Vergi Usul Kanunu’nda yer alan pişmanlık-ıslah müessesesi, uzlaşma ve cezada indirim müessesesi gibi uygulamalarla yakından ilişkilidir. Çalışmamızda izaha davet uygulamasının evrimi ve tebliğde yer alan hususlar değerlendirildikten sonra, diğer idari çözüm yolarıyla olan ilişkisi açıklanacaktır.
INTEGRACIÓN EL LENGUAJE PYTHON Y RASPBERRY PI COMO ESTRATEGIA PEDAGÓGICA PARA EL LOGRO DE COMPETENCIAS DIGITALES EN ESTUDIANTES UNIVERSITARIOS
Authors: Rivera José , Ávila Grisel , Meléndez Gómez Nelly
Published: July 2023

El área de Programación resulta una de las más complejas para los estudiantes de carreras relacionadas con Ciencias de la Computación, puesto que la resolución de los algoritmos requiere competencias de abstracción y análisis de mayor nivel, además de experiencia con lenguajes de programación. Para realizar las prácticas es obligatorio tener acceso a equipos de computación y conexión a internet, por lo que muchos estudiantes no logran la experticia necesaria por falta de recursos tecnológicos. Por tanto, el objetivo de este trabajo consistió en integrar el lenguaje Python y Raspberry Pi como estrategia pedagógica que permita el logro de competencias digitales en los estudiantes de la carrera Licenciatura en Administración tecnológica y redes informáticas en una Universidad de Panamá. La metodología empleada consistió la implementación de prácticas de programación, a través el uso de Raspberry Pi, disponible a bajo costo para los estudiantes que no disponen de equipos de computación, tabletas o smartphone; o que teniendo computador no disponen de conexión a internet. Mediante Raspberry Pi se pudieron desarrollar todas las prácticas sin necesidad de monitor especial, en la pantalla del televisor, a través de una conexión con cable HDMI. Se aplicó luego un cuestionario para evaluar los conocimientos adquiridos para concluir que la inclusión de esta tecnología mejora el proceso de adquisición de competencias digitales y la formación de los estudiantes en el área de Programación sin ninguna diferencia significativa respecto a estudiantes sin limitaciones de la brecha digital.
TRANSVERSALIDAD DE LA DIMENSIÓN AMBIENTAL EN EL SUBSISTEMA DE EDUCACIÓN MEDIA Y DIVERSIFICADA VENEZOLANA. CASO: UNIDAD EDUCATIVA “LIBERTADORES DE AMÉRICA”
Authors: Chirinos González Jeanmary Josefina
Published: July 2023

Esta investigación analiza el desempeño de los docentes y directivos en la aplicación del Eje Transversal Ambiente en la Unidad Educativa Colegio “Libertadores de América” del municipio Miranda, Estado Falcón. Se revisó el ejercicio profesional tanto de los docentes como de sus directivos, estableciendo de qué manera conciben al ambiente en sus unidades curriculares y en la gestión educativa. La investigación es de campo, bajo un estudio descriptivo y un diseño no experimental transeccional, desde un enfoque positivista del paradigma cuantitativo. La población y muestra estuvo conformada por 30 docentes y un directivo con experiencia en diferentes áreas de conocimiento, de sexo femenino y masculino, con edades comprendidas entre 25 y 45 años. La técnica seleccionada es la encuesta, el instrumento escogido es el cuestionario, validado por 3 expertos, una prueba piloto fue aplicada a diez docentes arrojando alto coeficiente de Alfa de Cronbach 0,785. La estadística descriptiva de los resultados evidenció que los docentes tienen un nivel alto de conocimientos teóricos del ambiente, sin embargo, manifiestan un nivel muy bajo en el marco jurídico ambiental. De igual modo, muestran debilidades en la aplicación de estrategias didácticas del tipo: conceptuales, procedimentales y actitudinales en la aplicación del eje transversal ambiente desplegadas en sus cuatro dimensiones: dinámica ambiental, participación ciudadana, valoración ambiental y la promoción de la salud integral. Se concluye que el desempeño docente y la gestión directiva educativa para aplicar el eje transversal resultan desfavorables.
Non-Formal Education in Digital Spaces: A Digital Ethnography of Ghanaian Teachers’ Use of WhatsApp Group
Authors: Addai-Mununkum Richardson
Published: July 2023

Research on social media use in education has found evidence of positive outcomes. While the benefits of social media in formal education discourse are known, there is still limited knowledge about its use in non-formal education. This study explored the use of WhatsApp groups in non-formal education. The researcher designed a qualitative virtual ethnographic study based on a community of Ghanaian teachers who utilized WhatsApp to prepare for their promotion examination. The researcher immersed myself as a participant observer in this digital community for 16 months, observing web interface, visuals, text, threaded discussions, and participant interaction. Data generated were analyzed thematically with the aid of Targuette, a qualitative data analysis software. The outcome of the study was an affirmation of limitless possibilities existing in digital spaces to promote non-formal education. Based on this, I recommend a reexamination of curriculum and pedagogical constructs to forge new directions for teaching and learning.
Attachment Styles as Predictors of Suicidal Behavior in School Going Adolescents
Authors: Mwania Jonathan , Owino Walter , Kimatu Josphert
Published: July 2023

Purpose: Secondary school students face numerous challenges as they balance academic challenges, parental and peer pressures, emotional issues related to puberty changes and adolescence expectations. They also grapple about not knowing what the future holds in terms of career paths. As a result of these challenges, it is common for adolescents to have suicidal thoughts that may lead to suicide attempts.. Suicide is among the leading cause of death in young people and is prevalent worldwide. Suicidal behavior has been associated with attachment security in studies but few of these studies have been done in Kenyan adolescents. This study filled this gap by investigating whether attachment styles predicted suicidal behavior in students attending secondary schools in Nairobi, Kenya.

Methodology: The study was correlational in design and was based on the attachment theory. Three hundred and sixty seven randomly selected students completed self-report measures consisting of the Attachment Styles Questionnaire and a Suicidal Behavior Scale.

Findings: Results of multiple regression showed that that attachment styles significantly predicted suicidal behavior (F = 36.125, P < .000) and 30% of variance in suicidal behavior was attributed to the attachment styles (R2 = .300). Preoccupied (β = .487, P < .001) and dismissing (β = .122, P = .018) attachment styles predicted suicidal behaviors. 

Unique Contribution to Theory, Practice and Policy: The contribution to knowledge of this paper is that it provides a theoretical and practical contribution on the importance of  attachment styles in predicting suicidal behaviours. The results of the study show that attachment security plays an important role in adolescents’ suicide behavior as insecurely attached students have a higher risk of suicide.Basically, the study contributed to a theoretical enhancement of the current level of knowledge on the existing literature on attachment styles and suicidal behaviours, achieved by testing empirically the adolescent behaviour. Therefore, suicide prevention programs should take into account adolescents’ attachment styles.
Perlindungan Konsumen Terhadap Upaya Labelisasi Halal Di Indonesia
Authors: Ilham Muhammad , Saifullah Saifullah , Kartika Nova Resty
Published: July 2023

Kebutuhan akan halal sudah tercermin secara global dan perkembangannya terus meningkat mengingat banyak masyarakat muslim dari seluruh dunia membutuhkan produk halal guna kelancaran konsumsi dan aktivitas yang dilakukannya. penelitian ini mengkaji secara kepustakaan guna menjawab permasalahan-permasalahan sebagai data sekunder. Untuk menjawab permasalahan-permasalahan tentang labelisasi halal dalam perlindungan konsumen di Indonesia, maka diperlukan pendekatan yakni dengan pendekatan perundang-undangan (Statute Approach) yaitu dengan menelaah peraturan-peraturan yang diterbitkan oleh lembaga negara sesuai dengan permasalahan hukum yang dikaji. perlindungan konsumen melalui labelisasi halal di Indonesia adalah bahwa langkah tersebut memberikan manfaat dan perlindungan penting bagi konsumen Muslim di negara ini. Sejak keluarnya Undang-Undang Jaminan Produk Halal, proses permohonan sertifikat halal oleh pelaku usaha secara tertulis kepada Badan Penyelenggara Jaminan Produk Halal (BPJPH). Labelisasi halal di Indonesia memiliki peran penting dalam melindungi konsumen Muslim dan memastikan mereka mendapatkan produk halal yang sesuai dengan keyakinan agama mereka
TINJAUAN YURIDIS TERHADAP PENERAPAN SERTIFIKASI HALAL SUATU PRODUK
Authors: Rahmadany Rahmadany
Published: July 2023

Makanan adalah segala sesuatu yang berasal dari sumber hayati dan air, baik yang diolah maupun tidak diolah, yang diperuntukkan sebagai makanan atau minuman bagi konsumsi manusia, termasuk bahan tambahan pangan, bahanbaku pangan, dan bahan lain yang digunakan dalam proses penyiapan, pengolahan, dan atau pembuatan makanan dan minuman.Makanan menjadi sumber energi bagi semua makhluk hidup tidak terkecuali manusia. Bagi manusia yang beragama Islam makanan yang baik dikosumsi adalah makanan yang halal, yang diperbolehkan oleh ajaran agama, dan tidak ada larangan terhadapnya. Ajaran tegas Syariat Islam untuk menghindari hal-hal yang dilarang Allah SWT dan melaksanakan apa saja yang diperintahkan membuat konsumen Muslim bukanlah konsumen yang permissive (serba membolehkan) dalam pola konsumsinya. Mereka dibatasi oleh ke-Halalan dan ke-Haraman yang dimuat dalam nash Al Qur’an dan AlHadist yang menjadi panduan utama bagi kaum muslimin. Metode penelitian yang digunakan adalah penelitian yuridis normatif. Hasil penelitian menunjukkan bahwa Pengaruh Labelisasi Halal terhadap perilaku konsumen memilih produk makanan Syar’ih sangat berpengaruh pada Masyarakat.

Kata Kunci: Label Halal, Produk Makanan dan Minuman, Keputusan Pembelian