bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effects of Traditional Medical Practices on Health Care Delivery System in Nigeria. Quantitative Case Study of Ibiaku Issiet Community of Akwa Ibom State, Nigeria
Authors: Olsson Imaobong , Akpan Ndu Ekpenyong
Published: June 2023

This research investigates the factors influencing the persistent use of traditional medicine and its implications for the acceptance and utilization of modern healthcare in the urban local government area of Ibiaku Issiet, Akwa Ibom State, Nigeria. Sociologists and medical sociologists have expressed concerns about the continued reliance on traditional healers, which often disregards modern scientific methods and facilities. A sample of 150 respondents was randomly selected, and data was collected using a structured questionnaire. The study reveals that the high cost of modern healthcare is a significant challenge rural dwellers face, leading them to seek more affordable traditional medicine. Traditional remedies have effectively catered to the sociocultural preferences and aspirations associated with modern medical care. Nigeria's socio-economic and sociocultural context, characterized by beliefs in witchcraft, spirits, and gods as causes of diseases, make eradicating this deeply rooted cultural heritage futile. Consequently, individuals are more likely to prefer modern medicine to traditional treatment methods. Based on the findings, it is recommended that traditional medicine be granted legal recognition and co-recognition as an official healthcare system in Nigeria. There is a pressing need to enhance the status, funding, and facilities of traditional medical clinics and practitioners and develop comprehensive training programs.
慢性B型肝炎患者服用Tenofovir Alafenamide治療之療效和安全性—系統性回顧和統合分析
Authors: 羅雲碩 羅雲碩 , Yun-Shuo Lo 陳瀅迪 , Ying-Ti Chen 蔡珮玲 , Pei-Ling Tsai 魏偲涵 , Si-Han Wei 許心瑜 , Hsin-Yu Hsu 賴尚宏 , Shang-Hong Lai 陳詠宸 , Yong-Chen Chen 陳凱倫
Published: June 2023

背景與目的：慢性B型肝炎（chronic hepatitis B, CHB）患者若未接受治療，很可能會併發嚴重的併發症。目前治療CHB患者療效最佳的藥物為Tenofovir disoproxil fumarate（TDF），但長期服用會有較高骨密度流失及腎毒性反應。Tenofovir alafenamide（TAF）為Tenofovir的新型藥物，過去用以治療HIV患者的臨床試驗中，顯示與TDF相比，效果相似但安全性較佳。TAF已經開始用於治療一般族群的慢性B型肝炎，安全性需要有更robust的實證資料。本研究旨在探討在治療CHB患者時，TAF是否較TDF，有較好的療效以及更佳的安全性。研究方法：利用PubMed、Cochrane和Embase進行TDF和TAF比較的隨機對照試驗文獻搜尋，搜尋日至2022年3月前出版之英文文獻。統合分析以random-effects model估算療效和安全性，統計軟體選用Review Manager Version 5.4。研究結果：本研究共收錄4篇文獻，在療效部分，TAF相較於TDF在HBV DNA<29 IU/ml (RR=1.00, 95%CI= 0.96-1.03)和HBeAg消失(RR=1.19, 95%CI= 0.95-1.50)未達統計上顯著差異；HBeAg血清學轉換則有統計顯著差異(RR=1.39，95%CI= 1.04-1.83)。在髖骨密度與脊骨密度變化，和血清肌酸酐濃度變化之安全性指標，TAF變化程度皆較TDF小，TAF較TDF有較佳的安全性。結論：本研究結果顯示在治療CHB患者上TAF與TDF相比，在療效結果具非劣性，安全性結果則為TAF優於TDF。因此TAF有機會可以作為臨床上的另一種選擇，未來也建議應使用真實世界的資料進行長期慢性副作用的驗證。

 

Background and purpose: Nowadays, the most effective drug for the treatment of chronic hepatitis B (CHB) patients is Tenofovir disoproxil fumarate (TDF), how-ever long-term use will lead to high bone density loss and nephrotoxicity. Tenofovir alafenamide (TAF) is a noval drug of Tenofovir. In the past clinical trials for the treatment of HIV patients, it has shown similar effects but better safety than TDF. TAF has been used to treat CHB in the general population, but more robust evidence is needed for safety. This study aims to investigate whether TAF has better efficacy and better safety than TDF in the treatment of CHB patients. Methods: PubMed, Cochrane and Embase were used to conduct a literature search of randomized con-trolled trials comparing TDF and TAF, and the English language literature published by March 2022 was searched. Meta-analysis used random-effects model to estimate efficacy and safety, and the statistical software was Review Manager Version 5.4. Results: A total of four articles were included in this study. In the efficacy, TAF com-pared with TDF in HBV DNA<29 IU/ml (RR=1.00, 95%CI=0.96-1.03) and HBeAg loss (RR=1.19, 95 %CI=0.95-1.50) was not statistically significant; HBeAg serocon-version was statistically significant (RR=1.39, 95%CI=1.04-1.83). In the safety indi-cators of changes in hip BMD and spine BMD, and changes in serum creatinine con-centration, the degree of change in TAF was smaller than TDF, and TAF had better safety than TDF. Conclusion: The results of this study show that TAF is non-inferior to TDF in the treatment of CHB patients in terms of efficacy outcomes and TAF is superior to TDF in safety outcomes. Therefore, TAF has the opportunity to be used as another clinical option.

 
幼年型僵直性脊椎炎與薦髂關節炎
Authors: 陳嘉容 陳嘉容
Published: June 2023

幼年型僵直性脊椎炎是一種表現周邊、薦髂關節發炎，以及接骨點炎之疾病；其表現與成人僵直性脊椎炎不同。雖然，HLA-B27在兒童及成人的僵直性脊椎炎都佔有重要的角色，但是其在兒童方面僅有38%的低盛行率。這個在中軸骨疾病的不同面向，使得青少年過度至成人的照護更顯困難。此外，幼年型僵直性脊椎炎也無法納入國際風濕病組織對於兒童特發性關節炎的其中一個次分類中。然而，薦骨關節炎是兒童特發性關節炎的一個不良預後因子，並且對於傳統疾病修飾抗風濕藥物療效不佳。生物製劑已被建議為非類固醇抗發炎藥物之後的第二線用藥。基於以上的情況，進一步的更新分類條件應有助於及早診斷與治療。

 

Juvenile spondyloarthritis (SpA) has features of arthritis, sacroiliitis and enthesitis, and its presentation is different from adult SpA. Although HLA-B27 is a prominent marker both in juvenile and adult spondyloarthritis, the low prevalence is associated with juvenile spondyloarthritis. In addition, the spine and sacroiliac joint involvement is an unusual presentation in children and adolescents at diagnosis. The progression to axial skeletal disease would be a crucial point for adolescence transition to adult care. Furthermore, SpA could not be defined well in the International League of Association for Rheumatology (ILAR) classification system for juvenile idiopathic arthritis. The different diagnostic criterion from adult SpA is also a challenge. These review summarized the clinical features, pathogenesis, treatment and outcomes of juvenile SpA, and emphasis on sacroiliitis. Sacroiliitis is a poor prognostic factor of juvenile idiopathic arthritis, and the response to conventional DMARDs is poor. Biological DMARDs are suggested for second line therapy after NSAIDs. Among these situations, the advanced classification should be renewed for early diagnosis and treatment.

 
Human Gesture Recognition Based on Millimeter-Wave Radar Using Improved C3D Convolutional Neural Network
Authors: Wei Li Wei Li , Wei Li Yang Gao , Yang Gao Jun Chen , Jun Chen Si-Yi Niu , Si-Yi Niu Jia-Hao Jiang , Jia-Hao Jiang Qi Li
Published: June 2023

In this paper, we propose a time sequential IC3D convolutional neural network approach for hand gesture recognition based on frequency modulated continuous wave (FMCW) radar. Firstly, the FMCW radar is used to collect the echoes of human hand gestures. A two-dimensional fast Fourier transform calculates the range and velocity information of hand gestures in each frame signal to construct the Range-Doppler heat map dataset of hand gestures. Then, we design an IC3D network for feature extraction and classification of the dynamic gesture heat map. Finally, the experiment results show that the gesture recognition system designed in this paper effectively solves the problems of the difficulty of human gesture feature extraction and low utilization of time series information, and the average recognition accuracy rate can reach more than 99.8%.

 
Strategy for Identifying Analog Circuit Faults Using Improved Neural Network Algorithms
Authors: Han Gao Han Gao , Han Gao Dan Wang , Dan Wang Ying He , Ying He Yang-Yang Yu , Yang-Yang Yu Bai-Jun Gao
Published: June 2023

Analog circuit faults are the main cause of performance degradation or paralysis in integrated circuit systems. However, due to the complex causes and diverse manifestations of circuit faults themselves, traditional methods have high difficulty in identifying typical faults in analog circuits and low recognition accuracy. This article constructs an improved ResNet deep feature recognition network model and establishes one-dimensional and two-dimensional fault information sources. Finally, particle swarm optimization algorithm is used to search for the optimal parameters solved by the model, ultimately achieving improvements in the accuracy and recognition speed of analog circuit fault diagnosis. Finally, through experimental verification, the recognition accuracy of typical fault C2 reached 99.6%, proving the effectiveness of the method proposed in this paper.

 
Data from the Program for International Student Assessment Young Adult Follow-up Study (PISA YAFS): 2012–2016
Authors: Kastberg David , Mamedova Saida , Burg Samantha
Published: June 2023

The Program for International Student Assessment Young Adult Follow-up Study (PISA YAFS) was conducted in the United States in 2016 with young adults (age 19) who participated in PISA 2012 when they were in high school (age 15). PISA YAFS was designed to measure the relationship between performance on PISA 2012 and subsequent outcomes (education, employment, etc.) as well as skills. These skills were assessed in an online assessment of literacy, numeracy, and problem-solving skills called Education and Skills Online (ESO). ESO was developed to provide individual-level results linked to the Program for International Assessment of Adult Competencies (PIAAC).
Çevre Eğitimi ve İklim Değişikliği Dersi İçin Geliştirilen Etkinliklerin Uygulama Süreci
Authors: DAMAR Adnan
Published: June 2023

Çevre eğitimi ve iklim değişikliği dersi öğrencilerin çevreye karşı duyarlı ve sorumluluk sahibi bireyler olarak yetişmesini sağlamak amacıyla 2022-2023 eğitim-öğretim döneminde ilköğretim programına eklenmiş seçmeli bir derstir. Ancak ilgili derste hedeflenen kazanımların nasıl kazandırılması gerektiğine ilişkin örnek etkinliklerin öğretim programı ve ders kitaplarında yeterince olmadığı görülmektedir. Bu araştırmada nitel araştırma yöntemlerinden durum çalışması deseni kullanılmıştır. Bundan dolayı çevre eğitimi ve iklim değişikliği dersi için geliştirilen etkinliklerin uygulanması sonucunda elde edilen öğrenci çalışmalarının, öğrenci görüşlerinin ve araştırmacı günlüklerinin değerlendirilmesi amaçlanmıştır. Araştırmanın çalışma grubunu Sakarya ilinde bir devlet okulunda öğrenim gören 28 ilköğretim 8. sınıf öğrencisi oluşturmaktadır. Çalışma grubunda haftalık iki saat olmak üzere üç hafta boyunca üç etkinlik yürütülmüştür. Veri toplama aracı olarak öğrenci çalışmaları, yarı yapılandırılmış bireysel görüşme formu ve araştırmacı günlükleri kullanılmıştır. Bireysel görüşmelerden, araştırmacı günlüklerinden ve öğrenci ürünlerinden elde edilen veriler içerik analiziyle analiz edilmiştir. Elde edilen sonuçlara göre “Nereden çıktı bu balon balıkları?” etkinliğinde öğrencilerin daha çok doğal denge, ekosistem ve besin zinciri kavramını yansıttığı, “Yapay et” etkinliğinde ikilemlerin tartışıldığı ve öğrencilerin doğal dengeyi göz önünde bulundurarak argümanlar geliştirdiği, “Proje yapıyorum” etkinliğinde toplumsal farkındalık oluşturacak projelerin geliştirildiği görülmüştür. Genel olarak öğrencilerin etkinlikleri sevdiği, ilginç buldukları, doğal dengeye ait bilgilerinin arttığı, çevre duyarlılıklarının geliştiği, ekosistem kavramını anladıkları, ikilem oluşturan konular için argüman geliştirebildikleri ve doğal denge için proje geliştirebildikleri sonuçlarına ulaşılmıştır.
Historical paths of black ethnic-racial identity in Brazil
Authors: Nunes Antonio de Assis Cruz , Santos Clenia de Jesus Pereira Dos , Martins Marilda da Conceição , Sousa Angela Ribeiro Casas Nova de , Rocha Luís Félix de Barros Vieira , Costa Rosangela Coêlho , Marques Walter Rodrigues
Published: June 2023

The article deals with the historical paths of black ethnic-racial identity in Brazil. The text discusses the historical trajectory of the socio-racial relations of the black population in the 19th, 20th and 21st centuries from the perspective of building a black identity. In the 19th century, the Afro-Brazilian population encountered obstacles in building its own identity. In the 20th century, there was a more accentuated struggle for the construction of a black identity. In that century, identities called Sociological Subject (HALL, 2006), Resistance and Project (CASTELLS, 1999) were configured. In the 21st century there are advances in the construction of this identity due to the previous historical struggles of the black generations. The study points out the Resistance and Project identity models. The investigation consists of a descriptive-analytical study on the types of identities that coexisted and coexist in the process of Afro-Brazilian identity construction - from the 19th to the 21st century in the perspectives of Hall (2006; 2011) and Castells (1999; 2002), Elias (1994; 2001) and Goffman (1999; 2004). The study concludes that in each historical moment the Afro-Brazilian population built a singularity of identity in the light of delimited theorists.
From the need for aggression to the need for rootedness: a Gestalt postmodern clinical and social perspective on conflict
Authors: Spagnuolo Lobb Margherita
Published: June 2023

"Abstract: This article revises the basic concept of aggression in Gestalt therapy, considering the development of society from Fritz Perls’ time to nowadays. The anthropological turn of Perls is outlined (aggression, conflict, and intentionality of contact are the concepts that he linked), and the proposed evolution of the concept of aggression is in line with this original epistemological perspective. The need for rootedness is considered as the contemporary equivalent of the social need for aggression, a requirement that Perls identified in the 1950s. Treatment for this new form of social need is proposed as focused on the ground rather than on the figure. A clinical example is finally provided. Key words: aggression, conflict, intentionality of contact, need for rootedness, postmodern society, ground, now-for-next."
Shame in the Supervisory Relationship: Living with the Enemy
Authors: Kearns Anne , Daintry Penny
Published: June 2023

"Abstract: This article examines shame phenomena as they occur for supervisor and supervisee in the supenision of trainee psychotherapists. We offer some examples from our work as supervisors of trainees to illustrate the field conditions -both in the room and in the wider socio-cultural and intra-psychic fields - that support shame in the supervisory relationship. We discuss remgnising and working with some common defences against shame. Finally we offer a model for supervision to support the supervisee and supervisor to acknowledge and to survive the mnseguences of their human frail ties. Key words: shame, supervision, Gestalt therapy, education, transference, training institutes."
Improvising Gestalt with Children
Authors: Fleming Crocker Sylvia
Published: June 2023

"Abstract: This paper delineates four major ‘F’ principles of doing Gestalt therapy with children: therapeutic client-friendship, facilitating figure-formation, the therapeutic use of fantasy, and intervention in the field. These principles are based on fundamental Gestalt theory. They are illustrated with case material drawn from the author’s experiences of working with children in a rural area of Wyoming, USA. Key words: therapeutic friendship, figure-formation, fantasy, field, contact, ground, phenomenological method, paradoxical principle of change, active listening, choice- centred discipline."
Love and Commitment in the 21st Century
Authors: Melnick Joseph , March Nevis Sonia
Published: June 2023

"Abstract This article deals with the concept of commitment as it relates to the sustainability of a loving relationship. After first describing the beginning stages of romantic love, we provide a historical perspective and then offer a relational definition. We then discuss the concept of commihnent, focusing on the difficulties in meeting it. We break commitment down into three phases - promise, effort, and discipline - and list important skills for enhancement. We end by discussing how to better live out a loving relationship, including when to let go and when to end. Key words: commitment, endings, intimacy, love, relationship."
The Impassioned Body: Erotic Vitality and Disturbance in Psychotherapy
Authors: Cornell William F.
Published: June 2023

"Editor’s Note: :We are glad to be publishing the following article by William Cornell, which provides the basis for two Reflections, from Leanne O’Shea and from Michael Vincent Miller, which follow. Cornell begins by discussing the marginalisation of Wilhelm Reich – ‘someone who wrote of passion with passion’ – and then goes on to argue that the ‘de-eroticisation of therapy’ has led to sentimentalising and loss of the ‘capacity to disturb’. The ‘holding at bay’ of the ‘darker passionate forces’ in therapy can lead to ‘dried up therapy’. Erotic aliveness is present between parents and their children, and between therapists and clients. Cornell speaks of how therapists can ‘enter the realm of the erotic with our clients’. After all, ‘sweetness and idealization in a therapeutic relationship are not sufficient if one seeks the capacity for passionate attachments.’ He also writes about the ‘transference / countertransference interplay’, loss, anxiety, and transgression. While not ‘leading the client into an erotic realm’, therapists do need to ‘create an evocative and reflective space ... a kind of erotically charged space, to hold for our clients as they investigate realms of passion in psychotherapy and out in the world’. The article is radical, stimulating, and controversial. There is much for O’Shea and Miller to reflect upon, which they do, to great effect, in the two contributions which follow the lead article. Key words: passion, erotic transference, sexuality, therapeutic relationship, Wilhelm Reich, mother/infant."
A ‘fighting recall to plain sense’: Paul Goodman on education
Authors: Parlett Malcolm
Published: June 2023

"Abstract: The article aims to introduce Paul Goodman’s radical views on schools, and the education of young people, to a wider audience, especially within the Gestalt therapy community. Goodman, one of the founders of Gestalt therapy and its principal theoretician, also had strong social and political views which he articulated in a mass of articles and books. His orientation was that of a social ecologist. He was also an activist, and an outspoken critic of schooling in particular. The article includes examples of his ideas and ways of communicating; his political attitudes; and his views on what might be an alternative approach to preparing young people to live in a complex society. Key words: radical, education, schools, miseducation, social ecology, Gestalt, activist, human powers, children, de-schooling, curriculum."
The Here and Now: A Critical Analysis
Authors: Staemmler Frank M.
Published: June 2023

"Abstract: I subject the traditional view of here and now, as it was understood in classical Gestalt therapy, to a critical analysis. I describe three typical misinterpretations and then attempt to understand anew the meaning of the here and now. In doing so I go back to contemplations of the philosophy of time, Kurt Lewin’s field theory and the modern neurosciences. I show that the here and now not only plays an important role in the phenomenological and existential traditions, but that it has also gained in relevance and weight through recent psychological research. Key words: continuity, field theory, Here and Now, memory, neuro-sciences, phenomenology, philosophy of time, subjectivity, time."
Contact as first reality: Gestalt therapy as an intersubjective approach
Authors: Staemmler Frank-M.
Published: June 2023

"Abstract: One of the key sentences in Perls, Hefferline and Goodman’s Gestalt Therapy reads: ‘It is the contact that is the simplest and first reality’ (1951, p. 227). Thereby, Gestalt therapy was founded as a psychotherapeutic approach that builds on the concept of intersubjectivity – a concept that the authors were not able to differentiate further and develop at the time. The following article demonstrates from the points of view of developmental psychology, philosophy, and neuropsychology the numerous ways in which the concept of intersubjectivity has been investigated and elaborated since the beginnings of Gestalt therapy. In particular, Vygotsky’s notion of ‘interiorisation’ is illuminated which helps to understand how the ‘first reality’ of contact influences therapeutic processes. Key words: contact, Gestalt therapy, interiorisation, intersubjectivity."
Coming Out: Adolescence and Gay/Lesbian/Bisexual Identity
Authors: Singer Allan
Published: June 2023

"Abstract: This paper offers a Gestalt perspective on adolescent sexual orientation within the hamewark of the author's own 'coming out' experience in the 1960s. In exploring a Gestalt field model for understanding adolescent development with particular reference to GLB and msgendered youth, it considers three stages of evolution in contact boundary development. The author discusses the impact of sexual identity development upon these stages of maturation, highlighting the need for therapists, parents and caregivers to be aware of the specific challenges and dilemmas of adolescent GLB identify formatian. Key words: gay, lesbian, bisexual, mansgender, sexuality, coming out, adolescent, figural awareness, sexual orientation."
The Trainer's Presence in Effective Gestalt Training
Authors: Denham Juliet
Published: June 2023

"Abstract: This paper explores the presence ofthe trainer as an essential and central part of effective Gestalt training. It attempts to define the subtle and complex concept of presence and suggests that it consists of five main aspects: being present, being authentic, maintaining creative indifference, practising inclusion, and attuning to the field. It looks at the challenges of presence for trainers as opposed to therapists, and begins to investigate how trainers can support and develop their presence. Key words: presence, trainer, here and now, authenticity, inclusion, creative indifference, attuning to the field, Gestalt training."
Ethics of Context and Field: The Practices of Care, Inclusion and Openness to Dialogue
Authors: Jacobs Lynne
Published: June 2023

"Editor’s Note: In this article, which will be published in a collection of writing on relational issues applied to ethics, Lynne Jacobs, prominent Gestalt therapist and writer, develops a model of ethics which arises from examination of the field and context in which therapy takes place. She uses vivid examples from her own experience and clinical practice to show how therapists might focus their awareness on the ethics of their practice, primarily by attending to the issues of care, inclusion and openness to dialogue. She describes how this stance can be challenged by circumstance both distal and proximal, by events both in the consulting room and in the wider world; and she illustrates how these are inevitably linked. By attending to ourselves and to our work with this in mind, she suggests, an ethical practice that develops authentically from the therapeutic dialogue can inform and guide us, perhaps more helpfully than one imposed somewhat arbitrarily from the outside. Key words: Gestalt therapy, ethics, care, inclusion, dialogue, context, therapeutic task."
Therapy of the Situation' - Georges Wollants interviewed by Malcolm Parlett
Authors: Parlett Malcolm
Published: June 2023

"Editor's Note: We are glad to publish this interview with Georges Wollants and to bring a notable and original Gestalt voice to the attention of a wider English-reading audience. Georges is well known in continental European Gestalt circles; he is the leading theoretician within the Flemish-Dutch Gestalt therapy community; and is an influential and much respected therapist, supervisor, and senior trainer. In this interview, he demonstrates how his approach to Gestalt therapy draws more from Laura Perls than from Fritz Perls and is rooted deeply in the European tradition, in scholarship, and in the fundamental theories on which Gestalt therapy stands. Georges Wollants' theme in this interview is 'the situation' - a term he prefers to 'field' - which he argues is central to Gestalt therapy theory and practice. He describes how a focus on the situation dffiers from more individualistic versions of Gestalt practice and how it permeates his whole approach to working * including working with physical process and the body, facilitating therapy groups, and exploring dreams. Georges Wollants' book, in English, with the same title as this interview, will be published in 2006. The following interview was embedded in a conversation spread over two days (April 25-26,2005); it took place near Oostende, to which both parties travelled for the occasion. Georges can be contacted at: georges.wollants@skynet.be or viathe British GestaltJournal."
Physical Process Work with Children and Adolescents
Authors: Tervo Denise
Published: June 2023

"Editor's Nate: This outstanding articIe is abridged and modified from the author's chapter in The Heart of Development: Gestalt Approahes to Workrig with Children, Adolescents and their Worlds, edited by Gordon Wheeler and Mark McConville, to be published by The AnaIyric Press, in 1998. It describes the author's way of working theraputically with young or very young clients, using the methodology of physical process work in Gestalt, pioneered by James Kepner, (see Body Process, by Kepner, published by the Gestalt institute of Cleveland Press in 1987). Along with describing some of the key concepts, phiIosophy and methods of this kirsd of Gestalt therapy, the article includes six clinical vignettes showing the range of possibilities and of expertise that is called for in working with physical process. Key words: children, adolescents, physical process, gestalt, energy, breathing, interpersonal field, body structures."
Gestalt: A Point of Departure for a Personal Spirituality
Authors: Kennedy Des
Published: June 2023

"Abstract: This article is based closely on a pllper read at the inmational conference of the Association for the Advancement of GestaIt at Cleve'tand: , Ohio in June T 998. Gestalt is not just a therapy, it is a way of being in Ihe world. Its philosophy ernerg& Trwn the horn of the prison camps. Undergirding Gestalt is a new paradigm of percepticln: no longer of *graspingt and 'mastering' but of respect, humility and allowing to be (different). The lhnrsr of this which informs out least Wily movement is to lake up and transform every situation at every level af existence. The lrorizon against which this embdierl perception makes sense is the silent and uncuntrollable infinitude of reality przsent as mystery: n point of departure for a personal spinmalily. Key Words: Erty HiIIesum. meaning, Medeau-Pmy, spirituality, mth, mmscendence."
A Gestalt Therapy Model for Addressing Psychosis
Authors: Spagnuolo Lobb Margherita
Published: June 2023

"Abstract: This article first reviews historical influences within psychiatry in the UK and Italy, before considering the plight of profoundly disturbed patients within psychiatric institutional settings. Through consideration of the differing needs of neurotic and psychotic clients, and the specific environmental needs of profoundly disturbed individuals, the author reveals a Gestalt therapy approach to treatment which honours both field theory and the unique figure-ground balance and needs of an individual suffering a psychotic reaction. Examples from practice are illuminated throughout the text, and a Gestalt model is suggested for future development. Key words: psychoses, Gestalt, relationship, residential care, psychotherapy, profound disturbance."
The Excitement Point and Other Matters - Gill Caradoc-Davies interviewed by Malcolm Parlett
Authors: Parlett Malcolm
Published: June 2023

"Editor’s Note: In the following interview, conducted by telephone, Gill Caradoc- Davies, psychiatrist, Gestalt therapist and trainer, speaks about her work and her love of Gestalt, and describes the training offered by Gestalt Institute of New Zealand (GINZ), of which she was one of the founders. She talks inter alia about teaching Gestalt to psychiatric registrars, ethics, play and creativity, Maori attitudes to Gestalt therapy, and the need for new thinking about ‘energy’. Gill was born in 1944, in the Northern Transvaal, South Africa. She studied medicine at the University of Cape Town Medical School, where she also met her husband (to whom she has been married for 33 years). They emigrated to New Zealand in 1978, for ethical and political reasons. She studied with Dr Fred Grosse, and others, at Gestalt Associates in Dunedin. She was the last graduate before they closed. She was also an accredited supervisor for the NZ Association of Psychotherapists. She was Clinical Head of Psychiatric Services in Dunedin from 1987 until she left in 1995 to work full-time in private practice. She has served (for 6 years) on the Continuing Education Committee (Quality Assurance) of the Royal Australian and NZ College of Psychiatrists; published research articles (on drugs in schizophrenia, methadone use, and depression in Parkinson’s, among others); written articles for the Australian Gestalt Journal, created new hybrids of disa orchids commercially, played the harp, sung, gardened, and run a family. We in the British Gestalt Journal are proud to be publishing this exciting and informative interview."
Shame and Bulimia - A Sickness of the Soul
Authors: Gillie Marion
Published: June 2023

"Abstract: Where shame plays a central role, as it does in eating disorders, Kaufinan (1 989) beIieves that 'accepted theories and methods of treatment have largely failed'. In this paper I argue that it is likely that the bulimic client has experienced insuficient support in the field for important needs, and consequently, has experienced a significant rupture in the intersubjective field. Bulimic behaviour is their creative adjustment to their current environment, the client's way of managing 'unacceptable' feelings and needs. I conclude that it is essential that the therapist understands the dynamics of shame and knows how to work with the client's shame response in a way that enables the buhic client to meal the hidden (messy) part of herseifl. In this paper I offer an overview of the cmt thinking on shame hm a Gestalt perspective and relate this to the cIinical practice of working with bulimic clients, dmwhg on real case material to illustrate the implications for clinical practice. Key wad: shame, Bulimia Nervosa, eating disorders, intex~ubjectivity~ sense of self, co-created field."
PENGARUH KEMAMPUAN MANAJERIAL PENGURUS DAN KUALITAS PELAYANAN TERHADAP KEPUASAN ANGGOTA KOPERASI
Authors: Kandori Iwan , Ranti Devyano , Loginsi Olivia F.
Published: June 2023

Abstrak

Tujuan dalam penelitian ini untuk mengetahui apakah ada pengaruh antara kemampuan manajerial pengurus dan kualitas pelayanan terhadap kepuasan anggota koperasi simpan pinjam sepakat didesa kotobangon, Metode penelitian dalam penelitian ini menggunakan pendekatan kuantitatif. Populasi dan sampel dari penelitian ini adalah pegawai dan nasabah yang datang di koperasi simpan pinjam yang berjumlah 37 orang nasabah, Hasil analisis yang dilakukan maka dapat ditarik kesimpulan Terdapat Pengaruh Kemampuan Manajerial Pengurus dan Kualitas Terhadap Kepuasan Anggota Koperasi. Hal ini dapat memberikan Implikasi. Bahwa dengan adanya peningkatan Pengaruh Kemampuan Manajerial Pengurus dan Kualitas Terhadap Kepuasan Anggota Koperasi.

Kata Kunci : Kemampuan Manajerial Pengurus, Kualitas Pelayanan, Kepuasan  Anggota Koperasi

 

 

 

 

Abstract

The aim of this study was to find out whether there is an influence between the management's managerial ability and the quality of service on the satisfaction of members of the cooperative savings and loan agreement in the village of Kotobangon. The research method in this study used a quantitative approach. The population and sample of this study were employees and customers who came to the savings and loan cooperative, totaling 37 customers. From the results of the analysis carried out, it can be concluded that there is an influence of managerial ability and quality on the satisfaction of cooperative members. This can give Implications. That with an increase in the Effect of Managerial Managerial Ability and Quality on Satisfaction of Cooperative Members.

Keywords:  Managemen Managerial ability, Service Quality, Satisfaction Cooperative, Members
Fenomenologia e realismo: o percurso de Jocelyn Benoist
Authors: Neves José Luiz B.
Published: June 2023

Procura-se retraçar o percurso da filosofia de Jocelyn Benoist, partindo de seu primeiro projeto de um realismo fenomenológico em direção à elaboração de um realismo não-fenomenológico. Mostra-se o papel do tema dos limites da intencionalidade e por que este é abandonado. Mostra-se também de que modo a diferença gramatical entre o normativo e o real permite diagnosticar na fenomenologia uma confusão de categorias atingindo a noção de aparecer. Por fim, evidencia-se como essa diferença incide sobre o problema da percepção e leva o autor a defender certa autonomia ontológica do sensível.
L’impuissance de l’apparaître
Authors: Jean Grégori
Published: June 2023

En lieu et place du « retour aux choses mêmes » prôné par Husserl, la phénoménologie françaiseoscille aujourd’hui, dans un paysage philosophique surdéterminé par la question du « réalisme »,entre une description « traumatologique » de l’événement et une herméneutique infinie destinée à l’y rendre « résiliente ». La présente étude tente de comprendre, de manière critique, un tel état de chose, en le reconduisant à ce qui apparaît rétrospectivement, chez Husserl lui-même mais, finalement, dans l’ensemble de la philosophie transcendantale, comme un présupposé voire un dogme qui exige d’être analysé comme tel : celui d’une impuissance de l’apparaître.
Os limites da razão: Literatura e Metafísica em Merleau-Ponty
Authors: Moura Alex
Published: June 2023

Neste artigo, buscaremos discutir o modo pelo qual a literatura pode conduzir – e, talvez, mesmo exigir – uma mudança no próprio estatuto da filosofia, especialmente no caso da fenomenologia, ao tornar explícita a existência de um outro modelo de racionalidade, distinto de sua concepção clássica. Para isso, trabalharemos a partir das descrições propostas por Merleau-Ponty sobre o tema, concentrando-nos, nesse artigo, no período de sua obra entre o final dos anos quarenta e início dos anos cinquenta. Ao lado da questão da literatura, a correlata recompreensão da noção de metafísica terá papel central nessa investigação.
Destinos Cruzados da Fenomenologia e da Hermenêutica em Heidegger
Authors: Arrien Sophie-Jan
Published: June 2023

Resumo a inserir.
The process of transformation: A fighter’s perspective
Authors: Milton Martin
Published: June 2023

This paper draws on first-hand accounts to outline the nature of ‘transformation’ as experienced by fighters in the run up to a fight and the experience afterwards. Issues related to this process of change and development are then considered for their implications for counselling psychology practice.
Study of Financial Fraud Based on Crime Theory
Authors: Chen Yaling , Xiong Shan , Duan Ting
Published: June 2023

Capital markets have flourished in recent years, and while regulatory forces have continued to advance, there is no shortage of leakages that have caused major shocks to capital markets. It has seriously threatened the confidence of market participants in financial information and deteriorated the quality of the audit function. In order to safeguard the interests of all parties in the capital markets and to promote a thriving industry and business, the fraud problem needs to be curbed more effectively. In this paper, we will focus on five aspects of the case, namely the characteristics of the fraudster, the secret of fraud, the mechanism of incentivising fraud, internal and external monitoring and the results of fraud, from the Crime theory, taking YiHua Lifestyle Technology Co.Ltd. as an example, and offer fraud prevention advice on internal corporate governance, business strategies and external auditing.
DevOps İşletim Hattının Kalite Bakış Açısı ile İrdelenmesi ve ISO/IEC 25010 Boşluk Analizinin Gerçekleştirilmesi
Authors: ŞENKAL Çağrı , YOLAÇAN Burak , HERKİLOĞLU Kadir , YILMAZ Asım Egemen
Published: June 2023

Bu çalışmada, DevOps işletim hattı bütüncül bir yazılım ürünü olarak ele alınmakta; bugüne değin farklı araştırmacılar tarafından literatürde yayınlanmış olan ve DevOps işletim hattı üzerinde yürütülen süreçlerin başarımının izlenmesine yönelik olarak önerilmiş yazılım geliştirme ve ürün ölçütlerinin, ISO/IEC 25010 kalite bakış açısı ile hangi kavramlarla ilintilenebilir olduğu incelenmekte; bu kapsamda ISO/IEC 25010 kalite çerçevesinde hangi boyutlarda boşluklar kaldığına ve hangi hususlarda çalışmalar ve tanımlamalar yapılmasına ihtiyaç bulunduğu tespit edilmeye çalışılmaktadır.
İş Süreçlerinin Otomasyonunda Analitik Hiyerarşi Süreci Yöntemiyle Yazılım Seçimi İçin Karar Destek Sistemi
Authors: DOGUC Ozge , ŞAHİNBAŞ Kevser
Published: June 2023

İş süreçlerinin otomasyonu, şirketler için hızlanma, standartlaşma ve süreç iyileştirme gibi kazanımlar sunar. Robotik süreç otomasyonu (RPA) son 5 yılda gerek kullanım kolaylığı gerekse hızlı entegrasyon sağlaması nedeniyle dünyada ve ülkemizde çok sayıda şirket tarafından kullanılmaya başladı. Şirketler RPA teknolojisine geçiş öncesinde belirli öncelikler ve kriterler doğrultusunda seçim yapmakta olmalarına rağmen, RPA’dan elde edilen sonuçlar çoğu zaman beklentileri karşılamamaktadır. Bunun temel nedenleri arasında, RPA teknolojisinin getirilerinin yanlış tanıtılması, RPA’nın hedef dışı alanlarda kullanılması gibi faktörler sayılabilir. Bu çalışma, AHP yöntemiyle, şirketlere RPA yazılımı seçimi için uygulamalı bir çerçeve sunmaktadır. Bu çalışmada, en popüler 4 RPA yazılımı ile uygulama yapılmış ve AHP ile bulunan sonuçlar yorumlanmıştır.
Bankacılık sektörü için topluluk öğrenimini kullanan iki aşamalı bir müşteri şikayet yönetimi
Authors: AKGÜMÜŞ Muhammed Mehmet , BOYACI Ali
Published: June 2023

Bu çalışmada; bankacılık sektöründe müşterilerden gelen her türlü bildirimlerin sınıflandırılması, sonrasında bu sınıfların önceliklendirilmesi ve bu önceliğe göre müşteriye geri bildirim verilmesi amaçlanmıştır. Bu sayede müşteri memnuniyeti sağlayacak öncelikli bildirimlere hızlı çözüm üretilebilmesi hedeflenmiştir. Verilerin sınıflandırılmasıyla ilgili yapılan literatür taramasında yüksek doğruluk değerlerinin; Lojistik Regresyon, Uzun Kısa Süreli Bellek, Multinominal Naive Bayes ve Destek Vektör Makinesi algoritmaları ile elde edildiği gözlemlenmiştir. Bu sebeple bu algoritmalarla gerçek bir banka veri seti üzerinde Doğal Dil İşleme (Natural Language Processing - NLP) yöntemleri kullanılarak eğitim ve sınama işlemleri gerçekleştirilmiştir. Yeni bir yöntem olarak sunulan iki aşamalı yaklaşımla sınırlı sayıda veri setiyle çalışılarak doğruluk değerlerini yüzde yetmişin üzerine çıkarılması başarılmıştır.
Sağlık Verilerinin Analizinde Veri Ön işleme Adımlarının Makine Öğrenmesi Yöntemlerinin Performansına Etkisi
Authors: NİZAM ÖZOĞUR Hatice , ORMAN Zeynep
Published: June 2023

Günümüzde verilerin hızla artmasıyla makine öğrenmesi yöntemleri ile veri analizi birçok alanda popüler hale gelmiştir. Gerçek dünya veri kümelerinde eksik değerler ve dengesiz sınıf verileri sıklıkla karşılaşılan sorunlardır. Bu sorunlar, makine öğrenmesi yöntemlerinin başarımlarını olumsuz yönde etkilemekte ve modelin hatalı veya yanlış sonuçlar elde etmesine neden olmaktadır. Verilerdeki eksik değerlerin doldurulması ve sınıf dengesizliğinin ortadan kaldırılması veri ön işleme aşamasında önem arz etmektedir. Özellikle, sağlık verilerinde sınıfların dengesi verilerin doğruluğu ve eksiksizliği makine öğrenmesi yöntemlerinin performansını etkilediğinden çok önemlidir. Bu makalede, makine öğrenmesinde eksik değerlere sahip dengesiz veri sınıflandırması ile ilgili sorunları araştırmak için literatürde başarılı olan yöntemlerin karşılaştırmalı bir çalışması PIMA diyabet veri kümesi kullanılarak yapılmıştır. Elde edilen sonuçlara göre, sınıf dengesizliğinde eksik ve aşırı örnekleme yöntemlerinin birleştirildiği SMOTEENN algoritması ile eksik değerlerde zincirleme denklemlerle çoklu atama yönteminin kullanılması hasta ve sağlıklı bireylerin sınıflandırılmasında %91 F-skor değeri ile diğer en iyi yöntemlerden yaklaşık %9 oranında daha iyi performans göstermiştir
Factors Affecting Teachers’ Academic Optimism in Secondary Schools
Authors: ÜZÜM Selman , ÜNAL Ali
Published: June 2023

Academic optimism is a vital concept that can help schools overcome the challenges posed by students from low socioeconomic backgrounds. This study investigates the factors that influence the academic optimism of secondary school teachers. Using a phenomenological approach, we collected data through focus group interviews with principals and teachers, employing the maximum variation sampling technique to ensure diverse perspectives. Our analysis revealed three themes that affect teachers' academic optimism: self-efficacy, academic emphasis, and trust in students and parents. Notably, our findings indicate that teachers' experiences of success or failure are the most significant determinant of their academic optimism. Based on these results, we propose actionable strategies to enhance teachers' self-efficacy, ultimately promoting academic optimism in secondary schools.
Internal migration and religious participation among Vietnamese Catholics
Authors: Hoang Thu Huong , Nguyen Thi Ngoc Anh , Bui Phuong Thanh , Cu Thi Thanh Thuy
Published: June 2023

Many studies have shown that the residence changes led to the parish's conversion, affecting the practicing of religious rituals. However, the relationship between internal migration and religious participation has remained a study gap in Vietnam which has witnessed many migration flows. Therefore, the present study will aim to 1) describe the characteristics of Catholic migrants and clarify the religious participation level of Catholic migrants; 2) define the religious participation level of Catholic migrants, and 3) analyze the challenges for migrants to maintain religious life at the destination. By collecting the quantitative and qualitative data, the research results indicated that the feminization of migration is typically in the Catholic community; the average age of Catholic migrants is young, and the marriage rate and technical qualification are relatively higher than migrants in Vietnam in general. Besides, Catholic migrants had difficulty participating in feasts that required regular participation because they faced challenges from changing social environments, attitudes of the religious community of the destination, and their religious self-identity.
The application of pringle manoeuvre, type three liver mobilisation, full thickness diaphragmatic resection with primary closure technique and peritonectomy in the management of advanced ovarian malignancy
Authors: Smyth Sarah Louise , majd Hooman Soleymani
Published: June 2023

Objective We present an educational technique for the safe completion of complete cytoreduction of diaphragmatic disease for the management of advanced ovarian malignancy.Methods We demonstrated these steps with attention to anatomical landmarks and surgical approaches, considering intraoperative and postoperative morbidity and mortality.Results We present the case of a 49-year-old female patient diagnosed with suspected stage 3C ovarian malignancy following diagnostic laparoscopy. We demonstrate the surgical application of the Pringle manoeuvre, type 3 liver mobilisation, and full-thickness diaphragmatic resection. This was completed with a primary closure technique, with integrity ensured through the performance of an air test and Valsalva manoeuvre. Final histology confirmed a serous borderline tumour with invasive implants within a port site nodule (stage 4A).Conclusion This technique affirms the essential skills in gynaecological oncology training and details a challenging case requiring advanced surgical skills and knowledge, with specific consideration for intraoperative multidisciplinary decision-making.
An Empirical Analysis of the Impact of Environmental Taxes, Renewable Energy Consumption, and Economic Growth on Environmental Quality: Evidence from Twelve Selected Countries
Authors: ALTAY TOPCU Betül
Published: June 2023

Environmental pollution (EP) and global warming (GW), which emerged with industrialization, have become an increasing global problem in recent years. Greenhouse gases (GHGs) resulting from EP forced countries to introduce carbon tax (CT). This study aims to examine the effect of environmental taxes (ETs), renewable energy consumption (REC), and economic growth (EG) on environmental quality (EQ) in 12 countries with the highest carbon emissions (CEs) over the period 1998-2019. The long-term AMG estimation results showed that ETs and REC reduced EP while EG deteriorates EQ in the countries included in the analysis. Nonetheless, Dumitrescu and Hurlin's (D-H) causality test results indicated that a bilateral causality existed between REC and EG and CEs, whereas a unilateral causality existed from ETs to CEs. Therefore, it is important to implement more effective policies to increase ETs and REC in terms of a sustainable environment in the relevant countries.
Beden-Mekân İlişkisi Aracılığıyla Sıra Dışı Bir Deneyim Alanına Açılan Mekânsal Algı
Authors: ASAR Hande
Published: June 2023

Bu çalışmanın amacı, beden-mekân ilişkisinin mekânsal algılarımıza etkisini tartışmaktır. Bunun için olağan(laşan)ın çatlaklarından sızıp olasılığın akışına açılan ve böylece öteki ile temas halinde olan sıradışı kavramından faydalanılır. Sıradışı, yeni olana açılan bir karşılaşma alanı yaratır ve bir süre sonra kendi içine kapanarak sıradanlaşır. İlgili süreç, çalışmada sapma- değişim ve yeniden oluşum döngüsü olarak ele alınır. Mimari tasarımın oluşum ve deneyimlenme süreçlerinin de doğası ile doğrudan ilişkili olan bu döngü bir yandan beden ve mekân ilişkisini dönüştürürken bir yandan da mekânsal algımızın genişlemesine etki eder. Bahse konu sav çalışmada mimarlık ve sanat alanlarından örnekler aracılığıyla tartışılır. Çalışmanın sonunda beden ve mekân ilişkisinden bedenmekân ve (öteki)beden(öteki)mekân kavramları açığa çıkarılır ve dönüşen beden-mekân ilişkisinin mekânsal algıyı da dönüşüme uğrattığı ve sınırlarını genişlettiği ifade edilir.
NGC 628'deki X-ışın Çiftleri ve Kompakt Yıldız Kümeleri Arasındaki Bağlantının İncelenmesi
Authors: ACAR Seda , AKYÜZ Aysun , AKKAYA ORALHAN İnci , AVDAN Şenay , ALLAK Sinan
Published: June 2023

Bu çalışmada, Chandra ve HST uydu arşiv verileri kullanılarak, NGC 628 galaksisindeki X-ışın çiftleri (XRB'ler) ve sıkı yıldız kümeleri arasındaki olası ilişkiler araştırılmıştır. Buna göre, HST verileriyle 864 tane kaynak , sıkı yıldız kümesi olarak tanımlanmıştır. Kümelerin renk-renk diyagramından ise kümelere ait yaş ve kütle değerleri belirlenmiştir. Ayrıca bu galaksi alanı içerisinde, Chandra verilerine göre ışınım güçleri $3\times10^{36}\leq L_{X}\leq$ ve $2\times10^{39}$ erg s$^{-1}$ ve gözlem zamanları 2000-2018 aralığında olan 69 XRB tanımlanmıştır.Tanımlanan bu 69 XRB içerisinde, HST alanıyla örtüşen 42 tane XRB tespit edilmiş ve bunlardan 15 tanesinin optik karşılıkları belirlenmiştir. Bu optik karşılıklar, olası donör yıldızları olup XRB'lerin HMXB veya LMXB olarak sınıflandırılmasında kullanılmıştır. Son olarak kümeler ile XRB'ler arasındaki ilişkilere de bakılarak, genç ($\tau$ < 350 Myıl) kümelerin HMXB ile yaşlı ($\tau$ > 350 Myıl) kümelerin ise LMXB ile ilişkili olduğu tespit edilmiştir.