bluuebunny/crossref_metadata_2025 huggingface dataset:
Condições de saneamento básico nos municípios integrantes da Região Turística Uva e Vinho – RS
Authors: Zocholini Cleomar Antonio , Conto Suzana Maria De , Fincker Raquel
Published: December 2024

A implementação efetiva da infraestrutura de saneamento básico é fundamental para o desenvolvimento sustentável dos destinos turísticos. O estudo, de caráter exploratório e descritivo, centra-se na análise de informações constantes na categorização dos municípios de acordo com o Mapa do Turismo Brasileiro e em indicadores de saneamento básico (abastecimento de água potável, esgotamento sanitário, manejo de resíduos sólidos urbanos e drenagem e manejo de águas pluviais urbanas) dos municípios da Região Uva e Vinho do Estado do Rio Grande do Sul. As buscas dos dados, concentradas no Mapa do Turismo do Ministério do Turismo e no Sistema Nacional de Informações sobre Saneamento (SNIS) do Ministério das Cidades, ocorreram no dia 7 de maio de 2024. Os resultados apontam que, na categoria A, nenhum município da região estudada é contemplado; três municípios, dos 20 categorizados, disponibilizam os índices de coleta e tratamento de esgoto, sendo que o município de Caxias do Sul destaca-se pelos maiores índices; quatro municípios apresentam índices de atendimento de água superiores a 95% e taxa de cobertura de coleta de resíduos domiciliares de 100%; um município não contempla o serviço de drenagem urbana no plano de saneamento básico e três municípios possuem mais de 3% dos domicílios instalados em áreas de risco. Conclui-se sobre a importância da continuidade dos estudos relacionados às informações sobre saneamento básico e áreas de risco dos destinos turísticos e à prevenção de problemas decorrentes da falta de infraestrutura de saneamento básico.
EVALUATION OF THE QUALITY OF BEE HONEY (Apis mellifera) FROM CENTRAL-SOUTH REGION OF TAMAULIPAS, MEXICO
Authors: Cedillo Lizeth Avilene Castro , Vázquez Ma. Guadalupe Bustos , Santos Rodolfo Torres de los , Adame Rubén Santiago , González Ana Luisa , Ramírez Daniel Trujillo
Published: December 2024

Objective: The objective of this study was to evaluate different quality criteria of Apis mellifera bee honey from the municipality of Llera in the central-southern region of the state of Tamaulipas, Mexico.
 
Theoretical Framework: In the state of Tamaulipas, A. mellifera honey is produced, considered one of the most important beekeeping products. This activity reflects the economic strengthening and well-being of this area and it is fundamental for ecosystem’s survival and biodiversity.
 
Method: The methodology applied for this study focused on the selection of six samples from different apiaries in the municipality of Llera, using standardized techniques for the corresponding analyses.
 
Results and Discussion: Results showed that most of the honeys meet quality standards. Values ​​were expressed as mean values ​​± SD. Data were subjected to an analysis of variance and Tukey’s test, and statistical significance was established at p≤0.05.
 
Research Implications: The sampling of honey was limited by the availability of beekeepers; on the other hand, some honey crystallized in less time than others.
 
Originality/Value: The study allowed us to evaluate the quality of honey, which guarantees having a high-quality product for marketing.
Research on inclination angle design of container loading and unloading platform based on sliding rail type three-dimensional wharf
Authors: Li Taiyang , Li Mingjie , Zhang Fangwei , Wang Muran , Wang Mengchen
Published: December 2024

At present, the traditional container terminal handling system has many problems, such as high energy consumption, high cost and low efficiency. Therefore, this study drew on the characteristics of "hump" transportation to design a sliding track type, three-dimensional wharf handling system. Meanwhile, considering the design problem of safety dip angle during the loading and unloading operation of the sliding rail terminal, this study constructed the calculation model of the optimal dip angle of the sliding rail operation. This provides a decision support for the improvement of the port handling system. Based on the aforementioned questions, this study first quantified the effects of temperature, humidity and container material. The correction factor for the friction coefficient was obtained. Secondly, combined with the classical mechanics theory, this study developed an optimal calculation model for the inclination of the sliding rail operation under the comprehensive effect of multiple factors. Finally, this study verified the rationality and safety of the optimal dip angle for a specific numerical case of a port. The results show that the safe inclination angle calculated in this case is 21.9°, which meets the requirements of safe operation. The applicability of the above research is verified.
EFFECT OF PHYSICAL ACTIVITY ON THE LEVEL OF KINESIOPHOBIA IN YOUNG ADULTS AFTER ANKLE SPRAIN INJURY – A RETROSPECTIVE STUDY AND IMPLICATIONS FOR TOURIST AND RECREATIONAL ACTIVITIES
Authors: Golec Joanna , Nowak Monika , Balicka-Bom Joanna , Golec Piotr
Published: December 2024

Purpose. The aim of the study was to examine the relationship between subjectively declared physical activity before the ankle sprain injury and the level of kinesiophobia after this injury among young adults actively participating in tourism and recreation.Method. The study included 115 participants with an ASI, who were divided into two groups: active (65 patients) and inactive (50 patients). FAAM, FABQ and TSK-17 were used to assess the level of fear and avoidance of physical activityFindings. The results did not show a statistically significant relationship between TSK-17 and the level of physical activity before ATC injury in both groups (p=0.271). There was a statistically significant correlation between TSK-17 and FAAM, as well as FABQ with FAAM-ADL and mean FAAM in both groups (p<0.05), stronger in the inactive group. Kinesiophobia after an ASI may affect both active and inactive people. A higher level of foot functionality significantly reduces the feeling of kinesiophobia, fear and avoidance of physical activity, especially in inactive patients who undertake less physical and tourist challenges.Research and conclusions limitations. Empirical research was conducted on a group of people one month to two years after ASI injury. The full medical history, imaging diagnostics and treatment are not described in this study.Practical implications. In the study, kinesiophobia after ankle sprains was assessed in active individuals, predicting their return to leisure activities and offering insights to aid those with ACI in resuming tourist and recreational pursuits.Originality. The use of standardised research questionnaires to assess the level of fear and avoidance of physical activity among people with different levels of recreation activity is rarely the subject of research in available scientific studies, which may be an inspiration for other researchers.Type of paper. This is an article presenting the results of empirical research.
DIGITAL EXPLORATION PATTERNS: INSTAGRAM TRAVEL ENGAGEMENT AND POSTING BEHAVIOURS OF STUDENTS FROM THE UNIVERSITY OF PHYSICAL EDUCATION IN KRAKOW (POLAND)
Authors: Kromka Grzegorz , Chwaja Klaudia , Camona Kamila
Published: December 2024

Purpose. The study objective is to examine the activity and motivation of students from the University of Physical Education in Krakow (Poland) on Instagram regarding their posting behaviour related to travel topics.Method. The main research method used in the study was an online diagnostic targeted population survey using the questionnaire technique. The research was conducted between 27 December 2022 and 31 January 2023 on a sample of 630 students from the University of Physical Education in Krakow (Poland).Findings. Instagram is a social media platform popular among young people. They use it often and regularly (most of them do so on a daily basis) and in a diversified manner. Users prefer using smartphones for browsing and sharing content. Seven out of ten surveyed students share content in the form of posts, although they do so relatively rarely. Students from tourism-related majors travel more often and notice more travel-related posts on Instagram compared to students from other fields. They show a greater tendency towards publishing posts related to tourism, and their profiles contain a larger number of travel-themed photos in relation to the total number of photos. Furthermore, a positive relationship can be noted between the frequency of traveling and the amount of noticed travel-related posts, as well as between the frequency of traveling and the activity of posting such content on Instagram. The main motives for publishing travel photos on Instagram are: archiving travel photos, the desire to show off to others, and improving one’s own well-being.Research and conclusion limitations. The research was conducted among students from one specific university, which limits its universality. Additionally, due to the nature of the questionnaire study, a comprehensive analysis of the content of the published material was not possible.Practical implications. The results of the study can be useful for tourism organisations and travel agencies planning tours of specific tourist attractions, so as to enable their clients to take the most attractive photos. Additionally, analysing preferences for publishing travel-related content can help in creating educational programmes tailored to the needs of students and identifying potential travel influencers. The study can also provide information on students’ preferences regarding taking photos during tourist trips.Originality. This study introduces a new perspective on the relationship between Instagram and tourism, taking the specificity of the studied group into consideration.Type of paper. An article presenting the results of empirical study.
DEVELOPMENT PROSPECTS OF THE BIAŁYSTOK PTTK BRANCH IN THE FIRST HALF OF THE 1960s
Authors: Rutkowski Marek
Published: December 2024

Purpose. The article is focused on showing the development prospects of the Białystok Branch of the Polish Tourist and Sightseeing Society (Polskie Towarzystwo Turystyczno Krajoznawcze – PTTK) in the first half of the 1960s through the prism of: (a) the relationship of this institution with state authorities; (b) revaluations of management structures; (c) determination of action objectives; and (d) premise capabilities.Method. The research was carried out via an analysis of the content of archival source materials.Findings. Despite the availability of natural assets, in confrontation with the reality, the development prospects of the Białystok Branch of PTTK in the early sixties of the 20th century did not prove to be significant. The analysis on the functioning conditionality of this tourist institution undertaken in this article (given the naturalness regarding the process of personal change of management staff) should be assessed as at least partly hindering development. However, external and internal constraints did not cause organisational paralysis, and could even become an indirect cause of a continually reviving programme initiative.Research and conclusion limitations. A possible research limitation is the high selectivity of data resulting from previous selecting of archival material, often making it difficult to evaluate the broader context of the information obtained.Practical implications. The conclusions resulting from the analysis of the article content may assume the existence of a constant need: (a) for clear interpretation of the legal framework in which tourism organisations operate; (b) for the constant evaluation of a single, long-term development line.Originality. The article is completely original in terms of the presentation of the obtained data and their conclusive-generalising description.Type of work: The results of archival research are presented in this article.
COMPARISON OF PERCEPTIONS OF THE VALUE OF SPORTS AMONG PHYSICAL EDUCATION STUDENTS IN POLAND AND CHINA
Authors: Sas-Nowosielski Krzysztof , Szopa-Wiśnios Sylwia
Published: December 2024

Purpose. This study aimed to investigate the differences in sports values attributed by Physical Education students from China and Poland.Method. A cross-sectional survey design was employed, with 198 participants (139 males, 59 females) aged 18-23 years (M=19.70.9). The Chinese sample included 74 students (37.7%), including 17 females (8.6%), while the Polish sample included 124 students (62.3%), including 42 females (21.2%). The difference in gender proportions between the studied populations was not significant: χ2=2.63, p=0.105. The ages of the subjects in the Chinese and Polish samples were 19.81.0 and 19.60.7 years, respectively. Perceptions of sports values were measured using a 20-item questionnaire assessed on a 5-point Likert scale.Findings. The results showed high interest in sports among students from both countries, with no significant differences between nationalities or genders. However, Chinese students reported a stronger interest in following their country’s performance in international competitions compared to Polish students. Significant differences were found in two value dimensions: Chinese students scored higher on “strengthening national identity” (p=0.023, d=0.34), while Polish students scored higher on “fostering performance character” (p=0.001, d=0.50). These findings suggest that, while many sports values are shared across cultures, some differences do exist, potentially influenced by cultural, educational and societal factors.Limitations of research and conclusions. In the study, non-significant differences were found in most values between Polish and Chinese Physical Education students, with the exception of two areas: Chinese students prioritise the role of sports in promoting nationalist values, whereas Polish students place greater emphasis on self-improvementPractical implications. This research contributes to our understanding of cross-cultural perspectives on sports values among Physical Education studentsOriginality. This study is the first in which the values attributed to sports by Polish and Chinese Physical Education students are compared.Type of paper. Research article.
Análisis sobre la autonomía de los GAD municipales y su relación con el principio de descentralización establecido en la constitución
Authors: Ayala - Becerra Otto Iván , Gavilanes – Erazo Hugo Roberto , Alvear – Calderón María José
Published: December 2024

El estudio denominado: “Análisis sobre la autonomía de los GAD municipales y su relación con el principio de descentralización establecido en la constitución”, plantea el tema de los principios de Autonomía y Descentralización dentro del contexto de organización territorial del estado ecuatoriano. La idea fundamental fue realizar un análisis descriptivo y crítico del marco normativo y doctrinal de la Autonomía y Descentralización, con el fin de determinar su garantía efectiva, bajo la perspectiva del pensamiento crítico. El análisis y discusión de los resultados –teóricos y prácticos– obtenidos hizo posible una valoración crítica evidenciando que el mayor interés al momento de sostener que la Autonomía y Descentralización plantean desafíos y limitaciones, conforme a las competencias exclusivas y concurrentes de los GAD municipales, mostrando falencias en las políticas públicas debido a la ausencia de acciones afirmativas al respecto, en tal sentido se pudo obtener conclusiones positivas y negativas propias de la ejecutabiliadad de los principios de Autonomía y Descentralización.
Endüstri 4.0 ve 5.0'ın Pazarlama Karmasında Kullanımının Matematik Felsefesi İle Modellemesi
Authors: Gürbüz Esen , Alp Alp Eren
Published: December 2024

Pazarlama faaliyetlerinin kısa açık ve net bir sınıflaması olan pazarlama karması elemanlarının (ürün, fiyat, tutundurma, dağıtım, fiziksel kanıt, insanlar ve süreç) Endüstri 4.0 ve Endüstri 5.0’ı içeren teknolojik gelişmelere bağlı olarak dönüşümünün açıklanması önemli olmaktadır. Bu açıklamanın matematik felsefesi ile ispatının mümkün olduğu, bu çalışmanın önemli bir sonucu olarak, göz önünde bulundurulmalıdır. Bu kapsamda elde edilen önermelere ilişkin sonuçların mantıksal analizi, pazarlama karması elemanları arasında ilişki kuran koşullu ifadeleri içermektedir. Bu çalışmada pazarlama karması elemanlarının içerisinde bulunduğumuz Endüstri 4.0 ve Endüstri 5.0 döneminde ki dönüşümünün ve birbirleriyle entegre olarak uygulanmasının, matematik felsefesi ile ispatının ortaya konulması, bugüne kadar bu alanda yapılan bir çalışmanın olmaması yönüyle özgün değerini oluşturmaktadır.
RESPONSABILIDADE CIVIL: UMA ANÁLISE DA RESPONSABILIZAÇÃO DOS PROFISSIONAIS CONTABILISTA FRENTE AOS ATOS DE ESCRITURAÇÃO AUTENTICADOS NA JUNTA COMERCIAL
Authors: Campos Edmilson Soares , Mergulhão Danilo Rafael da Silva , Dos Santos Tiago Mota , Campos Marcos Vinícius Pontes da Silva
Published: December 2024

The present research aims to analyze the civil liability of the Accountant in relation to the acts of bookkeeping authenticated by the Board of Trade. It is important to understand the civil liability of the accountant, as a liberal professional, within the scope of his duties, which include the preparation of reports, accounting entries, articles of incorporation, trial balances and financial statements, which are, depending on the legal nature of the organization, authenticated by the Securities and Exchange Commission, Boards of Trade and Registry Offices. The methodology adopted is based on a basic and qualitative research approach, based on the Accountant's Code of Ethics and on bibliographic, legal and jurisprudential analysis. The analysis revealed that the civil liability of accountants is a complex and multifaceted topic, covering legal, ethical and practical aspects that must be strictly observed by accounting professionals to ensure the integrity and legality of accounting information. The accountant's civil liability is an extremely relevant area that requires a constant commitment to ethics, legislation and the quality of accounting information. Thus, it goes beyond the civil and criminal spheres, covering a broader and more collective view.
TRANSTORNO DISMÓRFICO CORPORAL (TDC): CAUSA, TRATAMENTO E PREVENÇÃO
Authors: De Araujo Malislene Lucas , Candido Luís Reinaldo , de Lima Marcia Elizabeti Machado
Published: December 2024

This article sought to highlight some body dysmorphic disorders (BDD) presented by students of the courses: Accounting Sciences and Psychology of the Pantanal Family-FAPAN, Cáceres/MT. The objective was to highlight disorders in order to propose ways of prevention, both in the physical and psychological spheres. Data were collected using the Body Shape Questionnaire, which points out body image disorders through a scale of agreement and disagreement in their respective degrees. A total of 50 questionnaires were analyzed, and the age of the participants ranged from nineteen (19) to forty-seven years(47), with a total of 24 (48%) women and 26 (52%) men. The following distortion results were obtained from the answers: mild - 07 (11%); moderate - 02 (4%); severe - 03 (6%); and the absence of distortion - 38 (79%). In the Psychology course, a greater number of individuals with distortions was found. Mild and severe distortions prevailed in the female group. The oscillation between "mild" and "severe" represent the feminine extremes in the concern with body image. In the case of this research, the individuals interviewed have a good degree of satisfaction with their body images. Some types of prevention and treatment through psychotherapy were pointed out: Psychodynamic; Cognitive-behavioral therapy; Cognitive analytic therapy; Interpersonal psychotherapy; Humanistic therapies.
RISK BEHAVIORS RELATED TO SEXUAL PRACTICES IN ADOLESCENTS FROM PUBLIC SCHOOLS IN THE CITY OF RECIFE
Authors: Beserra Maria Aparecida , Resende Cristina Maria Mendes , Gregório Vera Rejane do Nascimento , da Sena Claudia Alves , Corrêa Maria Suely Medeiros , Pereira Neta Maria Joana , Spinelli Maria Benita Alves da Silva , Low Sandra Trindade
Published: December 2024

Introduction: The population of adolescents in the world is estimated at 1.3 billion, representing 16% of the world's population. Adolescents have specific health needs related to their rapid physical, sexual, social, and emotional development and the specific roles they play in societies. Objectives to identify risk behavior in the sexual practices of adolescent students and correlate them with sociodemographic and behavioral variables. Method: This is a descriptive, cross-sectional and quantitative study. The sample consisted of 643 adolescents aged 12 to 18 years. Results: It was evident that (30.6%) of the adolescents had already had sexual intercourse, the first sexual intercourse occurred mainly in the age groups of 12 to 14 years (47.2%). In the subgroup that had sexual intercourse, (26.4%) had sexual intercourse with four or more partners. The percentage of condom use by adolescents and/or their partners in their last sexual intercourse was significant (69.0%), however, 30.0% of adolescents did not use condoms in their last sexual intercourse. Conclusions: There was an early onset of sexual activity, with a high frequency of partners, with exposure of adolescents to pregnancy and sexually transmitted diseases.
Predictive Model for School Dropout in Chimborazo Province, Ecuador
Authors: Castillo Esteban , Castro Lidia
Published: December 2024

Introduction: School dropout is a complex problem influenced by various factors, including disparities in educational quality, inadequate infrastructure, and adverse socio-cultural conditions. This phenomenon negatively impacts the social and economic development of the country. Despite the recent decrease in dropout rates in Ecuador, the problem remains significant. Objective: To develop predictive models, including linear regression and generalized linear models in R-studio, to forecast dropout rates and identify significant institutional and demographic factors. Method: A quantitative approach was adopted to analyze data from the Ecuadorian Ministry of Education for the periods 2009-2010 to 2023-2024. Data on enrollments, approvals, non-approvals, and dropouts were reviewed using descriptive statistics and correlation analysis. Results: The results showed a decrease in dropout rates starting from the 2013-2014 academic year, although with significant fluctuations. Higher dropout rates were identified in public institutions and rural areas in the Sierra region, specifically in public institutions in Chimborazo province, accounting for 97.47% of the total dropouts, in contrast to students from the Coastal región. Additionally, a p-value of 0.073 was obtained in the linear models, so the null hypothesis was not rejected, suggesting that the residuals are approximately normal. Conclusions: The predictive models (LM and GLM) effectively estimated dropout rates in Chimborazo, with the GLM showing a slightly better fit. The type of institution and geographic location were significantly associated with dropout rates, highlighting the need for interventions targeting public institutions and rural areas. Strategies to reduce dropout rates should focus on improving conditions in these specific areas
Transversal education in higher education: a study on emotional competencies and emotional intelligence in Veterinary Medicine and Nursing
Authors: López-López Verónica , Lagos San Martín Nelly , Cabello Gonzalez Rosario , Fernández Berrocal Pablo , Anabalón Anabalón Yasna
Published: December 2024

The research focuses on the importance of transversal education in higher education, with a particular emphasis on emotional competencies and emotional intelligence in Veterinary Medicine and Nursing students in Chile, aligning with current educational policies and accreditation standards. The objective was to analyze levels of emotional competencies and emotional intelligence, as well as their correlations. A quantitative approach was adopted using instruments such as the Adult Emotional Competencies Inventory (ICEA) and the TMMS-24 Emotional Intelligence Scale, applied to a sample of n=969 students. The results revealed significant strengths in areas such as emotional autonomy and social competencies, alongside areas for improvement in emotional awareness and emotional regulation, highlighting significant correlations between emotional competencies and key components of emotional intelligence. The strong relationship between emotional competence (CE) and clarity (CLAR) indicates that higher emotional understanding is linked to better management of emotional states. Additionally, positive correlations between emotional competence, attention (ATE), and repair (REP) suggest that individuals with higher emotional competence also exhibit better emotional regulation and repair abilities. These findings underscore the importance of integrating emotional competencies into university curricula, as their development can positively impact overall emotional intelligence. The study highlights the value of educational practices focused on emotional skills, promoting a transversal, gradual, sequential, and evaluated formative trajectory within educational programs, with specific strategies designed to enhance emotional awareness and regulation
The Influence of General Facilities, General Service, Registration Service, Service Providers and Accessibility on Patient Satisfaction of Antenatal Care at XYZ Hospital
Authors: Putrantika Angky Purbo , Dewi Sri Surya Wuisan
Published: December 2024

The aim of this research is to examine and analyze the influence of public facilities, public services, service providers and accessibility on patient satisfaction with antenatal services at XYZ Hospital. Testing of the modified research model from previous research was carried out using data from midwifery services at the hospital. The method in this research is a quantitative approach with surveys and cross sectional. Respondent data was taken in 2024 by purposive sampling with questionnaires from individuals who had received antenatal care services at XYZ Hospital. There are 180 samples that meet the requirements described by PLS-SEM. The results of this research show that the five variables are proven to have a significant and positive influence. This research adds a contribution that focuses more on antenatal care services in hospitals. It is recommended in future research to include more hospitals of various types and a larger sample size so that the analysis results can be more generalized at the population level. Future research is recommended to consider adding other variables that may potentially influence patient satisfaction.
Organizational Commitment As A Mediating Variable Of The Influence Of Organizational Climate On Employee Performance
Authors: Julindrastuti Dijah , Karyadi Iman
Published: December 2024

Organization is one of the places needed by an employee to develop their skills and also as a place to meet needs. In running its operations, the existence of an employee is one of the factors that greatly determines the success of an organization. An organization that is able to provide a good work climate and has a good commitment will be able to bring comfort in working so that it will have a good influence on employee performance. Good employee performance will have a positive impact on the success of the organization. Creating a sense of comfort in working can be done in various ways, including by paying attention to employee needs, appreciating employees, establishing good cooperation with employees. In addition to a sense of comfort or also called a good organizational climate, there is a good commitment in running the company. Good organizational commitment will also make employees work well because they have confidence and trust in the company. Researchers are interested in conducting research entitled "Organizational commitment as a mediating variable in the influence of organizational climate on employee performance". The population used in this study were non-educational employees at a college "X". The sample taken in the study was 50 non-educational employees who had a minimum work period of 20 years. This sampling technique used purposive sampling. To answer the hypothesis in the study, the SEM analysis technique was carried out using AMOS 16.0 where this technique was used to determine the role of organizational commitment as a mediating variable. The results of this study are that organizational climate has a significant effect on organizational commitment with a result of 0.027, organizational climate does not affect employee performance with a result of 0.183, organizational commitment affects employee performance with a result of 0.008 and organizational commitment is able to mediate organizational climate and employee performance by 2.478> 1.96.
Bulk‐billing rates and out‐of‐pocket costs for general practitioner services in Australia, 2022, by SA3 region: analysis of Medicare claims data
Authors: Saxby Karinna , Zhang Yuting
Published: December 2024

Objectives

To examine bulk‐billing rates and out‐of‐pocket costs for non‐bulk‐billed general practitioner services in Australia at the Statistical Area 3 (SA3) level; to assess differences by area‐level socio‐economic disadvantage and remoteness.

Study design

Retrospective analysis of administrative data (Medicare claims data).

Setting, participants

All Medicare claims for non‐referred general practitioner services in Australia during the 2022 calendar year, as recorded in the Person Level Integrated Data Asset (PLIDA).

Main outcome measures

Mean proportions of general practitioner services that were bulk‐billed and mean patient out‐of‐pocket costs for non‐bulk‐billed general practitioner visits by SA3 region, adjusted for area‐level age and sex, both overall and by area‐level socio‐economic disadvantage (Index of Relative Socioeconomic Disadvantage quintile) and remoteness (simplified Modified Monash Model category).

Results

During 2022, 82% (95% confidence interval [CI], 80–83%) of general practitioner services in Australia were bulk‐billed; the mean out‐of‐pocket cost for non‐bulk‐billed visits was $43 (95% CI, $42–44). By SA3, mean bulk‐billing rates ranged between 46% and 99%, mean out‐of‐pocket costs for non‐bulk‐billed general practitioner visit between $16 and $99. Bulk‐billing rates were higher in regions in the most socio‐economically disadvantaged quintile (86%; 95% CI, 84–88%) than those in the least disadvantaged quintile (73%; 95% CI, 70–76%); the mean rate was not significantly different for remote (86%; 95% CI, 79–92%) and metropolitan areas (81%; 95% CI, 79–83%). Out‐of‐pocket costs for non‐bulk‐billed general practitioner services were higher in remote ($56; 95% CI, $46–66) than in metropolitan areas ($43; 95% CI, $42–44), and lower in areas in the most socio‐economically disadvantaged quintile ($42; 95% CI, $40–45) than in those in the least disadvantaged quintile ($47; 95% CI, $45–49).

Conclusion

Although most general practitioner services are bulk‐billed, out‐of‐pocket costs for non‐bulk‐billed services are relatively high, particularly for people in remote and socio‐economically disadvantaged areas of Australia.
Impact of PSDS Combined with Ganciclovir on Treatment and Serum C5 with Inflammation and Oxidative Stress in Serum and Tears of Herpes Simplex Keratitis Patients
Authors: Chen XiaoLi , Xu HuiYong , Long XiaoXiang
Published: December 2024

Background: Herpes simplex virus (HSV) is a well-established cause of eye disease and associated blindness. It is known as herpes simplex keratitis (HSK) when the HSV invades the cornea and causes symptoms such as eye pain and dryness, lacrimation, and impaired vision. Objectives: To investigate the therapeutic effect of potassium sodium dehydroandroandrographolide succinate (PSDS) combined with ganciclovir in patients with HSK. Methods: Herpes simplex keratitis patients (n = 80) were randomized into two groups (control group and ganciclovir + PSDS group). Treatment efficacy was recorded. The changes in serum C5 and concentrations of inflammatory and oxidative stress factors in the serum and tears were compared. The correlations between changes in serum C5 concentration and changes in high-sensitivity C-reactive protein (hs-CRP) and superoxide dismutase (SOD) concentrations in serum and tears were analyzed. Results: The treatment efficacy was better in the ganciclovir + PSDS group. Serum C5 concentration was lower in the ganciclovir + PSDS group after treatment. In addition, the concentrations of hs-CRP and tumor necrosis factor-α (TNF-α) as well as malondialdehyde (MDA) and SOD in the serum and tears were also lower in the ganciclovir + PSDS group. Serum C5 concentration was positively correlated with hs-CRP concentration and negatively associated with SOD concentration. Conclusions: We found improvements in clinical symptoms of patients treated with ganciclovir + PSDS. Our results suggest that the addition of PSDS to ganciclovir treatment will effectively reduce inflammation and oxidative stress and relieve the clinical symptoms of patients with HSK.
TRACTION OF IMPACTED CANINE WITH A SURGICAL TEMPLATE PERFORMED VIA A IGITAL WORKFLOW
Authors: Nastri Victor , Grillo Ricardo
Published: December 2024

Objective: Traction of the impacted canine can be a very traumatic operation. Not only the transoperative phase, but also damage to the neighboring tooth can traumatize patients. The main objective of this paper is to report on the use of a three-dimensional (3D) printed guide planned virtually to allow the installation of an orthodontic appliance with minimal trauma to the surrounding soft and hard tissues.
Methods: The methodology of the CARE guidelines was followed in the presentation of this technique presentation. A 22-year-old patient was subjected to an impacted canine traction using a 3D-printed surgical template. In addition to being effective in achieving a perfect traction vector, the neighboring tooth was preserved.
Results: A printed guide is of great importance in reducing postoperative effects and operating time. Using a digital workflow can greatly aid traction on the affected teeth. Avoiding trauma to the neighboring tooth enables suitable traction, keeping the area of a bone or conjunctive tissue graft away. A digital workflow in creating a printed guide for these situations is suitable. While not a fast technique, advances in technology may soon reduce the time.
Conclusion: Digital workflow planning and template printing is helpful in tooth traction, avoiding intercurrences and decreasing time of orthodontic treatment.
Methodology for determining the technical condition of the pulse power supply unit in dynamic mode
Authors: Kuzavkov V , Matsayenko A , Pogrebnyak S , Berber I
Published: December 2024

Since the power supply unit is an integral part of any electronic device, to ensure high quality and reliability of its
operation, it is necessary to periodically check its operational characteristics and the structural solutions used in it.

The lack or untimely verification procedures jeopardizes the functioning of the entire device and leaves the user
vulnerable to the likely onset of sudden failures and subsequent potentially unpleasant situations.

It should be borne in mind that the element base (workmanship) of the power supply units does not differ from the
quality of the element base of the entire device, while this unit is an intermediary between the power supply network
(parameters of the characteristics and state of the power supply network) and the main device (technical condition and
adequacy of the user when using it).

Therefore, the durability of the main equipment depends on the efficiency and correctness of the functioning of the
power supply, the stability of its parameters. In case of a critical state of the equipment, the power supply unit itself
contains a fuse (automatic emergency shutdown system), while the operation of the fuse does not allow to determine the
cause (source) of the critical state (network - power supply unit - main equipment - violation of operating rules).
Replacing the fuse, or replacing the power supply does not guarantee the final solution to the problem of technical
diagnostics. Given the ever-increasing complexity and high cost of modern electronic devices (including those with
elements of artificial intelligence), the issue of timely diagnosis of potential power supply malfunctions is critically
important. Therefore, the development of scientifically sound approaches to determining the technical condition of power
supplies and localizing its faults is an urgent task
Đặc điểm điện tâm đồ và biến thiên nhịp tim ở bệnh nhân suy giáp tiên phát
Authors: Nguyễn Thị Linh , Phạm Minh Tuấn , Phạm Thị Hồng Thi , Đỗ Thị Thu Hương , Nguyễn Ngọc Quang
Published: December 2024

Tổng quan: Suy giáp là một bệnh lý nội tiết thường gặp và cũng là một yếu tố gây tăng nguy cơ của các bệnh lý tim mạch. Một trong những vấn đề chính của bệnh lý tuyến giáp nói chung và suy giáp nói riêng là gây ra các rối loạn nhịp tim, thường là các rối loạn nhịp trên thất, và cơ chế có thể là do mất cân bằng hệ thần kinh tự chủ.
Mục tiêu: Tìm hiểu mối liên quan giữa biến đổi điện tâm đồ với một số triệu chứng lâm sàng, cận lâm sàng của bệnh nhân suy giáp.
Phương pháp nghiên cứu: Mô tả cắt ngang trên 40 bệnh nhân. Tiêu chuẩn lựa chọn là bệnh nhân được chẩn đoán xác định suy giáp tiên phát. Đặc điểm biến đổi nhịp tim được đánh giá trên điện tâm đồ 12 chuyển đạo và holter điện tim 24 giờ.
Kết quả: Nghiên cứu có nữ giới chiếm đa số (70%), tuổi trung bình là 54 ± 13, nhóm tuổi có tỉ lệ cao nhất là 40-60 tuổi, tỉ lệ thừa cân và béo phì là 52,5%. Triệu chứng lâm sàng phổ biến nhất là đau cơ khớp (67,5%), da khô, tóc rụng (60%), mệt mỏi, ngủ gà (50%). Trên hình ảnh điện tâm đồ, 100% là nhịp xoang, 27,5% có nhịp chậm xoang. Có 1 trường hợp ngoại tâm thu thất, 1 trường hợp Bloc nhĩ thất độ 1 và có 3 trường hợp có hình ảnh bloc nhánh phải. Trên Holter điện tim: 5% có nhịp chậm xoang, 80% có ngoại tâm thu nhĩ, 20% có ngoại tâm thu thất, 2,5% có Bloc nhĩ thất độ 1. Không có sự khác biệt về biến thiên nhịp tim ở các nhóm tuổi, chỉ số BMI và TSH. Không có sự khác biệt về tần số tim trung bình, cao nhất và thấp nhất giữa các nhóm tuổi, giới tính, BMI và TSH.
 Kết luận: Sự thiếu hụt hormon tuyến giáp đều liên quan đến sự thay đổi đáng kể của các thông số điện tâm đồ cơ bản.
Tóm tắt Hướng dẫn chẩn đoán và điều trị rung nhĩ theo ACC/AHA/ACCP/HRS 2023
Authors: Trần Song Giang
Published: December 2024

Vào cuối năm 2023, ACC/AHA/ACCP/HRS công bố hướng dẫn chẩn đoán và điều trị rung nhĩ với nhiều điểm cập nhật. Bên cạnh việc nhấn mạnh tầm quan trọng của việc điều chỉnh lối sống và các yếu tố nguy cơ, bản khuyến cáo này cũng nhấn mạnh việc kiểm soát nhịp sớm và tích cực. Sau đây là 10 thông điệp quan trọng rút ra từ bản hướng dẫn quản lý rung nhĩ ACC/AHA/ACCP/HRS 2023.1
Trường hợp lâm sàng hội chứng Brugada: Đột biến gen thiểu số - liệu đã được nhìn nhận thích đáng?
Authors: Trần Tuấn Việt , Phan Đình Phong , Lê Võ Kiên , Nguyễn Duy Linh , Đặng Việt Phong
Published: December 2024

Hội chứng Brugada là một bệnh lý kênh ion làm gia tăng nguy cơ đột tử do các rối loạn nhịp thất mà cơ chế bệnh sinh liên quan tới các đột biến gen và có tính di truyền. Sự thay đổi về vật liệu di truyền ở bệnh nhân mắc hội chứng Brugada được xác định lần đầu vào năm 1998 trên gen SCN5A bởi Chen và cộng sự. Sau hơn 3 thập kỉ cho tới thời điểm hiện tại đã có nhiều bằng chứng cho thấy vai trò đóng góp của các biến thể gen khác trong cơ chế bệnh sinh của hội chứng Brugada, như gen SCN10, gen KCNE3, KCNE2, … hay còn gọi là các gen thiểu số. Tỉ lệ gặp các biến thể gen thiểu số ở người bệnh hội chứng Brugada rất thay đổi tùy thuộc vào từng quần thể, dao động từ 20 – 30% các trường hợp với hơn 40 gen liên quan. Tuy nhiên vai trò của các biến thể gen thiểu số này có phải là nguyên nhân của hội chứng Brugada hay không vẫn còn nhiều tranh cãi. Hiện nay, các nhà khoa học đều đồng thuận về cơ chế bệnh sinh của hội chứng Brugada không chỉ liên quan tới các khiếm khuyết tại kênh Natri mà còn liên quan tới các kênh ion khác như kênh Kali, kênh Calci, hay các protein liên kết. Do đó, đột biến các gen tổng hợp nên protein đóng vai trò duy trì cấu trúc và chức năng của các kênh này có thể dẫn tới biểu hiện bệnh lý hội chứng Brugada. Tuy nhiên mối liên quan cụ thể giữa biến thể gen và kiểu hình cũng như biến cố tim mạch thực sự vẫn còn chưa được làm sáng tỏ do còn thiếu khuyết rất nhiều bằng chứng lâm sàng cho từng dạng đột biến. Bên cạnh đó, nhận định một đột biến có thực sự liên quan tới lâm sàng hay không cũng là một thách thức với các bác sĩ lâm sàng và hoàn toàn có thể bị nhận định một cách không thỏa đáng. Các khuyến cáo mới nhất của tổ chức tim mạch học Châu Âu (ESC) và Tim mạch học Hoa Kì (AHA) đều cho thấy ý kiến đồng thuận về xét nghiệm sàng lọc đột biến gen SCN5A đối với tất cả các bệnh nhân được chẩn đoán hội chứng Brugada, nhưng không đưa ra khuyến cáo thực hiện các chẩn đoán sàng lọc thường quy liên quan tới các gen thiểu số khác nếu không có bằng chứng gợi ý. Như vậy dưới góc độ lâm sàng, liệu một đột biến gen thiểu số có “an toàn” hơn đột biến SCN5A? Các đột biến này có thực sự được nhìn nhận một cách thích đáng?
The Role of Drug Swallowing Supervisors (PMO) in Improving Tuberculosis Treatment Adherence: A Literature Review
Authors: Huda Nurul , Cahyono Bagus Dwi , Aristawati Evy , Salamah Saidatus , Ainiyah Nur
Published: December 2024

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which can attack all organs, especially the lungs. Tuberculosis remains the world's deadliest infectious disease, with more than 9 million infections and 1.7 million deaths per year. If not treated or managed correctly, this disease can lead to serious consequences and even death. The purpose of this literature review is to obtain an overview of the relationship between drug-taking supervisors (PMO) and the level of adherence to treatment visits in pulmonary TB patients from various perspectives and various similar studies. The research method used in this study is a literature review, which includes an analysis of 8 articles obtained from three databases: ProQuest, Science Direct, and Google Scholar. The search keywords used for article retrieval included "drug-taking supervisors or drug swallowing supervisor or PMO," "Tuberculosis or TB or TBC," and "drug adherence," using "AND" and "OR" as Boolean operators. Treatment monitoring is the main focus in supporting the success of pulmonary TB patients in the recovery period. Based on the findings of a review of 8 literature journals, there was an increase in recovery when supervisors took medication because the risk of forgetting during treatment visits was reduced, and the fear of PMO was reduced, causing pulmonary TB patients/patients to more regularly visit the nearest health facility that has been approved for treatment provided. Therefore, the drug-taking supervisor (PMO) on adherence to treatment visits is very important in breaking the cycle of pulmonary TB in the community.
Inklusiver Mathematikunterricht
Authors: Manske Christel
Published: December 2024

Dieses Mathebuch ist mit den Kindern erarbeitet worden. Wir sind von ihrer Art zu Denken ausgegangen. Jede Aufgabe muss aus ihrer Erfahrung kommen und für sie sinnvoll sein.In der Schule soll Peter die Aufgabe 3 + 5 = ? lösen.Die Lehrerin sagt: „Zähle 3 und 5 zusammen.“Sie hilft ihm an den Fingern abzuzählen.Er versteht nicht, was das soll.Dann legt sie 3 Bonbons und 5 Bonbons hin.Peter zählt nun 1, 2, 3 und 1, 2, 3, 4, 5.Sie sagt: „Du musst weiter zählen.“ 4, 5, 6, 7, 8.Er versteht nicht, was er soll.Dann schüttet sie die acht Bonbons auf den Teller.Nun zählt er „1, 2, 3, 4, 5, 6, 7, 8“.Er versteht nicht, was das mit 3 + 5 = 8 zu tun hat.Das sind meine Erfahrungen mit den Kindern, die hoffnungslos in der Schule scheitern. Sie lernen einerweise abzuzählen ohne Sinn und Bedeutung, bis sie das Interesse am Matheunterricht endgültig verlieren.Um die Aufgabe 3 + 5 = 8 zu verstehen fehlen ihnen alle Voraussetzungen.
Wesentliches auf den Punkt gebracht
Authors: Holle Amati
Published: December 2024

Trefflicher lässt es sich kaum beschreiben was sich offenbart, wenn das Wesen der verabreichten Arznei dem des Menschen ähnlich ist. Es ist mir immer wieder eine große Freude, nach jenem Wesentlichen in der Arznei zu suchen und das von Eichendorf beschworene Zauberwort in der Behandlung zu enthüllen. Darin sehe ich die Aufgabe der Homöopathie, in jedem Lebewesen den innewohnenden Klang zu ergründen. Der Klang des Liedes in unserem Inneren, in dem wir uns wiedererkennen und der, indem er unseren Wesenskern leuchten lässt und uns zur Heilung führt.Dieses illustrierte Buch ist eine vollkommen überarbeitete und erweiterte Fassung mit vielen Neuerungen! Es ist ein einzigartiges praxisorientiertes Nachschlagewerk.Die Essenzen werden übersichtlich „auf den Punkt gebracht“ und gegliedert: Mineralien, Säuren, radioaktive Substanzen, Edelsteine. Die Pflanzenfamilien geben einen Einblick unterschiedlicher Sichtweisen.Dank der Forschung vieler Homöopathen und Homöopathinnen konnte diese Synthese entstehen, sie gibt Einsichten auf das Wesentliche im Homöopathischen Arzneifeld.Differenzierungen und Gliederung nach Lebensthemen und Empfindungen helfen im Praxisalltag. Zahlreiche farbige Abbildungen runden dieses Buch ab.
Kalanşoda (Kalanchoe Blossfeldiana Poelnn.) In Vitro Mutasyon Islahı
Authors: Kantoglu Kadriye Yaprak , Sarıtoprak Okan , Akyüz Çağdaş Ebru , Okutan Evrim , Aktaş Hakan , Ellialtıoğlu Şeküre Şebnem
Published: December 2024

Kalanşo (Kalanchoe blossfeldiana Poelnn.) son yıllarda iç mekân süs bitkisi olarak kullanımının dışında dış mekân ve kesme çiçek olarak da değerlendirmek üzere üzerinde ıslah çalışmaları yapılan katma değeri yüksek olan bir bitki türüdür. Bu nedenle ıslah çalışmaları her geçen gün yeni kalanşo çeşitlerinin geliştirilmesi için yoğunlaşmaktadır. Farklı ıslah yöntemleri uygulamada kullanılmakla birlikte, mutasyon ıslahına da yatkın olan bu tür için farklı varyasyonların oluşturulmasında in vivo ve in vitro mutasyon ıslahı çalışmaları değer arz etmektedir. Bu çalışmada, fiziksel mutagen olan kobalt 60 (Co60) kaynaklı gama ışını kullanılarak in vitro mutasyon ıslahı ile yeni çeşit adaylarının geliştirilmesi ve ıslah sürecinin in vitro tekniklerden yararlanılarak kısaltılması hedeflenmiştir. Çalışmanın sonucunda 119 Gy’lik ışınlama dozu ticari kalanşo çeşidi için etkili mutasyon dozu (EMD50) olarak belirlenmiştir. EMD50 ile bu dozun %10 alt ve üst sınırlarındaki dozlarda in vitro sürgün kültürleri ışınlanarak ana mutant populasyon oluşturulmuştur. M1V4 aşamasında dış koşullara aktarılan mutant klonlarda bitki ve çiçek gözlemi yapılarak ön seleksiyon gerçekleştirilmiştir.
DEPREM PARKLARI VE DÖNÜŞTÜRÜLEBİLİR PARKLAR
Authors: Sandal Erzurumlu Gülden , Duran Emirhan , Şahin Fatmanur Elif
Published: December 2024

Türkiye, içerisinde bulunduğu coğrafi konumu ile tam bir deprem ülkesi olup, depremle iç içe yaşamaktadır. Hemen her gün yaşadığı küçük boyutlu depremler ve geçmiş yıllarda yaşanan büyük ölçekli deprem felaketleri ile de depreme her an hazırlıklı olmamız gerektiğini ve deprem ülkesi olduğumuz bilincinde hayatımızı sürdürmemiz gerektiğini bize göstermektedir. Bu doğrultuda ülkemizdeki her şehirde dönüştürülebilir deprem parklarına yer verilebilir.
Bu çalışmada da içerisinde Ecemiş fay hattını bulunduran Niğde ili örneği için hazırlanmış olan dönüştürülebilir deprem parkı öneri tasarımına yönelik yapılan çalışma sonucunda, deprem parklarının afet öncesi ve sonrası estetik ve fonksiyonel açıdan kullanımları, dönüştürülebilir deprem parklarında nelere yer verilebileceği ve afet sonrasında insanların psikolojik açıdan da normal hayatlarına dönebilecekleri ortamların nasıl oluşturulabileceği değerlendirilmiştir.