bluuebunny/crossref_metadata_2025 huggingface dataset:
CEFR: A Global Framework for Global Englishes?
Authors:   Prince of Songkla University, Thailand, Savski Kristof , Prabjandee Denchai ,   Burapha University, Thailand
Published: October 2022

Since it was first published by the Council of Europe in 2001, the Common European Framework of Reference for Languages (CEFR) has become one of the most widely referenced documents in language education, particularly in English language teaching and assessment (Savski, in press). The recently released CEFR Companion Volume (2020), with its new descriptions of plurilingual and pluricultural competence and mediation, has done much to extend the potential of the framework, as it provides a more concrete foundation for using CEFR to support heteroglossic pedagogies. In this way, CEFR has acquired a greater level of potential relevance to innovative pedagogies in English language education, such as Global Englishes Language Teaching (GELT), which seeks to equip learners with communicative skills and dispositions needed for success in a world where the target interlocutors are linguistically and culturally diverse (Rose & Galloway, 2019). In this paper, we examine the prospects for using CEFR to support heteroglossic pedagogies like GELT, highlighting points of convergence between descriptions of competence in CEFR and current scholarship in Global Englishes, as well as points of divergence between the two. We underline the need to embed CEFR in decentralizing educational reforms, in which the framework is used to facilitate teacher agency, rather than to impose objectives and methods upon them.
Translanguaging and Vocabulary Learning
Authors:   Victoria University of Wellington, New Zealand, Nation Paul
Published: October 2022

Translanguaging involves the use of the first language in the second or foreign language classroom. Such language use has been a matter of debate with regards to vocabulary learning, but the research findings are clear. Using the first language to explain the meanings of foreign or second language words is highly effective and has a positive effect on the learning of vocabulary. The primary reason for this positive effect is that first language translations are clear and comprehensible. For the same reason, hard-copy or electronic bilingual dictionaries are a very useful resource for elementary and intermediate level learners of English as a foreign language. Learners at the elementary and intermediate levels do not have a large enough vocabulary to cope with monolingual English dictionaries, because even dictionaries which have been specially prepared for learners of English as a foreign language use a defining vocabulary of around 2000 words.
Translanguaging: Does It Work in EFL Contexts?
Authors:   National Institute of Education, Singapore, Renandya Willy A , Chang Anna C S ,   Hsing Wu University, Taiwan
Published: October 2022

Translanguaging is an idea that is often contrasted with previously dominant concepts in language education, e.g., monolingualism, interlanguage, native-speakerism. These concepts are now considered dated and when applied in language education, according to proponents of translanguaging, may harm rather than facilitate learning. The newer and more progressive terms today include bilingualism, multilingualism and plurilingualism (just to name a few) which are increasingly seen as major improvements over the linguistic imperialism of the past. Adopting these approaches is now seen as politically correct in that we are seen as championing inclusivity and diversity in education. The term translanguaging has become so trendy that it is not easy to find detractors.
Plural Englishes and English as Language Resource
Authors:   University of London, UK, Widdowson Henry
Published: October 2022

This Special Issue presents different perspectives on ‘Global Englishes and translanguaging’. It might be noted to begin with that the use of the word ‘and’ is ambiguous – it could either be taken to indicate that the issue is to deal with two unconnected topics, or to imply that there is a connection between them, which the issue is designed to explore. This raises the question of how, if at all, the two are conceptually related – a question that obviously needs to be addressed before considering their implications for language education. The term ‘Global Englishes’ is itself ambiguous. It has come to be used as an umbrella term to refer English as an international Language in all its manifestations. But its plurality would suggest that the term also applies more specifically to different stabilized varieties of language usage associated with particular communities in what Kachru has called the Inner and Outer Circles and in this sense is synonymous with ‘World Englishes’. ‘Translanguaging’ would usually refer to the immediate process of language use, the expedient exploitation of language as a communicative resource. Translanguaging is particularly evident in the use of English as a lingua franca, ELF, which at times all users engage in whatever Kachru circle they are said to be members of.
Analisis Rasio Profitabilitas dan Aktivitas
Authors: Aini Nur , Hasanuddin Hasanuddin , Machmud Mulyana
Published: October 2022

This study aims to find out the increase in profitability and activity at PT. Hendra Mandiri Parepare Services. The research results collected are processed and analyzed in this section. The analysis used in this study includes descriptive analysis and hypothesis testing. The analytical method used in this research is quantitative and qualitative data. By using the method of profitability and activity ratio analysis. The object of the research is to use financial statements in the form of a balance sheet and profit and loss. For the profitability ratio from the calculation of gross profit margin (GPM) at PT. Hendra Mandiri Parepare's services for 2019, 2020, and 2021 are 35% each; 30%; and 26%. The gross profit margin in 2016 and 2017 is considered very good. Then the results of the calculation of the net profit margin (NPM) at PT. Hendra Mandiri Parepare services for 2019, 2020, and 2021 are 15% each; 16%; and 6%. Net profit margin in 2019 and 2020 is considered Good. And the results of the calculation of return on investment (ROI) at PT. Hendra Mandiri Parepare's services for 2019, 2020, and 2021 are 21% each; 28%; and 10%. Return on investment in 2016 and 2017 is considered good. 4) For the activity ratio of the calculation of receivable turnover at PT. Hendra Mandiri Parepare services for 2019, 2020, and 2021 for 4 times each; 6 times; and 7 times. receivable turnover for three years is considered very poor every year. Then the results of the calculation of total asset turnover at PT. Hendra Mandiri Parepare services for 2019, 2020, and 2021 for 1 time each; 2 times, and 2 times. total asset turnover in 2019 is categorized as poor.
DOES THE QUALITY OF POMEGRANATE (Punica granatum L., cv. 116) DISPARITY IN RESPONSE TO DIFFERENT COATINGS DURING PROLONGED STORAGE?
Authors: KHEDR EMAD HAMDY
Published: October 2022

The current study was applied in two successive seasons (2019 and 2020) with a view of keeping fruit quality, water content and reducing the chilling injury symptoms and browning of ripe pomegranate cv. 116 (which is considered one of the promising exportation pomegranate cultivars in Egypt in the last years) during cold storage at 5°C and 90% RH for 56 days followed by simulated shelf life at 20°C for 14 days. All conducted coating treatments including; beeswax at 5 and 10%, 1 and 2% of chitosan, 10 and 20% of paraffin, and Arabic gum at 5 and 10% were effective in maintaining fruit quality compared with control (uncoated fruits). Chitosan at 2% significantly maintained fruit quality, firmness, visual appearance, husk color (L value and a* value), ascorbic acid, and anthocyanin, also it reduced the browning incidence and decay percentage. Paraffin at 20% and beeswax at 10% were effective in maintaining fruit water content, in addition to significant preservation of husk distention was observed by using paraffin at 20%, whilst chitosan at 1 and 2% regulated activity of peroxides enzyme. Furthermore, using Arabic gum at 5% was the most effective significantly in the stability of fruit respiration rate and total soluble solids content compared with control.
Association entre les dons de l'industrie pharmaceutique aux médecins généralistes français et leurs profils de prescriptions médicamenteuses en 2016
Authors: BERKHOUT C
Published: October 2022

D'aprés une publication originale de : Goupil B, Balusson F, Naudet F, Esvan M, Bastian B, Chapron A, Frouard P. Au niveau mondial comme en France, la formation des professionnels de santé à la prescription rationnelle est souvent insuffisante, voire inexistante1. Les relations entre les professionnels de santé et l’industrie pharmaceutique, en particulier l’influence de l’industrie sur la prescription des médicaments au moyen d’une gamme d’outils promotionnels susceptibles d’influer sur les choix thérapeutiques, inquiètent les pouvoirs publics. Cette influence peut conduire à choisir un traitement qui n’est pas optimal, parfois au détriment de la santé du patient2...
La construction d'une pédagogie en médecine générale
Authors: CORNET P
Published: October 2022

La construction d’une pédagogie en médecine générale s’est faite progressivement à partir d’un double mouvement : l’affirmation identitaire de la discipline pour en définir les fonctions, et les moyens et les méthodes pour transmettre ces dernières. Influencée par le constructivisme, l’approche par compétences est le fondement principal de la pédagogie en troisième cycle de médecine générale. Comme toute méthode, elle n’échappe pas à la critique dont il convient d’exposer les principaux arguments. Le choix des didactiques laisse trop peu de place aux sciences humaines et sociales. Ce manque fragilise la formation du « bon médecin ».
Programme ETP diabète gestationnel
Authors: RIQUEL L , SPODENKIEWICZ M , BONTE E , MONTEE N , FRANCO J-M , LERUSTE S
Published: October 2022

Contexte. Le diabète gestationnel est une complication fréquente de la grossesse dont la prévalence à La Réunion était de 14 % en 2013. La politique régionale s’oriente vers le développement de l’éducation thérapeutique du patient dans le secteur des soins ambulatoires. Objectifs. Explorer à un an le vécu des femmes atteintes de diabète gestationnel (DG) ayant participé à un programme d’éducation thérapeutique du patient (ETP). Méthode. Étude qualitative par analyse inductive générale via des entretiens semi-directifs menés en face à face. Le recueil de données a eu lieu dans une seule maison de santé. Résultats. Huit femmes ont été interrogées entre août et octobre 2015 à Saint-Denis de La Réunion. Le DG était vécu par ces femmes comme un événement décevant ou surprenant, fatigant, contraignant et terriblement angoissant. Le programme d’ETP était vécu comme un véritable accompagnement : un cadre, un soutien, une aide sans jugement. Elles avaient apprécié d’avoir une prise en charge individualisée, adaptée à leur vécu et à leur environnement. Le programme devrait davantage prendre en compte leurs motivations à poursuivre les mesures hygiénodiététiques. Le médecin généraliste était perçu comme absent de la prise en charge. Conclusion. L’amélioration de ce programme d’ETP était envisageable en prenant en compte des femmes dans leur singularité, de leurs connaissances ou aptitudes lors du bilan éducatif partagé et dans les objectifs pédagogiques du programme. Les déterminants psychologiques étaient primordiaux. Pour un suivi optimal, une meilleure collaboration entre professionnels de santé était souhaitable, notamment en partenariat avec leur médecin généraliste traitant.
Détection du risque de suicide des adolescents en soins premiers
Authors: BERKHOUT C
Published: October 2022

Publication originale de Binder P, Heintz AL, Haller DM, et al. Le suicide est un important facteur de mortalité chez l’adolescent. Ceux qui vivent ou ont vécu une problématique suicidaire (idées suicidaires récurrentes ou tentative de suicide) grèvent leur avenir d’adultes tant pour leur santé globale que pour leur future vie sociale, avec un risque majoré de basculer dans la violence et les conduites à risques1. Le dépistage de cette problématique suicidaire est associé à une réduction du suicide et n’entraîne pas d’effets indésirables...
Cancers cutanés non mélaniques et thiazidiques : est-ce un effet de classe ?
Authors: HUMBERT X
Published: October 2022

D’après une communication de Xavier Humbert (Université de Caen Normandie) L’hypertension artérielle est la pathologie chronique la plus fréquente, touchant en France près d’un adulte sur trois. L’Organisation mondiale de la santé (OMS) estime que, en 2025, cette pathologie touchera 29,2 % de la population mondiale, soit 1,5 milliard d’individus1. Les diurétiques thiazidiques sont indiqués en première intention dans le traitement de l’hypertension, en pratique courante en soins premiers.L’hydrochlorothiazide (HCTZ) fait partie des thiazidiques les plus utilisés. Une étude de cohorte danoise a permis de faire un lien, en 2018, entre ce traitement et l’apparition de cancers cutanés spinocellulaires et basocellulaires. Aucune étude n’avait permis d’affirmer qu’il s’agissait d’un effet de classe.
Enjeux éthiques associés à la crise sanitaire du Covid-19
Authors:   COMITE ETHIQUE DU CNGE, RAT C , TUDREJ B , PENCHAUD A-L
Published: October 2022

La crise liée à la pandémie de Coronavirus Sars-CoV-2 (Covid-19) constitue un défi inédit pour les systèmes de santé de tous les pays du monde. Elle génère de nombreux questionnements éthiques, notamment au regard des principes de non-malfaisance et de bienfaisance. La question de l’allocation des ressources est posée dans un contexte de manque de matériel généralisé, de même que la possibilité d’exercer une médecine scientifique basée sur les preuves alors que les données sont manquantes. Cette crise réinterroge également le principe de justice entre professionnels, entre nos patients, entre les territoires. Ces questions se posent dans la pratique quotidienne des médecins généralistes.
Masque chirurgical ou FFP 2 ?
Authors: PLOTTON C , GOCKO X
Published: October 2022

Quel est le masque idéal pendant la pandémie de Covid-19 ? De nombreux professionnels de santé posent cette question. Cette « rapid review » et ses trois méta-analyses incluses présentent les différences entre masques chirurgicaux et FFP2. Les masques chirurgicaux et FFP2 protègent les professionnels de santé. L’efficacité des FFP2 semble supérieure dans les études d’exposition, mais pas en contexte de soins, et les données sont insuffisantes pour conclure.
Facteurs prédictifs d’une absence de participation ou d’une participation partielle aux programmes de dépistage du cancer du sein, du col de l’utérus et colorectal
Authors: BERKHOUT C
Published: October 2022

Publication originale de Dawidowicz S, Le Breton J, Moscova L, et al. Fam Pract 2020;1:15-24. Les cancers du sein et colorectal se situent au 1er et au 3e rang de la mortalité par cancer chez la femme. Le cancer du col apparaît en 4e position au niveau mondial. Afin de réduire l’incidence de ces cancers, leur taux de dépistage doit atteindre 70 % pour les mammographies, 50 % pour la recherche de sang occulte dans les selles (RSO), et 80 % pour les frottis cervico-utérins (FCU)...
Le port généralisé d’écrans anti-postillons (masques anti-projections faits maison) : un moyen de lutte contre l’épidémie de Covid-19
Authors: ROCHOY M , PUSZKAREK T , HUTT A , FAVRE J
Published: October 2022

Faut-il tous porter un écran anti-postillons (EAP) (écran anti-projections, masque « grand public », masques artisanaux, etc.) comme mesure barrière pendant la pandémie de Covid-19 ? En France, le port généralisé d’EAP fait débat, dans un contexte de pénurie de masques certifiés, alors que d’autres pays l’ont recommandé dès le 19 mars 2020. Cette « rapid review » pose la question de l’intérêt du port généralisé d’EAP contre cette maladie à transmission gouttelettes pouvant être contagieuse à un stade asymptomatique ou présymptomatique. Le port généralisé d’EAP présente un rapport coût-efficacité très favorable. Il limite la contagion en protégeant son porteur, mais, surtout, en protégeant les personnes de son environnement et les personnes avec lesquelles il interagit. Dans un contexte de pénurie de masques chirurgicaux, le port généralisé d’EAP doit être recommandé en France, comme il l’est déjà ailleurs avec succès.
Formation tout au long de la vie
Authors: BARBAROUX A , JEDAT V
Published: October 2022

Argumenter le choix d’un outil de formation continue en termes de fiabilité, de praticité, de coût et de pertinence clinique. Critiquer un article de recherche, une information scientifique et médicale en fonction de sa qualité méthodologique et de sa pertinence bioclinique. Définir les différents types de liens d’intérêts et les reconnaître dans sa pratique.
Le Cercle des thésards : un outil pour optimiser une thèse d’exercice
Authors: BENEDINI E
Published: October 2022

Contexte : En France, une direction de thèse d’exercice par un médecin généraliste augmente la perti-nence de la recherche pour la médecine générale. La capacité d’encadrement des généralistes arrive à saturation du fait du nombre croissant d’internes dans cette spécialité. Le Cercle des thésards, créé à Lyon en 2012, est un groupe constitué des chercheurs et de leur directrice de thèse. Forces : Le Cercle des thésards offre au chercheur une alter-réflexion, une aide motivationnelle, et per-met l’expression des difficultés de recherche. Il utilise la convivialité comme moteur. La directrice de thèse supervise le chercheur, les interactions entre pairs et évolue grâce à ses interactions. Limites : Entretenir une dynamique de groupe nécessite de limiter le nombre des participants. Le rythme des réunions est parfois contraignant. Le Cercle n’évite pas des temps de relation duale avec chaque chercheur. Conclusion : Le Cercle des thésards permet une alter-réflexion entre pairs supervisée par la directrice de thèse. Il renforce la motivation des chercheurs et facilite l’expression des difficultés de recherche. Il accueille des directeurs de thèse juniors, tuteurés par la directrice de thèse.
Évaluation d’un nouvel outil simplifié de pharmacovigilance pour les médecins généralistes, bilan à 3 ans
Authors: HUMBERT X , RABIAZA A , LE BAS F , DE JAEGHER S , CHRETIEN B , FEDRIZZI S
Published: October 2022

Introduction. La déclaration spontanée des effets indésirables (EI) des médicaments est fondamentale dans la surveillance post-autorisation de mise sur le marché (pharmacovigilance). Cependant, une sous-déclaration majeure existe. L’objectif principal de cette étude était de mesurer à 3 ans l’utilisation d’une déclaration simplifiée pour les médecins généralistes (MG) et de voir son influence sur la qualité des déclarations. Méthode. Cet outil en ligne a été proposé en juin 2015 par le Centre régional de pharmacovigilance de Caen Normandie, en lien avec l’Union régionale des professions de santé des médecins libéraux Normandie pour les MG. Il a été évalué sur l’évolution du nombre mensuel de déclarations et du nombre de MG déclarants avant et après mise en place. La qualité des déclarations a été aussi étudiée. Résultats. Entre juin 2012 et juin 2018, 582 déclarations ont été réalisées par 176 MG. À trois ans, le nombre mensuel de déclarations a été multiplié par 3 et le nombre mensuel de MG déclarants par 2. La qualité des déclarations est restée inchangée sur la même période de suivi (32,7 % versus 38,5 % ; p = 0,3) ainsi qu’avec la déclaration simplifiée (29,9% versus 37,7 % ; p = 0,13). Conclusion. Cet outil a montré son efficacité en termes quantitatifs sans perdre en qualité des déclarations. Il faut désormais déployer cet outil au sein des logiciels métiers et l’évaluer dans d’autres régions françaises.
Expression du désaccord par le patient en consultation de médecine générale
Authors: SCIUTO C , ROUSSEAU R
Published: October 2022

Contexte. Le principe d’autonomie permet au patient d’exprimer son opinion sur toute décision le concernant. Objectif. Explorer l’expression du désaccord par le patient en consultation de médecine générale. M éthode. Étude qualitative par entretiens semi-dirigés en Pays de la Loire, de décembre 2017 à septembre 2018, avec un échantillonnage à variation maximale, jusqu’à saturation des données. L’analyse des données s’est faite par théorisation ancrée avec une triangulation des données. Résultats. Treize patients ont été interrogés. L’expression du désaccord dépendait du patient, du médecin, du système de santé et de l’objet du désaccord. Les patients exprimaient leur désaccord en argumentant, en négociant, avec agressivité ou implicitement. Des patients n’exprimaient pas leur désaccord en consultation. En cas de persistance du désaccord, ils l’exprimaient hors de la consultation par des comportements, un vécu négatif, une altération de la relation et une transformation des représentations du patient. Conclusion. La décision partagée et les compétences communicationnelles du médecin favorisent l’expression du désaccord. Prêter attention au langage non verbal du patient et interroger son observance permettait d’identifier les désaccords inexprimés. Développer une réflexivité sur son ressenti et ses propres mécanismes de défense semblait utile pour résoudre un désaccord responsable de conflit.
Droit au remords pour la médecine générale : un changement difficile mais libérateur
Authors: RENOUX C , ETTORI-AJASSE I , CHAMANT C , BARBEAU L
Published: October 2022

Contexte. Les internes ont la possibilité de changer de spécialité dans les deux ans qui suivent le début de l’internat, si leur rang de classement aux épreuves classantes nationales le leur permet : c’est le droit au remords. Objectif. Explorer les motivations et le processus décisionnel des internes ayant changé de spécialité pour la médecine générale (MG). Méthode. Enquête qualitative descriptive par entretiens auprès d’étudiants du Grand Ouest ayant effectué un droit au remords pour la MG. Enregistrement des entretiens, retranscription intégrale, validation du contenu par les participants et analyse par une approche interprétative phénoménologique. Résultats. Cette étude a décrit un profil type d’étudiant réalisant un droit au remords pour la MG et le processus décisionnel. L’hésitation débutait dès le deuxième cycle, marquée par un attrait pour la variété et l’absence de vocation particulière. Le choix de spécialité était alors difficile et influençable. Les étudiants envisageaient déjà la MG et avaient en tête qu’ils pourraient utiliser le droit au remords. Assez rapidement, la spécialité choisie ne leur correspondait pas. Le changement était difficile mais nécessaire, et finalement libérateur. Les appréhensions s’envolaient dès le premier stage dans la nouvelle spécialité, même si ce n’était pas un stage ambulatoire en MG. Conclusion. Pour un choix éclairé, il serait utile de bien se connaître, de bien connaître les différentes spécialités, notamment avec le stage de deuxième cycle en MG, et d’avoir conscience des facteurs extérieurs influant. Ce travail a apporté des pistes pour mieux accompagner les futurs internes s’interrogeant sur leurs choix.
Déterminants psychosociaux des réhospitalisations précoces des patients de 75 ans et plus vivant à domicile
Authors: GUINEBERTEAU C , GOUZE M , CHEVROT C , PANNETIER A , BONNARDIN S , DESPRES P , LANCRENON M , LEBEURRIER M , VERSTRAETE M , GARNIER F
Published: October 2022

Contexte. Les sujets âgés de 75 ans et plus sont une population à risque de fragilité ou de dépendance. Certains présentent un état polypathologique, la majorité vit à domicile, avec des aides. Ces patients sont particulièrement sujets aux hospitalisations, parfois suivies d’une réhospitalisation précoce. Objectifs. Décrire l’impact des facteurs psychosociaux sur la réhospitalisation précoce des personnes âgées selon les patients et leur entourage. M éthode. Étude qualitative avec une approche par théorisation ancrée, par entretiens individuels semi-dirigés auprès de patients âgés de 75 ans ou plus réhospitalisés précocement, et des personnes impliquées dans leur prise en charge. Résultats. Soixante entretiens ont été réalisés. Les principaux facteurs qui émergeaient étaient l’angoisse et l’épuisement des aidants. Malgré des situations de maintien à domicile difficile, il ressortait une réticence aux solutions proposées. Le binôme patient-aidant apparaissait comme décisionnaire des réhospitalisations. Les professionnels témoignaient de difficultés dans la communication et le relationnel. Conclusion. Une réhospitalisation précoce devrait faire l’objet d’un diagnostic de situation biopsychosociale. L’écoute active, l’incitation au lâcher-prise et la verbalisation de l’angoisse de chacun apparaissent comme des axes de prise en charge intéressants.
Élaboration de critères objectifs d’évaluation des projets pédagogiques des stages hospitaliers en vue de l’agrément pour la médecine générale
Authors: JEDAT V , BRABANT Y , VALETTE T , GOMES J , FRECHE B
Published: October 2022

Contexte. En vue de l’agrément pour la médecine générale, les référents pédagogiques des stages hospitaliers doivent remplir un dossier comprenant notamment un projet pédagogique. Objectif. L’objectif principal de ce travail était de définir de manière consensuelle des critères objectifs permettant l’évaluation des projets pédagogiques des services hospitaliers souhaitant recevoir un étudiant en médecine générale (EMG). Méthode. une étude par méthode DELPHI en trois rondes a été utilisée. Des experts ont été recrutés parmi des méde-cins hospitaliers spécialistes d’organe et des médecins généralistes ambulatoires. L’étude s’est déroulée de janvier à mars 2014. Un questionnaire comprenant 30 critères a été envoyé. Les experts devaient les noter selon une échelle de Likert de 1 « pas du tout d’accord » à 9 « tout à fait d’accord ». Les critères recevant une note moyenne supérieure à 7,5 ont été retenus. Résultats. Quinze experts ont participé à l’ensemble des rondes. 20 critères ont été retenus et 10 ont été rejetés. Les moyennes des notes étaient comprises entre 8,56 et 5,50. Conclusion. la commission de subdivision possède maintenant une liste de critères objectifs permettant d’approuver mais surtout de refuser ou de retirer l’agrément des stages hospitaliers recevant des EMG.
Delayed-onset ligneous conjunctivitis as a rare association with congenital hydrocephalous: a case report and review of the literature
Authors: Ghassemi Hamed , Atighehchian Mehrnaz , Amoli Fahimeh Asadi
Published: October 2022

Ligneous conjunctivitis is an uncommon form of chronic and recurrent conjunctivitis characterized by a thick, “woody,” yellowish pseudomembranous lesion on the tarsal conjunctiva. Plasminogen deficiency plays an important role in this disease, which affects the mucous membranes, including the conjunctiva as well as other systemic organs. In rare cases, congenital hydrocephalus is associated with this disease. We present the case of a 21-year-old woman with delayed-onset bilateral ligneous conjunctivitis and a history of congenital hydrocephalous in infancy. She was treated with topical ophthalmic medication and surgical excision.
PENERAPAN TAX PLANNING MELALUI DEDUCTIBLE DAN UNDEDUCTIBLE EXPENSE PADA PT.HALUAN NATURA, MEDAN
Authors: Elidawati  , Ng Niken Cristian , Harahap Sunarji
Published: October 2022

PT.Haluan Natura, Medan is a company engaged in the tire trade. The phenomenon that occurs in company is that company carry out fiscal reconciliation before tax reporting. However, the company does not do tax planning first, as a result there are costs that should be used as deductible expense instead it must be corrected because it is still included in the undeductible expense category. This study uses quantitative descriptive methods, namely describing the problems that occur by using quantitative data from financial statements. The results showed that the fiscal reconciliation at PT.Haluan Natura, Medan included corrections to donations that were not in accordance with tax regulations, corrections to allowances that were not included in the income tax component of article 21, corrections to depreciation costs on assets used for certain positions, and correction of bank interest income and bank interest tax.
 Keywords: Tax Planning, Deductible, Undeductible Expense.
The Stone Piles
Authors: Rowell Jesse ,   After Dinner Conversation
Published: October 2022

How can a son receive the attention of his father, when they don’t share similar interests? Should a child change in order to find common ground with their father? In this work of philosophical short story fiction, Gregory is a young, sensitive child, looking for approval from his father. However, his father’s only interest seems to be hunting. His father correctly understands that Gregory is not old enough, and does not have the temperament, for hunting. However, Gregory wants his father’s approval and his mother insists he at least take him out for target practice. Finally, after much waiting, Gregory’s father agrees, not to take him hunting, but out for target practice. While at target practice they find a sick kitten, still alive, with ants crawling over it. Gregory’s father has Gregory shoot the kitten to end its life.
Clinicopathologic Analysis of Kikuchi-Fujimoto Disease and Etiologic Exploration Using Metagenomic Next-Generation Sequencing
Authors: Wang Wei , Huang Sixia , Nong Lin , Li Xin , Li Dong , Zhang Bo , Li Ting
Published: October 2022

Context.—

Kikuchi-Fujimoto lymphadenitis, also known as Kikuchi-Fujimoto disease (KFD), is a self-limited lymphoproliferative disease, with no definitive causative agent confirmed by traditional methods.

Objectives.—

To further explore the clinicopathologic features of KFD and clarify related pathogenic factors.

Design.—

A retrospective analysis was performed in a collection of KFD cases to review the clinical and histopathologic features, and metagenomic next-generation sequencing (mNGS) was used in 64 formalin-fixed, paraffin-embedded (FFPE) tissues from patients with KFD.

Results.—

One hundred five of the 170 patients with KFD (61.8%) were female; 10 patients had autoimmune diseases. Four pathologic subtypes were classified: necrotic (45.9%, 78 of 170), phagocytic (32.4%, 55 of 170), proliferative (17.1%, 29 of 170), and xanthomatous (4.7%, 8 of 170). Patients younger than 40 years with unilateral cervical lymphadenopathy and small vessel fibrinous degeneration accounted for significant differences among the 4 pathologic subtypes (P < .05). Among 64 patients with KFD, 9 had detectable bacterial or viral DNA—of 6 bacterial cases, 1 involved Chlamydia psittaci; while of 3 viral cases, 1 involved human beta herpesvirus 6B and 2 involved Epstein-Barr virus. No significant relationships were found between the pathologic subtypes and specific pathogens.

Conclusions.—

Only a small proportion of patients with KFD had autoimmune diseases or infections from specific pathogens, suggesting that KFD is likely a reactive lesion of lymph nodes to various circumstances. To our knowledge, this is the first and the largest study to detect pathogens with the use of mNGS on FFPE samples in KFD. Our study also further confirms that mNGS can be used on FFPE samples to detect potentially infectious agents in clinical settings.
Izzivi in sodobni pristopi k zdravljenju atopijskega dermatitisa
Authors: Vitek Asist. Mercedes , Zvonar Pobirk Izr. prof. dr. Alenka , Gašperlin Prof. dr. Mirjana , Gosenca Matjaž Doc. dr. Mirjam
Published: October 2022

Atopijski dermatitis je najpogostejša kronična vnetna bolezen kože, za katero so značilne spremembe v strukturi kože. Kažejo se kot pordeli, suhi in luščeči se predeli, ki jih spremlja srbenje. Ker gre za izredno kompleksno bolezen, ki predstavlja velik terapevtski izziv, sodobne terapevtske smernice poudarjajo pomen celovitega zdravljenja. Zelo pomembna je redna in pravilna nega atopijske kože z izdelki z aktivnimi sestavinami, ki po različnih mehanizmih delovanja obnavljajo njeno okrnjeno pregradno vlogo. V odvisnosti od stopnje vnetja in obsega kožnih sprememb se poslužujemo lokalne ali sistemske terapije, pri čemer velja, da prvenstveno uporabljamo zdravila za lokalno zdravljenje, dokler je to mogoče oziroma se bolnik nanje odziva. Običajno so učinkovine za nanos na kožo, ki so namenjene aktivni negi in/ali zdravljenju, vgrajene v klasične formulacije, kot so mazila, kreme, dermalne raztopine in emulzije. V zadnjih letih pa se intenzivno razvijajo predvsem inovativni lipidni dostavni sistemi, kot so liotropni tekoči kristali, mikro- in nanoemulzije, vezikularni sistemi in lipidni nanodelci. V prispevku so tako sistematično zbrane in predstavljene aktivne sestavine sodobnih kozmetičnih izdelkov za nego atopijske kože ter zdravilne učinkovine in farmacevtske oblike, registrirane v Sloveniji za zdravljenje atopijskega dermatitisa. Hkrati prikazujemo atraktivne znanstvene raziskave, patentne objave in novosti na področju inovativnih lipidnih dostavnih sistemov s temi učinkovinami, ki kažejo na edinstvene prednosti teh formulacij, ki omogočajo bolniku prijaznejše zdravljenje in s tem izboljšani terapevtski izid.
Research progress of non-Hermitian electromagnetic metasurfaces
Authors: Fan Hui-Ying , Luo Jie ,   School of Physical Science and Technology, Soochow University, Suzhou 215006, China
Published: October 2022

Electromagnetic metasurface, as a type of planar electromagnetic material consisting of single-layer or multilayer subwavelength artificial micro-structure, can efficiently control the polarization, amplitude and phase of electromagnetic wave on a subwavelength scale. However, confining electromagnetic waves to a deep-subwavelength scale generally is at the cost of a large loss, such as radiation loss, Ohmic loss. Interestingly, non-Hermitian physics provides us a new way to transform the disadvantage of loss into a new degree of freedom in metasurface design, paving the way to expanding the functionalities of metasurfaces. In recent years, the extraordinary effects in the non-Hermitian electromagnetic metasurfaces have attracted a lot of attention. In this review, we discuss the perfect absorption, exceptional points and surfaces waves of non-Hermitian electromagnetic metasurfaces, and point out the challenges and potentials in this field.
Evaluating the effect of temperature on photosynthesis and respiration of articulated coralline algae using oxygen evolution and chlorophyll a fluorescence
Authors: Vásquez-Elizondo Román Manuel , Kräemer Wiebke E , Cabello-Pasini Alejandro
Published: October 2022

Coralline algae form abundant and ecologically important submerged aquatic vegetation habitats throughout the world. However, algal performance is threatened by climate change and ocean acidification. Previous studies suggest that their photosynthetic performance will be compromised mainly at elevated temperatures. Understanding the impact of diverse climate change scenarios requires a clear and thorough comprehension of the photosynthetic response to temperature gradients. The objective of this study was to evaluate the short-term effect of temperature (10–35 °C) on the gross photosynthesis (GPS), respiration, and electron transport rates (ETRs) of 3 articulated coralline algae (Lithothrix aspergillum, Corallina officinalis, and Bossiella orbigniana) for a better understanding of their metabolism and to investigate the relationship between GPS and ETR as a function of temperature. The results showed that the coralline algal metabolism is highly sensitive to temperature, but responses were species-specific and can be related to their light adaptation/acclimation; the high-light-adapted L. aspergillum was least negatively affected. The photosynthesis to respiration ratio was optimal between 20 and 25 °C according to the local thermal regime but was significantly reduced toward higher temperatures, indicating strong carbon imbalances and highlighting the relevance of thermal stress for coralline algal performance. A strong correlation between GPS and ETR was found between 10 and 30 °C in all species, but both above saturation irradiances and at elevated temperatures (≥30 °C), a clear deviation from linearity occurred. This suggests that ETR is not a good proxy to estimate photosynthetic activity under light or thermal stress. This information should be useful for studies implementing global change scenarios and pulse amplitude modulated (PAM) fluorometry in coralline algae.
Adaptation of the Child Socio-Moral Orientation Measure (CSMO)into Turkish: Validity and Reliability Study
Authors: ÖZCAN Ali , ŞAHİN Fatma TEZEL
Published: October 2022

Bu araştırmada, Çocuk Sosyo-Ahlaki Yönelim Ölçeği’nin (ÇOSAYÖ), geçerlik ve güvenirlik analizlerinin yapılarak Türk kültürüne uyarlanması amaçlanmaktadır. Araştırmaya Denizli ilinde okul öncesi eğitim kurumuna devam eden 36-72 aylık
665 çocuğun annesi katılmıştır. Ölçeğin dil geçerliliği için uzman görüşünden yararlanılmıştır. Ölçeğin yapı geçerliğini sağlamak için Doğrulayıcı Faktör Analizi yapılmıştır. Analiz sonucunda elde edilen model uyum indeksleri;
x²/sd=2,95, RMSEA=.054, RMR=.045, GFI=.88, AGFI=.87, CFI=.91 olarak hesaplanmıştır. Bu değerler ölçeğin faktör yapılarının kabul edilebilir ve geçerli sonuçlar verdiğini göstermektedir. Ölçeğin Cronbach Alpha iç tutarlılık katsayısı
.88 olup, sosyal karşı koyma alt boyutu için .87, sosyal güvensizlik alt boyutu için .76, sosyal geri çekilme alt boyutu için .87, sosyal haz alt boyutu için .90, sosyal uyum alt boyutu için .84, sosyal düşünce alt boyutu için
.85, sosyal hayal gücü alt boyutu için .86 olarak bulunmuştur. Ölçeğin madde toplam korelasyon değerleri 0.49 ile 0.72 arasında değişen oranlarda değerler almaktadır. ÇOSAYÖ’nün ölçüt bağıntılı geçerliliği ve test-tekrar test korelasyonu
için gerçekleştirilen analizler sonucunda katsayıların yeterli olduğu ortaya konmuştur. Araştırma sonuçları Çocuk Sosyo-Ahlaki Yönelim Ölçeği’nin geçerli ve güvenilir bir ölçme aracı olduğunu, 3-6 yaş aralığındaki çocukların sosyo-ahlaki
yönelimlerinin belirlenmesinde kullanılabileceğini göstermektedir.
Primary School Teachers' Views on Children's Rights
Authors: GÜL İbrahim , ÖNDER Gürhan
Published: October 2022

Çocukların kendilerine tanınan haklarını bilmeleri ve bunları kullanmaları gerekir. Bu hakların onlara okulöncesi yıllardan itibaren kazandırılması önem taşımaktadır. Çocuk haklarını öğretme işi başta aileler olmak üzere daha çok öğretmenlere
düşmektedir. Bu araştırmanın amacı, ilkokul öğretmenlerinin çocuk haklarına yönelik görüşlerini ortaya koymaktır. Bu amaca uygun olarak araştırma, nitel araştırma yöntemlerinden olgubilim yöntemiyle desenlenmiştir. Araştırmanın
çalışma grubunu 2021–2022 eğitim-öğretim yılında Ordu Fatsa İlçe Milli Eğitim Müdürlüğü’ne bağlı merkez ilkokullarda görev yapan 16 ilkokul öğretmeni oluşmaktadır. Öğretmenlerden 7 tanesi erkek 9 tanesi kadın öğretmendir. Bu öğretmenlerin
belirlenmesinde amaçlı örneklem tekniği kullanılmıştır. Çalışma grubunu oluşturan öğretmenlerin cinsiyet, yaş, kıdem gibi farklı özelliklerde olmalarına özen gösterilmiştir. Veri toplama aracı olarak araştırmacılar tarafından geliştirilmiş
yarı yapılandırılmış açık uçlu görüşme formu kullanılmıştır. Görüşme formunda, öğretmenlerin demografik özelliklerine ve çocuk haklarına ilişkin görüşlerine yönelik sorulara yer verilmiştir. Veri toplamaya başlamadan önce etik
kurul izni alınmıştır (25.03.2022/195). Elde edilen veriler betimsel analiz tekniği ile çözümlenerek birtakım bulgulara ulaşılmıştır. Elde edilen araştırma bulgularına göre, öğretmenler çocuğu 18 yaşından küçük birey olarak tanımlamaktadırlar.
Çocuk haklarının kapsamında ilk sırada eğitim ve korunma hakkına yer vermektedirler. Çocuk hakları eğitimin gerekli olduğunu ve bunun aile başta olmak üzere okulda ve toplumun her kesimine verilmesi gerektiğini belirtmektedirler.
Öğretmenler, çocuk hakları eğitiminin kazandırılmasında bazı yöntemlere dikkat çekmişlerdir. Rehberlik servisinin eğitimleri ve belirli gün ve haftalarda farkındalık oluşturulması bu yöntemlerin başında gelmektedir. Öğretmenler
bu eğitimin nasıl verilmesigerektiğine ilişkin olarak ailelerin eğitim almalarını, bu eğitime küçük yaşlardan başlanılmasını ve toplumun tüm kesiminin böyle bir eğitim almasını belirtmişlerdir.
Examination of Teacher Candidates' Digital Literacy Levels and Lifelong Learning Tendencies
Authors: AYDIN Rafet , İŞLEK Meray , GÖKBULUT Bayram
Published: October 2022

The aim of research is to examine the digital literacy and lifelong learning tendencies of teacher candidates. The ethics committee permission needed for this research was obtained from Mehmet Akif Ersoy University with the date 02/12/2020
and the number GO 2020/343. The data of research was obtained from teacher candidates studying at education faculties of two state universities. The universe of research consisted of teacher candidates studying at Burdur Mehmet
Akif Ersoy University and Zonguldak Bülent Ecevit University Faculty of Education. The sample of study consisted of 966 teacher candidates, 212 male and 754 female, studying at the education faculties of two state universities.
Survey model, one of the descriptive research models, was used for this research. The collected data were analyzed with SPSS.23 package program. In study, it was concluded that the digital literacy levels of teacher candidates
are quite high. There was a significant difference in digital literacy levels of teacher candidates according to gender. Accordingly, it was concluded that male teacher candidates have a higher digital literacy level than female
teacher candidates. According to findings of research, the digital literacy levels of teacher candidates differed significantly according to their grade levels. This difference was in favor of fourth graders. It was concluded that
the digital literacy levels of teacher candidates, according to their daily internet usage time, are higher for those who use the internet for 5 hours or more than those who use the internet for 1-2 hours. It has been concluded
that the lifelong learning tendencies of teacher candidates are quite high. When the lifelong learning tendencies of teacher candidates were examined according to their gender, it was concluded that female teacher candidates had
a higher level than male teacher candidates. There was no significant difference in lifelong learning tendencies of teacher candidates according to classes they studied. The lifelong learning tendencies of teacher candidates differ
significantly according to their daily internet usage time, and this difference is between those who use the internet for 3-4 hours a day and those who use the internet for 5 hours or more; it has been seen that it is in favor
of those who use it for 3-4 hours. Finally, it was concluded that there is a significant, positive and weak relationship between the digital literacy levels of teacher candidates and their lifelong learning scores.
Globalization in the Context of Metaphorical Perception of Social Studies Teacher Candidates
Authors: Ramazan TOPRAK Ali , ÇELİK Hülya
Published: October 2022

Geçmişten günümüze yaşanan gelişmeler ve etkileşim, içinde yaşadığımız dünyayı küresel bir köy haline getirmiştir. Bu küresel köy haline gelme sürecinde şüphesiz en çok etkisi olan kavram son yıllarda, hakkında araştırmalar yapılan,
üzerinde fazlaca konuşulan ve durulan küreselleşme kavramıdır. Bu çalışmada sosyal bilgiler öğretmen adaylarının küreselleşmeye dair algılarının araştırılması amaç edinilmiştir. Bu çalışma nitel araştırma deseni olan olgu-bilim
deseni ile yapılmıştır. Araştırma kapsamında Sakarya Üniversitesi bünyesinde Sosyal bilgiler öğretmenliği okuyan 109 öğrenciye ulaşılmıştır. Sosyal bilgiler öğretmen adaylarının küreselleşmeye dair metaforik bağlamda algılarını
tespit etmek için, “küreselleşme …………. gibidir, çünkü …………” ifadesinin yer aldığı formdan yararlanılmıştır. Katılımcılar 108 adet geçerli metafor üretmiş, 1 adet metafor kapsam dışı olduğu gerekçesiyle çalışmadan çıkarılmıştır.
Toplanan verilerin analizi, içerik analizi yöntemiyle yapılmıştır. Katılımcılar tarafından oluşturulan 108 geçerli metafor; etkileşim, bilim ve teknoloji, evrensellik, bütünlük, dinamizm, siyasi ve birikim olmak üzere toplamda
7 adet kavramsal kategori altında gruplanmıştır. Bu kategorilerden en fazla etkileşim kategorisi, en az birikim kategorisi öne çıkmaktadır. Katılımcı öğretmen adayları geliştirdikleri metaforlara yönelik yaptıkları açıklamalar
incelendiğinde yaptıkları açıklamaların küreselleşme kavramının tanımı, özellikleri ve sonuçlarıyla uyumlu olduğu anlaşılmıştır. Bu dersi verecek olan sosyal bilgiler öğretmen adaylarının küreselleşme algılarının, küreleşmenin
farklı boyutlarında olması dikkat çekicidir. Bu çalışma sonucunda sosyal bilgiler öğretmen adaylarının küreselleşme kavramına ilişkin algılarının farklı boyutlarda ve küreselleşme kavramının içeriğiyle uygun olduğu anlaşılmıştır.
Öğretmen adaylarının örgün eğitimlerinde küreselleşme içeriğine daha fazla yer verilmesi halinde, bu kavrama dair farkındalıklarının artacağı ve halihazırdaki bilgilerinin derinleşeceği düşünülmektedir. Bu çalışmanın etik kurul
izni Sakarya Üniversitesi Eğitim Araştırmaları ve Yayın Etik Kurulu'nun 13.04.2022 tarihli ve 06 sayılı toplantısında alınan "41"nolu karar ile alınmıştır.
The Effect of Using Multimedia-Based POE (Predict-Observe-Explain) Strategy in Geography Teaching on Students' Academic Achievement
Authors: KUDAY Deniz , ÇETİNKAYA Sevda
Published: October 2022

Günümüz eğitim öğretim ihtiyaçlarını karşılamada yeterli olan; sorgulamayı, karşılaştırma yapmayı ve neden-sonuç ilişkisi kurmayı gerektirerek öğrencilerin zihinlerini aktif kullanmalarına olanak veren etkili öğrenme stratejilerinin
kullanılması, öğrenmede verimliliği artırabilir. Bu stratejilerden biri de TGA stratejisidir. TGA; karşılaştırma, neden-sonuç ilişkisi kurma gibi becerileri kapsar, öğrenme sürecinde öğrenciyi aktif kılar. Bu araştırmanın amacı,
‘’Multimedya Tabanlı TGA (Tahmin-Gözlem-Açıklama)” stratejisine dayalı hazırlanan etkinliklerin, Ortaöğretim 9. sınıf Coğrafya dersinde öğrencilerin akademik başarıları üzerindeki etkisini incelemektir. Bu araştırma coğrafya öğretiminde
multimedya ile desteklenen TGA stratejisinin uygulanması açısından ve TGA etkinliklerinde multimedya yardımıyla, öğrencilerin yer şekilleri ve yerin oluşum sürecine ilişkin olayları kısa bir sürede gözlemlemesini sağlaması açısından
yapılan ilk çalışmadır. Araştırmada nicel araştırma yaklaşımlarından olan statik grup karşılaştırmalı zayıf deneysel desen kullanılmıştır. 2016-2017 eğitim öğretim yılında gerçekleştirilen araştırmanın çalışma grubunu, Hatay ilinde
bir ortaöğretim kurumunun iki farklı şubesinde 9. sınıf olan toplam 64 öğrenci oluşturmaktadır. Uygulama sürecinde deney grubu öğrencilerine Multimedya Tabanlı TGA stratejisine dayalı olarak hazırlanan etkinlikler, kontrol grubundaki
öğrencilere ise Milli Eğitim Bakanlığı’nın önerdiği etkinlikler uygulanmıştır. Araştırmanın verileri “ünite başarı testi (ÜBT)”, ‘’Multimedya Tabanlı TGA Etkinlik Raporları “kullanılarak elde edilmiştir. Etkinlik raporları uygulama
öncesinde hazırlanan analitik dereceli puanlama anahtarları yardımıyla puanlanmıştır. Veriler istatistiksel analizlerle çözümlenmiştir. ÜBT’den elde edilen verilerin analizinde bağımsız örneklem t testi kullanılmıştır. Araştırma
sonucunda deney grubu ve kontrol grubu öğrencilerinin son test puanları arasında anlamlı bir fark tespit edilmemiştir (p>0,05). Multimedya tabanlı TGA etkinliklerinden elde edilen puanların analizinde ise bağımlı örneklem t
testi kullanılmıştır. Öğrencilerin tahmin ve açıklama aşamalarında verdikleri yanıtlar karşılaştırılmış, bu aşamalardan 1, 2, 4, 6, 7 ve 11. etkinliklerde açıklama aşamasında, tahmin aşamasına göre daha başarılı oldukları görülmüş,
öğrenciler tahminleri ve açıklamaları arasında ilişki kurabilmişlerdir..Ayrıca uygulama sürecinin değerlendirilmesi adına öğrencilerin en başarılı oldukları etkinlikler de tespit edilmiştir. Öğrencilerin son etkinliklerde ilk etkinliklere
göre daha başarılı oldukları tespit edilmiştir.