bluuebunny/crossref_metadata_2025 huggingface dataset:
Systematic administration and analysis of verbal fluency tasks: Preliminary evidence for reliable exploration of processes underlying task performance
Authors: Lehtinen Nana , Luotonen Ida , Kautto Anna
Published: May 2021

Verbal fluency (VF) tasks are typically scored by the number of acceptable words generated within an allotted time (i.e., total score). However, total scores do not provide insight into verbal and executive processes underlying VF task performance. Further analyses have been implemented to increase the analytical power of VF tasks, but systematic scoring guidelines are needed. We generated instructions for administration, scoring, and analyses of total scores, errors, temporal parameters, clustering, and switching with strong inter-rater reliability. To investigate the reliability of the proposed analysis, we modeled the performance of Finnish-speaking older adults (N = 50) in phonemic (/k/, /a/, and / p/) and semantic (animals) categories. Our results are in line with previous studies: We observed a higher performance on semantic than phonemic fluency (p=<0.001, d=0.91) and significant effects for education (p=<0.001, d=1.11) and gender (p=<0.001, d=-1.11), but not for age (p=.10, d=0.48). Most errors were repetitions. Performance declined over the allotted time frame as measured in 15- second segments (all p’s <0.001 with medium to large effect sizes). Task congruent clustering and switching were productive strategies (all p’s <0.001 with large effect sizes), and participants generated task discrepant clusters in both phonemic (p=.004, d=0.69) and semantic tasks (p=.66, d=0.18). The results substantiate the proposed method, providing evidence that these guidelines are a reliable starting point for VF task performance analyses in various clinical populations investigating VF task performance in depth.
Reforged or Deformed? Forced Labour, Human Instruments, and the Critique of the Gulag System in Herta Müller’s Atemschaukel
Authors: Courtman Nicholas
Published: May 2021

This article proposes a new reading of Herta Müller’s 2009 novel Atemschaukel as a critique of the notion of “reform through labour” that was used to legitimize the Soviet gulag system, drawing attention to the striking similarities between the critique articulated in the novel and Karl Marx’s account of the qualitative transformation of the labour process in the course of its real subsumption under capital. I show how several elements of Marx’s account are reflected in complexes of figuration that run throughout the novel, amounting to an immanent literary critique of the theoretical foundations of the gulag system.
Decline of Separatist Movement in Sindh (1971-77): An Outcome of PPP Rise to Power
Authors: Khan Sultan Mubariz , Alvi Asia Saif , Syed Farzana Zaheer
Published: May 2021

The decade of 1970 witnessed a landmark change in Sindh's political spectrum as the centripetal elements started to flourish while putting centrifugal politics into the background. Why did the political mosaic of Sindh alter? And how did it alter? These key questions are investigated in this study. Since this alteration owed the fundamental structural and ideological transformation of Pakistan's politics. Pakistan People's Party (PPP)) headed by a leader from rural Sindh formed a central government as well as the provincial government of Sindh. Various measures taken by the PPP government got appreciations of Sindhi masses and became a cause to promote greater attachment with the Pakistani state, which appeared estranged erstwhile. Hence, the hypothesis gets approved that the popularity of a mainstream political party in a peripheral region can strengthen the process of national integration and evaporate sub-nationalist separatist tendencies. This study is based on deductive reasoning as it makes a profound analysis of the phenomenon in perspective of scholarly insights of Alexis Heraclides, Ramon Maize and Susan J. Henders.
Integration of Mobile Learning in Education: Perceptions of Prospective Teachers
Authors: Ahmad Rizwan , Javed Fareeha , Naveed Safia
Published: May 2021

M-Learning is the use of mobile and handheld IT devices for learning. It became a cheaper source of information and communication, which is now in the access of anyone, anytime and anywhere using mobile devices. This qualitative research was conducted on 21 prospective teachers from the University of Education selected through stratified and random sampling techniques to explore the awareness and perception regarding M-Learning. The semi-structured interview protocol was used to collect the data. It was got validated by experts. Data were analyzed using thematic analysis. The study concluded that prospective teachers used mobile devices for communication, academics, recreation and social networking. M-Learning created ease in learning and improved it. It made learning flexible, gave better understanding and saved time. Lack of facilities, unethical use and traditional classroom environment were the hurdles in its implementation. Facilities needed to be provided; parents and teachers should protect the youngsters from unethical use.
Frequency of use and characteristics of complementary and alternative treatment methods by children oncology patients
Authors: BULUT İsmail , TAÇYILDIZ Nurdan , ÜNAL Emel , YAVUZ Leman , DİNÇASLAN Handan , BULUT Yunus Emre
Published: May 2021

Background/aim: The use of Complementary and Alternative Medicine (CAM) has been increasing in recent years. The aim of this study was to investigate the use of CAM and the sociodemographic characteristics of pediatric patients. Materials and methods: This cross - sectional study was completed with 139 patients newly diagnosed with or followed-up with cancer diagnosis in the pediatric oncology outpatient clinic of Ankara University Faculty of Medicine. Results: All of the patients stated that they prayed for the recovery of the disease. It was found that 26.6% of the patients used at least one CAM method. The most commonly used CAM methods were honey (59.5%), bee pollen/royal jelly (56.8%) and grape molasses (45.9%), 37.8% of the patients consulted to a muslim preacher for prayer assistance. 62% of the patients using CAM stated that they did not inform their doctor on this issue. Conclusion: Patients should be informed and warned that CAM methods should never prevent the medical treatment and should not be used instead of medical treatment, that they should share it with their doctors when they want to use any method.
Use of frozen-thawed sperm for ICSI improves fertility outcome in men with azoospermia
Authors: YURCİ Arzu , DOKUZEYLÜL GÜNGÖR Nur
Published: May 2021

Özet

Amaç: Azospermi tanısı ile mTESE uygulanan hastalarda IVF/ICSI sonuçlarının taze veya dondurulmuş-çözülmüş testis spermi ile karşılaştırılması.

Gereç ve yöntem: Bu retrospektif kohort çalışması, Memorial ve BAU Tüp Bebek Merkezlerine 2017-2020 yılları arasında azospermi tanısıyla başvuran ve taze veya dondurulmuş testis spermi kullanılarak cerrahi sperm ekstraksiyonu ve ICSI uygulanan 260 infertil erkek üzerinde gerçekleştirildi. Hastalar belirtildiği gibi iki eşit gruba ayrıldı. Grup 1 (n = 130), ICSI ve ardından taze testis spermi kullanılarak embriyo transferi yapılan hastalardan oluşuyordu. Grup 2 (n = 130); donmuş çözdürülmüş testis spermi kullanılarak ICSI uygulanan hastalardan oluşuyordu. Çalışmamızın temel amacı dondurulmuş veya taze testis spermi kullanılarak ICSI/ET uygulanan her iki gruptaki hastaları klinik gebelik ve canlı doğum oranları açısından karşılaştırmaktır. Ek olarak, her iki grup hem demografik hem de diğer üreme parametreleri açısından karşılaştırıldı.

Bulgular: Taze sperm grubundaki hastaların total oosit, M II oosit ve 2 PN embriyo sayıları, dondurulmuş sperm grubuna göre anlamlı olarak yüksek bulundu (p
Autoimmune hepatitis as an overlap of secondary antiphospholipid syndrome
Authors: SOLAKOĞLU Tevfik , AKAR Mustafa , SAKA Bilge , ERSOY Osman
Published: May 2021

We present a female patient manifested by AIH associated with systemic lupus erythematosus related antiphospholipid syndrome.
Comparison of bypass versus primary angioplasty for lower extremity chronic limb-threatening peripheral arterial diseases
Authors: ULUKAN Mustafa Özer , KARAKAYA Atalay , UĞURLUCAN Murat , ERKANLI Korhan
Published: May 2021

Aim: Peripheral arterial Diseases (PAD) is seen frequently with increasing age, and have a prevalence of about 20% over 70 years of age. We aimed the results of two different treatment approaches as open surgical procedures and radiological interventions.

Methods: We reviewed the data of PAD from the online data system of the hospital. The patients treated by endovascular femoropopliteal revascularization versus open surgical femoropopliteal graft bypass between January 2016 and December 2019 were enrolled in to study. Eighty limbs of 67 patients with the symptomatic severe occlusive disease and results were evaluated in the aspect of reducing ischemia and prevention of amputation in this retrospective study.

Results: 67 patients were divided into two groups. Group 1(n=29) was the interventional PTA/S group, group 2 (n=38) was the open surgical bypass group. 8 of the patients in Group 2 and 5 of patients in Group 1 had bilateral lesions. Patients were at a mean age of 63.44±8.98 years. The mean time of hospitalization time was significantly longer following a first-time bypass (10 vs. 8 days). The success of results was ending of claudication and ischemia and prevention of amputation of an extremity. In these aspects, there was no difference between procedure types.

Conclusion: In the aspect of the length of hospital stay and infection, interventional procedures seem more benefit however in long-term evaluation, freedom from reintervention or redo bypass was significantly higher in the bypass group (92% vs 79 % p
ODM Clinical Data Generator: Syntactically Correct Clinical Data Based on Metadata Definition
Authors: Brix Tobias J. , Becker Ludger , Harbich Timm , Oehm Johannes , Fechner Maximilian , Dugas Martin , Storck Michael
Published: May 2021

The Operational Data Model (ODM) is a data standard for interchanging clinical trial data. ODM contains the metadata definition of a study, i.e., case report forms, as well as the clinical data, i.e., the answers of the participants. The portal of medical data models is an infrastructure for creation, exchange, and analysis of medical metadata models. There, over 23000 metadata definitions can be downloaded in ODM format. Due to data protection law and privacy issues, clinical data is not contained in these files. Access to exemplary clinical test data in the desired metadata definition is necessary in order to evaluate systems claiming to support ODM or to evaluate if a planned statistical analysis can be performed with the defined data types. In this work, we present a web application, which generates syntactically correct clinical data in ODM format based on an uploaded ODM metadata definition. Data types and range constraints are taken into account. Data for up to one million participants can be generated in a reasonable amount of time. Thus, in combination with the portal of medical data models, a large number of ODM files including metadata definition and clinical data can be provided for testing of any ODM supporting system. The current version of the application can be tested at https://cdgen.uni-muenster.de and source code is available, under MIT license, at https://imigitlab.uni-muenster.de/published/odm-clinical-data-generator.
Semantic Anomaly Detection in Medical Time Series
Authors: Festag Sven , Spreckelsen Cord
Published: May 2021

The main goal of this project was to define and evaluate a new unsupervised deep learning approach that can differentiate between normal and anomalous intervals of signals like the electrical activity of the heart (ECG). Denoising autoencoders based on recurrent neural networks with gated recurrent units were used for the semantic encoding of such time frames. A subsequent cluster analysis conducted in the code space served as the decision mechanism labelling samples as anomalies or normal intervals, respectively. The cluster ensemble method called cluster-based similarity partitioning proved itself well suited for this task when used in combination with density-based spatial clustering of applications with noise. The best performing system reached an adjusted Rand index of 0.11 on real-world ECG signals labelled by medical experts. This corresponds to a precision and recall regarding the detection task of around 0.72. The new general approach outperformed several state-of-the-art outlier recognition methods and can be applied to all kinds of (medical) time series data. It can serve as a basis for more specific detectors that work in an unsupervised fashion or that are partially guided by medical experts.
Digitizing Data Management for Intraoperative Neuromonitoring
Authors: Zbinden Chantal , Strickler Moritz , Sariyar Murat , Bürkle Thomas , Seidel Kathleen
Published: May 2021

Intraoperative neurophysiological monitoring (IOM) enables a function-preserving surgical strategy for surgeries of brain or spinal cord pathologies by neurophysiological measurements. However, the IOM data management at neurosurgical institutions are often either not digitized or inefficient in terms of collecting, storing and processing of IOM data. Here, we describe the development of a web application, called IOM-Manager, as a first step towards the complete digitization of the IOM workflow. The web application is used for structured protocoling based on standardized protocol entry catalog, data archiving, and data analysis. These functionalities are based on the results of the requirement engineering of a process analysis, a survey with potential users and a market analysis. A usability test with one IOM team indicated the IOM-Manager and its other components can in fact solve many problems of existing solutions.
Knowledge Acquisition and Construction of a RDF-Ontology for Computer-Assisted Surgery
Authors: Hagen Niclas , Kühle Reinald , Weichel Frederic , Eisenmann Urs , Knaup-Gregori Petra , Freudlsperger Christian
Published: May 2021

The integration of surgical knowledge into virtual planning systems plays a key role in computer-assisted surgery. The knowledge is often implicitly contained in the implemented algorithms. However, a strict separation would be desirable for reasons of maintainability, reusability and readability. Along with the Department of Oral and Maxillofacial Surgery at Heidelberg University Hospital, we are working on the development of a virtual planning system for mandibular reconstruction. In this work we describe a process for the structured acquisition and representation of surgical knowledge for mandibular reconstruction. Based on the acquired knowledge, an RDF(S) ontology was created. The ontology is connected to the virtual planning system via a SPARQL interface. The described process of knowledge acquisition can be transferred to other surgical use cases. Furthermore, the developed ontology is characterised by a reusable and easily expandable data model.
Use of EHRs in a Tertiary Hospital During COVID-19 Pandemic: A Multi-Purpose Approach Based on Standards
Authors: Pedrera Miguel , Garcia Noelia , Blanco Alvar , Terriza Ana Isabel , Cruz Jaime , Lopez Elena Ana , Calvo Fernando , Jimenez María Jesús , Gonzalez Patricia , Quiros Víctor , Cruz Juan Luis , Bernal José Luis , Serrano Pablo
Published: May 2021

This work aims to describe how EHRs have been used to meet the needs of healthcare providers and researchers in a 1,300-beds tertiary Hospital during COVID-19 pandemic. For this purpose, essential clinical concepts were identified and standardized with LOINC and SNOMED CT. After that, these concepts were implemented in EHR systems and based on them, data tools, such as clinical alerts, dynamic patient lists and a clinical follow-up dashboard, were developed for healthcare support. In addition, these data were incorporated into standardized repositories and COVID-19 databases to improve clinical research on this new disease. In conclusion, standardized EHRs allowed implementation of useful multi- purpose data resources in a major Hospital in the course of the pandemic.
Specifications for the Routine Implementation of Federated Learning in Hospitals Networks
Authors: Lamer Antoine , Filiot Alexandre , Bouillard Yannick , Mangold Paul , Andrey Paul , Schiro Jessica
Published: May 2021

We collected user needs to define a process for setting up Federated Learning in a network of hospitals. We identified seven steps: consortium definition, architecture implementation, clinical study definition, data collection, initialization, model training and results sharing. This process adapts certain steps from the classical centralized multicenter framework and brings new opportunities for interaction thanks to the architecture of the Federated Learning algorithms. It is open for completion to cover a variety of scenarios.
A Platform for Health Record Management of the Conscripts in the Hellenic Navy
Authors: Giannakopoulou Olympia , Toumpaniaris Petros , Kouris Ioannis , Moirogiorgou Konstantia , Karanasiou Nansy , Aisopou Vasiliki , Matsopoulos George , Chandrinou Ageliki , Anousakis-Vlachochristou Nikolaos , Psarros Fotis , Syrigas Pantelis , Karalidou Vasiliki , Costaridis Nikolaos , Zervakis Michalis , Koutsouris Dimitris
Published: May 2021

eMass project aims to digitalize the medical examination procedure of recruitment phase of conscripts in the Hellenic Navy. eMass integrates recruits’ Electronic Health Record (EHR), while allows a pre-screening test, through portable telemedicine equipment. The data will be exploited to assess the individual’s cardiovascular risk through appropriate digital tools and algorithms. The eMass digital platform, will be accessible to health experts involved in the recruitment procedure for further assessment and processing. Recruits’ personal data is stored in the database encrypted using Advanced Encryption Standard (AES). eMass solution contributes to beneficial management and medical data analysis, preventing inessential physical or medical examinations minimizing danger of possible errors and reducing time-consuming processes. Moreover, eMass exploits Electronic Health Record data through a machine-learning based cardiovascular risk assessment tool.
On the Efficiency of Machine Learning Models in Malaria Prediction
Authors: Mbaye Ousseynou , Ba Mouhamadou Lamine , Sy Alassane
Published: May 2021

Malaria is still a real public health concern in Sub-Saharan African countries such as Senegal where it represents approximately 35% of the consultation activities in the hospitals. This is mainly due to the lack of appropriate medical care support and often late and error-prone diagnosis of the disease. For instance, largely used tools like Rapid Diagnosis Test are not fully reliable. This study proposes an extensive study of the efficiency of the most popular machine learning models for the task of Malaria occurrence prediction. We have considered patients from Senegal and have evaluated the overall accuracy of each considered algorithm based on sign and symptom information. Our main result is that machine learning algorithms are promising, in particular Naive Bayesian presents a recall very close to that of a rapid diagnostic test while improving highly its precision by 9%.
Machine Learning Based Risk Prediction Models for Oral Squamous Cell Carcinoma Using Salivary Biomarkers
Authors: Wang Yi-Cheng , Hsueh Pei-Chun , Wu Chih-Ching , Tseng Yi-Ju
Published: May 2021

Tumor-associated autoantibodies can be used as biomarkers for detecting different types of cancers. Our objective was to use machine learning techniques to predict high-risk cases of oral squamous cell carcinoma (OSCC) with salivary autoantibodies. The optimal model was using eXtreme Gradient Boosting (XGBoost) with the area under the receiver operating characteristic curve (AUC) of 0.765 (p < 0.01). Thus, applying machine learning model to early detect high-risk cases of OSCC could assist the clinic treatment and prognosis.
Serious Gaming and AI Supporting Treatment in Rheumatoid Arthritis
Authors: Varga Gabriela , Stoicu-Tivadar Lăcrămioară , Nicola Stelian
Published: May 2021

This paper presents a complex application for rehabilitation of patients with first and second stage rheumatoid arthritis (RA). The application contains a module for the doctor, for the kinetotherapist, and a module as a game matching the symptoms for each stage of RA. The purpose of this application is to achieve the rehabilitation of the RA hand with support of digital technology and multimodal interaction: leap motion, serious gaming, and neuronal networks. The neural network offers support for patients to perform the exercises at home classifying the correct movement with accuracy of 95%. During the development of the application, various challenges were encountered in terms of populating the database, raising the cubes within the game related to second stage of RA, and the implementation of the neural network. The application was tested by a group of students, resulting in the fact that the degree of mental stress, fatigue in the fingers, wrists and physical exertion were insignificant in most cases.
Developing a Prognostic Model to Predict Mortality in Patients with Acute Bacterial Meningitis
Authors: Mirkhani Atiehsadat , Roshanpoor Arash , Pournik Omid , Haddadi Hamed , Mirzaei Jamal , Kaveh Farzad
Published: May 2021

Bacterial meningitis is one of the harmful and deadly infectious diseases, and any delay in its treatment will lead to death. In this paper, a prognostic model was developed to predict the risk of death amongst probable cases of bacterial meningitis. Our prognostic model was developed using a decision tree algorithm on the national meningitis registry of the Iranian Center for Disease and Prevention (ICDCP) containing 3,923 records of meningitis suspected cases in 2018–2019. The most important features have been selected for the model construction. This model can predict the mortality risk for the meningitis probable cases with 78% accuracy, 84% sensitivity, and 73% specificity. The identified variables in prognosis the death included age and CSF protein level. CSF protein level (mg/dl) <= 65 versus > 65 provided the first branch of our decision tree. The highest mortality risk (85.8%) was seen in the patients >65 CSF protein level with 30 years < of age. For the patients <=30 year of age with CSF protein level >137 (mg/dl), the mortality risk was 60%. The prognostic factors identified in the present study draw the attention of clinicians to provide early specific measures, such as the admission of patients with a higher risk of death to intensive care units (ICU). It could also provide a helpful risk score tool in decision-making in the early phases of admission in pandemics, decrease mortality rate and improve public health operations efficiently in infectious diseases.
Participatory Design of a Clinical Trial Eligibility Criteria Simplification Method
Authors: Fang Yilu , Kim Jae Hyun , Idnay Betina Ross , Aragon Garcia Rebeca , Castillo Carmen E. , Sun Yingcheng , Liu Hao , Liu Cong , Yuan Chi , Weng Chunhua
Published: May 2021

Clinical trial eligibility criteria are important for selecting the right participants for clinical trials. However, they are often complex and not computable. This paper presents the participatory design of a human-computer collaboration method for criteria simplification that includes natural language processing followed by user-centered eligibility criteria simplification. A case study on the ARCADIA trial shows how criteria were simplified for structured database querying by clinical researchers and identifies rules for criteria simplification and concept normalization.
Decentralized Digital Health Services Caught Between the Pressure for Innovation and the Burden of Regulations
Authors: Meier Lea , Tippenhauer Kevin , Sariyar Murat
Published: May 2021

Multiple challenges await third-party digital health services when trying to enter the health market. Prominent examples of such services are clinical decision support systems provided as external software. Uncertainty about their challenges, technical as well as legal, pose serious hurdles for many innovations to be adopted early on. There are many options and trade-offs to provide digital healthcare solutions as a third-party service. This paper discusses them by referring to a pharmacogenetic decision support service. By providing best-practices, scenario descriptions and templates designed for third-party services with respect to legal and technical issues, obstacles and uncertainties can be reduced, which will have an impact on better diagnoses and treatments in the healthcare system.
Ist die Verfassung an allem schuld? Thesen zur politischen Krise der USA
Authors: Ash Mitchell G.
Published: May 2021

Der Beitrag behandelt in drei Schritten die Rolle der Verfassung in der gegenwärtigen politischen Krise der USA. Zunächst geht es um die Frage, inwiefern der US-Verfassung das Attribut »demokratisch« zugeschrieben werden kann, und warum der offenbar nicht-demokratische Modus der Präsidentenwahl (Electoral College) noch immer besteht. In einem zweiten Schritt wird die reale Verfassung am Beispiel des Wahlrechts besprochen und im aktuellen restriktiven Umgang damit seitens der republikanischen Partei eine der Wurzeln der derzeitigen politischen Krise der USA geortet. Im dritten Schritt wird die zentrale Rolle der Verfassung als Symbol der Rechtstaatlichkeit in der politischen Kultur der USA behandelt und die These vertreten, dass das patriotische Bekenntnis zur Verfassung in einer Zeit der politischen Polarisierung seine einigende Kraft zu verlieren droht.
A vasúthálózatok értékelése a hadszíntéri logisztikai felderítés végrehajtásakor
Authors: Szajkó Gyula , Lévai Zsolt
Published: May 2021

A cikk azokat a lehetséges feladatokat vizsgálja, amelyek  fontosak lehetnek a hadszíntéri logisztikai felderítéshez  kapcsolódóan, a vasúti infrastruktúra-elemek és gördülő  állomány értékelésekor. Az erők hadszíntérre történő  átcsoportosításakor több szállítási módszert (légi, vízi,  vasúti, közúti szállítást) is alkalmazhatnak a logisztikai  támogatást tervező, szervező személyek attól függően,  hogy a kijelölt kötelékeknek hol, mikor és milyen jellegű  műveletben kell részt venniük. A vasúthálózatok  ( (infrastruktúrák) felderítéséből, értékeléséből származó  információk (az út és úthálózatok mellett) kiemelt szerepet tölthetnek be az erők szárazföldi mobilitási képességének  fenntartásakor, amikor nagy létszámú személyi állományt  és haditechnikai eszközt szükséges mozgatni. A cikkben a szerzők bemutatnak egy szemrevételezésiszempont-listát,  amely a logisztikai felderítés végrehajtásához és az erők  vasúton történő szállításának megtervezéséhez nyújt  segítséget.
A járványos megbetegedések elleni harc Magyarországon a Nagy Háború időszakában, 1914-1918
Authors: Molnár Zoltán
Published: May 2021

Az I. világháború borzalmai egyre súlyosabb formában érintették a hátország lakosságát. A mérhetetlenül nagy  lelki megterhelésnek és az élet minden területén jelentkező  hiánynak köszönhetően, a társadalom egésze fogékonyabbá vált a betegségekre. A háború során fokozatosan elterjedő éhezés, fázás, valamint a nincstelenség következtében fellépő járványok sorra  szedték áldozataikat. Ezek közül a leginkább pusztítóak  voltak a kolera, a hastífusz, a tuberkulózis, a vérhas, a  himlő, a különböző nemi betegségek, illetve a háború  végén nagy pusztítást végző spanyolnátha. A tanulmányban megvizsgálom mindezen betegségek  kialakulásának legfőbb okait és a megfékezésükre tett  intézkedések hatásait.
ІНСТРУМЕНТАРІЙ ФІНАНСОВОЇ ПІДТРИМКИ ТЕРИТОРІАЛЬНИХ ГРОМАД
Authors: Демченко Оксана
Published: May 2021

Стаття присвячена аналізу інструментарію фінансової підтримки територіальних громад. В ході дослідження систематизовано основні механізми, інструменти та джерела фінансової підтримки територіальних громад в Україні. Серед механізмів фінансової підтримки територіальних громад в Україні, які реалізуються на практиці, виділено механізм субвенцій, механізм дотацій, механізм перерозподілу коштів через Державний фонд регіонального розвитку, механізм фінансової допомоги та грантів, механізм кредитування. Систематизовано основні грантові можливості для територіальних громад України на 2021 рік. До переліку інструментів фінансової підтримки територіальних громад віднесено вісім позицій, три з яких виділено як інструменти розвитку територіальних громад України. Визначено зовнішні та внутрішні джерела фінансової підтримки територіальних громад України.
Why Did the Seamen Have to Die? The Kursk Tragedy and the Evoking of Old Testament Blood Sacrifice
Authors: Kahla Elina
Published: May 2021

This chapter addresses church-state collaboration in the context of ‘spiritual national defence’; it compares different views represented in cultural productions on the tragedy of the submarine Kursk, that which sank in the Barents Sea, on 12 August 2000. It suggests that the Russian secular leadership’s reluctance to deal with the management of the past, especially concerning the punishment of Stalinist oppressors, is compensated by glorifying victims – here, the seamen of the Kursk – having died on duty, as martyrs. Тhe glorification of martyrs derives from Old Testament theology of blood sacrifice (2 Moses, 24:8), and makes it possible to commemorate Muslim martyrs together with Orthodox Christian ones. Some theologians have claimed that Russia had needed these sacrifices to spiritually wake up in the post-atheist vacuum of values, and that the Russian people had to repent for having abandoned their forefathers’ Christian faith. In this line of apologetics of blood sacrifices and need to repent, the New Testament’s promise of Jesus’s complete purgation and redemption of sin through perfect sacrifice (Matt. 26:28) is not mentioned. My reading elaborates on the commemorative album Everlasting Lamp of Kursk by (then) Hegumen Mitrofan (Badanin) (2010), as well as on the drama film Kursk by Danish director Thomas Vinterberg (2018), whose film illustrates pan-European visions, based implicitly on the New Testament promise.
The Impact of the University in Increasing the Book Reading on Students: Case Study Soran University
Authors: İşleyen Şakir , Amir Khaleel Hassoo
Published: May 2021

Reading is perusing through texts to understand concepts. In the event that you battle to centre, reading can improve your attention span. Books with better structures encourage us to think in sequence the more we read, the more our brains are able to link cause and effect. The main aim of this study is to investigate the effective factors that the role of the university in reading books. The sample of the study includes all the students at Soran University. The focused on populace size for the investigation is 400 understudies who chose haphazardly. The acquired information were broke down with the SPSS program by using methods containing descriptive statistics, Chi-square test. The results indicated some factors such as good communication between reading a book and students, offering university and professional development courses with a variety of skills for students, The research includes “Individual Reasons”, “age group”, “Perusing material during recreation time”, “Department”,  play a significant role in reading book students in the university.
Sınıf öğretmenlerinin bireysel yenilikçilik özellikleri ile çevrim içi eğitimde rol ve yeterlilikleri arasındaki ilişki
Authors: NAYCİ Ömer
Published: May 2021

Günümüzde bilgi ve iletişim teknolojileri temelli yeniliklere bağlı olarak birçok farklı araç ve öğrenme ortamı eğitimde aktif olarak kullanılmaya başlanmıştır. COVID-19 salgınının ortaya çıkardığı olağanüstü koşullar sonucunda söz konusu araç ve öğrenme ortamlarının kullanılması öğrenme-öğretme sürecinin sürdürülebilirliği için zorunluluk haline gelmiştir. Uzaktan eğitim uygulamalarının yaygınlaşmasıyla birlikte öğrenme-öğretme süreçlerinin daha etkili sürdürülebilmesi için öğretmenlerin sahip oldukları özellikler üzerinde durulmasının gerekliliği güçlenmiştir. Öğretmenlerin sahip oldukları bireysel yenilikçilik özellikleri ile çevrim içi eğitimde rol ve yeterlilikleri arasındaki ilişkinin ortaya konulması öğretmenlerin süreçteki verimliliğinin arttırılması bakımından önemli görülmektedir. Bu araştırmada, sınıf öğretmenlerinin bireysel yenilikçilikleri ile çevrim içi eğitimde rol ve yeterlilikleri arasındaki ilişkinin incelenmesi amaçlanmıştır. Bu amaç doğrultusunda araştırmada ilişkisel tarama modeli kullanılmıştır. Araştırmanın örneklemini 2020-2021 eğitim-öğretim yılının güz döneminde Şırnak iline bağlı bir ilçede görev yapan basit seçkisiz örnekleme yöntemine göre seçilen 265 sınıf öğretmeni oluşturmuştur. Araştırmanın verileri “Bireysel Yenilikçilik Ölçeği” ve “Çevrim içi Uzaktan Eğitimde Öğretmen Rollerini ve Yeterliliklerini Belirleme Ölçeği” kullanılarak toplanmıştır. Elde edilen veriler Pearson korelasyon analizi ve çoklu regresyon analizi aracılığıyla analiz edilmiştir. Araştırmadan elde edilen bulgular incelendiğinde; sınıf öğretmenlerinin bireysel yenilikçilikleri ile çevrim içi eğitimde rol ve yeterlilikleri arasında pozitif yönde güçlü bir ilişki olduğu sonucuna varılmıştır. Ayrıca bireysel yenilikçilik alt boyutlarının çevrim içi eğitimde rol ve yeterliliklerini anlamlı bir şekilde yordadığı ve bu değişkenlerin birlikte toplam varyansın %42’sini açıkladığı belirlenmiştir. Araştırma sonucunda elde edilen bulgular çerçevesinde bazı önerilerde bulunulmuştur.
Adaptação transcultural da Healthcare Failure Mode and Effect Analisys (HFMEA) para o uso no Brasil: nota prévia
Authors: Pasa Thiana Sebben , Magnago Tania Solange Bosi de Souza , Urbanetto Janete de Souza
Published: May 2021

Objetivo: apresentar o planejamento da adaptação transcultural da Healthcare Failure Mode and Effect Analysis (HFMEA) para a cultura brasileira. Método: trata-se de um estudo metodológico que utilizará o processo de adaptação transcultural proposto por Beaton e colaboradores, que compreende seis etapas: tradução inicial, síntese das traduções, retrotraduções, comitê de especialistas, teste da versão pré-finalizada e avaliação e revisão de documentos produzidos. Para compor o comitê de especialistas serão priorizados profissionais de diferentes regiões do país, a fim de abranger as diferenças culturais e evitar vieses de linguagem. O teste da versão pré-finalizada será realizado com membros do Núcleo de Segurança do Paciente de um hospital do sul do Brasil, mediante a análise de um caso proposto pelas pesquisadoras. Serão respeitados os preceitos éticos propostos pela Resolução nº 466/2012 do Conselho Nacional de Saúde. Considerações finais: espera-se que a adaptação transcultural do HFMEA para a cultura brasileira impulsione os gestores e as instituições para realizarem a análise de riscos de forma sistemática. O método poderá auxiliar na identificação de vulnerabilidades dos processos, repercutindo diretamente na assistência prestada aos pacientes e no estabelecimento de práticas seguras.
Análise da escala de valores organizacionais em empresas com estrutura de gestão familiar
Authors: Fonseca Luciana Silva , Salles Denise Medeiros Ribeiro , Santos João Alberto Neves dos , Freitas Andrey Pimentel Aleluia
Published: May 2021

Os valores organizacionais funcionam como parâmetros para a avaliação de comportamento, conduta e motivação profissional. São elementos essenciais para a percepção e o entendimento da cultura organizacional, sobretudo em empresas com estrutura de gestão familiar. Com base no modelo da Escala de Valores Organizacionais - EVO, este artigo objetivou verificar a adequação do modelo a profissionais que atuam em empresas com estrutura de gestão familiar. Para isso, essa Escala foi aplicada em uma amostra composta por 360 profissionais atuantes em empresas familiares, de médio e grande portes, no estado do Rio de Janeiro, nos segmentos de comércio, indústria e serviços. A avaliaçao foi conduzida por meio de técnicas de análise fatorial, necessárias para validar e testar o modelo estrutural. Procedimentos estatísticos foram utilizados para descrever a amostra quanto as propriedades de semelhança entre suas variáveis. Os resultados obtidos identificaram conjuntos de variáveis que configuram um modelo adaptado da estrutura de valores organizacionais em empresas familiares, além de escalas de ajustes necessários para confirmar aderência do modelo adaptado ao modelo original da EVO da amostra delimitada. Com isso, foi possível responder ao questionamento central desta pesquisa, indicando que o modelo original, caracterizado 38 variáveis distribuídas em 5 fatores, resultou em um modelo adaptado, caracterizado por significância estística (p < 0,05), consistência e qualidade dos índices (X2/gl = 2,146, GFI = 0,942, AGFI = 0,909, CFI = 0,948, RMSEA (90%IC) = 0,056) obtidos pelos ajustes, configurando uma nova estrutura com 16 variáveis, distribuídas nos 5 fatores do modelo original da EVO.
Peer Mentorship: Implementation of a Resident Registered Nurse Anesthetist Mentorship Program
Authors: Pallaria Thomas , Parrish Chase , Stillwell Alexandra
Published: May 2021

Abstract
Nurse anesthesia residents experience high levels of stress while being enrolled in a post-baccalaureate nurse anesthesia program. Elevated levels of stress have been proven to limit one’s ability to learn and commit new material to memory, all while inhibiting their academic and clinical performance. This study represents a quality improvement project that implements a Peer Mentorship Program (PMP) into a major University in the New England area of the United States. The study utilizes descriptive statistics to determine if implementation of a peer mentorship program can help to decrease nurse anesthesia resident’s stress, while simultaneously increasing academic and clinical performance. Data gathered by the investigators of this study was composed of a Critical Action Point Checklist (CAPC); a set of objectives that were meant to be completed by the participants in order to help run a successful mentorship program. Additional data was collected using a Peer Mentorship Reflection Questionnaire at the end of the study to receive feedback about the Peer Mentorship Program. 56% of participants agreed that the Peer Mentorship Program helped to decrease stress during the study and 83.4% of participants agreed that they would like to see the Peer Mentorship Program continue for future cohorts at their nurse anesthesia program. The findings of this study suggest that more Nurse Anesthesia Programs should work to incorporate a Peer Mentorship Program for their nurse anesthesia residents to help develop safe, high-quality anesthesia providers for the future.
Enhanced Susceptibility to Breast Cancer in Korean Women With Elevated Serum Gamma-Glutamyltransferase Levels: A Nationwide Population-Based Cohort Study
Authors: Seol Aeran , Wang Wenyu , Kim Se Ik , Han Youngjin , Park In Sil , Yoo Juhwan , Jo HyunA , Han Kyung-Do , Song Yong Sang
Published: May 2021

Background

The incidence of breast cancer has been gradually increasing in Korea. Recently, the elevated level of serum gamma-glutamyltransferase (GGT) has emerged to be associated with the development and progression of some malignancies. This study aimed to determine the effect of serum GGT levels on the risk of developing breast cancer in Korean women.

Methods

We used National Health Insurance Service Health Checkup data to examine the association between serum GGT levels and breast cancer development in Korean women. Women aged 40 years or older who participated in the Korean National Health Screening Examination between January 2009 and December 2009 and who did not develop any cancer within 1-year post examination were included in this analysis (n = 3,109,506). Cox proportional hazard regression analysis was conducted to calculate hazard ratios (HRs) with 95% confidence intervals (CIs).

Results

Overall, an elevated serum GGT level was associated with the increased risk of developing breast cancer; compared to the Q1 group, the Q4 group showed a significantly increased breast cancer risk (HR: 1.120,95% CI: 1.08–1.162). Such a relationship was stronger in post-menopausal women than pre-menopausal women (HR: 1.173, 95% CI: 1.107–1.243; HR: 1.070, 95% CI:1.019–1.124). Women with a high GGT level (Q4) were also at an increased risk of developing carcinoma in situ (CIS) (HR: 1.114, 95% CI: 1.04–1.192). In post-menopausal women, the Q4 group also exhibited higher CIS risk (HR: 1.266, 95% CI: 1.132–1.416). However, no significant difference in the risk of developing CIS was observed between the Q1 and Q4 groups in pre-menopausal women. Further analysis revealed that obese, post-menopausal women with a high GGT level (Q4) were associated with an increased risk of developing breast cancer (HR: 1.214, 95% CI: 1.125–1.31) and CIS (HR: 1.348, 95% CI: 1.159–1.569).

Conclusions

Our study results demonstrate that increased serum GGT level is a risk factor for developing breast cancer. The post-menopausal women group with obesity and elevated serum GGT level showed the highest incidence of breast cancer. Thus, serum GGT concentration could be a novel and potential risk factor for breast cancer. Further validation in different ethnic groups would be warranted.
Pemanfaatan Platform Sosial Pada Daerah Karawaci Untuk Meningkatkan Daya Jual Pada Pasar Ikan Hias
Authors: Bahrudin Endang , Sutomo Aji , Abraham Ardi
Published: May 2021

Dalam dunia komunikasi, kemajuan teknologi 4.0 semakin memudahkan dalam menyebarkan informasi, terutama melalui penggunaan media sosial. Menurut kompas.com, Facebook memiliki 2,4 miliar pengguna, menjadikannya situs media sosial yang multifungsi, salah satunya untuk berwirausaha. Jika menggunakan media komunikasi bisnis online, peran Facebook sebagai media bisnis online, Ikan Hias Predator kawasan Karawaci pun diteliti. Dalam penelitian ini, pendekatan analisis data adalah alat deskriptif yang meliputi menganalisis pengguna secara berkelompok. Temuan tersebut mengungkapkan bahwa Facebook bertindak lebih dari sekadar alat promosi untuk bisnis online, tetapi juga sebagai cara agar dapat berinteraksi dengan calon customers. Pengusaha juga bisa mendapatkan keuntungan dari pangsa pasar Facebook yang luas. Di wilayah Karawaci hal ini berdampak besar pada penjualan ikan hias predator.
Simulation of the cooling process between 16 and 19 fin liners of a sedan automobile
Authors: Cerrito-Tovar Iván De Jesús , García-Duarte Oscar Enrique , Huerta-Gámez Héctor , Cerrito-González Neftali Carolina
Published: May 2021

In this paper a finite element analysis is carried out on the mechanical element called the piston liner; The main objective of the analysis is to know the advantages of increasing the number of fins in said mechanical element. For the piston to have greater durability and to function optimally, it is necessary to make certain adjustments to the cooling system, hence the fact of making modifications or improvements within the piston liner. Models of the piston liner were made, which were considered the most suitable to be subjected to simulations. Various simulations were carried out, which helped to conclude that the more fins there are, the better the piston performance. Basically, an analysis was made between the 16-fin liner and another analysis with the 19-fin liner, the results were as expected, the 19-fin liner gives us a more favorable cooling time for the piston
First-Generation Indonesian Undergraduates’ Persistence: A Phenomenological Study
Authors: Mulyadin Taufik , Rahyasih Yayah
Published: May 2021

In 2013, the tuition reform was undertaken in Indonesian higher education and, in turn, has facilitated the growing enrollments of undergraduates from lower-income families. Most of them are the first in their families to go to college. The increasing presence of first-generation students at campus requires sufficient understanding and necessary support from college personnel to allow them to succeed in their degree pursuit. Hence, by using social capital as the framework, this study attempted to dismantle the experiences of persistence of first-generation Indonesian undergraduates. The participants of this study were Indonesians who have earned a bachelor’s degree within the last five years and had neither parent has attended college. This study employed a phenomenological method to obtain the substance of how first-generation undergraduates in Indonesia interpret, process, and experience their persistence in college. The data collection was undertaken by use of two methods: questionnaire and interview. For data analysis, the study performed a set of analysis steps consisting of epoche, phenomenological reduction, imaginative variation, and structural/textual descriptions synthesis. Based on the analyzed interviews, there were six themes identified regarding support sources of persistence of Indonesian undergraduates: a) family; b) faculty and staff; c) friends; d) pre-college information; e) self-motivation; and f) financial aid. From the findings of this study, to enhance Indonesian undergraduates’ success in remaining in and then graduating from college, institutions need to do as follows: building a learning community, organizing a first-year program, facilitating student-faculty relations, and offering essentially academic support.
LEGALANALYSIS ON THE INTERDEPENDENT COMPETENCES BETWEEN STATE AGENCIES IN ENACT OF THE VOLUNTAR ARBITRATION LEGAL REGIME (A STUDY FROM TIMOR-LESTE GOVERNMENT)
Authors: Caetano Jose Edmundo
Published: May 2021

The adoption of separation of power principles given by Montesqiu in governing the state in Timor-Leste is clearly granted by its 2002
Constitution. However, the debate on its interdependent competence in regard to the legislatif initiative and authority delegation to enact any
regime remain doubted. Include in this study on these two major organs of executive lead by the government and the legislatif led by the parliament
on its interdependent competence on enacting of the Voluntary Arbitration Legal Bill in Timor-Leste. Early this year, the Timor-Leste Government
enacted a new Voluntary Arbitration Legal Bill aligned with passing a Government Resolution on the Convention on the Recognition and
Enforcement of Foreign Arbitral Award (convention on the recognition and implementation of foreign Arbitration Awards). This Convention has
been ratied by the Timor-Leste National Parliament through the Resolution number 3/V/2 dated 20 January 2021 concerning Timor-Leste's
accession to the 1959 New York Convention on the Recognition and Enforcement of Foreign Arbitral Awards.
This study examined the interdependence on the separation of powers in a two dominant competence system which are the government with the
competence of Delegation Authorities to initiate a legislation and the parliament with the attribution to enact a legal regime and more over to the
political decision on proposed law of the Voluntary Arbitration Legal Bill. Hence, this study resume that, although the government competence
attribute by the constitution were stipulated clearly in Timor-Leste Constitution in article 115 (3) such as its competence to has exclusive
legislative competence on matters concerning its own organization and functioning, as well as on the direct and indirect administration of the State.
Hence this competence provide authorities to propose and drafting any legal regime that matters to government concern only as authorized by the
parliament only as compared to the article 96 point 1 line k) on legislatif authorities as well as article 97 point 1 line 3) on legislatif initiative which
government hold the delegation authorized only by the parliament to initiate legislation and in regards to the general rules and regulations for the
requisition and expropriation for public utility; furthermore to enact the Voluntary Arbitration Legal Regime for its citizens.