bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic Value of Ischemia-Modified Albumin as a Biomarker in Patients with Peripheral Vertigo at Emergency Department of State Hospital in Ankara: A Cross-Sectional Study
Authors: Karakılıç E , Çelikel E , Uysal PI , Topçuoğlu C , Turhan T , Özakın E
Published: December 2023

Background:

In previous studies, it was shown that ischemia-modified albumin (IMA) is an early marker of ischemia and different pathologies. However, IMA level change is unknown in patients with peripheral vertigo. It is also known that serum albumin levels can change in some patients with peripheral vertigo and that changes in serum albumin levels affect IMA levels.

Aim:

In this study, we aimed to assess IMA, albumin-adjusted IMA, and albumin levels in patients with peripheral vertigo by comparing a control group.

Materials and Methods:

This prospective, case-control study included 46 patients aged 18-70 years who presented to emergency department with vertigo. Forty-nine healthy volunteers without known disease were included as controls. Serum albumin and IMA levels were measured, and albumin-adjusted IMA levels were calculated. Data were analyzed by statistical methods.

Results:

Mean age was 54.0 ± 15.7 in the patient group, whereas 43.8 ± 9.9 years in the control group. Albumin level was found to be significantly lower in patients with peripheral vertigo when compared to controls (P < 0.001). IMA level was found to be higher in the patient group compared to the controls, but it was not statistically significant (P = 0.06). However, albumin-adjusted IMA, which shows the real IMA level, was found to be higher than the control group (P = 0.02).

Conclusion:

It was observed that IMA level was slightly higher in patients with peripheral vertigo, although not significantly, compared to the control group. However, the albumin-adjusted IMA level, which indicates the real IMA level, was observed to be higher in this group than in the control group. It was determined that the sensitivity of this test was 34%, and the specificity was 87%. Patients with peripheral vertigo had lower albumin levels compared to controls.
Sedation with Propofol and Propofol–Ketamine (Ketofol) in Flexible Bronchoscopy: A Randomized, Double-Blind, Prospective Study
Authors: Ulutas H , Ucar M , Celik MR , Agar M , Gulcek I
Published: December 2023

Background:

The flexible bronchoscopy procedure, which is performed in awake conditions or under local anesthesia, is a difficult and complicated procedure for patients and physicians. Propofol is a fast-acting sedative-hypnotic anesthetic with a rapid return. Ketamine hydrochloride is a fast-acting general anesthetic producing an anesthetic state characterized by deep analgesia, normal pharyngeal, and laryngeal reflexes.

Materials and Method:

The study was planned in a randomized, prospective, and double-blind design. The drug(s) administered by the anesthesiologist was not known to the bronchoscopist and the patient. A total of 64 cases were included in the study (34/propofol, 30/ketamine–propofol (ketofol) group). Group propofol received 0.1 mL/kg propofol, and group ketofol received 0.1 mL/kg ketofol intravenously over approximately 30 seconds. Vital signs, non-invasive blood pressure, peripheral oxygen saturation, and pulse values of all cases were measured three times and were recorded just before the start of the procedure, after entering the trachea, and after the procedure was terminated. The Visual Analogue Scale (VAS) and The Ramsay scoring were additionally used in the present study.

Results:

Statistically significant differences were detected between the groups in terms of blood pressure and heart rates. Statistically significant differences were detected between the two groups according to The VAS scoring and additional dose requirement.

Conclusion:

It must be noted that flexible bronchoscopy procedures, which are performed with local anesthesia by both the patient and the physician with a high degree of difficulty, especially combined drugs to be applied with anesthesia support, are more effective/comfortable/reliable, and have fewer complications and higher tolerability if there are no contraindications.
Predicting Pain Intensity after Mandibular Third Molar Surgery using Cold Pressor Testing: A Quasi-Experimental Study
Authors: Olaopa OI , Gbolahan OO , Okoje VN , Arotiba JT
Published: December 2023

Background:

Patients complain differently about their experiences of post-operative pain. However, clinicians are often guided by their own viewpoints despite the highly subjective nature of pain resulting in suboptimal post-operative pain management. This impacts negatively on the quality of life of patients in the immediate post-operative period. Investigating patients’ pain behavior in the pre-operative period may therefore help to predict the intensity of post-operative pain, thereby assisting in identifying patients who are at risk of greater pain after third molar surgery, and allocating extra resources for pain control.

Aim:

This study aims to predict the intensity of pain after third molar surgery by correlating post-operative pain perception with the sensory-discriminative dimension and affective response to a cold pressor stimulus.

Materials and Methods:

This study is a quasi-experimental study that was conducted in the oral surgery clinic of (name of hospital in the title page). The procedure was undertaken in an isolated clinic cubicle with well-controlled room temperature and minimal distraction. Study participants were recruited by convenience sampling. Forty-three consenting participants, 20 years and above, who met eligibility criteria were subjected to pre-operative cold pressor testing. Subsequently, third molar surgery was done and post-operative pain intensity was recorded at specific intervals. Data analyses were completed using IBM SPSS version 25. The Kolmogorov-Smirnov (KS) test was used to test for normality of continuous variables. Ordinal regression was used to test for contributory value of pre-operative measurement while Spearman’s rank correlation test was used to test their degree of relationships with post-operative pain P < 0.05.

Result:

The median pain threshold was 20 s (Interquartile Range, IQR 12.75-32.25) and the median pain tolerance was 33 s (IQR = 23.00-54.00) from the cold pressor test. The peak median pain score in this study was reached at 3-h after the last stitch. There was a statistically significant predictive effect of both variables on post-operative pain at 3-h.

Conclusion:

Sensory-discriminative dimension and affective response to cold pressor test are significant predictors of peak post-operative pain after impacted mandibular third molar surgery.
Effect of Low pH Dietary Supplements on Discoloration of Resin Composites
Authors: Çınar B , Eren D , Akın Ş
Published: December 2023

Aim:

This study aimed to evaluate the impact of the consumption of low pH dietary supplements on the color stability of different resin composites.

Materials and Methods:

Three different restorative materials were used for this in vitro study: Filtek One Bulk-Fill (FOB), Filtek Z550 (Z550), and Fill-Up (FUP). Samples fabricated from each composite group were divided into four subgroups, and color measurements were performed at baseline. The control subgroup was stored in distilled water, and the other three subgroups were immersed in acidic dietary supplement solutions (Redoxon, Supradyn, and Voonka Collagen Shake) for 2 minutes daily for 28 days. Color measurements were obtained using a digital spectrophotometer. Color change values (ΔE1) were calculated after each color measurement. Next, all samples were immersed in a coffee solution for 7 days and repeat color measurements were taken to determine ΔE2 values. The study groups were compared using the Kruskal–Wallis test (α =0.05).

Results:

ΔE1 values were significantly different among the groups (P < 0.05). While Voonka Collagen Shake produced the greatest discoloration in FOB (1.67 ± 1.08) and Filtek Z550 (3.59 ± 1.90) materials, Fill-Up showed the highest discoloration (3.14 ± 0.37) with Supradyn. Analysis of ΔE2 values demonstrated a significant difference only for the Filtek Z550–Redoxon group versus the control group (P < 0.05).

Conclusion:

Acidic dietary supplements not only produce color alterations in resin composites but also reduce the staining resistance of the composite further, depending on the type of composite and dietary supplement. Consumption of staining food after taking Redoxon effervescent tablets produces greater discoloration in Filtek Z550 restorations compared with other restorative materials.
Validation of Diagnostic Utility of Salivary Urea in Patients with Chronic Kidney Disease in Chennai: A Cross-Sectional Study
Authors: Nagarathinam AE , Dineshkumar T , Rajkumar K , Rameshkumar A , Shruthi TA , Alzahrani KJ , Alzahrani FM , Halawani IF , Patil S
Published: December 2023

Background:

Serum urea levels are essential for the diagnosis of chronic kidney disease (CKD), as they are a measure of renal function. Salivary urea has been used as an alternative to serum urea in patients with CKD.

Aim:

To estimate serum urea levels and their correlation with salivary urea levels in order to validate the use of saliva as an alternative diagnostic tool for renal dysfunction.

Patients and Methods:

Thirty healthy individuals and 150 patients with CKD (30 from each CKD stage) were recruited for the study. Serum and salivary samples were collected to estimate the urea levels, and statistical analyses were performed.

Results:

Statistically significant (P < 0.05) differences in the mean serum and salivary urea levels were observed between the healthy and each stage of the CKD group; significance at P < 0.05 was observed within the stages of CKD as well. Correlation analysis also showed significant differences between the serum and salivary urea levels at each stage of the disease. Receiver operating characteristic analysis revealed a higher area under the curve of 0.917 at a 95% confidence interval with a salivary urea cut-off of 28.25 mg/dl (sensitivity and specificity: 88% and 84%, respectively).

Conclusion:

The variability in salivary urea levels in the early and late stages suggests the use of salivary urea in the late stages of CKD. It is suggested that salivary urea levels may be used as an alternative to serum to assess and monitor the progression of renal impairment along with other standard renal function markers.
A Retrospective Review of Children followed up with the Diagnosis of Acute Pancreatitis
Authors: Devecí U , Ünsal SK , Dogan Y
Published: December 2023

Background:

Acute pancreatitis (AP) is an inflammatory disease of the pancreas, the frequency of which increases in childhood.

Aim:

To investigate the demographic, etiological, clinical, laboratory, and radiological characteristics of children followed up with the diagnosis of AP. The study also included genetic studies of recurrent cases.

Materials and Methods:

This retrospective cohort study included pediatric patients <18 years of age with AP who were followed up with recurrent pancreatitis in the Pediatrics Department of a University Hospital between January 2010 and April 2021. Patients who met at least 2 of the 3 criteria defined by the International Pediatric Pancreatitis Study Group (INSPPIRE) were accepted as AP. Demographic, etiological, and clinical data of the patients, developing complications, pathological evaluation of the samples, and genetic analysis results were obtained from the patient files. The obtained data were statistically analyzed using the SPSS version 26.0 program. Descriptive statistics of the data were expressed as mean ± standard deviation, median, minimum and maximum values, number (n), and percentage (%). Kolmogorov-Smirnov test, Mann Whitney U test, Chi-square test and Fischer test were used.

Results:

Fifty-four (50%) female and 54 (50%) male patients with a mean age of 9.96 ± 4.8 years who met the study criteria were included in the study. In the follow-up, it was reported that acute recurrent pancreatitis developed in 23 (21%) patients and chronic pancreatitis developed in 8 (7%) patients. The most common complaints were abdominal pain (94.4%), and vomiting (60.2%), followed by malnutrition (36.1%), nausea (17.6%), diarrhea (13%), and fever (13%). Etiology could not be determined in 19.4% of the patients. It was noted that the genetic predisposition of the patients played a role in the development of recurrent and chronic pancreatitis. Amylase, lipase, and CRP values, which are among the laboratory parameters showing the severity and prognosis of AP, were found to be significant.

Conclusions:

Sociocultural and demographic data of the patients should also be taken into account. Gene sequences that cause to genetic predisposition should be determined in recurrent and chronic pancreatitis cases. Acute pancreatitis should be considered in the differential diagnosis of patients with frequent abdominal pain and vomiting.
Identification of Mast Cells and Immunophenotypic Subtypes in Peripheral Nerve Damage Caused by Epineurotomy and Systemic Inflammation
Authors: Yavas Ozkan , Yavas Senem Esin , Kavruk Kaan , Ozbek Serhat , Ersoy Semiha
Published: December 2023

ABSTRACT

Purpose:

This study aims to investigate the numerical increase, localization, granulation status, and immunophenotypic properties of mast cells (MCs) in epineurectomy-induced nerve damage and lipopolysaccharide (LPS)-induced systemic infection models.

Materials and Methods:

In this study, the animals were divided into three groups of 6 each. One of the groups was determined as the control group, epineurectomy was applied to one group, and systemic inflammation was created by regular LPS injections in the other group. Then, the obtained nerve tissues were stained histochemically with Hematoxylin and Eosin toluidine blue, and the increase, localization, and granulation status of MCs were examined. Immunohistochemically, antitryptase and antichymase staining were performed to determine the immunophenotypes of MCs.

Results:

As a result, while the number of MCs increased in both groups compared to the control group, MCs in the LPS group were in the epineurium, and MCs in the epineurotomy group were located between the nerve fibers. While MCs in the LPS group showed very severe degranulation, mild degranulation was observed in the epineurotomy group, and almost no degranulated MCs were observed in the control group.

Conclusion:

This study is critical because it is one of the first studies to compare MCs in different nerve damage types and examine the expression of chymase and tryptase.
Effects of Ketamine/Xylazine and Urethane Anesthesia on Compound Muscle Action Potential Latency of Gastrocnemius Muscle in Rats
Authors: Mentese Beste , Özel Hasan Fehmi , Özbek Mustafa , Kutlu Necip
Published: December 2023

ABSTRACT

Objective:

Anesthetic agents, which are used in appropriate doses for the application of the experimental procedure in animals, relieve pain when applied in sufficient amounts as well as muscle relaxation. However, many anesthetics can alter the dynamics of neuromuscular systems. We aimed to compare the effects of two frequently used anesthetic agents on electromyographic parameters in rats.

Materials and Methods:

This study was performed on male Wistar albino rats aged 22–24 months. The animals were divided into two groups: urethane (1.5 gkg−1, i.p; n = 6) and ketamine+xylazine (K+X) (80 mg/kg, i.p; n = 6). Under general anesthesia, rats were electrically stimulated with bipolar hook electrodes from both legs, and compound muscle action potential (CMAP) was recorded from the needle electrode of the gastrocnemius muscle. Motor nerve action potential latency (MNAPL) was measured from the sciatic nerve of the rats.

Results:

The results of electrodiagnostic findings related to two different anesthetics in the animals were compared, and CMAP parameters were found to differ between the groups. MNAPL in both the right and left legs was significantly reduced in the urethane group compared to the K+X group (P < 0.05).

Conclusion:

Urethane anesthesia may be a better choice than K+X anesthesia to evaluate nerve and muscle functions in animal electromyography studies.
Tight Cutting Seton for Anal Fistulae Revisited
Authors: Smolskas Edgaras , Voutsarakis Athanasios , Cavale Naveen , Nunoo-Mensah Joseph W.
Published: December 2023

Background:

Anal fistulas are a common medical problem affecting thousands of patients annually well over 2000 years. There are many new novel approaches to this old condition but none with overwhelming success and low complication rates. The aim of this retrospective review was to revisit our experience in the treatment of anal fistulas with a tight cutting seton.

Objectives:

Observational study of retrospective collected data.

Design:

Retrospective study.

Patients and Methods:

Between 2008 - 2018 a retrospective study included all patients with primary or recurrent fistulas who were treated using tight seton were analyzed.

Main Outcome Measures:

The primary outcomes measured were healing rate, procedure-related complications, and incontinence.

Sample Size:

The study included 41 cases of anal fistula treated with a tight cutting and complete records of follow-up.

Results:

Firty-one patients with a median age of 37.9 years with a median follow up of 14.37 months were identified and included in the study. Among these, 66% of the fistulas were primary and 34% persisting or recurrent fistulas. Fistulas were classified as trans-sphincteric in 71% of patients, inter-sphincteric in 20%, horseshoe in 7%, and extra-sphincteric in 2% of the patients. All patients were treated with a cutting seton. The total healing rate was 95%. Two patients developed a persistent fistula. Four patients (9.8%) complained of different degrees of incontinence. There were no incidents of solid stool incontinence. In one case, the cause of fecal incontinence was keyhole deformity which was resolved after a buried island transposition flap.

Conclusion:

Our study evaluates a series of patients who were treated by a single surgeon in nonrandomized studies, emphasizing that tight cutting seton technique first described by Hippocrates in 430 BCE is a simple, highly effective, and safe procedure that should not be abandoned.

Limitations:

This study has limitations, including its retrospective nature. We collected data for this study from electronic records and databases of patients after completion of followup.

Conflict of Interest Statement:

The authors declare that there is no conflict of interests in this study.
Intraoperative Methadone Use in Patients Undergoing Minimally Invasive Colorectal Surgical Procedures
Authors: Kau Nathan S. , Mirza Kasim L. , Mayo Timothy P. , Stacy Zachary A. , Wise Paul E. , Silviera Matthew L. , Smith Radhika K.
Published: December 2023

Background:

Postoperative pain control is an important aspect in the recovery of patients. Recent literature suggests that the extended half-life of methadone may reduce overall opioid utilization in postoperative patients. However, there have yet to be any studies examining the efficacy of methadone as part of the protocol for enhanced recovery after colorectal surgery in patients.

Objectives:

To review the efficacy of perioperative methadone in reducing postoperative opioid usage and patient pain control.

Design:

Retrospective observational study.

Settings:

Tertiary academic center.

Patients and Methods:

Eighty-nine patients were identified from a prospectively maintained database having received methadone perioperatively from 2019 to 2021. These were compared to 89 historical controls identified from the same database and matched on procedure type, age, and American Society of Anesthesiology status.

Main Outcome Measures:

Primary outcomes were postoperative opioid use and subjective pain scores. Secondary outcomes were length of hospital stay, return of bowel function, and hospital cost.

Sample Size:

89 patients receiving methadone and 89 historical control patients.

Conclusions:

The patients who received methadone used significantly more opioids overall compared to non-methadone patients (P = 0.015). In addition, there was no significant difference in pain scores for methadone vs non-methadone patients (P = 0.630). Furthermore, there was no difference in the length of stay and return of bowel function (P = 0.512 and P = 0.140, respectively). Moreover, opioid-naïve patients, regardless of methadone status, showed reduced average pain compared to non-naïve patients (P = 0.010 and P = 0.010, respectively). Despite support in surgical literature, we failed to find clinical benefit in including methadone as a part of the enhanced recovery pathway for patients undergoing minimally invasive colorectal surgery.

Limitations:

Retrospective design limited to minimally invasive techniques.

Conflicts of interest

The authors have no conflicts of interest to declare.
Brand Presence on Internet media: Quantitative and Qualitative Study on Brand Attitude and Brand Attachment
Authors: Rai Priti , Gupta Deepa , Gupta Mukul , Sahu Divya , Dogra Mahima
Published: December 2023

More and more companies are using social media in their marketing. They're spending a lot of money to make sales and connect with customers quickly, which helps their brands do better and gets more people visiting their websites.
This paper wants to look at how people's feelings and thoughts about a brand affect how they act on social media. Knowing how different people think is really important for managers who spend money on marketing. This study looks at how what people think about a brand relates to what they say about it on social media and if they support the brand there too.
The research uses special ways to study how brands behave on social media. It focuses on how people feel about brands and how this affects what they do online. This study found that how people feel about a brand is connected to what they do to support it online. It also showed that different kinds of people act differently on social media, which is helpful for companies to know. Understanding how people feel about brands and act on social media is super important for companies. The study's results give useful ideas to make social media strategies better and to get more people involved with brands online.
Generasi Muda Kristen Unggul dalam Karakter melalui Kesehatan Mental
Authors: Sembiring Esty Endaria , Hermanto Yanto Paulus
Published: December 2023

Dalam beberapa tahun mendatang Indonesia akan mencapai puncak bonus demografi dimana jumlah penduduk mayoritas berusia produktif dan hampir sepertiganya adalah generasi muda. Bonus demografi perlu dimanfaatkan secara optimal dengan meningkatkan kualitas sumber daya manusianya. Salah satu indikator kualitas sumber daya manusia adalah kesehatan mental, yang diyakini dapat meningkatkan produktivitas nasional. Kesehatan mental berperan besar dalam mewujudkan generasi unggul. Melalui metode penelitian kualitatif deskriptif, penelitian ini bertujuan untuk membahas karakter unggul generasi muda Kristen yang tidak dimiliki generasi muda lainnya dalam kaitannya kesehatan mental dan religiusitas Kristen. Hasilnya menunjukkan bahwa religiusitas berbanding lurus dengan tingkat kesehatan mental yang lebih baik. Alkitab melalui Pendidikan Agama Kristen terbukti memberikan pengaruh yang kuat terhadap kesehatan mental individu. Kecerdasan emosional yang dikembangkan melalui kemampuan merefleksi diri, pengelolaan stres, pelepasan emosi melalui pengampunan, penyelesaian konflik secara damai dan peningkatan optimisme dan harapan adalah hasil yang dapat diimplementasikan dalam kehidupan sehari-hari.
Filosofi Sitou Timou Tumou Tou Merawat Manusia Dalam Bingkai Moderasi Beragama
Authors: Tuela Anita Inggrith , Palar Yolanda Nani , Kalintabu Heliyanti
Published: December 2023

Sitou Timou Tumou Tou merupakan filosofi yang hidup dalam kehidupan masyarakat Minahasa. Filosofi ini telah ada sejak lama dan filosofi ini dicetuskan oleh Gerungan Saul Samuel Jacob Ratulangi, dengan maksud agar masyarakat Minahasa menjunjung tinggi untuk mengasihi dan mencintai sesama manusia. Namun, seiring berjalannya waktu, makna dari filosofi ini mulai tergeser dari masyarakat Minahasa. Pergeseran ini terlihat dari beberapa situasi, dimana terjadi pembulian di antara agama, budaya yang berbeda bahkan juga agama dan budaya yang sama, tawuran antar kampung yang menyebabkan adanya korban jiwa. Adapun penelitian ini bertujuan untuk mengkaji arti dari filosofi Sitou Timou Tumou Tou, selanjutnya, menghubungkan arti filosofi tersebut dengan nilai-nilai kekristenan dan mengintegrasikan nilai-nilai tersebut dengan prinsip-prinsip moderasi beragama serta mensosialisasikan tulisan ini kepada salah satu desa yang dituju yang berada di Bolaang Mongondow Sulawesi Utara, kemudian melaksanakan Forum Group Discussion di desa tersebut. Untuk mencapai tujuan penelitian ini, perlu menggunakan metode penelitian yang tepat. Adapun metode penelitian yang digunakan yaitu metode penelitian kualitatif dengan pendekatan studi literatur serta menggunakan metode FGD. Hasil penelitian ini menunjukkan bahwa nilai-nilai kemanusiaan yang terkandung dalam filosofi Sitou Timou Tumou Tou sejalan dengan nilai-nilai kemanusiaan yang terkandung dalam moderasi beragama. Filosofi Sitou Timou Tumou Tou berakar dari nilai-nilai kekristenan yang tertuang dalam Alkitab mengenai ajaran cinta kasih kepada sesama manusia.
Teologi Agama-agama dalam Lensa Hospitalitas Pentakostal
Authors: Hasiholan Anggi Maringan , Stevenson Joshua Alvis
Published: December 2023

Realitas multiagama di Indonesia merupakan keniscayaan. Agama memiliki nilai tertinggi dalam kehidupan sosial masyarakat di Indonesia. Karena itu, Agama dijadikan sebagai sumber inspirasi yang mengatur keberlangsungan hidup lintas iman. Namun, perbedaan Agama dapat menjadi sumber permasalahan apabila tidak mampu diramu dengan baik. Konflik dan kekerasan yang mengatasnamakan pembela Agamanya menjadi santer dalam kehidupan masyarakat Indonesia. Roh Kudus yang menghinggapi umat Pentakostal seharusnya membawakan hospitalitas di masyarakat. Oleh karena itu, diperlukan konstruksi sistematika mengenai posisi dan hubungan hospitalitas Pentakostal dengan teologi Agama-agama. Metode penelitian yang digunakan adalah kualitatif deksriptif-intrepretatif dan analisis menggunakan pendekatan komparatif dan argumentatif. Hasil penelitian menunjukkan bahwa Hospitalitas Pentakostal membawa kemurahan bagi masyarakat secara luas. Roh Kudus adalah pribadi yang memampukan umat Pentakostal untuk melakukan teologi komparatif dan perikoretik dalam hubungannya dengan agama-agama.
Pastoral Guidance for Congregations in the Era of Society 5.0
Authors: Herman Samuel , Hermanto Yanto Paulus
Published: December 2023

The era of Society 5.0 represents a period in which advanced technology and humans are increasingly integrated, creating significant transformations in social and cultural life. This article explores the role and challenges of pastoral counseling in the Society 5.0 era. This research employs a qualitative approach, combined with a literature review, to understand the role of pastoral counseling in the context of the Society 5.0 era. In the face of rapid technological advancements and social changes, pastoral counseling plays a key role in assisting congregations in comprehending and responding wisely to the dynamics of Society 5.0. The results of this study identify relevant approaches, such as education on technology and ethics, collaboration with technology experts, and a strong spiritual approach. Pastoral counseling that aligns with Christian values can be a robust source of support for congregations as they navigate meaningful lives in the increasingly complex Society 5.0 era.
Interpretasi Perceraian dan Pernikahan Kembali dalam Matius 5:32
Authors: Gamelia Rick , Wicaksono Arif , Lumingkewas Marthin Steven
Published: December 2023

Perceraian maupun menikah ulang adalah hal yang lazim dilakukan oleh masyarakat post modern saat ini. Kedua praktik tersebut juga banyak ditemui dalam kehidupan orang Kristen. Ini terjadi karena kurangnya pemahaman yang benar mengenai pandangan Kristen tentang perceraian maupun pernikahan ulang dengan mereka yang telah bercerai. Guna memahami akan hal ini penulis mencoba membangun pemahaman ajaran Kristen melalui teks Matius 5:32. Adapun metode yang digunakan untuk mengeluarkan esensi ajaran yang benar adalah dengan pendekatan eksegesis gramatikal-kontekstual. Metode gramatikal kontektual memperhatikan kaidah tata bahasa asli dan konteks dari teks yang akan diteliti. Hasilnya menunjukkan bahwa Yesus mengajarkan baik perceraian maupun pernikahan dengan orang yang bercerai adalah masalah yang serius. Perceraian akibat perzinahan maupun pernikahan dengan seseorang yang telah di ceraikan disebutkan sebagai perilaku imoralitas seksual dalam Matius 5:32. Perilaku ini menyebabkan seseorang menaruh beban dosa bagi suami yang menceraikan, istri yang diceraikan dan bahkan bagi suami yang mengambil istri yang diceraikan menanggung dosa perzinahan yang sama dan hidup di dalam perzinahan.
CYCLING TRANSPORT IN PRAGUE
Authors: Rathouský Bedřich , Mervart Michal
Published: December 2023

This paper focuses on cycling transport in the capital city of the Czech Republic – Prague. Main goal of the paper is to find out whether available measures for cycling transport support are taken there. The authors focus on the infrastructure dedicated for cyclists in Prague and they primarily focus on the safety of the users. Potentially dangerous and/or not comfortable examples are included as well.
AKTUÁLNÍ PROBLÉMY VÝKONOSTI A BEZPEČNOSTI SILNIČNÍ KAMIONOVÉ PŘEPRAVY
Authors: Sato Alexej
Published: December 2023

Přestože hospodářský vývoj České republiky v uplynulé dekádě lze hodnotit jako vcelku pozitivní, vývoj výkonnosti tuzemských silničních nákladních dopravců vykázal v tomto období razantní pokles. Evropská silniční kamionová doprava však byla nucena řešit celou řadu problémů, které na tuzemské dopravce dopadly velmi citelně. Předložená práce si klade za cíl nalézt a určit příčiny tohoto vývoje a poukázat na některé faktory, které nepříznivý vývoj pomohly zvrátit.
Responsible parenthood: a review of theoretical and methodological approaches
Authors:   Moscow State Pedagogical University, Moscow, Russia, Tekucheva A.D.
Published: December 2023

This article reviews the existing scientific knowledge about the concept of responsible parenthood and actualises its importance in modern society. The author studies the approaches of various researchers to the definition of the phenomenon of "responsible parenthood" and draws conclusions.
Practical techniques for the formation of parents' competencies for the purpose of comprehensive support of children with disabilities
Authors:   Municipal autonomous preschool educational institution ", Kovalenko K.A. ,   Kindergarten of combined type No.73", Seliverstova A. O. ,   Municipal autonomous preschool educational institution "Kindergarten of combined type No.73"
Published: December 2023

The article considers a model of interaction with parents in order to develop parental competencies. The main focus is the use of innovative practices. The article describes the systematic use of interactive equipment in the correctional and developmental work of specialists and teachers.
PROGRESSIVE METHODS OF INTERACTION WITH PARENTS IN PRE-SCHOOL EDUCATION ORGANIZATIONS FOR THE IMPLEMENTATION OF THE FEDERAL PRE-SCHOOL EDUCATIONAL PROGRAMS EDUCATION
Authors:   MBDOU  kindergarten No. 43, Irkutsk, Truneva K. A.
Published: December 2023

The issue of creating conditions for favorable interaction with parents in preschool through the use of effective forms of work is discussed. The objectives of the study included improving the theoretical, practical level, professional skills and competence, pedagogical education of parents in the upbringing and education of children, involving parents in the educational process, establishing trusting and partnership relations with parents, as well as systematization of already known and selection of the most effective new forms of work with parents.
Prospects of the sustainable development concept, the importance of its high-quality implementation in the logistics sphere
Authors: Marchenko Vladyslav , Bugayko Dmytro , Bugayko Danylo
Published: December 2023

The issues of environmental pollution, depletion of natural resources and climate change gained a global scale. They are beginning to concern more and more people, pushing humanity to search for new ideas that can solve them qualitatively, or at least slow down their pace. The negative consequences that we can clearly see today in all corners of the world are a direct result of the long-term ignorance of these problems in the past. To continue our development as if human activity does not cause any harm to the environment and the earth's resources are infinite is simply impossible. Understanding of this obvious fact led to the formation and step-by-step improvement of the modern concept of sustainable development. It is especially important for logistics and management. Today, the logistics industry in one way or another covers all areas of human activity. It is simply impossible to imagine our life without reliable logistics, the whole modern economy relies on it, its overall quality, flexibility and speed. The logistics sphere connects a huge number of different enterprises, companies, transport vehicles and clients into a single system. No one would deny its significant impact on the environment and the climate change process. At present, one of the priority goals is to minimise the negative impact of logistics on the environment.
DIGITALNE USLUGE I KRIVIČNO PRAVO
Authors:   University of Kragujevac, Faculty of Law, Milojević Marija
Published: December 2023

Processes such as globalization and digitalization are already greatly shaping the life of the entire world population and encroaching on all spheres of modern society. In this paper, the author analyzes the impact of the digital sector on the field of criminal law. The analysis was done in a comprehensive way, taking into account both procedural and substantive criminal law, but also the impact of digitalization on criminal law related areas such as criminalistics, enforcement of criminal sanctions, criminology, etc. It will be shown that the development and influence of digital services in the sphere of criminal law undoubtedly brings great benefits, which are reflected in the introduction and functioning of the e-justice system, new ways of gathering evidence, the use of IT systems in the procedure for the execution of criminal sanctions, and the use of artificial intelligence to improve the prediction of criminality. etc. On the other hand, the development of the information society brings with it great challenges in the form of the appearance of new criminal acts ("cyber crime" - computer criminal acts), new ways of committing existing criminal acts (e.g. child pornography), as well as challenges in terms of protection the right to privacy and personal data of an individual, in terms of reporting crimes... For the above reasons, constant education of all professionals - judges, prosecutors, police officers, criminalists as well as criminologists, penologists - is necessary in order for the judicial system to successfully respond to the existing and future challenges of the digital environment.
POSEBNA POTROŠAČKA PRAVA U OBLASTI USLUGA OD OPŠTEG EKONOMSKOG INTERESA
Authors:   University of Kragujevac, Faculty of Law, Brašić Stojanović Jovana
Published: December 2023

Services of general economic interest are classified as a specific and very important group of services for the consumer, the creator of services, and for the state. It is a category of services that are provided with indirect or direct participation of the state, with appropriate compensation and continuously, with the primary goal of satisfying the general interest. In the Republic of Serbia, services of general economic interest are regulated by the Law on Consumer Protection, which contains a certain minimum of rules that apply to all services of general economic interest, rules that regulate the relationship between consumers and traders, but also special rights that protect consumers, as economic weaker contracting parties. In the paper, the author analyzes the concept of services of general economic interest and points out their importance in modern economies, and deals with the interpretation of special consumer rights and guarantees provided by the regulatory framework.
RAD U JAVNOM INTERESU – SPORNA PITANjA IZRICANjA I IZVRŠENjA
Authors:   University of Kragujevac, Faculty of Law, Soković Snežana
Published: December 2023

The idea that perpetrators of criminal acts (by court decision) are directed to perform unpaid work in the general interest instead of spending time in prisons is a pragmatic and acceptable response to the general need of criminal justice systems to reduce pressure on prison capacities, save money and negatively affect recidivism. Since its creation in the last decades of the twentieth century, this criminal sanction has undergone numerous programs of critical evaluations, retained its important place in modern criminal justice systems and became an important part of international standards relevant for the application of alternative criminal sanctions and measures. Less than two decades of the application of the punishment of work in the public interest in the legislation of Serbia indicate that after the initial period of strategic, normative and institutional frameworks building, this sanction finds its place in the practice of the courts. However, the declining representation of this sanction in the applied alternative sanctions and measures in recent years requires a review of the normative and institutional frameworks in which it is applied. The paper analyzes the modern modalities of the application of work in the public interest and points to the disputed issues of the imposition and execution of the punishment of work in the public interest in domestic practice.
USTAVNE INSTITUCIJE – ORGANI VLASTI ILI JAVNE SLUŽBE
Authors:   University of Kragujevac, Faculty of Law, Vučković Jelena
Published: December 2023

Constitutional institutions are bodies established by the constitution as the highest legal and political act, which determined their legal position and character. Their goal is to ensure respect and enforcement of the constitution, the functioning of the rule of law, the balance of power and the fundamental rights of citizens. Constitutional institutions can be state or non-state. Those that have the positions of state bodies are the holders of state power, but in a functional sense they are public services. But there are differences between them too. There are state bodies as constitutional institutions that have the position of independent state bodies, as well as those that are also independent and democratic bodies. This legal position further indicates their legal nature of public service, not only in functional but also organizational terms. However, there are no absolutely independent and independent organs in the state. All of them suffer influence smaller or larger than other organs: control, financial, organizationof their founders, etc. It is important that this infatuation is legally regulated and moves within these frameworks. The constitutional institutions that traditionally and nominally follow the term "power" are both government and services. Constitutional institutions still follow the old terminology of two centuries ago about the separation of powers. However, the division of powers is only the division of state functions, which are essentially public functions and are in the service of the public interest aimed at society, citizens and the economy. This indicates their public legal nature, i.e. the essential exercise of public office and the public interest. Finally, if a certain constitutional institution is nominally defined as a power in the institutional and organizational sense, it must not be diverted from the analysis of the factual work of such institutions and the purpose of that work of the officials, judges, and personnel composition of persons working in institutions state and non-state. The problem is that our thinking pattern is determined by the outdated generally accepted terminology, to which reality no longer corresponds. Therefore, the basis for the view that constitutional institutions are in the personal and functional sense of public service, whose members (officials, judges, ministers and overall personal substratum) are holders of public offices and public duties and responsibilities and not of government and empire of power, we find in an altered reality. On the other hand, the psychology of bureaucratic habit and the ideology of power still stubbornly holds it in the organs of the state, so these conceptual ideas are necessary as an attempt to heal alienated individuals centers of state and political power.
OSVRT NA POSTUPAK POSREDOVANjA U BRAČNIM SPOROVIMA IZ UGLA SRPSKOG PRAVNOG SISTEMA
Authors:   University of Kragujevac, Faculty of Law, Kostić Emilija
Published: December 2023

The aim of this research is to indicate on advantages of mediation in the resolution of marital disputes, as this avoids stressful situations not only for conflicting parties, but also for children who are thereby, without their will, drawn into the conflict produced by their parents. With this manuscript, the author tries to explain the mediation procedure in marital disputes, then who carries out the mediation procedure, as well as to point out the importance of such a procedure in this kind of disputes. In conclusion, the author, evaluating the positive sides of the mediation procedure, tries to provide suggestions for greater affirmation of this way of resolving marital disputes.
STUDY OF THE ROLE OF GREEN OPEN SPACE IN DKI JAKARTA AS AN AMENITY INFRASTRUCTURE
Authors: Mashar Mohamad fakhri
Published: December 2023

Green open spaces are often incompatible with the functions they should have. In the last few years, DKI Jakarta has continued RTH construction, but the implementation has been neglected, resulting in non-compliance with RTH requirements. Green open spaces in Kota Hijau are frequently located in the outskirts of DKI Jakarta, yet, in reality, the area allocated to green open space has not met the mandated 30% minimum requirement. The creation of well-designed green open spaces is crucial to providing essential amenities for the community. This study aims to analyze thermal comfort levels, community activities, and security in three parks in DKI Jakarta. The average Temperature-Humidity Index (THI) value of 24.5 suggests favorable conditions below the threshold of 27. Although the current state is considered satisfactory, continuous monitoring and efforts are recommended to maintain optimal THI conditions. Additionally, an evaluation of visitor comfort in the Green Open Spaces (RTH) of DKI Jakarta, based on a questionnaire, revealed a reasonably comfortable score of 3.6 out of 5. Consequently, there is a need to improve facility quality to enhance visitor comfort. The security questionnaire results from three parks in DKI Jakarta indicate a sufficiently safe environment, with an overall score of 3.6 out of 5. However, it is advisable to augment security facilities and personnel to further enhance the sense of safety for park visitors. In conclusion, this research underscores the importance of optimizing and expanding green open spaces in DKI Jakarta, not only for thermal comfort but also for the overall well-being, security, and recreational needs of its urban residents.
COST AND TIME ANALYSIS USING EARNED VALUE METHOD CONSTRUCTION OF UPBJJ BUILDING OPEN UNIVERSITY OF SURABAYA PHASE II
Authors: Asmoro Mochamad Ranoe
Published: December 2023

Project delays often become a source of disputes and claims between owners and contractors, making them highly costly. Contractors face penalties as specified in the contract and incur overhead costs during the ongoing project. From the owner's perspective, project delays lead to reduced revenue due to the postponement of facility operations. A project is prone to delays if planning and control are not executed accurately. Various factors in construction projects can extend the duration, resulting in project completion delays. Therefore, considering this background, this research aims to assess the planning of the construction of Building II at Open University Surabaya Regional Office (UPBJJ) in terms of cost and time performance. The study utilizes the earned value method to analyze the cost and time aspects of the construction project. Based on the analysis, the Estimate at Complete (EAC) indicates an estimated cost of Rp. 73,908,443,223.09 for completing the project. Additionally, the Time Estimate (TE) analysis suggests a projected duration of 53 weeks for project completion.
Analysis of The Influence of Human Resource Management on Innovation Mediated by Work Ethic in Government Office Employees West Sulawesi Province
Authors: K Sakaria , Mattalatta Mattalatta , Baharuddin Baharuddin , Ilyas Jamaluddin Bata , Ansar Ansar , Kurniawaty Kurniawaty
Published: December 2023

This finding provides an overview as a critical study to encourage the realization of human resource management for efforts to increase innovation mediated by excellent work ethic, so the research is intended to examine and analyze the influence of human resource management on innovation through work ethic both directly and indirectly. Data was collected through observation and questionnaires at the State Civil Apparatus at the West Sulawesi Provincial Government with a sample of 341 people. The data was analyzed with a quantitative approach, descriptive statistical data analysis techniques, and Structural Equation Model (SEM) analysis. This study found that human resource management positively and significantly influences work ethic. However, human resource management has a negative but insignificant effect on innovation. It was also found that work ethic has a positive and significant impact on innovation and that human resource management has a positive and significant effect on innovation when mediated by work ethic at the West Sulawesi Provincial Government office. The Regional Apparatus of West Sulawesi Province is expected to optimize human resource management to increase the quality of public service innovation provided to customers. It must be able to implement various dimensions of human resources management more optimally so that a more positive work ethic spirit will be realized, resulting in better public services. Innovation is a significant variable to be improved so that various innovation efforts will encourage learning public service products that increasingly provide comfort to the people who become customers. Therefore, it is necessary to strengthen the application of human resource management to foster the spirit of work ethic further and simplify innovation at the West Sulawesi Provincial Government Office so that public services can benefit the community more.
Restorative Justice for Victims of Terrorism: Healing Beyond Retribution
Authors: Barus Faby Izaura Y , Priyanto Sapto , Syauqillah Muhamad
Published: December 2023

This research investigates the application of restorative justice in Indonesia's approach to terrorism, highlighting its potential to transform traditional justice methods. It focuses on the benefits of restorative justice in empowering victims, promoting offender accountability, and enhancing community trust. The study acknowledges the challenges in implementation, including legal, security, and cultural barriers, as well as resource constraints. Proposed solutions involve legal reforms, heightened security protocols, and increased public awareness. The conclusion emphasizes that restorative justice, with its emphasis on healing and community engagement, is a crucial step towards a more inclusive and effective response to terrorism's societal impacts in Indonesia.