bluuebunny/crossref_metadata_2025 huggingface dataset:
Calidad del servicio de transporte y la decisión del traslado en tiempos de pandemia
Authors: Alejandro Castro Mariuxi de Jesús , Paredes Floril Priscilla
Published: July 2022

El estado de excepción declarado en Ecuador por efecto de la pandemia mundial provocada por el virus SARS-CoV-2, denominado covid-19, puso a los habitantes en una situación de alerta para evitar los contagios, causando un cambio en la decisión del uso de transporte público por el transporte privado. El objetivo de esta investigación fue determinar la relación que existe entre la calidad del servicio de transporte de taxis y la decisión del traslado frente a la emergencia sanitaria en la ciudad de Guayaquil. 
La investigación fue aplicada, cuantitativa, no experimental, correlacional. La muestra fue tomada a 385 habitantes de la ciudad de Guayaquil. Se aplicó un cuestionario con 33 interrogantes en escala de Likert y el análisis estadístico se realizó con el software SPSS.21. La fiabilidad del instrumento se respalda por el valor obtenido de 0.955 coeficiente alfa de Cronbach. El coeficiente de Spearman obteniendo (p = 0.315) muestra una correlación positiva débil entre las variables de estudio.  Si bien la relación de los factores no es contundente, los resultados o percepciones obtenidos individualmente, incita en reforzar la edificación de una cultura de servicio propicia en los usuarios ante la decisión de trasladarse en taxi en épocas de pandemia, considerando el alto porcentaje de inseguridad existente en la ciudad de Guayaquil, Asimismo, el estudio determina que no existe la seguridad en el servicio recibido por parte de los taxistas informales, generando robos, secuestros express, y creando incredibilidad y desconfianza al pasajero.
PROPRIEDADES FÍSICAS E COLORIMÉTRICAS DA MADEIRA DE ESPÉCIES AMAZÔNICAS
Authors: Araújo Clívia Suelem Feitosa de , Moraes Gilliane Sara Da Silva , Diniz Juliana Ramos de Souza , Protásio Thiago De Paula , Goulart Selma Lopes
Published: July 2022

As espécies arbóreas da floresta tropical amazônica são ainda pouco conhecidas devido à ausência de estudos, o que dificulta a aplicação em determinadas condições de uso. Neste contexto, o presente trabalho teve como objetivo determinar as propriedades tecnológicas das madeiras de espécies florestais amazônicas. Foram analisadas 17 espécies, determinando as propriedades físicas e os parâmetros colorimétricos da madeira (L*, a*, b*, C* e h*). Os valores de densidade básica apresentaram variações significativas, variando de 0,29 g.cm-3 a 0,79 g.cm-3. Para o coeficiente anisotrópico, apenas 11,76% das espécies foram classificadas como excelentes. Foram observadas diferenças significativas para a maioria das espécies, indicando efeito de lenho para a contração tangencial total, contração radial total e contração tangencial parcial. Foi possível observar que não há efeito de interação do lenho para os valores de densidade e coeficiente anisotrópico. As análises estatísticas mostraram diferenças significativas para os parâmetros colorimétricas (L*, a*, b*, C* e h*) da madeira, evidenciando sua eficiência no agrupamento das 17 espécies florestais. A coordenada b* é a principal responsável pelas variações de cores entre as espécies. A distinção de cores entre espécies analisadas permitiu a organização em seis grupos de cores. As análises de correlação entre a cor, densidade aparente e densidade básica demonstraram que as madeiras mais densas são mais escuras e apresentam mais pigmento vermelho (a*). As análises estatísticas indicaram que as características avaliadas são eficientes para o agrupamento e identificação do potencial de uso das madeiras. A colorimetria pode ser uma importante análise para auxiliar no controle da qualidade da madeira.
Conceito de Memória: Perspectivas Teóricas nas Pesquisas em Turismo
Authors: Sartori Anderson
Published: July 2022

A epistemologia do turismo é uma discussão que está em desenvolvimento nas últimas décadas, com a contribuição de perspectivas teóricas e metodológicas de diferentes áreas do conhecimento. Embora com divergências, a produção acadêmica em turismo converge em considerar ser um campo interdisciplinar que proporciona investigações dos fenômenos sociais, econômicos, políticos, ambientais e culturais em conexão com a atividade turística. O objetivo deste ensaio teórico foi compreender os usos do conceito de memória nas pesquisas em turismo no Brasil, a partir das publicações nas revistas acadêmicas disponíveis no banco de dados da Ebsco. Os artigos selecionados foram divididos em categorias de acordo com sua temática, sendo analisados principalmente a abordagem epistemológica e as interfaces com o turismo e o conceito de memória. O uso da memória na perspectiva social predominou nas pesquisas, com a constituição dos lugares de memória como atrativo turístico e contribuição para manutenção da identidade local. A lembrança foi o principal atributo abordado, com os elementos materiais como forma de produzir o processo de rememoração e atribuição de significados para a experiência turística. Uma revisão da bibliografia internacional é indicada para estudos futuros para a realização de comparativos com a realidade brasileira e percepção das contribuições para avanço na epistemologia do turismo.
A inclusão da pessoa com deficiência física no turismo de aventura em Campo Grande, MS
Authors: Santos Rosa Maria Batista , Silva-Melo Marta Regina da , Jesus Djanires Lajeano Neto de , Santos Sarah
Published: July 2022

O acesso às atividades turísticas além de contribuir para a expansão cultural e qualidade de vida da pessoa com deficiência física, é um direito civil previsto em lei. O presente artigo tem como objetivo analisar a inclusão da pessoa com deficiência física no turismo de aventura em Campo Grande, Mato Grosso do Sul. Como procedimentos metodológicos, realizou-se pesquisa documental e bibliográfica, além da aplicação de questionários para empresários do setor do turismo e para uma amostra aleatória de pessoas com deficiência que já tiveram experiências com turismo de aventura no município. Os resultados apontaram que, apesar das garantias e direitos previstos na legislação brasileira, ainda há poucos investimentos no setor de turismo de aventura voltados às pessoas com deficiência, embora este se apresente como um mercado com potencial de crescimento. Quanto à amostra referente a pessoas com deficiência, em sua maioria, expressaram sentimentos positivos em relação às atividades das quais participaram, afirmando terem predisposição a repetirem a experiência. Conclui-se que as pessoas com deficiência física constituem um público em potencial para o desenvolvimento de atividades no turismo de aventura. Contudo, ainda há muitos obstáculos para a inclusão desses indivíduos nas práticas, como a falta de profissionais capacitados e de um pensamento estratégico para investir nesse segmento.
Understanding the Current Therapeutic Landscape for Advanced Prostate Cancer (CME article)
Authors: Younger Noah S. , Borno Hala T.
Published: July 2022

Treatment of advanced prostate cancer has improved rapidly in the past two decades with the introduction of many new therapeutics including several entirely new therapeutic classes. Whereas androgen deprivation therapy was previously the first and only line of treatment available, modern therapy also routinely employs second generation anti-androgens, chemotherapy, immunotherapy, radiopharmaceuticals, bone modifying agents, and poly(ADP-ribose) polymerase (PARP) inhibitors, with a resulting substantial increase in patient survival. This review aims to summarize the current treatment landscape for advanced prostate cancer, with a particular focus on hormone refractory (also known as ‘castration resistant’) prostate cancer (HRPC), and we hope will serve as a practical guide for clinicians and trainees.
YouTube videos provide low-quality educational content about rotator cuff disease
Authors: Kunze Kyle N. , Alter Kevin H. , Cohn Matthew R. , Vadhera Amar S. , Verma Nikhil N. , Yanke Adam B. , Chahla Jorge
Published: July 2022

Background: YouTube has become a popular source of healthcare information in orthopedic surgery. Although quality-based studies of YouTube content have been performed for information concerning many orthopedic pathologies, the quality and accuracy of information on the rotator cuff have yet to be evaluated. The purpose of the current study was to evaluate the reliability and educational content of YouTube videos concerning the rotator cuff.Methods: YouTube was queried for the term “rotator cuff.” The first 50 videos from this search were evaluated. Video reliability was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria (range, 0–5). Educational content was assessed using the global quality score (GQS; range, 0–4) and the rotator cuff-specific score (RCSS; range, 0–22).Results: The mean number of views was 317,500.7±538,585.3. The mean JAMA, GQS, and RCSS scores were 2.7±2.0, 3.7±1.0, and 5.6±3.6, respectively. Non-surgical intervention content was independently associated with a lower GQS (β=–2.19, p=0.019). Disease-specific video content (β=4.01, p=0.045) was the only independent predictor of RCSS.Conclusions: The overall quality and educational content of YouTube videos concerned with the rotator cuff were low. Physicians should caution patients in using such videos as resources for decision-making and should counsel them appropriately.
Causes and Impacts of Global Minimum Tax
Authors: Li Jiangzhuo
Published: July 2022

To address remaining Base Erosion and Profit Shifting problems and challenges arising from the digitalisation of the economy, the OECD conceives an inclusive framework on the Two-Pillar approach, in which Pillar Two envisages a global minimum tax, also known as Global Anti-Base Erosion Rule, setting a floor for enterprises’ tax-avoidance structures and jurisdictions’ tax race to the bottom. This essay adopts study methods of literature review, case study, and data analysis, trying to make a comprehensive study on the causes, concrete rules, and potential impacts of the global minimum tax thus providing ideas for its implementation.
Analysis on Business model of Chinese Retail Industry in the post-pandemic era: case study of Walmart and Freshippo
Authors: Liu Zhuo , Lu Xinyi , Pei Liuhan
Published: July 2022

With the evolvement of COVID-19, the world finally comes to the post-pandemic era. Under this background, the development of retail industry is a hot topic and draws the public attention. The declining traditional retail and ascending new retail gradually becomes a trend. As typical traditional and new retail brands, Walmart and Freshippo are chosen as the object of study. The thesis mainly uses Porter's five forces model to make a detailed analysis of Walmart and Freshippo’s competitiveness. Meanwhile, aiming at exploring the Chinese retail industry more deeply, the business model of these two enterprises is compared from five aspects. From the research results, both Walmart and Freshippo have high competitiveness and their own weaknesses. For retailers, the key to success is to adapt to the new changes in the post-pandemic era and continually improve themselves. This paper will not only fill a gap in the relatively few research on the business model analysis of Chinese retail industry, but will provide reference and lessons for the future of Chinese retail industry.
Analysis The Participation of Enterprise In Sustainability Under the ESG Criteria From The Perspective of Game Theory
Authors: Su Fanrong
Published: July 2022

In this paper, I use the evolutionary stable strategy and mixed strategy to construct a game model for both sides from three aspects of ESG and derive the relevant evolutionary stable strategy through a simple replicated dynamic analysis.   Then use the Matlab to make a simulation about their evolution of strategy probability. The E-side is a game between the choice of the enterprise’s green innovation and governmental responsibility, the S-side is a game between the enterprise’s responsibility and employee’s loyalty, and the G-side is a game between the enterprise’s sustainable internal management and continued investment by investors. The consideration of these aspects of the game is used to construct a game model. The analysis of the mixed and evolutionary stable strategy can be used for the choice of strategy between the two players in different situations, which can be used as a reference when an enterprise is facing the strategy for its management.
Analysis of the influencing factors of online classes satisfaction based on text mining Take MOOC platform art education online classes as an example
Authors: Liu Qingju , Ding Yuchen , Qian Pengbo , Li Ruoyao , Zhou Jiahao
Published: July 2022

The normalization of the epidemic and the convenience of online classes have led to the rapid rise of online education courses. The MOOC teaching platform represents the online course field and is popular in various disciplines. Unlike disciplines such as natural science and engineering technology, art education courses require real-time emotional expression and transmission. However, the existing technical framework is difficult to support the interactive needs of art teaching mode, and the learning effect of art students is not ideal, and the user The learning effect of art students is not ideal, and the phenomenon of low user satisfaction and low willingness to continue learning is more serious. Based on the above background, this paper uses Python to crawl the review texts of art online courses and summarizes the factors influencing students' satisfaction with art education online courses through sentiment analysis and LDA model to provide valuable references for the quality of art online education.
Business Groups and Non-efficient Investments
Authors: Tang Hui
Published: July 2022

This paper takes China's A-share listed companies from 2012 to 2019 as a sample to study the impact of business groups on non-efficient investments. The study found that business groups will reduce the degree of investment deviation of enterprises, alleviate insufficient investment, and reduce excessive investment. Further considering the nature of ownership, it is found that, compared with state-owned enterprises, the impact of business groups on inefficient investment is more obvious in non-state-owned enterprises. Specifically, firstly, business group can reduce information asymmetry through its internal capital market, improve resource allocation efficiency, ease financing constraints, and reduce investment shortages; secondly, group companies can strengthen internal monitoring by assigning managers and adopt relative performance evaluation. and other measures to reduce agency problems and reduce excessive investment behavior. And put forward the following suggestions: First of all, actively promote the development of business group, rationally use the internal capital market functions of business group, improve the governance mechanism, regulate its development, and then improve the corporate financing environment, alleviate agency problems, and reduce inefficient investment. Secondly, it is necessary to improve the independence of state-owned enterprises, so that the management decisions of state-owned enterprises are carried out under market regulation.
Research on the Mechanism of Demographic Structure on China's Outward Foreign Direct Investment
Authors: Ma Yang
Published: July 2022

This paper verifies the relationship between demographic structure and China's OFDI using time series data from 2000 to 2020. It is found that child dependency ratio has no effect on OFDI in China, while the old age dependency ratio has a significant positive effect on OFDI, leading to a theoretical mechanism that population aging makes affects China's OFDI by influencing the capital intensity of the country and then. In order to avoid excessive transfer of capital and further improve the quality of OFDI, the government should encourage childbirth and prevent the rapid rise of the old-age dependency ratio.
Le fondazioni greche di Magna Grecia e di Sicilia in rapporto con gli insediamenti indigeni preesistenti
Authors: Guzzo Pier Giovanni
Published: July 2022

Le fondazioni greche di Magna Grecia e di Sicilia in rapporto con gli insediamenti indigeni preesistenti. Si discutono i modelli mentali ellenici, ricavati dalle fonti letterarie, relativi alle forme delle fondazioni in Occidente. Si ritiene che tali fondazioni siano state operazioni condotte dalle poleis e non da privati. Si confrontano le strutture, archeologicamente note, delle fondazioni greche occidentali con quelle degli insediamenti indigeni. La mancanza di condizionamenti territoriali e cultuali, insieme alla impostata regolarità dei lotti agricoli, ha condotto a forme urbanistiche che, dalle poleis occidentali sono state imitate in Grecia propria.
 
The Greek foundations of Magna Graecia and Sicily are discussed in relation to the pre-existing indigenous settlements: the Hellenic mental models, as drawn from literary sources, in relation to the forms of foundations in the West. Evidence indicates that these foundations were operations conducted by the poleis and not by private individuals. The archaeologically known structures of western Greek foundations are compared with those of the indigenous settlements. The lack of territorial and religious conditions, together with the set regularity of agricultural lots, led to urban planning forms that derived from the western poleis and were imitated on the Greek mainland.
Rationes dei magistrati e monumenti epigrafici ateniesi d’età classica. Alcune osservazioni
Authors: Marginesu Giovanni
Published: July 2022

Il saggio esamina la bibliografia posteriore al 2010 sui rendiconti edilizi ateniesi d'età classica, con particolare riferimento al V secolo a.C. Si fa un breve cenno iniziale alle principali novità emerse nella ricerca epigrafica e nell'edizione dei testi. Sono poi presi in esame i lavori che hanno contribuito ad alimentare il dibattito relativo al rapporto fra le iscrizioni, spesso di forma e impatto monumentale, e le scritture prodotte sul cantiere e presentate dai magistrati durante l'esame contabile, previsto a conclusione dell'incarico.   This paper reviews the post-2010 debate on Athenian building accounts of the classical age, with particular regard to the fifth century BCE. An initial summary of the main papers in epigraphic research is provided. The essay aims to feed the debate on the relationship between the inscriptions, often of monumental form and impact, and the writings produced and presented by magistrates during the accounting examination, scheduled at the end of the assignment.
Novità su un particolare schema iconografico dell’orientalizzante etrusco
Authors: Valente Noemi
Published: July 2022

In questo lavoro verrà preso in considerazione un particolare schema iconografico riconoscibile su un piccolo numero di materiali etruschi databili al VII secolo a.C.A rendere particolarmente rilevante questo schema è la diffusione geografica che esso presenta con due differenti poli, uno padano e uno meridionale, strettamente vulcente. Ciò appare rilevante soprattutto considerando quanto è stato osservato in passato a proposito dei contatti tra Vulci e l’Etruria padana dal punto di vista epigrafico.
 
A particular iconographic scheme can be identified on a small number of Etruscan objects datable to the 7th century BCE. What makes this scheme particularly relevant is its diffusion between two geographical poles: the Po Valley and South Etruria, particularly at Vulci. These objects are important indicators of a pattern of contacts similar to that previously observed between Vulci, North Etruria, and the Po Valley from an epigraphic point of view.
Remark on the Safire Project’s findings and infinite velocity beyond speed of light
Authors:   Physics advisor for Princeton Biotechnology Corp., Barrington, NJ 08007, USA., Boyd Robert N. ,   Dept. Mathematics  Sciences, Univ. of New Mexico, Gallup, NM 87301 , USA., Smarandache Florentin
Published: July 2022

I and Florentin communicated extensively for the last 4 years or so. And this is one of our email, on Project Greenglow and infinite velocity of Coulomb potential etc. This communication is excerpt of previous emails between us.
Intservqual Model di Stasiun Perpindahan Selama Masa Pandemik Covid-19
Authors: Saidah Deslida , Sembiring Honny Fiva Akira , Mafrudoh Lut -
Published: July 2022

An interchange station or transfer station is a train station for more than one route that allows passengers to move from one route to another without leaving the station by paying a one-way fare. The purpose of this study was to determine the level of internal service capability in the organization in the field of internal customer service at the crossing station between front-line staff and support staff during the covid 19 pandemic. The research method used was a quantitative method with an analysis of internal quality measurements using the Intservqual model and measurements based on there is a gap between the service expected by internal customers (employees of other departments) and the service they actually receive. The sample used is accidental sampling of 105 support staff and 23 front line staff. The results of the study show that there is a gap that is still in a negative position, meaning that based on each dimension of the two gaps, it is still necessary to improve internal services between front-line staff and support staff.
Radiological Risk Assessment of Technologically Enhanced Naturally Occurring Radioactive Materials in coal wastes from Van Eck Coal-Fired thermal Power Plant, Namibia.
Authors:   Namibia University of Science and Technology, Hitila Markus V , Onjefu Sylvanus A ,   Namibia University of Science and Technology
Published: July 2022

In this study, the radioactivity concentrations and the potential radiological health hazards of primordial radionuclides; 226Ra, 232Th and 40K were measured using coaxial high-purity germanium (HPGe) gamma detector in coal, bottom and fly ashes collected from a 120 MW Van Eck thermal power plant, Windhoek, Namibia. The experimental results showed that for coal samples, the activities of 226Ra, 232Th and 40K were 20.22 ± 3.82 Bq/kg, 26.70 ± 5.90 Bq/kg and 30.36 ± 6.36 Bq/kg, respectively. For ashes samples, the activities of 226Ra, 232Th and 40K were 88.89 ± 11.91 Bq/kg, 113.28 ± 15.44 Bq/kg and 97.84±16.55 Bq/kg, respectively for bottom ash and 59.18 ± 4.55 Bq/kg, 77.00 ± 5.89 Bq/kg and 77.17 ± 7.30 Bq/kg, respectively for fly ash. The activity concentration of 226Ra, 232Th and 40K were all enhanced in the bottom and fly ash relative to coal samples. However, the estimated radiological health hazards and the concentration of the various samples from the selected location were within the permissible limits provided for human safety and environmental protection.
Strengthening Reading Comprehension Skills Through Fluency-Oriented Reading Instruction (Fori)
Authors: Velarde Airelyn B , Catoto Jerson S
Published: July 2022

Students who struggled in reading lacked the necessary skills and attention. This Action Research determined the efficacy of Fluency-Oriented Reading Instruction (FORI) in strengthening reading comprehension skills of students in English. It involved the Grade V students who were considered as struggling readers. It lasted for two weeks where learners were got involved in an hour reading activity every day after their classes. Likewise, thematic analysis was done in identifying the themes. Findings revealed that the intervention increased the reading comprehension skills of the students and even made them as independent readers. They suggested that teachers from all grade levels should have to adopt FORI and books would be available at home.
Hasta Düşmelerinin Sıklığının Kök Neden Analizi ile İncelenmesi: Kayseri Şehir Hastanesi Örneği
Authors: TURHAN Busra , UNALAN Demet
Published: July 2022

Bu çalışmada hasta düşmelerinin sıklığını tespit ederek, yatarak tedavi edilirken düşen hastaların düşmelerine neden olan faktörleri belirleyerek kök neden analizinin yapılması amaçlanmıştır. Araştırmanın evrenini, Kayseri Şehir Hastanesinde 01/01/2019-31/12/2019 tarihleri arasında tüm kliniklerde meydana gelen hasta düşmeleri oluşturmuştur. Tanımlayıcı tipteki bu araştırmada örneklem seçimine gidilmemiş olup, örneklem yılı içerisinde kliniklerde yatarak tedavi görürken düşen 81 hastanın, düşmelerine dair bulgular değerlendirilerek, kök neden analizi yapılmıştır. Araştırmada veriler Düşme Olayı Bildirim Formu ile toplanmıştır. Elde edilen bulguların değerlendirilmesinde istatistiksel analiz için SPSS-22 paket programı kullanılmıştır. Tanımlayıcı analizler sunulurken; sayı ve yüzde dağılımları, aritmetik ortalama, standart sapma, medyan (ortanca), minimum-maximum değerler kullanılmıştır. Analiz ve yorumlama yapılırken ise PRISMA Yöntemi kullanılarak, EINDHOVEN Sınıflandırma Modelinden yararlanılmıştır. Kök neden analizi için; beş neden analizi yöntemi ile bir dizi şeklinde “neden” sorusu sorularak neden ağaçları yapılmıştır, toplamda 262 kök neden bulunmuştur. Her olay için 2-4 kök neden ortaya çıkmıştır. 81 düşen hastadan 28’i (%34,6) kadın, 53’ü (%65,4) erkektir, düşen hastaların yaş ortalaması 64 ± 17,6 (standart sapma:17,6), yaş ortancası 67 (min:3,5-max:93) olarak hesaplanmıştır. Klinik bazında en çok düşen hasta 21 (%25,9) hasta düşmesi ile fizik tedavi ve rehabilitasyon kliniğinde olmuştur. Düşen hastaların 78’i yüksek riskli iken 3 hasta düşük riskli olarak değerlendirilmiştir. Örneklem yılı içerisinde toplam 120.935 hasta yatışı olmuştur. Düşen hasta oranı bu dönem için hastane geneli 0,07 olarak hesaplanmıştır. Düşen hastaların 36’sının refakatçisinin olmadığı, 45’inin refakatçisinin olduğu halde 34’ünün düşme anında yalnız olduğu tespit edilmiştir. Düşme nedenlerinin kök neden analizinde 262 hatanın; 15’ini gizli hatalar, 4’ünü aktif-insani hatalar, 243’ünü de diğer hatalar olarak sınıflandırılması yapılmıştır.
Hot Flashes in Adolescence and Young Adult Females: a Link to Vitamin D and Calcium
Authors: Sindiani Amer , Alkhatatbeh Mohammad , Razzak Khalid
Published: July 2022

Background: Menopause is a stage in life when a woman stops having menstruation and the ovaries produce less estrogen. Hot flashes (HFs) are the classical symptoms for menopausal transition and cessation of menses. Increased anxiety had been reported as a significant risk factor of HFs. Vitamin D deficiency and low daily dietary calcium intake may be associated with the occurrence of hot flashes (HFs) in adolescents and young females that are not related to hormonal changes of menopausal transition. Objective: The aim of this study is to validate this hypothesis. Methods: A case-control study was conducted. Thirty-eight females (38) with HFs aged 18-40 years, and 38 age-matched healthy controls with no HFs were involved. Participants answered questions about HFs symptoms. Psychological symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS). Serum vitamin D, Follicle Stimulating Hormone, Estradiol, and Prolactin were measured. Results: Vitamin D deficiency, psychological symptoms, and Musculoskeletal pain (MSP) were more prevalent in cases versus controls. About 73.68% of females had HFs on a daily basis, 73.7% of them reported that their HFs associated with excessive sweating. Spearman correlation revealed that number of daily HFs were correlated positively and significantly with anxiety scores (r2= -0.278, p=0.045), and average MSP pain (r2=-0.536, p=<0.001). Binary logistic regression showed that, Anxiety score and vitamin D status, (OR=1.33(1.104-1.7), p=0.02, and OR=0.89(0.79-0.99, p=0.03) respectively were the predictors for HFs. Conclusion: This study showed that adolescents and young females may experience HFs that are not related to hormonal changes of menopausal transition. The predictors for HFs were vitamin D deficiency and anxiety.
A Liraglutide Injection Superimposing a Starvation Acidosis: a Case Report
Authors: Alghamdi Mohannad , Almulhim Mohammed , alkhadra Faisal , alahmadi Sara , alzahid Abdullah , mulhim Abdullah
Published: July 2022

Background: Metabolic acidosis is defined by reduced serum bicarbonate level; this reduction can be from the addition of acid, reduced acid excretion, or loss of alkali. Starvation acidosis is one of the differential diagnoses of high anion gap metabolic acidosis (HAGMA). Objective: We report a rare case presentation of HAGMA associated with Liraglutide and low carbohydrates diet. Case presentation: A 27-year-old female patient presented to the Emergency Department (ED) with a complaint of nausea and vomiting for two days. She was following a strict low carbohydrate diet for three months to reduce her weight as her body mass index (BMI) was 30 kg/m3. Her bedside investigations were significant for HAGMA. The patient was seen by the endocrine service and was admitted as a case of starvation ketoacidosis (SKA) vs. euglycemic diabetic ketoacidosis (DKA). The patient was treated with D10W 250 cc/hr with insulin infusion, her the anion gap was closed after 5 hours. She was discharged home as SKA secondary to diet with the possibility of drug superimposing the starvation state. She was given a follow-up clinic regularly to monitor her clinical status. Conclusion: This case highlights the possibility of a HAGMA as a rare complication of a low carbohydrate diet with the possibility of Liraglutide injection attribution in developing such critical complication. Further studies are needed to evaluate the safety of a low carbohydrate diet and the effect of Liraglutide injection on these patients following this diet.
The Effects of Single Pill Combinations on Adherence and Blood Pressure Control in Hypertensive Patients
Authors: Naser Nabil , Jatic Zaim , Avdic Sevleta
Published: July 2022

Background: Hypertension is the most important risk factor for cardiovascular morbidity and mortality. Blood pressure control rates are as low as 17% to 31% in patients diagnosed with hypertension in high-income countries; control rates are likely poorer in low- to middle- and low-income countries. Blood pressure control rates are as low as 17% to 31% in patients diagnosed with hypertension in high-income countries; control rates are likely poorer in low- to middle- and low-income countries. Overall, 43% to 66% of patients fail to adhere to their prescribed antihypertensive medications, and after 1 year, ≈40% of patients with hypertension may stop their initial drug treatment. Objective: The aim of the study was to evaluate the effects of single pill combination antihypertensive drugs on the adherence to treatment, blood pressure control and cardiovascular events vs. free-combination therapy. Methods: We enrolled 192 adult hypertensive patients not older than 79 years, with untreated or uncontrolled hypertension despite previously receiving free combination antihypertensive therapy, between November 2020 and March 2022. Patients treated with single pill combination (SPC) were compared with an arm of the same size (n = 96) and matched by age and gender who received a standard free combination (FC) antihypertensive therapy. Results: There were significant reductions from baseline to month 6 of follow-up in office SBP in the SPC group vs. reduction in FC group (21.9 vs. 13.1 mmHg; p < 0.0001). There were significant reductions from baseline to month 6 of follow-up in office DBP in the SPC group vs. group with free-combination therapy (13.7 vs. 8.0 mmHg; p < 0.0001). At 6 months, 94 participants (98%) were still prescribed the SPC therapy. At the final 6-month study visit, 84.2% of patients in the SPC therapy group were adherent to the prescribed antihypertensive therapy vs. 52% of patients in the FC group. Target BP values (mean 24h ambulatory systolic/diastolic BP < 130/80 mmHg) were reached by more recipients of SPC than free-combination therapy (78.2% vs. 46.3%, p < 0.05) at month 6 of follow-up. Conclusion: Treatment with single pill combinations (SPC), is the emerging best practice for safe, effective, rapid, and convenient hypertension control. It improves the affordability, adherence and control of arterial hypertension.
Prenatal Ultrasound Screening and Women’s Expectations: an Original Study
Authors: Glynou Anna , Galatis Dionysios , Fotiadi Kalliopi , Yalelis Vassilis , Varvarigos Ioannis , Kondylios Antonios , Sarella Angeliki , Eleftheriades Makarios , Chasalevri Eirini , Koukaki Maria , Salakos Nicolaos
Published: July 2022

Background: Prenatal screening offers crucial information about the pregnancy, although sometimes brings forth ethical issues and potentially difficult decisions for pregnant women. Ultrasound screening during pregnancy is both of particular importance and a great challenge. Objective: The objective of this study is to assess women’s knowledge and expectations regarding prenatal ultrasound screening in Greece. Methods: The study was conducted between May 2019 and January 2020. Three hundred pregnant women >18 years of age with complete antenatal routine screening, were invited to participate. The questionnaire contained sociodemographic and obstetric history information and highlighted the background knowledge of pregnant women in prenatal screening. Results: In this study, women with university or technological education mentioned in a greater proportion the importance of prenatal screening regarding prevention and treatment of intrauterine diseases. The belief that the pain or sorrow to give birth to a disabled child or one with a genetic disorder might lead parents to the decision to terminate the pregnancy, was supported more by women with a higher educational level. Conclusion: Pregnant women place a great deal of trust in their physician, as a source of information for the fetal well-being. The majority consider prenatal testing mandatory for that matter. Finally, an association between women who abide with prenatal screening and their educational level was noted. Thus, it’s more common women who have a higher educational level to seek prenatal screening, than those with lower education level.
An interprofessional interventional approach to improve the mental well-being of medical students for better academic performances
Authors: Sindhu Suyog , R Rajashree , Govindan Sreejith , Siddiqui Shazia , Srivastava Shalini , Mohammed Ciraj , Sachan Amod
Published: July 2022

Background: Medical students are the future doctors who are the primary caregivers for the society. High level of stress can obstruct the learning of medical students by impairing their concentration, problem solving, and decision-making skills. Improving mental well-being of medical students will ensure community safety. The stakeholders need to realize positive role of mental well-being on academic performance of students. This will not only benefit the students as well as the society as a whole.

Aim and Objective: The present study was innovatively planned to determine the impact of the motivational sessions on relieving perceived stress and anxiety of the students along-with impact of such sessions on motivation for learning.

Materials and Methods: An interventional cross-sectional study was designed for 2nd year MBBS students. A module comprising of eight sessions for improving mental well-being of undergraduate students was designed by an interprofessional team comprising a medical teacher, clinical phycologist, psychiatrist, and medical students. The pre-validated scales used were Hamilton Anxiety Rating Scale (HAM-A) to assess anxiety level, Perceived Stress Scale to assess perceived stress, and Motivated Strategies for Learning Questionnaire to measure the types of learning strategies and academic motivation of college students.

Results: About 64% (n = 46) of the participants were male and 36% (n = 26) were female students. The present study showed no significant association between the gender and stress. It was seen that number of students with high perceived stress before the session were reduced by as much as 72.41% and that of students with highest motivation for learning strategies doubled from 18 to 36 (100% improvement).The difference in means of HAM-A scores in post-test and pre-tests is highly significant (P = 0.01). The students were very much satisfied with the mode and content of the module. They expressed that these sessions made them feel thought of and cared for.

Conclusion: It is strongly recommended to apply this interprofessional interventional approach to improve the mental well-being of medical students for better academic performances.
COVID-19 Pandemi Döneminde Diş Hekimliği Fakültelerinde Uygulanan Eğitim Yöntemlerinin Değerlendirilmesi
Authors: SUNAL AKTÜRK Ezgi , ŞEN Süleyman Said , KÖSEN Ezgi
Published: July 2022

Amaç: Çalışmanın amacı COVID-19 pandemi döneminde diş hekimliği fakültelerinde uygulanan eğitim yöntemlerinin, öğrencilerin eğitime erişimlerinin ve eğitimin etkinliğinin lisans öğrencileri tarafından değerlendirilmesidir.

Gereç ve yöntem: Anket çalışmasına 985 gönüllü diş hekimliği lisans öğrencisi katılmıştır. Ankette demografik verileri elde etmeye ve pandemi dönemindeki teorik, preklinik ve klinik eğitimi değerlendirmeye yönelik sorular yöneltilmiştir.

Bulgular: Öğrencilerin %98,1’i teorik eğitimin çevrimiçi senkron olarak uygulandığını belirtmiştir. Öğrencilerin çoğunluğu (%78,9) diş hekimliği eğitiminin yüzyüze olmasını tercih etmektedir. Uzaktan eğitimle yetkinlik kazanılması en zor diş hekimliği branşının sırasıyla protez (%37,3), cerrahi (%29,6) ve endodonti (%25) olduğu bildirilmiştir. Vakıf üniversitelerinde hem preklinik hem de klinik eğitimde yüz yüze eğitime büyük oranda geçilmişken, devlet üniversitelerinde anketin uygulandığı tarih aralığında henüz yüz yüze eğitime geçilmemiştir.

Sonuç: Preklinik ve klinik eğitimde pandemi koşullarında bir altın standart oluşturulamamıştır. Bu tür salgınların diş hekimliği eğitimi üzerine olumsuz etkisini en aza indirmek için uygulamalı derslere yönelik yeni yöntemlerin geliştirilmesi, klinik şartlarının iyileştirilmesi ve imkanların genişletilmesi gerekmektedir.
Comparison of two different software programs for three-dimensional analysis of carotid atherosclerosis: A retrospective CBCT study
Authors: KOÇ Nagihan
Published: July 2022

Aim: The present study aimed to compare two different CBCT software packages, Mimics Medical and 3D-DOCTOR, in performing the volume and areal measurements of extra-cranial carotid artery calcifications (ECACs).

Material and Methods: A total of 44 scans were evaluated. The calcifications were categorized as unilateral or bilateral. Volumetric and areal measurements of ECACs were done with the two software programs. Intraclass correlation coefficient (ICC) was used to evaluate the intra-observer reliability. The difference in measurements between two software groups was evaluated with the t-test.

Results: The ECACs were unilateral in 24 cases and bilateral in 20 cases. There were 25 females and 19 males and the mean age of the sample was 63.31 ± 10.21 years. The overall mean volume obtained with Mimics software was 52.97 ± 48.97 mm3 while that obtained with 3D-DOCTOR software was 39.70 ± 34.40 mm3 (P=0.001). Similarly, significant differences between Mimics (109.55 ± 85.40 mm2) and 3D-DOCTOR (98.99 ± 75.34 mm2) software programs were observed for areal measurements (P=0.001).

Conclusion: Although high agreement rates were observed in repeated measurements among two software programs, volumetric and areal measures of the ECACs obtained with Mimics Medical were higher than those obtained with 3D-DOCTOR.
Передумови виникнення цифрової трансформації та фактори її розвитку в економічних системах
Authors: Якушко І. В.
Published: July 2022

У сучасному світі всі суспільні системи розвиваються в умовах становлення цифрової економіки. Процеси цифровізації відбуваються швидкими темпами й результати їхнього впливу відчувають усі економічні суб’єкти. Цифрова трансформація сьогодні вже є невід’ємною складовою розвитку економіки всіх розвинутих країн. Важливість використання цифрових технологій для розвитку господарських системи вже не викликає сумніву. Саме тому питання цифрової трансформації економічних систем активно досліджуються вченими в усьому світі. У статті поглиблено теоретичні положення щодо розуміння передумов виникнення процесів цифрової трансформації в розвитку суспільних систем, включаючи економічні системи різної природи, розглянуто чинники, які впливають на такі процеси та формують середовище, у якому зазначені процеси розвиваються. Відповідно встановлено, що цифровізація як сучасний тренд трансформації економічних систем є продуктом еволюційного розвитку інформаційних систем, інформаційно-комунікаційних технологій. Проведення аналізу базових чинників, які впливають на розвиток цифрової трансформації, дозволило констатувати їх значну кількість та складність вичерпного виокремлення. У статті встановлено, що процеси цифрової трансформації є об’єктивними та невідворотними, що дозволило стверджувати про необхідність економічним системам використовувати потенціал інформаційно-комунікаційних технологій з метою виживання та забезпечення подальшого власного розвитку.
Spring species of hemiptera Kungei Alatau
Authors:   ", Еsenbekova P.A. ,   Zoological Institute",   of the Ministry of Education of the Republic of Kazakhstan, Bekdair D.B. ,   "Zoological Institute" of the Ministry of Education of the Republic of Kazakhstan, Ualieva B.B. ,   "Kolsay Lakes" SNNP
Published: July 2022

The article presents the results of field research in 2022 in Kungei Alatau. The purpose of the research: To study the fauna, biology, ecology and distribution of terrestrial hemiptera in the park. Based on our own research, an inventory and a comprehensive analysis of the fauna of hemiptera were carried out and an annotated list was compiled. As a result of the conducted research, 18 species of hemiptera belonging to 15 genera and 7 families were identified. The dominant species include Myrmecophyes alboornatus (34 specimen), Lygus pratensis (13 specimen), Tingis reticu lata (10 specimen), Tingis angustata (9 specimen). Other types of bedbugs are noted a little less often. Zicrona caerulea (Linnaeus, 1758) is a species listed in the Red Book of the Almaty region. According to food relations, the hemiptera of Kungei Alatau are divided into 3 groups: phytophages (12 species), zoophytophages (3 species) and zoophages (3 species), according to life forms they are distributed into 4 groups: herpetobiont (2 species), herpetobiont (2 species), hortobiont (13 species), hortobiont-dendrobiont (1 species), according to the number of generations per year, the hemiptera of Kungei Alatau are divided into 3 groups: monovoltindi (11 species), bivoltindi (6 species), 2-3 generations per year (1 species). Among them, 17 species hibernate in the imago stage, 1 species in the egg stage, and 2 groups are distinguished according to ecology: meso-xerophiles (2 species), mesophiles (16 species).
Regional feeding patterns of the tamarisk gerbil (Meriones tamariscinus Pallas, 1773) in the southern parts of Kazakhstan
Authors:   Al-Farabi Kazakh National University, Yeszhanov B.E. , Dulatova B.D. ,   Al-Farabi Kazakh National University
Published: July 2022

In the article, the features of the feeding of the tamarisk gerbil inhabiting some regions of Kazakhstan (floodplain tugai of the lower course of Ile River, the Aral Sea sands, Moyinkum, and Southern Balkhash) are considered. During the research, the following methods were used: basic-trap-site and indirect – analysis of the habits of birds of prey. As a result of the study of the digestive tract of the tamarisk gerbil in the floodplain tugai of the lower reaches of the Ile River, it was found that the proportion of seeds occupies an average of 63%, the green part-27%, other parts of plants-10% of the studied stomachs. In the Aral Sea sands, the tamarisk gerbil feeds on seeds (on average, 68%), and green parts (32%) of plants. In early spring, 24 stomachs of this gerbil were examined in the Moyinkum sands and it was found that the proportion of seeds in the digestive tracts of males and females was very high, due to the small abundance of the green part of the plant at this time of year. In the Southern Balkhash region, in summer and autumn, the tamarisk gerbil feeds on mixed feeds (40%), green parts (10%), and seeds (50%). It was found that seasonal changes occur in the composition of feed: in the spring during the breeding season or with a lack of moisture in the body, these rodents also consume insects. In the spring-summer period, the proportion of the green part of the plant increased in the diet, with a shortage of green feeds, the gerbil diligently consumes the underground parts of plants. In such cases, mixed feeds are found in the digestive tract of many rodents. It was found that the composition of the feed of the tamarisk gerbil differs depending on the seasons and habitats. It was found out that from the west to the east of the republic, the frequency of occurrence of the green part of the plant increases in the composition of feeds, the frequency of occurrence of seeds decreases on the contrary, and nutrition with mixed feeds increases from spring to autumn. The results of this work can be used as a basis for further study of the feeding of the tamarisk gerbil in various regions of Kazakhstan.
Digital storytelling in adult education: barriers and ways to overcome them
Authors: Panchenko Liubov F.
Published: July 2022

In the modern digital globalized world, it is becoming more and more important to train educators in practical application of new tools and technologies, such as digital storytelling. The article substantiates the benefits of digital storytelling and its connection to educational standards; and analyzes the factors that hinder its use. According to the survey of teaching staff and methodologists of different professions during retraining courses, only a quarter of respondents use or have used this method, and about 72% of respondents are ready to consider it. A 3-factor model on possible barriers that impede the using of digital storytelling in education was developed on the basis of the empirical data with the help of a factor analysis tool. The first factor was related to the lack of necessary resources, the second one~-- to resistance to change, the third one -- to the lack of time and lack of technical and methodological support from the educational institution. Possible ways to overcome these barriers are identified. The article describes the structure and content of the special course for educators “Digital Storytelling in Adult Education”, aimed at providing methodological support to educators on digital storytelling and its use by discussing the positives, risks, techniques, tools and services, providing experience in creating and sharing digital stories. The content of the stages of involvement of pedagogical staff in the educational practice (orientation, acceptance, evaluation, innovation and institutionalization) is substantiated. The article describes the developed methodological support of the special course: the program of the special course, lectures-presentations on the basics of digital storytelling, examples of practical tasks for implementation and discussion. The article analyzes the ways to use the fragments of massive open online courses on digital storytelling in order to implement blended learning of teaching staff.