bluuebunny/crossref_metadata_2025 huggingface dataset:
Cómo diseñar o interpretar evaluaciones económicas de intervenciones en diabetes mellitus
Authors: Oliva Juan , Rodríguez Sánchez Beatriz
Published: November 2022

Las evaluaciones económicas de intervenciones sanitarias se han convertido en los últimos años en una herramienta primordial para informar las decisiones que atañen a la asignación de recursos y la adopción de nuevas tecnologías sanitarias. En el caso de la diabetes mellitus, cuya prevalencia y morbilidad a nivel mundial se ha ido incrementando considerablemente a lo largo de las últimas décadas, resulta primordial desarrollar nuevas estrategias y priorizar aquellas intervenciones que más ayuden a mejorar la salud de la población, haciendo que sea compatible con la sostenibilidad financiera de los sistemas sanitarios públicos. Así, el principal objetivo de este artículo es mostrar al lector las diferentes opciones metodológicas que se deben considerar a la hora de diseñar o de interpretar una evaluación económica en el ámbito de la diabetes mellitus, con el apoyo de ejemplos e investigaciones prácticas llevadas a cabo en el campo de esta enfermedad.
Simplificando pautas complejas en pacientes ancianos. ¿Qué papel juegan las insulinas biosimilares?
Authors: Benito Ysamat Pedro
Published: November 2022

A menudo se nos plantean en consulta situaciones en las que es preciso realizar un cambio de insulina; de entre las más frecuentes e importantes que debemos saber manejar es cuando este cambio se produce dentro de una estrategia de simplificación del tratamiento en pacientes ancianos. Contamos con diferentes opciones para estos casos, siendo los análogos de insulina basal como glargina, incluyendo glargina biosimilar, una de las alternativas más seguras por sus menores tasas de hipoglucemias. Se ha demostrado que una simplificación de pautas insulínicas complejas a un análogo basal con o sin antidiabéticos no insulínicos tiene una eficacia similar y menor riesgo de hipoglucemias.
Situaciones especiales
Authors: Navarro-Pérez Jorge , Mora Navarro Gustavo
Published: November 2022

Las principales situaciones especiales a contemplar ante un paciente tratado con insulinas son la posible suspensión del tratamiento insulínico tras insulinización transitoria o por plantearse sus sustitución por otros antidiabéticos; el manejo de la hiperglucemia inducida por glucocorticoides, situación clínica cada vez más común; los cuidados paliativos, evitando las complicaciones derivadas de los niveles extremos de glucemia; la fragilidad, pues existe un mayor riesgo de hipoglucemias; los viajes, pues deben observarse ciertas recomendaciones; y el Ramadán, pues implica cambios dietéticos que requiere una adaptación de las pautas de insulina.
RELIGIOUS FUNDAMENTALISM IN SOUTH ASIA: TREND ANALYSIS
Authors: Dr. Muhammad Umer Hayat, Alina Zaid
Published: November 2022

This article aims at analyzing the phenomenon of religious fundamentalism along with its causing implications as an important part of political spectrum. By using the name of politics, it has been playing an utmost important role in post-colonial states particularly that includes the South Asian countries. The term not only confined in Pakistan but its existence also includes the rest of Muslim world. Some historical factors have strong connection in playing of fundamentalism at present as it’s linking roots with backwardness, societal deprivation too, least level of awareness & consciousness as well as the poverty. Additional, presenting this literature so to add more generally, in scholarly and policy interests networks between two prominent variables i.e. religion and politics. More over examines about the contrast of religious pluralism and of religious nationalism due to such elements making this region hostile thus study establishes to bring focus and uniformity on prevailing issues by cultivating cross purposes in seeking stability and security for regional states.
EFFECTS OF WOMEN’S VIOLENCE BASED CONTENT OF FACEBOOK: AN EXPLORATORY STUDY OF BELIEFS AND PERCEPTIONS OF WOMEN
Authors:   Communication Studies, Queen Mary College Lahore,  Dept. of Mass Communication, LCWU, Iqbal Saima , Batool Sumera ,   Communication Studies, Queen Mary College Lahore,  Dept. of Mass Communication, LCWU
Published: November 2022

Social media are interactive technologies that facilitate the creation and sharing of information, ideas, interests, and other forms of expression, and Facebook is the most frequently used platform in the branches of social media. Facebook imparts liberty to post any sort of content and escalating violence-based contents to be a controversy today. It has changed the patterns of viewing as the effects of violent-based content have become a dispute. The purpose of the study is how Facebook is building a perception of women about violence-based content and the real world. A qualitative research methodology is opted to study the issue. Focus group discussions as a research method are in this study. The research has adopted a purposive sampling technique. Five focus groups consisting of 6 members each were conducted. This research has focused on the beliefs and perceptions regarding the effects of women’s violence-based content on social media. The study concludes that violent-based content is creating fear, mistrust, insecurity, and distress among women. The results are related to being identical to the cultivation theory as social media has been used by people to spread violence and negativity without any authenticity. Keywords: Violence based content, Facebook, Beliefs, Perceptions of women.
EFFECTS OF WATER CONSUMPTION BEHAVIOR ON AVAILABILITY OF DRINKING WATER IN FAISALABAD, PUNJAB PAKISTAN
Authors:   Government College University Faisalabad Pakistan, Usman Muhammad , Batool Zahira ,   Department of Sociology, Government College University Faisalabad, Pakistan, Anjum Maqsod ,   Government College University Faisalabad Pakistan
Published: November 2022

The water consumption behavior is needed to be monitor to avoid the clean water scarcity. The proposed research is being conducted to assess the clean water consumption behavior of people. The nature of study was Quantitative. It is concluded that strong negative relationship exists between independent variables (Household Income, Large size of family, family type, Consumption behavior of water on different activities) and Dependent variables (Availability of Drinking Water). Results of the study also revealed the strong positive relationship between independent variable (Awareness regarding water) independent and dependent variable (Availability of Drinking Water). Keywords: Drinking Water Availability, Water Consumption Behavior, Water Related Awareness Water Consumption
CITY HOUSEHOLD ENERGY CHOICES AND THEIR INFLUENCING FACTORS IN PAKISTAN
Authors:   Applied Economics Research Center, University of Karachi & Data Auditor at Data n Dashboards, Khan Muhammad Imran , Javed Sohail ,   Applied Economics Research Center, University of Karachi Pakistan, Naqvi Syed Kamran Abbas ,   Applied Economics Research Center, University of Karachi Pakistan
Published: November 2022

The dissimilarities of cooking fuel are subjected to several attributes associated with the household’s personal life and social life. A household chooses firewood for cooking purposes because of easy access and affordability but also uses multiple energy sources at the same time. These choices become conditional upon a number of factors. These factors can be income, education, location, access, and awareness. The current study attempts to explore the influencing factors of joint energy choices for cooking in the cities of Pakistan. The study is grounded upon the microdata, collected by PSLM at the household level. The study uses Multivariate Probit (MVP) to capture jointly chosen sources of cooking energy and their influencing factors. The study found that households residing in D I Khan and tank city are dominantly using firewood and households residing in Karachi Lahore and Peshawar prefer to cook on gas energy. The study also found that education, internet use, and income are significantly associated with the choice of clean energy such as Gas and LPG for cooking at the household level in the cities of Pakistan. Distance to road and time to markets are negatively associated with clean sources of energy for cooking in Pakistan. Keywords: Cities, Energy choices, Cooking energy, and Household. JEL classification Q40 R20
CONCEPTUAL DIFFICULTIES OF SECONDARY SCHOOL STUDENTS IN UNDERSTANDING ACID-BASE CHEMISTRY
Authors:   Department of Education, The Islamia University of Bahawalpur Pakistan, Naz Zarnab , Mushtaq Irem ,   Department of Education, The Islamia University of Bahawalpur Pakistan
Published: November 2022

The dissemination of scientific knowledge has enormous transformative potential. As a result, a nation's progress and growth can't get off the ground without a solid foundation in scientific literacy. From this perspective, the education of science is crucial to cultivating a scientific worldview and boosting students' scientific knowledge. The motivation for this study stems from researchers' previous observations of secondary school students' conceptual difficulties in acid-base chemistry. The study used a descriptive, quantitative research approach to investigate common misconceptions about acid-base chemistry held by high school pupils. A special test instrument labelled as test designed to measure the conceptual difficulties in acid-base chemistry (TCDAB) was developed to measure the conceptual difficulties of secondary school students in Acid-Base chemistry. The Punjab Text Book Board, Lahore, version January 2020, 10th chapter Chemistry Text Book was used as a reference for the creation of the test (TCDAB). A table of the specification was used and was delimited to the first three levels of the cognitive domain of Bloom’s taxonomy. TCDAB has been validated by well-known chemists and educators. Test re-tests method was used to determine the reliability and the correlation coefficient (r) was 0.92. The internal consistency of the instrument was also evaluated using SPSS, and the resulting Cronbach alpha coefficient was 0.83. All the students studying chemistry in public secondary school of the district Bahawalnagar of the Punjab, Pakistan were population of this study (Dist. BWN consist of five tehsils which having total 250 schools). To conduct the survey of this study, a sample of 500 students from twenty (20) secondary schools, four (4) secondary schools (2 boys and 2 girls) from each five tehsils was selected by using the convenient sampling technique due to covid-19 in district Bahawalnagar city. The results of the analysis of TCDAB indicated that 60% concept-based items in acid-base chemistry were difficult like Arrhenius concept, Lowry Bronsted concept and Lewis Concepts, amphoteric compounds, conjugate acids and bases, chemical properties of acids and bases, concentration of acid base chemistry, strength of acid base chemistry, Uses of acids and bases, PH scale, and indicators. Keywords: Acid-base chemistry, conceptual difficulties, table of specification, cognitive domain
AN ANALYTICAL APPROACH OF THE USAGE OF OPEN EDUCATIONAL RESOURCES (OER) BY THE TEACHERS AT BUSINESS AND HEALTH SCIENCE SCHOOLS: A CASE STUDY FROM THE UNIVERSITIES OF LAHORE DISTRICT
Authors:   Department of Management, University of Management and Technology Lahore, Pakistan, Sarfraz Maryam , Muslim Darakhshan ,   Department of Education, Virtual University of Pakistan, Kausar Sadia ,   Department of Management Sciences, Virtual university of Pakistan
Published: November 2022

The goal of this study is to determine and compare the degree of OER usage, the influences on OER use, and the opinions of OER use by business school and health science school teachers at leading universities in Pakistan. Two business schools and two schools of health sciences from various institutions were included in our study. Using the questionnaire approach, information is gathered from a sample of 80 respondents from two prestigious institutions. The findings of the data show that teachers at business schools utilize digital and OER resources more frequently than those in health science institutions and possess advanced technical abilities. The teachers of business school also show more positive perceptions about the use of different OER with the lectures as supporting material than the health science schools. Keywords: Questionnaire, OER (Open Educational Resources), adherence, perception.
BARRIERS TO DISCLOSURE AND COPING STRATEGIES OF DOMESTICALLY ABUSED WOMEN: A QUALITATIVE PHENOMENOLOGICAL STUDY
Authors:   Health Services Academy, Islamabad Pakistan, Idrees Fahmeeda , Waqar Saman ,   Al-shifa School of Public health, Rawalpindi Pakistan
Published: November 2022

It is undoubtedly a fact that domestic violence and its relationship in domestic settings is not much visible in any society. This research study is an essay to dig out the facts and narratives of the domestically abused women and the difficulties they face in their relationships with perpetuator and with family. Feministic approach is a tool used to dig the very essence of incumbent responsibilities performed by the survivors remaining in the relationship with the perpetuator and the coping strategies they adopt to satisfy their inner conscious too live in the same abusive relationship. In depth interviews are conducted to account for the lived experiences of the women survivors. Semi-structured interviews were conducted with 6 women who identified themselves as victims and survivors of domestic violence perpetrated by their husbands. There were seven themes identified in the study. The analysis of the results revealed that women were hesitant to disclose about their abusive relation with their husbands as family honor, lack of family support and social pressures were identified as main hindrances. There were seven major themes extracted from the interviews few are Mental agony, comprised relationship, social pressures, catharsis. Therefore, religious path and employment were recognized as sources of solace Keywords: Domestic abuse, violence, women, spirituality, mental agony
THE AUDIENCE IS THE KEY, DATA IS NOT: ANALYZING USERS’ CONCERNS AND EXPERTS’ REFLECTIONS REGARDING PRIVACY POLICIES OF SOCIAL NETWORKING SITES
Authors:   School of Communication Studies, University of the Punjab Lahore Pakistan, Maqsood Madiha , Ashfaq Ayesha ,   School of Communication Studies, University of the Punjab Lahore Pakistan
Published: November 2022

The constantly evolving world and the advent of social media gave birth to excessive digitalized human interaction enhancing connectivity among users. These new modes of interaction added to the excitement of sharing, but at the same time it has placed some concerns about the excessive sharing of personal information on digital platforms. The boundaries of subsequent privacy violations are critical concerns in the advance of the technological age. Pakistan is a country with an enormously growing number of internet users, from diverse socio-cultural backgrounds and the platforms are used for distinctive reasons, resulting in millions of posts every minute of the day. A qualitative approach of in-depth interviews was used for the study. Considering the qualitative nature of the study interviews was conducted based on the semi- structured questionnaire. The sample using a purposive sampling technique included users for the sake of highlighting the privacy concerns and experts like media academics, psychologists, lawyers, representatives from the cyber-crime wing of FIA, and the country representatives of social media platforms for understanding the approaches to bridge the gaps regarding those concerns. Social media representatives ensured users' sense of security as a priority of social platforms. Users' inferences and privacy awareness were also gauged which showed concerns about the layout of privacy policies. The privacy calculus approach helped understand the user’s psyche of disclosure while having privacy concerns. Keywords: Social Media, Privacy concerns, Self Disclosure, Privacy Calculus, Privacy policies, Awareness.
PAKISTAN’S STRATEGIC DEPTH IN AFGHANISTAN AMBIVALENCE AFTER THE TALIBAN-US AGREEMENT OF 2020
Authors:   Department of Political Science and International Relations, University of Management and Technology Lahore, Pakistan, Sarfraz Najam , Moawia Hassnain ,   Department of Political Science, Forman Christian College (A Chartered University), Lahore, Pakistan, Jabbar Humna Abdul ,   Department of Political Science and International Relations, University of Management and Technology, Lahore Pakistan
Published: November 2022

The purpose of this study is to examine how Pakistan's choice of strategic depth affected the security environment between Afghanistan and Pakistan. After analysing the changing geopolitical landscape in Afghanistan in the wake of the US-Taliban agreement on February 29, 2020, this study also outlines numerous Pakistani strategic challenges and rational choices. Data was be collected and processed using primary documents, such as draughts of agreements between the United States of America and the Taliban, draughts of joint declarations of the Islamic Republic of Afghanistan and the United States of America for bringing peace to Afghanistan, and official statements from the Ministries of Foreign Affairs of the United States, China, Russia, Pakistan, Iran, and India. Research papers, think tank studies, newspaper sources, official statements from key players, and other secondary sources will be used to collect data. The prior research did not examine how Pakistan's rational decision to pursue strategic depth affected the Afghan-Pakistan issue, how this understanding is interpreted by defence policy stakeholders, or what other rational options Pakistan might have. This study has overcome this gap. Keywords: Strategic, Ambivalence, Taliban-US Agreement, Pakistan
SOCIAL MEDIA AND POLITICAL MOBILIZATION: FOLLOWING OF FACEBOOK AND TWITTER CONTENTS FLOATED BY PAKISTANI POLITICAL PARTIES FROM 1ST JUNE – 30TH JUNE 2021
Authors:   Department of Communication & Media Studies Hazara University Mansehra Pakistan, Khan Sher Muhammad , Jan Azam ,   Department of Communication & Media Studies Hazara University Mansehra Pakistan, Khan Noor Nabi ,   Department of Communication & Media Studies Hazara University Mansehra Pakistan
Published: November 2022

Social media is a direct source of communication that tries to connect people across the globe through text messages, video, and audio calling. In Pakistan, the use of social media has exponentially increased during the last decade. More people have access to social media and smart phones. Some network services in Pakistan are even providing free services to some social media platforms such as Facebook. This has made social media a leading channel through which politicians reach the public. They do it for the purpose of influencing constituents’ opinions, recruiting volunteers and donors, and mobilizing voters. This study is an attempt in line with the same proposition. The current research makes use of contents analysis techniques. The study explores how major political parties; Pakistan Muslim League Nawaz (PMLN), Pakistan People Party (PPP) and Pakistan Tehreek – E- Insaaf (PTI) and their respective leaders reach; Shehbaz Sharif, Bilawal Bhutto Zardari and Imran Khan reach the public through their social media platforms to convey their messages. Political contents in the form of Facebook posts and tweets of the three major Pakistani political parties and their leaders during one month period are collected. Responses to the collected posts and tweets in terms of like, share, comments and re-tweets are quantified accordingly. The number of responses to political contents of a particular party and its leaders are taken as efforts towards political mobilization of the social media users. The findings suggest Imran Khan as the better followed leader on Facebook and Twitter than Bilawal Bhutto Zardari and Shehbaz Sharif, whereas, PMLN as political party was followed more than PPP and PTI. Keywords: Twitter, Facebook, Political Mobilization, Political Parties, Political Contents
Examining the role of artificial intelligence in determining sustainable competitive advantage: Evidence from the pharmaceutical sector of Karachi Pakistan
Authors: Hussain Muhammad Sameer , Mir Muhammad Masood , Musharaf Syeda Farina , Sajid Shamroze
Published: November 2022

As in today's era firms are looking to sustain while facing multiple challenges. Ultimately talented employees are the backbone of any firm that provides a sustainable competitive position at a global level. The major aspect is to make appropriate strategies to stay effective and efficient. Firms are focused on their strategies of recruitment and selection, training, and leadership capabilities to build up. A sample is collected from top-level management of the pharmaceutical sector sample data is of 320 Professionals from the different pharmaceutical sector of Karachi Pakistan. For Data collection Survey method is adopted with a close-ended Questionnaire. The study reveals the impact of artificial intelligence on competitive advantage. This research finds out certain strategies to be aligned with the mediation of Artificial intelligence to gain sustainable competitive advantage and serial mediation of the talent management process among the pharmaceutical sector of Karachi Pakistan. Talent management and Artificial Intelligence serial mediation aligned with HR practices to gain competitive advantage. As the study indicates that recruitment and selection are positively aligned with Artificial intelligence and serial mediation of talent management, further aspects of talent development and talent retention are directly linked with a competitive advantage as suitable components. This research merely focused on the pharmaceutical sector of Karachi Pakistan and the results generalized on the professionals of this particular sector, while new aspects of HR practices could be linked up with Artificial intelligence that will help to boost and find better insight into other industries.
SURGICAL APPROACH AND OUTCOMES AFTER HAEMORRHOIDECTOMY
Authors:   Department of General, Visceral and Emergency Surgery, UMHATEM ", Kostov Konstantin ,   N. I. Pirogov",   – Sofia, Bulgaria.
Published: November 2022

Purpose: The present study aims to compare and analyze the results of conventional and stapled haemorrhoectomy in patients with haemorrhoidal disease undergoing operative treatment in UMHATEM "N.I.Pirogov" and to determine the accurate surgical approach. Material and Methods: 207 patients with the haemorrhoidal disease (3rd and 4th degree) were operated on for a period of one year from 1.1.2015 to 31.12.2015 in the Department of General, Visceral and Emergency surgery of the University Hospital "Pirogov". In 106 of these stapled haemorrhoidectomy was performed, with the remaining 101- conventional haemorrhoidectomy was performed. Out of the haemorrhoidectomy with a stapler (group S), women were 49 (46.23%), men 57 (53.77%). In the conventional surgery (group C), women were 41 (40.59%), men 60 (59.41%). The age in this retrospective analysis varied from 18 to 81 (average 46 years). Results: From group S there was no post-operative pain reported in 32 (30.19%) patients, 64 (60.38%) complained of moderate pain and 10 (9.43%) of significant pain. From Group C 21 (20.79%) had no post-operative pain, 54 (53.47%) complained of moderate pain and 26 (25.74%) of significant pain. Regarding postoperative haemorrhage from group S, it was minimal to absent in 85.85% (91 patients) of the cases and significant in 15 patients (14.15%). From group C, 68 patients (67.33%) had minimal to absent haemorrhage and 33(32.67%) with significant haemorrhage. Group S morbidity was 9.43% - 10 patients (indication for prolapse, fissure and 2 cases of anal stenosis due to improper manipulation with the stapler). From group C the incidence was 14 patients (13.86%). There were no deaths in both groups-mortality-0%. Conclusion: Compared to literature data, analyzed results indicate that stapled hemorrhoidectomy is the optimal surgical approach to reduce postoperative pain and early recovery to normal activity.
Når behandling gjør vondt verre – erfaringer fra basal eksponeringsterapi (BET)
Authors: Mjøsund Nina Helen , Strand Monica , Nesset Elisabeth , Røysland-­Sundhagen Marte , Fosse Roar
Published: November 2022

Background and aim: Basal exposure therapy (BET) is an inpatient treatment for people with severe mental health conditions and long treatment histories in mental healthcare. Although preliminary group evaluation data for BET are positive, some patients report negative experiences with the treatment. The overall aim was to gain new knowledge about patients’ reported negative experiences of BET in order to further develop this treatment.

Method: We interviewed nine former female patients and analysed the data thematically, using an inductive, semantic approach. Three researchers and two research advisors with patient experiences in BET conducted the study.

Results: Participants experienced, first, that their expectations of BET did not match their actual experiences. Second, patients experienced their relationships with BET therapists as unsafe, instrumental, mechanic and lacking in human warmth. Third, patients perceived a gap between their expectations and therapists’ intentions, leading to insecurity and a heavy sense of responsibility. Fourth, they felt that their symptoms were exacerbated during BET treatment in the form of more shame, self-hatred and loneliness.

Implications: Participants’ experiences showed that the intended effects of the treatment did not always match patients’ experiences. It is imperative to further investigate patients’ experiences in order to develop BET as well as other treatments for these patients.

Keywords: Basal Exposure Therapy, service user involvement, specialised mental healthcare services, evaluation, patient experiences, negative experiences
ACUTE DESTRUCTIVE HIP SEPTIC ARTHRITIS IN A YOUNG ADULT PATIENT: CASE REPORT (v2)
Authors: FABIO ZANCHINI , CIPOLLONI VALERIO , NASTO LUIGI AURELIO , LUCCHESI SALVATORE , PISCOPO DAVIDE , FUSINI FEDERICO , VITIELLO RAFFAELE , CACCIAPUOTI STEFANO , POLA ENRICO
Published: November 2022

The Authors describe a case of rapid right hip destructive septic arthritis in a 50-year-old male patient with no previous noteworthy medical history. Patient arrived to our attention following a one week history of right hip pain. Laboratory markers and imaging at presentation were negative. However, on a follow-up examination significant joint effusion was noted and joint tap was performed. Despite wide spectrum antibiotic therapy institution, significant joint damage was observed. This required surgical femoral head excision with antibiotic loaded spacer, followed by hip arthroplasty surgery 12 weeks afterwards. Complete healing of the infection and recovery of pain-free joint motion was noted at 1 year follow-up.
Hayat Bilgisi Dersi “Okulumuzda Hayat” ve “Evimizde Hayat” Ünitelerinin Çocukların Hayal Gücünü Destekleme Durumlarının Değerlendirilmesi
Authors: AYDIN Yıldıray , OKSAL Aynur
Published: November 2022

Araştırmanın amacı Hayat Bilgisi dersi “Okulumuzda Hayat” ve “Evimizde Hayat” ünitelerinin çocukların hayal gücünü destekleme durumlarının değerlendirilmesidir. Bu bağlamda araştırma fenomenolojik yaklaşım temel alınarak sanat temelli metodoloji ile yürütülmüştür. Gerekli literatür taraması yapıldıktan sonra son şekli verilen yarı yapılandırılmış görüşme formu, araştırmacı tarafından öğrencilere dağıtılmış, bir ders saati içinde veri toplama süreci tamamlanmıştır. Hayallerini ifade etmede çizim yapamayan öğrencilerden, hayallerini yazarak anlatmaları istenmiştir. Araştırma, 2018-2019 eğitim öğretim yılında Bursa ilinde bir resmi ilkokulda 4. sınıfa devam eden 31 öğrenci ve 2019-2020 eğitim öğretim yılında Muğla ilinde bir resmi ilkokulda 4. sınıfa devam eden 11 öğrenci ile yapılmıştır. Araştırmaya katılan 4. sınıf öğrencilerinin yaş aralığı değerlendirildiğinde, çocuk resmi gelişim dönemi olarak Gerçekçilik (gruplaşma) dönemi (9-12 yaş) özellikleri karşımıza çıkmaktadır. Bu bağlamda araştırmanın ikinci alt problemine ait veriler çocuk resmi gelişim dönemleri dikkate alınarak analiz edilmiştir. Birinci, üçüncü ve dördüncü alt probleme ait veriler ise betimsel ve içerik analizi yardımıyla çözümlenmiştir. Araştırmanın bulgularından elde edilen sonuca göre, Hayat Bilgisi dersi Okulumuzda Hayat ve Evimizde Hayat ünitelerinin çocukların hayal gücü gelişimini destekleme sürecinde zengin imge, kavram ve fikir sunamadığı görüşü ortaya çıkmıştır.
Doğum Yapmış Kadınlar ile hiç Doğum Yapmamış Kadınların Antropometrik Ölçümlerinin Karşılaştırılması
Authors: SARĞIN Gülüm , DEMİR Canan
Published: November 2022

ÖZET

Giriş: : Yetişkinlerde vücut ölçümleri, sağlık ve beslenme durumunu ve gelecekteki hastalık riskini değerlendirmeye yardımcı olabildiği için antropometrik ölçümler en sık kullanılan yöntemlerdir.

Amaç: Bu çalışmanın amacı, Van’da yaşayan ve herhangi bir sosyal aktivitesi olmayan doğum yapmış kadınlar ile hiç doğum yapmamış kadınların yaş, boy, vücut ağırlığı, bel çevresi ve Beden Kitle İndeksi (BKİ)’sini karşılaştırmak ve oluşabilecek sağlık sorunları için risk faktörlerini değerlendirmektir.

Yöntem: Van’da sedanter bir yaşam tarzı olan hiç doğum yapmayan ve doğum yapmış 100 gönüllü kadından antropometrik ölçümler alındı. Katılımcıların yaş, boy, vücut ağırlığı, bel çevresi ölçüldü. Alınan bu ölçümlerden BKİ’leri hesaplandı. Veri analizlerinde SPSS 13 kullanıldı.

Bulgu: Kadınların yaş ve boy uzunlukları ortalamaları istatistik olarak anlamlı bulunmaz iken ağırlık, bel ve BKİ için ortalamaları istatistik olarak anlamlı bulunmuştur.

Sonuç: Kadınlarda ağırlık değişiminin dağılımı (%) çok sayıda sonuç gösterse de, hamilelik doğum sonrası kilo artışı için bir risk faktörü olmaktadır. Bazı kadınlar için hamilelik, vücut ağırlığında artış ile birlikte obezite gelişimi için oldukça tetikleyici bir faktördür. Bununla birlikte ortaya çıkabilecek kronik hastalıklarında oluşmasında risk oluşturabilir.
Göğüs Hastalıkları Servisinde Yatan Hastalardan İzole Edilen Gram Negatif Bakteri Profili ve Antibiyotik Dirençliliğinin Değerlendirilmesi: Van Ölçekli Retrospektif Çalışma
Authors: BUZKURT Müslüm , BORA Gulhan , SÜNNETÇİOĞLU Aysel , AKGÜL Ömer , AYDIN Hakan
Published: November 2022

Amaç: Pnömoni, KOAH, Bronşektazi, Hışıltı (Wheezing), Astım ve Bronşit tanıları ile göğüs hastalıkları servisine başvuruda bulunan hastaların balgam kültür sonuçlarında üreyen bakteri/bakterilerin antibiyotik direnç profillerinin belirlenmesidir.
Materyal ve Metot: Ocak 2021- Şubat 2022 tarihleri arasında Göğüs Hastalıkları Servisinde yatarak tedavi gören Pnömoni, KOAH, Bronşektazi, Hışıltı (Wheezing), Astım ve Bronşit tanılı olgularda çalışılan balgam kültürleri, üreyen mikroorganizmalar ve antibiyotik dirençleri retrospektif olarak tarandı. 20-87 yaş arası; yaş ortalaması 36,2 olan, 295’i (%59) erkek, 205’i (%41) kadın olmak üzere toplam 500 hasta izlendi. Kültürde üremesi olmayan hastalar çalışmaya dahil edilmedi.
Bulgular: 30 hastada Acinetobacter baumannii/haemolyticus, 16 hastada Enterobacter cloacae, 97 hastada Escherichia coli, 28 hastada Gram - Bacilli 12 hastada Haemophilus influenzae, 13 hastada Klebsiella oxytoca, 42 hastada Klebsiella pneumoniae, 13 hastada Klebsiella pneumoniae ssp ozaenae, 79 hastada Klebsiella pneumoniae ssp pneumoniae, 11 hastada Klebsiella species, 20 hastada Pseudomonas aeruginosa, 78 hastada Staphylococcus aureus ve 7 hastada Streptococcus pneumoniae) bakterisi üremiştir. Balgam kültürlerinde yoğun olarak üreyen bakterilerin antibiyotik dirençliliğine bakıldığımızda; Escherichia Coli, Amikasın (%16,4), Trimetoprim+ Sulfametaksazol (%8,24), Aztreonam (%9,27), Cefazolin (%6,18), Sefaperazon/Sulbaktam (%15,46), Ceftazidim (%20,61), Ampisilin+ Sulbaktam (%10,30), Cefotaxim (%13,40), Cefoxitim (%4,12), Piperasilin+ Tazobaktam (%14,43). Acinetobacter Baumanni, Amikasın (%13,33), Trimetoprim + Sulfametaksazol (%16,66), Aztreonam (%10,00), Cefazolin (%10,00), Sefaperazon/Sulbaktam (%3,33), Ceftazidim (%13,33), Ampisilin + Sulbaktam (%6,66), Cefotaxim (%10,00), Cefoxitim (%6,66), Piperasilin + Tazobaktam (%10,00). Pseudomonas Aeruginosa, Amikasın (%20,00), Trimetoprim + Sulfametaksazol (%15,00), Aztreonam (%10,00), Cefazolin (%10,00), Sefaperazon/Sulbaktam (%5,00), Ceftazidim (%5,00), Ampisilin + Sulbaktam (%15,00), Cefotaxim (%10,00), Cefoxitim (%5,00), Piperasilin + Tazobaktam (%5,00). Klebsiella Pneumonia Ssp, Amikasın (%8,86), Trimetoprim + Sulfametaksazol (%7,59), Aztreonam (%20,25), Cefazolin (%10,12), Sefaperazon/Sulbaktam (%5,06), Ceftazidim (%3,79), Ampisilin + Sulbaktam (%16,45), Cefotaxim (%11,39), Cefoxitim (%2,53), Piperasilin + Tazobaktam (%13,92).
Sonuç: Pnömoni, KOAH, Bronşektazi, Wheezing, Astım ve Bronşit tanılı, mikroorganizma kökenli etkilenimi olan hastalarda izole edilen bakteriler ve bu bakterilere karşı duyarlılık-dirençlilik verilerine göre ampirik tedavi başlanması önemlidir.
Otlu Peynirlerde Listeria monocytogenes'in Olgunlaşma Boyunca Canlı Kalma Süresi
Authors: TUNCAY Rabia Mehtap , SANCAK Yakup Can
Published: November 2022

Bu araştırma, Van piyasasından toplanan Otlu peynir örneklerden identifiye edilen Listeria monocytogenes suşları ile farklı düzeylerde kontamine edilen çiğ sütten deneysel olarak ayrı ayrı üretilen Otlu peynirlerde olgunlaşma süresince L. monocytogenes’in canlı kalabilme kabiliyetini belirlemek amacıyla gerçekleştirilmiştir. Sütlere örneklerden identifiye edilen ve Real-time PCR’da doğrulanan iki adet saha ve bir adet referans L. monocytogenes suşu 101, 103 ve 105 kob/ml düzeylerinde katıldı. L. monocytogenes katılarak üretilen Otlu peynirler salamurada 90 gün süreyle olgunlaştırılmış ve L. monocytogenes’in canlı kalma süreleri ile peynirde meydana gelen mikrobiyolojik ve kimyasal değişimler incelenmiştir. Deneysel Otlu peynir gruplarında L. monocytogenes sayıları farklı şekillerde seyrederek olgunlaşmanın 50. gününden itibaren bazı gruplarda izole edilememiştir. Olgunlaşmanın 75. gününden sonraki analizlerde ise hiçbir grupta L. monocytogenes tespit edilememiştir
Rezension von: Wunder, Bernd, Kleine Geschichte des Herzogtums Württemberg
Authors: Kohl Herbert , Wunder Bernd
Published: November 2022

Bernd Wunder: Kleine Geschichte des Herzogtums Württemberg. Leinfelden-Echterdingen (DRW) 2009. 213 S., zahlreiche Abb.
Description of a new species of Xanthodaphne Powell, 1942 from the Mediterranean and Eastern Atlantic Ocean
Authors: Nappo Andrea , Pagli Attilio
Published: November 2022

A new species included in the genus Xanthodaphne Powell, 1942, X. alessandropaglii sp. nov., is described on the basis of its morphological features. The species has been found in the Alboran Sea, Bay of Biscay and in the Selvagens Islands. It is characterized by its slender and very thin shell, with fine spiral sculpture.
Contributions to the malacology of Malta, IV & V: Second European record of Paropeas achatinaceum (L. Pfeiffer, 1846) (Gastropoda, Achatinidae) and an annotated checklist of allochthonous non-marine gastropods
Authors: Cilia David P. , Nappo Andrea , Cardona Stephen
Published: November 2022

The first record in Malta, and the second record in Europe, of the tropical terrestrial gastropod Paropeas achatinaceum (L. Pfeiffer, 1846) is presented, with an annotated bibliography of the allochthonous (and non-marine) gastropod fauna hitherto recorded from the Maltese archipelago.
Multilingual Approach in Foreign Language Teaching Applied in Present Engineering Education
Authors:   University of Mining and Geology St. Ivan Rilski, Vukadinova Tsvetelina , Terzieva Senia ,   University of Chemical Technology and Metallurgy, Javorova Juliana ,   University of Chemical Technology and Metallurgy
Published: November 2022

This article examines the results of a study in the discipline “Technical Mechanics”. This study was conducted among 1st and 2nd year students from the University of Chemical Technology and Metallurgy (UCTM), vocational field 5.10 “Chemical Technology”. This paper is the continuation of a previous experiment conducted by the authors, and concerning the study of thesaurus and development of language competences among students from engineering specialties. The present study was conducted during the past academic year at the UCTM. A multilingual educational tool was developed and applied in order to support and improve the learning process in specialized foreign language classes. The motive is to ascertain the effectiveness of the experimental educational tool for the students.
Speech Strategies in Presidential Candidate Debates
Authors:   Sofia University, Nacheva Antoaneta
Published: November 2022

The article is dedicated to the presidential candidate debate between the current President Rumen Radev and Prof. Anastas Gerdzhikov. The research traces whether their vocabulary adheres to the official discourse, how dynamic it is and whether it answers to the requirements of high speech etiquette. On the other hand, it examines certain phonetic features, such as tempo, intonation, logical stress, repetitions, etc. The study directly observes at what point the debaters abandon the formal high speech etiquette and lose ground in the argument. The object of linguistic analysis is also the length of sentences, the number of words used, and self-talk. Finally, the question of what is the goal of this is also raised: whether they eloquently persuade the electorate and draw approval and interest upon themselves, or whether they achieve the opposite - the disapproval and disaffection of the audience.
38 English Teaching Assistants Will Teach in Bulgarian Schools and Universities in the Academic Year 2022/2023
Authors:   South-West University “Neofit Rilski”, Kostadinova Dafina
Published: November 2022

This article examines the useful collaboration in the classroom between the foreign language teacher and the native speaker. With the help of the Fulbright Foundation, assistant teachers from the United States who have earned bachelor's degrees and have teaching experience are helping in Bulgarian schools and universities in English language classes.
Center of Attention
Authors:   Character Lab, Holmes Cassie
Published: November 2022

Ashley and I have been friends since we were 12 years old. When we find a way to schedule a dinner for just the two of us, away from kids and work and endless to-do lists, it’s a special treat. As we sat down, Ashley placed her phone face down on the table. “Aren’t you proud of me? This way I won’t be distracted.”
Inpatient Motivational Interventions for Substance Use Disorder
Authors:   Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California, USA, Raheemullah Amer , Magana Marie ,   Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California, USA
Published: November 2022

The addiction crisis continues to grow at an exponential rate in the United States. The high concentration of hospitalized substance use disorder (SUD) patients makes the hospital setting a critical opportunity to provide SUD interventions. Inpatient clinicians play an important role in motivating and treating SUD patients. Physicians and advanced practice providers see patients at least daily and nurse clinicians have the advantage of visiting patients several times throughout the day. They can have a significant impact on SUD patients with a few simple strategies shown to enhance a patient’s motivation to change. Identifying the patient’s stage of change and practicing a handful of interventions relevant to that stage is a great starting point. The goal is to make the most out of each interaction. This introduction to motivational interviewing outlines simple strategies that any clinician can start using immediately to motivate SUD patients to change.
Marcadores tumorais no diagnóstico de neoplasia de Tireoide: revisão sistemática
Authors: de Castro Júlia Araújo , Rebelo Ana Catarina Dutra , Saraiva Yanes Lara dos Santos , Lacerda Anah Clara dos Santos , De Moura Hamilton Walrobert Azevedo , Silva Thalita Giovana Diniz , Santana Monique Freire
Published: November 2022

O diagnóstico de neoplasias tireoidianas evolui através de métodos histológicos e citológicos no qual algumas substâncias podem ser utilizadas como marcadores tumorais para auxílio no diagnóstico e seguimento dessas neoplasias. Tem-se por objetivo identificar os marcadores tumorais utilizados no diagnóstico de neoplasias tireoidianas com enfoque em caracterizar lesões benignas e malignas.
‘Palyatif Toplum: Günümüzde Acı’ Üzerine Bir İnceleme
Authors: ALTAY Recep
Published: November 2022

Bu çalışma kapsamında, Güney Koreli Yazar ve Kültür Kuramcısı Byung- Chul Han’ın Temmuz 2022’de 2. baskısı yapılan ve Haluk Barışcan’ın Türkçe çevirisiyle literatüre kazandırılan ‘Palyatif Toplum: Günümüzde Acı’ adlı eseri incelenmiştir.
Risonanze pragmaticistiche in T. Kuhn
Authors: Giovedì Davide
Published: November 2022

La struttura delle rivoluzioni scientifiche, dopo più di mezzo secolo dalla sua pubblicazione, è ancora in grado di offrire un contributo alla pratica filosofica? In questo articolo, attraverso i concetti peirceani di Abito, Abduzione e Verità, si propone una lettura pragmaticista del testo di Kuhn che intende rilanciare un fecondo confronto, ancora poco considerato, tra i due filosofi.
Discorso filosofico, esperienza e soggettività
Authors: Di Prospero Alfonso
Published: November 2022

Nella filosofia vi sono dimensioni di tipo pubblico e politico e dimensioni che sono essenzialmente di carattere individuale. C'è qualcosa di simile a un confine tra questi due piani? È in qualche modo individuabile? Quali sono i limiti dell'influenza sociale sulla mente del singolo? Faccio riferimento in questo scritto alle opere di Piaget, Nietzsche, Foucault, Elias. I principali strumenti concettuali che utilizzo sono connessi con la funzione dell'esperienza e dell'induzione.
Framing a maturity model for business model innovation
Authors: Steinhöfel Erik , Hussinki Henri , Breunig Karl Joachim
Published: November 2022

Purpose: The aim of this conceptual study is bridging established theory on maturity models and business model innovation. The paper identifies boundary conditions and necessary steps for the design of an integrated maturity model for business model innovation. This contribution establishes a foundation that enables the assessment through selection of improvement measures and benchmarking.

Design/methodology/approach: The paper systematically assesses the extant literature to establish ontological consistency in the bridging attempt and defines the boundary conditions and specific steps for subsequent model development.

Findings: Prior published research only to a limited degree relates maturity model to business model innovation. Our assessment of extant literature reveals how innovation maturity models exhibit an extensive variety with regard to their application domain, number, and descriptors of dimensions, level of granularity, the design process, as well as empirical validation and the consideration of business model aspects. Based on these insights, the focus, scope, and steps towards a maturity model for business model innovation were defined.

Originality/value: The results of the research provide an important foundation for further research and development steps towards a maturity model for business model innovation. Furthermore, the detailed analysis of innovation maturity models has potential to be used as a basis for the development of other maturity models in the innovation domain and as a blueprint for analyzing future maturity models in detail.
Oxidation of a 2wt.%Hf–doped (Ta,C)-rich nickel–based alloy between 1100 and 1250°C
Authors:   Institut Jean Lamour, Université de Lorraine, Nancy, 54000, France, Berthod Patrice , Kane Dame Assane ,   Faculté des Sciences and Technologies, Université de Lorraine, Vandoeuvre-lès-Nancy, 54500, France, Aranda Lionel ,   Institut Jean Lamour, Université de Lorraine, Nancy, 54000, France
Published: November 2022

In this work, an alloy based on nickel, rich in chromium and designed to be reinforced by MC carbides thanks to the presence of 4wt.% Ta and 2wt.% Hf, was elaborated by conventional casting and exposed to air at three temperatures ranging from 1100 to 1250°C, with follow up of the mass changes due to oxidation. The as–cast microstructure is composed of a dendritic matrix and of eutectic carbides of two types. The major type is (Ta,Hf)C carbide and a minor type is chromium carbide. The isothermal mass gains are slow and their kinetics are of a parabolic type at all temperatures. The alloy demonstrated a chromia–forming behavior in all cases, with the development of an external continuous chromia scale and an internal layer of complex oxide Cr(Ta,Hf)O4. The stability of the external scale during cooling was dependent on the quantity of oxides isothermally formed, i.e. on the oxidation temperature for a given duration. The behavior of the alloy in isothermal oxidation at the considered temperatures is satisfactory but solutions must be found for improving the resistance against cyclic oxidation for the highest temperatures.
A Bioinformatic Studies of Moringaoleifera L. as A Gout Drug
Authors: Nevriansyah Eko , Deasycha Novelidia Pramesta  , Aulia Busman Rezi , Handri Silvi
Published: November 2022

Moringaoleifera Lam. (MO) is a plant that has been widely known for its usefulness by the people of Indonesia which is called Moringa. MO belongs to the Moringaceae family. Moringa plant is a local food material that has the potential to be developed to cure uric acid naturally, because the moringa leaves contain active compounds, namely phlovonoids and alkaloids which can prevent the formation of uric acid, besides that Moringa leaves can also be used as anti-inflammatory (inflammation) and analgesic (pain reliever). Gout is a disease of purine metabolic waste products that come from the food we eat. This disorder is associated with the accumulation of urosal crystals monosodium monohydrate and in the later stages of degeneration of joint cartilage, the incidence of gout is 1-2%, especially occurs at the age of 30-40 years and 20 times more often in men than in women. The method used is a computational study using various bioinformatics applications. From the research results, it was found that the active compound in Moringa leaves is effective as a uric acid drug.

 

Keywords: Alkaloids; Curcuma; Moringaoleifera lam. (MO); Phlovonoids; Uric acid
PROTOTYPE OF HEXAGONAL PHOTO-REACTOR FOR DEGRADATION HUMIC ACID USING CU-ZNO AS A CATALYST IN VISIBLE LIGHTS
Authors: Yan Hawari Fauzan , Safitri Hana , Kharisma Anjali Ghoury , Anika Putri Intan , Noveliza Sintia , Faradina Rela
Published: November 2022

Humic acid is a heterogeneous organic compound that is carcinogenic in peat water and is very difficult to degrade biologically. Water is a source of life, therefore the need for clean water is increasing. This study aims to carry out the degradation of humic acid using the photocatalytic method. Photocatalysis is the degradation of humic acid using light in the presence of a photocatalyst in the reaction process. The photocatalyst used in this study was 7% Cu doped ZnO. The Cu doped ZnO used with a band gap of 2.57 eV and a particle size of 27 nm. In this study, the humic acid degradation process used a hexagonal photo reactor with various stirring speeds of 500, 1000, 1500 rpm and without stirring. The degradation process is carried out using outdoor light (direct sun). The light intensity can be measured using lightmeters on the front and rear of the reactor. The degradation process uses variations in irradiation time of 1, 2, 3, 4 and 5 hours. The degradation results were measured using a UV-Vis spectrophotometer to see the absorbance before and before degradation. The results of this study obtained the highest percentage degradation at the speed of each stirring of 500 rpm of 90.09% at 5 hours of irradiation, 1000 rpm of 97.37% at 5 hours of irradiation, 1500 rpm of 97.79% at 5 hours of irradiation. hours and without stirring of 71.71% at 5 hours of irradiation. The maximum degradation concentration in this study was obtained at a stirring speed of 1500 rpm and an irradiation time of 5 hours. The speed and irradiation time have an influence on the degradation results obtained.