bluuebunny/crossref_metadata_2025 huggingface dataset:
Water usage under the concession model in the law of Republika Srpska
Authors: Čubrilović-Stamenić Bosiljka
Published: November 2023

The author's interest in water usage under the concession model envisaged in the domestic legislation of Republika Srpska was sparked by the Decision of the Constitutional Court of Bosnia and Herzegovina in Case No. U-16/20. The analysis of this decision has paved the way for broader reflection, leading to further research which resulted in the creation of this article. Methodologically, the paper is rooted in the normative analysis of the Concessions Act and the Real Rights Act, the latter being the primary legislative act when discussing real property institutions in Republika Srpska. While the initial segment of this article addresses the specific legal regulation of certain kinds of properties and delineates the concepts of water, water assets, and water entities as subjects of property rights, the main focus is on pertinent issues related to water as the subject matter of concession. The scope of concession can encompass a vast array of economic activities. In the context of water, it typically pertains to the utilization of public water assets (e.g., water for technological processes in economic activities, water and waterfronts for hydro reservoirs, swimming pools, ponds, waterfronts for conducting certain economic tasks, and extraction of materials from waterways). Furthermore, the energy potential of water can be tapped when the objective of concession is the construction and operation of energy plants, which stand as one of the paramount economic facets of water utilization. The concluding section delves into the Constitutional Court's practices regarding the concession institution, as well as the notion of "state property" as an increasingly emphasized topic in domestic jurisprudence.
Meta-Aggregation: Methodological Guidance and Lessons Learned on an Approach to Qualitative Synthesis for Mathematics Education Research
Authors: Maeda Yukiko , Kenney Rachael H. , Lolkus Michael
Published: November 2023

In this Research Commentary, we address a call to translate qualitative educational research into practice by highlighting the potential of the qualitative synthesis methodology, which thus far has had limited guidelines and exemplars in mathematics education research. We contribute methodological guidance on one qualitative synthesis approach, meta-aggregation, by sharing experiences and lessons learned from using this approach in mathematics education. We discuss how and why researchers can normalize the use of this synthesis approach to influence policies and practices in mathematics teaching and learning. By sharing our experiences and insights on meta-aggregation components, we aim to support and motivate future development and application of qualitative synthesis in mathematics education research.
A vezető tisztségviselő jogállása és felelőssége a társasági modellek és a hatályos jogi szabályozás tükrében
Authors: Németh Erika
Published: November 2023

A cikk a vezető tisztségviselő jogállását és felelősségét a társasági modellek és a hatályos jogi szabályozás tükrében vizsgálja. Helyet kap a cikkben a vezetői jogviszony fogalmának, és jellegadó sajátosságának a bemutatása. A cikk fókuszában a jogi felelősség elemzése áll, mely kiterjed a hatályos szabályozás teljes körű áttekintésére, érintve a vezető tisztségviselő külső, belső, és a társaság jogutód nélküli megszűnése esetén irányadó megújult felelősségi szabályokat. A felelősségi tényállások mellett az új Ptk. talaján kialakult bírói gyakorlat elemzésére is sor kerül, azzal a céllal, hogy a jogszöveg hatályosulását elősegítette-e a kialakulóban lévő felsőbb bírói gyakorlat a korlátozott precedensrendszer hatásainak az érvényesülése mellett. A jogi felelősséget szabályozó normák mellett a cikk a modern menedzsment számos technikáját, mint jogon kívüli eszközök hatását is értékeli a vezetői jogviszony szemszögéből, a mai vezetés elméletek, társaságirányítási modellek és üzleti magatartási normák jogon kívüli eszközrendszerének hatásait elemezve.
ЕКОЛОГІЧНІ АСПЕКТИ СВІТОГЛЯДНОЇ ПОЗИЦІЇ МАЙБУТНЬОГО ФАХІВЦЯ
Authors: В.М. Хрик , І.Е. Повлін , І.В. Мозуль
Published: November 2023

У статті розглянуті екологічні аспекти світоглядної позиції майбутнього фахівця. Означено дві позиції у формуванні екологічної культури особистості. Визначено основні завдання виховання. Зазначено, що сучасна екологічна криза викликана проблемами людини, що торкаються системи цінностей, ціннісних орієнтацій, свідомості та світогляду
КУЛЬТУРНО-МИСТЕЦЬКИЙ РОЗВИТОК БУКОВИНИ ХІХ СТОЛІТТЯ
Authors: Я.М. Вишпінська
Published: November 2023

У статті дана комплексна оцінка формування культурно-мистецького середовища Буковини і Чернівців, та впливу всесвітньовідомих композиторів, музикантів і можновладців на процес зародження комунікативних практик у середовищі вищого товариства краю у ХІХ ст. Розглянуто практику використання салонного музикування, запровадження інституту гувернерства в заможних родинах землевласників, заснування музичних товариств, як складових становлення музичної освіти й розвитку міжкультурної комунікації засобами музичного мистецтва. Показано особливості втілення загальноєвропейських процесів романтизму на Буковині крізь призму дослідження композиторами краю К. Мікулі, С. Воробкевичем музичного фольклору й народної творчості регіону Ключові слова: комунікативні практики, світське товариство Буковини, салонне музикування, музично-культурна комунікація
Violence Against Women and Gender Equality in the Philippines: Are they Related?
Authors: Jabin J. Deguma  , Emerson D. Peteros  , Melona S. Case  , Vicente J. Igot
Published: November 2023

The Philippine Commission on Women furthered campaign in promoting gender equality in the Philippines which has been a socio-cultural issue over the past years. The strict implementation of the law may have caused Filipino women to speak up and report abuses against them. The study determined the model for the trends, a sample forecast for the next 10 years, and relatedness of the reported crime of violence against women and the Gender Gap Index (GGI) in the Philippines. It retrieved data from the reports of the Philippines Statistics Authority and of the World Economic Forum from 2006 to 2017 through data mining. This study employed descriptive methods via time trend analyses using Minitab R and Symbolic Regression using Eureqa Pro R . Using time trend analysis, the reported cases of violence against women fits the Quadratic Trend Model (MAD=1968) while the quality of gender equality in the Philippines fits the Linear Trend Model (MAD=0.00306). Both reports are forecasted to be increasing for the next 10 years. The symbolic regression analysis provided a forecasted relatedness of the reported cases of violence against women (R=0.9958, R2=0.9911, MAE=0.00067) to GGI. The reported cases of violence against women have a 73% positive association of increasing GGI. Such disclosure supports the necessity of pragmatically real social action from governmental and non-governmental organizations which prevent the occurrence of the crime of violence against women in the future and increase gender equality to promote social welfare as part of the sustainable development goals.
Morphological Variations of the Dialects in Western and Southern Leyte
Authors: Norlyn L. Borong
Published: November 2023

Every language has its own characteristics. This study aims to find out the morphological variations of the dialect of Western and Southern Leytenos. This study used a descriptive design wherein the researcher used two kinds of instruments. This study involved 130 respondents who were purposely selected according to age and location. Results revealed that the language of Western and Southern Leyte were composed of root words, repeated, and affixes. Western and Southern Leyte languages were composed of three kinds of pagbabagong morpoponemiko (morphophonemic change). These were pagpapalit ponema (phonemic change), pagkakaltas (omission of phonemes), and metatesis (metathesis). There were phonemes which were replaced without changing its meaning such as /l-w/, /m-n/, /i-a/ /a-u/, /l-k/, , /s-l/, /r-n/, /r/, /d/, /r-h/, /g-s/, /u-i/, /h-k/, /s-t/, /j-y/, /w-t/ and /s-l/. The language of Southern Leyte has more omitted phonemes than that of Western Leyte but the omission did not change its meaning. One of the changes in pagbabagong morpoponemiko (morphophonemic change) was metatesis (metathesis) where there was a change in the positioning of phonemes in words. There was a morphological variation of Western and Southern Leytenos’ dialect. Therefore, it is suggested to conduct a study on morphological and phonological variation in Western and Southern Leyte in order to produce booklets which may be utilized as a guide/resource for the teachers who are handling mother tongue subjects.
Measuring Financial Health of Selected Cooperatives in an ASEAN Province Using Altman Model
Authors: Melvin S. Sarsale
Published: November 2023

The application of the Altman model concentrated mostly on investor-owned companies. Only rare studies apply this model among cooperatives, particularly in the Philippine setting. This paper attempts to address this gap by using this model in measuring the financial health of cooperatives in a Philippine province. This study employs the document analysis method as it uses the financial information from the published annual reports covering from 2011 to 2015. This study applies a two-stage sampling technique in choosing the representative cooperatives. Findings revealed that large cooperatives fell into the gray zone that poses potential risks of business failure as contributed by low liquidity, profitability, and solvency measures even though these cooperatives have relatively more assets and high membership levels than medium and small cooperatives. Medium and small cooperatives fell into a safe zone in which getting bankrupt is very unlikely to happen. Findings also showed that the size and age of cooperatives have a significant inverse relationship with their financial health. Further analysis revealed that closed-type, small cooperatives exhibited better performance compared to medium and large, open-type cooperatives, as shown in its high scores in liquidity and solvency factors. In summary, this model can be a tool for gauging the financial health of cooperatives.
Prevalence of English (L2) Lexicon in Conversations of Waray (L1) Speakers: What are we doing with these children?
Authors: Erlinda D. Tibus  , Voltaire A. Oyzon  , Hermabeth O. Bendulo  , Rhodora A. Bande
Published: November 2023

The intermeshing of languages is a natural feature in multilingual societies, like the Philippines. Using the corpus-based design, this study investigated the prevalence of English words that the 3-5-year-old Waray children use as they learn to speak Waray as their first language (L1). Participants of this study were 397 pairs, or 794, of children from Leyte, Samar, and Eastern Samar. About 30-minute conversation per domain was recorded. All the transcripts of these conversations of Waray children, which were used as the corpus (85,503 words/a total of 595.5 hours of conversation) taken from three domains, such as the home, playground, and school, were uploaded to the 3NS Corpora Project. The software generated the first 1,000 high-frequency L2 words mixed in the Waray conversations. Sixteen semantic domains were identified. Semantic domains containing relatively more words were action words, toys/superheroes, and animals. Semantic domains with relatively small numbers of words were shapes, parts of the body, and colors. The children’s language as apparent in the semantic domains is strongly influenced by culture and immersion to the environment which led them to mish-mash. Moreover, lexis development is simultaneous with grammar development. This result means that children are learning English (L2) grammar as they acquire the grammar of Waray (L1) which is abundantly existent in the culture and environment where these children are immersed. However, further research must be conducted to validate if these children are learning English as they acquire their L1.
TRADE-OFF METHOD FOR CRITERIA DEVELOPMENT IN PERFORMANCE EVALUATION OF STUDENT SERVICES UNITS
Authors: Ariel B. Lunzaga  , Lilibeth S. Tindugan
Published: November 2023

The role of evaluation as part in the execution of organizational plans continue to hold its place in determining the effectiveness of programs, projects, and activities. Aimed to respond and cater genuinely the needs and welfare of the whole student body, this qualitative-quantitative study determines the criteria for measuring the performance of the nine units of the Office of Student Services (OSS) of SLSU-Tomas Oppus, on the basis of the clients’ opinions, thoughts, or judgment. A pilot tested opinionnaire was transformed into a questionnaire in which criteria was set by the respondents. With the identified criteria, another questionnaire was derived where the two pair system of modified Delphi Method of the evaluation was utilized, trading a criterion in a pair to test their stability. Significant trade-offs of criteria were observed in the Admission and Retention Unit and Food Services Unit. The criteria derived speak of convenience of procedures and schemes; benefits for students; attitude and expertise of personnel; availability of resources; quality of service and clean environment; functionality and security of building and facilities; prompt production and distribution of publication; organization officers’ character and know-how in managing responsibilities and accountabilities; and support for the development of the University. Hence, the tool for the evaluation of OSS units is made on these bases.
MODELLING PREDICTORS OF ENGLISH PROFICIENCY VIA REASONING ATTRIBUTES AMONG COLLEGE FRESHMEN
Authors: Juanita M. Costillas  , Lorelie P. Duarte
Published: November 2023

This study determined the model that most likely predicts English Proficiency among freshmen. Through secondary data analysis with 277 out of 554 freshmen who were randomly selected, majority were found to be on the below average level, both verbal and non-verbal reasoning attributes. Linear Regression and General Linear Models show the independent variables that most likely predict English Proficiency are verbal comprehension, verbal reasoning, figural reasoning, sex and course enrolled specifically engineering courses. Thus, this study supports James (1950), Freud (1953) and Donges (2001) who pointed out making connections on the importance of reasoning attributes towards mathematics skills of students. This is where the dual process and filtering observation theories are substantiated relative to predicting English Proficiency.
Hidden Dimensions of Global Carbon Emissions
Authors: Joey A. Caraquil  , Clemente H. Cobilla  , Constantino G. Medilo, Jr.
Published: November 2023

This study intended to uncover the possible hidden dimensions associated with the type of distribution of global carbon dioxide emissions. Using fractal analysis, the number of underlying dimensions associated with such phenomenon was determined using the global distribution of carbon dioxide emission mined from the United Nations Development Program reports. It was found out that the global carbon dioxide distribution is no longer in its natural state (the distribution being not fractal), with fossil fuel consumption and the level of economic development as the major factors of its current state of distribution. Finding alternative ways to reduce fossil fuel consumption is recommended since currently the world is very much dependent on fossil fuels.
What Can Municipalities Do to Enhance Competitive Advantage?
Authors: Constantino G. Medilo Jr.  , Frederick C. Aniga
Published: November 2023

This study provided evidence on how to attain competitive advantage in rural areas based on the characteristics of competitive communities. The features of competitive communities are from all the 18 municipalities in the province of Southern Leyte, Philippines. This paper used the endogenous growth model as a springboard in analyzing how to attain competitive advantage in the local economy through discriminant analysis. The results showed an 89.5% chance of being correct and identified ten municipalities in the province of Southern Leyte area, which have attained competitive advantage. The results further showed that to become a competitive municipality, Local Government Units (LGU) will have to increase density, increase area, improve revenue classification, and increase the number of gainful workers. Also, to become a competitive municipality, the LGU must also decrease the average household size, the rate of population increase, and its exposure to natural hazards. This study suggests that endogenous growth factors are essential for a community to become economically competitive.
INNOVATIVE TEACHING AND LEARNING OF MASTER IN MANAGEMENT PROGRAM TOWARDS OPEN EDUCATION
Authors: Juanita M. Costillas  , Gloria M. Reyes  , Pham Tiet Khanh
Published: November 2023

This study evaluates teaching and learning innovations of SLSU-Philippines and TVU-Vietnam in implementing Master in Management based on CIPP evaluation framework of Stufflebeam (2007). Data gathered from program managers, teachers and students revealed teaching and learning were on digital multimedia, specifically a mixed of e-learning and face to face sessions. Modalities include face to face with teaching assistant (dominates majority of the time), emails, chats, Facebook, Skype, texts and phone calls. Online consultations form part of completing a subject. English support was commendable (60% were pleased and 40% very pleased) contributing to the success of delivering the program.
The Gravity Model of Tourism Demand in the Philippines
Authors: Chariss C. Verdida  , Lemuel S. Preciados
Published: November 2023

This study has empirically examined the validity of gravity theorem in the context of international tourism demand in the Philippines. There is a growing trend of tourist arrivals in the Philippines and the benefits that the country gained from the tourism sector is increasing. The factors that explain these trends are therefore important to be fully understood given the significant contribution of the tourism sector in the socio-economic growth of the country. In this study, a panel data was set-up through statistical software consisting of 27 time-series set from 1991-2017 with the top 20 countries visiting the Philippines. Estimates from the random effects model show that gross domestic product, direct flights, common colonizers, population and distance have significantly affected tourism inflows in the Philippines over time. Results from both the classical and augmented gravity models conform to the prediction of gravity theorem that inflows of tourists in the Philippines are coming from countries with larger GDP and coming from countries that are closer in distance from the Philippines. Based on the results, the Philippines has to establish more direct flights with the identified origin countries of the tourists to increase international tourism demand and to further enhance the tourism sector’s contribution to the country’s economic growth.
Quality of Mathematics Teacher Educator’s Instruction in the Classroom of College of Teacher Education in Ethiopia
Authors: Anteneh Tefera  , Mulugeta Atnafu  , Kassa Michael
Published: November 2023

The main objective of this study was to examine the quality of teaching-learning processes that occurred in the classroom of colleges of teacher education. To achieve this, classroom observations through video recording as an instrument were used. The sources of data were teacher educators in three different colleges of teacher education: Kotebe Metropolitan University, Hawassa College of teacher education, and Arba Minch College of teacher education. The study followed mixed research methods. It was also non-experimental and employed a survey research design. The video analysis indicated that the teaching-learning process in the college of teacher education especially in mathematics class was predominantly lecture method (only talk and chalk method) and students were very passive. Students only copy notes from the board, no group discussion, no presentation except in Teaching Mathematics-II course class. In addition, appropriate teacher-students and student-content interactions were not commonly observed in the classroom. General observation indicates that the instruction is not quality enough that would inhibit the development of pre-service mathematics teachers’ knowledge of mathematics content, teaching skills, and behavior. Finally, suggestion for stakeholders was forwarded based on the result of the study.
Online Microteaching Lesson Study: An Approach to Improve Prospective Elementary Teachers’ Subject Matter Knowledge in Chemistry
Authors: Joey-Nell T. Marzan  , Wilfred B. Bambico
Published: November 2023

The abrupt changes in teacher training brought by the COVID-19 pandemic urged teacher education institutions to implement interventions that would continuously equip prospective teachers with professional knowledge. As a response, this study utilized the online microteaching lesson study (OMLS) as an intervention in developing prospective elementary teachers’ (PETs) subject matter knowledge (SMK) in chemistry. It employed a mixed-method explanatory sequential design to determine the effects of OMLS on the SMK in chemistry of 36 PETs. Quantitative results revealed a significant effect of OMLS on PETs’ SMK as indicated by the improved achievement in chemistry, the identical normalized gain scores of the OMLS groups, and the enhanced SMK survey results of the OMLS teams. On the other hand, qualitative results showed that OMLS reinforced conceptual understanding by involving PETs in active learning and catalyzed conceptual change by enforcing PETs to employ metacognition. In addition, OMLS improved PETs’ ability to demonstrate SMK in teaching chemistry through repeated lesson implementation. In conclusion, PETs’ SMK in chemistry improved through OMLS.
African-American Attitudes Toward Kidney Transplant: A Comparative Analysis
Authors: Manton, MSW Bradley , Poulton, MSW Caroline Jennette
Published: November 2023

Racial disparities in kidney transplantation continue to persist despite voluminous studies attempting to address this problem. We conducted 26 semi-structured, one-on-one interviews with African-American and Caucasian dialysis patients to analyze whether or not there is a difference in attitudes toward kidney transplantation and whether or not this contributes to these disparities. Pre-dialysis education strongly correlates with a person’s willingness to get listed, while fear of surgery and care of the transplanted kidney, and interaction with peers who have gone through a failed kidney transplant, decrease the chances of getting listed. Subjects did not report racial bias in being referred or worked up for transplant. African Americans were more likely to weigh the pros and cons of transplants while Caucasians were more likely to see dialysis as temporary and viewed transplant as the default treatment for their kidney failure. All dialysis patients, but especially African Americans, may benefit from transplant education tailored to address specific patient concerns.
The Festering Crisis of Inadequate Nephrology Social Work Staffing: What are the Options for Improvement?
Authors: Wolfe, MSW William A.
Published: November 2023

Staffing has long been identified as a structural measure of quality in healthcare. In spite of this, it has not been accorded prominence in the CMS End-Stage Renal Disease (ESRD) program. Among the major consequences has been the absence of research on dialysis clinic staffing which could serve as a basis for developing evidence-based standards. In lieu of such standards, there has been a widespread arbitrariness in decision making about staffing, which has contributed to adverse patient outcomes and distress among the different disciplines trying to provide care. Largely ignored in these evolving developments has been the festering crisis in nephrology social work staffing, its ramifications for patients’ psychosocial concerns not being addressed, and concomitant potential for the exacerbation of medical issues. This study provides a broad overview of these issues with social work staffing, and also suggests some pragmatic alternatives that could help mitigate the problem.
Relaxation Therapy and Mindfulness Meditation One-Day Workshop for Nephrology Social Workers: Exploring the Impact of This Training on Professional Practice
Authors: Petingola, MSW, RSW Gary
Published: November 2023

Relaxation therapy techniques and mindfulness meditation are clinical intervention tools that have demonstrated benefits associated with the reduction of negative psychological states and the enhancement of positive states of mind critical to the alleviation of physical and emotional distress (Jain et al., 2007). Many mind-body therapeutic training workshops are offered in a one-day format; however, there is a gap in the literature examining the direct impact of learning relaxation therapy and mindfulness meditation specific to nephrology social work practitioners, and how, if at all, learning these techniques might assist a practitioner in his/her work. A study was undertaken to examine the influence of a one-day relaxation therapy and mindfulness meditation educational workshop on nephrology social workers’ professional practice. Eight members of the Canadian Association of Nephrology Social Workers with limited previous exposure to mind-body therapeutic approaches participated in this project. Telephone and Skype participant interviews occurred following the workshop on three separate occasions over a period of four months. The key findings from this study suggest that 1) the workshop had an impact on professional practice, 2) the workshop had an impact on self-care, and 3) amid obstacles to implementation, nephrology social workers expressed their desire to expand their current scope of practice to include relaxation therapy techniques and mindfulness meditation with their clients.
CROWNWeb: Electronic Access to Patient-Centric Data
Authors: Delva Oniel
Published: November 2023

In June 2012, the Centers for Medicare and Medicaid Services (CMS) implemented the national launch of its CROWNWeb data collection system as a means to transform the way end-stage renal disease (ESRD) facilities report care provided to their patients. Fulfilling requirements outlined in Section 494.180(h) of CMS’ updated Conditions for Coverage for ESRD Facilities (CfC) published in 2008, CROWNWeb is currently used by more than 6,000 Medicare-certified dialysis facilities and approximately 30 kidney transplantation centers throughout the United States and U.S. territories. The system serves as a central database in which clinical and administrative information can be entered and obtained by qualified users.
Since its national release, CROWNWeb has served as a universal resource that nephrology social workers, Patient Services Directors (PSDs), other ESRD Network personnel, and CMS employees use to access near-real-time patient treatment data. These data are aiding the renal community with its ongoing commitment to work toward improving the quality of life for people with chronic kidney disease. CROWNWeb stores data for hundreds of thousands of patients, archives digital versions of completed CMS forms, compiles various reports and patient treatment data, and provides patient management capabilities that allow facilities to determine if their patients are continuing to receive treatments in the case of a disaster.
This article focuses on the CROWNWeb system’s impact on the duties of social workers and the interdisciplinary teams (IDTs) that are outlined in CMS’ updated CfC. This article provides real-world examples from both nephrology social workers and ESRD Networks of how CROWNWeb has assisted them with managing the patient data used to capture care efforts. In addition, this article delves into how the system has aided with reducing barriers that social workers and PSDs may face in obtaining key data regarding patients.
A Rationale for Increasing Physical Activity in Chronic Kidney Disease: Quality Insights Renal Network 3’s Learning and Action Network’s Campaign
Authors: Wickizer, MSW, LSW, NSW-C Joan , Kirkman, PhD Danielle
Published: November 2023

Individuals diagnosed with chronic kidney disease (CKD) are often reluctant to engage in physical activity. Research has demonstrated myriad physical and psychological health benefits of regular exercise in this population. The challenge for many renal care providers has been translating these benefits for patients in a manner that engages them in the process. Quality Insights Renal Network 3 (QIRN3) worked with in-center hemodialysis providers to promote increased physical activity with patients within the network. These patients were provided with education about the benefits of increasing physical activity and were asked to sign pledge cards indicating their goals in this regard. The final results of this campaign showed 42.3% of patients in the targeted facilities signed pledge cards indicating their plans to increase their physical activity and well-being.
“Talking Control” as a Method to Improve Patient Satisfaction with Staff Communication in the Dialysis Setting
Authors: Velasquez-Peralta, LMSW DeeDee , Ramirez, MPH, CPH Anna , Beto, PhD, RD, FADA LD Judith
Published: November 2023

Heartland Kidney Network developed the Take 5 to Tune In project utilizing the technique of “talking control” to improve communication between staff and patients in the dialysis facility. Face-to-face talking control encounters with a five-minute minimum were conducted with patients from June 1, 2014, through September 30, 2014. Five questions from the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) experience of care survey were used to evaluate the success of the project. Overall, there was an increase of 5 percentage points in the combined rate of positive responses to the five ICH CAHPS questions. Talking control is an effective and simple means to improve dialysis provider communication and patients’ satisfaction with their care.
Depression Among Dialysis Patients
Authors: PS, MD Rakesh , Nelson, MD Vincy , Gopalakrishnan, MD Sreedas , Simon, MSc Sony , Babu, MBBS Vibeesh , Vikraman, MBBS Vyshak , Abraham, MBBS Sibi , Mohammed, MBBS Yumna
Published: November 2023

Identification and treatment of depression in chronic kidney disease (CKD) is important, since it can impair recovery, treatment, self-management, and quality of life. One hundred and twenty-one people undergoing hemodialysis in a tertiary care center in southern India were included in this study to assess depression in this population. Depression was evaluated using the Beck Depression Inventory (BDI). Among the patients, 33 (27.3%) were suffering from mild depression, 49 (40.5%) were suffering from moderate depression, and 19 (15.7%) had severe depression. Lower educational status [OR 3.77 (95% CI 1.34-10.63)], longer duration of dialysis [OR 5.75 (95% CI 1.79-18.44)], and hospitalization for indications other than dialysis in the last year [OR 3.88 (95% CI 1.34-11.27)] were associated with higher depression scores. It is important that all patients on routine hemodialysis be screened for signs and symptoms of depression, and this study contributes an international perspective to this important psychosocial determinant of patient outcomes.
Strengthening Chronic Kidney Disease Knowledge Among Students Attending a Historically Black University
Authors: Avery, DrPH, LMSW, CHES Natasha W. , Leggett, PhD, MPH Sophia S. , Juncos, MD Luis A.
Published: November 2023

Chronic kidney disease (CKD) affects African Americans in a disproportionately high manner and progresses more rapidly than in other races. Lack of knowledge of CKD risk factors and progression may contribute to this disparity. The purpose of this non-random cross-sectional study was to determine the level of CKD knowledge among students attending a historically black college and university (HBCU). Men and women enrolled in healthcare administration, health education, social work, and public health courses were asked to participate in the study. The Chronic Kidney Disease Knowledge in College Students Questionnaire was utilized. A total of 270 participants from a single HBCU were included. The results demonstrate that CKD knowledge was low in this population, particularly among the younger college students. This study provides a foundation for CKD community education, and will be helpful to nephrology social workers in CKD settings and kidney organizations for specifically targeting and educating at-risk individuals.
End-Stage Renal Disease Patients, Medication Self-management, and Oppression
Authors: Estes Savage, PhD, MSW Tamara
Published: November 2023

Medication self-management is crucial for end-stage renal disease (ESRD) patients. ESRD patients who do not adhere to their medication regimen as prescribed suffer increased hospitalizations morbidity and mortality. Furthermore, ESRD disproportionately affects historically oppressed groups, and there is some evidence that historically oppressed groups exhibit low medication self-management. In an effort to understand this issue, this paper presents a novel conceptual model using critical consciousness as the theoretical foundation. The conceptual model posits that oppression affects factors associated with medication self-management since it is embedded in our culture, society, and institutions, including the healthcare system. This research is salient to nephrology social workers for several reasons. First, the only Medicare mandate for master’s level social workers on treatment teams is found in dialysis and kidney transplant centers. Thus, every dialysis patient has a social worker who can help them address all barriers affecting their medication self-management, including oppression. Second, social workers are uniquely trained to discuss topics such as oppression and aid patients as they navigate a possibly oppressive healthcare system. Third, social workers, in collaboration with patients, can make positive changes to oppressive healthcare systems which have a negative impact on patients’ health. Lastly, social workers have an ethical obligation to fight social injustice, especially when the outcomes of this social injustice, oppression, can be dire for our patients’ health.
Promoting Kidney Transplant in the Dialysis Setting
Authors: Graves, LMSW Hannah
Published: November 2023

Practice Note
Integrating Advance Care Planning Within the Psychosocial Care of Nephrology Patients
Authors: Anderson, DSW, LCSW Elizabeth , Waldrop, Phd, MSW Deborah
Published: November 2023

Persons with end-stage kidney disease (ESKD) are at increased risk for multiple health complications, including increased hospitalizations and shortened life expectancy. These health risks elevate the urgency to complete an advance directive (AD), allowing patients to express their wishes if they are unable to because of limited capacity. Dialysis social workers are well-positioned to skillfully lead these conversations and respond to emotional distress, family conflict and pain, and symptom burden that many persons with ESKD experience. This paper outlines a framework for dialysis social workers to assess the wishes of patients in the event of worsening health and offers suggestions for interventions when patients and family members experience distress related to serious illness and advance care planning (ACP).
Structural Racism and the Racial Medication Adherence Inequity Within the End-Stage Renal Disease Population: A New Theoretical Framework
Authors: Estes Savage, PhD, MSW Tamara
Published: November 2023

Blacks or African Americans are almost four times more likely to develop end-stage kidney disease (ESKD) than Whites (United States Renal Data System (USRDS), 2019). Black or African-American ESKD patients are also less likely to manage their medications successfully compared to White ESKD patients (Browne & Merighi, 2010; Curtin, Svarstad, Keller, 1999). Few studies, however, investigate broad social issues, such as structural racism, as a fundamental cause of the inequity. Furthermore, theinteraction of structural racism and societal power dynamics in the form of social and cultural capital and their effect on medication adherence inequity has not been explored. This article examines this interaction and its link to medication adherence inequity in the Black or African-American ESKD population and posits a new theoretical framework.
O efeito do programa de treinamento funcional online das Clínicas Einstein sobre o perfil glicêmico e pressórico de um paciente idoso
Authors: Luna Junior Luiz Antonio , Mazi Priscila , Abe Ivana Lie Makita , Gregório Rouwagner , Abad Thais Tobaruela Ortiz
Published: November 2023

Introdução: Estimativas apontam que 499,2 milhões de novos casos no mundo de Doenças Crônicas Não Transmissíveis (DCNTs) podem ocorrer, entre 2020 a 2030, se o comportamento sedentário não mudar. Objetivo: Portanto, o objetivo desse trabalho foi acompanhar o perfil glicêmico e pressórico antes e após as sessões de treinamento funcional online (TFO) em um paciente idoso. Métodos: Paciente 74 anos, sexo masculino, peso 89,9kgs, altura 1,77cm e IMC 25,82, com diagnóstico prévio de DM2 e HAS, participou de 69 sessões de TFO duas vezes por semana, entre o período de 2022 e 2023. Cada sessão teve a duração de 50 minutos. A cada três exercícios (membro inferior, tronco e membro inferior), o paciente fazia de 60 a 120 segundos de movimentos aeróbios e retornava para o próximo circuito. Antes e imediatamente após cada sessão o paciente aferia a glicemia (GLI) e a pressão arterial (PA). Os dados foram analisados no software estatístico Jasp. Foi feito o teste de normalidade dos dados (Shapiro-Wilk) seguido do teste T-Student (pareado), para comparação dos valores de GLI e PA diastólica (PAD) e sistólica (PAS) pré e pós exercício comparadas no período de 2022 e 2023, considerando-se um nível de significância de 5%. Resultados: Os valores médios da GLI Pós 2023 e Pré 2022; Pós 2023 e Pré 2023 foram significativamente diferentes (p=0,01 e p<0,05) respectivamente. Para as demais comparações não apresentaram diferenças significativas. Já os valores médios da PA foram significativamente diferentes entre PAS Pré 2022 e PAS Pré 2023, assim como, para as medidas de PAD Pré 2022 e Pré 2023 (p<0,05). Já para as demais comparações não apresentaram diferenças significativas. Conclusão: Concluindo, os resultados deste estudo demonstram que as sessões de treinamento funcional online (TFO) tiveram um impacto positivo no perfil glicêmico e pressórico de um paciente idoso com diagnóstico prévio de Diabetes Mellitus tipo 2 (DM2) e Hipertensão Arterial Sistêmica (HAS). As análises estatísticas revelaram diferenças significativas nas medidas de glicemia pós-exercício em 2023 em comparação com 2022 e com o pré-exercício em 2023. Além disso, houve diferenças significativas na pressão arterial sistólica e diastólica pré-exercício em 2022 em comparação com 2023. Esses resultados sugerem que o TFO pode ser uma estratégia eficaz para melhorar o controle glicêmico e a pressão arterial em pacientes idosos com DM2 e HAS. Portanto, a promoção de atividades físicas, como o TFO, pode desempenhar um papel importante na prevenção e no manejo das Doenças Crônicas Não Transmissíveis (DCNTs), contribuindo para a redução do risco de novos casos dessas doenças no futuro. No entanto, é importante ressaltar a necessidade de mais pesquisas e estudos para entender completamente os benefícios a longo prazo e a segurança dessa abordagem em diferentes situações.
A Diffusion Model with A FFT for Image Inpainting
Authors: Hu Yuxuan , Wang Hanting , Jin Cong , Li Bo , Tian Chunwei
Published: November 2023

Diffusion models for image inpainting have been the subject of growing research interest in recent years. However, generating content that is consistent with the original images, especially for complex images with intricate details and structural information, remains a significant challenge. In this paper, we propose a diffusion model with an FFT (FFT-DM) to generate content that matches missing region texture and semantics to inpaint damaged images. Specifically, FFT-DM contains two components: a Denoising Diffusion Probabilistic Model (DDPM) and a Convolutional Neural Network (CNN). The DDPM is used to extract global features and generate image prior while the CNN captures more fine-grained details and predicts the parameters in the reverse process of the diffusion model. Notably, we integrate a Fast Fourier Transform (FFT) into the diffusion model to enhance the perception ability and improve the efficiency of the model. Extensive experiments demonstrate that FFT-DM outperforms current state-of-the-art inpainting approaches in terms of qualitative and quantitative analysis.
Sustainable Restoration Techniques for Historic Buildings in Tyre City
Authors: Awad Zeinab
Published: November 2023

The intervention of historic buildings is a complex and evolving phenomenon; all aspects of sustainability must be considered. The possibility of these restored buildings collapsing can cause significant damage to the economy, social life, environment, and cultural heritage due to inappropriate interventions and decisions. Therefore, an integrated approach to managing these historic buildings is needed to achieve a sustainable level of restoration. The responsibility to transmit cultural heritage to future generations makes sustainable construction even more important. In this article, common types of interventions are analyzed to create a guide for an integrated approach to sustainability and structural behavior according to international standards and methods. As a case study, the city of Tyre (Sour) was analyzed, and several cases have been studied to highlight the necessary aspects for sustaining historic buildings. By considering all structurally or pathologically important aspects explained below in two sections—macro and micro approaches—this article presents the main sustainability methods and techniques.
A Study of Assimilation in Daily Language
Authors: Kareem Hussein Hamid
Published: November 2023

This study deals with the assimilation in daily Iraq language. It aims to find out the ways in which assimilation is used in daily language. It shows how the Iraqi expressions are assimilated in connected speech. This study highlights the fact that there are four types of assimilation found in daily Iraqi language. The first one is Assimilation with Nasal (Idgham be ghna) or Assimilation without Nasal (Idgham bedon ghna). The second one is called Identical Assimilation (Idgham Mutamathel). The third one is called Approximate Assimilation (Idgham Mutaqarib). The fourth one is called Homogeneous Assimilation (Idham Mutajanis). This study depends on data taken from an Iraqi poet and analysed according to an eclectic model. It is concluded that these four types of assimilation are found in daily Iraqi language, but at different rate.
PEMANTAUAN KONDISI POMPA SENTRIFUGAL P-12A MENGGUNAKAN ANALISIS VIBRASI STUDI KASUS DI PT. X
Authors: Rachmanu Fatkur
Published: November 2023

Pemantauan kondisi terhadap mesin berputar berupa pompa / aset perusahaan sering dilakukan dengan mencakup pemantauan kondisi secara langsung (realtime), untuk membuat

keputusan pemeliharaan atas dasar kesehatan suatu mesin. Penelitian ini menyajikan analisis pemeliharaan prediktif untuk mendeteksi dua masalah dalam pompa sentrifugal horizontal end suction P-12A berupa perbaikan kondisi pengganjal (shim) soft foot dan misalignment dari poros pompa dan motor. Vibration analyser dengan data domain frekuensi dan amplitudo yang diperoleh melalui akselerometer yang dipasang pada titik bantalan pompa dan motor untuk menghasilkan spektrum getaran dengan terbaca berupa grafik FFT. Dalam penelitian ini dilakukan perbaikan softfoot dan realignment menghindari kerusakan yang semakin parah. Data getaran yang rusak dibandingkan dengan poros yang baik. Poros yang tidak sejajar menunjukkan amplitudo getaran yang lebih tinggi pada kecepatan 2X dan 3X dan perilaku getaran harmonik. Hasil ini menunjukkan bahwa analisis vibrasi sangat membantu dalam mendeteksi kondisi kurang baik dalam softfoot dan misalignment merupakan suatu tindakan pemeliharaan prediktif.
RANCANGAN INSTALASI PENANGKAL PETIR SEBAGAI TRAINER PEMELAJARAN SISTEM PROTEKSI
Authors: Suryadi Aris
Published: November 2023

Petir terjadi dikarenakan fenomena tegangan dan arus tinggi dalam waktu singkat, diawali dari ionisasi hingga loncatan muatan dari awan ke tanah atau sebaliknya. Guna melindungi dan mengurangi dampak kerusakan akibat sambaran petir maka dipasanglah sistem pengaman pada Gedung dengan sistem penangkal petir beserta pentanahannya. Pemasangan sistem tersebut didasari oleh perhitungan resiko kerusakan akibat sambaran petir. Perhitungan resiko inilah digunakan sebagai standar untuk mengetahui kebutuhan pemasangan sistem penangkal petir pada bangunan. Tujuan penelitian ini guna memperoleh informasi tentang tingkat perkiraan bahaya atas sambaran petir terhadap gedung-gedung di Politeknik Enjinering Indorama yang terdapat alat-alat listrik dan alat-alat elektronika, informasi luas daerah yang menarik sambaran petir, tingkat kebutuhan pengamanan gedung, radius proteksi penangkal petir eksternal yang cocok digunakan, merencanakan instalasi penangkal petir serta tak kalah pentingnya sebagai materi pemelajaran Sistem Proteksi untuk Mahasiswa Teknologi Listrik.
PENGUKURAN ARUS DAN TEGANGAN MENGGUNAKAN SISTEM SCADA BERBASIS ARDUINO MEGA R3+WIFI
Authors: Hamdani Yuda Muhammad , Irdaus Muhamad Taufik F
Published: November 2023

Perkembangan ilmu pengetahuan teknologi saat ini ditandai dengan bermunculannya alat-alatyang menggunakan sistem control digital dan otomatis. Teknoogi menjadi hal yang sangatberguna bagi kehiudpan manusia, mulai dari teknologi mekanik, listrik dan juga teknologitelekomunikasi. Penggunaan teknologi website saat ini dapat diaplikasikan sebagai sistemcontrol dan monitoring yang dapat di akses pada PC maupun smartphone. Dalam penelitian inimembahas penggunaan website untuk monitoring perangkat. Adapun pembacaan yangdimonitoring adalah tegangan dan arus. Sensor tegangan menggunakan ZMPT1010Bsedangkan sensor arus menggunakan ACS712. Kontroler yang digunakan yaitu Ardunio MEGAR3+WiFi. Beban Listrik yang digunakan adalah lampu dengan berbagai nilai. Hasil pembacaansensor tegangan dengan alat ukur multimeter memiliki perbedaan sebesar 1,8%. Sedangkanpembacaan sensor arus dengan alat ukur tang ampere memiliki perbedaan sebsar 1,1%.
PEMELIHARAAN PREDIKTIF PADA FLUE GAS BLOWER 248 kW STUDI KASUS DI PT. L
Authors: Rachmanu Fatkur , W. Karmiadj Djoko , Syafrizal  , Is Subekti Mokhamad
Published: November 2023

Pemeliharaan prediktif biasanya menggunakan alat untuk mendeteksi sebelum kerusakan suatumesin itu bertambah parah, hal ini dengan cara pengamatan (monitoring) baik secara berkala(off-line) maupun secara langsung (on-line). Pada penelitian ini dilakukan merupakan suatu studikasus di suatu perusahaan dimana mesin blower untuk flue gas dilakukan pengamatan awaldengan metode LDR kemudian dilanjutkan dengan pengambilan data getaran / vibrasi pada nilairms, jika nilai yang diambil diluar batas kewajaran / mengkhawatirkan sesuai standard ISO makadilanjutkan dengan alat vibration analyzer untuk mengetahui kondisi abnormal tersebut. Hasilpemeriksaan pada NDE bearing posisi horizontal memiliki nilai 7,74 mm/s dan timbul spektrum1X unballance sehingga dilakukan re-balance pada impeller sehingga berhasil menurunkan nilaimenjadi 2,1 mm/s. Proses balancing ulang berhasil sesuai hukum yang ada walaupun secaraaktual nilai FFT bergerak dan kadang tidak stabil karena unsur lain semisal pondasi yang sudahtidak normal, bearing yang bermasalah atau kurang pelumasan, resonansi dari mesin sekitarnyadan lain sebagainya.