bluuebunny/crossref_metadata_2025 huggingface dataset:
THE SUBVERSION OF BLACK AESTHETIC: TONI MORRISON’S RECITATIF
Authors: Mitić Marko
Published: May 2022

The main aim of this paper is to present Toni Morrison’s short story, “Recitatif” (1983), as a literary text that resists or subverts the established practices of understanding, analyzing and canonizing texts written by African Americans. The starting point of this paper is the thesis proposed in African American Literature Beyond Race: An Alternative Reader (2006), edited by Gene Andrew Jarrett, that there is an ideological consistency in the exclusion of what Jarrett terms “anomalous” texts from African American literary anthologies. In other words, the overall preoccupation with racial representations has influenced the way of reading and organizing African American literature and defining the “Black” or African American Aesthetic. Toni Morrison’s “Recitatif” represents such an “anomalous,” alternative, or unconventional text that challenges these practices. Furthermore, for its analysis, the paper relies on the methods proposed by New Formalism. This critical approach aims to interrogate the relationship between form and social, historical, and cultural contexts. Thus, one of the central aims of this paper is to show how Morrison uses and manipulates form and structure in her story to subvert notions of race and difference and to ultimately challenge the way in which texts written by African American authors are read and understood.
ALTERNATIVE PRIČE U RAZLIČITIM KNJIŽEVNIM I NEKNJIŽEVNIM ŽANROVIMA
Authors: Jovanović Jelena
Published: May 2022

If by alternative we mean what can be replaced with each other, without losing the essential meaning, then some transfictional and transmedial journeys of the story and its characters can be subsumed under this term. The center of our interest are characters who travel through different narrative worlds within literature – within the same but also different genres, as well as the journey that stories take by “migrating” to other media. Narrative theories of intertextuality, intermediality and transmediality (M. Bahtin, J. Kristeva, L. Dolezel, D. Herman, M.-L. Ryan, L. Hutchion, H. Dannenberg) will serve as a theoretical basis for this. We have singled out the writers of Serbian literature of the 20th and 21st century (D. Kiš, J. Hristić, V. Matijević) as basic literary texts. The idea is to examine how different alternatives of shaping / presenting stories and characters affect their confirmation, change, reception, experience; what can remain unchanged, and what changes are dictated by the nature of the ganre or medium in which the story is told and the characters “move in”. It is anaphormism that will serve as a central concept here; it is borrowed from the visual arts, and it will help us to better represent the nature of transfictional and transmedial alternations.
ALTERNATIVA ŠEKSPIROVOJ „BURI”: GDE JE KALIBAN U ROMANU ĐAVOLJI NAKOT MARGARET ATVUD?
Authors: Janjatović Violeta
Published: May 2022

The end of the 20th and the beginning of the 21st century saw the publication of many studies, interpretations, and adaptations of Shakespeare’s play “The Tempest.” One of the most significant recently published adaptations is the novel Hag-Seed: The Tempest Retold, by the Canadian author Margaret Atwood, created as a part of the Hogarth Press project and in celebration of the 400th birthday anniversary of William Shakespeare. The “Hag-Seed,” or the “devil’s seed,” an insult that Prospero directs to Caliban alluding to his origin, and at the same time the title of Atwood’s novel, unequivocally indicates to readers that the topic of this alternative Shakespeare’s “Tempest” might be Caliban. However, while most of the characters in Shakespeare’s play are easily recognizable in this adaptation set in the contemporary Canadian society, the character of Caliban is disembodied, fully reconstructed, and it indirectly reaches readers through the voices and characters of the Fletcher Correctional Center inmates. Analyzing Hag- Seed: The Tempest Retold from the perspective of postcolonial literary criticism, this paper concludes that Atwood’s exclusion of Caliban from the world of its adaptation cruelly depicts his dehumanization and the status of the “other” in Shakespeare’s play. The inmates easily identify with Caliban, his predicament, his subordinate position and attempt to oppose it. Demonized and marginalized by the society in which they live, they are also distant and unwanted “other” in the world of this modern “Tempest.” Relying in the analysis on a newer theory of adaptation according to which it is a creative process whose basic premise is to preserve the story from the original literary work, but also to create a new reading, and to suit the adaptation to an alternative purpose, function or environment, this paper examines the concept of the “other” and analyzes its transformation in the new environment.
ХАМЛЕТ У СФРЈ: ПРЕДСТАВА ‘ХАМЛЕТА’ У СЕЛУ МРДУША ДОЊА КАО БРЕШАНОВА АЛТЕРНАТИВНА ИНТЕРПРЕТАЦИЈА ХАМЛЕТА
Authors: Cvetković Vasilisa
Published: May 2022

This paper addresses the relation between the 17th-century Shakespeare’s Hamlet and the drama The Performance of Hamlet in the Village of Mrduša Donja by Ivo Brešan from the 20th century. The paper analyses how Brešan creates a new and alternative version of Hamlet in the context of the socialist Yugoslav society, from the display of events and relations among characters via the thematic-motif plan (the criticism of the political reality), to the direct references and carnivalistic parody of the original drama. Even when all these elements are literally transferred, we interpret them differently because of the context, so that Brešan gives us an alternative reading of the Shakespeare’s drama. By comparing Hamlet and The Performance of Hamlet in the Village of Mrduša Donja as a political drama, by analysing the use of the technique of the play within a play and the carnivalistic elements and irony, the paper attempts to discover the intertextual process of alternation from a Renaissance England drama to the drama of socialist Yugoslavia.
РОК ПОЕЗИЈА КАО АЛТЕРНАТИВНА ФОРМА КЊИЖЕВНОСТИ
Authors: Младеновић Јелена
Published: May 2022

Rock is a subcultural and countercultural phenomenon of subversive action towards the dominant culture. Rock poetry stands out from it and becomes a part of an integral literature. Rock poetry first appears as an alternative form of poetry, but within the framework of official literary forms, it crosses the path of affirmation. In the 21st century, its artwork has gained official literary recognition. By awarding Bob Dylan with the Nobel Prize for Literature, the relationship between the dominant culture and its alternative forms was formally disturbed. There is a Deridian abolition of borders and divisions into margins and centers, and the relationship between canons and alternatives is dynamic. We consider rock poetry first as an alternative to literary form and in accordance with the ruling attitudes (Bruce Bo, Simon Frit, Nikola Božilović). By offering possible poetics and aesthetics of rock poetry, we re-examine its relationship to canonical literature and culture. The aim of this paper is to take a step away from the usual observation of rock poetry in the domain of sociological and cultural research, so that we can come closer to the literary-historical and literarytheoretical interpretations.
OSTRAKIZAM KAO ALTERNATIVNA PERCEPCIJA VIKTORIJANSKIH NAČELA U NARACIJI ROMANA ŽENSKA FRANCUSKOG PORUČNIKA
Authors: Radović Firat Ana , Mladenović Zorica
Published: May 2022

The paper presents an analysis of ostracism which occurred in the Victorian period of England, portrayed by John Fowles in the novel The French Lieutenant Woman. In the novel, the phenomenon of ostracism emerges from a discrepancy between the imposed moral principles and the individual pursuit of truth. The analysis of the ostracism will be presented as an alternative TO social and moral perception of the Victorian ethical principles. Balancing between modernism and postmodernism, John Fowles creates his own, alternative view of the Victorian society, on the one hand, and a different, alternative form of narration in the novel, on the other. In the literary space between modernism and postmodernism,
ГРАД КАО АЛТЕРНАТИВА: ТЕМАТИКА ГРАДА У ПОЕЗИЈИ РИТБЕФА И ФРАНСОА ВИЈОНА
Authors: Панић Марија
Published: May 2022

This paper examines the representation of urban environment as an alternative in the poetry by Rutebeuf (13th century) and Villon (15th century). These French poets are renowned to have portrayed cities, especially Paris. Their representations of towns are dynamic and contain picturesque portraits of urban population. Rutebeuf notices the desuetude of the medieval division of society in three orders (oratores, bellatores, laboratores in Latin): each one of these is undermined in its sociological portrayal of a big city. This becomes even more visible in Villon’s poetry, in which he presented different trades and their representatives. Both poets underlined the importance of money in medieval towns, as well as the omnipresence of misery and poverty. They displayed the dynamic and ever-changing character of life in a big town, as the alternative to rigid and comprehensive structure of the feudal system.
Study of the convergence of low cloudiness by the effect of ocean breeze using the regional climate model
Authors: Corrêa Cleber Souza , De Queiroz Antonio Paulo , Camillo Gerson Luiz
Published: May 2022

This work sought to analyze in high resolution the downscaling of the global model Climate Forecast System Version 2 (CFSv2) by using the regional climate model RegCM-4.9. The precipitation fields were generated in two different domains and spatial resolution with 10 km and 3 km, for August to October 2020.  The equatorial region of Northeast Brazil can be characterized by the complex dynamics that encompass atmospheric movements such as the existence of convergence at low levels of convective cloudiness and its diurnal effect on low cloud cover and its influence on evident precipitation. However, for meteorological scales with a daytime circle, the land-ocean breeze effect in the Gulf of Maranhão in this theoretical model of night convergence shows a peak between 6 to 9 am local time. This work seeks to recognize the existence of land-ocean breeze in Alcântara and its influence on the daytime precipitation cycle, its dynamics can influence aerospace activities by increasing convergence and, depending on its intensity, generating more intense rainfall in the coastal region even in the dry period, which corresponds to the most suitable period for the operational activities of the Alcântara Launch Center.
Prevalence of insulin resistance among hypertensive patients undergoing antihypertensive therapy
Authors: Rane Dr. Tejas , Thorat Dr. Sanjay T. , Kulkarni Dr. Akshay R. , Avhad Dr. Aniket B. , Mankar Dr. Parikshit , Kaila Dr. Niyati
Published: May 2022

Background: Hypertensive patients undergoing antihypertensive therapy are more prone to insulin resistance (IR). Thus, it is essential to monitor its prevalence, metabolic consequences and to individualize antihypertensive therapy to negate its potential adverse effects. Therefore, the presented study assessed the prevalence of IR among hypertensive patients undergoing antihypertensive therapy. Methodology: This prospective study involved 200 patients of either sex, diagnosed with essential hypertension, and undergoing treatment. Data regarding age, gender, medical history, body mass index (BMI), and waist circumference were collected. Laboratory   investigations   for   fasting    blood    sugar    levels, serum    fasting    Insulin    levels, lipid    profile, and    glycosylated    hemoglobin    were performed. Homeostatic model assessment of IR (HOMA IR) was calculated. Statistical analysis was performed by using R software (Version. 3.6.0). Results: The prevalence of IR in hypertensive nondiabetic patients was 39%. The mean age and BMI of patients were 58.70 ± 16.64 year and 23.10 ± 2.57 kg/m2, respectively. The mean fasting blood sugar levels were 108.24 ± 20.99 mg/ dl. The mean HOMA IR levels were >2.8. IR was more in users of beta?blockers than in angiotensin?converting enzyme (ACE) inhibitors and   calcium   channel   blockers, as   a   significant   association   was   observed   between   the   class   of   hypertensive   drugs   and   presence   of       IR (P < 0.05).  A significant association (P < 0.05) was observed between the duration of hypertension and IR indicated by HOMA IR >2.5 in patients on beta?blockers and on ACE inhibitors. Conclusion: Antihypertensive drugs like beta?blockers decrease insulin sensitivity in hypertensive patients leading to increased prevalence of IR.
Wormian bones and nonsyndromic craniosynostosis: A comparative study using computed tomography
Authors: Furtado Leopoldo Mandic , Da Costa Val Filho José Aloysio , Toledo Simas Rayane , Dantas François , Holliday Julia Braga , Da Silva Costa Júlia , Dantas dos Santos Aieska Kellen
Published: May 2022

Introduction: Wormian bones (WB) are accessory bones positioned within the sutures or fontanelles. Although several studies have associated them with genetic disorders, ethnicity, and skull deformations, their relationship with nonsyndromic craniosynostosis (CS) has not been established, especially among Brazilians. Therefore, this study was conducted to analyze the incidence and association of WB with nonsyndromic CS in Brazilian children.

Methods: An observational and retrospective study was conducted using computed tomography with 3D reconstruction in Brazilian children aged <3 years to compare the incidence and number of WB between regular children (group 1) and those with nonsyndromic CS (group 2).

Results: A total of 140 children, comprising 62.9% boys (p < 0.001) with a mean age of 8.78 months, were included in this study. The most common types of CS were trigonocephaly (34; 48.6%), scaphocephaly (25; 35.7%), anterior plagiocephaly (5; 7.1%), posterior plagiocephaly (3; 4.2%), and brachycephaly (3; 4.2%). WB were more common in regular children (41; 58.6%) than in children with CS (28; 40.0%) (p = 0.028). Regular children had an average of 2.12 WB versus 1.32 WB in children with nonsyndromic CS (p = 0.024).

Conclusion: The significantly less incidence of WB in Brazilian children with nonsyndromic CS was quite different from that reported in other studies and could indicate the tendency of this disease to have disturbance in ossification of the cranial vault, the impact of ethnicity, and probably the lack of additional compensatory skull growth.
Scientific Research as a Personal Knowledge: Michael Polanyi’s Epistemological Heritage
Authors: Pudil Matěj
Published: May 2022

Continuously from the 1940s, Michael Polanyi comments on topics that have resonated later since the 1960s in the works of his fellow theorists of science, philosophers of natural sciences, and epistemologists (for the purposes of this study, only T. S. Kuhn and K. R. Popper are mentioned). First part of this article provides a brief reconstruction of Polanyi’s concept of „personal knowledge“ which focuses mainly on the interconnection of the individual level of scientific research with its social dimension. My aim is to evaluate the potential of this concept for the interpretation of research fields where sciences are in close contact with other disciplines. I am convinced that Polanyi’s original approach to the problem of reality (or degrees of reality as he puts it) should be read as an advocacy of diversity of thought. In my interpretation, Polanyi carries out some form of philosophical therapy of science and its self-concept, which, like the whole of Western society, has undergone dramatic changes over the last century.
Growth and survival rates of domesticated and non-domesticated breeding stocks of Penaeus monodon Fabricius, 1798 cultured in ponds and tanks
Authors: Huong Huynh K. , Truc Phan T.T. , Nhi Nguyen T.H. , Toan Diep T. , Truong Do V. , Hoang Mai V. , Son Lai P. , Day Pham V. , Nam Ho K. , Binh Tran C. , Tao Chau T. , Diep Doan X.
Published: May 2022

Sourced breeders from domesticated broodstocks have played an essential role in the steady development of shrimp culture in many countries. In the present study, two experiments were performed in Tra Vinh province, Vietnam, to compare the culturing benefits of sourced breeding stocks from domesticated and non-domesticated Penaeus monodon broodstock. The first 90-day experiment was randomly arranged with three repetitions in six earthen ponds (1,500–2,000 m2). Experimental shrimp (PL12) were stocked at a density of 20 ind. m−2. The second experiment was randomly designed with three repetitions in six composite tanks (6.0 m3). PL15 of experimental shrimp were cultured at a density of 30 ind. m−2 for 120 days. Grobest pellet feed (40 % protein) was used in both experiments. At experiment termination, the mean weight (26.09 g) and length (15.68 cm) under pond culture, as well as respective values of 15.57 g, and 13.21 cm under tank culture, for D-shrimp were significantly higher than those of W-shrimp (p<0.05). Similarly, the survival rate (84.33 %), FCR (0.98), and yield (3,558 kg ha−1) under pond culture, as well as the survival rate (87.59 %) and yield (470 g m−3) under tank culture, of D-shrimp were significantly better than those of W-shrimp (p<0.05). These results prove that the grow-out culture of shrimp postlarvae from domesticated broodstocks resulted in superior performance to those from wild broodstocks.
Pemanfaatan Bahan Lokal dalam Pakan Ikan oleh Petani Tambak Desa Reuleut Timur, Aceh Utara
Authors: Rachmawati Rusydi  , Mainisa  , Salamah  , Riani
Published: May 2022

The high price of commercial feed causes higher production costs. The problem was experienced by fish farmers, including the groups of pond farmers in East Releut Village, North Aceh. The purpose of this activity is to improve the pond farmer's skills by developing artificial fish feed made from local raw materials using Moringa leaf flour. This service activity uses an educative, participatory, and persuasive method approach. Also, the procedures consist of several stages, that are socialization about artificial fish feed made from local raw materials, socialization about the introduction of various local raw materials that have the potential to be used as feed ingredients, socialization about manufacturing technology fish feed, training in the stages of making fish feed, and marketing training for artificial fish feed made from local raw materials. The socialization and training on the process of artificial feed also motivate pond farmers to produce fish feed made from local raw materials. The participants were very satisfied on the knowledge/information (64,58%), the explanation of knowledge (72,22%), and the whole activity (63,89%), and satisfied on discussion process (58,33%). Participants hoped that developing artificial feed products, could reduce the cost of production
Spectrum of Diagnosis and Yield of Endoscopic Ultrasound Guided Fine Needle Aspiration Cytology
Authors:   Department of Pathology, Chirayu Medical College, Bhopal, India, Kumar Neetu
Published: May 2022

Endoscopic ultrasound gives high resolution images of the mediastinum and abdominal organ and improves visualization for obtaining tissue sample for cytology. In our study 112 subjects underwent EUS guided FNAC, out of them 51 were diagnosed as carcinoma (45.5%), 15 as tuberculosis (13.39%), reactive adenitis is 13 (11.6%), other benign disease is 27 (24.1%). So overall diagnosis we made in (106/112) (94.6%). 6 (5.3%) were inconclusive. We suggest that EUSFNAC should be the first line investigation for suspected mediastinal and intra-abdominal malignant masses.
Tendencias en la investigación universitaria. Una visión desde Latinoamérica. Volumen XV
Authors:   Universidad Católica Luis Amigó, Chirinos Araque Yamarú del Valle , Ramírez García Adán Guillermo ,   Universidad Autónoma de Chapingo, Godínez López Roberto ,   Universidad de Guanajuato, Barbera Alvarado Nataliya ,   Universidad del Sinú-Elías Bechara Zainum, Rojas Nieves Dorkys Coromoto ,   Universidad Nacional Experimental Rafael María Baralt
Published: May 2022

“Tendencias en la Investigación Universitaria. Una visión desde Latinoamérica”, es una obra de producción científica de la Colección Unión Global, adscrita al Fondo Editorial Universitario Servando Garcés de la Universidad Politécnica Territorial de Falcón Alonso Gamero (UPTAG). Es una publicación internacional, seriada, continua, arbitrada con apertura a todas las áreas del conocimiento. En el volumen XV, ofrece capítulos resultados de investigación cuya producción es una obra que combina arte y ciencia de alta calidad intelectual generada por investigadores que muestran el desarrollo de su quehacer académico, científico, tecnológico y humanístico desarrollado en los diferentes escenarios de la sociedad.
Sistema de control basado en IOT para el acceso a los laboratorios de sistemas de la Universidad Popular del Cesar
Authors:   Universidad Popular del Cesar, Rincón Pinzón Miguel Alberto , Guerrero Sumalave Didier Fernando ,   Universidad Popular del Cesar, Palmera Quintero Luis Manuel ,   Universidad Popular del Cesar, Ramírez Orellano Luis Octavio ,   Universidad Popular del Cesar
Published: May 2022

Este articulo presenta un proyecto de investigación el cual tiene como objetivo principal el desarrollo de un sistema de control de acceso basado en IoT (internet de las cosas) para el personal que ingresa a los laboratorios de sistemas de la Universidad Popular del Cesar Seccional Aguachica. Se abordo desde en una investigación de tipo exploratoria con enfoque cualitativo. Para lograr realizar el proyecto de investigación se determinó para la población y la muestra, el personal administrativo, el equipo de gestión TIC y docentes de la Universidad el cual nos permitiera lograr aplicar el instrumento de recolección de datos, para diseñar una base de datos sólida y con datos reales permitiendo la implementación y puesta a punto del sistema de control. Teniendo en claro la tecnología y el tipo de sistema a desarrollar se utilizó la metodología Scrum con sus respectivas fases y procesos, logrando desarrollar e implementar el sistema en el respectivo laboratorio se pudo identificar que el sistema de seguridad con que cuenta actualmente el laboratorio carece de una funcionalidad que permita la identificación de forma ágil y puntual de los presentes, es por ello que, tras una exhaustiva investigación sobre las diferentes tecnologías existentes, se determinó que la tecnología más óptima en el desarrollo era la tecnología IoT, ya que permite la conexión de dispositivos a internet, y la información suministrada por cada dispositivo es evidenciada en tiempo real cuando el usuario realice una consulta.
Impacto socioeconómico del no pago del impuesto de industria y comercio generado por tenderos en Aguachica, Cesar
Authors:   Universidad Popular del Cesar, Casteblanco Martínez Karen Lorena , Mena Ríos Jhon Jairo ,   Universidad Popular del Cesar, Guerrero Díaz Ricardo Jesús ,   Universidad Popular del Cesar, Casteblanco Martínez Liliana María ,   Universidad Popular del Cesar, Jorge García José Gregorio ,   Universidad Popular del Cesar
Published: May 2022

La presente investigación nació de la necesidad de medir el impacto que ocasiona el no pago del impuesto de industria y comercio por parte de los tenderos de la zona urbana de Aguachica, Cesar. Este proyecto fue aplicado a los tenderos que poseen registro mercantil. El marco referencial estuvo encaminado a lo establecido en el Estatuto Tributario de Aguachica, las generalidades y normativa del impuesto de industria y comercio y las teorías de Adam Smith del valor y la distribución, Adolfo Wanner del derecho financiero, Harold Sommers en finanzas públicas y la teoría de la Hacienda Pública. La metodología empleada para este estudio fue de enfoque mixto (cualitativo-cuantitativo), de tipo descriptivo, con muestreo estadístico de poblaciones finitas, con un nivel de ocurrencia de 0,5, un margen de error del 10% y nivel de confianza del 90%. Los resultados arrojados fueron, la caracterización a las tiendas formales de la zona urbana de la circunscripción, el procedimiento para el registro y cobro del impuesto, el desconocimiento por parte de los tenderos del registro, procedimiento y beneficios que conlleva el pago oportuno del impuesto de industria y comercio, el deficiente control en el recaudo de la obligación por parte de la entidad territorial y los bajos recursos que este tipo de renta genera para el desarrollo de la inversión social.
Gestión ambiental de las empresas de servicios públicos en el manejo de aguas residuales
Authors:   Universidad Popular del Cesar, Lozano Rivera Dagoberto , Ortega Santiago Yina Paola ,   Universidad Popular del Cesar, Barbosa Páez Fabián Armando ,   Universidad Popular del Cesar, Chávez Galvis Jacqueline ,   Universidad Popular del Cesar
Published: May 2022

Desde inicios del siglo XXI el hombre ha mostrado preocupación por la gestión en el desarrollo de actividades empresariales, caracterizadas en su gran mayoría por un sistema desorganizado en la aplicación de políticas sustentables. En este sentido el sur del departamento del Cesar, no siendo ajeno a este flagelo, fue elegido para analizar la gestión ambiental a nivel empresarial en relación al tratamiento de vertimientos urbanos; haciendo uso de un estudio de campo de diseño cuasi-experimental con enfoque transversal, mediante una encuesta descriptiva aplicada al personal operativo y administrativo de tres empresas regionalmente representativas del sector de servicios públicos de alcantarillado, seleccionadas de manera intencionada bajo criterios como la ubicación, el acceso libre, aplicación y recolección de los datos, así mismo como la facilidad para observar y analizar el problema conforme se desarrolla el estudio. Las respuestas derivadas del análisis permiten inferir que los agentes prestadores del servicio no cuentan con principios de planificación de carácter ambiental y no cumplen con la organización de los recursos, de igual forma escasean en estrategias de control para el direccionamiento de las responsabilidades en acciones ambientales. Finalmente se concluye que en el sur del departamento del Cesar las empresas del servicio de alcantarillado no realizan el seguimiento efectivo a sus compromisos medioambientales dentro de su organización.
Memoria 2do. Congreso de Cultura Investigativa en la Educación Superior de Panamá
Authors:   Instituto de Investigacion de AUPPA (IdIA)
Published: May 2022

Memorias del 2do. Congreso de Cultura Investigativa en la Educación Superior de Panamá. Un espacio creado por el IdIA de AUPPA para conocer y debatir las experiencias nacionales e internacionales en temas relacionados al Rol de la universidad en la Investigación. El docente a partir de su formación académica propicia un escenario acorde para el intercambio de saberes, pero se ha identificado la necesidad de fortalecer e incluir la investigación como una herramienta para el desarrollo de competencias. Durante este congreso se abordaron temas importantes que permitieron conocer cuáles son las competencias investigativas que deben tener, estrategias y programas que pueden adoptar para incentivar la investigación en sus universidades; así como la formulación de proyecto y la importancia de los sistemas de calidad.
Challenges and Solutions of China’s Medical Service Pricing
Authors:   School of Public Administration, Renmin University of China, Su Lingran
Published: May 2022

Objective: China’s new round of medical system reform has been carried out for 12 years. The goal of this reform is to solve the problems of “difficult to see a doctor” and “expensive to see a doctor”. Medical service pricing plays a guiding role in the allocation of medical service resources. The focus of this study is to analyze the existing problems of China’s medical service pricing mechanism, and explore the reform direction of China’s medical service pricing mechanism in the future.
Needs assessment survey regarding effectiveness of chronic care in Diabetes in a hospital setting
Authors: Yamna Jadoon  , Abiha Abdullah  , Qureshi Asra , Jaleed Ahmed Gilani  , Khan Unab
Published: May 2022

Objectives: To assess the current knowledge level about diabetes and acceptance of nurse-led educational programmes among diabetic patients.
Method: The cross-sectional study was conducted at a community health centre in Karachi from August, 2018 to December, 2019 and comprised adult patients of ether gender with diabetes. Data was collected using a predesigned questionnaire to record demographic information, participants’ DM knowledge, self-management aspects and their opinions along with preferences for a DM educational support group. Data was analysed using STATA/SE 15.1.
Results: Of the 215 participants, 80(37%) were males and 135(63%) were females. The overall mean age was 55.814.5 yrs. Most participants had diabetes for 5 years 127(59%) and 141(66%) did not know their type of diabetes. Most participants were prescribed anti-diabetic medications 201(94%), and 45(2%) had forgotten to take their medication recently. Insulin was being used by 65(30%) participants, and, among them, 27(42%) reused syringes. Most patients struggled to make lifestyle modifications 133(62%), and 144 (67%) were willing to attend nurse-led diabetic education sessions.
Conclusion: There was found to be a need of diabetes education support programme to address knowledge deficiencies, and a nurse-led programme was found to be acceptable to the majority of study subjects.
Key Words: Diabetes mellitus, Diabetes complications, Tertiary prevention, Health educators.
Surgical and prosthodontics management of a perforating giant radicular cyst in anterior maxilla: a case report
Authors: Motiwala Momina Anis , Zafar Kamil , Farhan Raza Khan
Published: May 2022

Abstract
Radicular cyst is the most common type of odontogenic cyst associated with the apex of non-vital teeth. The lining of the radicular cyst usually arises from the epithelial rests of Malassez. These cyst usually persists even after the elimination of microbial load from the root canals. Surgical removal is deemed necessary for the management. For larger lesions extending to the facial or palatal cortical plates, additional regenerative procedures such as bone grafting along with collagen membrane are warranted. This case report describes the surgical and prosthetic management of a giant radicular cyst that was perforating the cortical plates in the anterior maxilla.
Key words: cysts, radicular cyst; bone grafting, esthetic management, regeneration.
Assessment of National External Quality Assurance Program of Pakistan (NEQAPP) as a tool for improving quality of lab results among participating laboratories
Authors: Shah Shahrukh , Muhammad Aamir  , Zujaja Haroon  , Usman Munir  , Afshan Bibi  , Syed Raza jaffer
Published: May 2022

Objective: To assess the impact of the National External Quality Assessment Programme of Pakistan in improving the quality of laboratory results among the participating laboratories.
Method: The cross-sectional observational study was conducted from July to December 2020 at the Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan, in association with the National Quality Assurance Programme of Pakistan. A survey questionnaire was developed and sent to the participating laboratories via email. Frequencies of their responses were calculated and data was analysed using SPSS 21.
Results: Of the 150 laboratories approached, 145(96.6%) responded. Among them, 140 (96.6%) laboratories were satisfied by the information provided on the programme’s portal, 123(84.8%s) were pleased with the responsiveness of the programme manager, 140(96.6%)  reported quality of services had improved after participation in the programme, 129(89%) indicated that the clinician’s confidence had enhanced, and 122(84%) said the participation in the programme had improved the credibility of their respective of laboratories.
Conclusion: The National External Quality Assessment Programme of Pakistan was found to have significantly contributed in improving the quality of laboratory results among the participating laboratories.
Factors associated with low bone mineral density in postmenopausal women with rheumatoid arthritis
Authors: Zahid Pir Muhammad , Saba Samreen  , Zafar Ayub Khan  , Babur Salim  , Syed Nazir Ahmed  , Haris Gul
Published: May 2022

Objective: To determine the factors related to low bone density in postmenopausal women with rheumatoid arthritis.
Method: The prospective cross-sectional study was conducted at the Rheumatology Department of Fauji Foundation Hospital, Rawalpindi, Pakistan, from June 1 to November 30, 2020, and comprised postmenopausal women with rheumatoid arthritis. On the basis of dual-energy X-ray absorptiometry scan of total hip, femoral neck, and lumbar spine, the subjects were categorised into osteoporosis, osteopenia and normal bone density groups. The risk factors were compared across these subgroups. Data was analysed using SPSS 21.
Results: Of the 114 women, 74(64.9%) had osteoporosis, 31(27.2%) had osteopenia and 9(7.9%) had normal bone mineral density. Those with osteoporosis were older (p<0.05), had low body mass index (p<0.002) and had a longer duration since menopause (p<0.004) compared to the other groups. Age and body mass index were significant factors associated with the condition (p<0.05).
Conclusion: Older age, lesser body mass index and time since menopause were the factors significantly associated with osteoporosis.
Key Words: Rheumatoid arthritis, DXA, Bone mineral density.
Threshold concepts encountered by second year medical students in a Basic Health Science module; a qualitative study
Authors: Mansoor Memoona , Tayyab Ali , Shah Syed Shoaib , Sarfraz Rehmah
Published: May 2022

Objective: To explore threshold concepts in a Basic Health Sciences module.
Method: The qualitative study was conducted at the Islamabad Medical and Dental College, Islamabad, Pakistan, in March 2019, and comprised students and faculty members in the gastrointestinal tract module of spiral I of the integrated modular curriculum in Basic Health Sciences. Data on student experiences was collected using semi-structured interviews with open-ended questions.  The data was coded and themes were identified by the researchers independently.  A thematic matrix was produced, cross-referencing data relating to troublesome areas identified by the students against the threshold concept criteria. The identified themes were discussed among the researchers to reach consensus.  Only the identified themes were taken as the expected threshold concepts in the gastrointestinal tract module.
Results: Of the 18 subjects, 14(77.8%) were students and 4(22.2%) were facilitators. There were 8 areas identified by the students as troublesome in the module; development of gastrointestinal tract, anatomical relations, electron transport chain, histology of gastrointestinal tract mucosa, peritoneal disposition, anal canal and ischioanal fossae, peristalsis, and absorption across gastrointestinal tract mucosa. Only development of gastrointestinal tract appeared to cross-match with all the criteria outlined for threshold concepts. The troublesome areas identified by the teachers were development of gastrointestinal tract, peritoneal disposition, anatomical relations, absorption across gastrointestinal tract and peristalsis.
Conclusion: Development of gastrointestinal tractwas found to be the threshold concept in the system-based integrated module of gastrointestinal tract. Most of the students found their previous knowledge inadequate in learning concepts of the module.
Mask-associated dry-eye in COVID-19 pandemic: a case report and review of the literature
Authors: Momin Sehrish Nizar Ali , Siddiqui Rehman
Published: May 2022

Mask-Associated Dry Eye (MADE) has been showing a rising trend during COVID 19 pandemic. This phenomenon seems inevitable, as wearing a face mask is a requisite part of personal protective measures to suppress of the spread of virus. However, simple expeditious awareness among health care staff, including the general population, can decrease the incidence.
Keywords: Dry eye disease, COVID 19 Pandemic, Post-operative complications.
Paraganglioma of common bile duct: a case report
Authors: Muhammad Ammar Pirzada  , Muhammad Rizwan Khan  , Saleema Begum  , Khurram Minhas
Published: May 2022

Paragangliomas are rare tumours derived from the neural crest cells. Most common site for these tumours is the adrenal medulla, where they are called as pheochromocytomas. Biliary system is an extremely uncommon site for extra-adrenal paraganglioma. We report the case of a 55 year old female who presented with one-month history of jaundice and right upper quadrant discomfort. Imaging showed a well-defined rounded mass at porta hepatis with arterial enhancement causing compression over the proximal common bile duct, resulting in moderate intrahepatic biliary dilatation. The patient underwent radical excision of common bile duct and roux-en-y hepaticojejunostomy. Final histopathology confirmed paraganglioma. Approximately 10% of the patients may present with extra-adrenal disease, but biliary paraganglioma are extremely rare. Only few cases have been reported in literature and the management usually involves the surgical excision.
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BRANDED RADIO PROGRAM AND ADOPTION OF UNDERUTILISED INDIGENOUS VEGETABLES INNOVATIONS IN SOUTHWESTERN NIGERIA
Authors: Ayanwale Adeolu , Adekunle Morolake
Published: May 2022

Purpose: This study  assessed the influence of Micro-Veg radio program tagged “Ramo-Elefo” on the awareness and adoption of the innovations introduced as well as its effects on adoption of the innovations among the listeners in south-western Nigeria. 

Methodology: Data was collected through structured pretested questionnaire administered on 383 respondents who were randomly selected in two states (Oyo and Osun) in south-western Nigeria. Descriptive statistics as well as the binary probit regression model were used to analyse the data.

Findings: Results show that more females listen and therefore are more aware of the program and the innovations.  Of all those who are aware, most are simply satisfied. Most of the respondents that got aware of innovations on land selection and bed preparation through the radio program eventually adopted them. The innovation that most respondents created interest in was value addition.  Most adopted the innovation on harvesting techniques. Membership of MicroVeg group, assistance from family members as well as depth of exposure to the program encourages the likelihood of adoption of the UIV innovations while awareness and satisfaction with the contents of the program are also important motivators of adoption.

Theoretical implications: Results from the study shows that the presumed theoretical linkage between awareness and adoption of innovations may not hold in all circumstances, but a series of exposure to the message will encourage adoption.

Originality: The study establishes the usefulness of the Radio as a means of propagating beneficial agricultural innovations among the rural populace especially in developing countries.
De rol van reticulocyten bij preoperatieve anemie
Authors: Stockman M. , Hendrickx A. , Peeters V.
Published: May 2022

The significance of reticulocytes in preoperative anemia

While a blood transfusion can be a life-saving therapy in patients with severe anemia or active bleeding, it also exposes the patient to multiple safety risks and it represents a significant cost to society. As a result, more restrictive transfusion guidelines have been on the rise in recent years and the concept of ‘patient blood management’ (PBM) was created. PBM is a multidisciplinary and patient-oriented strategy that focuses on one’s own blood instead of allogeneic blood with the ambition to reduce the number of blood transfusions worldwide.

Optimizing the erythropoiesis is the first of the 3 pillars of PBM. Diagnosing and treating preoperative anemia belong to this category. Various known laboratory parameters are contributing to the anamnesis and clinical examination, such as hemoglobin, mean corpuscular volume (MCV), red cell distribution width (RDW), reticulocytes, iron parameters, vitamin B12 and folic acid. The company Sysmex, owner of the most widely used hematological analyzers in Belgium, also introduced less well-known red blood cell indices related to the reticulocytes. Several parameters, such as the reticulocyte production index (RPI), the reticulocyte hemoglobin equivalent (RET-He), delta hemoglobin (Delta-He) and the percentage of hypochromic red blood cells (Hypo-He), are gradually finding their way into anemia management.

The second pillar of PBM deals with minimizing blood loss. The third pillar focuses on assessing and optimizing the patient’s tolerance for anemia.

This article pays particular attention to the preoperative part of the first pillar. A guideline for diagnosing and treating preoperative anemia using various reticulocyte parameters was created.
Strategi Pengembangan Wisata Bukit Di Leran Kulon, Tuban
Authors: Roalisasi Andarita
Published: May 2022

Tuban Regency Government priority program in 2016-2021 to support the 6th strategy of the 4th mission is The Improvement and Development of Tourism Destinations. One of the potentials that can be developed in Leran Kulon Village, Palang District, Tuban Regency is a hilly area in the south. This area will optimize its natural scenery because it is one of the highest points in Leran Kulon. The research method used is qualitative narrative through literature studies and in-depth interviews. The results of this study showed that the strategy of hill tourism development in Leran Kulon is to build branding, build the participation of the surrounding community and establish the role of BUMDes (Village Owned Enterprises) as managers.
STRATEGI MARKETING SEBAGAI UPAYA MENINGKATKAN PENGUNJUNG VILLA DI ERA NEW NORMAL PENELITIAN PADA VILLA ARRAYA , SITUGUNUNG KABUPATEN SUKABUMI
Authors: Ernawati Tia
Published: May 2022

ABSTRAK

Villa yang terdampak akibat penerapan PSBB ini adalah Villa Arraya yang bertempat di Jl. Situgunung Kec. Kadudampit Kab. Sukabumi. Pengunjung Villa Arraya sebelum terjadi Pandemi Covid19 dan Penerapan PSBB, cukup ramai, hampir setiap minggu, hari yang survey dan memesan villa banyak, tapi setelah diadakan penutupan tempat pariwisata , pengunjung dan penyewa villa mengalami penurunan malah sepi dalam kurun waktu beberapa bulan, itu dikarenakan masyarakat dihimbau untuk tidak keluar rumah oleh pemerintah. Adapun tujuan dari penilitan ini adalah untuk mengetahui strategi apa yang harus di gunakan oleh pengelola Villa Arraya dalam upaya meningkatkan pengunjung villla. Manfat penelitian, peneliti berharap dapat membantu memecahkan masalah yang di hadapi pengelola villa pasca pemberlakuan PSBB di kabupaten sukabumi. Metode Penelitian yang digunakan yaitu dengan menggunakan analisis SWOT guna menentukan strategi apa yang harus di gunakan oleh pihak pengelola. Serta studi litelatur dan penyebaran angket kuesioner terhadap pengelola, pengunjung serta karyawan di villa arraya tersebut. Dimana hasil dari penelitian tersebut dan hasil perhitungan analisis yang peneliti lakukan tersebut bahwa untuk nilai IFAS adalah sebesar 3,13. Sedangkan Untuk Nilai IFAS adalah 3,13. Ini berati dapat di katakan Bahwa strategi pengelola Villa Arraya yang di terapkan saat ini memiliki kemampuan yang moderat (Sedang) dalam Mengelola Sumber daya Internalnya. Sedangkan Untuk Nilai EFAS sendiri adalah 3,15 ini juga berati Strategi yang diterapkan pengelola villa arraya saat ini memiliki kemapuan yang moderat (Sedang). Strategi yang harus di terapkan melihat dari hasil analisis tersebut dapat disimpulkan bahwa untuk menghadapi kemungkinan  ancaman dari luar pemilik villa arraya harus dapat mengubah strategi, misalnya pembangunan sarana informasi atau promosi berbasis WEB agar capaian dan jangkauan penggunjung lebih luas. Serta meningkatkan daya tarik tersendiri dengan merapihkan fasilitas villa guna meningkatkan kenyamanan konsumen yang berkunjung ke villa tsb.

Kata Kunci. Manajemen Pemasaran, Manajemen Strategi, Analisis SWOT, Villa.
ANALISIS LINGKUNGAN KERJA TERHADAP KINERJA
Authors: Kusumah Adie Irwan
Published: May 2022

The discomfort felt so far by employees of the Public Works Office and Cirebon City Space Stewards has a direct impact on the performance of employees who have not beenmaximized, so the author is interested in conducting research conducted in the form of thesis with Environmental Analysis of Work On The Performance of Employees of the Public Works Office and Cirebon City Space  Stewards. The research method used is  descriptive research analysis method,while the sampling technique used in this study is a simple random sampling  of 60 respondents. Data collection techniques are conducted using literature studies, observations, questionnaires and  documentation studies. Data analysis on the influence between free variables i.e. work environment with variables tied to employee performance. The result  is calculated t value  of 14,429 while in table t at df 60 is 1,671; so tcount  > table t  or 14,429 > 1,671. This means that H0  is rejected and Ha is accepted, which means there isa significant influence on the performance of employees at the Cirebon Public Works And Space Stewardship Office, thus the hypothesis is proven. While  the correlation coefesien value is 0.884 while the determining coefesien value obtained is 0.782 or 78.20%. This percentage of the influence of work environment variables on employee performance is 78.20%.  While the remaining 21.80% was influenced by other variables not studied in this study.

Keyword :  :  Work Environment, Employee Performance
Pengaruh Anggaran Belanja Langsung Terhadap Realisasi Anggaran Pada Biro Umum Sekretariat Provinsi Jawa Barat
Authors: Sukarno Hasbi Basith
Published: May 2022

This reseach aimed to find out the influence of direct budget on budget realization in Biro Umum Sekretariat Provinsi Jawa Barat period 2013-2017.The reseach used quantitative descriptive method. The data collection technique used is observation, library study and documentation. The data analysis technique used is a Pearson Product Moment Correlation, coefficient of determination, the simple linear regression,and t test. The results obtained from statistical calculations, obtained the value of the correlation coefficient between the direct budget to budget realization of 0.993. While the regression coefficient value was stated positive so that if the direct budget  increases then the budget realization will increase. Determination coefficient value was 0.985 which means the direct budget  gives an influence of 98,5% to budget realization.The problems in Biro Umum Sekretariat Provinsi Jawa Barat. Efforts made on this issue are improving the quality and quantity in budget planning so that the process of realization or disbursement of funds does not occur misunderstanding ot late.

Keyword : Direct budget, Budget realization