bluuebunny/crossref_metadata_2025 huggingface dataset:
Pajak Pertambahan Nilai Terhadap Jasa Pendidikan: Upaya Mendukung Pemerataan Pendidikan
Authors: Saragih Lola Inganta , Dikri Padhilah , Wahyono Kuat Sidik , Wijaya Suparna
Published: December 2022

This study attempts to examine the impact of changes to the taxation scheme for VAT on educational services. Education services which were originally excluded from VAT objects resulted in quite large tax expenditures but their implementation has not been on target. The HPP Law changed the taxable service exemption scheme to provide VAT facilities in the form of exemption or not being collected. Research using descriptive qualitative method. To ensure that the provision of these facilities is right on target, the government needs to determine a certain classification for the provision of educational services with a regulation the preparation of which is coordinated with the relevant technical ministries. This research is expected to be a reference for stakeholders in formulating policies in order to realize the principles of justice and equity in education and optimize government revenues.
Penelitian ini berusaha mengkaji dampak dari perubahan skema pemajakan atas PPN Jasa Pendidikan. Jasa pendidikan yang semula dikecualikan dari objek PPN menimbulkan belanja perpajakan yang cukup besar namun implementasinya belum tepat sasaran. UU HPP mengubah skema pengecualian jasa kena pajak menjadi pemberian fasilitas PPN berupa pembebasan atau tidak dipungut. Metode penelitian yang digunakan adalah kualitatif deskriptif. Untuk memastikan pemberian fasilitas ini tepat sasaran, pemerintah perlu menetapkan klasifikasi tertentu atas penyelenggaraan jasa pendidikan dengan suatu aturan yang penyusunannya dikoordinasikan dengan kementerian teknis terkait. Penelitian ini diharapkan dapat menjadi acuan bagi pemangku kepentingan dalam perumusan kebijakan demi terwujudnya asas keadilan dan pemerataan pendidikan serta optimalisasi penerimaan negara.
DIGITAL TRANSFORMATION OF HIGHER EDUCATION, KEY FEATURES AND FUNCTIONS OF SMART UNIVERSITY 4.0
Authors:   Russian University of Transport, Azarov V.N. , Chekmarev A.V. ,   Moscow State Institute of International Relations (University) Ministry of Foreign Affairs of the Russian Federation
Published: December 2022

The concept of a SMART university currently being developed in the popular understanding should meet the requirements of accelerated learning, use the achievements of digitalization and be based on the principles of self-development, adaptability, measurability, digital tools and distance education.However, this concept, supported in most modern methodological and scienti c works, seems to be insuf ciently complete and systematized.The article presents an extended joint contextual economic-technological and historical analysis of the evolution of informatics, the sphere of knowledge and technology, which made it possible to clarify the basic requirements for the new educational system and its elements, digitalization tools, its main characteristics and functions, as well as to raise a number of questions that require additional scienti c consideration and veri cation in practice.The existing international education system is a product and simultaneously an element of the rst industrial revolution, functioning on the basis of the principles of ow-type production established more than a hundred years ago, and solves the problem of maximum penetration of a typical set of knowledge into the masses of the population, rather than maximizing the quality of the obtained knowledge and its individualization.New industrial revolution based on wide digitalization and networking, which we are witnessing, requires modernization of most economic institutions, including education system, and offers for this modernization not only a new set of technologies, but also new principles of exibility, individualization, maximization of ef ciency. The subject of electronic education has been developing in different countries for quite a long period. By now the necessary set of technologies and organizational elements has been created. However, it is during the 2019-2021 pandemic that suf cient conditions have emerged for the non-alternative widespread implementation of a new holistic education system based on remote mode and adaptive digital content. The article considers the modernization of the education system, the creation of the Digital SMART University or University 4.0. The modernization of the educational system has many parallels with the digital transformation of other sectors of the economy. This makes it possible and necessary to use the experience and knowledge accumulated in other areas of economic activity, their systematization and analysis of applicability.
BENIGN SOLITARY PULMONARY NODULES OF VASCULAR ORIGIN: FEATURES OF THE DIAGNOSTICS
Authors:   SO “National institute of phthisiology and pulmonology named after F. G. Yanovsky NAMS of Ukraine”, Liskina I. V. , Kuzovkova S. D. , Zagaba L. M. , Melnyk O. O.
Published: December 2022

Aim - retrospective analysis of the features of diagnosing of benign pulmonary nodules of vascular origin. Object and methods. During 2017-2021 393 patients were admitted to the clinic of SI “National Institute of phthisiology and pulmonology named after F. G. Yanovsky NAMS of Ukraine” with solitary pulmonary nodues (SPN) of less than 3 cm in size. In this cohort of patients in 20 cases solitary small pulmonary nodules of vascular origin were revealed. Diagnostic features were analyzed using 15 cytology and 22 histology examinations. With the purpose to distinguish between lung infarction and pulmonary infection additional histochemistry tests were done: 3 CilNilsen acid-fast bacilli staining and 4 Gomori-Grokot staining. Results. It has been established that this pathology occurs rarely among patients with SPN and accounted for 5,1% of cases. The average age of patients was 39,2 years, no gender preference was found. In the case of lung infarction, the patients’ anamnesis most often included surgical interventions for diseases of various organs and systems. Most nodules of vascular origin had well-defined contours and were round in shape. SPNs were located subpleurally in 55,0% of cases, and in 30,0% of them the fibrous strands or nodules were adjacent to the pleura. In the right lung, significantly more SPN were revealed than in the left — 69,6% vs 30,4%, respectively. According to size, the largest number of SLVs was determined in the range of 1,1-2,0 cm (56,6% of the nodes), and the average size was 2,1 cm. In total, in 19 (95,0%) cases, only surgical intervention followed by histological examination allowed establish a final diagnosis. Key words: solitary pulmonary nodule, diagnostics, lung infarction, thrombus-infarction pneumonia.
SARCOIDOSIS: THE SILHOUETTES OF SCIENTIFIC AND PRACTICAL EVOLUTION
Authors: Khodosh E. M.
Published: December 2022

Since the times of Jonathan Hatchinson, the author of first clinical description of sarcoidosis case, this disease was considered as dermatological one, slowly evolving into multisystem condition, associated with bone cyctosis, respiratory and other systems involvement. Later, due to epidemiology advances, it has become appreciated that sarcoidosis was spread globally, affecting people of all sexes and races. In the recent years, an achievements in different fields, especially biochemistry, genetics, immunology and molecular biology, significantly improved our understanding of this ilness. Each new methodological approach makes a solution of the enigma closer, particularly a still slipping away cause of the disease. The article reflects the major milestones of sarcoidosis history, highlighted by author. Key words: sarcoidosis, history, evolution of views.
EKONOMI MONETER ISLAM MASA DEPAN
Authors: Alimin Fahira
Published: December 2022

Beberapa aspek yang dapat dilihat untuk melakukan evaluasi terhadap penerapan sistem moneter yang berjalan saat ini yaitu Penyelarasan Prinsip Islam,Permodalan dan Sistem Moneter, peran dan dukungan pemerintah.
RESUME INSTRUMEN KEBIJAKAN MONETER ISLAM DI INDONESIA
Authors: Annisa Nurul
Published: December 2022

tujuan kebijakan moneter Islam tidak berbeda dengan tujuan kebijakan moneter secara umum, yaitu menjaga stabilitas dari mata uang (baik secara internal maupun eksternal), penciptaan instrumen keuangan yang terdiversifikasi, likuiditas, transparansi sistem keuangan, dan mekanisme pasar yang efektif
Differential expression of UCP3 in amyotrophic lateral sclerosis.
Authors: Mamoor Shahan
Published: December 2022

Neurodegenerative diseases that affect the motor neurons, including amyotrophic lateral sclerosis (ALS), have little treatment options and are generally rapidly fatal (1, 2). We harnessed the power of unbiased, whole transcriptome differential gene expression analysis, utilizing primary patient cells and tissues to discover genes whose expression defines ALS using published data (3, 4). We found significant differential expression of UCP3, encoding uncoupling protein 3, in the skeletal muscle of patients with ALS. UCP3 was also differentially expressed in fibroblasts isolated from patients with ALS. UCP3 transcript was present at significantly lower levels in ALS patient skeletal muscle as compared to control skeletal muscle. These analyses will begin to define the transcriptional landscape of ALS.
Shrimp: The animals most commonly used and killed for food production
Authors: Romero Waldhorn Daniela , Autric Elisa
Published: December 2022

Decapod crustaceans or, for short, decapods (e.g., crabs, shrimp, or crayfish) represent a major food source for humans across the globe. If these animals are sentient, the growing decapod production industry likely poses serious welfare concerns for these animals. Information about the number of decapods used for food is needed to better assess the scale of this problem and the expected value of helping these animals.In this work we estimated the number of shrimp and prawns farmed and killed in a year, given that they seem to be the vast majority of decapods used in the food system. We estimated that around:-440 billion (90% subjective confidence interval [SCI]: 300 billion - 620 billion) farmed shrimp are killed per year, which vastly exceeds the figure of the most numerous farmed vertebrates used for food production–namely, fishes and chickens.-230 billion (90% SCI: 150 billion - 370 billion) shrimp are alive on farms at any moment, which surpasses any farmed animal estimate known to date, including farmed insect numbers.-25 trillion (90% SCI: 6.5 trillion - 66 trillion) wild shrimp are directly slaughtered annually, a figure that represents the vast majority of all animals directly killed by humans out of which food is produced.At this moment, the problem of shrimp production is greater in scale–i.e., number of individuals affected–than the problem of insect farming, fish captures, or the farming of any vertebrate for human consumption. Thus, while the case for shrimp sentience is weaker than that for vertebrates and other decapods, the expected value of helping shrimp and prawns might be higher than the expected value of helping other animals.
BAHAYA PRESIDENTIAL TRHESOLD
Authors: Nasikhin
Published: December 2022

Pembatasan presidential threshold 20 persen sangat tidak demokratis, merupakan suatu kemunduran bagi demokrasi di Indonesia. Karena ini tidak adil hanya partai pemenang atau partai yang menguasai parlement yang berhak mengusung calon presiden dan wakil presidennya. Presidential threshold atau ambang batas pencalonan presiden merupakan gerakan politik atau golongan politik yang mempentingan kepentingan politik bukan kepentingan rakyat ini tentu melanggar nilai-nilai subtansi demokrasi. Kemudian ambang batas bisa saja menjegal orang yang ingin menjadi presiden yang elektabilitasnya tinggi karena tidak bisa mencalonkan sebagai presiden dikarenakan faktor ambang batas yang sangat akan kepentingan politik dan menciptakan oligarki.
Pemikiran ekonomi Islam fase kedua
Authors: Nurhasrani
Published: December 2022

Fase ini merupakan fase yang cemerlang pemikiran pada fase ini dilatar belakangi oleh menjamumnya korupsi dan dekadensi moral, serta melebarnya kesenjangan antara golongan miskin dan kaya, meskipun secara umum kondisi perekonomian masyarakat Islam berada dalam taraf kemakmuran
Determinants of patient reported functional mobility in people with Parkinson's disease: a systematic review.
Authors: Hanff Anne-Marie , Pauly Claire , Pauly Laure , Rauschenberger Armin , Leist Anja , Krüger Rejko , Zeegers Maurice , McCrum Christopher
Published: December 2022

BACKGROUND: Information on determinants of patient-reported functional mobility is lacking but would inform the planning of healthcare, resources and strategies to promote functional mobility in people with Parkinson’s disease (PD).RESEARCH QUESTION: To identify the determinants of patient-reported functional mobility of people with PD.METHODS: Eligible: Randomized Controlled Trials, cohort, case-control, or cross-sectional analyses in people PD without date or setting restrictions, published in English, German, or French. Excluded: instruments with under 50% of items measuring mobility. On August 9th 2023 we last searched Medline, CINAHL and PsychInfo. We assessed risk of bias using the mixed-methods appraisal tool. Results were synthesized by tabulating the determinants by outcomes and study designs.RESULTS: Eleven studies published 2012-2023 were included (most in Swedish outpatient settings). Samples ranged from 9-255 participants. Follow-up varied from 1.5-36 months with attrition of 15 to 42%. Heterogenic study designs complicated results synthesis. However, determinants related to environment seem to associate the strongest with patient-reported functional mobility, although determinants related to body structures and functions were most investigated. We identified disease duration, the ability to drive, caregiving, sex, age, cognitive impairment, postural instability and social participation as determinants of patient-reported functional mobility.DISCUSSION: Methodological quality of the studies was limited. No study reported an a priori power calculation. Three studies controlled for confounders. The included studies lack representativeness of the population of people living with PD. Standardized sets of outcomes could enable more systematic research synthesis.CONCLUSIONS: Future research should focus on activities, participation and environmental factors and improve methodological quality.
FAKTOR FAKTOR YANG MEMPENGARUHI KEBIJAKAN LUAR NEGERI AMERIKA SERIKAT DALAM MEMBERIKAN DUKUNGAN KEPADA KELOMPOK KURDI SURIAH (YPG/PYD) TAHUN 2016 – 2019
Authors: penulis
Published: December 2022

Seminar Proposal Penelitian Mahasiswa 2020.
Sasando dari Pulau Rote
Authors: Sui Christin Susani
Published: December 2022

Sasando adalah salah satu alat musik tradisional dari Pulau Rote, Nusa Tenggara Timur (NTT). Sasando ini merupakan alat musik berdawai tanpa mempunyai cord dan dimainkan dengan cara dipetik dengan menggunakan jari.
SEJARAH PEMERINTAHAN MASYARAKAT TIMOR TENGAH SELATAN
Authors: Missa Carlianto
Published: December 2022

Sejarah masyarakat kabupaten Timor Tengah Selatan bahwa semua diikuti garis keturunan kerajaan masing-masing
PENGARUH PEMBELAJARAN BLENDED LEARNING TERHADAP TINGKAT PEMAHAMAN MAHASISWA PADA MATA KULIAH STRUKTUR ALJABAR GRUP
Authors: Amanda Adela Syafitri , Hasibuan Annisa Fikria , Dalimunthe Rahmawani , Putri Siti Nuraini As’ri , Aritonang Tsania Khairani
Published: December 2022

Pembelajaran Blended-learning adalah pembelajaran yang menggabungkan antara pembelajaran tatap muka (face to face learning) dan virtual (e-learning). Maka penelitian ini dibuat bertujuan untuk mengetahui tingkat pemahaman mahasiswa yang menggunakan metode pembelajaran blended-learning dalam mempelajari mata kuliah struktur aljabar grup. Penelitian ini menggunakan metode kuantitatif dengan teknik pengambilan datanya berupa angket (online) dalam bentuk google form. Subyek penelitian ini adalah mahasiswa program studi Pendidikan Matematika di Universitas Islam Negeri Sumatera Utara. Dengan hasil penelitian yang menunjukkan bahwa metode blended-learning sangat mempengaruhi tingkat pemahaman mahasiswa pada mata kuliah struktur aljabar grup
Predicting Treatment Response Using Machine Learning: A Registered Report
Authors: Jankowsky Kristin , Krakau Lina , Schroeders Ulrich , Zwerenz Rüdiger , Beutel Manfred E.
Published: December 2022

ObjectivePrevious research on psychotherapy treatment response has mainly focused on outpatients or clinical trial data which may have low ecological validity regarding naturalistic inpatient samples. To reduce treatment failures by proactively screening for patients at risk of low treatment response, gain more knowledge about risk factors, and to evaluate treatments, accurate insights about predictors of treatment response in naturalistic inpatient samples are needed. MethodsWe compared the performance of different machine learning algorithms in predicting treatment response, operationalized as a substantial reduction in symptom severity as expressed in the Patient Health Questionnaire Anxiety and Depression Scale. To achieve this goal, we used different sets of variables—(a) demographics, (b) physical indicators, (c) psychological indicators, and (d) treatment-related variables—in a naturalistic inpatient sample (N = 723) to specify their joint and unique contribution to treatment success.ResultsThere was a strong link between symptom severity at baseline and post-treatment (R² = .319). When using all available variables, both machine learning algorithms outperformed the linear regressions and led to an increment in predictive performance of .12. Treatment-related variables were the most predictive, followed psychological indicators. Physical indicators and demographics were negligible.ConclusionsTreatment response in naturalistic inpatient settings can be predicted to a considerable degree by using baseline indicators. Regularization via machine learning algorithms leads to higher predictive performances as opposed to including non-linear and interaction effects. Heterogenous aspects of mental health have incremental predictive value and should be considered as prognostic markers when modeling treatment processes.
Awareness of symptoms, anticipated barriers and delays to help-seeking among women at higher risk of breast cancer: a UK multicentre study
Authors: Green Sophie Mary Catherine , Lloyd Kelly , Smith Samuel
Published: December 2022

Background: Women with a family history of breast cancer have an increased lifetime risk of the disease. Delay in symptom presentation can lead to poorer outcomes. Low awareness of breast cancer symptoms and help-seeking barriers have been associated with delay in presentation in the general population. Symptom awareness and help-seeking barriers among women at increased risk of breast cancer are unknown. Methods: We conducted a secondary analysis of survey data which included women with moderate and high risk of breast cancer from 20 secondary and tertiary care clinics in England (n=408). Women completed a validated survey assessing breast cancer symptom awareness, barriers to help-seeking and anticipated delay in help-seeking. Results: Women recognised an average of 9.1/11 breast cancer symptoms (SD=2.1). Nipple rash was the least recognised symptom (51.0%). Women educated to at least degree level had higher awareness than those with lower education (β= 0.14, 95% CI 0.13, 0.99, p = 0.011). Women at lower socioeconomic status (SES) had lower awareness than those at higher SES (β= -0.13, 95% CI -1.09, -0.07, p=0.027). Women reported several anticipated help-seeking barriers (mean=4.0/11, SD=2.8). Most women (376/408; 92.2%) reported that they would seek medical help within 2 weeks of discovering a breast cancer symptom. Conclusion: Interventions to increase awareness of non-lump breast cancer symptoms and reduce help-seeking barriers are needed, particularly in less educated and more deprived women.
Thinking about thinking: A longitudinal investigation linking developments in metacognition, self-control and theory of mind.
Authors: Symeonidou Mariel , Doherty Martin , Ross Josephine
Published: December 2022

This longitudinal study tracked the developmental relations linking metacognition, theory of mind and self-control in N=52 Scottish children across a 1.5 year interval, beginning at 3 to 4 years. Metacognition and inhibitory control emerged before theory of mind and were predictive of growth in theory of mind competence. Moreover, there was evidence of developmental mediation, whereby metacognition predicted self-control which predicted theory of mind. We suggest that metacognitive self-reflection may provide the ‘developmental enrichment’ necessary to think about thinking in Scottish children, and when inhibitory control is sufficiently developed, this thinking can be extended to complex reasoning about own and other minds.
Aesthetic chills foster self-acceptance and emotional breakthrough in depression
Authors: Schoeller Felix , Jain Abhinandan , Adrien Vladimir , Maes Pattie
Published: December 2022

Aesthetic chills, a strong emotional reaction characterized by a specific bodily response of thermoregulatory mechanisms such as shivers and goosebumps, may hold scientific and clinical potential for reward-related or dopaminergic illnesses. In this first exploratory study, we examined the effects of chills stimulation on subjects clinically diagnosed with depression. Our results suggest that chill-inducing stimuli may have the potential to affect the core schema of depressed patients, specifically in terms of shame and self-acceptance. These results suggest that the mechanism of action during the chills response may resemble the form of problem resolution induced by the psychedelic and psychotherapeutic experience, leading to similar positive outcomes for the subject. Further research is needed to fully understand the effects of chills on mental health and to determine the feasibility and safety of using aesthetic chills as a therapeutic intervention.
Limited evidence of test-retest reliability in infant-directed speech preference in a large pre-registered infant experiment
Authors: Schreiner Melanie Steffi , Zettersten Martin , Bergmann Christina , Frank Michael C. , Fritzsche Tom , Gonzalez-Gomez Nayeli , Hamlin Kiley , Kartushina Natalia , Kellier Danielle J. , Mani Nivedita , Mayor Julien , Saffran Jenny , Shukla Mohinish , Silverstein Priya , Soderstrom Melanie , Lippold Matthias
Published: December 2022

Test-retest reliability --- establishing that measurements remain consistent across multiple testing sessions --- is critical to measuring, understanding, and predicting individual differences in infant language development. However, previous attempts to establish measurement reliability in infant speech perception tasks are limited, and reliability of frequently-used infant measures is largely unknown. The current study investigated the test-retest reliability of infants' preference for infant-directed speech over adult-directed speech in a large sample (N=158) in the context of the ManyBabies1 collaborative research project (Frank et al., 2017; ManyBabies Consortium, 2020). Labs were asked to bring in participating infants for a second appointment retesting infants on their preference for infant-directed speech. This approach allowed us to estimate test-retest reliability across three different methods used to investigate preferential listening in infancy: the head-turn preference procedure, central fixation, and eye-tracking. Overall, we found no consistent evidence of test-retest reliability in measures of infants' speech preference (overall r=.09, 95% CI [-.06,.25]). While increasing the number of trials that infants needed to contribute for inclusion in the analysis revealed a numeric growth in test-retest reliability, it also considerably reduced the study's effective sample size. Therefore, future research on infant development should take into account that not all experimental measures may be appropriate for assessing individual differences between infants.
Contrasting one's share of the shared life space: Comparing the roles of metacognition and inhibitory control in the development of theory of mind among Scottish and Japanese children.
Authors: Symeonidou Mariel , Mizokawa Ai , Kabaya Shinsuke , Doherty Martin , Ross Josephine
Published: December 2022

Cultural comparisons suggest that an understanding of other minds may develop sooner in the independent settings, whereas inhibitory control may develop sooner in interdependent settings. From a western lens, this pattern might be considered paradoxical, since there is a robust positive relationship between theory of mind (ToM) and inhibitory control in western samples. In independent cultures, an emphasis on one’s own mind offers a clear route to ‘simulate’ other minds, and inhibitory control may be required to set aside own perspective to represent the perspective of others. However, in interdependent cultures, social norms are considered the key catalyst for behaviour, and metacognitive reflection and/or suppression of own perspective may not be necessary. The cross-cultural generalizability of the western developmental route to ToM is therefore questionable. The current study used an age-matched cross-sectional sample to contrast 56 Japanese and 56 Scottish 3- to 6-year-old’s metacognition, ToM and inhibitory control skills. In contrast to the individualistic perspective dominant in Scotland, in Japan, the word for self, jibun, translates as "one's share of the shared life space". We replicated the expected cultural advantages for ToM (Scotland > Japan) and inhibitory control (Japan > Scotland). Following the predictions of simulation theory, we find that the development of inhibitory control mediates the link between metacognition and theory of mind in Scotland. However, this model does not predict Japanese ToM. This confirms that individualistic mechanisms do not capture the developmental mechanism underlying ToM in Japan, highlighting a bias in our understanding of ToM development.
Social media reveals population dynamics of dysphoric dreaming
Authors: Mallett Remington , Sowin Laura , Carr Michelle
Published: December 2022

Nightmares disrupt sleep health and predict future psychiatric diagnosis, yet reliable population estimates and their fluctuations over time are difficult to obtain. Here, we observe an increase in dysphoric dreaming shared on Reddit immediately following the World Health Organization's declaration of COVID-19 as a global pandemic. This "digital dream surveillance" approach might offer the field of sleep medicine a low-cost and real-time system for monitoring population sleep health.
Organizations and the structure of culture
Authors: Lizardo Omar , Jilbert Isaac
Published: December 2022

Recent work emphasizes how organizations and organizing are suffused by culture. Ignored, however, is the question of how organizations and organizing shape cultural understandings. In this paper, we draw attention to how organizations impact the creation, maintenance, and matching of cultural associations: The “structure of culture.” Cultural associations are distributed understandings of “what goes with what,” diffused via their co-adoption by individual and corporate actors. We argue that the process of associative diffusion is heavily influenced by organizational forms, routines, and operations. While organizations shape culture production, they likewise shape resulting associations between cultural items, actively modifying the structure of culture. We conclude that the role of organizations in shaping the structure and dynamics of culture should be a central topic of study moving forward.
A Universe of Uncertainty Hiding in Plain Sight
Authors: Engzell Per
Published: December 2022

A recent study by Breznau et al. ["Observing many researchers using the same data and hypothesis reveals a hidden universe of uncertainty" PNAS, 119(44) (2022)] raises concerns about the reliability of social science. I raise four concerns about its interpretation: 1) The study tests not one but several hypotheses; 2) The study successfully replicates a null finding; 3) Much variation is within results from a given team; 4) The data are inadequate for the hypothesis. Progress in social science requires attention to theory, measurement and causal inference in addition to variability of results.
A proposal for further developing fatigue-related post COVID-19 health states for burden of disease studies
Authors: Wyper Grant Mark Andrew , McDonald Scott A , Haasgma Juanita A , Devleesschauwer Brecht , Charalampous Periklis , Maini Rishma , Smith Pierre , Pires Sara M
Published: December 2022

Previous efforts to estimate the burden of fatigue-related symptoms due to long COVID have a very high threshold for inclusion of cases, relative to the proposed definition from the World Health Organization. In practice, this means that milder cases, that may be occurring very frequently, are not included in estimates of the burden of long COVID, which will underestimate the burden of long COVID.A more comprehensive approach to modelling the disease burden from long COVID, in relation to fatigue, can ensure that we do not only focus on what is easiest to measure, thus losing focus of less severe health states that may be more difficult to measure but are occurring very frequently.Our proposed approach provides a means to better understanding of the scale of challenge from long COVID, for consideration when preventative and mitigative action is being planned.
Comparative Study between the Use of Pigtail Catheters and Traditional Chest Tube Drain in Cases with Pneumothorax
Authors: Vaidya S. , Karmacharya R. M. , Shrestha B. , Adhikari M.M. , Sharma R. , Khadka S. , Bhandari N. , Hada G.
Published: December 2022

Background Pneumothorax is a condition in which air or other gas is present in the pleural cavity. Mainstay of management of pneumothorax is to remove the air from the pleural space usually done by chest tube insertion. There is still uncertainty whether minimal invasive management with pigtail catheter is sufficient for the management of pneumothorax.

Objective To find the effectiveness, safety, tolerability, efficacy of pigtail catheters and large bore chest tubes.

Method Prospective comparative study was done in Dhulikhel Hospital between August 2019 till August 2021. Chest tube insertion used to be the only available treatment modality till December 2020 (15 months). Following January 2021 after obtaining ethical clearance for use of pigtail insertion for pneumothorax, this treatment modality was done (8 months).

Result Among 76 patients, 52(68.4%) underwent a large bore chest tube and 24 (34.6%) pigtail catheter patients. Mean age of the patients was 48 years (SD 18.01). Duration of hospital stay and length of hospital stay was more in large bore catheters and less in pigtail catheters. Eight hours post tube placement of the expansion of the lungs was present in pigtail and was statistically significant. Pain killer used in pigtail catheters was limited to Non-steroidal anti-inflammatory drugs, for large bore catheter opioids were added and were statistically significant.

Conclusion Pigtail catheter is nearly effective as compared to traditional wide bore catheters.
Visual Evoked Potentials (VEPs) in Patients with Type 2 Diabetes Mellitus
Authors: Subedi P. , Limbu N. , Maskey R. , Baral D. D.
Published: December 2022

Background Type 2 diabetes constitutes about 85-95% of all diabetes in developed countries, and accounts for an even higher percentage in developing countries. Diabetic retinopathy is probable the most characteristic, easily identifiable and treatable complication of diabetes, but remains an important cause of visual loss.

Objective To study P100 latencies and inter ocular latency difference in diabetic group and compared it with a control group and study the correlation between P100 and inter ocular latency difference with the duration of disease in diabetic group.

Method A comparative, cross sectional study was done from September 2016 to January 2018 in Neurophysiology Lab, Basic and Clinical Physiology, BP Koirala Institute of Health Sciences. The sample size was 64 and random sampling technique was used. Subjects were divided into three groups according to the duration of disease. Anthropometric and visual evoked potentials were recorded. Descriptive analysis, analysis of covariance and Post Hoc multiple comparison analyses were done using SPSS 11.5. Pearson’s correlation was applied between P100 latency and inter ocular latency difference with the duration of disease.

Result On using analysis of covariance, P100 latencies were significantly prolonged in diabetic as compared to healthy controls (p < 0.001). Post Hoc multiple comparison showed significant differences in both left and right P100 latencies within diabetic groups and between diabetic groups and healthy controls. Left inter ocular latency difference showed positive correlation with the duration of disease.

Conclusion P100 latencies are significantly prolonged in diabetes patients and is positively correlated with duration of disease. Visual evoked potential test can be useful for detecting retinal dysfunction before the appearance of symptoms of retinopathy.
Celiac Plexus Denudation in Triangle Dissection in Pancreatico Duodenectomy: Perioperative Anesthetic Implications
Authors: Shrestha B. R. , Sharma M. , Barahi Shrestha S. , Thapa P. B. , Maharjan D. K.
Published: December 2022

This is a case report of inadvertent right celiac plexus denudation during triangle dissection during the surgery for carcinoma of pancreas under combined general epidural anaesthesia. Operative removal of the ganglia has its own autonomic effects, which are important to observe for anesthesiologists and perioperative critical care physicians alike.
Lateral transperitoneal laparoscopic management for paragangliomas in para-aortic position: Surgical experience from case reports of three patients
Authors:   Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Department, Bach Mai Hospital, Nguyen Ngoc Hung , Nguyen Huy Du ,   Department of Surgery, Hanoi Medical University, Do Hai Dang ,   Department of Surgery, Hanoi Medical University, Luong Tuan Hiep ,   Department of Surgery, Hanoi Medical University, Nguyen Thanh Khiem ,   Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Department, Bach Mai Hospital
Published: December 2022

Paragangliomas are a type of neuroendocrine tumour with catecholamine secretion outside of the adrenal medulla. These tumours are frequently found in the para-aortic region, which makes them difficult to manage laparoscopically. We herein present a case report of three patients with paragangliomas in a difficult superior para-aortic position. All cases had symptoms of catecholamine release with uncontrolled episodic hypertension and had their tumours successfully removed by transperitoneal laparoscopic management. We have found this method to be a suitable approach because it reveals a wide surgical field and a view over all organs, especially blood vessels around the tumour. Although blood and urine dopamine and noradrenaline levels were not measured postoperatively, all three patients were discharged without complication and they did not display any more clinical symptoms. Lateral transperitoneal laparoscopic surgery provided a wide field of view, which clearly revealed the tumour and surrounding components indicating it is one of the safest and most effective approaches, especially for paragangliomas adjacent to large blood vessels.
Odnos nepovoljnih iskustava u djetinjstvu, zaštitnih čimbenika u sadašnjosti i zadovoljstva životom profesionalnih pomagača
Authors: Maurović Ivana
Published: December 2022

Istraživanja dobrobiti profesionalnih pomagača uglavnom su usmjerena na profesionalni aspekt, dok je manje podataka o subjektivnoj dobrobiti profesionalnih pomagača kao i čimbenicima koji joj doprinose. Dostupni podaci uglavnom ukazuju na veći broj nepovoljnih iskustava u djetinjstvu (NID) kod profesionalnih pomagača nego u općoj populaciji, ali i na višu razinu zadovoljstvo životom. Navedeno bi moglo upućivati na proces otpornosti, kojeg facilitiraju unutarnji i vanjski zaštitni čimbenici. Ovim istraživanjem nastoji se utvrditi doprinos NID-a te unutarnjih i vanjskih zaštitnih čimbenika u sadašnjosti u objašnjenju zadovoljstva životom, odnosno moderatorska uloga unutarnjih i vanjskih zaštitnih čimbenika u odnosu NID-a i zadovoljstva životom kod profesionalnih pomagača. Istraživanje je provedeno na uzorku od 622 profesionalna pomagača: pedagoga, psihologa, socijalnih pedagoga i socijalnih radnika. Provedenom hijerarhijskom regresijskom analizom utvrđeno je kako NID, kao i unutarnji (individualna otpornost i generalna samoefikasnost) te vanjski zaštitni čimbenici (percipirana socijalna podrška značajne druge osobe i obitelji) doprinose objašnjenju zadovoljstva životom profesionalnih pomagača. Nijedan interakcijski efekt zaštitnih čimbenika i NID-a u djetinjstvu nije značajan, ali zajedno, doprinose objašnjenju 1.5% varijance zadovoljstva životom. Uvođenjem interakcijskih efekata, prediktivni značaj NID-a u objašnjenju zadovoljstva životom se gubi. Ovi rezultati ukazuju na dugoročno djelovanje NID-a, ali i na moguće sinergijsko, odnosno kumulativno djelovanje čimbenika zaštite.
Use of zero-gravity robotic-assisted locomotion simulator in rehabilitation of patients with spinal trauma sequelae
Authors: Tkachenko Polina , Daminov Vadim
Published: December 2022

In 2013, the WHO reported that 250,000 to 500,000 people worldwide are affected by traumatic spinal cord injury every year (WHO, 2013). In Russia, it is estimated that over 250,000 people suffer from disabilities as a result of spinal cord injury. This number continues to increase due to an increase in injury rate, as well as improvement in survival rate of patients affected by acute and long-term periods of traumatic spinal cord injury (TSCI). This study aimed to justify the safe and effective use of a zero-gravity robotic-assisted trainer for locomotor therapy in complex rehabilitation of patients with TSCI, as well as to compare this therapeutic approach with conventional motor rehabilitation programs that use other robotic mechanotherapy techniques. Neurological and functional disorders were assessed in 30 TSCI patients based on clinical examination and electromyography (EMG) results. All patients were classified into an intervention group and a control group by sequential randomisation. Rehabilitation programs for the intervention and control groups were alike, except for robotic mechanotherapy. Significant positive dynamic changes in motor functions, measured according to the ASIA Impairment Scale (American Spinal Cord Injury Association; Marino et al., 2003) were noted in the intervention group, in which two patients moved up to a higher level. EMG data showed a significant difference between the groups in favour of the intervention group. In addition, there was a significant difference between the two groups in postural function improvement in a seated position. Rehabilitation of patients in the intervention group involved engaging the axial muscles, facilitating an increase in strength, and improving trunk muscle control. Both groups of patients showed a significant decline in spasticity, as well as changes in their functional status. The ability of patients to perform normal daily activities also showed improvement. Our findings show that zero-gravity robotic-assisted locomotor training is a safe and effective procedure in the complex rehabilitation of patients with TSCI. This technique improves motor skills, self-care, and postural function in TSCI patients. Furthermore, we found a significant correlation between neurological and functional changes, which is indicative that this new therapeutic modality focuses on a restorative concept. Further research with a power increment is warranted.
Strategy of the Head of Administration in Improving the Performance of Education Personnel (Strategi Kepala Tata Usaha dalam Meningkatkan Kinerja Tenaga Kependidikan)
Authors: Ajriani Evi , Badarwan Badarwan , Samrin Samrin
Published: December 2022

This study aims to examine the Strategy of the Head of Administration in Improving the Performance of Education Personnel at SMP N 10 Konawe Selatan. This study uses qualitative research. Data collection techniques were carried out by interviews, observation and documentation. Data analysis through the process of data reduction, data presentation and drawing conclusions as well as data validity techniques through data triangulation (technique, source and time), extending observations, and conducting Member checks. The results showed that: 1) The performance of teaching staff at SMP N 10 Konawe Selatan quite good in terms of Skp, increased archiving, and can complete work according to their responsibilities. 2) The strategy of the head of administration is to first carry out disciplinary coaching by making absences to be initialed during arrival and return hours, then providing motivation, giving awards, understanding a comfortable working atmosphere, including training and evaluations which are held at the end of each year.Keywords:     Head of Administration Strategy, Performance of Education Personnel
Marketing Management in Order to Maintain Public Trust in Islamic Boarding Schools : A Narrative Study at Minhajut Thullab Islamic Boarding School (Manajemen Pemasaran dalam Rangka Menjaga Kepercayaan Masyarakat terhadap Pondok Pesantren : Studi Naratif di Pondok Pesantren Minhajut Thullab)
Authors: Aisyah Siti , Alim Nur
Published: December 2022

This article aims to analyze the marketing management practices of educational institutions at the Minhajut Thullab Islamic Boarding School, Andoolo Village, with 2 (two) main highlights, namely: 1) Islamic boarding school marketing management, and; 2) Islamic boarding school marketing strategy. This study uses a qualitative approach, with a narrative approach. Data collection techniques were carried out through interviews, observation and documentation. Data analysis through the process of data reduction, data presentation and drawing conclusions or data verification as well as data validity techniques through data triangulation (techniques, sources and time), extension of observations, and conducting Memberchecks. The results showed that: 1) Marketing management of educational institutions at Minhajut Thullab Islamic boarding school through the process of planning, organizing, directing and implementing processes, and monitoring processes 2) Strategies in marketing educational institutions at Minhajut Thullab Islamic boarding schools through visual media (brochures and billboards) , social media (Facebook, Instagram and Youtube) and through media lectures conducted by caregivers of Islamic boarding schools. This research suggests the need for Islamic boarding schools to design independent and digital-based marketing systems in accordance with the spirit of industry 4.0.Keywords: Marketing Management and Educational Institutions
Peranan Gereja Katolik Dalam Penanganan Masalah Kekerasan Terhadap Perempuan Di Keuskupan Maumere Dan Larantuka, Flores, NTT
Authors: Mirsel Robert , Koten Yosef Keladu , Ledot Ignasius
Published: December 2022

ABSTRACT:

This article talks about the problem of violence against women in the Maumere and Larantuka dioceses, Flores, NTT and how religion (Catholic Church) functions in dealing with it. The aim is to identify the forms of violence, their causes and effects in both dioceses and what the function of religion (Catholic Church) is to prevent and deal with these problems. Interview methods, focused group discussions (FGD) and document studies were used to collect data, while descriptive qualitative analysis was used for data analysis. The results show that violence against women is found in both areas of the diocese with physical, psychological, verbal, economic, cultural-based and online violence. The Catholic Church through the Diocesan Commission on Gender and Women's Empowerment carries out educational, control, fraternal, and transformative functions. This is done in direct collaboration and through networks with multi-stakeholders, although this is not sufficient. This study recommends the importance of strengthening institutional capacity and increasing network collaboration.

 

KEYWORDS: Commission on Gender and Women's Empowerment, institutional capacity, network collaboration, violence against women, women empowerment.
FAR EASTERN CAPITALS: TO LEAVE «FOR WHERE» OR «FROM»?
Authors: Vinokurova A.V. , Yakovlev A.I.
Published: December 2022

The paper presents the main characteristics of migration processes in the Far Eastern capitals. Statistical data and the results of a sociological study made the empirical base of the research. The demographic situation in the administrative centers of the Far Eastern Federal District (FEFD) is characterized by heterogeneity.The objects for the study were being selected according to this trend. They include regional centers of the Far Eastern Federal District: with positive demographic dynamics – Yakutsk; negative demographic trends – Vladivostok, Khabarovsk, Birobidzhan; and with unstable demographic dynamics – Blagoveshchensk, Chita, and Ulan-Ude. The growth / decline in the population of regional capitals is mostly due to migration processes. The largest number of migrations falls on intro-regional movements. A positive migration increase in the administrative centers of the Far Eastern Federal District is mainly due to the rural-urban migration, the rural population moving to regional capitals. One of the most mobile and stimulating social groups to migrate both to and from the Far Eastern capitals is the youth. The strategies associated with working on a rotational basis are very common. Far Easterners, while continuing their work on a rotational basis in the regions of the Far Eastern Federal District, tend to transport their families to other subjects of the Russian Federation, where, in their opinion, the medical, educational and sociocultural infrastructure is better and ensures their growing children more prospects and opportunities. In general, in most of the Far Eastern capitals under consideration it is observed an upward migration mobility. People with resource capabilities tend to move to the places with more developed social infrastructure, opportunities for jobs, professional self-realization in order to raise their living standards.
NEURAL NETWORK FORECAST OF LEAK CURRENT BASED ON TECHNOLOGICAL PARAMETERS
Authors: Gerasymenko V. , Vasylenko V. , Maiborodina N. , Kovalov O.
Published: December 2022

One the effective technical methods of monitoring the condition electric motors is a means of measuring and controlling the amount leakage current, which characterizes the state of insulation of the electric motor. The use of more advanced devices that can not only record but also predict the achievement dangerous values leakage current, makes it possible to warn and inform in advance about the possible danger to staff, reduce downtime and allows maintenance, repair or replacement motors in the technological pause without waiting for their complete rejection. The neural networks used to predict the reliability electric motors have the form a mathematical model of parallel computing, which consists simple processor elements that interact with each other and are called artificial neurons.The purpose of the study is to synthesize the neural network on the basis selected technological parameters and check its technological acceptability for predicting the leakage current of the motor.The synthesized neural network according to the technological parameters should be the basis for building a system for predicting the leakage current of the electric motor according to the technological parameters. The prediction system based on the neural network on technological parameters also includes means of measuring technological parameters, parameters of motor operation and database. The key decision in such a system is made by man.