bluuebunny/crossref_metadata_2025 huggingface dataset:
Zwermen rondom praktische wijsheid van mbo’ers in welzijn en zorg
Authors: Bierlaagh Desirée
Published: September 2023

Op 1 september 2019 startte ik als practor. Lange tijd stelde ik mijzelf voor als: Désirée, verpleegkundige (niet-praktiserend), daarnaast werk ik nu als practor. Inmiddels stel ik mij steeds vaker voor als practor, die ooit haar carrière startte als verpleegkundige. Als je let op mijn gekozen woorden, voel je het verschil. Er ligt in besloten waar je van bent en waar je toe wilt behoren én waar je je (nog) minder mee identificeert (Ruijters, 2015). Het practorschap is voor mij een flinke zoektocht. Ik had er graag ‘geweest’ achter willen zetten. Maar dat is onjuist, een zoektocht is het nog steeds en zal het ook blijven. Dat past nu eenmaal bij het pionieren wat practor zijn met zich meebrengt en het hoort ook bij mijn professionele identiteit. En ook hoort het bij het onderwerp waar ons practoraat voor heeft gekozen, praktische wijsheid van mbo’ers in welzijn en zorg. Praktische wijsheid, oftewel phronesis wordt in zorg en welzijn ook wel de derde kennisbron genoemd, waarbij je weten en kunnen verbindt en afweegt wat is hier nu het goede om te doen (Beurskens et al, 2020). Onze werkdefinitie van praktische wijsheid heb ik naast mijn praktijkverkenning, waar ik verderop in dit artikel op terugkom, gebaseerd op het werk van Andries Baart (Baart et al, 2020; Beurskens & Baart et al, 2016), Manon Ruijters (Ruijters, 2015; Ruijters et al, 2019) en Harry Kunneman (Ewijk & Kunneman, 2019; Robbesom, 2017) en luidt: Een praktisch wijze mbo’er in welzijn en zorg brengt theorie, eigen kunnen en ervaring én voorkeuren van mensen voortdurend met elkaar in relatie om het goede te doen voor die mens in die situatie. Zij doet dat door reflectie, door te blijven leren en open te staan voor vernieuwing. (Bierlaagh, 2021) ‘Gelukkig mag het een zoektocht zijn’, zou ik inmiddels willen zeggen, want juist midden in het gedoe van de dagdagelijkse moerassigheid heeft het practoraat haar betekenis. In dit artikel neem ik jullie mee in mijn praktijk als practor. Ik deel ervaringen, puzzels, ondervonden strijdigheden en welkome bemoedigingen die ik met het practoraat heb ontmoet. Ik maak daarbij gebruik van begrippen uit de vogelarij, omdat deze voor mij een mooie metafoor vormen bij die ervaringen. Het eerste begrip ‘zwermen’ lees je al in de titel. Denk daarbij aan spreeuwenzwermen die in de beginnende avondschemer in het najaar door de lucht wervelen in voortdurend wisselende betoverende vormen. Die zwerm heeft meerdere functies.
A Study on the Contents of the Current Union Accounting System and the Prevention of Accounting Fraud
Authors:   Korea Anti-Corruption Law Association, Kim Nam-Wook , Shin Bong-Ki
Published: September 2023

Public institutions or social organizations that have received financial support from the government must submit accounting-related data for the financial support they have received in accordance with relevant laws or have them accounted for by separate accounting in accordance with relevant laws and have them undergo periodic internal or external audits. there is.
However, in Korea’s Trade Union Act, not only is the qualification of a union auditor and the scope of audit data that union members can request unclear, but also the scope of data reporting to administrative authorities is limited to cases requested by administrative authorities. There are limits to preventing fraud and corruption. There are cases of embezzlement or misappropriation of labor union fees by executives such as the head of a labor union, and suspicions of embezzlement of government subsidies are being raised. In order to secure the transparency of labor union accounting, there have been cases where the government has not submitted relevant data even though the government requested the labor union to submit the cover and inlay of the account books and documents based on the Trade Union Act.
Therefore, after clarifying the concept of accounting under the Trade Union Act, reviewing the trade union accounting system under the Trade Union Act in Korea, and comparatively examining legislation related to the trade union accounting system in the United Kingdom, the United States, Japan, and France, the implications for Korea to seek In addition, since transparency in labor union accounting is a prerequisite for securing democracy and autonomy of trade unions, clarification of labor union accounting standards, introduction of trust management duty and conflict of interest duty system for labor unions, measures to secure transparency in labor union finances, and From the viewpoint of the duty to prepare and submit an annual report, the guarantee of the right to access information to union members, the right to ask questions and the right to request data submission from administrative authorities, and the strengthening of administrative penalties for accounting corruption by trade union executives, etc. We seek to secure a fair and objective accounting system for labor unions.
A study on legislative solutions to prevent lax management and waste of local government budget
Authors:   Korea Anti-Corruption Law Association, Kim Hoe-Chang
Published: September 2023

Among the writings on local government operation published since the 1970s until recently in the UK, which can be said to be the suzerain of local autonomy the representative characteristic is the focus of research on the logic that threatens the traditional status of local autonomy which has been understood as a sound symbol of democracy in the past.
Korea has been experiencing incomplete local autonomy with insufficient decentralization for over 30 years but it is not much different in that local autonomy is rapidly being absorbed into turbid central politics as in the UK and Western Europe. In addition to the influence of central politics lacking national trust local election officials bandwagon of popularism drives unit local governments to serious budget waste.
The problems arising from the continuous budget waste and lax financial management of local governments can be limited to a unit area in a microscopic view but expand as a side effect of the nation's overall financial management in a macroscopic view. In particular, such a side effect is that it promotes distrust between social classes, while eventually causing serious obstacles in the operation of local autonomy, which is the basis of democracy.
The patterns of budget waste in the budget management process of local governments typically show behaviors such as hasty decisions, exhibitionism, patronage and sharing. The main background of this problem is the selfish judgment of the political party that does not properly accept the voters' demands. In other words, rather than managing their finances soundly, they focused only on spending their budgets by pandering to popularity. It has also encouraged a waste of budget due to the private use of public powers.
Therefore, we urge the introduction of a local government bankruptcy system and a taxpayer lawsuit system as a way to solve the problem. At the same time, the improvement and strengthening of the ordinance legislative power which has been continuously requested from the local government field and that is an urgent issue. Along with improvement of the current self-audit function of local governments. In the future I would like to suggest that it is necessary to establish a 'Local Board of Audit and Inspection' gradually divide the country into regions.
Coexistence And Survival Strategy Model In BMT In Indonesia
Authors: Bimantara Satria Yudha , Yazid Muhammad
Published: September 2023

Through fatwa, the legal basis for the enactment of BMT in Indonesia, which acts as a fund collection and financing, all BMTs in Indonesia have a board responsible for supervising the consistency of the application of Sharia principles. Based on fatwa 130/DSN-MUI/X/2019 Guidelines for Deposit Insurance Institutions in the Implementation of Handling or Settlement of Islamic Banks Experiencing Solvency Problems, making the Sharia supervisory board continues to be an existence that needs to be considered more, related to Sharia principles in Sharia business contracts and treaties. Supported by Fatwa 90 / DSN-MUI / XII / 2013 Transfer of Murabahah Financing Between Islamic Financial Institutions (LKS), where people can obtain significant prosperity by knowing BMT.  This institution is expected to continue to develop in the wider community to help or serve the community in the long term so that BMT can be ensured to live sustainably. The development of bmt in the future still needs reference as a reference for more advanced production in learning its evolution. This study uses a descriptive-qualitative research design with a juridical-normative approach to analyze the legal aspects related to BMT (Baitul Maal wat Tamwil). The data collection process involves gathering information from various reputable sources. The collected data is analyzed qualitatively with a juridical-normative approach, and the findings are verified through peer review and consultation with legal experts. The study provides insights into the legal principles and regulations governing BMT operations and proposes recommendations to close any gaps or inconsistencies in the legislation.
The Road to Becoming a “Live-Streaming Star”: Ecological Influences on Improvisation Efforts Among Teaching-from-Home Chinese English as a Foreign Language Teachers in the COVID-19 Outbreak
Authors: Chen Ningyang
Published: September 2023

When the COVID-19 pandemic outbreak threw the world into a public panic, teachers worldwide were challenged to adapt to a new pedagogical ecology as online delivery of classes was widely made a required necessity. This study explores how language teachers responded to the sudden disruption via improvisational endeavours during the first online semester and how their endeavours were influenced by various ecological factors beyond the online classroom. Data were collected using a survey and interviews with English as a Foreign Language (EFL) teachers from three universities in eastern coastal China. The results showed that the participants’ improvisation efforts featured limited preparation and creativity and a lukewarm willingness to try out new things while teaching from home. Ecological influences on the teachers’ improvisation efforts were identified as a multitude of institutional, daily contextual, sociocultural, and personal factors that interacted in complex, less predictable ways. In general, the diverse sources of influence exerted a mixed impact on individual teachers’ improvisation practices and performance. Sociocultural influence, in particular the “live-streaming star” meme, was found to be a unique source of inspiration and support. This exploratory study expands the research of improvisation in educational settings, which has largely been associated with pedagogical innovation to adapt to micro-level changes. In the emergency remote teaching scenario, innovative attempts made by individual teachers were subject to the meso-level and the macro-level ecological influences, which may overwhelm or deter practitioners. Apart from potential theoretical and pedagogical implications, the study offers insights into the nature and impact of crisis-prompted online teaching in and beyond the COVID-19 context.
TINGKAT KEMAMPUAN BERBICARA DI DEPAN UMUM BERSAMA APARATUR SIPIL NEGARA (ASN) DAN NON- ASN KECAMATAN SUKAJADI KOTA BANDUNG
Authors: Windyaningrum Rachmawati , Ramadhani Resa Dini
Published: September 2023

Berbicara di depan umum atau Public Speaking pada saat ini menjadi kebutuhan utama di setiap bidang pekerjaan dengan tuntutan harus mampu berbicara di depan umum baik di kantor dan di masyarakat. Public Speaking dibutuhkan sebagai metode menyampaikan pesan untuk dapat memberikan informasi, edukasi, hingga mempengaruhi. Public Speaking suatu keahlian yang harus dipelajari dan diasah, semakin terbiasa melakukan praktik Public Speaking akan semakin terbiasa dan ahli di bidang tersebut.  Penduduk di Kecamatan Sukajadi Kota Bandung cukup banyak yaitu memiliki 5 kelurahan dimana dalam melaksanakan tugasnya di keseharian perlu berkoordinasi dalam hal informasi. Terkadang kegiatan pelayanan publik seperti ini tidak dapat dilaksanakan oleh satu orang penting di Kecamatan yaitu Pimpinan Kecamatan, namun ada kalanya tugas diberikan kepada pegawai ASN dan Non-ASN dan hal tersebut wajib dilakukan untuk memberikan pelayan publik kepada masyarakat sekitar. Hal ini menjadi meningkatnya kebutuhan akan belajar berbicara di depan umum, atau Public Speaking agar seluruh pegawai ASN dan Non-ASN dapat dilatih dan dikembangkan kemampuannya dalam berbicara di depan umum.
PRAGMATIC POTENTIAL OF STRUCTURES WITH APPROXIMATE NAMES IN POLITICAL DISCOURSE
Authors:   Altai State Pedagogical University, Semkina Alexandra Vladimirovna
Published: September 2023

Abstract: The article considers cases of using approximate names of objects and their attributes in political discourse as a part of the speaker's communicative strategy, specifies the corpus of approximators which actualize the meaning of "approximate, fuzzy" in the studied type of discourse. The study is based and illustrated by the extracts from transcripts of public speeches of modern politicians, articles published in British and American press and the political play "Stuff Happens" by David Hare.
BASIC PRINCIPLES OF USING AUTHENTIC TEXT AND ITS ROLE IN TEACHING CHINESE IN THE PRIMARY SCHOOL
Authors:   Altai State Pedagogical University, Gudnikova Tatiana Sergeyevna
Published: September 2023

The paper is focused on the modern methods of teaching Chinese in the primary school, which are based on implementing authentic texts
Employee Retention Improvement of Pulp and Paper Companies in Indonesia
Authors: Lintang Ramlan , Simamora Bachtiar H.
Published: September 2023

Indonesia is the largest pulp and paper producer in Southeast Asia. One of the problems faced by the pulp and paper industry in Indonesia is high employee turnover. This study aims to analyze the factors that influence employee turnover and propose strategies to reduce turnover or increase employee retention in the pulp and paper industry. The endogenous variable in this study is turnover intention. Meanwhile, exogenous variables are work environment, compensation and benefits, training and development, performance appraisal, employee recognition, and job satisfaction. Research data was obtained through a survey of pulp and paper employees in Indonesia. The data was then analyzed using the partial least square structural equation model (PLS-SEM). The study results show that performance appraisal, training and development, work environment, and employee recognition affect employee turnover negatively and significantly. The strategies proposed to reduce turnover in the pulp and paper industry in Indonesia include the company providing free training according to the competencies needed, making bureaucratic rules simple and transparent, arranging gifts and awards programs for employee achievements, and creating measurable and transparent promotion programs.
Convergence Processes in the European Agriculture: Analysis of the Total Factor of Productivity
Authors: Bielik Peter , Belinska Stefaniia , Bullová Tatiana , Belinska Yanina , Adamičková Izabela , Turčeková Natália , Bajusová Zuzana
Published: September 2023

The article explored labour productivity in agriculture and carried out a comparative analysis of the achieved level of labour productivity in the countries of the European Union. The efficiency of agricultural production needs to be measured to improve the productivity, competitiveness, and profitability of farms. The multifactorial total factor productivity (MFP) of agricultural production evaluates the main and additional sources of economic growth in the agricultural sector. Based on the analysis of beta convergence, we observe an increase in total factor productivity (TFP) in Slovakia and the countries of the European Union. Based on the obtained statistically significant regression analysis models, beta convergence and sigma divergence of the TFP of the agricultural sector in the EU and Slovakia were identified. Thus, the process of positive convergence was confirmed, which indicates the convergence of the economic development of Slovakia with highly developed countries and the reduction of disparities between countries. State support and investment in innovative technologies will stimulate the adoption of new technologies and at the same time ensure technological progress and improve the impact of agriculture on the environment. We also concluded that it is important to improve the skills of those working in the agricultural sector, and as a result, an increase in TFP is expected.
KEDUDUKAN DAN PERANAN PERATURAN DAERAH KABUPATEN SAMBAS NOMOR 5 TAHUN 2018 PASAL 33 TENTANG BADAN PERMUSYAWARATAN DESA
Authors: Sugito
Published: September 2023

Jenis penelitian ini adalah penelitian kualitatif yang besifat penelitian lapangan (field research). Pendekatan yang digunakan dalam penelitian ini adalah pendekatan normatif empiris yang mengkaji tentang fenomena yang terjadi di lapangan terkait perilaku masyarakat atau lembaga yang didasarkan pada observasi dan fakta sehingga hasilnya bukan spekulasi. Untuk memperoleh data, peneliti menggunakan pedoman wawancara. Berdasarkan hasil penelitian dapat diketahui bahwa tanggung jawab BPD dalam melaksanakan fungsinya berdasarkan Pasal 33 Peraturan Daerah Kabupaten Sambas Nomor 5 Tahun 2018 belum sepenuhnya terlaksana dengan baik. Dalam fungsinya untuk membahas dan menyepakati ranangan peraturan Desa bersama Kepala Desa belum sesuai dengan ketentuan yang berlaku. Hubungan antara BPD dan Pemerintah Desa sangat baik dan harmonis. Sedangkan faktor penghambatnya adalah BPD kurang inisiatif dan kurang proaktif untuk meningkatkan kapasitasnya secara mandiri.
A Scientometrics Report on Policies for Managing Decommissioned Solar Power Systems in The Niger Delta
Authors: John Richard Azubuike , Okorhi Ojiyovwi Johnson , Uhunmwangho Roland
Published: September 2023

The region of the Niger Delta has seen a significant increase in the use of solar power systems (SPSs) to meet the energy needs of its people. As these systems approach their end-of-life, it is vital to have proper handling techniques to limit their impact on the environment and make the most of resource reuse. This article focused on examining the government guidelines for dealing with SPSs that have been decommissioned within the core Niger Delta region. The research used a quantitative method, with questionnaires serving as the tool for collecting data. Thirty-six officials from government agencies in the core three States were examined on the policy structure applied to decommission SPSs. The research utilized both descriptive and detailed statistical methods to interpret the data and discuss the findings. It was uncovered that government personnel are lacks the understanding of policies that encourage renewable and environmentally friendly energy methods in the installation of SPSs and their administration at end-of-life. Among the suggestions, it was noted that governmental bodies must adopt and integrate the essential 8 policy instruments and practice lasting handling techniques for dealing with waste from SPSs within the policy structure applied in the study area.
Damage Identification of Wind Turbine Blades - A Brief Review
Authors: Algolfat Amna , Wang Weizhuo , Albarbar Alhussein
Published: September 2023

The increasing size of these blades of wind turbines emphasises the need for reliable monitoring and maintenance. This brief review explores the detection and analysis of damage in wind turbine blades. The study highlights various techniques, including acoustic emission analysis, strain signal monitoring, and vibration analysis, as effective approaches for damage detection. Vibration analysis, in particular, shows promise for fault identification by analysing changes in dynamic characteristics. Damage indices based on modal properties, such as natural frequencies, mode shapes, and curvature, are discussed.
Periferik Venöz Kateterizasyonda Yeni Bir Yaklaşım: Jet Lidokain
Authors: AYDIN Esra , AVŞAR Gülçin
Published: September 2023

Periferik venöz kateterizasyon, periferik intravenöz kateterlerin yerleştirilmesini ve yönetimini içeren yaygın bir hemşirelik uygulamasıdır. Venöz sisteme geçici erişim sağlayan bu uygulama; genellikle sıvıları, ilaçları, kan ürünlerini veya diğer tedavileri doğrudan kan dolaşımına ulaştırmak amacıyla gerçekleştirilir. Periferik venöz kateterizasyon, tanısal ve teröpatik kapsamı nedeniyle klinik hemşirelik uygulamalarında en sık yapılan invaziv girişimlerdendir. Sağlık hizmetlerinin sunumunda yaygın bir prosedür olan periferik venöz kateterizasyon, hastalarda ağrıya neden olan rahatsız edici bir girişimdir. Periferik venöz kateterizasyon uygulamasında, hemşirelerin etkili bir yöntem kullanarak hissedilen ağrı ve rahatsızlıkları azaltması mümkündür. Özellikle son yıllarda ağrı yönetiminin sağlık bakım kalitesinin önemli bir göstergesi haline gelmesiyle, periferik venöz kateterizasyon sırasında yaşanan ağrıyı azaltmaya yönelik birçok yöntem geliştirilmeye başlanmıştır. Bu amaçla geliştirilen yeni yaklaşımlardan biri de lidokainin jet enjeksiyonudur.
Public Theology, Media and National Orientation in Ghana
Authors: Opuni-Frimpong Kwabena
Published: September 2023

This article examined the interface between the church and media and how the interface contributes to the effort toward national orientation with insights from Public Theology in Ghana. Using the qualitative methodology in its information-gathering approach, the study observed that the church and media remain key social institutions that have an influence on the shaping of public opinion, public behaviour and social responsibilities. The church for instance promotes national orientation through the teaching of moral and ethical values of the Ghanaian society that are consistent with the Bible. The church teaches its members to be honest, hardworking and to contribute to the development of their communities. These values are aligned with Ghana’s national values, which aim to promote social cohesion, nation-building and national development. The church promotes the virtues of honesty, integrity, hard work and respect for authority, which are essential for the development of a responsible and productive citizenry. The study concluded that Public Theology must provide insights for the church and media in Ghana as they seek to use their influence to make significant contributions to national orientation. It further recommends that theological insights such as social watchdogs, social reformers, social referees and hope-givers must be harnessed by the church and media for national orientation.

Keywords: African Christianity, Public Theology, National Orientation, Ghanaian Media
Late-time Hubble Space Telescope Observations of AT 2018cow. I. Further Constraints on the Fading Prompt Emission and Thermal Properties 50–60 days Post-discovery
Authors: Chen Yuyang , Drout Maria R. , Piro Anthony L. , Kilpatrick Charles D. , Foley Ryan J. , Rojas-Bravo César , Taggart Kirsty , Siebert Matthew R. , Magee M. R.
Published: September 2023

The exact nature of the luminous fast blue optical transient AT 2018cow is still debated. In this first of a two-paper series, we present a detailed analysis of three Hubble Space Telescope (HST) observations of AT 2018cow covering ∼50–60 days post-discovery in combination with other observations throughout the first two months and derive significantly improved constraints of the late thermal properties. By modeling the spectral energy distributions (SEDs), we confirm that the UV–optical emission over 50–60 days was still a smooth blackbody (i.e., optically thick) with a high temperature (T
BB ∼ 15,000 K) and small radius (R
BB ≲ 1000 R
⊙). Additionally, we report for the first time a break in the bolometric light curve: the thermal luminosity initially declined at a rate of L
BB ∝ t
−2.40 but faded much faster at t
−3.06 after day 13. Reexamining possible late-time power sources, we disfavor significant contributions from radioactive decay based on the required 56Ni mass and lack of UV line blanketing in the HST SEDs. We argue that the commonly proposed interaction with circumstellar material may face significant challenges in explaining the late thermal properties, particularly the effects of the optical depth. Alternatively, we find that continuous outflow/wind driven by a central engine can still reasonably explain the combination of a receding photosphere, optically thick and rapidly fading emission, and intermediate-width lines. However, the rapid fading may have further implications on the power output and structure of the system. Our findings may support the hypothesis that AT 2018cow and other “Cow-like transients” are powered mainly by accretion onto a central engine.
Systematic Investigation of Very-early-phase Spectra of Type Ia Supernovae
Authors: Ogawa Mao , Maeda Keiichi , Kawabata Miho
Published: September 2023

It has been widely accepted that Type Ia supernovae (SNe Ia) are thermonuclear explosions of a CO white dwarf. However, the natures of the progenitor system(s) and explosion mechanism(s) are still unclarified. Thanks to the recent development of transient observations, they are now frequently discovered shortly after the explosion, followed by rapid spectroscopic observations. In this study, by modeling very-early-phase spectra of SNe Ia, we try to constrain the explosion models of SNe Ia. By using the Monte Carlo radiation transfer code, TARDIS, we estimate the properties of their outermost ejecta. We find that the photospheric velocity of normal-velocity supernovae (NV SNe) in the first week is ∼15,000 km s−1. The outer velocity, to which the carbon burning extends, spans the range between ∼20,000 and 25,000 km s−1. The ejecta density of NV SNe also shows a large diversity. For high-velocity supernovae (HV SNe) and 1999aa-like SNe, the photospheric velocity is higher, ∼20,000 km s−1. They have different photospheric densities, with HV SNe having higher densities than 1999aa-like SNe. For all these types, we show that the outermost composition is closely related to the outermost ejecta density; the carbon-burning layer and the unburnt carbon layer are found in the higher-density and lower-density objects, respectively. This finding suggests that there might be two sequences, the high-density and carbon-poor group (HV SNe and some NV SNe) and the low-density and carbon-rich group (1999aa-like and other NV SNe), which may be associated with different progenitor channels.
Effects of Pregabalin as Preemptive Analgesia for Pain Score, Sedation Score, and Cortisol Level after Caesarean Section Under Spinal Anesthesia
Authors: Ahmad Muhammad Ramli , Siradjuddin Ardiansyah , Gaus Syafruddin , Arif Syafri Kamsul , Husain Alamsyah Ambo Ala , Adil Andi
Published: September 2023

INTRODUCTION: Cesarean  section  (C-section)  is  an  increasingly  common  method  of  delivery,  so  optimal management of anesthesia and post-operative pain is essential for better outcomes. Preemptive analgesia is an effective method for preventing post-operative pain, with the benefits of pregabalin specifically being much studied and debated. This study aimed to determine the side effects and efficacy of different pregabalin doses for pain management and prevention of stress response in C-section patients under spinal anesthesia.
MATERIALS AND METHODS: This double-blind randomized trial study examined 30 patients who underwent elective C-section under spinal anesthesia with 0.5% hyperbaric bupivacaine 10 mg + adjuvant fentanyl 25 mcg, who were divided into three equal groups which received oral placebo or pregabalin (75 or 150 mg). Pain scores, sedation scores, and cortisol levels and changes were analyzed, the former two using Mann–Whitney tests, cortisol levels using one-way Analysis of variance (ANOVA) tests, and cortisol level changes using repeated-measures ANOVA tests on SPSS software version 20. Results were considered significant when p < 0.05.
RESULTS: There were significant differences in numerical rating scale between the placebo and pregabalin groups at rest and movement after surgery (p < 0.05), and in sedation scores between the placebo and 150 mg groups and between the 75 mg and 150 mg groups at 2 and 6-h post-surgery (p < 0.05), as well as cortisol level changes between all groups (p < 0.05).
CONCLUSIONS: Preemptive administration of pregabalin 75 mg is recommended for C-section surgery because it may reduce post-operative pain with minimal side effects.
An optimal fractional-order accumulative Grey Markov model with variable parameters and its application in total energy consumption
Authors: Li Dewang , Qiu Meilan , Yang Shuiping , Wang Chao , Luo Zhongliang
Published: September 2023

In this paper, we propose an optimal fractional-order accumulative Grey Markov model with variable parameters (FOGMKM (1, 1)) to predict the annual total energy consumption in China and improve the accuracy of energy consumption forecasting. The new model is built upon the traditional Grey model and utilized matrix perturbation theory to study the natural and response characteristics of a system when the structural parameters change slightly. The particle swarm optimization algorithm (PSO) is used to determine the number of optimal fractional order and nonlinear parameters. An experiment is conducted to validate the high prediction accuracy of the FOGMKM (1, 1) model, with mean absolute percentage error (MAPE) and root mean square error (RMSE) values of 0.51% and 1886.6, respectively, and corresponding fitting values of 0.92% and 6108.8. These results demonstrate the superior fitting performance of the FOGMKM (1, 1) model when compared to other six competitive models, including GM (1, 1), ARIMA, Linear, FAONGBM (1, 1), FGM (1, 1) and FOGM (1, 1). Our study provides a scientific basis and technical references for further research in the finance as well as energy fields and can serve well for energy market benchmark research.
A strategy for predicting waste production and planning recycling paths in e-logistics based on improved EMD-LSTM
Authors: Liu Shujuan , Jin Hui , Di Yanbiao
Published: September 2023

With the rapid development of e-commerce, express delivery has been chosen and accepted by consumers, and a large number of express packages have resulted in serious waste of resources and environmental pollution. Because of the irregularity of online goods purchases by users in real life, logistics parks are unable to accurately judge the recycling needs of various regions. In order to solve this problem, we propose an improved empirical mode decomposition (IEMD) algorithm combined with a long-short-term memory (LSTM) network to deal with the addresses and categories in logistics data, analyze the distribution of recyclable logistics waste in the logistics park service area and in the express recycling station within the logistics park, judge the value of recyclable logistics waste, optimize the best path for recycling vehicles and improve the success rate of logistics waste recycling. In order to better research and verify the IEMD-LSTM prediction model, we model and simulate the algorithm behavior of the express waste packaging recycling prediction model system, and compare it with other classification methods through specific logistics data experiments. The prediction accuracy, stability and advantages of the four algorithms are analyzed and compared, and the application reliability of the algorithm proposed in this paper to the logistics waste recycling process is verified. The application in the actual express logistics packaging recycling case shows the feasibility and effectiveness of the waste recycling scheme proposed in this paper.
Effects of Breastfeeding Education Prgoram on the Promotion of Mothers's Feeding Compliance
Authors: Lee Eun Sook , Suh Young Sook
Published: September 2023

The purpose of this study was to investigate the effects of breast-feeding education program on the promotion of mothers's feeding compliance during the 4 months after childbirth. A nonequivalent control group posttest design was used. Eighty-nine pregnant women at their 32 more weeks of gestation receiving antenatal care at the Chonnam University Hospital Obstetrics Clinic were assigned to the experimental group. Control group was ninety-nine pregnant women over 32wks of gestation receiving antenatal care at the Kwangju Christianity Hospital Obstetric Clinic during the same period. Breast-feeding education program was introduced to the experimental group from antepartal visit to 4 months after childbirth. Data were collected primarily via telephone interview on the 7th day, the end of 1 month and the 4 months after childbirth respectively. The results showed that 1) the frequency of breast-feeding continuation promoting behaviors was higher in the experimental group than in the control group. 2) The rates of mothers' compliance during the 4 months after childbirth in the experimental group demonstrated a significant difference ; much higher rate of mothers' compliance than control group.Conclusively, the breast-feeding education program increase the rate of mothers' compliance and duration of breast-feeding.
Effects of Musical Listening on Anxiety in Patients before Undergoing Hysterectomy
Authors: Park Hyun Sook , Choi Euy Soon
Published: September 2023

The purpose of this study was to elucidate the effects of musical listening on anxiety in patients undergoing abdominal hysterectomy. On the basis of the research criterias, 46 patients were recruited from Kang-Nam St. Mary's Hospital in Seoul from October 1 to December 31, 1995. 20 patients of them were participated as the experimental group who received musical listening session with self-selected music tapes, while 26 patients as the control group who didn't receive that session. The musical listening sessions composed of 3 periods, the pre-operation evening, just before sleeping, the operation morning. There were no differences between two groups, in terms of age education, religion, the experience of operation, the perception of uterus, and the weight(%). The State-Trait Anxiety Inventory(STAI) was used to measure anxiety on all patients. And serum cortisol levels, fasting blood sugar levels, systolic and diastolic blood pressure were collected at the day before surgery and the operation day. The results were as follows : 1. There were no significant differences in State-Anxiety between the two groups.2. The differences of serum cortisol level between the day before surgery and the operative day were significantly lower in experimental group than in control group(P=0.03).3. The level of fasting blood sugar was significantly decreased in experimental group(P=0.01).4. Systolic blood pressure level was significantly decreased in experimental group(P=0.02). While Diastolic blood pressure level was not significant between two groups. It is suggested imply that the musical listening during the perioperative period may alleviate the perioperative anxiety levels in patients undergoing abdominal hysterectomy.
Study on Depression and Ego Identity of Middle-aged Women
Authors: Kim Hye Young , Koh Hyo Jung
Published: September 2023

The purpose of this study is to investigate the relationship between depression and ego identity of middle-aged women and to identify the variables that show differences in the depression and ego identity of middle-aged women. The subjects in the study were 321 mothers of high school students whose age were 40-59 years old. The instruments for this study were Beck Depression Inventory(BDI) developed Beck(1978) and translated by Lee(1981) and Ego identity Scale developed Suh(1975) and modified by Nam(1975). The reliability values of BDI range from 0.83 to 0.87 and Ego identity range from 0.81 to 0.85 using Cronbach alpha. The data were analysed by using the SAS program and included Frequency, percentage Pearson Correlation MANOVA, t-test, ANOVA. The conclusion obtained from this study were as follows ; 1) There was a negative correlation(r=-0.21, p=0.0002) between depression and ego identity of middle-aged women. Thus the lower depression the higher ego identity for middle-aged women.2) According to the analysis of interacting effects of depression and ego identity, there were significant differences in the household income(F=0.38, p=0.0035), level of education (F=6.50, p=0.0001), satisfaction of marriage(F=10.45, p=0.0001), family pattern (F=6.18, p=0.0001), menopausal status(F=7.23, p=0.0001), present disease(F=4.85, p=0.0110) and health status(F=9.00, p=0.0001).3) There were significant differences on the level of education(F=12.98, p=0.0001) household income(F=5.78, p=0.0007), support of spouse(F=8.58, p=0.0002), satisfaction of marriage(F=20.08, p=0.0001), menopausal status(F=11.32, p=0.0001), present disease(t=2.76, p=0.0062) and health status(F=17.23, p=0.0001) of the depression of middle-aged women.4) There were significant differences on the patterns of household(t=-2.64, p=0.0086), support spouse(F=3.58, p=0.0291), satisfaction of marriage(F=3.90, p=0.0212), menopausal status(F=4.59, p=0.0108) and disease(t=2.11, p=0.0359) of the ego identity of middle-aged women.On the basis of the above findings the following recommendations are made ; 1) According to results of this study, middle-aged women's depression is correlated with ego identity. Thus when the nurse plans the preventive strategy of middle-aged women's depression, the nurse must be considered with level of ego identity.2) To study for middle-aged women in depth, further research is need to study regard to middle-aged men and their children.
Primipara's maternal Identity & Self Confidence for Caring the Baby During the Immediate Postpartum Period
Authors: Kim Hae Won , Hwang Moon Sook , Hong Kyung Ja
Published: September 2023

In this study the levels and influencing characteristics of maternal identity and self confidence for caring the baby were identified during the immediate postpartum period. 114 primiparous women who delivered vaginally normal baby participated in the survey from August 1 to October 31, 1996. SD scale was to measure maternal identity which consisted of 11 items for mother and 6 items for baby. Likert scale was to measure self confidence for caring the baby (38 items). Cronbach's alphas for evaluating internal consistency as follows : .86 for maternal identity and .96 for self confidence scale for caring the baby.The study showed these results : 1. Mean score of maternal identity(82.03 : 52.65 for mother, 29.38 for baby) was considered relatively low.2. Mean score of self confidence for caring the baby(113.91) was considered relatively low.3. There were significant influencing characteristics of primiparous to maternal identity : age(total ; F=3.53, p=.0329, for mother ; F=2.60, p=.0719, for baby ; F=3.12, p=.0481), prenatal infant care preparation(total ; t=2.31, p=.0306, for mother ; F=2.62, p=.0160), knowledge about infant care during the hospitalization(for baby ; F=3.94, p=.02222), colostrum feeding(total ; t=1.95, p=.0541, for baby ; t=2.71, p=.0080), frequency of breast feeding during the hospitalization(for baby ; F=3.91, p=.0228)and feeding type after discharge(for baby ; F=3.18, p=.0456).4. There were significant influencing characteristics of primiparous to self confidence for caring the baby : routine husband support(F=6.09, p=.0031), prenatal infant care preparation(t=2.04, p=.0574), knowledge about infant care during the hospitalization(F=3.15, p=.0467), education of breast feeding during the hospitalization(t=-1.79, p=.0850).5. Correlation between maternal identity and self confidence for caring the baby was r=.37608(p=.0001).This study implies that special education programs for primipara are needed. For the future, this study suggest that maternal role variables need to be monitored through the home visiting follow up. Also intervention programs related to prenatal care, discharge education, home visiting follow up need to be developed and then evaluated their effectiveness.
A Review on the Methods of Sample Size Determination in Nursing Research
Authors: Lee Jae Won , Park Mi Ra , Lee Jung Bok , Lee Sook Ja , Park Eun Sook , Park Young Joo
Published: September 2023

In clinical trials of nursing research, the sample size determination is one of the most important factor. Although sample size must be considered at the design stage, it has been disregarded in most clinical trials. The power analysis is usually performed before study begins to compute sample size and the power can also be calculated at the end of study in order to justify study result. The power analysis is essential especially when the clinical trials can not show significant differences. In this paper, we review the statistical methods for power analysis and sample size formulae in nursing research. Sample size formulae and the corresponding examples are discussed according to the six types of studies ; mean for one sample, proportion for one sample, means in two samples, proportions in two samples, correlation coefficient and ANOVA.
Breast Feeding Practice according to the Breast-Feeding Problem during the First Week of Postpartum
Authors: Kim Young Ja , Moon Guil Nam , Jung Ju Hee , Lee Seum Ok , Choi Geun Soon , Chun Eun Soon , Bai Jeung Yee
Published: September 2023

In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week.The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding.2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.
Contemporary Management of Intracranial Subdural Empyema
Authors: Jolayemi Edward Olaoluwa , Bankole Olufemi Babatola , Ojo Omotayo Abimbola , Bamigboye Babatunde , Adebayo Bamidele Oludele , Arekhandia Bruno Jeneru , Asoegwu Chinyere Nkiruka , Alabi Olubukola Iretiogo , Ifezue Uzoma Chinedu , Nwawolo Clement Chukwuemeka , Kanu Okezie Obasi
Published: September 2023

Background:

Intracranial subdural empyema (SDE) is a seemingly uncommon life-threatening ailment with varying presentations and outcomes. A variety of risk factors have been associated with predisposition to intracranial SDEs; however, they may be cryptogenic. There is an increased predilection for intracranial SDE in children and teenagers with paranasal sinusitis or middle ear infections. The clinical presentation is non-specific and thus a high index of suspicion is required. Neuroimaging is an invaluable diagnostic tool for early diagnosis and surgical intervention. There have been multiple proponents for either burr hole or craniotomy to treat intracranial SDEs; however, despite surgical intervention, adverse neurologic sequelae and even mortality still occur. Extended antibiotic therapy is mandatory and impacts significantly on patients’ outcomes.

Objectives:

This study describes the demographics, clinical presentation, and surgical outcomes in patients with intracranial SDEs over the study period.

Design:

This is a retrospective single-centre case series.

Setting:

This study takes place in a tertiary referral centre, university hospital.

Materials and Methods:

This was a retrospective review of patients presenting with intracranial SDEs over a 10-year period in a tertiary neurosurgical unit serving south-western Nigeria. Demographic, clinical, and radiologic data were retrieved from patient records.

Results:

Forty-nine patients presented with intracranial SDEs during the review period. These patients aged between 16 months and 75 years, most of whom were 20 years of age and below. The mean age was 21.37 ± 19.29 years with a median age of 15 years. There were 35 males and 14 females giving a male-to-female ratio of 2.5:1. The most common presentations were headache (73.5%), altered sensorium (55.1%), and seizures (38.8%). Forty patients (81.6%) had evacuation of SDE by burr hole and subdural washout. There was a significant post-op residual SDE in six patients. There were eight (16.3%) mortalities in this series. Forty-seven (95.9%) patients had sterile cultures of the subdural pus collection.

Conclusion:

Intracranial SDE affects mostly children and teenagers. Early diagnosis, emergent surgery, extended antibiotic therapy, and concurrent source control employing a multidisciplinary approach are essential in managing this condition. Burr hole and subdural washout help control the disease process, reduce operation time, and may yield outcomes similar to craniotomies, which are more invasive.
Effects of COVID-19 Pandemic on the Surgical Training of Final Year Medical Students in South-Eastern Nigeria
Authors: Imediegwu Kelechi U. , Onwuka Paschaline C. , Uwaezuoke Angelica C. , Abor Jude C. , Oladiran Ajibola
Published: September 2023

Background:

The COVID-19 pandemic has drastically impacted surgical training and education of medical students in various institutions. The South-eastern Nigeria situation was evaluated with respect to surgical training, with a view to identify gaps and proffer solutions.

Objectives:

To determine the impact of covid-19 pandemic on surgical training of undergraduate medical students, their experiences and alternatives being implemented to continue their education.

Materials and Methods:

Design: Cross-sectional survey amongst 181 final year medical students in South-eastern Nigeria was conducted. A structured questionnaire designed using the free software Google® Forms was utilized for the study. The questionnaire was electronically distributed randomly using online platforms. The data obtained was analyzed by Statistical Package for the Social Sciences (SPSS®). Ethical approval was obtained from the appropriate ethics and research unit prior to commencement of the study.

Results:

In all, 181 final year medical students completed and submitted the questionnaire. Majority of the respondents (55.8%) denoted that their exposure to surgical cases in general were markedly decreased; 61.9% and 56.9% of respondents reported a slight decrease in physical examination and clerkship opportunities respectively. 51.1% indicated that a hybrid of virtual and physical classes was used with cost of data subscription being a major challenge to active online participation according to 58.3% of the respondents. Departmental conferences and case discussions reduced according to 47.8% of respondents while 56.9% attested to a reduction in opportunities to acquire basic surgical skills since the pandemic. Majority of respondents said their personal study time remained the same and 56.9% said their overall undergraduate surgery training has been slightly worse than before the pandemic.

There was no statistically significant relationship associating gender with clerkship opportunities, physical examination opportunities or exposure to surgery cases in the Covid-19 pandemic era using a p-value of <0.05 as significant (Chi-square 1.395, p-value 0.85); Chi-square-2.985, p-value- 0.40, Chi-square-3.325, p-value-0.51 respectively).

Conclusion:

The COVID-19 pandemic has significantly affected the clinical and teaching components of undergraduate surgical training in South-Eastern Nigeria. It has, however, led to increased adoption of digital technology which should be further explored in the face of current realities. We recommend that there should be a flexible re-adjustment of the syllables and pattern of surgical training of medical students to accommodate unavoidable events that can disrupt the training such as the covid-19 pandemic in a bid to prevent future disruptions in training.