bluuebunny/crossref_metadata_2025 huggingface dataset:
Ley estatutaria: ¿avance hacia la garantía del derecho fundamental a la salud?
Authors: Jiménez Wilson Giovanni , Angulo Leidy Liliana , Angulo Yuri Paola , Gómez Mónica Lucía , Rey Laura Juliana , Solano Leidy Tatiana , Urquijo Yuli Carolina
Published: April 2023

Los derechos fundamentales, al emanar de la naturaleza misma del hombre, requieren del resguardo por parte del Estado; la vida y la salud, junto con la libertad y la dignidad humana, son derechos de esa índole suprema del derecho fundamental y todos poseen una conexión entre sí. El artículo muestra el paso de la salud de ser comprendida como servicio público a ser derecho fundamental resguardado por la ley estatutaria y, de esta forma, revisar si esta ley estatuaria sobre el derecho a la salud es la base para su garantía. Para ello, se abordan dos aspectos importantes: 1) el tránsito de la salud como servicio y su derivación de la vida hasta ser un derecho fundamental desde la jurisprudencia de la Corte Constitucional, y 2) un análisis a la nueva ley estatutaria de salud para observar si esta ley es la salida para el sistema de salud de Colombia.
Esofagectomía híbrida: esofagectomía transtorácica con ascenso gástrico laparoscópico, cómo lo hacemos
Authors: Borráez Angélica M. , Páez Johana Páez , Borráez Oswaldo A. , Borráez Bernardo A.
Published: April 2023

La esofagectomía es el manejo de elección en pacientes con enfermedades como el cáncer esofágico, entre otras. Existen diferentes abordajes y opciones, las cuales se han ampliado con la cirugía asistida con video que permite estancias hospitalarias cortas, menores tasas de infección, menos dolor y un pronto regreso a las actividades diarias. En este artículo se describe el abordaje de una esofagectomía híbrida transtorácica, con ascenso gástrico laparoscópico y anastomosis intratorácica latero-lateral mecánica, que mezcla las ventajas de la laparoscopia con un abordaje abierto transtorácico
Trabajo en equipo o equipo de trabajo: ¿es posible en el sistema de salud colombiano?
Authors: Sanabria Álvaro , Castañeda Martha
Published: April 2023

El trabajo en equipo es un proceso en el cual diferentes representantes de varias disciplinas comparten experiencias, conocimientos y habilidades para mejorar la atención al paciente. Los diez elementos que definen los equipos de trabajo en salud son: identificación de un líder, existencia de un grupo de valores compartidos, cultura de equipo y atmósfera interdisciplinaria, procesos e infraestructura para llevar a cabo la misión del equipo, enfoque en la calidad con retroalimentación continua, comunicación entre los miembros, amplitud de disciplinas, facilidad de reclutamiento de miembros, promoción de la interdependencia y tendencia al desarrollo personal.
Aneurisma de la arteria subclavia
Authors: Gaitán Jimmy Alejandro , Gómez Carlos Eduardo
Published: April 2023

Los aneurismas de la arteria subclavia son raros. Su causa más frecuente es la arterioesclerosis. Sus manifestaciones clínicas dependen de su localización, aunque algunos pueden ser asintomáticos. El diagnóstico juega un papel importante en la planeación de su manejo, que puede ser tradicionalmente quirúrgico o mediante nuevas técnicas endovasculares o la combinación de ambas. El objetivo de este artículo fue hacer una revisión de la literatura científica y reportar un caso de aneurisma de arteria subclavia, manejado en Manizales, Colombia.
Vesícula biliar a la izquierda del ligamento falciforme en ausencia de situs inversus: ‘sinistraposición’
Authors: Millán Claudia Ximena , Torres Mónica Patricia
Published: April 2023

La vesícula biliar ubicada a la izquierda del ligamento falciforme, en ausencia de situs inversus, también denominada  ‘sinistraposición’, es una rara anomalía anatómica.Aunque es poco frecuente,se considera importante que todo cirujano se familiarice con este hallazgo, ya que la cirugía puede convertirse en un verdadero desafío técnico.  En varios informes de casos, se ha documentado el manejo seguro de la ‘sinistraposición’cuando es hallada de forma incidental durante una colecistectomía laparoscópica convencional. Así pues, este procedimiento puede practicarse de forma segura, aunque la lesión de la vía biliar no es inusual, dado que la asociación de estos casos a anomalías del árbol biliar y de la vena porta intrahepática no es despreciable.  En el presente artículo se presenta el caso de un paciente con colelitiasis sintomática y ecografías que no reportaron la posición anómala de la vesícula biliar. Fue sometido a colecistectomía laparoscópica programada, en la cual se encontró una vesícula biliar ubicada en el segmento III del hígado, aparentemente no asociada a otras alteraciones biliares extrahepáticas. El procedimiento se realizó por vía laparoscópica multipuerto, sin complicaciones para el paciente, quien hasta el momento se encuentra asintomático.
Curva de aprendizaje en disección endoscópica de la submucosa en un hospital universitario latinoamericano
Authors: Peñaloza-Ramírez Arecio , Kuan-Casas Hernando , Sánchez-Pignalosa Carlos , Sabogal-Gómez Carlos , Aponte-Ordóñez Pedro
Published: April 2023

La disección endoscópica submucosa es una técnica para el manejo del cáncer gástrico temprano, desarrollada a finales de los años 90 en el Japón. Cuando se compara con la mucosectomía, tiene como ventajas la resección de lesiones mayores de 2 cm, con una menor tasa de recurrencia local pero con mayor tasa de complicaciones, principalmente, perforación y sangrado. En los países occidentales, es poca la experiencia reportada con la disección endoscópica submucosa, por la baja incidencia de cáncer gástrico temprano y la falta de sistemas de tamización; en Colombia, son escasos los reportes de disección endoscópica submucosa. Objetivo. Describir la experiencia con la disección endoscópica submucosa gástrica en el Hospital de San José, en el periodo comprendido entre marzo de 2012 y febrero de 2014. Materiales y métodos. Se practicó disección endoscópica submucosa gástrica en el Hospital de San José en ocho pacientes (4 hombres y 4 mujeres) que cumplían con los criterios de Viena para este procedimiento. Resultados. Se practicaron ocho disecciones endoscópicas submucosas gástricas, tres en el cuerpo y cinco en el antro, con un tamaño promedio de 3,4 cm. Como complicaciones se presentaron un sangrado y una perforación. Se logró hacer la resección en bloque en todos los casos, con resección R0 (con márgenes libres de tumor) en siete. Conclusiones. La disección endoscópica submucosa gástrica es una técnica compleja e infrecuente en nuestro medio. Se logró practicar el procedimiento de manera segura, con una tasa aceptable de complicaciones, y se hizo en bloque en todos los casos.
Globalización de la educación en cirugía: ¿son todos los cirujanos iguales?
Authors: Sánchez William
Published: April 2023

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Apendicitis aguda: revisión de la presentación histopatológica en Boyacá, Colombia
Authors: Ávila Mauricio J.
Published: April 2023

Introducción. La apendicitis aguda es una de las principales causas de dolor abdominal y es la indicación quirúrgica más común por abdomen agudo. Existen pocos estudios sobre apendicitis en la población latinoamericana. Objetivo. Evaluar la frecuencia de los hallazgos histopatológicos de la apendicitis en una población de Boyacá (Colombia) y, con mayor detalle, los de apendicitis gangrenosa. Materiales y métodos. Se trata de un estudio descriptivo retrospectivo de los especímenes de apendicitis aguda de la base de datos del Departamento de Patología del Hospital San Rafael de Tunja, durante el periodo de enero a diciembre de 2011. Además, se revisaron de forma retrospectiva las historias clínicas de los pacientes con apendicitis gangrenosa. Resultados. Se encontraron 1.688 informes de histopatología de apendicitis aguda. Las muestras de tejidos provenían de siete áreas diferentes del departamento de Boyacá. Los estadios, por orden de frecuencia, fueron: apendicitis supurativa aguda (49 %), gangrenosa (24 %), apéndice normal (18 %) y apéndice edematoso (7 %). Otros diagnósticos histopatológicos (1 % del total de la muestra) fueron linfoma de Hodgkin, endometriosis, neuroma, tuberculosis apendicular, adenocarcinoma apendicular y tumores neuroendocrinos en el apéndice. Discusión. Se encontró que en la población boyacense, la apendicitis supurativa fue la presentación más frecuente, seguida de la gangrenosa. El diagnóstico de apendicitis gangrenosa mediante el examen físico, representa un reto para el médico. Este es el primer estudio en que se analiza una muestra de diagnósticos histopatológicos de apendicitis a nivel departamental en Colombia.
Agenesia de la vesícula biliar
Authors: Prieto Robin Germán , Andrade Ernesto , Martínez Humberto , Silva Eduardo , Brando Claudio , Torres Andrés
Published: April 2023

La agenesia de la vesícula biliar es una variación anatómica infrecuente, de la cual existen muy pocos casos informados en la literatura científica mundial. La mayoría de los pacientes en quienes se diagnostica agenesia vesicular presentan la misma sintomatología de aquellos con cólicos biliares o con enfermedad biliar litiásica y es por ello que, generalmente, el diagnóstico se hace durante la intervención quirúrgica. Las enfermedades de la vesícula biliar son de las más comunes en nuestro medio y, por lo mismo, la colecistectomía es uno de los procedimientos quirúrgicos más frecuentemente practicados tanto en cirugía de urgencias como en cirugía electiva. Dependiendo del tiempo de evolución y de lo agudo o crónico del proceso, el cirujano se puede enfrentar de forma frecuente a dificultades técnicas en la práctica del procedimiento quirúrgico, dadas por la presencia de adherencias o de graves procesos inflamatorios, pero solo en forma muy inusual puede verse enfrentado al hallazgo de ausencia vesicular, la cual puede implicar una difícil decisión respecto a la conducta que se debe seguir en ese momento.

Se hizo una revisión de la literatura científica mundial y se presenta el caso de dos pacientes del programa de colecistectomía ambulatoria de Compensar EPS en quienes se hizo dicho diagnóstico.
Reflexiones sobre la medicina basada en la evidencia aplicada a la cirugía
Authors: Hoyos Sergio
Published: April 2023

Las siguientes reflexiones son personales, basadas en un amplio estudio relacionado con mi especialidad médica y experiencia profesional. No son una crítica abierta y sin fundamento a la medicina basada en la evidencia, de la cual estoy convencido de los grandes aportes que ha traído a la práctica médica. Mucho menos trato de desvirtuar el valor esencial que trae consigo la lectura responsable y constante de los estudiantes y profesionales médicos.
Efecto del secado frente al lavado peritoneal sobre la mortalidad y las complicaciones en la peritonitis secundaria
Authors: Mejia Juan Carlos , René Cruz Herman , Areiza Daniela María , Sanabria Álvaro
Published: April 2023

Introducción. El control adecuado del foco infeccioso en la peritonitis es la piedra angular del tratamiento. Objetivo. Evaluar los resultados de la limpieza peritoneal comparada con el lavado peritoneal rutinario, en términos de complicaciones abdominales tempranas y muerte, en pacientes con peritonitis secundaria focal o difusa. Materiales y métodos. Se hizo un análisis retrospectivo de los pacientes con peritonitis que consultaron al Hospital Universitario San Vicente Fundación, entre 2009 y 2015, que cumplieran los criterios de inclusión y que fueron sometidos a cirugía para un control infeccioso inicial, con limpieza de la cavidad o con lavado peritoneal rutinario. Resultados. Se incluyeron 406 pacientes, 169 con limpieza peritoneal y 237 con lavado peritoneal. Se encontró que tener peritonitis en más de un cuadrante (odds ratio, OR=3,2; IC95% 1,74-5,79), líquido purulento o fecaloide (OR=3,7; IC 95% 1.80-7.73) y origen no apendicular (OR=2,41; IC95% 1,32-4,38), se asociaba con la práctica del lavado. Los factores relacionados con el desarrollo general de complicaciones fueron: ostomía (OR=3,25; IC95% 1,22-8,66), abdomen abierto (OR=7,0; IC95% 3,0-16,4) e ingreso a la unidad de cuidados intensivos (OR=3,93; IC95% 1,90-8,13). El lavado se asoció con el desarrollo de peritonitis residual (OR=4,83; IC95% 2,02-11,5) al compararlo con la limpieza peritoneal. Conclusiones. El manejo conservador de la peritonitis, controlando el foco infeccioso solo con limpieza, parece tener menos complicaciones (peritonitis residual, abdomen abierto, bacteriemia, necesidad de cuidados intensivos) y menor mortalidad que el lavado rutinario. Se requieren más estudios para validar dichos hallazgos.
Influence of conditions of plasma spraying of aluminum oxide powder on the porosity and electrical resistance of a coating
Authors: Soloviev Mikhail , Raukhvarger Alexey , Baldaev Sergey , Baldaev Lev , Mischenko Viktoriya
Published: April 2023

Research evidence of plasma parameters effect when spraying aluminum oxide powder, causing the porosity and electrical resistance of the coating is offered in the article. A mathematical model of the coating effect dependence on spray coating modes, e.g. plasmotron distance to underlay surface, current strength and hydrogen consumption is proposed. Positive cor-relation between the porosity and the electrical resistance of the coating is shown.
Application of ultrasonic technologies in the production of press joints
Authors: Sundukov Sergey
Published: April 2023

The present state research overviews on the use of ultrasonic vibrations in press joints. The main effect occurring in ultra-sonic activation for pressed parts is friction force break. The works investigating the effect of ultrasound on the friction of various materials, as well as the application of this effect in pressing are viewed in the article.
Analisis Sistem Ujian Online terhadap Kepuasan Siswa dengan Metode End User Computing Satisfaction (EUCS) (Studi Kasus: SMKN 2 Kecamatan Guguak)
Authors: Afdhal M. , Slamet Legiman
Published: April 2023

Penelitian ini bertujuan untuk menganalisa sistem ujian online terhadap kepuasan siswa dengan metode End User Computing Statisfaction (EUCS) (Studi Kasus: SMKN 2 Kecamatan Guguak). Jenis data penelitian ini menggunakan data primer. Data primer diperoleh dari kuesioner yang telah diisi oleh responden. Sampel yang digunakan dalam penelitian ini adalah 110 responden siswa SMKN 2 Kecamatan Guguk. Teknik analisis data statistik yang dilakukan pada penelitian ini adalah analisis regresi berganda. Hasil penelitian ini menunjukan bahwa content (isi) berpengaruh positif terhadap kepuasan siswa, format (tampilan) berpengaruh positif terhadap kepuasan siswa, accuracy (keakuratan) berpengaruh positif terhadap kepuasan siswa, timeliness (ketepatan waktu) berpengaruh positif terhadap kepuasan siswa, dan ease to use (kemudahan penggunaan) berpengaruh positif terhadap kepuasan siswa.
Risk Prediction Models for Ischemic Cardiovascular Outcomes in Patients with Acute Coronary Syndrome
Authors: Zhang Qi , Gao Jie , Yin Xiaoying , Zhang Song , Wang Yifan , Ji Hongmei , Zhang Xiao , Song Dongli , Wang Jiali , Chen Yuguo
Published: April 2023

Acute coronary syndrome (ACS) has a high incidence of adverse cardiovascular events, even after early invasive treatment. Patients may still have a poor prognosis after discharge. The keys to the long-term survival of patients with ACS include effective treatment in a timely manner and identification of those patients who are at higher risk for long-term adverse events. Therefore, several nations have now devised a range of risk assessment models to provide data for accurately formulating treatment plans for patients with various risk levels following an ACS to prevent short and long-term cardiovascular events. The purpose of this article is to review the risk scores associated with mortality and ischemic events in patients with ACS. By using the clinical risk prediction score, we can accurately and effectively judge the prognosis of patients, so as to take a more reasonable treatment.
Different Impact of Metabolic Syndrome on the Risk of Incidence of the Peripheral Artery Disease and the Venous Thromboembolism: A Nationwide Longitudinal Cohort Study in South Korea
Authors: Park Myung Soo , Ok Jong Sun , Sung JiDong , Kim Duk-Kyung , Han Seong Woo , Kim Tae-Eun , Kim Bum Sung , Kim Hyun-Joong , Kim Sung Hea , Kim Hyeongsu
Published: April 2023

Background: Limited data is available between metabolic syndrome (MetS) and the development of peripheral arterial disease (PAD) or venous thromboembolism (VTE) in the Asian population. We investigated the incidence of PAD and VTE according to the prevalence of MetS and evaluated the impact of individual components in MetS on the development of PAD and VTE using Korean national data. Methods: Data obtained from national health screening examinations of the Korean National Health Insurance Service from January 1, to December 31, 2009. In total, 9,927,538 participants, 7,830,602 participants were included in this study and the incidence rate of PAD and VTE was investigated retrospectively during a 7-year follow-up. Using the National Cholesterol Education Program Adult Treatment Panel III criteria, patients were placed into one of three groups depending on MetS component numbers: 0 (normal), 1–2 (Pre-MetS), or 3–5 (MetS). Results: The incidence rates of PAD and VTE in MetS were 2.25% and 0.71%, respectively. After multivariable adjustment, the risk of PAD was significantly associated with MetS (hazard ratio (HR) 1.45, 95% confidence interval (CI) 1.42–1.49), the risk of VTE was not associated with MetS (HR 1.01, 95% CI 0.96–1.05). When subgroup analyses were conducted according to MetS components, elevated fasting glucose (HR 1.26, 95% CI 1.23–1.27), abdominal obesity (HR 1.15, 95% CI 1.12–1.17), and elevated blood pressure (HR 1.13, 95% CI 1.12–1.15) were the most related to PAD. Abdominal obesity (HR 1.104, 95% CI 1.064–1.146) was associated with an increased risk of VTE. Conclusions: MetS was significantly associated with an increased incidence rate of PAD among the general Korean population. On the other hand, MetS was not associated with the VTE incidence rate. Of the MetS components, only abdominal obesity was a significant predictor of VTE.
Value of Speckle Tracking Echocardiography Combined with Stress Echocardiography in Predicting Surgical Outcome of Severe Aortic Regurgitation with Markedly Reduced Left Ventricular Function
Authors: Li Quan , Zuo Wuxu , Liu Yu , Chen Beiqi , Wu Yuanfeng , Dong Lili , Shu Xianhong
Published: April 2023

Background: Predicting outcomes of surgical aortic valve replacement (AVR) in patients with chronic severe aortic regurgitation (AR) and markedly reduced left ventricular (LV) function remains a challenge. This study aimed to explore the preoperative echocardiographic index that could predict the recovery of LV systolic function after surgery in patients with chronic severe AR and reduced left ventricular ejection fraction (LVEF). Methods: The study group consisted of 50 patients diagnosed with chronic severe AR (>6 months) and significantly reduced LVEF (18~35%, average 26.2 ± 5.3%). Low-dose dobutamine stress echocardiography (DSE) was performed before surgery. Only patients with an absolute increase in LVEF ≥8% during DSE were referred for surgical AVR. During following up (over six months to one year after surgery), the patients were divided into two groups by postoperative LVEF (> or ≤40%). DSE- and speckle tracking echocardiography (STE)-derived LV functional parameters were compared between groups to identify predictors of post-operative improvement in LVEF. Results: A total of 38 patients underwent AVR. One patient died before discharge. Post-surgical LV size and LVEF improved markedly after surgery in all patients (n = 37). Pre-surgical LV end-systolic diameter, baseline global longitudinal strain (GLS) and peak GLS were better in the group with LVEF >40% (n = 18; p < 0.05, t test). Baseline GLS and peak GLS correlated moderately with post-surgery LVEF (R = –0.581, p < 0.001; R = –0.596, p < 0.001; respectively). Logistic regression analysis demonstrated baseline GLS and peak GLS were the independent predictors of post-surgery improvement of LVEF. Peak GLS had the highest prediction value (area under the curve = 0.895, sensitivity and specificity: 89.5% and 77.8%, respectively), with a cutoff value of –9.4%. Conclusions: This study shows that STE combined with DSE can provide sensitive quantitative indices for predicting improvement of LV systolic function after AVR in patients with chronic severe AR and significantly decreased LVEF.
Gene Polymorphism and Recurrent Atrial Fibrillation after Catheter Ablation: A Comprehensive Review
Authors: Wang Meng-Fei , Xue Cong , Shi Shun-Yi , Yang Ling , Zhu Zhen-Yan , Li Jian-Jun
Published: April 2023

Atrial fibrillation (AF) is one of the most common cardiac arrhythmias, but its pathogenesis is still poorly understood. Catheter ablation is one of the most effective treatments for AF, but recurrence after ablation remains a challenge. There has been much research into the association of AF recurrence with several factors, including genetics. Over the past decade or so, significant advances have been made in the genetic architecture of atrial fibrillation. Genome-wide association studies (GWAS) have identified over 100 loci for genetic variants associated with atrial fibrillation. However, there is relatively little information on the systematic assessment of the genes related to AF recurrence after ablation. In this review article, we highlight the value of genetic polymorphisms in atrial fibrillation recurrence after catheter ablation and their potential mechanisms in the recurrence process to enhance our understanding of atrial fibrillation recurrence and contribute to individualized treatment strategies for patients with AF.
BUILDING THE POLITICAL STRUCTURE FOR DIRECT CITIZEN PARTICIPATION IN A EUROPEAN FEDERATION
Authors: Galiñanes Manuel
Published: April 2023

 The European Union suffers from a deficit in democracy. Policy-driven treaties cause insufficient coordination, speed, and efficiency in their response to internal and external challenges. In order to create a more democratic, effective, and integrated policy in Europe, a Citizens' Convention was held between October 2021 and April 2022. The objective of this Convention was to create a European Constitution that might serve as the basis of a European Federation. The Convention agreed on three essential pillars to achieve a robust and stable democratic system in Europe: (i) the transfer of common powers from the European States to the Federation, (ii) a strict separation of the legislative, executive, and legal powers, and (iii) direct citizens’ participation. Underpinned by these principles, a number of structural and functional changes are proposed to achieve strong democratic institutions, greater integration, and effective cooperation between the European States.  
Comparison of commodity prices by using machine learning models in the COVID-19 era
Authors: ALPARSLAN Sena , UÇAR Tamer
Published: April 2023

Commodity products such as gold, silver, and metal have been seen as safe havens in past economic crises. This situation increases the interest in commodity products. Due to the COVID-19 pandemic, quarantine decisions and precautions have caused an economic slowdown in stock markets and consumer activities. This inactivity in the economy has led to the COVID-19 recession that started in February 2020. Because of the increase in the number of COVID-19 cases, the difficulty of physical buying-selling transactions has shown that commodity products can be a safe investment tool. Based on the fact that machine learning approaches gained importance in commodity price prediction, the main goal of this study is to understand whether machine learning methods are meaningful for commodity price prediction even in extraordinary situations. To measure commodities’ price volatility, a data set obtained from Borsa İstanbul is separated into pre-COVID-19 and COVID-19 periods. Daily prices for gold and silver commodities, from July 2018, which is before the ongoing COVID-19 recession, to October 2021 are used. The performances of the machine learning models were compared with MAE, MAPE, and RMSE metrics. The findings of this study point out that the LSTM model has more accurate predictions, especially in the pre-COVID-19 period. When considering the COVID-19 period only, SVR produces the best prediction results for the gold commodity and LSTM has the best prediction results for the silver commodity.
Analisis Literatur tentang Manajemen Keuangan dan Pajak pada Perusahaan Non-keuangan di Indonesia
Authors: Wijaya Frederick Aldo
Published: April 2023

Ulasan ini mengkaji berbagai studi terkait manajemen keuangan dan pajak pada perusahaan non-keuangan di Indonesia. Berfokus pada karya Hananto dan beberapa artikel dari Emerald, ulasan ini mengkaji pengaruh berbagai faktor seperti good corporate governance, earnings management, pengungkapan CSR, karakteristik perusahaan multinasional, thin capitalization, tax amnesty, kemampuan manajerial, dan tata kelola perusahaan terhadap fenomena seperti expense stickiness, harga saham, penghindaran pajak, dan risiko kegagalan harga saham. Ulasan ini menggunakan metode kuantitatif untuk menghasilkan temuan yang objektif dan relevan bagi praktisi dan pemangku kepentingan. Hasil ulasan menunjukkan bahwa faktor-faktor seperti good corporate governance, tax amnesty, dan CSR mempengaruhi expense stickiness, penghindaran pajak, dan harga saham. Selain itu, kemampuan manajerial dan tata kelola perusahaan juga berpengaruh terhadap risiko pajak dan penghindaran pajak jangka panjang. Dalam konteks Indonesia, CEO pendiri atau keturunan tidak mempengaruhi hubungan antara penghindaran pajak dan risiko masa depan perusahaan. Ulasan ini memberikan wawasan penting bagi perusahaan, investor, dan otoritas pajak dalam mengoptimalkan tata kelola perusahaan dan kebijakan pajak.
Dekonsentrasi pemerintahan daerah terhadap pemberdayaan masyarakat
Authors: MUH.WAHYU.M
Published: April 2023

Dekonsentrasi pemerintah daerah dan pemberdayaan masyarakat sangat penting dalam konteks pembangunan Indonesia untuk memastikan pembangunan yang adil dan berkelanjutan di seluruh negeri. Indonesia masih memiliki sejumlah masalah yang harus diselesaikan sebelum dekonsentrasi pemerintah daerah dan pemberdayaan masyarakat dapat dilaksanakan secara penuh, antara lain kurangnya koordinasi antara pemerintah pusat dan daerah, masalah birokrasi dan korupsi, serta kekurangan sumber daya manusia yang berkualitas di sana. Oleh karena itu, dalam rangka pelaksanaan rencana pembangunan di daerah diperlukan penguatan koordinasi dan sinergi antara pemerintah pusat dan daerah serta peningkatan keterbukaan, akuntabilitas, dan kualitas sumber daya manusia di daerah. Hal ini dimaksudkan agar dengan melakukan hal-hal tersebut inisiatif pembangunan daerah dapat berjalan dengan efisien dan efektif serta kualitas hidup penduduk daerah akan meningkat.
Civil Engineering for Designing Construction and Maintenance of Build Environment: A Narrative Study
Authors: Tahir Fatima , Ashraf Zartashya
Published: April 2023

Civil Engineering for Designing Construction andMaintenance of Build Environment: A Narrative Study
Explaining individual differences in fixation durations during scene viewing
Authors: guy nitzan , lab Yoni Pertzov
Published: April 2023

Active vision is a process that involves moving one's gaze to gather detailed visual information for various tasks. Most of the visual information which is processed is extracted from relatively stable periods of the eyes termed fixations. Individuals vary in their fixation durations, however, the factors that contribute to this variability are not fully understood. This study examines two factors that are intrinsic to all instances of fixations – foveal processing time (examined by speed of processing task) and preparation of the next saccade (examined by pro-saccade latency), and their relation to fixation durations that were decomposed using an ex-Gaussian mixture model. Individuals with shorter pro-saccade latencies exhibited shorter (reflected by the μ parameter) and less variable fixations (reflected by the σ parameter) during scene viewing. Individuals with better speed of processing exhibited less variable fixations. The study sheds light on the cognitive factors related to individual differences in eye movements during scene viewing and highlights the importance of considering the observer characteristics in computational models of eye movement.
Disaster, Women and Vulnerability: A Study of Earthquake 2015 in Nepal
Authors: Ghimire Dipesh Kumar
Published: April 2023

This study focuses on the impact of Nepal’s great earthquake 2015 on women and girls. The context of women’s vulnerabilities to disaster is shaped by social differences in roles and responsibilities of women and men. The difference in the division of labor that forces women to stay within the house put them at more risk of death than men. Women are engaged in domestic tasks and caregiving responsibilities, which delay their response and escape from the buildings during emergencies. The lack of education, good health, hygiene and early warning system or absence of disaster awareness made women more vulnerable than men during 2015 earthquake in Nepal. Women relate to different social, physical, psychological, and economic vulnerability in, during and post disaster period. This paper explains the relationship between disaster and its impact over women in the context of Nepal. This article is identified as qualitative research. This research is based on interpretive and descriptive methods. Researcher therefore has collected qualitative data derived from both primary and secondary sources. To analyze and prove the effect of earthquake ethnographically, interviews and key-informants’ interviews are employed. Total 16 interviews and 4 key informants’ interview, and one focus group discussion were held in study area. Researcher also collected secondary data from multiple sources— books, articles, journals, review papers, government documents and archives, nongovernmental reports, newspapers and online materials. The findings of this paper are that women are specifically more vulnerable during disaster because of their socioeconomic and cultural positions. Women encounter different types of problems like social, cultural, economic difficulties. Women’s vulnerability is increased by social differences in roles and responsibilities of male and female during the disaster. The paper strongly argues that gender-based discrimination, inequalities, access to resources and decisionmaking process are the key factors, which directly affect the women during the disaster.
Historic overview of pandemic, COVID-19 and Nepal’s experience
Authors: Pathak Krishna Prasad
Published: April 2023

Novel Corona Virus (COVID-19) is an infectious disease similar form of pneumonia/ SARSCoV-2- impacting globally. Purpose of this article is to review the published studies and gather of the current information aimed at COVID-19 situation of Nepal. We summarized the published papers from the web pages, Journals, Google search engine. We focused eight steps to prepare this article (Conceptualization of the research question, literature search, title/abstract and full text screening, data extraction, risk of bias assessment, evidence synthesis, dissemination, updatefollowing the model of Tricco et al., (2020) conducting rapid reviews. It is declared as a public health emergency. However, why COVID-19 did not catastrophically hit Nepal rather than USA, Brazil, India, Europe and North America, is unknown. The pandemic of COVID-19 is still increasing and has created panic along with its different waves. But, as the numbers of cases are increasing rapidly governments are struggling to increase health care facilities and health care workers. There are lots of hypotheses about an end of covid but no clear answer has come yet. Thus, a lot of scientific studies is required to find the truth. Nepalese health services are needed to strengthen than today and follow lockdown, isolation, social distance and an advance screening test kit around the country. Further we need to adapt digitalization of health care system to prevent contamination.
Life of the Chepang now and then: A Study of Chitwan District
Authors: Adhikari Rishiram
Published: April 2023

The Chepang is one of the indigenous nationalities of Nepal have changed their life style in short span of time. The study analyzes changing aspects of the Chepang in term of socio cultural, religious and economic pattern. Main objective of this study is to examine why and how the life pattern of the Chepang has been changed in Chitwan in short span of time. Qualitative research design has been followed to analyze the changing socio –economic, cultural religious status of the   Cheapng. Both primary and secondary source of data were used for this study and conclusion of the study is based on the collected information.  It is found that life of the Chepang have been changed due to modernization, Christianization, invasion of neighboring culture and political system of the nation.
Collaborating Effect of Employees’ Interpersonal Influence Skills and Perceived Workplace Politics on Turnover Intention
Authors: Bhattarai Ganesh
Published: April 2023

In the literature, there are contradicting findings regarding the impact of perceived workplace politics on employees’ outcomes. In this context, this study was carried out to measure the direct and interactive (with interpersonal influence skills) effect of perceived workplace politics on turnover intention. Moreover, this study was dedicated to measuring the remedial role of interpersonal influence skills under the different situations of perceived workplace politics. Applying a survey strategy, 725 responses were collected from the Grade A Nepalese bank employees. Perceptual cross-sectional data were analyzed in SPSS by adopting positivist research philosophy and deductive reasoning approach. This study revealed that employees’ perceived workplace politics positively impact their turnover intention. Likewise, interpersonal influence skills moderated the relationship between the perception of workplace politics and turnover intention. Employees’ interpersonal influence skills worked as an antidote for the detrimental effect of perceived workplace politics on turnover intention. The antidotal power was measured differently under different conditions (high, medium, and low) of workplace politics. For example, the strength of the mitigation power of interpersonal influence skill is strong when perceived workplace politics is high, but the mitigating power is weak when the perception of workplace politics is low.
Problems in Road Construction at Local Level
Authors: Bhusal Bidhya , Dahal Dhundi Raj , Dahal Kheta Raj
Published: April 2023

Any nation's infrastructure development encompasses social infrastructure as well as economic infrastructure, or the growth of diverse sectors.  Simultaneously created social infrastructure can lead the economic infrastructure in total development at the appropriate level. The capabilities and technical advancement of social infrastructures like retail centers, restaurants, medical facility zones, and schools are well defined, as are the evolving requirements of economic infrastructures like roads, sewage, electricity, open spaces, and gardens. To maintain effective social infrastructure, it is necessary to develop sectors such as education, health, social security, water supply, housing, and sanitation.
The study would like to suggest that adequate budget allocation should be conducted during planning process; proper road design, implementation and effective procurement system should be carried out, and management of enough construction materials, suitable equipment, and coordination with local people should be performed. Furthermore, provision of drain while constructing rural road must be included during preparation of DPR along with the watershed management is necessary and establishment of laboratory for material test is necessary in Municipality to assure quality construction along with provision of training for the user committee to provide technical knowledge is necessary.
THE TECHNIQUE OF ELITE ATHLETES SPECIALIZED IN 50 KM RACE WALK
Authors: Sovenko Serhii
Published: April 2023

Purpose: to reveal trends of changing the technique of highly skilled 50 km race walkers along with the increase of sports results based on biomechanical characteristics analysis. Material and methods. Technique biomechanical analysis data of the best world and Ukrainian athletes, obtained in the course of studies at 2015–2018 national race walk championships in 50 km and 35 km distances are presented. Biomechanical characteristics of 22 highly skilled athletes (14 males and 8 females) specialized in 50 km race walk (total number of sports results 30) have been determined and analyzed. Results. Improvement of sports result in the men’s 50 km race walk to the world best level occurs mainly at the expense of stride length increase 1.10 m (p < 0.05). Result improvement to the world level from 4:10:00 (S = 0:07:50) to 3:56:27 (S = 0:02:08) mainly occurs at the expense of stride frequency increase to 3.32 stride·s–1 (S = 0.10) at statistically significant differences with indices of the national level athletes (p < 0.01). It has been revealed that in females of the high national level specialized in 50 km race walk (results close to 4:31:37), the indices of stride length and frequency constitute 0.95 m (S = 0.02) and 3.22 stride·s–1 (S = 0.12), respectively. Conclusions. Comparative analysis of race walk technique kinematic characteristics of athletes of different skill levels specialized in 50 km race walk has been conducted. Prospects and directions for improving sports results of potential national team members have been revealed on the basis of comparison with the indices of national team members and elite athletes. A sharp improvement of sports results of female athletes in 50 km race walk during the last few years is noteworthy. It was due to this discipline inclusion in the program of Track and Field World Championships.
The theory and methodology of forming a competitive rhythmic-tempo structure of throwing the hammer from four revolutions in the process of systematic long-term training of novice throwers - masters of sports of the international class
Authors: Bakatov V.Yu.
Published: April 2023

The article is devoted to the theory and methodology of formation of the competitive rhythmic-tempo structure of throwing the hammer from four turns in the process of long-term training of beginners - MSMK.

Associate Professor of the Department of Athletics of the Lviv State Institute of Physical Culture and Sports, senior coach of the athletics department of the Lviv Boarding School of Sports Profile, Honored Coach of Ukraine Yevhen Vasyliovych Syuch scientifically substantiated and practically implemented the four-round hammer throwing technique [9].

The world record in the three-revolution hammer throw was set by Yuri Sedykh in 1986. 08 30 Stuttgart, hammer throw, men 86.74 m. In the three-revolution hammer throw, the speed of rotation increases in 1, 2, 3 revolutions and the final effort is completed quickly- a tempo hit in the final effort, as an entry into the fourth turn. In hammer throwing with four revolutions, the speed of rotation increases in 1, 2, 3 revolutions and decreases in 4 revolution in connection with the athlete's preparation for the final effort. To increase the efficiency of throwing the hammer from four revolutions, it is necessary to purposefully increase the speed of rotation in 1, 2, 3, 4 revolutions and speed-tempo hitting in the final effort as an entrance to the fifth revolution.

Modern sports achievements in men's and women's hammer throw are shown using the technique of throwing a projectile of four revolutions.

The transformation of the psychophysiological state of a novice hammer thrower into the psychophysiological state of a high-class hammer thrower is carried out with the help of a consistently emphasized method of distributing loads in the annual cycle and the serial and variable use of lightweight hammers, competitive hammers and weighted hammers with a biomechanical orientation.

The structural components, criteria, indicators (temporal, spatial, speed, pace) and levels of formation of the studied sports qualifications of metal players are highlighted.
Comparative analysis of motor activity levels of future police officers of different training courses
Authors: Bondarenko V. , Bykova H. , Sushkov O. , Korniichuk Yu. , Riabukha O. , Marhara D.
Published: April 2023

A comparative analysis of the levels of motor activity of future police officers of different training courses was carried out. Modern scientific literature has been elaborated, which illuminates the current state of motor activity of young people and the methods of its determination. It was established that the appropriate level of physical activity of students of higher education is a key factor of a healthy lifestyle and means of recovery. It was determined that the needs of the human body in motor activity are always individual and depend on a number of physiological, socio-economic and cultural factors and are largely determined by hereditary and genetic characteristics. The Framingham method of determining daily motor activity is considered, which allows you to obtain complete information about the duration of a specific type of activity and rest, a combination of physical exertion of different intensities, the total duration of various types of activity and the amount of energy expenditure. Cadets of the National Academy of Internal Affairs of the first (2022 recruitment), second (2021 recruitment), and third courses (2020 recruitment) majoring in Law Enforcement (n=178) took part in the study. Using the Framingham method, the motor activity index and daily energy expenditure of future law enforcement officers were determined. An unreliable difference in the motor activity index of future police officers of different training courses was established (p<0.05). It was found that the motor activity index of the first-year cadets was 32.68±0.45 points, the second - 33.97±0.50, the third - 33.09±0.44. Daily energy consumption is 2537±33.9, 2633.2±37.1 and 2571±32.6 kcal, respectively. The need to increase the level of motor activity of future law enforcement officers by involving them in mass sports events and extracurricular physical exercises was determined. We see prospects for further research in conducting a comparative analysis of indicators of motor activity of future police officers in the conditions of distance and face-to-face training.
Organization of the educational process in physical education in the problematic field of the distance learning format
Authors: Vrzhesnevskyi I. I. , Bobr V. I. , Garnusova V.V. , Yanishevskyi Yu.V.
Published: April 2023

The work presents the author's vision of the problem field of the organization and methodology of practical classes in physical education, in the conditions of restrictions related to the military situation in Ukraine. The purpose of our study was to consider the effectiveness of the physical education process and to provide a selective analysis of the relevant experience in the conditions of the distance learning format. In accordance with the realities of education with elements of distance learning, certain definitions of the specified process are conceptually defined.

A comparative analysis of the results of physical fitness of students during work in various formats of the educational process was carried out. Summarizing the results of the research gives us the opportunity to draw the following conclusions - the remote format of teaching practical classes in the academic discipline "Physical Education" does not necessarily have to be online; indicators of flexibility, explosive power, strength endurance, and the state of the cardiovascular system did not significantly decrease in the context of changing the regime of the educational process.

Prospective ways of "feedback" communication within the educational process and the information field are defined. It is emphasized that the change in the teaching format of our discipline, in the modern realities of education, in a certain way changes the methodology of the teaching process and requires additional research.
Valuing of functional reserves of the cordial-vascular system in professional activity of physical culture teacher
Authors: Kotsur Nadiia , Tovkun Lidiia
Published: April 2023

In the conditions of martial law in Ukraine, the problem remains relevant of primary prevention directed at carrying of screening and monitoring regarding early detection of the ill and timely implementation of corrective, health- improving measures among schoolchildren.

The purpose of the article is a clarification of risk of factors he cordial-vascular disease in adolescents and valuing its functional reserves during the organization of physical culture in general secondary education. The research is based on the using of the following methods: analysis and synthesis of literature sources; physiological (pulse metrical, functional (Rufier test for determine the reserve capacity of the circulatory system) and calculation (Robinson index), questionnaires, methods of mathematical statistics, qualitative and comparative analysis of the results.

The significant influence on the reserve capacity of the cordial-vascular system of a healthy lifestyle, in particular such factors as rational nutrition, physical activity, daily time-table, psycho-emotional state are determined in it. The results of the conducted research by way of using of the Robinson index and the Rufier test showed a decrease of reserving capacity of the body’s due the circulatory system in adolescents who don’t adhere of a healthy lifestyle.

It is proved that consideration of functional state of the cordial-vascular system of pupils, their adaptive reserves during the organization and conduct of physical education is directed at preventing the most common ills of the cordial-vascular system.

The relationship between the influence of negative social factors and a decrease of the functional reserves of the cordial- vascular system in the significant part of adolescents is established in it.