bluuebunny/crossref_metadata_2025 huggingface dataset:
The Fresh - Cut Flower Trade between the Province of Yunnan (China) and The ASEAN
Authors:   Foreign Trade University, Vietnam, Lin Dai Yong
Published: December 2024

This paper summarizes and analyzes the overview of import and export situation of fresh-cut flowers in the Province of Yunnan (China) in recent years. It focuses on the import and export volume of the fresh-cut flowers between Yunnan province and ASEAN, as well as the trade development status and some new trend of trading. The paper also predicts the future of development prospects and the trend of fresh-cut flower trade between Yunnan and ASEAN according to the “One Belt and One Road" policy of China. In the end, the author proposes solutions to further enhance Yunnan’s export capacity, improve the competitiveness of Yunnan’s international market, as well as promote fresh-cut flower trade between Yunnan and ASEAN, and achieve mutual benefits.
Exploring South African tax consequences of compensation received by amateur rugby players
Authors: van Wyk Danielle , Thiart Cara
Published: December 2024

Both professional and amateur rugby players participate in community rugby. There is currently no guidance in the South African literature that expressly addresses the possible tax consequences of compensation received by amateur rugby players, if any. The objective of this article is therefore to explore the potential tax consequences of such compensation. The research approach entails an exploratory study, adopting a qualitative research approach in the form of an extensive literature review and an international comparative analysis. The study provides contradictory insights on the common perception that compensation received by amateur rugby players has no tax implications in South Africa. The study found that contracted amateur rugby players are considered employees of community rugby clubs and their compensation, depending on the nature, is in most instances taxable. Non-contracted amateur rugby players whose compensation consists of only the reimbursement of bona fide expenses are not considered employees of community rugby clubs, although reimbursements received may be subject to taxation. The findings are compared to current taxation practices of sports players in Australia, New Zealand, Singapore, and the United Kingdom. The research is valuable to amateur rugby players and community rugby clubs to ensure tax compliance and improved compensation practices.
Nuevas variantes en el gen TMEM126B asociadas a la deficiencia del complejo I deshidrogenasa identificadas en paciente pediátrico del Suroccidente Colombiano
Authors: Ardila-Marín Mariana , Barragan-Acosta Alexander , Arturo-Terranova Daniela , Satizabal-Soto José María
Published: December 2024

Introducción: La deficiencia del complejo I es el defecto bioquímico más común del sistema de fosforilación oxidativa, se ha asociado con variantes patogénicas en el gen TMEM126B que codifica para el factor de ensamblaje TMEM126B a nivel mitocondrial y que da lugar a una presentación fenotípica diversa como intolerancia al ejercicio, debilidad muscular, acidemia hiperláctica, miocardiopatía hipertrófica y acidosis tubular renal. Objetivo: Reportar nuevas variantes en el gen TMEM126B identificadas en un paciente pediátrico masculino con deficiencia del complejo I. Materiales y Métodos: Paciente masculino de 11 meses con antecedente de hipotonía congénita. Se le realizó la secuenciación del exoma completo + CNV por NGS; las variantes reportadas fueron analizadas por softwares bioinformáticos como Mutation Taster, UMD-Predictor, POLYPHEN, SIFT, DANN, Human Splicing Finder y Varsome. Finalmente, se construyó una red de interacción génica por el programa GeneMania para identificar asociaciones génicas cercanas. Resultados: Se identificaron las variantes c.222_223del (p.Gln74HisfsTer26) y c.509+61del (p?) en el gen TMEM126B. Estas variantes no están reportadas en bases de datos poblaciones y tampoco descritas en la literatura mundial. A partir del análisis en softwares bioinformáticos se concluyó que tienen significancia probablemente patogénica e incierta, respectivamente. La red de interacción mostró que TMEM126B está directamente relacionado con la familia de genes TMEM126, DYNC12 y NDUFAF1. Conclusión: El reporte de nuevas variantes en el gen TMEM126B mediante el uso de técnicas genómicas-bioinformáticas permiten ampliar el espectro de variantes genéticas, especialmente las intrónicas, contribuir al diagnóstico dirigido de pacientes con enfermedades mitocondriales y brindar una atención individualizada y hacer un acercamiento a la medicina de precisión.
A #Co-Teaching Story from the Digital Pedagogical Framework
Authors: Cotoc Alexandra , Mudure-Iacob Ioana
Published: December 2024

The pairing of educational technology and pedagogy within new media in the exploration of foreign language teaching approaches reveals a proximity to genuine interaction among learners through immersion in language education and new media content creation. Shifting from the role of “learning to create” into a more “creating to learn”-focused role, students are empowered to become active media creators while using language and tech savviness, as well as digital apps and tools, as core skills. In doing so, the language class gains the potential to become a microcommunity of practice that encourages critical thinking and collaboration abilities while engaging in complex problem-solving skills, extending its utility into the facilitation of autonomous learning contexts. With language learners stimulated by new media in their communicative practice, it is the role of teachers to find an innovative and digital pedagogical method of matching the students’ Netspeak needs to promote cognitive activation in the EAP class. The purpose of the current study is to showcase a tested example of how educational digital pedagogy within the context of new media can be leveraged to enhance language learning outcomes via a digital escape room learning context for students with various learning backgrounds and in an innovative co-teaching scenario. The collaboratively designed and implemented digital escape room activity challenges language learners to solve language puzzles, create new media content, and use receptive and productive language skills to find clues and passwords, fostering collaboration and communication among learners who are motivated to make use of their transversal skills while breaking out from such a complex language activity.
Managing Gender-Based Violence in Basic Schools for Sustainable National Security
Authors: KWASHABAWA Bala Bakwai , HAKIMI Wadata Muhammad
Published: December 2024

This paper examined how management of gender-based violence in basic schools can promote sustainable national security. The paper looked at the level of insecurity in Nigeria such kidnapping and armed robbery attack, economic and political related assassinations, bombings and killings which have constituted a very grave threat to the country’s sovereignty. These security challenges in so many ways encourage gender-based violence in basic schools where girls are proportionately the victims. The paper therefore, views the concept of gender, violence, gender-based violence, basic school and sustainable national security. The paper examines banditry, kidnapping, abduction bullying, sexual harassment and abuse, and physical insults and threats as the types of gender-based violence in basic schools. The paper also identified school location, nudity, the media and lack of girl-friendly school environments among others as some factors promoting gender-based violence the basic schools. The paper also identified the effect of gender-based violence on girls’ education such as absenteeism, drop out, and truancy. The paper identified lack of physical facilities, lack of community cooperation, lack of expertise or corruption among educational leaders as some of the challenges inhibiting effective the management of gender-based violence in basic schools. Providing school fence for security, installing cameras (CCTV), providing buses for schools, are some of the ways forward to preventing gender-based violence in basic schools. The paper suggested that school authorities should the teaching of positive behaviour a highly coordinated activity. This could be achieved through, coaching, modeling, anger management, and conflict management to help students control their natural instincts and desires. The paper also, suggested that school management should facilitate the removal of culture and traditional norms promoting nudity among girls through legal instruments and policies.
Teachers We Need for the Education We Want: Agenda for Setting Up Universities in Ghana
Authors: Ampem Isaac Obiri , Gyasi Hassan Umar , Quansah Gideon , Sakyi Vincent Tete , Kankam Boadu , Padi Doreen Terkperki , Asante Emmanuel Frimpong , Sekyi Susana Kyereboah
Published: December 2024

The foundation of any nation lies in the robust characteristics of its educational system. This paper aimed to assess whether student-teachers possess the essential skills needed to deliver the type of education desired by Ghanaians. A cross-sectional survey employing a quantitative research design was utilized. A sample of 385 from a total of 736 student-teachers was selected from the Departments of Arts Education, Business and Social Sciences Education, and Home Economics at the University of Cape Coast using a proportionate simple random sampling method. Data collection involved structured questionnaires that were analysed using Statistical Product and Service Solutions (SPSS) version 27 with descriptive statistics (mean, standard deviation, frequency and percentage. The results indicated that student-teachers demonstrated a strong grasp of content knowledge, and they were well-prepared to implement creative teaching methods. Moreover, the study found significant differences in the content knowledge of student-teachers based on factors such as sex, age, and field of study F (18, 3) = 2.062, p = .008, and partial ƞ² = .122. Additionally, there were notable differences in the preparedness of student-teachers to utilise creative pedagogies, influenced by their gender, age, and program of study, indicated by F (18, 3) = 1.922, p = .015, and partial ƞ² = .115. The study recommended that educational stakeholders in the Universities should encourage student-teachers to engage in workshops, seminars, and professional development opportunities to remain updated with the latest advancements in their field of work. It also suggested that student-teachers be motivated to explore innovative pedagogical approaches within their specializations. Furthermore, the research proposed that universities responsible for teacher training tailor their support systems for student-teachers, taking into account demographic variations in their preparedness to adopt creative teaching methods.
Leadership Attributes of School Heads, Classroom Instructional Environment and School Facilities: A Structural Equation Model on Job Satisfaction of Public School Teachers in Region XI
Authors: Aguinaldo Rubelyn C. , Tagadiad Celso L.
Published: December 2024

This study aimed to identify the best-fit model for job satisfaction among teachers, focusing on the influence of leadership attributes of school heads, classroom instructional environment, and school facilities among 400 public school teachers in the Davao Region, Philippines. The research employed a quantitative approach to collect and analyze data, using Structural Equation Modeling (SEM) to assess the relationships between the variables. The results indicated very high levels for the leadership attributes of school heads and classroom instructional environment, a high level for school facilities, and very high job satisfaction levels among the teachers. The study further revealed significant statistical correlations between leadership attributes, classroom instructional environment, school facilities, and teachers’ job satisfaction. Additionally, the study showed that all exogenous variables strongly influenced the endogenous variable (job satisfaction). Model 3 emerged as the best-fit model, meeting the necessary criteria for model fitting based on various statistical indices. The model demonstrated excellent fit, confirming its applicability for understanding the factors affecting teachers’ job satisfaction. The leadership attributes of school heads were characterized by the retained indicators: professional credibility, communication, and influence. In terms of the classroom instructional environment, the key indicators included personalization and investigation. School facilities were described through the retained indicators: marketing education facilities, auditorium/stage facilities, teachers’ workroom, and the location/site of the school. Finally, the job satisfaction of teachers was measured using the following retained indicators: security, work environment, and job responsibilities. The study’s findings suggest that the Department of Education’s policy-making body should consider evaluating school facilities more thoroughly. Further investigation with standardized measurement tools is recommended to better assess the actual status of school facilities, as this could provide a clearer picture of how physical environments influence teacher satisfaction and performance.
CONSEQUÊNCIAS DE FALHAS NO CÁLCULO DE DIMENSIONAMENTO ESTRUTURAL: INVESTIGAÇÃO DAS PATOLOGIAS E DANOS ASSOCIADOS
Authors: Giovane de Souza Eduardo , De Marco Gerson , Florian Fabiana
Published: December 2024

Este trabalho de tem como objetivo investigar as consequências das falhas no cálculo de dimensionamento estrutural, com foco nas patologias e danos resultantes que podem comprometer a integridade e segurança das edificações. O dimensionamento estrutural é uma etapa crucial no processo de construção, sendo responsável por garantir que as estruturas suportem adequadamente as cargas a que serão submetidas ao longo de sua vida útil. No entanto, mesmo com os avanços tecnológicos e a utilização de novos métodos de cálculo, erros persistem e podem levar a sérias consequências, tanto estruturais quanto econômicas. Os resultados destacam a importância de cálculos precisos no dimensionamento estrutural, pois falhas nesse processo podem gerar patologias graves, como trincas e deformações excessivas, que comprometem diretamente a segurança e funcionalidade das edificações. A pesquisa também sugere que a adoção de novas tecnologias e softwares avançados de análise estrutural, aliados ao treinamento contínuo dos profissionais da área, pode reduzir significativamente os erros no dimensionamento, promovendo construções mais seguras e economicamente viáveis.
A DESJUDICIALIZAÇÃO COMO INSTRUMENTO PARA A PROMOÇÃO DO ACESSO À JUSTIÇA E A REDUÇÃO DA SOBRECARGA NO SISTEMA JUDICIÁRIO
Authors: Figueiredo Cruz Vinícius , Azevedo Rodrigues Fillipe
Published: December 2024

A desjudicialização é apresentada como uma ferramenta para ampliar o acesso à Justiça, direito fundamental garantido pela Constituição Federal de 1988. O estudo analisa a transferência de competências do Judiciário para esferas administrativas e extrajudiciais, como cartórios, mediação e arbitragem, promovendo maior celeridade, redução de custos e eficiência na resolução de conflitos. Utilizando o método dedutivo, com base em revisão bibliográfica e dados oficiais, destaca-se o impacto positivo dessas práticas para superar a morosidade judicial e democratizar o acesso à solução de controvérsias, beneficiando especialmente os grupos mais vulneráveis.
Exploring the Ideal Photovoltaic (PV) Tilt Angle Across the Six Geo-Political Zones in Nigeria
Authors: Oluchi Omeire Victoria , Kelechi Duru Laura , Chukwuemeka Emeziem Victor , Anselm Okafor Chidera , Opara Ebubechukwu Kings
Published: December 2024

This study investigates the optimal angles for installing solar panels across the six geo-political zones in Nigeria using the PV software - Photovoltaic Geographic Information System (PVGIS). The research aims to provide practical recommendations for the optimal angel for installing PV panels in the absence of tracking systems. The optimal tilt angles ranging from 10 to 16 degrees consistently provide higher solar irradiance throughout the year. Specifically, a 14-degree tilt angle yields the highest annual solar irradiance of 2006.83 kWh/m². The findings suggest that adopting these optimal tilt angles can significantly enhance the efficiency of PV systems, contributing to more effective solar energy utilization in Nigeria.
The role of L.M. Karakhan in the Chinese policy of the Soviet Union (1923–1926)
Authors: Sotnikova I. N.
Published: December 2024

In the 1920s, the young Soviet state pursued several, sometimes mutually exclusive, goals in its policy towards China. On the one hand, the Soviet leadership did its best to achieve international recognition and sought to protect its vital interests. On the other hand, it actively promoted the idea of a world revolution. Under those circumstances, the country’s foreign ministry needed experienced, flexible, and pragmatic diplomats. In this regard, the activities of L.M. Karakhan, who was sent as a Soviet emissary to the Republic of China to address these sensitive issues, are of particular interest. The figure of L.M. Karakhan is all the more remarkable because, being one of the architects of the USSR’s foreign policy towards China, he himself has not received much attention in either Soviet or Russian historiography. On the basis of new archival documents and Chinese primary sources the paper attempts to give a comprehensive assessment of L.M. Karakhan’s tenure first as a plenipotentiary and then as an ambassador of the USSR to China. The first sections consider the tasks of L.M. Karakhan’s diplomatic mission in China and the vicissitudes of the negotiations on the Soviet-Chinese agreement on the establishment of diplomatic relations. To that end, the Soviet diplomat, following the directives from Moscow, flexibly maneuvered between various groupings of Chinese elites and resisted the pressure of other great powers’ representatives. The following sections examine L.M. Karakhan’s activities as a Soviet ambassador. The author concludes that L.M. Karakhan consistently defended the national interests of the USSR, skillfully combining a fine diplomatic game and assertiveness, even rigidity at times. The latter was vividly manifested in the most challenging issues of Soviet-Chinese relations, such as disputes over the status of the Chinese Eastern Railway and Outer Mongolia. At the same time, the ambassador took an active part in organizing and supporting the revolutionary movement in China. In fact, L.M. Karakhan served as a central coordinator of the Soviet aid to the Kuomintang, determining both its forms and substance. The author concludes that L.M. Karakhan proved himself not merely as an agent of the Soviet leadership, but also as a politician in its own right capable to effectively address a wide range of tasks, some of which had not originally been intended by his mission. That said it is worth mentioning that the assertive, tough style of the Soviet diplomat often raised a lot of criticism among foreign representatives, since it was at odds with the declared USSR intentions to break with the foreign policy practices of tsarist Russia.
The Study of the Cross-Cultural Dialogue between Traditional Southeast Asian and Chinese Music in the Belt and Road Initiative Context
Authors: Xiong Zi , Phansue Veera , Jamnongsarn Surasak
Published: December 2024

This study explored the role of the China-ASEAN Music Week, an integral component of the Belt and Road Initiative, in facilitating cross-cultural exchange and enhancing cultural understanding and social cohesion. Focused on Nanning, Guangxi, as a pivotal center for the dissemination of traditional Southeast Asian music, the research employed Music Week as a case study to analyze the channels, impact, and dynamics of cultural interaction. It highlighted the event's effectiveness in promoting cultural diversity and preserving traditional cultures, elucidating the mechanisms through which music transmission enriched local cultural diversity and fostered global inclusivity. Additionally, Music Week functioned as a platform for cross-cultural cooperation, connecting artists and audiences from diverse backgrounds and offering youth engagement opportunities through workshops and performances, which deepened their appreciation of cultural heritage. The digital extension of the event broadened its scope, facilitating a more inclusive cultural exchange. The study also noted the festival's contribution to the local music industry in Nanning, stimulating artistic innovation and attracting international attention. To enhance the impact of such cultural exchanges, recommendations included improving cultural education, expanding exchange programs, and leveraging digital platforms for a wider reach. The research suggested future inquiries could involve longitudinal studies on the sustained cultural impacts, comparative analyses of similar events, and evaluations of digital exchange effectiveness.
Les changements pédagogiques à l’école : analyse d’une réforme des devoirs à domicile dans le canton de Berne
Authors: Sieber Joaquim
Published: December 2024

Cet article questionne la nature et le processus de changement pédagogique à l’école. Il s’agit d’une part de chercher à comprendre comment l’école se transforme et, d’autre part, ce que ce changement implique lorsqu’il est de nature pédagogique. Dans une première partie, nous proposons un cadre théorique afin de construire un concept opérationnel de changement social, en nous intéressant à son objet, son contexte et ses séquences d’actions. Après avoir explicité brièvement la méthodologie utilisée pour la récolte et l’analyse des données, laquelle se concentre sur des entretiens compréhensifs, nous cherchons à comprendre comment les enseignant-es appréhendent une réforme spécifique dans l’espace francophone bernois et la traduisent dans leurs pédagogies. Nous présentons quelques résultats qui donnent à voir les détails des processus en jeu, notamment les stratégies d’adaptation mises en place par les enseignant-es et un exemple de transformation du système classe. Le changement est ainsi remis en contexte dans toute sa complexité, cela permettant de prendre en compte les multiples facteurs qui influencent les acteurs/trices dans la mise en œuvre d’une politique éducative.
Pemberdayaan Siswa SMK Bertanam Hidroponik dalam Upaya Penghijauan Lingkungan Sekolah
Authors: Zulfarosda Ratna , Purnamasari Retno Tri
Published: December 2024

Hidroponik mudah diterapkan dan dikembangkan oleh siswa sekolah serta menjadi bekal keterampilan siswa dalam menciptakan suatu karya. Siswa SMK memiliki potensi dalam menerapkan dan mengembangkan hidroponik baik dari segi lahan kosong dan kemampuan siswa ber-hidroponik. Kegiatan ini bertujuan untuk meningkatkan pemahaman siswa sekolah tentang praktik budidaya hidroponik. Kegiatan pengabdian ini dilaksanakan di Bulan Juni 2023 di SMK Salahuddin Pasuruan, Kecamatan Bugul Kidul Kota Pasuruan selama 1 (satu) bulan dengan melibatkan 30 orang peserta. Pemaparan materi diawali dengan penjelasan jenis hidroponik berdasarkan sistem kerja. Kegiatan selanjutnya peserta diberikan wawasan tentang bahan-bahan yang digunakan dalam budidaya hidroponik. hal yang menarik untuk dikenali oleh peserta adalah rockwool dan AB Mix. Peserta kegiatan selama ini lebih mengenal tanah sebagai media tanam, sedangkan pada budidaya hidroponik tidak menggunakan tanah. Nutrisi AB Mix juga merupakan hal unik bagi peserta karena lebih mengenal pupuk sebagai bahan makanan tanaman. Kunci penting dalam budidaya hidroponik disampaikan pada slide presentasi terakhir. Materi yang disampaikan pada slide tersebut merupakan ilmu pertanian dasar seperti kebutuhan oksigen oleh tanaman baik daun dan akar, kebutuhan cahaya matahari, kebutuhan hara/nutrisi, cara semai dan pindah tanam yang tepat. Sesi terakhir kegiatan pengabdian ini dilakukan praktek semai. Peserta dilibatkan dalam proses semai benih ke dalam rockwool. Pada sesi ini peserta juga diberikan penjelasan bahwa benih yang telah disemai disimpan pada ruangan atau lokasi dalam kondisi gelap. Hasil semaian siswa kemudian dilaporkan melaui pesan secara daring.
Significance and implications of the 2024 revision of the Declaration of Helsinki
Authors: Kim Ock-Joo
Published: December 2024

Background: The Declaration of Helsinki is the first self-regulatory professional standard developed by physicians for guiding medical research. Revised ten times, most recently in October 2024, it continues to evolve as a living document for medical research ethics. This study examined the key components and significance of the most recent revisions.Current Concepts: The Declaration of Helsinki was initially developed in response to unethical research conducted by Nazi doctors during World War II. It has since evolved into a globally recognized ethical framework that shapes both international and domestic law. The 2024 revision resulted from extensive international collaboration within the global community. Notable changes include replacing the term “subjects” with “research participants” and broadening the scope of responsibility to encompass the entire research team, not just the physicians. A new understanding of vulnerability was introduced, underscoring the fair and responsible inclusion of people with vulnerability. In addition, provisions for post-trial access to treatment were strengthened.Discussion and Conclusion: The 2024 revision process was marked by transparency and fairness, ensuring the updated declaration appropriately reflects contemporary challenges in research ethics. This revision incorporates modern developments and addresses evolving issues, including those highlighted by the global pandemic. The updated declaration offers a comprehensive framework for conducting ethical research in the 21st century, promoting a more inclusive, responsible, and transparent approach to research practices.
Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center
Authors: Albalawi Mohammed , Sadler Kim , Abudari Gassan , Alhuthil Raghad Tariq , Alyami Hamad Hussain , Alharbi Atheer Hani , Badran Rakan Hazem , Malhmar Abdulaziz Omar
Published: December 2024

BACKGROUND:

There is still limited data on Discharge Against Medical Advice (DAMA) in the pediatric population. Most research comes from low—and middle-income countries, where the financial burden associated with medical care is often an important reason to leave a healthcare facility prematurely. Discharge against medical advice in the children's population is considered a significant issue that may lead to an increased risk of morbidity and mortality.

OBJECTIVES:

Describe the characteristics and predictors of DAMA in children over ten years in in Riyadh, Saudi Arabia.

DESIGN:

Retrospective

SETTING:

Tertiary care center.

PATIENTS AND METHODS:

This study included all patients aged <14 years who had DAMA during all admissions between 1 January 2012, and 31 December 2022.

MAIN OUTCOME MEASURES:

Data was retrieved from medical records and included 1) sociodemographic data, 2) medical history and clinical characteristics, 3) utilization of services during the admission leading to DAMA, and 4) interventions provided to prevent departure.

SAMPLE SIZE:

355 DAMA episodes.

RESULTS:

Males accounted for 45.4%, and the average age was 4.4 years. The overall DAMA prevalence of was 0.4%. At baseline, 277 children (78%) had at least a chronic illness or severe baseline condition; 59% had a potential life-limiting or life-threatening condition. Reasons for DAMA included disagreement about the treatment plan (14.9%), social reasons (12.6%), and perception that the child's condition improved (5.6%). An increased risk of DAMA recurrence was associated with pre-existing severe or chronic medical conditions (OR: 8.2,
P
=.004) and a discharge during the treatment phase (OR: 1.9,
P
=.040).

CONCLUSIONS:

Despite inconsistent documentation, preventive measures included the involvement of healthcare providers, social services, and patient relations. The study highlights the need for standardized protocols and improved documentation practices to effectively address discharge against medical advice.

LIMITATIONS:

Needs to moderate documentation quality of DAMA episodes. The study was limited to a single center, which may affect the generalizability. Children might also have presented to receive care in another facility post-DAMA.
Feasibility, safety, and outcome of fetoscopic endoluminal tracheal occlusion for severe congenital diaphragmatic hernia at a low case-load center: one center's experience
Authors: Alshanafey Saud , Kurdi Wesam I. , Tulbah Maha , Khan Rubina MA , Al Sahan Nada , Al Mugbel Maisoon , Al-Hazzani Fahad , Almutairi Gawaher , Jebreel Ala , Al-Nemer Maha
Published: December 2024

BACKGROUND:

Antenatal fetoscopic endoluminal tracheal occlusion (FETO) has been introduced as an effective intervention to improve the outcome of severe congenital diaphragmatic hernia (CDH).

OBJECTIVE:

We report our early experience with FETO.

DESIGN:

A retrospective chart review of case series.

SETTING:

Tertiary health care center.

PATIENTS AND METHODS:

18–45 years old, with single fetuses diagnosed with left severe CDH (lung-head ratio <1 measured between 27–29 weeks of gestational age (GA) and liver up or observed/expected lung-to-head ratio <25%, normal echocardiogram and karyotype were included. FETO was performed between 28–30 weeks of gestation and removed after 4–6 weeks or at birth during an ex utero intrapartum treatment (EXIT) procedure.

MAIN OUTCOME MEASURES:

FETO represents a viable option for severe type of CDH fetuses with reasonable outcomes. FETO performance in low volume centers may be feasible with reasonable outcomes. Good outcome of postnatal care with no potential antenatal complications may affect FETO adoption in some societies.

SAMPLE SIZE:

5

RESULTS:

14 pregnant women were referred for assessment and only 7 met the inclusion criteria. Two were excluded initially (late referral and spouse refusal) and a 3rd excluded later due to failure of FETO due to faulty balloons. The median age of the mothers was 28 years and the gestational age was 29 weeks. Median observed/expected lung-to-head ratio was 23%. Among patients who had successful FETO, one had the balloon removed fetoscopically 4 weeks after insertion and one was removed 8 weeks after insertion during an elective EXIT procedure and both have survived. The other two had premature labor after 1 and 5 weeks after FETO and balloon removed during an emergency EXIT procedures, and both died within 24 hours of birth.

CONCLUSION:

FETO represents a viable option for severe type of CDH fetuses with reasonable outcome. FETO performance in a low volume centers may be feasible with reasonable outcomes. Good outcome of postnatal care with no potential antenatal complications may affect FETO adoption in some societies.

LIMITATIONS:

Retrospective nature of the study may imply inaccuracy, but we believe data from electronic medical records is highly accurate.
GELENEK VE YENİLİK TEMSİLİNDE İHSAN ÖZGEN’İN KLÂSİK KEMENÇE SESLENDİRMELERİ
Authors: Esen Biçer Beste
Published: December 2024

19. yüzyıl öncesi Türk müziği çalgı icracılığına dair literatür verilerinde, sözlü icranın öncelikleriyle birlikte, ustaların öğretileri ve müzikal tecrübeleri ile şekillenen sade ve yalın seslendirmeler dikkat çekmektedir. 19. yüzyıla gelindiğinde ise Tanburî Cemil Bey’in (1873-1916) çalgı icracılığının özellikleri, günümüz sazendeliği’nin temelini oluşturmuş ve Klâsik Kemençe icracılığına da farklı bir boyut kazandırmıştır ki söz konusu boyutu döneminin “yeniliği” olarak ifade etmek yanlış olmayacaktır. Tanburî Cemil’in yenilikçi anlayışının izleri günümüz Klâsik Kemençe icracılığında geleneğin temsilidir ve bu ekolün takipçileri arasında hem Tanburî Cemil’in anlayışını barındırması hem de yaşadığı çağın müzikal gerekliliklerini karşılaması noktasında İhsan Özgen (1942-2021) öne çıkan bir isimdir. Bu bağlamda çalışmada, İhsan Özgen’in Klâsik Kemençe ile seslendirdiği gelenek ve yenilik temsilindeki icralarının incelenmesi amaçlanmıştır.
Özgen’in geleneksel icraları kapsamında, Pembe Kız operetine ait “Uvertür”, “Tavlada Beslerler Bir Saçı Doru” isimli Köçekçe ve Osman Bey’in “Uşşak Peşrevi” değerlendirilmiştir. Tüm bu icra örneklerinde Cemil Bey tavrından uzaklaşmayan, tamamen bu icralara sadık bir biçimde seslendirmeler gösterdiği ve bu noktada, aynısını ortaya koymayı amaçlayan bir müzikal tavır sergilediği tespit edilmiştir.
Özgen’in “Kıldı Zülfün Tek Perîşan Hâlimi Hâlin Senin” mısra ile başlayan Hüzzam makamındaki Gazel, “Urum da Acem de Âşık Olduğum Veysel Karani”, “Aşkın İle Aşıklar Yansın, “Tevhid Etsin Dilimiz”,”Bu Aklü Fikr ile Mevlam” ilahileri ve “Kompozisyon” isimli çalışmaları Tanburî Cemil Bey’in müzikal anlayışından bağımsız yenilikçi seslendirme örnekleridir. Özgen bu örneklerinde icrasına nota dışı ezgileri icraya dâhil etme, eserlerin süreleri ve tartımları ile oynama, çift sesler kullanma, makamsal olmayan sesleri icraya dâhil etme ile rastlamsal, izlenimci, gelecekçi sanatsal anlayışlar ile örtüşen seslendirmeler sergilediği gözlenmiştir.
Motivation and Work Behaviour of Casual Worker: A Theoretical Perspective
Authors: Olubukoye OYE , Joseph Adeniyi OYE , Eyitayo Joseph OYEYIPO , Anu IBIWOYE , Abdulaziz Olasunkanmi ISHOLA , Ibilola Shayo OGUNDIPE , Abdulmajeed Olayinka SULYMAN , Muhammed Baba ISSA,
Published: December 2024

The motivation of casual workers for corporate and individual performance cannot be overemphasized in an organisation, this work explored the casual workers behaviour in relations to job security, work environment, wage system, gender differences and power imbalance. The work is hinged on two theories, they are the expectancy theory and social exchange theory. The concluded that the well-being, satisfaction, and commitment of casual workers are integral to the overall success and vibrancy of the orgaisational settings. By prioritizing job security, safety, fair compensation, and transparent conversion pathways, institutions can create an environment where casual workers thrive, contributing their best to the organisation.
The Role Of Tax Amnesty In Moderating The Effect Of Taxpayer Commitment On Tax Compliance In Individual Taxpayers In Kudus Regency In 2022
Authors: Abdurrosid Edi Wicaksono , Chandrarin Grahita , Zuhroh Diana
Published: December 2024

The research objective is to test tax compliance with tax amnesty which moderates the influence of the taxpayer's commitment to tax compliance. The research design uses causality research which serves to represent tax compliance. The research sample used individual taxpayers in Kudus Regency, amounting to 100 respondents. The results of the study explain that the commitment of taxpayers is not able to increase tax compliance. In addition, tax amnesty is capable of moderating which means strengthening the relationship between taxpayer commitments and tax compliance. However, individual taxpayers still perceive that the tax amnesty is not on target, so that in the end the government is advised to issue a tax amnesty policy in the future
The Strategy of the Madrasah Head in Improving the Religious Culture of Students at M. A Manbaul Ulum Mojopuro Gede Gresik Jawa Timur
Authors: Zaini Mohammad
Published: December 2024

Realizing an educational institution development strategy, it must have a management strategy that is able to nourish the institution and lead to significant progress that is able to develop a religious culture. This type of research is qualitative research, based on the discussion including descriptive research using a multi-case study design. Data collection techniques using observation, interviews, and documentation. Data analysis was carried out starting from data reduction, data presentation, and drawing conclusions. The research results arePrincipal Planningin the Development of Religious Culture at MA Manbaul Ulum Mojopuro Gede Gresik, East Java, there is already a good program planning, namely: a) Daily Activities, namely Tadarus of the Qur'an in the morning, Memorizing prayers and dhikr, Dhuha Prayers and Dhuhur Prayers in congregation. b) Weekly activities namely Reading Asmaul Husna, Friday charity and c) incidental or temporal activities.ImplementationThe Principal in the Development of Religious Culture at MA Manbaul Ulum Mojopuro Gede Gresik, East Java by implementing several activities, namely: Daily religious activities, weekly religious activities, incidental religious activities.Principal Evaluationin the Development of Religious Culture at MA Manbaul Ulum Mojopuro Gede Gresik, East Java, can be seen from: a) Students fill out the attendance list, b) Monitoring from the madrasa, the head of the madrasa always provides guidance to all madrasa residents. c) Giving sanctions by the head of the madrasa is very good to do, so that the programs in the school principal of the madrasa not only support it, but also contribute to its implementation to the fullest.
Development Of Macromedia Flash-Based Interactive Media In Food Ingredients Knowledge Subjects
Authors: Tresno Ingtyas Fatma , Akmal Nikmat
Published: December 2024

This research aims to develop macromedia flash-based learning media on herbs and spices using the 4 D development model. Research data was collected using a questionnaire that was validated by media experts and material experts. Needs analysis shows that macromedia flash media is really needed by teachers and students. Material expert validation obtained 97.77% in the very feasible category. Media expert validation obtained 89.71% in the very feasible category. The results of students' assessments of the acceptability of Macromedia Flash learning media obtained a score of 4.90, including very high acceptability. Based on these data, it can be concluded that the Macromedia Flash learning media is suitable for use in food ingredient knowledge subjects in Spices and Spices. This media is only limited to knowledge of herbs and spices and quizzes are only provided at the end of the material. It is hoped that future researchers will be able to create quizzes and evaluations on each food ingredient knowledge sub-material and can develop broader material.
Analysis On Court Decision No 147/Pid.B/2022/Pn Denpasar On Notary Liability In Adopting Minutes Of Extraordinary General Meeting Based On Circular Resolutions Inconsistent With Actual Facts
Authors: Adi Kusuma Hanif , Hartiwiningsih Hartiwiningsih , Dyah Kusumawati Erna
Published: December 2024

The Purpose Of This Research Is To Analyze And Examine The Accountability Of A Notary As The Creator Of The Minutes Of An Extraordinary General Meeting Of Shareholders Based On A Circular Decision That Does Not Reflect The Actual Facts. The Type Of Research Used In This Study Is Normative Legal Research. The Research Conducted By The Author Is Prescriptive In Nature. The Approaches Used In This Research Are The Statutory Approach And The Case Approach. The Types Of Legal Materials Used In This Study Are Primary Legal Materials And Secondary Legal Materials. In An Effort To Find And Collect The Necessary Data, This Research Uses The Technique Of Collecting Library Research Or Document Study. The Analysis Technique Used In This Research Is The Syllogism Method Using Deductive Thinking Patterns. The Results Of This Research Indicate That The Accountability Of A Notary As The Creator Of The Minutes Of An Extraordinary General Meeting Of Shareholders Based On A Circular Decision That Does Not Reflect The Actual Facts Can Be Qualified As An Unlawful Act Due To Negligence As Regulated In Article 1365 Of The Civil Code, Which Regulates The Notary's Civil Liability Or Sanctions Against The Notary To Compensate For The Losses Suffered By The Disputing Parties Due To Such Unlawful Acts. Based On This, The Accountability Of The Notary Who Has Been Convicted For Violating The Provisions Of Article 264 Paragraph (1) In Conjunction With Article 55 Paragraph (1) Number 1 Of The Criminal Code In The Making Of The Minutes Of The Egm Also Constitutes Administrative Violations For Violating The Obligations Of A Notary In Carrying Out His Duties And Responsibilities As Regulated In Article 16 Paragraph (1) Letter A Of The Notary Law As Well As Violating The Notary Code Of Ethics Article 3 Paragraph (2), (3), (4).
Social media Influencers’ credibility on Green Purchase Behavior: Evidence from Bangladesh
Authors: Shahabuddin A.M.
Published: December 2024

The rising global awareness of environmental issues and health consciousness after COVID 19 have driven consumers to seek more sustainable lifestyles, significantly propelled green purchasing intent into the limelight.  In regions where environmental education might be lacking, influencers can fill this gap. Social media Influencers often provide educational content on the importance of sustainability and how consumers can make greener choices, which can lead to more informed purchasing decisions. The purpose of the study is to ascertain the credibility of social media influencers' mastery on purchase intentions of individuals and how these intentions are carried over into actual green purchase behaviors. A quantitative, conveynience sampling uses an online survey that conducted from November 2023 to January 2024 on a south Asian country, Bangladesh. Data were coded in SPSS 26 and regressions, the sobel test were performed to find out mediating relationship. The results shows eco labeling had mediated the relationship on social media and green purchase intentions, while social media influencers’ trust worthiness has impact on purchase. These findings have important implications for marketers and policymakers aiming to promote sustainable consumption.
The Effect Of Hypertension Exercise On Lowering Blood Pressure In The Elderly In The Work Area Of The Gunung Kaler Health Center In 2023
Authors: Patimah Patimah , Fauzi Achmad
Published: December 2024

Background Elderly people often experience high blood pressure due to natural aging causing decreased elasticity of blood vessels which can increase blood pressure. Purpose ofWriting: to find out the Effect of Hypertension Exercise on Lowering Blood Pressure in the Elderly in the Work Area of the Gunung Kaler Health Center in 2023. Research Methods: The method in this study was a Quasy Experiment with a one group pretest-posttest design. The population in this study were all elderly people who experienced hypertension. The data collected was primary data using observation. The dependent variable was a decrease in blood pressure. The independent variable was postpartum exercise. Data processing. SPSS. The results of the study showed that the assessment before and after the intervention group obtained a Sig value of 0.000, a sig value <0.05 which can be concluded that there is an effect of hypertension exercise on reducing blood pressure. Meanwhile, the before and after assessment in the control group obtained a Sig value of 0.215, a sig value > 0.05 which can be concluded that there was no effect of hypertension exercise on reducing blood pressure.Conclusions and Suggestions: Health workers can provide information about the need for education and practice to be carried out by health workers together with the elderly to implement hypertension exercises carried out in predetermined homes, it should be done routinely according to predetermined rules for doing hypertension exercises.
Pattern of Visual Analog Score Changes in Metastatic Urogenital Cancer Patients Undergoing Sympathectomy
Authors: Panduwinata Dicky , Ch Oley Maximillian , Prasetyo Eko
Published: December 2024

This study aimed to evaluate the effectiveness of sympathectomy in reducing pain in patients with metastatic urogenital cancer. A single-blind randomized clinical trial involving five patients who underwent neurolytic ganglion impar block using a transcoccygeal approach, followed by radiofrequency ablation (RFA), was conducted. Five patients with metastatic urogenital cancer, averaging 58.4 ± 16.9 years old, showed a significant reduction in pain after sympathectomy. The average Visual Analog Scale (VAS) reduction was 2 points on the first day, 4 points on the third day, and 5 points on the fifth day. This pain reduction was accompanied by a decrease in the patients' dependence on opioid medication. Sympathectomy and radiofrequency ablation have proven effective in reducing pain in patients with metastatic urogenital cancer. These findings support the use of sympathectomy as part of comprehensive pain management in metastatic cancer patients, improving quality of life and reducing opioid usage. This approach offers a promising alternative for managing chronic pain in this patient population, particularly when oral therapy is insufficient.
Technical Efficiency in Bitter Melon Plants Using Data Envelopment Analysis (DEA) Model in Tanah Laut District
Authors: Pertiwi Pohan Rana , Ferrianta Yudi , Dewi Yanti Nuri
Published: December 2024

Farm technical efficiency involves maximizing output while minimizing input costs. In Tanah Laut Regency, bitter melon production fluctuates annually due to climatic factors and inefficient input use. On average, farmers use 0.47 hectares of land, 166 grams/ha of seeds, 2,659 kg/ha of organic fertilizer, 208 kg/ha of inorganic fertilizer, 7.08 liters/ha of liquid pesticides, 7.24 kg/ha of solid pesticides, and 339 HKSP of labor. Data Envelopment Analysis (DEA) indicates that farmers are technically inefficient, with average technical efficiencies of 80.8% (CRS-DEA), 89.9% (VRS-DEA), and 89.8% (SE-DEA). Among the farmers, 32% operate under increasing returns to scale (IRS), 26% under constant returns to scale (CRS), and 42% under decreasing returns to scale (DRS). A logit regression model reveals that education level, farming experience, and number of family members significantly impact technical efficiency, while age, land ownership status, and off-farm income do not. To enhance efficiency, farmers should reduce input use by emulating the practices of their more efficient peers.
STRATEGIES OF WOMEN LEADERSHIP IN CHANGING TEACHER PERFORMANCE (CASE STUDY AT MI NUR HIDAYAH WONOSARI KLATEN)
Authors: SAFITRI PINASTI ELOK
Published: December 2024

This study discusses the strategy of women's leadership in improving teacher performance at MI Nur Hidayah. The main objective of this study is to identify the leadership applied and the approach used by female leaders in enhancing the performance of educators in educational institutions. Based on the research conducted, it can be observed that the indicators of performance improvement can be achieved through the women's leadership implemented at MI Nur Hidayah. The strategy applied involves establishing communication through routine activities, openness, and a mutual support attitude. This study is qualitative, using an approach based on interviews and observations. It was conducted to confirm that women are capable of being leaders who create an actively supportive work environment, thus improving teacher performance optimally to achieve maximum results.
ABSTRAKPenelitian ini membahas strategi kepemimpinan perempuan dalam meningkatkan kinerja guru di MI Nur Hidayah. Tujuan utama dari penelitian ini adalah untuk mengidentifikasi kepemimpinan yang diterapkan dan pendekatan yang digunakan oleh pemimpin perempuan dalam meningkatkan kinerja pendidik di lembaga pendidikan. Berdasarkan penelitian yang dilakukan, dapat dilihat bahwa indikator-indikator peningkatan kinerja dapat tercapai dengan kepemimpinan perempuan yang diterapkan di MI Nur Hidayah. Strategi yang diterapkan adalah membangun komunikasi melalui kegiatan rutin, keterbukaan, dan sikap saling mendukung satu sama lain. Penelitian ini bersifat kualitatif dengan menggunakan pendekatan melalui wawancara dan observasi. Penelitian ini dilakukan untuk mengonfirmasi bahwa perempuan mampu menjadi pemimpin yang menciptakan lingkungan kerja yang aktif dan mendukung, sehingga dapat meningkatkan kinerja guru secara optimal untuk mencapai hasil yang maksimal.