bluuebunny/crossref_metadata_2025 huggingface dataset:
Nutrition Awareness: Family Practices in Indonesian Borderland
Authors: Nahak Maria Paula Marla , Fouk Maria Fatimah Wilhelmina Abuk , Naibili Maria Julieta Esperanca
Published: October 2022

Poor family nutritional practice is one of the major leading causes of stunting in children aged 0-59 months. Good family nutrition practices are one of the primary keys to stunting prevention. It can also reduce the prevalence of stunting and the impact it has on families, which are included in the category of stunting risk families. This study aimed to investigate nutrition-aware family practices at Haliwen Health Center, Atambua-one of the border areas of the Republic of Indonesia (RI) and Democratic Republic of Timor Leste (DRTL). It is a descriptive study with a cross-sectional design that took place at the Haliwen Health Center, Belu Regency, East Nusa Tenggara Province, Indonesia, from September 1 to October 30, 2021. A total of 147 families with children aged 0-59 months, were selected by purposive sampling. Most mothers (60%) gave exclusive breastfeeding to infants aged 0-6 months. Most mothers (78%) firstly gave complementary feeding to infants at the age of 6 months, most families and children (94%) ate a variety of nutritional sources, most families (56%) used iodized salt, most infants (95%) aged 6-11 months and children 12-59 months received vitamin A supplements, most (88%) pregnant women received iron supplement at least 90 tablets during pregnancy, most postpartum women (72%) received two capsules of vitamin A supplements. 58.5% of families at the Haliwen Health Center had implemented 75% nutrition-aware family indicators. However, none of them had performed 100% nutrition-aware family indicators. Sustainable assistance needs to be improved to reach 100% nutrition-aware family and implemented in all families.
Rehabilitation following operative treatment of acute Achilles tendon ruptures: a systematic review and meta-analysis
Authors: Massen Felix Kurt , Shoap Seth , Vosseller J Turner , Fan Weija , Usseglio John , Boecker Wolfgang , Baumbach Sebastian Felix , Polzer Hans
Published: October 2022

Purpose

The aim of this systematic review and meta-analysis was to compare re-rupture rates, complication rates, functional outcomes, as well as return to work (RTW)/sport (RTS) among different rehabilitation protocols following operative treatment of acute Achilles tendon ruptures.

Methods

Systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Five databases were searched for randomized controlled trials (RCTs) comparing at least two rehabilitation protocols following surgical repair of acute Achilles tendon ruptures. Rehabilitation protocols were classified as a variation of either non-weightbearing (NWB) or weightbearing (WB) and immobilization (IM) or mobilization (M). The data collection consisted of re-ruptures, complications, and RTW/RTS.

Results

Out of 2760 studies screened, 20 RCTs with 1007 patients were eligible. Fourteen studies included a group consisting of WB + M (Group 1), 11 of WB + IM (Group 2), 3 of NWB + M (Group 3), and 13 of NWB + IM (Group 4). Outcome parameters available for a meta-analysis were re-ruptures, complications, RTW, and RTS. Re-ruptures overall occurred in 2.7%, with prevalences ranging between 0.04 and 0.08. Major complications occurred in 2.6%, with prevalences ranging between 0.02 and 0.03. Minor complications occurred in 11.8% with prevalances ranging between 0.04 to 0.17. Comparing the odds-ratios between the four different groups revealed no significant differences with overall favourable results for group 1 (WB+M).

Conclusion

Early functional rehabilitation protocols with early ankle M and WB following surgical repair of acute Achilles tendon ruptures are safe and they apparently allow for a quicker RTW and RTS and seem to lead to favourable results.
Educación democrática en colectividad: Experiencia educativa TRABENCO
Authors: Ortega Cabello Alejandro
Published: October 2022

En el presente artículo se pretende conocer y comprender la cultura democrática y la praxis libertaria del CEIP Trabenco. Para ello se muestra primeramente un acercamiento teórico a los diferentes modelos de educación democrática, al cooperativismo escolar y a la pedagogía libertaria. En segundo lugar, se expone la metodología utilizada para la consecución del objetivo, una investigación etnográfica, cuya recogida de datos se realiza mediante la observación directa participante, junto con un diario de campo, y el análisis documental del proyecto educativo del centro. La triangulación para la validación de los datos se alcanza mediante la contrastación final por parte de un miembro de la comunidad estudiada, el director. Las categorías de análisis se sintetizan desde la pedagogía libertaria y la educación a través de la democracia. Posteriormente se aborda el análisis de la cultura democrática del centro, atendiendo tanto al proyecto educativo del mismo como a la información recopilada durante el trabajo de campo, estancia perteneciente al prácticum de un máster cursado por el investigador. Para finalizar se compartirán algunas reflexiones derivadas del estudio, destacando cómo el centro mantiene la esencia de su origen cooperativista, considerado actualmente como una escuela referente en cuanto a innovación educativa.
Percepción de los docentes en formación sobre su influencia en la transmisión de valores al alumnado
Authors: Colomo Magaña Ernesto , Cívico Ariza Andrea , Guillén Gámez Francisco David , Sánchez Rivas Enrique
Published: October 2022

La relación entre valores y educación convierte al docente en ejemplo de comportamientos y actitudes para el alumnado, siendo importante la forma de ser y de ejercer la labor formativa. Partiendo de esta premisa, el objetivo de este estudio ha sido analizar la percepción de los docentes en formación sobre su nivel de influencia en el alumnado en diferentes categorías axiológicas. La muestra la han compuesto 214 estudiantes del Máster de Formación del Profesorado de la Universidad Internacional de Valencia durante el curso académico 2019/2020. Partiendo de una perspectiva mixta de carácter descriptivo y de tipo exploratorio, se ha utilizado un cuestionario ad hoc que integra el modelo axiológico de educación integral de Gervilla y un autoinforme. Los resultados reflejan una percepción de mayor influencia del profesorado sobre los valores intelectuales, morales, volitivos y sociales. Asimismo, se obtienen diferencias significativas en relación con el sexo y la experiencia docente. Por su parte, la influencia en la transmisión de valores es una realidad que queda condicionada a factores relacionados con el docente, el alumnado, otros agentes y la realidad social. Las conclusiones inciden en la necesidad de mejorar la formación inicial y continua del profesorado respecto al ámbito axiológico, prestando especial interés a la educación del carácter.
Factores clave para la reunificación familiar: análisis mediante un estudio de caso en acogimiento residencial
Authors: Ortega Ortigoza Daniel , Urrea Monclús Aida , Rodríguez Rodríguez Julio
Published: October 2022

El acogimiento residencial es una medida temporal para la protección a la infancia y la adolescencia en riesgo social que ha de atender el interés superior del niño, es decir, se establece cuando se requiere la separación del niño sobre el núcleo familiar de origen y no es posible un acogimiento familiar. Una excesiva durabilidad de la medida puede aumentar las consecuencias psicosociales, educativas o familiares de la infancia y adolescencia tutelada. El objetivo de este artículo es poner de manifiesto, mediante un estudio de caso, el proceso de reunificación de un niño en acogimiento residencial, a partir del trabajo multidisciplinar entre los profesionales implicados. El artículo señala, además, algunas de las dificultades inherentes en el manejo de estas situaciones, así como los elementos facilitadores del proceso de reunificación. En conclusión, se destaca la importancia de reducir el tiempo del acogimiento residencial atendiendo al interés superior de la infancia, y la necesidad del trabajo multidisciplinar para facilitar el retorno a casa.
Validación de un cuestionario de competencias docentes para el profesorado de Educación Secundaria
Authors: Sánchez-Tarazaga Lucía , Ferrández-Berrueco Reina
Published: October 2022

El objetivo de este trabajo es presentar y validar un cuestionario de competencias docentes del profesorado de Educación Secundaria desde las voces de los propios implicados (docentes en activo, estudiantes y profesorado del Máster de Secundaria). El cuestionario se ha diseñado ad hoc, adaptando la propuesta de Tribó (2008). El instrumento resultante está basado en 44 ítems, que se encuentran agrupados en torno cuatro dimensiones y hacen referencia a los ámbitos científico (saber), metodológico (saber hacer), social (saber estar) y personal (saber ser). Las preguntas están planteadas en una escala Likert de cuatro puntos para medir la importancia que se concede a cada competencia. Para ello, hemos abordado un análisis de fiabilidad y validez, calculando los parámetros para cada dimensión del cuestionario. En la prueba de fiabilidad hemos utilizado Alfa de Cronbach, mientras que en la validez de constructo hemos empleado el análisis factorial exploratorio de primer y segundo orden para confirmar la unidimensionalidad de los constructos, a través del método de extracción de componentes principales y rotación oblicua. Los resultados muestran que el instrumento presenta unos niveles satisfactorios en dichas pruebas, de forma que ofrece suficientes garantías para su utilización y aplicación en procesos relacionados con la función docente.
Arousing children’s interest in choir singing in sunday schools
Authors: Tyaglova Svetlana , Kolbasa Viktoriya
Published: October 2022

The article considers the possibilities of solving the problem of spiritual and moral education of the younger generation by means of choral singing in Sunday school. It was choral singing and the church that were originally inseparable in the history of Russian culture. The authors consider the reasons for the lack of interest in singing among children in Sunday schools (a small amount of time for rehearsals, an audience of different ages, etc.), and ways to solve this problem are presented. The article considers the concept of interest and ways of its development in the scientific and methodological literature, the history of the formation of Sunday schools in Russia, the possibility of developing morality and spirituality of children by means of choral art. The results of a survey of parishioners of the temples of the Tobolsk-Tyumen Diocese are presented in order to identify the interest of respondents in the development of children's choral singing in the temple. Based on the results obtained, and the experience of the authors in this field, methodological recommendations were developed for developing children's interest in joint singing in the conditions of Sunday school classes.
The role of S. L. Frank’s academic heritage in the development of psychological anthropology
Authors: Gostev Andrey , Smirnova Elena
Published: October 2022

The relevance of this article is determined by the need for a scientific study of the psychological aspects of the spiritual and moral sphere of human existence against the background of the multifaceted crisis of modern civilization. The isolation of the psychological aspect in human consciousness is decided through an appeal to the domestic philosophical and psychological tradition of the pre-revolutionary period. In particular, the philosophical and psychological heritage of S.L. Frank, who was not only an outstanding Christian philosopher, but also a psychologist, is being considered. Frank's study of psychological ideas relies on the history of psychology and on the psychology of the spiritual and moral sphere of human existence. In particular, the following is considered a) the influence of Frank's scientific heritage on the "psychology of gnoseology", his contribution to b) human macrodescription; in this regard, the concepts of "soul", "mental life", "love", "consciousness", "personality" and "psychological health" are considered), and c) understanding the spiritual foundations of social life. Parallels are drawn with the understanding of other scientists of these and other psychological categories. The key theoretical and methodological provisions of Frank's creative heritage, which are important for the development of psychological science, are emphasized. The relevance of Frank's philosophical and psychological heritage is justified in the light of information and psychological psycho-manipulatory influences on a modern man. The special significance of Frank's legacy is emphasized for the development of a holistic approach to human psychology. Frank's philosophical reflections are compared with modern psychological ideas about the structure and development of the personality, about the spiritual and moral foundation of social relations. The importance of revealing the spiritual and moral foundations of interpersonal relations is emphasized. The starting point of the concept is the idea of the rootedness of human existence in God. The ways of subsequent research of the philosophical and psychological heritage of S.L Frank are outlined.
Hermeneutical practice of moral education in a small town
Authors: Mikhaleva Marina , Krasnov Sergey
Published: October 2022

The authors of the article investigate the upbringing role of a real pedagogical situation, since a human act carries a possible expression of understanding a particular text, its interpretation. When students, together with a teacher, reconstruct a particular cultural norm, a text, assuming all their experience in them. This is where the variability of interpretations is manifested, thanks to which the hermeneutic approach to the educational situation is realized. Within the framework of this approach, the activities of the educator are carried out on the basis of deep understanding, penetration into the specifics of thinking, feelings, experiences of the child (pupil). The decisive role here is played by the appeal not so much to pedagogical facts and phenomena as to what stands behind them: subjective meanings, unconscious motives of behavior. Hermeneutic educational practice is built as work with the experiences of children, their memories, expectations, fantasies. Children's poems, amateur songs, essays, autobiographical notes, diaries, letters are becoming important attributes of the educational process. These products of children's verbal creativity should be accepted by the educator: not analyzed and evaluated, but recognized as a personal value of a growing up person who is allowed to be himself. Hermeneutic acceptance of a child is impossible without reflection of the educator himself of his own childhood experience, his childhood experiences, “living” memories from childhood. Such a teacher will not lead the child, instruct him, but will be able to cooperate with him as a senior comrade.
Impact of Knowledge Management on the Operational Risk of the Modern Organizations
Authors: Gudauskienė Giedrė , Mikalauskienė Asta
Published: October 2022

Organizations face a variety of challenges daily that sometimes make their operations risky. It is very important to define the risks and have a plan for managing threats. One way to manage risk is to use knowledge management. An organization is created by people, so maintaining for people is the most important goal of the organization. Brain drain can become significantly damage the organization. It is quite difficult to calculate the specific impact of risk on the organization in terms of qualitative indicators. However, it is unequivocally recognized that knowledge management in organizations is extremely important. Therefore, this topic – knowledge management in the risk management process of organizations - was chosen to find out how knowledge management, in addition to economic decisions, can contribute to an organization's risk aversion. This article aims to determine how the knowledge management process serves the operational risk management of organizations.
Program for the development of coordination abilities of young fencers at the stage of basic training
Authors:   H. S. Skovoroda Kharkiv National Pedagogical University, Kryventsova I. , Samoilov D. ,   H. S. Skovoroda Kharkiv National Pedagogical University
Published: October 2022

Purpose: checking the effectiveness of the developed program for the development of special coordination abilities of young fencers of 10-12 years old. Material and methods: 16 fencers of 10-12 years old took part in the study, who at the beginning of the study trained at the «Unifeht» sports complex. The experimental group consisted of athletes (n=8), who practiced according to the developed program three times a week for 3 hours. The control group consisted of athletes (n=8), who were engaged in the standard program of the fencing department of the sports school. The study lasted 11 months. The following methods were used in the work: analysis of special literature and Internet resources; pedagogical observation; analysis of coordination readiness of young fencers; methods of mathematical statistics for processing the obtained results. Results: with the help of selected tests, the level of general and special coordination readiness was determined. The work presents the developed program for improving the coordination abilities of young fencers of the basic training group. In March, due to the military operations in the Kharkov region, the destruction of the «Unifeht» sports complex, the training was suspended. Since April, training has been resumed in various cities of Ukraine. All athletes were in constant contact and tried to adhere to the proposed program. Testing was carried out both offline and online. Under the influence of training programs, there were positive changes in all indicators of athletes of both groups. The difference between indicators in both groups for all tests is significant, p<0,05. A significant decrease in the mean square deviation of experimental group athletes in tests of general coordination readiness is also noticeable. Conclusions: Extremely difficult conditions in which the research was conducted significantly affected the result. The effectiveness of the developed program to increase the level of coordination abilities of 10-12-year-old fencers has been proven. At the end of the study, there were positive changes in both groups. In the dynamics of the growth of experimental group results in relation to control group, the advantage of the applied program is indicated, p<0,05. Keywords: fencing, coordination, basic training, training, program
Lavado con povidona yodada diluida en el reemplazo articular de cadera y rodilla para prevenir infecciones: estudio retrospectivo comparativo
Authors: Tillet Fernando , Bochatey Eduardo , Pérez Alamino Leonel , Lopreite Fernando Adrián
Published: October 2022

Introducción: Una de las medidas profilácticas para disminuir la incidencia de infecciones periprotésicas es el lavado con povidona yodada diluida, un agente con acción bactericida contra distintos microorganismos. El propósito de este estudio fue evaluar la incidencia de infecciones periprotésicas dentro de los primeros 90 días, en pacientes a quienes se les realizó un lavado con povidona yodada luego de implantar los componentes protésicos y antes del cierre de la herida.
Materiales y Métodos: Se llevó a cabo un análisis retrospectivo comparativo de pacientes sometidos a artroplastias primarias de cadera y rodilla por artrosis y se comparó la incidencia de infecciones periprotésicas dentro de los primeros 90 días posoperatorios, entre pacientes que fueron operados antes de la introducción del lavado con povidona yodada y luego con su uso rutinario.
Resultados: Se realizaron 643 (47,60%) reemplazos de rodilla y 708 (52,40%) reemplazos de cadera. Al comparar la incidencia de infecciones periprotésicas entre ambos grupos, no se observaron diferencias estadísticamente significativas (0,92% vs. 0,21%; p = 0,11). Sin embargo, se incrementó el riesgo de infección en los primeros 90 días posteriores a la cirugía (OR = 4,5; IC95% 0,56-36,19) cuando no se utilizóla solución.
Conclusiones: El riesgo de desarrollar infecciones periprotésicas se incrementó 4,5 veces al realizar una artroplastia sin irrigación con povidona yodada diluida. Sin embargo, no se pudo demostrar que esto fuese estadísticamente significativo.
Optimización preoperatoria del paciente antes de una artroplastia de cadera o rodilla: parte 1
Authors: Perez Alamino Leonel , Tillet Fernando , Bochatey Eduardo , Lopreite Fernando
Published: October 2022

Las artroplastias de cadera y rodilla son estrategias que han demostrado ser efectivas en el tratamiento de la patología degenerativa articular. El reemplazo articular mejora la calidad de vida de la mayoría de los pacientes cuando el tratamiento conservador falla. Sin embargo, estas son cirugías mayores que conllevan un riesgo significativo de complicaciones, incluyendo la necesidad de una revisión. El propósito de este artículo es analizar los factores de riesgo modificables del paciente antes de la cirugía, a finde disminuir el riesgo de complicaciones posoperatorias. Estudios recientes han descripto ciertos factores de riesgo modificables, inherentes al paciente y que incrementan la posibilidad de complicaciones posoperatorias luego de un reemplazo articular de cadera o rodilla. Estos incluyen obesidad, malnutrición, tabaquismo, diabetes, anemia, deficiencia de vitamina D, consumo de opioides, artropatías inflamatorias, insuficiencia renal crónica y colonización por estafilococco meticilino-resistente. Si conseguimos optimizar estas condiciones durante el preoperatorio, reduciremos el riesgo de complicaciones posoperatorias.
Puntajes IV
Authors: Bersusky Ernesto , Arzac Ulla Ignacio , Loterzo Lidia G. , Ricciardi Guillermo , Zanotti Gerardo , Patiño Juan Martín
Published: October 2022

El Comité Editorial quiere brindar a los lectores de la RAAOT una actualización de las escalas de uso corriente. El empleo de tablas y escalas es una práctica muy extendida en la ortopedia y traumatología. La medición y la cuantificación de los aspectos clínicos, funcionales y radiográficos se convirtieron en una herramienta imprescindible para la toma de decisiones en diferentes aspectos de la actividad asistencial. Llevamos a cabo una revisión de las escalas más utilizadas, definimos su uso e incluimos bibliografía original y actualizada.
Characteristics and Outcomes of Children Discharged With Nasoenteral Feeding Tubes
Authors: Ahearn M. Alex , Stephens John R. , Zwemer Eric K. , Hall Matt , Ahuja Arshiya , Chatterjee Ashmita , Coletti Hannah , Fuchs Jennifer , Lewis Emilee , Liles E. Allen , Reade Erin , Sutton Ashley G. , Sweeney Alison , Weinberg Steven , Harrison Wade N.
Published: October 2022

OBJECTIVES

To describe the characteristics and outcomes of children discharged from the hospital with new nasoenteral tube (NET) use after acute hospitalization.

METHODS

Retrospective cohort study using multistate Medicaid data of children <18 years old with a claim for tube feeding supplies within 30 days after discharge from a nonbirth hospitalization between 2016 and 2019. Children with a gastrostomy tube (GT) or requiring home NET use in the 90 days before admission were excluded. Outcomes included patient characteristics and associated diagnoses, 30-day emergency department (ED-only) return visits and readmissions, and subsequent GT placement.

RESULTS

We identified 1815 index hospitalizations; 77.8% were patients ≤5 years of age and 81.7% had a complex chronic condition. The most common primary diagnoses associated with index hospitalization were failure to thrive (11%), malnutrition (6.8%), and acute bronchiolitis (5.9%). Thirty-day revisits were common (49%), with 26.4% experiencing an ED-only return and 30.9% hospital readmission. Revisits with a primary diagnosis code for tube displacement/dysfunction (10.7%) or pneumonia/pneumonitis (0.3%) occurred less frequently. A minority (16.9%) of patients progressed to GT placement within 6 months, 22.3% by 1 year.

CONCLUSIONS

Children with a variety of acute and chronic conditions are discharged from the hospital with NET feeding. All-cause 30-day revisits are common, though revisits coded for specific tube-related complications occurred less frequently. A majority of patients do not progress to GT within a year. Home NET feeding may be useful for facilitating discharge among patients unable to meet their oral nutrition goals but should be weighed against the high revisit rate.
Percepções de estudantes universitários sobre a leitura acadêmica
Authors: Silva Fabrício Oliveira da , Braga Maria Cleonice Barbosa
Published: October 2022

Este trabalho analisa as percepções de estudantes universitários em torno da leitura acadêmica. O texto discute reflexões que 14 estudantes fazem sobre a leitura, considerando os significados da ação de ler na universidade, sobre as principais dificuldades do ato de ler e sobre o papel da universidade frente ao ensino de leitura acadêmica. O objetivo principal do estudo é o de compreender como os estudantes definem o papel da leitura acadêmica na universidade, evidenciando os sentidos, as dificuldades e a contribuição de professores universitários na tarefa de ensino de leitura. Este é um estudo de base qualitativa, tendo como dispositivo de recolha de informações os relatos escritos de estudantes a respeito de três questões que lhes foram feitas sobre leitura acadêmica na universidade. Entre os principais resultados, o estudo permitiu concluir que a percepção de leitura se aproxima de padrões que a concebem como estratégia de decodificação e de produção de sentido. Mostrou, ainda, que as principais dificuldades estão ancoradas nos processos formativos da escola básica e da universidade. Por fim, o estudo evidenciou que há uma percepção generalizada dos estudantes de que os professores universitários precisam desenvolver estratégias de ensino de leitura na universidade, frente às dificuldades que os estudantes apresentam ao ingressarem no Ensino Superior.
Językowy obraz pana i chłopa w przysłowiach Śląska Cieszyńskiego
Authors: Kolberová Urszula
Published: October 2022

The purpose of this article is to determine what the image of the lord and the peasant looked like in the past in Cieszyn Silesia, how the peasant was perceived, as well as the lord, what were their mutual relations. The research material was Józef Ondrzusz’s publication Przysłowia i przymówiska ludowe ze Śląska Cieszyńskiego.
Biodiversity of Sematophyllaceae s. str. in northeastern Brazil
Authors: Evangelista-dos-Santos Milena , Valente Emília de B.
Published: October 2022

In this study, we list 25 moss species belonging to Sematophyllaceae s. str. Six species are reported for the first time from some of the states in the Northeast Region of Brazil. Sematophyllum succedaneum (Hook.f. & Wilson) Mitt. stands out for being found for the first time in this region. The Atlantic Forest is the phytogeographic domain with the greatest number of Sematophyllaceae species, which are either exclusive to this domain or shared with the Caatinga and/or Cerrado. Our study expands on the previous knowledge of these species and provides a foundation for further studies.
Direct selective laser sintering of high-entropy carbide ceramics
Authors: Zhang Xiang , Li Nan , Chen Xin , Stroup Mark , Lu Yongfeng , Cui Bai
Published: October 2022

The direct selective laser sintering (SLS) process was successfully demonstrated for additive manufacturing of high-entropy carbide ceramics (HECC), in which a Yb fiber laser was employed for ultrafast (in seconds) reactive sintering of HECC specimens from a powder mixture of constitute monocarbides. A single-phase non-equiatomic HECC was successfully formed in the 4-HECC specimen with a uniform distribution of Zr, Nb, Hf, Ta, and C. In contrast, a three-layer microstructure was formed in the 5-HECC specimen with five metal elements (Zr, Nb, Hf, Ta and Ti), consisting of a TiC-rich top layer, a Zr–Hf–C enriched intermediate layer, and a non-equiatomic Zr–Ta–Nb–Hf–C HECC layer. Vickers hardness of 4- and 5-HECC specimens were 22.2 and 21.8 GPa, respectively, on the surface. These findings have important implications on the fundamental mechanisms governing interactions between laser and monocarbide powders to form a solid solution of HECCs during SLS.

Graphical abstract
ANALISIS KELEMBAGAAN LOKAL PENGELOLAAN CALON KAWASAN KONSERVASI TAMAN PULAU KOLEPOM KABUPATEN MERAUKE PROVINSI PAPUA
Authors: Paulangan Yunus Pajanjan , Sombo Hendrik , Silaen Pernandes , Fofied Johanis Valentino
Published: October 2022

Kelembagaan merupakan salah satu aspek yang penting dalam pengelolaan suatu Kawasan konservasi. Tumpang tindih kewenangan berpotensi menimbulkan konflik kepentingan yang dapat mengganggu efektifitas dan efisiensi pengelolaan kawasan konservasi. Penelitian ini bertujuan untuk mengidentifikasi pemangku kepentingan (stakeholder) sebagai lembaga dalam pengelolaan Calon Kawasan Konservasi Taman Pulau Kolepom. Pengumpulan data dilakukan dengan menggunakan metode wawancara dan pengisian kuisioner serta diskusi pakar. Analisis data menggunakan metode (Interpretative Structural Modelling (ISM). Hasil penelitian menunjukkan bahwa stakeholder yang berperan dalam pengelolaan Calon Kawasan Konservasi Taman Pulau Kolepom, yakni Badan Perencanaan Pembangunan Daerah (BAPPEDA) Provinsi Papua, Loka Pengelolaan Sumber Daya Pesisir dan Laut (LPSPL) Sorong, Dinas Kelautan dan Perikanan (DKP) Provinsi Papua, Pemerintahan Kampung, Pemerintahan Distrik, Lembaga Masyarakat Adat (LMA) wilayah Tabonji, Waan dan Kimaam, dan Lembaga Keagamaan (Gereja) sebagai elemen lembaga kunci dalam pengelolaan Calon Kawasan Konservasi Taman berkelanjutan.Institutional is one of the essential aspects in the management of a conservation area. The overlapping authority can create a potential conflict of interest that can disrupt the conservation area management's effectiveness and efficiency. This study aimed to identify stakeholders as the institution in the direction of the Kolepom Island Park Conservation Proposed Area. Data were collected using interview methods and filling out questionnaires as well as expert discussions—data analysis used with the Interpretative Structural Modeling (ISM) method. The results of the study indicate that the stakeholders who play a role in the management of the Prospective Conservation Area of the Kolepom Island Coastal Park, namely the Development Planning Agency at Sub-National Level Papua Province, Technical Unit of Marine and Coastal Resources Management at Sorong, Ministry of Marine Affairs and the Fisheries Republic of Indonesia, Marine and fisheries services Papua Province, Village Government, District Government, Indigenous Peoples Institutions (Tabonji, Waan & Kimaam) and Religious Institutions (Churches) as some key institutional elements in the sustainable management of the Prospective Park-Conservation Area.
The Pragmatics of Adaptability by Daniel N. Silva and Jacob L. Mey
Authors: Yang Jinlong , Wang Yuanyuan
Published: October 2022

The Pragmatics of Adaptability Daniel N. Silva & Jacob L. Mey John Benjamins Publishing Company
Syllabically matched resonance in sound and category
Authors: Kim Kyu-hyun
Published: October 2022

From a conversation-analytic perspective, this article describes how “creative” formulation of resonance is effectuated through dialogic engagement in Korean conversation. It examines various forms of word play and categorisation work accomplished from dialogically engaging a prior utterance, whose features are reproduced in the subsequent utterance, such that resonance arises in an array of “creative” co-construction of adjoined utterances (e.g. in creating playful word play, empathic uptake or a sonorous repetition indexing allusive stance and heightened affect). Syllabic matching figures saliently in this process, shaping resonant sound sequences whose patterning endows talk with “poetic” qualities, sometimes bearing on the organisation of sequence and topic. The findings indicate that the syllable-matching practice furnishes Korean speakers with the means to accomplish “doing being creative” in organising recognisable actions and an undercurrent of flow of talk, through having the dialogical potential of a prior utterance maximally tested, explored and expanded on in syllabic terms.
Zróżnicowanie rozwoju miejskich obszarów funkcjonalnych ośrodków wojewódzkich w Polsce
Authors:   dr, Katedra Rozwoju Społeczno-Gospodarczego, Zakład Rozwoju Lokalnego i Gospodarki Przestrzennej, Uniwersytet w Białymstoku, Polska, Busłowska Anna
Published: October 2022

More than half of the world’s population lives in cities. Also, in Poland, urbanisation processes are still progressing. Moreover, the impact of an urban zone itself does not end with administrative boundaries. There are a number of functional connections between a given urban centre and its surroundings. Thus, functional urban areas begin to play a more important role in development policy. In particular, this aspect has gained importance in the face of the introduction, in 2014, of new territorial instruments of the EU cohesion policy, such as Integrated Territorial Investments (ITI). The introduction of ITI was associated with formalising the operation of functional urban areas in Poland (FUA), mainly in the area of voivodeship centres. After a few years of their functioning, it is worth taking a closer look at their diversity. The aim of the study is, therefore, to determine the differentiation in the level of development of functional areas of voivodeship capital cities in Poland and their classification. The research was carried out with the use of the TOPSIS method on the basis of available, selected data from the Central Statistical Office. As a result of the research, FUAs were assigned to various classes of the level of socio-economic development and ranked in terms of the value of the synthetic indicator of socio-economic development that was constructed under the TOPSIS method. As a result of the study, it was found that, in general, studied units are characterised by rather small differentiation in the level of development; however, there are quite large discrepancies in the level of the synthetic indicator of socio-economic development between FUAs with the highest and the lowest value of this indicator.
The results analysis of cytological examination of vulvar intraepithelial neoplasia compared to histology report
Authors: Dunaevskaya Viktoriia , Loginova Evgenia , Botsuin Pavlina , Bohonis Nataliia
Published: October 2022

Timely diagnosis and effective treatment of precancerous diseases of the female genital organs prevent the development of oncogynecological diseases. Vulvar intraepithelial neoplasia is a precancerous disease characterized by lesions of the stratified squamous epithelium with impaired maturation and normal keratinization of cells, but without inclusion of the basement membrane in the pathological process. The main methods of diagnosis of vulvar intraepithelial neoplasia are vulvoscopy, cytological and histological examination.
The aim of this study was to assess the clinical significance and effectiveness of different sampling methods for cytological examination in comparison with histological report.
Materials and methods. The study involved 235 women aged 35-79 years, with a mean age of 57±11,3 years with complaints of pain, burning, discomfort and itching in the vulva. All patients underwent a simple vulvoscopy, where atrophy of the mucosa, partial or complete loss of the clitoris and / or labia minora, fissures, ecchymoses (haemorrhages), eroded surfaces, exophytic growths from 1 to 5 cm were detected. Material sampling was performed by various cytological methods.
Results. According to the results of the study, no significant differences between the methods of cytological sampling were observed. The cytological report was compared to the result of histological examination of biopsies. According to the results of cytological examination, squamous cell carcinoma of the vulva was detected in 12 patients, atrophy was identified in 5 women and squamous epithelial scales cytologically detected in the remaining 218 women.
Conclusions. The sensitivity and specificity of cytological examination methods were high in the presence of eroded surfaces and exophytic lesions. It was found that cytological research methods were not informative enough to detect vulvar cancer, which is in the stratum of hyperkeratosis, and was diagnosed in 5.1 % of patients. Therefore, for the reliability of the results and confirmation of the diagnosis it is necessary to conduct histological examination, with the help of which 14.9 % of patients were diagnosed with squamous cell carcinoma
Role of fibroscan in assessing the extent of liver involvement among chronic hepatitis B and C cases
Authors: Jyothi Pendyala , Vanisree Dasari , Murty Durbha Satyanarayana , Prasanthi Kolli
Published: October 2022

Chronic liver diseases (CLD) cause significant morbidity and mortality worldwide, accounting for approximately 2 million deaths annually. The majority of CLDs include alcoholic liver disease, chronic viral hepatitis, including hepatitis B and C, non-alcoholic fatty liver disease (NAFLD), and hemochromatosis. Of these, hepatitis B virus (HBV) and hepatitis C virus (HCV) infections account for a substantial proportion of liver diseases which is responsible for liver damage ranging from minor disorders to liver cirrhosis and hepatocellular carcinoma (HCC). Fibroscan is a novel non-invasive method for assessing hepatic fibrosis by measuring liver stiffness.

The aim. The present study was conducted to know the prevalence of blood-born viral pathogens (HBV, HCV) among patients with chronic liver diseases (CLD) and also to assess the role of Fibroscan and liver function tests (LFT) in evaluating the extent of chronic liver disease.

Material and methods: The present study comprised 100 chronic liver disease patients attending the gastroenterology department. All the chronic liver disease cases were tested for Hepatitis B and Hepatitis C viral infections using a rapid Immunochromatography assay. Simultaneously they were subjected to liver function tests and fibroscan to assess the extent of fibrosis by staging from F0 to F4.

Results: When screened for bloodborne viral pathogens, 46 % were HBV positive, 10 % were HCV, and none were HIV positive. No co-infection was detected. HBV was identified as the most typical cause of CLD in about 46 %, followed by non-viral/non-infectious (alcoholic, metabolic, autoimmune) cause in 44 % and 10 %, the cause for CLD was HCV. As per fibroscan results, 80 % of HCV and 39 % of HBV patients were in the stage of cirrhosis/advanced fibrosis.

Conclusion: HBV was the predominant cause of CLD. Liver stiffness has recently been shown to be a good predictor of clinical outcomes. A fibroscan will help in the decision-making process in staging the disease and choice of treatment in viral hepatitis cases
Dosimetric evaluation of cardiac and left anterior descending artery dose in patients with left-sided breast cancer treated by different techniques of hypofractionated adjuvant radiotherapy after breast conservative surgery
Authors: Armugam Nindra , Saleem Zoha Mohd , Veluru Chandipriya , Ramanjaneyulu Erukula
Published: October 2022

The aims: to dosimetrically evaluate the dose to the heart and left anterior descending artery in left-sided early breast cases using different techniques.

Materials and methods: Prospective observational/analytical study done in cases of left-sided BCS referred for adjuvant RT in 54 patients. Patients who underwent left-sided BCS (breast conservative surgery), patients aged between 18- and 75 years performance status ECOG 0-2, histological confirmed DCIS, Invasive Breast Cancer-Stage 1, 2, 3, patients without any evidence of metastatic disease Irrespective of hormonal receptor and HER-2 neu status are included in the study.

Results: All the 3 parameters for LAD showed the highest doses with 3DCRT and lowest with VMAT. Thus our study favoured VMAT (p<0.01) as the planning technique to achieve the least doses of LAD. However, for the heart, there was no statistically significant difference between 3DCRT and IMRT (p=0.349) for the average mean dose (Gy). On the other hand, there was a statistically significant difference between 3DCRT Vs VMAT and IMRT Vs VMAT (95 % CI, p<0.01), again favouring VMAT as the choice of planning technique. The average heart max dose(Gy) and average heart V20(%) showed statistically significant benefits with VMAT (p<0.01). There was a statistically significant benefit (p<0.000) with VMAT for both LV parameters. At the same time, there was a statistically significant benefit in terms of ipsilateral lung dose with VMAT(p<0.000), the dose to the right lung, right breast and favoured 3DCRT (p<0.01). PTV95 % (Gy) by 3DCRT, IMRT, and VMAT in our study is 41.01, 41.96, and 41.76, respectively. Though the difference between the 3 techniques seems meagre, there was a statistically significant difference (p<0.012) favouring IMRT.

Conclusion: We conclude that using the VMAT technique in radiotherapy for left-sided breast cancer can significantly reduce radiation doses to the heart and LAD, potentially reducing cardiac risk. For all patients, the cardiac doses are considerably decreased for all dose levels without compromising the dose coverage to PTV, which is an advantage over IMRT and 3DCRT
Features of formation of the cognitive activity of children of middle school age using simple experiments
Authors: Stupak Oksana , Dyachuk Maria
Published: October 2022

The article reveals the content of the concept of cognitive activity of children of middle preschool age, which was considered through the prism of the child's personal development and its influence on the child's intellectual sphere, therefore, cognitive activity develops through cognitive operation. The peculiarities of the use of simple experiments in the preschool education institution, which create prerequisites for the formation of cognitive activity, intuition towards nature and understanding of its meaning and acquisition of nature research skills, are analyzed. Identified components of cognitive activity: motivational, cognitive, activity, evaluative. The following practices (interviews with educators, questionnaires) and research methods were determined for pedagogical diagnosis of the levels of formation of the cognitive activity of children of middle preschool age: diagnostic method of cognitive development "What objects are hidden in the pictures?" (R. Nemov), the method of diagnosing the psychosocial maturity of children's behavior (O. Taran), the method of D. Godovikova, the method of examining the cognitive development of children by E. Strebeleva. The presented results of an experimental study of the peculiarities of formation of the cognitive activity of children of middle preschool age showed mainly an average and low level of development. The presented method of forming the cognitive activity of children of middle preschool age by means of simple experiments provided for a number of specially selected simple experiments that were included in classes from different sections of the program. The selected experiments were aimed at forming the cognitive activity of children of the middle group, and were diverse in terms of subject matter and duration. The results of observation of children after the implementation of the method showed increased interest in cognitive activities, motivation to independent search for the causes and consequences of various natural phenomena, etc
Advantages and disadvantages of distance education in teaching clinical discipline to students of the medical university
Authors: Ilchenko Svitlana , Myshyna Naira , Fialkovska Anastasiia
Published: October 2022

The challenges of society have made adjustments to the medical education system of Ukraine. In the conditions of the pandemic of the coronavirus infection COVID-19 and the introduced martial law throughout the territory of Ukraine, distance learning (DL) turned out to be the only possible form of the educational process. The purpose of the study was to study the peculiarities of teaching the discipline "Propaedeutics of Pediatrics" in the conditions of the National Academy of Sciences. The process of DL at the Department of Propaedeutics of Childhood Diseases of the Dnipro State Medical University (DSMU) took place using the MOODLE electronic portal, the Google Meet video service, the YouTube platform, the website and the electronic magazine of the Dnipro State Medical University. An anonymous survey of 210 third-year students was conducted regarding their attitude and degree of satisfaction with the educational process at the Department of Propaedeutics of Childhood Diseases using educational distance technologies. As the results showed, the majority of the interviewed students are completely satisfied with the process of DL. However, when choosing a form of education, preference is still given to the classroom format of education. Among the advantages of DL, students noted the saving of time and financial costs for moving between buildings and clinical bases, the comfort of studying in a home environment, the possibility of studying at any convenient time, the availability of information resources, and the possibility of re-processing complex material. However, the biggest drawback of the DL was the lack of opportunity to work with the patient and master practical skills. So, DL, like any other method of teaching and learning, has its advantages and disadvantages. But currently existing technologies of medical education with the help of modern digital platforms, high-quality content filling of educational web resources, introduction of an effective system of quality control of acquired knowledge make it possible to adapt to the new realities of the educational process and ensure consistently high quality of medical education