bluuebunny/crossref_metadata_2025 huggingface dataset:
Choice Mums and Children’s Education. Does Feminism Matter? A Qualitative Study
Authors: Bravo-Moreno Ana
Published: April 2021

The aim of this article is to analyse and compare the experiences of self-labelled feminist and non-feminist women who have consciously chosen to be single mothers. This article contributes to the literature by providing a Spanish context to the experiences of single mothers by choice. Scant research currently exists on the specific characteristics of this type of family and on the influence of gender composition. Furthermore, no research has been conducted on the comparison between feminist and non-feminist single mothers by choice and how their different perspectives may affect their children’s education. The principal argument of this paper is based on four central themes developed from the data: a) The women participating in this study have opted to be single mothers by choice because they have not found a suitable partner; b) Being single mothers by choice has, for all of them, entailed a transgressive and empowering decision with regard to the traditional nuclear family; c) The feminist participants anchor their decision to be a single-mother family by choice in their feminism, which is also reflected in the critical pedagogy that they practise in their children´s education and in the choice of secular schooling; and d) For the non-feminist participants, the empowering and emancipatory aspect of being a single mother by choice, their educational level, professional success and economic independence do not have an impact on their patriarchal beliefs, and prefer Catholic schools for their children.
Borderless with Unequal Opportunity? Experts’ Perspectives on the ASEAN Economic Community and Impact on Indonesian Accountant Profession
Authors: Adhariani Desi , Siregar Sylvia , Yulius Rini
Published: April 2021

The ASEAN Economic Community (AEC), a regional integration in Southeast Asia that started at the end of 2015 and is expected to bring new challenges and opportunities. However, an assessment of the capabilities of Indonesian management accountants suggests that they may struggle with challenges because of the free flow of skilled labour. In this study, we aimed at presenting and analysing Indonesian experts’ perspectives on the readiness of management accounting professionals in Indonesia to work in the new economic era. It also provides recommendations for improvements in the profession. This research uses in-depth interviews as well as questionnaires distributed to top-level management; some of the participants are also working as academics in universities. This study found that class differences as theorised by Weber play significant roles in determining readiness. These differences could be attributed to the perceived qualities of universities in Indonesia, implying that management accountants from more reputable universities are more prepared than those from less prestigious institutions. The demand side analysis performed in this study implies the expectation gaps in skills and education due to the class stratification as a barrier. The gap found in this study has to be filled to optimise the open chances offered by AEC to the profession of accounting in Indonesia. Although this is not the first research about the impact of ASEAN Economic Community to a specific profession, the study has an original value of addressing such impact on the management accountant profession in Indonesia.
Role of Perineal Length Estimation in The Prediction of Maternal and Fetal Outcomes
Authors: Ahmed Sabah R. H. , Ali Hala A.
Published: April 2021

Context: Female perineum is a significant part of females because perineal tears and episiotomy habitually happen in childbirth with first-time deliveries.

Aim: This study aimed to explore the role of perineal length (PL) estimation in the prediction of maternal and fetal outcomes.

Methods: A prospective cohort observational design used to collect data from the Department of Obstetrics and Gynecology, Laboring room, Kafrelsheikh General Hospital, Kafrelsheikh City, Egypt. A purposive sample of 139 parturient women recruited during the period from the first of December 2018 to the end of August 2019. Six tools used to conduct this study. Maternal and newborn characteristics questionnaire, disposable standardized paper tape for measuring PL in centimeters, a standardized scale for measuring maternal height by meters, and body weight in kilograms to calculate Body Mass Index (BMI) (k/m2), REEDA scale, partograph for labor process and Apgar score.

Results: There were statistically significant differences regarding the mean age, previous episiotomy and cesarean section of both studied groups (PL less than or equal to 4 cm and more than 4 cm) at p-value <0.001. Out of 139 parturient women, the two groups of PL less than or more than 4 cm had 16.7% versus 56.9%, respectively had normal vaginal delivery, with a statistically significant difference between both groups, while 46.7% versus 6.3% respectively had an episiotomy. However, the mean duration of the second stage of labor had statistically significant differences between both studied groups, with 116.7 ± 44.3 versus 85.1 ± 42.0, respectively. Additionally; Mean birth weight/grams, cephalohematoma, caput succedaneum, and mean APGAR score after 5 minutes had a statistically significant difference between the two groups.

Conclusions: Short perineum accompanied by increased duration of the second stage of labor. Cesarean section delivery and perineal trauma are associated with primigravida with short perineum. Regarding the mean APGAR score after 5 minutes, there were statistically significant differences between both studied groups. Maternity and newborn health nursing need to improve the illustration of the risk factors that can lead to undesirable consequences
Estimasi Fungsi Survival dan Fungsi Hazard Kumulatif Pada Data Survival Pederita Multiple Myeloma Serta Faktor-faktor yang Mempengaruhi Waktu Survivalnya
Authors: Hermawan Toto , Nurrohmah Dwi , Jannah Ismi Fathul
Published: April 2021

Multiple myeloma is an infectious disease characterized by the accumulation of abnormal plasma cells, a type of white blood cell, in the bone marrow. The main objective of this data analysis is to investigate the effect of Bun, Ca, Pcells and Protein risk factors on the survival time of multiple myeloma patients from diagnosis to death. In the survival data analysis, the observed random variable T is the time needed to achieve success. To explain a random variable, the cumulative distribution function or the probability density function can be used. In survival analysis, the function of the random variable that becomes important is the survival function and the hazard function which can be derived using the cumulative distribution function or the probability density function. In general, it is difficult to determine the survival function or hazard function of a population group with certainty. However, the survival function or hazard function can still be approximated by certain estimation methods. The Kaplan-Meier method can be used to find estimators of the survival function of a population. Meanwhile, to find the estimator of the cumuative hazard function, the Nelson-Aalen method can be used. From the variables studied, it turned out that the one that gave the most significant effect was the Bun variable, namely blood urea nitrogen levels using both the exponential and weibull distribution. However, by using the weibull distribution, the presence of Bence Jones Protein in urine also has a quite real effect
Introduction of TPACK in Mathematics Education Realm
Authors: Sarumaha Yenny Anggreini
Published: April 2021

Mathematics education is one of the fields that agrees about the importance of integrating technologies into instructional activities in the classroom. However, only understanding technologies does not full fill the criteria of effective teachers, they have to be prepared and grasp the ideas of combining technologies, pedagogical, and content knowledge. This present study is a literature review which aimed at answering two mains questions namely, what is the TPACK framework and how does it influence our education system. Data were collected from articles related to technologies, ICT, and TPACK from thematic journals. The results found that TPACK is a well-known theoretical approach studying the pre-service teachers’ use of ICT. TPACK is accepted as an important framework for defining how well teachers integrate technologies in their classroom. TPACK model shows an effective way of thinking about integrating technologies along with pedagogies, and content knowledge. It has been developed for twenty-first century skills and used as a framework for developing teachers’ readiness toward the twenty-first century skills.
Who Bringed Jugs With the Sign Thread to Europe
Authors:   Khoja Akhmet Yassawi International Kazakh-Turkish University, Nuskabayev O.
Published: April 2021

In archaeological excavations carried out on the territory of Central and Eastern Europe, the remains of people from single graves attributed to the copper and bronze eras were found, with objects and tools of early everyday life - cord ceramics and "stone axes". Western and Russian historians call these cultural centers the "Corded Ware culture" or "battle ax culture." And those who revived this cultural center, which suddenly appeared in Europe between 3200-2300. BC. or 2300-1800 BC, are "pure Indian Europeans." Is it really? To clarify the evidence, the article substantiates the fact that those who brought these cultures with them to Europe are new anthropological, archaeological, linguistic and DNA genealogical evidence, which only in recent years began to be introduced into scientific circulation.
Basic versions of the EQ-5D questionnaire as standard
international instruments for assessing the quality of life
in metropolis. Short Review
Authors: Andreev Dmitry A. , Zavyalov Aleksander A. , Kashurnikov Asan Yu.
Published: April 2021

Background. The quality of care is assessed by set of indicators, including quality of life indicators. Dozens of countries have approved the EQ-5D quality of life questionnaires and have developed national / regional
evaluation systems. We carefully hypothesize that the broader usage of EQ-5D in real clinical practice of local Moscow health system could be incentivized and improved through the development of direct region-specific standard EQ-5D «values sets» for population of Russian capital. Purpose. Reviewing the results of the studies on values sets for EQ-5D as well as summarizing the parallel valuations of EQ-5D-3L and -5L by time trade-off based on two examples. Materials and methods. The study was carried out using open external databases. We analyzed
the research works which employed the standard valuation methods for EQ-5D, including time trade-off and math
modelling. Results. To obtain direct regional values for EQ-5D, standard international protocols (EQ-VT) are used with the inclusion of such tools as: time trade-off, visual analogue scale and experiments with discrete choice. In particular, the application of the time trade-off method allows the generation of direct region-specific values set for EQ-5D. Moreover, the EQ-5D-5L questionnaire was superior to EQ-5D-3L in many aspects. Conclusion. The best results in health assessments could be obtained by applying a variety of methods adapted to the specific
highly urbanized region. The many issues behind the standardization of EQ-5D (particularly EQ-5D-5L) value
sets in accordance with the cultural/societal preferences of Moscow city population as well as entire Russian population remain unresolved.
Creation of Center for Public Health and Medical Prevention of Moscow as a structure for population-level prevention in metropolis
Authors: Larisa А. Mylnikova Larisa А. , Kamynina Natalya N.
Published: April 2021

Introduction. Since 2011, Moscow has been implementing a three-level model for prevention of noncommunicable diseases. At the first (population) level, as part of interagency interaction, health authorities are developing measures to promote population's commitment to a healthy lifestyle. Aims. To provide rationale for management decision on creation of the Center for Public Health and Medical Prevention of Moscow in State Budgetary Institution “Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department”. The goal of the Center is to develop new urban policy in improving public health based on interdepartmental interaction by providing scientific, methodological and organizational support to promote population’s commitment to a healthy lifestyle. Materials and methods. Authors analyzed and assessed development issues of primary prevention at the population level using open data on the Internet, statistical databases of Rosstat and Mosgorstat. Content, statistical and documentary analyses were also used. Results. Currently, Moscow puts an emphasis on prevention, and for this purpose implemented a three-tier model for prevention of non-communicable diseases. At the population level, as part of interdepartmental interaction, it is required to develop measures aimed at improving healthcare, creating a health-preserving environment in the city, and forming a commitment to a healthy lifestyle among the population. Implementation gaps to a decree have been narrowed; and health authorities have created an institution that works towards the goal of strengthening public health in Moscow, covering the entire population of Moscow, and that interacts in the interests of healthcare with government bodies, departments, media and civil society. The current situation, including challenges due to COVID-19 pandemic, required wider participation of authorities and departments, leadership of administrative districts in strengthening public health, coordination and monitoring of all business processes to improve public health. Conclusion. It has been substantiated that public participation in preventive measures is not enough. To solve the issues one should develop and implement large-scale programs and projects to improve public health with more active involvement of authorities and departments of administrative districts, consultative and methodological support, taking into account the existing territorial characteristics of administrative and municipal districts of Moscow, including improving health quality of workers.
Current challenges and solutions for use of sociology
in healthcare management
Authors: Bogdan Ignat V. , Pravednikov Alexandr V. , Chistyakova Darya P.
Published: April 2021

In 2021, the sociological service of State Budgetary Institution «Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department» celebrates its 5th anniversary; this article partly reflects on the experience gained during its operation. The article examines the current challenges for medical sociology in healthcare management, among which are the need to change present work culture with feedback, poor skills in medical and sociological research (problems of sampling, creating tools, collecting data, determining reference values) and weak practice-orientation in research. The article outlines important directions for development of medical sociology
PENERAPAN MODEL PROBLEM BASE LEARNING UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA MATERI MATRIKS PADA SISWA KELAS X OTKP-1 SMK NEGERI 1 SIGL
Authors: Nasrina Nasrina
Published: April 2021

Penerapan Model Problem Base Learning Untuk Meningkatkan Hasil Belajar Matematika Materi Matriks Pada Siswa Kelas X OTKP-1 SMK Negeri 1 Sigli . Penelitian ini dilakukan di SMK Negeri 1 Sigli selama tiga bulan sejak bulan Januari sampai Maret 2021 bertujuan untuk meningkatkan hasil belajar matematika materi matriks dengan menerapkan model problem base learning pada siswa kelas X OTKP-1 SMK Negeri 1 Sigli. Metode penelitian yang digunakan adalah penelitian tindakan kelas (PTK) yang terdiri atas 2 siklus. Subyek penelitian adalah siswa-siswi Kelas X OTKP-1 SMK Negeri 1 Sigli tahun pelajaran 2020/2021 sebanyak 29 siswa. Analisis data menggunakan teknik analisis deskriptif komparatif dengan  membandingkan kondisi awal dengan hasil-hasil yang dicapai pada setiap siklus, dan analisis deskriptif kualitatif hasil observasi  dengan membandingkan hasil observasi dan refleksi pada siklus I dan siklus 2. Hasil yang diperoleh dengan menerapkan model problem base learning dalam materi matriks bagi siswa kelas X OTKP-1 pada SMK Negeri 1 Sigli adalah hasil tes pada siklus I  dengan persentase ketuntasan sebesar 65,5%, nilai rata-rata kelas sebesar 74,9 dan meningkat pada hasil tes siklus II sebesar 89,7% dengan nilai rata-rata kelas 84. Pada kedua siklus ini terjadi perubahan aktifitas siswa dan perolehan nilai yang signifikan bila dibandingkan dengan kondisi awal sebelum dilakukannya tindakan kelas. Kata Kunci : Hasil Belajar,  Model Problem Base Learning, Matriks
SIKAP DALAM KETENTUAN PIDANA KEIMIGRASIAN DAN PENGAWASAN TERHADAP WARGA NEGARA ASING YANG MELAKUKAN AKTIFITAS DI WILAYAH INDONESIA (ATTITUDE IN THE PROVISIONS OF CRIMINAL IMMIGRATION AND SUPERVISION OF FOREIGN NATIONALS CONDUCTING ACTIVITIES
Authors: Fathkul Muhammad , Ndaru Muhammad , Pragita Nindia
Published: April 2021

Masuk ke Indonesia adalah sesuatu yang harus memperhatikan semua aturan yang berlaku di Indonesia. Masuk ke Indonesia berarti siap untuk mematuhi semua aturan yang berlaku di Indonesia. Karena bukan sembarang aturan yang ditetapkan untuk mengatur semua urusan terkait keimigrasian Indonesia. Aturan imigrasi (lalu lintas masuk dan keluar) suatu negara berdasarkan hukum internasional adalah hak dan kewenangan negara tersebut. Dengan kata lain, ini merupakan indikator kedaulatan suatu negara. Pengawasan keimigrasian adalah rangkaian kegiatan yang dilakukan untuk mengumpulkan, mengolah, dan menyajikan data dan informasi keimigrasian bagi warga negara Indonesia dan luar negeri guna memastikan kepatuhan terhadap ketentuan peraturan perundang-undangan keimigrasian. Selama periode ini pengawasan mencakup seluruh kegiatan yang bertujuan untuk memastikan bahwa tugas kegiatan dilaksanakan sesuai dengan rencana yang telah ditetapkan. Dijelaskan kebijakan dan perintah (aturan) yang diberikan. Imigrasi melibatkan pelaksanaan kedaulatan negara, yang merupakan hak suatu negara untuk mengizinkan atau menolak masuknya orang asing.
PERANAN PENYIDIKAN PEGAWAI NEGERI SIPIL BERDASARKAN KETETAPAN HUKUM
Authors: Muwaffaq Welby Ilham , Syahputra M. Zuhdi , Sitorus Yosua Goklas
Published: April 2021

Globalisasi memicu segala aspek kehidupan terutama sumber informasi, iklim, kekayaan alam, teknologi, serta tingkat kemampuan setiap negara menyebabkan ada keterkaitan antar negara yang menjadikan negara saling membutuhkan satu sama lain. Dengan adanya sebuah jalinan antar negara maka terbentuklah sebuah organisasi yang memacu setiap negara untuk berperan aktif dalam pergaulan antar bangsa yang memiliki sebuah tujuan untuk mendapatkan benefit agar menjadi negara maju dan tidak terisolasi.Dengan kekayaan alam yang ada di Indonesia, lokasi yang strategis, Indonesia berusaha untuk menarik wisatawan sebanyak mungkin, serta berupaya juga menjadikan sector pariwisata menjadi salah satu pemasok yang dapat menghimpun pendapatan negara atau devisa pada negara ini. Tujuan tersebut menjadikan pemerintah mengeluarkan kebijakan yang tuntutan pembangunan dapat membuat trjadinya peningkatan arus lalu lintas manusia dari dalam serta ke luar wilayah negara Indonesia sehingga dari pihak pemerintah membuat sebuah ketetapan berdasarkan tugasnya yang diberikan pada pihak keimigrasian untuk pengawasan dan penindakan kepada orang asing yang keluar dan masuk wilayah Indonesia
Biomass from Palm Oil Waste as a Renewable Energy Source with Community Benefits
Authors: Thomas Schafir , Andres Csery
Published: April 2021

This article addresses Biomass as a green energy source. The oil palm by-product is commonly accepted as a suitable raw material for power plant diesel. Numerous countries are beginning to transition to palm biomass as a fuel source due to its environmental friendliness and green nature. Renewable energy management needs technology, since it would only be produced to generate energy from natural products that will never run out. Nevertheless, the life of the oil palm plantation itself is very poor. For example, the influence of oil palm plantations on natural capital in green land has decreased or even vanished. Indeed, the biological organisms that inhabit it are the primary source of life for the population, especially the indigenous people who live in close proximity to the soil.
From the eye-body to the embodied-eye. The use of images in performance-research strategies.
Authors: Balbe Wanda , Torres Soledad
Published: April 2021

This article discusses the use of images in socio-anthropological research and their contribution to the development of performance-research methodological strategies. By bringing three research-creation collaborative experiences developed in different violent and/or traumatic socio-political contexts in Argentina (a video workshop conducted with indigenous toba-qom teachers, a video-dance in the ruins of Villa Epecuén and a performatic installation about the feminist movement NiUnaMenos) it reflects on different relationships between performance-camera-corporalities and explores the poetic-epistemological-political potential of the images to (re)present sensitive corporalities. In dialogue with other embodied research methods, the analysis suggests how the use of images in a cross-disciplinary approach can contribute to the development of participatory-collaborative strategies and enable a space for decolonizing our gaze(s) and micropolitical transformation.
A Study of the correlation between radiological and histopathological findings in intracranial lesions
Authors: Parihar Monika Singh , Tiwari Mishra Ranu , Parihar Vijay SIngh
Published: April 2021

Objective: This study was conducted to formulate locationwise radiologic diagnostic algorithms and assess their
concordance with the final histopathological diagnosis of
intracranial mass lesions to evaluate their utility in a rural
setting where only basic facilities are available.
Material and Method: In present study seventy two cases were
analyzed.Histopathological evaluation was done from biopsy
sample sent in formalin, tissue processing was done by
standard procedure, tissue sections were routinely stained by
H&E, immunohistochemical examination was performed in
case of histopathological discrepancies. Radiological findings
were correlated with histopathological diagnosis and
concordances were calculated.
Statistical Analysis: Frequencies and crosstabs were used for
calculation.
Result: This was a study of seventy-two patients with age
ranging from 9months to 65 years. In these entire 72 cases,
male patients were 42(58%), female patients were 30(42%).
M: F was 1.38:1. Most of patient presented with headache,
and frontal lobe was the most common location. In all these
lesions, 88.8% cases were neoplastic lesions. Among all
neoplastic lesions, 52.7% were malignant tumors and 34.7%
were benign tumors. Among all malignant tumors,
Astrocytoma was the most common malignant
tumor.Meningioma was the second most commonly
encountered lesion. In the present study radiological and
histopathological correlation was present in84.7% of cases. IHC
was performed wherever needed, to support diagnosis.
Conclusion: Radiological investigations are reliable diagnostic
tools for space occupying central nervous system lesions, but
histopathology is still the gold standard. So multidisciplinary
approach is the ideal approach for space occupying lesions of
central nervous system.
Hypertension among School going Urban and Rural Adolescents: A
Comparative Study
Authors: B. Pradhan , A. Yadav , K. Yadav , M. Sankhla , D. Raj , KL Gaur
Published: April 2021

Background: In the modern society, technology has
contributed to create physical comfort in the life and
simultaneously, there is alteration in dietary habits of
youngsters. This has affected adolescent’s health significantly,
leading to hypertension in both urban and rural adolescent
population.
Objectives: Present study aimed to access and compares the
prevalence of hypertension among urban and rural adolescent.
Methods: A community-based cross-sectional comparative
study conducted on 300 healthy age matched adolescents, 10-
19 years of age from each of rural and urban school of Jaipur
(Rajasthan). After Institutional Ethical Committee and school
administration approval, a predesigned proforma was filled
having socio-demographic details, personal and family history.
An average blood pressure was calculated by measuring 3
recordings with 5 minutes break through sphygmomanometer.
The blood pressure was classified on percentile bases into prehypertension and hypertension. The data inferred by chisquare and ‘p-value’ less than 0.05 considered as significant.
Result: The prevalence of hypertension among urban and
rural adolescent of Jaipur was 7.6% and 7%, while prehypertension was 32% and 28%, respectively. The prevalence
of hypertension was high for systolic than diastolic blood
pressure and more in late adolescent than early adolescent
age group which was found significant only for systolic
hypertension (p=0.003).
Conclusion: High prevalence of adolescent’s hypertension is
an important risk factor for future consequences of
cardiovascular disease suggesting that there should be change
in lifestyle. The early detection and management of it can
prevent any future disability and mortality.
A cross-sectional study of factors determining empathy levels among undergraduate medical students of a medical college in Northern Telangana
Authors: R Shiv Kumar , SK Puli , Kishan P. , ND Sanjay , Sphurthi Pusukuri , Sultana Ayesha , Momin Kashif
Published: April 2021

Background: The development of an ideal doctor-patient
relationship requires empathy. Empathetic conversation aids
in the formation of an open and trusting equation between
doctor and patient. Furthermore, this leads to accurate
diagnoses and more compliance to the advised treatment. In
this manner, empathy helps in overall recovery of the patient
and improves global functioning and generalised well-being.
This study aims to make note of the fluctuation in empathy
levels during medical education. Studies done in various
countries have found factors such as curriculum, clinical
rotations timing and gender to progressively influences
empathy levels in students throughout their medical training.
The recent trend of violence against healthcare professionals
in India calls for an urgent action into the gap between doctors
and patients communication. Empathy towards patients and
attendants will reduce such untoward events. In this current
context, we should improve empathy levels among the training
doctors. As a first step, we should assess various factors
affecting empathy among health care professionals.
Method: This cross sectional study was done among
undergraduates of a rural medical college in Northern
Telangana during the time period of October to December
2019. Their empathy levels were assessed using Jefferson’s
Scale for Empathy- Student version (JSE-S).
Result: Of the 470 students surveyed, 227 were males and 243
females. Female students were having higher empathy among
first year and second years (p<0.001). Empathy levels seem to
decline from first year to second year following which the mean
empathy remains similar throughout the remaining years in
students of both sexes. There is no significant relation between
mean empathy scores and choice of future speciality (p>0.05).
Conclusion: Female undergraduate students are found to be
more empathetic than their male counterparts. A fall in
empathy scores from the first to second year of MBBS is seen,
which is when students enter their clinical rotations. Targeted
intervention at this time may go a long way in the creation of
a new generation of more empathetic physicians. Hence, there
is a need for evaluation of teaching and learning techniques in
medical education.
Further, there is a call for more research into the determinants
of decline in empathy amongst medical professionals.
All that is Miliary is not tuberculosis
Authors: s. Vijetha , V Samanvitha , M. Ramu , k. Satish chandra , CN Prasad
Published: April 2021

Miliary pattern on radiographs are attributed always to
tuberculosis even though the differential diagnoses of miliary
pattern is very wide. This pattern is most commonly caused by
infectious diseases and rarely by malignancies. Primary lung
cancers presenting with miliary shadows is extremely rare.
Here we report a case of 50-year old female, presenting with
15 days of symptoms and CXR PA view showing bilateral diffuse
miliary nodules. HRCT Chest confirmed the miliary pattern
and also showed a mass in left lower lobe. Microbiological tests
for tuberculosis and fungal infections were negative. CECT
Chest gave impression of left lower lobe suspected malignant
lung mass with pulmonary metastasis. Malignancy was
confirmed by CT guided FNAC as Adenocarcinoma lung. PET
scan didnot reveal metastasis in other organs.
CONCLUSION :
Miliary pattern does not always indicate tuberculosis and other
possibilities should be evaluated.
A rare cause of acute ST-elevation myocardial infarction: a case of coronary embolism secondary to calcified bicuspid aortic valve
Authors: Bularga Anda , Chapman Andrew R , Hung John , Mills Nicholas L. , Dweck Marc R.
Published: April 2021

Coronary embolism is an uncommon cause of acute myocardial infarction, which can have a similar clinical presentation to a plaque rupture event with acute onset of ischaemic symptoms, ST segment elevation on electrocardiogram (ECG) and significant elevation in cardiac troponin, requiring immediate intervention. We report the case of a middle-aged female with a background history of previous non-ST elevation myocardial infarction, bicuspid aortic valve with severe stenosis and metastatic breast cancer. The patient underwent emergency coronary angiography following acute onset central chest pain and evidence of anterior ST segment elevation on ambulance 12-lead ECG. The procedure revealed complete occlusion of the mid left anterior descending coronary artery with immediate flow restoration following embolus aspiration and subsequent normal appearance of the left anterior descending coronary artery. Gross examination of the aspirated specimen resembled a calcified hard lump, which was further confirmed on microscopic examination revealing calcified fibrous tissue most likely an embolus from the calcified bicuspid aortic valve. The patient had evidence of near transmural myocardial infarction in the distribution of the left anterior descending coronary on cardiac magnetic resonance imaging (MRI). She made full recovery and was discharged on short-term dual antiplatelet therapy followed by lifelong aspirin and further assessment for aortic stenosis management.
Strange times indeed: the evolving significance of myocardial ischaemia and the dwindling importance of functional imaging
Authors: Ionescu Adrian
Published: April 2021

The ISCHEMIA trial is only the latest and most compelling link in a chain of evidence that suggests that myocardial ischaemia per se is not an appropriate treatment target for patients with stable coronary artery disease. This review is trying to make sense of the momentous and sometimes contradictory recent developments in the space of imaging for myocardial ischaemia.
Left atrial fibrosis: an essential hallmark in chronic mitral regurgitation
Authors: Pastore Maria Concetta , Mandoli Giulia Elena , Dokollari Aleksander , Bisleri Gianluigi , Lisia Matteo , Cavigli Luna , D’Ascenzi Flavio , Focardi Marta , Cameli Matteo
Published: April 2021

Chronic mitral regurgitation (MR) is the second valvular heart disease for incidence, which worsening severity gradually affects all cardiac chambers and leads to poor outcome if untreated. The recent development of minimally invasive surgical techniques and percutaneous intervention has reduced the operative risk, allowing a more confident referral of these patients for intervention. Therefore, there is a growing need of reliable markers to select the best therapeutic strategies and to identify the optimal timing for intervention. Myocardial fibrosis (MF) gradually occurs as a result of left atrial and ventricular (LA and LV) remodeling due to MR pressure and volume overload. It has been identified as an index of clinical outcome and arrhythmic risk in patients with MR. Particularly, the assessment of LA fibrosis not only allows to define different MR etiology, but also was associated with prognosis and atrial fibrillation (AF) burden. Nowadays, noninvasive estimation of MF is possible through the use of advanced imaging modalities, particularly cardiac magnetic resonance and speckle tracking echocardiography. This review discusses the role of LA fibrosis as a diagnostic and prognostic marker in patients with MR and its quantification by noninvasive multimodality cardiac imaging.
Stress perfusion CMR – a report of an initial Romanian experience
Authors: Onciul Sebastian , Popa Oana , Nicolaescu Radu , Bataila Vlad , Calmac Lucian , Mihai Cosmin , Marinescu Mugur , Andrei Radu Dan , Deaconu Alexandru , Bogdan Stefan , Ciomag Raluca , Popa-Fotea Nicoleta , Popescu Sorin , Radu Stefan , Nica Claudia , Baciu Bogdan , Fronea Oana Gheorghe , Florescu Maria , Sascau Radu , Statescu Cristian , Scafa Alexandru , Dorobantu Maria , Capsa Razvan
Published: April 2021

Objectives

To provide preliminary data on practice of stress perfusion cardiovascular magnetic resonance (CMR) in a single center in Romania.

Methods

We retrospectively reviewed the clinical files and CMR reports of patients who underwent stress perfusion CMR in our institution between January 2018 and December 2020.

Results

A total of 1036 patients underwent CMR examinations during this period in our institution. Of these, 120 patients had stress perfusion CMR. The most common indication was the assessment of myocardial ischaemia in patients with established coronary artery disease (CAD) (77 patients, 64.16%), with either a history of myocardial infarction or previous coronary revascularization, or with intermediate lesions on invasive coronary angiography (ICA). The other indications consisted in detection of ischaemia in patients with suspected CAD (36 patients, 30%), characterization of the substrate of ventricular arrhythmia (5 patients, 4.16%) and assessment of the etiology of dilated cardiomyopathy (DCM) (4 patients, 3.33%). All patients had vasodilator stress with adenosine and an adequate stress response was obtained in 113 patients (94.16%). There were 21 patients (18.58%) with an abnormal stress test and patients with intermediate lesions on ICA had the highest prevalence of positive reports (24.32%). Sixty-three patients had myocardial fibrosis (52.5%): 49 patients (40.83%) had subendocardial (ischaemic) scars, while 14 patients (11.66%) had non-ischaemic scars. There were no serious adverse events related to the procedure.

Conclusions

This is the first report in Romania on the use of stress perfusion CMR in clinical practice. We report our experience on stress efficiency, acquisition protocol, artifacts, prevalence of positive tests and safety. Most stress CMRs were requested in patients with established CAD.
MÜZİK DERSLERİNDE AKILLI TAHTA KULLANIMINA İLİŞKİN ÖĞRETMEN GÖRÜŞLERİ
Authors: SARUHAN Serkan
Published: April 2021

Bu araştırma, Fatih Projesi kapsamında akıllı tahta kullanan öğretmenlerin akıllı tahta hakkındaki görüş ve beklentilerini ortaya koyarak mevcut durumu saptamak, akıllı tahtanın eğitim hayatına etkisini belirlemek ve sonuçları değerlendirip bazı öneriler getirmek suretiyle izleyen araştırmalara ve kurumsal kararlara bir kaynak oluşturma amacıyla yapılmıştır.
Araştırma öğretmenlerin akıllı tahta kullanımını belirlemeye yönelik betimsel bir çalışmadır. Verilerin elde edilmesi uzman görüşlerine başvurularak oluşturulan anket aracılığı ile sağlanmıştır. Anket formunda yer alan sorular akıllı tahtaların kullanılma durumunu belirleme, akıllı tahta kullanımının öğrenci motivasyonuna etkisi ve genel olarak akıllı tahtanın eğitim-öğretime etkisini belirlemeye yönelik hazırlanmıştır. Araştırmanın evreni Türkiye’de Fatih Projesi kapsamında akıllı tahta dağıtılan okulların müzik öğretmenlerinden oluşmaktadır. Araştırmanın örneklemini ise Türkiye genelinde farklı illerde aktif olarak görev yapan 218 müzik öğretmeni oluşturmaktadır. Örneklem sayısı belirlemede Krejcie ve Morgan örneklem miktarı tablosundan yararlanılmıştır. Verilerin analizinde tanımlayıcı istatistikler olan frekans (f) ve yüzde (%) değerleri belirlenmiştir.
Araştırmanın sonucunda; Proje kapsamındaki akıllı tahtaların öğretmenler tarafından aktif olarak kullanıldığı, derse katılımın fazla olduğu, zamandan büyük tasarruf sağladığı, öğrenci ve öğretmen motivasyonunu üst düzeyde tuttuğu, derslerin görsel olarak zenginleştiği ve eğitimin daha kalıcı olmasına imkân sağladığı sonuçlarına ulaşılmıştır. Bunun yanı sıra internet altyapısının yetersizliği, yazılım eksiğinin olması ve hizmet içi eğitim programlarının yetersizliği sonucuna ulaşılmıştır.
La competencia digital de los docentes en educación primaria: análisis cuantitativo de su competencia, uso y actitud hacia las nuevas tecnologías en la práctica docente
Authors: Romero Martínez Sonia Janeth , Hernández Lorenzo Carlos Jesús , Ordóñez Camacho Xavier Giovanni
Published: April 2021

Esta investigación tiene como objetivo analizar el grado de competencia digital (CD) de profesores de primaria y su relación con el uso que le dan a las nuevas tecnologías en la práctica docente. También se estudia la relación entre la CD y la actitud frente a la implementación de las tecnologías de la información y la comunicación (TIC) en el proceso de enseñanza. Para llevar a cabo estos objetivos se analiza la competencia digital de 58 docentes de primaria pertenecientes a dos colegios públicos y dos concertados y se realizan comparaciones de acuerdo a la edad, al género, a los años de experiencia y al tipo de institución en la que trabajan.Asimismo se realiza un análisis de correlación entre la CD, el uso de las TIC en la docencia y su actitud hacia la implementación de las TIC en el aula. Los resultados muestran diferencias en la CD según la edad, el género, los años de experiencia y el tipo de colegio, pero no se encuentran diferencias en la actitud hacia la implementación de las TIC.
Drop App: da voz a los jóvenes a través de las nuevas tecnologías para luchar contra el abandono escolar temprano
Authors: Gandullo Recio Margarita
Published: April 2021

El Instituto de Educación Secundaria (IES) Valle de Aller forma parte de un proyecto europeo Erasmus+ KA2 de cooperación e innovación de buenas prácticas. El IES Valle de Aller trabaja conjuntamente, en este proyecto, con otras organizaciones educativas de distintos países europeos.En el año 2012, el abandono escolar temprano (AET) afectaba a 5.500.000 jóvenes europeos en edades comprendidas entre los 18 y los 24 años, bien porque no habían completado su educación secundaria obligatoria o porque no seguían estudios de educación superior, tanto de bachillerato como de formación profesional. Tampoco estaban en el mercado laboral. El objetivo de la EU2020 es reducir la tasa de AET en un 10 %. Todas las investigaciones al respecto, hasta ahora, demuestran que el AET está causado por una mezcla de circunstancias individuales, factores educativos y condiciones socioeconómicas.En los últimos cinco años se han desarrollado muchas intervenciones educativas por parte de los diferentes sistemas nacionales y de las políticas educativas regionales para frenar el índice de AET. Lo que resulta innovador de este proyecto, y supone su valor añadido, es el hecho de que el enfoque está centrado en encontrar al alumno en su propio mundo. Los jóvenes de entre 14 y 18 años estarían mucho más motivados en seguir programas educativos si estos utilizaran los lenguajes de las nuevas tecnologías de la información y la comunicación (TIC), pues ellos son realmente los nativos digitales.
Aplicación de las técnicas despliegue de la función de calidad (QFD) y proceso analítico jerárquico (AHP) a la mejora de la calidad de la formación de posgrado
Authors: Pastor Sanmillán Antonio
Published: April 2021

Este trabajo ha obtenido el 1.er Premio Estudios Financieros 2016 en la modalidad de Educación y Nuevas Tecnologías.
La importancia que en la formación universitaria tienen los principios y políticas de calidad aplicadas a la educación queda patente en el número de organismos locales, nacionales y transnacionales que se dedican, de una u otra forma, a asegurarla, y en el número y volumen de trabajos publicados sobre el tema. Todas las universidades, presenciales y on-line, cuentan con departamentos especializados en el estudio de estas prácticas y políticas, y la literatura académica especializada en esta materia es amplísima. Pero en esta abundante y enorme riqueza de trabajos, estudios, metodologías, técnicas, fantasías y realidades en la que profesores y gestores universitarios, pedagogos, psicólogos, estudiosos del marketing y profesionales de calidad se centran, hay algo, en nuestra opinión básico y elemental, que se olvida frecuentemente: preguntar al alumno, al usuario, al destinatario final (que debería ser el objeto fundamental de nuestro interés) qué aspectos de la educación superior de posgrado tienen verdadero valor para él.
El objetivo del presente trabajo será comprobar la utilidad de las técnicas de análisis multicriterio, en particular el método analítico jerárquico (AHP), unido al despliegue de la función de calidad (QFD), para desarrollar esta tarea en entornos transculturales: los alumnos de posgrados presenciales de la escuela de negocios CEF.
La Historia de la linda Magalona y Pierres de Provenza: una edición burgalesa desconocida, nuevo testimonio en su transmisión editorial
Authors: Aranda García Nuria
Published: April 2021

RESUMEN: La Historia de la linda Magalona, como texto traducido al castellano en el siglo XV, alcanzó gran éxito editorial en la imprenta española emulando a su homólogo francés. En su difusión en el siglo XVI, los impresores supieron aprovechar la oportunidad para satisfacer el horizonte de expectativas de los lectores mediante la introducción de cambios que afectaron a su configuración material y a la iconografía de portada. El hallazgo de una nueva edición, salida de las prensas de Felipe de Junta en 1564, permite definir la obra en el conjunto de la producción de este impresor y su transmisión editorial en este siglo. ABSTRACT: The Historia de la linda Magalona, as a text translated into Spanish in the 15th century, achieved great editorial success in Spanish printing, emulating its French counterpart. During its dissemination in the 16th century, the printers took advantage of the opportunity to satisfy the readers' expectations by introducing changes that affected its material configuration and the iconography of the title page. The discovery of a new edition from the presses of Felipe de Junta in 1564 makes it possible to define the work in the context of this printer's production as a whole and its publishing transmission in this century.
БАСҚАРУШЫЛЫҚ АУДИТ ЖҮЙЕСІНІҢ БАҒАЛАУ КӨРСЕТКІШТЕРІН ҚАЛЫПТАСТЫРУ
Authors:   Г.С.Бердибекова*, З.М. Кененбаева, Ж.К.Туребаева «Мирас» университеті, Шымкент, Қазақстан, Бердибекова Г.С. ,   e-mail: gulya241@mail.ru, Кененбаева З.М. ,   «Мирас» университеті, Шымкент, Қазақстан, Туребаева Ж.К. ,   «Мирас» университеті, Шымкент, Қазақстан
Published: April 2021

Басқару аудиті ұйымдар мен кəсіпорындар қызметінің аудит жүйесіндегі жаңа бағыт болып табылады, ол персоналды басқару жөніндегі басшылықтың қызметін бағалауға, еңбек ресурстарының сапасын арттыруға, өндірістегі еңбек жағдайларын оңтайландыруға жəне жақсартуға мүмкіндік береді. Сапалы аудит жүргізу үшін өндірісте персоналды басқару жүйесін сипаттайтын бағалау көрсеткіштерін қолдану қажет. Басқару жүйесінде əлеуметтік-экономикалық жүйелердің тиімді жұмыс істеу тиімділігінің əртүрлі стандарттарына сəйкес басқару қызметін тəуелсіз зерттеу жəне бағалау ретінде басқарушылық аудит ерекше орын алады. Басқарушылық аудитті жүргізу кезінде сараптамалық кеңес берудің стандартты əдістері пайдаланылады: анықтамалық жəне сараптамалық сұхбат, құжаттарды талдау, деректерді жинау, рəсімдерді формалды сипаттау, бизнес-үдерістер мен негізгі функцияларды үлгілеу жəне схемаларды құру. Кəсіпорындардың басқару аудитінің басты міндеті-бұл бизнестің өндірістік объектілерінің нақты қол жеткізілген жəне нормативтік нəтижелілігінің, тиімділігінің, əлеуметтік маңыздылығы мен іскерлік белсенділігінің (экономикалық даму деңгейінің) көрсеткіштерін жалпы осындай əрбір объектінің басқару командасының еңбек қызметінің жалпы нəтижесі ретінде, сондай-ақ кəсіпорынның басқару командасының əрбір мүшесінің, төменгі буын менеджерлерінен бастап команда басшыларына дейінгі еңбек белсенділігінің, бастамашылығының, интеллектуалдық жəне креативтілігінің айқындамасын айқындау жəне салыстыру. Осы мақаланың мақсаты аудиторлардың практикалық қызметінде бар менеджмент жүйесінің көрсеткіштерін бағалау əдістерін зерделеу, зерделенген əдістер негізінде бағалаудың жаңа əдістері мен олардың тиімділігін анықтау болып табылады.
MAIN DIRECTIONS OF IMPROVEMENT OF FOREIGN ECONOMIC ACTIVITY OF THE REPUBLIC OF KAZAKHSTAN
Authors:   Zhetysu University I. Zhansugurov N. P. JSC, Taldykorgan, Kazakhstan, Bleutaeva K. ,   email: king_bara@mail.ru, Babash D. ,   Zhetysu University I. Zhansugurov N. P. JSC, Taldykorgan, Kazakhstan, Digay D. ,   Zhetysu University I. Zhansugurov N. P. JSC, Taldykorgan, Kazakhstan, Alekbaeva M. ,   Zhetysu University I. Zhansugurov N. P. JSC, Taldykorgan, Kazakhstan
Published: April 2021

Inclusion in global economic processes has now become a necessary condition for ensuring national development for every country that strives for the efficiency and competitiveness of its economy. Isolation from global processes inevitably leads to lagging behind and pushing the country into the outsiders of the world economy. The article considers the economic background of historical and geographical description of the world; historical facts of the Great Silk Road; describes main problems of the formation and development of the Great Silk Road at the present stage; considers the directions of the Impact of the Great Silk Road on the economy of the participating countries; proposes main ways to eliminate the problems of the development of modern directions of the Great Silk Road.
ИНСТИТУЦИОНАЛЬНО-ЭКОНОМИЧЕСКАЯ СРЕДА ИННОВАЦИОННОГО ПРЕДПРИНИМАТЕЛЬСТВА В КАЗАХСТАНЕ
Authors:   Казахский национальный университет им. Аль-Фараби, г.Аматы, Казахстан e-mail: aifer-@mail.ru, Баймухаметова А.Ж.
Published: April 2021

Изучив развитие инновационного предпринимательства в Казахстане, выявлены факторы, которые в наибольшей степени имеют влияние на совершенствование условий развития высокотехнологичного бизнеса в Республике Казахстан. Внутренняя организация менеджмента на предприятии, в том числе постановка стратегий развития, зависит от различных внешних условий, пренебрегать которыми означает не оценивать негативный или позитивный эффект, воздействующий на долгосрочные решения. Одним из таких факторов нами была выбрана институционально-экономическая среда. Статья посвящена институциональным и экономическим аспектам развития инновационного предпринимательства в Казахстане. Несостоятельность индустриально-инновационных программ с институциональной стороны во взаимодействии с низкими экономическими показателями сдерживают развитие инновационного предпринимательства в Казахстане. Для улучшения институциональной базы и преодоления проблем, связанных с нарушением соответствия между намеченными целями и принятыми мерами по их реализации рекомендовано создать единый орган, курирующий исполнение инициатив, связанных с инновационным развитием государства, в частности с инновационным предпринимательством, что также благоприятно могло бы повлиять на экономические условия развития инновационного предпринимательства. Целью исследования является определение институционально-экономических факторов, сдерживающих и стимулирующих развитие высокотехнологичного бизнеса в Казахстане. Методологической основой исследования являются труды отечественных и зарубежных авторов.