bluuebunny/crossref_metadata_2025_split huggingface dataset:
Statistical Analysis of Environmental Costs and Assessment of their Effectiveness in the Region (Using the Example of the Yaroslavl Region)
Authors: Жолудева В В. 
Published: August 2021

Проведён статистический анализ показателей, характеризующих экологическую ситуацию в Ярославской области, и анализ динамики изменения состояния окружающей среды в зависимости от изменения затрат на её охрану. В качестве основных рассматривались показатели, охватывающие все компоненты окружающей среды: атмосфера; водные ресурсы; почвенный слой; здоровье людей, проживающих на территории Ярославской области. В качестве экономических показателей были рассмотрены текущие затраты на охрану окружающей среды и инвестиции, направленные на её охрану в регионе. Оценка эффективности затрат на охрану окружающей среды рассчитывалась на основе интегральных индексов. Результаты исследования показали, что в Ярославской области состояние окружающей среды практически не зависит от затрат на её охрану и инвестиций. Это можно объяснить тем, что экологическая обстановка стабильна, а, следовательно, затраты необходимо оптимизировать, учитывая их долгосрочное влияние. Возможна и другая причина: затраты и инвестиции направлены не на самые острые проблемы, что и снижает их эффективность. Знание важнейших факторов, влияющих на состояние окружающей среды региона, позволит принять соответствующие хозяйственные решения, которые скажутся в ближайшем будущем
A statistical analysis of indicators characterizing the ecological situation in the Yaroslavl region and an analysis of the dynamics of changes in the state of the environment depending on the change in the costs of its protection was carried out. Indicators covering all components of the environment: atmosphere, water resources, soil layer, health of people living in the Yaroslavl region was considered as the main ones. As economic indicators, current costs of environmental protection and investments aimed at its protection in the region were considered. The environmental cost effectiveness assessment was based on integral indices. The results of the research showed that the state of the environment in the Yaroslavl region is practically independent of the costs of its protection and investment. This can be explained by the fact that the environmental situation is stable, and therefore the costs need to be optimized, taking into account their long-term impact. Another reason is also possible: costs and investments are not aimed at the most acute problems, which reduces their effectiveness. Knowledge of the most important factors affecting the state of the environment of the region will make it possible to make appropriate economic decisions that will affect in the near future.
Numerical Simulation Mode of Spot Contact Welding Processes
Authors: Угловский А.С. , Соцкая И.М. , Шешунова Е.В. 
Published: August 2021

Цель рассмотрения численного метода заключалась в получении подробных данных, позволяющих оценить проведение сварочного процесса: изменение объёма сварного шва, радиуса сварного шва, радиуса зоны термического влияния. При проведении моделирования авторами выведены зависимости параметров точечной сварки низкоуглеродистой стали толщиной до 3,2 мм. Данные зависимости будут определять качество сварных швов. Соответствующее сочетание параметров точечной сварки обеспечит прочное соединение и хорошее качество сварки.
The purpose of the numerical method consideration was to obtain detailed data allowing evaluating the performance of the welding process: changing the volume of the weld, the radius of the weld, the radius of the weld-affected zone. During the simulation the authors have derived dependencies of the parameters of spot welding of low-carbon steel up to 3.2 mm thick. These dependencies will determine the quality of the welds. The correct combination of spot welding parameters will ensure a firm joint and good welding quality.
A Suggestion for Hip Replacement Surgery: Probabilistic Surveillance
Authors: Hekimoğlu Can Hüseyin , Batır Esen , Yıldırım Gözel Emine , Alp Meşe Emine 
Published: August 2021

Objective: Surgical site infection (SSI) surveillance is time-consuming and hard. Identifying high-risk patients and focusing on these patients will be cost and time effective. This study aims to develop a model to identify high-risk patients for the development of SSI after hip replacement surgery and to estimate the utility of the model.

Methods: Logistic regression model was created to determine the risk of SSI development using the National Health Service Associated Surveillance Network (USHİİSA) data. The stability of the model was tested using the Bootstrap resampling method. The individual probability of developing SSI was determined for each patient by using the model. The threshold probability to be used in distinguishing high-risk patients was found 1.2% by ROC analysis. For hospitals with different SSI rates and surveillance sensitivity, the utility of the model has been estimated by various parameters.

Results: Female gender (OR:1.52; 95% CI:1.22-1.88), being over 65 years of age (OR:2.06; 95% CI:1.63-2.62), procedure duration longer than 75th percentile (OR:1.32; 95% CI:1.07-1.63), ASA score over 3 (OR:2.10; 95% CI:1.48-2.99), and surgery performed in a hospital other than a private hospital (p<0.001) were found to be independent risk factors for the development of SSI. When focusing on high-risk patients, as the rate of SSI of a hospital increases, the number of patients that need to be focused on detecting one more SSI decreased, and the number of additional SSIs increased. As the surveillance sensitivity of the hospitals decreases, the new rate obtained differs more from the old rate.

Conclusions: Focusing on high-risk patients identified using the model caused to eliminate approximately half of the patients, thus saving labor and time. Using this model can be particularly beneficial for hospitals with a high SSI burden and low surveillance capacity. The model can be integrated into the national surveillance system so that high-risk patients can be prioritized. Modeling may be considered for the other surgeries.
Skull Base Osteomyelitis and Long Term Outcome
Authors: Basaran Seniha , Evlice Oguz , Benli Aysun , Simsek-Yavuz Serap , Çağatay Atahan , Öncül Oral , Özsüt Halit , Eraksoy Haluk 
Published: August 2021

Objective: Skull base osteomyelitis (SBO) is a rare, life-threatening infection and frequently followed and treated by otolaryngologists previously. In this study, we analyzed the diagnosis, treatment and long-term outcomes of SBO from the perspective of infectious diseases and clinical microbiology (IDCM).

Methods: Hospitalized patients with SBO between 2012-2019 were evaluated retrospectively. Epidemiological, clinical, laboratory data of the patients were recorded. The patients who recovered with and without sequelae were compared.

Results: The mean age of 16 SBO cases was 66 years, 75% of them were male and 87.5% had diabetes mellitus (DM). Cranial nerve and vascular/dural involvement were present in 75% and 56.3% of them, respectively. The most common isolated microorganism were P. aeruginosa, staphylococci and Candida spp. 81.2%, 43.7%, and 56% of the patients received anti-pseudomonal antibiotics, additional glycopeptide and additional antifungal drugs, respectively. The sequelae rate was 46.7% in a 24-month follow-up. Hypertension (p=0.041), duration of complaints (p=0.003), bilateral involvement of skull base (p=0.001), vascular thrombosis/inflammation or dural involvement (p=0.007), previous surgical intervention (p=0.041) and elevated ESR at the end of treatment (p=0.014) were defined as risk factors for permanent sequelae. There was no in-hospital mortality.

Conclusions: SBO mainly affects older male patients with DM and causes significant sequelae in half of them. In the cases unresponsive to anti-pseudomonal agents, the addition of antifungal therapy empirically may provide a clinical response. Permanent sequelae are more common in cases with delayed diagnosis/treatment, bilateral, vascular or dural involvement, and elevated ESR at the end of treatment. ESR can be used to determine the treatment response and duration. The follow-up and treatment of SBO cases by IDCM with the support of experienced surgeons may contribute to the positive clinical results.
Perempuan Subaltern Dunia Ketiga Dalam Tinjauan Teori Feminisme Poskolonial Gayatri Chakravorty Spivak
Authors: Suryawati Indah , Seran Alexander , Sigit Ridzki Rinanto 
Published: August 2021

Istilah subaltern dihadirkan sebagai sinonim kaum proletar. Gayatri Spivak menekankan pentingnya melihat mekanisme hegemonik yang tidak disadari mengenai penggunaan atribut kata subaltern. Mereka berada dalam wacana hegemonik yang berarti ada semacam manipulasi secara tidak sadar atas apa yang mereka lakukan. Dalam kajian teoritis Spivak, kelompok subaltern adalah kelompok yang suaranya selalu direpresentasikan, sementara representasi hanyalah alat untuk menuju dominasi nyata. Oleh karena itu, masyarakat yang tertekan dan terjajah (subaltern), harus berbicara, harus mengambil inisiatif, dan menggelar aksi atas suara mereka yang terbungkam. Karena kekuasaan kolonial terus dipertahankan dalam dan melalui discourse (wacana) yang berbeda-beda. Sebagai kritikus feminis poskolonial Gayatri Spivak terus menerus menantang pemikiran kontemporer Barat dengan menunjukkan betapa wacana-wacana dan praktik-praktik kelembagaan dan budaya dominan telah secara konsisten mengecualikan dan meminggirkan kaum jelata (subaltern), terutama perempuan subaltern. Fokusnya pada sejarah perempuan subaltern dan kritiknya terhadap proyek subaltern telah secara radikal menantang cara identitas politik dikonseptualisasikan dalam banyak pemikiran kontemporer. Penekannya pada kemampuan kaum subaltern untuk berbicara.
Les forces vives de la formation de l’esprit scientifique
Authors: Le Ru Véronique 
Published: August 2021

De 1686 à 1758, soit pendant plus de soixante ans, les savants les plus éminents de l’époque, dont la Marquise Du Châtelet, participent au débat sur les forces vives ; faut-il mesurer la force par le produit de la masse et de la vitesse ( m.v , qu’on appelle aujourd’hui la quantité de mouvement) ou par le produit de la masse et du carré de la vitesse ( m.v 2 ) ? Or il est intéressant de souligner que, loin d’être une simple dispute de mots, ce à quoi cherche à la réduire D’Alembert, cette querelle est avant tout une discussion sur les premiers principes et les principes dérivés : quels sont les principes fondateurs, quels sont les principes seconds ? Notre propos est de montrer que D’Alembert, dans la position qu’il prend pour mettre fin au débat, a été fortement influencé et formé par les réflexions sur la physique que développe Émilie Du Châtelet (1706-1749), dans les Institutions de Physique parues en 1740.
Pulmonary tuberculosis among young children with severe pneumonia at Al Sabah Children’s Hospital, Juba, South Sudan
Authors: Madison Amanda Billy Berto , Ndeezi Grace , Chollong Hassen , Tongun Justin Bruno , Tumwine James K. , Piloya Thereza 
Published: August 2021

Background: Tuberculosis is a major public health problem worldwide. It can present in an acute form especially in endemic settings, which might lead to missed and delayed diagnosis, prolonged hospital stays, and increased mortality in children. South Sudan has a high prevalence of tuberculosis in the adult population. However, there is no published data on paediatric tuberculosis. We aimed to determine the prevalence and factors associated with pulmonary tuberculosis in children admitted with pneumonia in Al Sabah Children’s Hospital, South Sudan.Method: This was a cross sectional study of 404 children aged 2 to 59 months admitted with severe pneumonia from June-October 2018 at Al Sabah Children’s Hospital. We excluded children on anti-TB treatment. Data were collected using a pretested questionnaire which captured socio-demographic characteristics, clinical history, physical examination, and laboratory investigations. Sputum examination for Mycobacterium tuberculosis was performed for all participants using X-pert MTB/RIF. Additional investigations included Chest X-ray and blood count.Results: We recruited 404 children, out of which 78 (19.3%) had pulmonary tuberculosis. Of these, 13 (16.7%) were bacteriologically confirmed while 65 (83.3%) were clinically diagnosed. The factors significantly associated with pulmonary tuberculosis were age above two years [AOR 2.32 (95% CI 1.04-5.17)] p value 0.039, positive HIV Status [AOR 24.2 (95% CI 2.88-202.62)] p value 0.003, severe acute malnutrition [AOR 15.67 (95% CI 6.68-36.73)] p value <0.001, lack of BCG immunization [AOR 3.09 (95% CI 1.06-9.03)] p value 0.038, and contact with a known tuberculosis patient [AOR 55.14 (95% CI 10.12-300.6)] p value <0.001.Conclusion: There is a high burden of pulmonary tuberculosis in children presenting with severe pneumonia. There is a need for screening for pulmonary tuberculosis in children with any of the associated factors to improve early diagnosis and treatment.
Corresponsabilidad de los padres en el proceso educativo de sus hijos durante confinamiento por covid-19
Authors: Tua Garcia Alirio Alejandro 
Published: August 2021

El objetivo de esta investigación es analizar la corresponsabilidad de los padres en el proceso educativo de sus hijos durante el confinamiento por COVID-19 en la Unidad Educativa Nacional San Francisco Javier en Barquisimeto, municipio Iribarren del estado Lara. Se fundamentó en el paradigma positivista con enfoque cuantitativo enmarcada en un diseño de campo descriptivo. La población estuvo conformada por 210 padres a quienes se le aplicó un cuestionario, el cual fue validado mediante la técnica juicio de expertos y con una confiabilidad según el estadístico Alpha de Cronbach de 0,96. Se determinó tendencia mayoritaria de los padres consultados no asumen su rol, es decir, no se involucran efectivamente en el proceso académico de sus hijos en la cuarentena social. Se recomendó a los padres aplicar disciplina a los estudiantes fijando normas en el hogar, hábitos de estudio y administrar tiempo de calidad durante la pandemia generada por COVID-19.
ZÁKLADY METODOLÓGIE HODNOTENIA ODOLNOSTI DOPRAVNEJ INFRAŠTRUKTÚRY
Authors: Hoterová Katarína , Chovančíková Nikola , Dvořák Zdeněk 
Published: August 2021

Hodnotenie odolnosti dopravnej infraštruktúry je dôležitou súčasťou posudzovania rizík a neustáleho zvyšovania bezpečnosti hodnoteného prvku. Odolnosť je schopnosť prvku odolávať nepriaznivým javom, absorbovať ich a prispôsobiť sa im. Existuje mnoho prístupov k hodnoteniu odolnosti. Tak ako v každej oblasti, tak aj pri hodnotení odolnosti je vhodné vypracovať jednotnú metodiku hodnotenia odolnosti. takáto metodika môže zjednotiť vstupné a výstupné informácie a uľahčiť hodnotenie samotnej úrovne odolnosti. Doprava a dopravná infraštruktúra sú komplikované technické systémy, ktoré si vyžadujú osobitný prístup. Cieľom článku je analyzovať v súčasnosti dostupné metodiky používané pri hodnotení odolnosti a predstaviť návrh jednotnej metodiky špecifickej pre hodnotenie odolnosti dopravnej infraštruktúry.
APLIKÁCIA MANAŽÉRSTVA RIZIKA PRI OCHRANE PRVKOV DOPRAVNEJ INFRAŠTRUKTÚRY
Authors: Chovančíková Nikola , Hoterová Katarína 
Published: August 2021

Dopravná infraštruktúra predstavuje zložitý komplex prvkov, ktoré sú medzi sebou poprepájané vzájomnými väzbami tak, aby dokázali zastrešiť všetky požadované funkcie. Dopravná infraštruktúra vzhľadom na svoju významnosť bola v Slovenskej republike zaradená medzi sektory kritickej infraštruktúry v zákone č. 45/2011 Z. z. o kritickej infraštruktúre. Súčasťou dopravnej infraštruktúry sú objekty, ktoré je možné zaradiť medzi prvky kritickej infraštruktúry. Ochrana prvkov kritickej infraštruktúry by mala byť prioritou, pretože ich zničenie alebo prípadné narušenie by mohlo spôsobiť narušenie fungovania dopravnej infraštruktúry (Zákon č. 45/2011 Z. z.). Na zabezpečenie ochrany dopravných objektov zaradených do kritickej infraštruktúry je možné uplatniť princípy manažérstva rizika. Aplikácia manažérstva rizika si vyžaduje poznanie normy ISO 31 000, ktorá predstavuje efektívny nástroj na identifikáciu, hodnotenie, analýzu a následne samotné riadenie rizík. Výsledky získané pomocou aplikácie manažérstva rizík môžu posunúť ochranu dopravných prvkov kritickej infraštruktúry na vyššiu úroveň. Cieľom článku je analyzovanie informačných zdrojov pojednávajúcich o problematike a následná aplikácia manažérstva rizika na dopravný objekt, ktorý je možné považovať za potenciálny prvok kritickej infraštruktúry.
Calidad de vida, posterior a la cirugía en cáncer de recto. Comparación de resultados funcionales en: cirugía abierta, laparoscópica, y robótica.
Authors: Lococo Julio 
Published: August 2021

Introducción y objetivo: La evaluación de los resultados en la cirugía del cáncer de recto se ha centrado tradicionalmente en la respuesta oncológica, sin embargo en pacientes jóvenes afectados por esta patología los resultados de la función urogenital se vuelve cada vez más trascendente.
El propósito de nuestro trabajo es comparar la calidad de vida de nuestros pacientes operados, en los que respecta a la funcionalidad intestinal, urinaria, y sexual entre la cirugía convencional, laparoscópica y robótica.
Población y métodos: Estudio de corte transversal, donde se utilizó la base de datos prospectivos del Servicio de Coloproctología del Hospital Churruca-Visca. Mediante una encuesta telefónica sobre los cuestionarios EORTC – QLQC30 /C29 y score de LARS, entre mayo de 2016 a septiembre de 2019. De 81 pacientes operados, 62 pacientes cumplieron criterios de inclusión y exclusión y de estos 47 respondieron el cuestionario.
Resultados: 25 hombres y 22 mujeres han sido divididos en tres ramas: 16 pacientes cirugía convencional, 13 pacientes cirugía laparoscópica, 18 pacientes en cirugía robótica. No encontramos diferencias estadísticamente significativas en los distintos grupos respecto: edad, sexo, asa y altura del tumor. Si se observó una diferencia estadísticamente significativa en cuanto a la qumioradioterapia neoadyuvante en el grupo robótico con una p de 0.023 como así también en la esfera sexual con una p de 0.010.También observamos una mejor tendencia sobre el score de LARS en el grupo de cirugía robótica sin llegar a tener un significancia estadística.
Conclusión: La calidad de vida global es comparable en los tres grupos, la clave podría ser la cirugía a medida, donde se elija la mejor técnica según el caso y la experiencia del cirujano.
ANALISIS YURIDIS PERATURAN TERKAIT ARSITEKTUR BANGUNAN BERCIRIKHAS DAERAH ISTIMEWA YOGYAKARTA
Authors: Hidayatulloh Bagus Anwar 
Published: August 2021

ABSTRACT
This study examines the juridical analysis of regulations related to the architecture of the Yogyakarta Special Region. Whereas the regulation of architectural buildings with cultural characteristics has been regulated in several regional regulations, including regional regulations, governor regulations, and mayor regulations. This research is a library research (library research) and combined with field research that is descriptive analytical. So that bringing up the form of approach is a normative approach. The results of this study are regulations related to architectural regulations that characterize the Special Region of Yogyakarta experiencing strengthening in terms of its jurisdiction, especially with the birth of Regional Regulation with the birth of Yogyakarta Special Region Regulation Number 1 Year 2017 Concerning Distinctive Characteristics of Yogyakarta Special Region. In terms of the substance of the existing regulations will strengthen the legal umbrella of Yogyakarta's architectural pluralism, strengthen the area of ​​cultural heritage and the area of ​​cultural heritage. Then in terms of the laws and regulations, it is necessary to harmonize regulations related to building architecture with special character of Yogyakarta Special Region so that the implementation of architectural buildings unique to the Special Region of Yogyakarta can be maintained and optimally maintained.
PENGARUH LIKUIDITAS, PROFITABILITAS DAN SOLVABILITAS TERHADAP OPINI AUDIT GOING CONCERN (STUDI PADA PERUSAHAAN RETAIL TRADE YANG TERDAFTAR DI BURSA EFEK INDONESIA)
Authors: Lisnawati Lisna , Syafril Agia Syafitria 
Published: August 2021

Rasio keuangan digunakan untuk menilai kinerja manajemen dalam suatu periode ari kinerja ini dapat dijadikan sebagai evaluasi hal-hal yang perlu dilakukan agar kinerja manajemen dapat ditingkatkan atau dipertahankan sesuai dengan target perusahaan. Tujuan penelitian ini adalah untuk mengetahui pengaruh likuditas, profitabilitas dan solvabilitas terhadap opini audit going concern. Metode yang digunakan dalam penelitian ini adalah regresi logistik dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa secara parsial likuiditas tidak berpengaruh, terhadap opini audit going concern dengan taraf signifikansi 0,212, profitabilitas tidak memiliki pengaruh terhadap opini audit going concern dengan taraf signifikansi 0,466 dan solvabilitas tidak memiliki pengaruh terhadap opini audit going concern dengan taraf signifikansi 0,410. Sementara secara simultan berpengaruh terhadap opini audit going concern dengan taraf signifikansi 0,000. Pihak manajemen perusahaan sub sektor retail trade harus berupaya untuk terus meningkatkan laba setiap tahunnya dengan meningkatkan kinerja manajemen dalam pengelolaan sumber daya yang dimiliki untuk mempertahankan keberlangsungan usahanya.
THE INFLUENCE OF INTENAL AUDIT ON FINANCIAL MANAGEMENT IN MARSABIT COUNTY GOVERNMENT- KENYA
Authors: Dambala Abudo Yohana , Rintari Dr. Nancy , Mutea Fredrick 
Published: August 2021

Purpose: The purpose of this study was to determine the effect of internal audit on the financial management in the County Government of Marsabit.
Methodology: The study adopted descriptive survey was adopted for this study. The targeted study population was 63 staff members who are Job group K and above from the department of Finance in the directorate of Accounts, Revenue, Procurement and Internal Audit. The study employed simple structured questionnaires to gather primary data which was analyzed using SPSS.
Results: The study revealed that internal audit function had a significant influence on financial management at the county government of Marsabit (r=0.691, p=0.00)
Unique contribution to theory, policy and practice: Good financial management is very essential in protecting the public funds. This study encourages good practices of accountability, transparency and wealth creation with public funds. The study is beneficial to not only Marsabit County but other counties in Kenya. The study concludes that the Marsabit County has a functional internal audit committee and internal auditors perform their duties with great autonomy and independence. The study further concludes that internal audit has strong positive effect on the financial management in Marsabit County. The study recommends internal audit to be well staffed and resourced so that it is able to carry out regular audits of the county government. This will improve financial management of the County Government since it has been established that internal audit has strong positive effect on the financial management. Additional research can be conducted in the National government on factors influencing financial management and drawing comparisons.