bluuebunny/crossref_metadata_2025_split huggingface dataset:
Satisfaction and quality of palliative care in patients with outpatient treatment in a level III health care facility Lima
Authors: Alarcón Díaz María Deris , Colán Navarro Elvia Aracely 
Published: March 2024

In the field of health, it is closely related to the demand for prompt, timely and responsive care during professional practice. This study seeks to determine the relationship between satisfaction and quality of palliative care in patients with outpatient treatment in a level III health facility in Lima, Lima, 2023. This research has a quantitative approach, non-experimental design, correlational and cross-sectional type. The population will be made up of 100 patients in the oncology area with outpatient treatment over 18 years of age, the type of sampling is non-probabilistic by convenience. The collection instruments were applied 2 instruments. Global satisfaction scale and the palliative care quality scale consisting of 4 dimensions: Physical support, psychological support, social support, spiritual support. The instruments reveal to have a validity evidence between 0.923 and 0.915 which indicates that they are ideal to be applied and collect relevant information for the study report
Risk factors for chronic kidney disease in older adults
Authors: Gallardo Romero Emma , Valido Valdes Doraimys , Gonzalez Medina Mariela , Fernandez Rojas Yoannia Caridad , Vilaú Suárez Wilman Meylin 
Published: March 2024

Introduction: Chronic Kidney Disease is one of the most prevalent pathologies worldwide, representing the sixth fastest growing cause of death. Objective: to identify the factors associated with Chronic Kidney Disease in the Elderly in clinic 61 of the 1st of January polyclinic of the municipality of Consolación del Sur.Method: an applied, descriptive, cross-sectional research was carried out from January 2022 to December 2023, in the elderly patients of the 61st clinic. The universe was constituted by 245 patients for a sample of 245 patients who fulfilled the inclusion criteria. Results: the predominant age group was 70-79 years for 46.1% and male sex in 60.8% and white skin color with 64.5%. The most frequent stage of CKD was stage II with 37.1%. The most frequent risk factors were arterial hypertension (76.3%), followed by diabetes mellitus (19.6%).Conclusions: the risk of CKD is higher in those with high blood pressure, diabetes, smoking, proteinuria, and close relatives with kidney disease
Manajemen Supervisi Akademik Terhadap Kinerja Guru pada Masa Pandemi Covid-19
Authors: Prayitno Teguh 
Published: March 2024

The purpose of this study was to study and analyze the management of Academic Supervision on Teacher Performance during the Covid-19 Pandemic. The research location is in Sekolah Aliyah Negeri 2 Bandung. This research is a research using a qualitative approach and the results of the research are presented in a descriptive form. Data collection in this study was carried out by means of interviews, observation, and documentation. The results showed: First, the Academic Supervision Management at SMP Negeri 2 Cimenyam Kabupaten Bandung for several components is in accordance with the theory of the implementation of covid academic supervision, namely (1) Planning: includes review of supervision programs, identification of infrastructure, preparation of assessment instruments, program synchronization and socialization program. (2) implementation: includes pre-observation activities (initial planning, checking learning plans, learning media), conducting online learning observations through media / applications, and conducting post-observation activities by analyzing the results of observations, evaluating and planning follow-up supervision (3) Evaluation: includes the activity of analyzing the results of the implementation of supervision from beginning to end and following up on the results of the supervision. Second, the teacher's performance in making learning planning is quite good, some components still need to be improved, and for the assessment of learning implementation, it has not been maximally carried out,the new assessment is seen when there is a report on learning activities by the teacher.
Green Innovation and Financial Performance: Bridging the Profitability-Sustainability Gap
Authors: Rasheed Shahid , Farooq Prof. Dr. Syed Umar , Qazi Dr. Umer 
Published: March 2024

In the current era of a knowledge-based green economy, green innovation has emerged as an important driver for firms to improve their financial performance. Recent studies have emphasized the significance of green innovation in addressing environmental degradation and enhancing financial performance. Few studies have been conducted about green innovation and its effects within the context of Pakistan. This study seeks to examine the impact of green innovation on the financial performance of publicly listed firms on the Pakistan Stock Exchange (PSX). The study utilized a dataset comprising 2702 observations from 351 listed companies from 2013 to 2021. The data was analyzed using weighted least square regression analysis. The study's empirical research indicates that Green Innovation has a statistically modest yet positive effect on Financial Performance in Pakistan. The research indicates that Green Innovation is significant for Financial Performance in developing countries like Pakistan. The study's findings and policy recommendations are significant for managers of various companies listed at PSX and policymakers. They can help in addressing environmental degradation and promoting sustainable development by implementing green innovation practices.
EKSTRAKSI ASAM LEMAK MIKROALGA Tetraselmi chuii DENGAN MINYAK ZAITUN
Authors: Suprianti Tuti 
Published: March 2024

Tetraselmi chuii merupakan mikroalga dari golongan alga hijau (Chlorophyceae) mempunyai nilai gizi tinggi, pemanfaatan nutraceutical alga secara komersial telah banyak diterapkan, antara lain sebagai bahan makanan, energi biomassa, pupuk pertanian, dan dalam industri farmasi. Penelitian ini bertujuan mengetahui komposisi asam lemak hasil ekstrak Tetraselmi chuii dengan menggunakan pelarut minyak zaitun. Metode yang digunakan dalam penelitian ini adalah mengekstrak asam lemak Tetraselmi chuii menggunakan minyak zaitun dengan perbandingan konsetrasi (gram mikroalga : mL minyak zaitun) yaitu, 1:10 b/v, 1:15 b/v 1:20 b/v, dan 1:25 b/v. Asam lemak hasil ekstraksi dianalisis dengan GC-MS. Hasil penelitian diperoleh kadar optimum asam lemak pada perbandingan konsentrasi (gram mikroalga : mL minyak zaitun) 1:20 b/v yaitu, 50,0733 %b/v. Perbandingan konsentrasi minyak zaitun dapat meningkatkan ekstraksi asam lemak Tetraselmi chuii. Komposisi asam lemak asam lemak optimum ekstrak Tetraselmi chuii berdasarkan hasil GC-MS yaitu, 1,86% asam palmitoleat, 20,50% asam palmitat, 13,29% asam linoleat, 61,08% asam oleat, dan 4,57% asam stearat
Aplikasi Peralatan Flexible AC transmission Systems (FACTS) Pada Sistem Tenaga Listrik
Authors: Misba Misbahuddin Buang 
Published: March 2024

The power need of South Sulawesi community is increasingly in a row with technology development. At this time, with the lack of new generation and transmission facilities make voltage instability always occur. To relieve it, Flexible AC Transmission System (FACTS) is used, that is, Static Compensator (STATCOM) which its basic operating principles functions as a synchronous voltage source. This research aimed to find out voltage conditions and power systems losses of South Sulawesi before and after using STATCOM and determine location of STATCOM installation. This research was carried out in South Sulawesi region specially at PT. PLN (Ltd.) Business Unit of SULSELTRABAR. To determined location of STATCOM installation, Trial and Error Method is used where buses which have voltage exist near to voltage interval limit allowed, became a reference of STATCOM installation. The results shows that voltage condition before STATCOM installed, exist to voltage interval limit allowed, that is, 0.95 – 1.05 pu. However, voltage of Tonasa Tonasa, Bontoala, Pangkep70, and Tallo Lama buses exist near to voltage interval limit allowed. Based on simulation results, an exact STATCOM installation is on two buses, that is, Tonasa and Bontoala buses until voltage of mentioned four buses are improved and near to fundamental voltage, respectively. Power losses after STATCOM installed is increase because when it installed, there are conduction losses and switching losses at STATCOM
L’intelligence du travail enseignant à l’ère numérique
Authors: Alexandre Marie 
Published: March 2024

Cet article vise à mettre en lumière l’intelligence du travail enseignant en « réponse aux défis liés à l’utilisation de la technologie et de l’intelligence artificielle en éducation » (appel de texte ). D’abord, l’apprentissage des compétences du XXIesiècle en accordant une large place à l’utilisation du numérique, infère un nouveau rôle enseignant. Un accent particulier mis sur l’apprentissage et l’environnement contribue à configurer des pratiques pédagogiques en réponse aux besoins des élèves. L’examen du nouveau Référentiel de compétences professionnelles : Profession enseignante (Gouvernement du Québec, 2020) fait ressortir quatre schèmes organisateurs de l’activité enseignante en situation : l’apprentissage, l’environnement, la collectivité/collaboration et le développement professionnel continu. La conclusion fait valoir l’importance de la mission fondamentale enseignante afin de faire face à la complexité du monde.
L’Agneau que donc je suis : l’indistinction du devenir-disciple en Jean
Authors: Doane Sébastien 
Published: March 2024

Quel est l’animal que je suis (être/suivre) ? Cet article répond à l’invitation du philosophe Jacques Derrida (2006) de prendre en compte l’animal, en l’occurrence l’agneau johannique, de le regarder, de se laisser regarder par lui et de le suivre pour discerner de nouvelles possibilités ontologiques. À partir de la description du Jésus johannique plus qu’humain de Stephen Moore (2017) et du concept d’agencement de Deleuze et Guattari, je cartographie la configuration des disciples et du lectorat de l’Évangile selon Jean comme un agencement qui brouille les frontières cartésiennes entre humains, animaux et végétaux. L’objectif est de formuler une réponse créative à la crise écologique qui s’inscrit dans la ligne du modèle d’indistinction délimitée par Calarco (2015) pour abandonner la prétention des humains à l’unicité en concevant de nouvelles dynamiques interespèces pour permettre aux animaux (humains et non-humains) de se développer ensemble dans un monde en difficulté.
Uncovering the Synergy: Karnataka Government's Collaboration with Third Sector Organizations (TSOs) for Rural Development and Support during Covid-19
Authors: Bharathi, T. N.  , Ganapathy M.S. , Siddayya  , Sree Lakshmi, A.  
Published: March 2024

Aims: Third sector organisations comprises of charities, social enterprises, and voluntary groups supporting communities at local level. The study has focused on the relationship between the State and Third Sector Organizations (TSOs) in delivering services to impoverished rural community.
Study Design: Mention the design of the study here.
Place and Duration of Study: Thirty TSOs were chosen from Kolar, Chikkaballapur, and Tumakuru districts, encompassing a variety of entities including NGOs, SHGs, and primary-level cooperatives, which collectively constitute the third sector comprising charities, social enterprises, and voluntary groups supporting local communities. The data pertains to the year 2021-22.
Methodology: To achieve the specific objectives of the study, descriptive statistics were employed to assess the service delivery dynamics between the State and TSOs.
Results: The findings revealed that during the unprecedented times of the COVID-19 pandemic, Third Sector Organizations (TSOs) have played a crucial role in extending support to communities in various spheres. Despite the challenges posed by the pandemic, TSOs extended educational support to 1,687 individuals, representing 2.06 per cent of the total beneficiaries. A significant majority (83.33%) of these organisations actively participated in implementation of Government-supported projects, maintaining a two-way relationship with the government (73.33%). The organisations had also taken financial help from Government in the form of funds (70 %), grants (33.33 %), and subsidies (33.33 %). The study also revealed that majority (66.67 %) of the organizations were having political interference in TSO. Furthermore, a substantial majority (90%) of the organizations anticipated timely financial support from the Government.
Conclusion: The study underscores the indispensable role of Third Sector Organizations (TSOs) in bolstering impoverished rural communities, particularly during the COVID-19 pandemic. Despite challenges, TSOs actively engage in government-supported projects, fostering a symbiotic relationship. However, concerns persist regarding political interference within TSOs, highlighting the need for safeguarding their autonomy. Overall, the findings emphasize the necessity of consistent and timely financial support from the government to sustain TSO initiatives effectively. The study recommended the necessity of providing punctual financial support from the government to encourage TSOs in enhancing their service delivery to the rural poor.
Effect of Cattle Urine and Humic Acid on Growth of Nutmeg Grafts
Authors: Debaje Prashant P. , Gawankar M. S. , Nike H.P. , Haldavanakar P. C. , Khandakar R. G. , Haldankar P. M. 
Published: March 2024

The experiment was conducted at AICRP Oil Palm, College of Horticulture, Mulde, Sindhudurg under Dr. B. S. K. K. V. Dapoli, during the year 2020-2023 to assess the Effect of Cattle urine and humic acid spray sprays on growth of nutmeg grafts. The experiment was laid out in Randomized Block Design with three replications with eight different treatments of foliar application, cattle urine spray at (15% ,25%), and Humic acid spray at (0.4) and drenching, cattle urine drench at (15%, 25%), Humic acid drench at (0.2, 0.6), and Control (No spray), are applied on nutmeg grafts after 45 days of grafting up to 135 days and different growth parameter observation were recorded up to highest survival and saleable percentages. The best results was obtained from treatment T-7 (0.4% Humic acid spray) record significantly highest survival (95%), saleable percent (97.67%) along with highest height (15.85cm), girth (24.21mm), number of leaves (24.21), leaf length (15.85cm), leaf area (44.35cm2) and tap root in T-7 length (20.60cm).The highest cost benefit ratio were recorded significantly highest in T-7 hence for the excellent growth of nutmeg grafts in Konkan region of Maharashtra 0.4% humic acid spray is recommended.
Geometric effects of mixing in 2D granular tumblers using discrete models
Authors: Cisar Stephen E. , Ottino Julio M. , Lueptow Richard M. 
Published: March 2007

AbstractDiscrete models are an effective method to study mixing of granular materials in a variety of cases. We study the mixing of monodisperse granular materials in 2D tumblers rotating in the avalanching regime using two different discrete models. First, we develop a cellular automata (CA) model based on comparing the heights of columns of particles in the CA grid that results in irregular avalanching and mixing of particles. Second, we use a model based on mapping of wedge regions that has been shown to reproduce experimental results. We compare mixing of like particles in tumblers of various shapes and fill fractions using both models. Mixing rates for half‐full tumblers demonstrate a strong dependence on the symmetries of the tumbler shape. More than half‐full tumblers give rise to a core of unmixed particles with a shape that changes with fill fraction. This results in multiple extrema in the mixing rate depending on the fill fraction. Mixing is fastest for low fill fractions, and triangular tumblers provide the quickest mixing. While the wedge and CA models produce quantitatively similar results, the cellular automata model is substantially more flexible and typically runs in an order of magnitude less time. © 2007 American Institute of Chemical Engineers AIChE J, 53: 1151–1158, 2007
Rotationsfähigkeit von verbundlos vorgespannten Segmenttragwerken
Authors: Möller Juliane , Stempniewski Lothar 
Published: March 2007

AbstractDer Einsatz von verbundlos vorgespannten Segmentträgern mit Trockenfugen ermöglicht kurze Bauzeiten und aufgrund der Demontierbarkeit ein nachhaltiges Bauen. Für eine wirtschaftliche Dimensionierung der Segmente wird ein Öffnen der Fugen im Grenzzustand der Tragfähigkeit zugelassen, so dass sich das Trag‐ und Verformungsverhalten deutlich von der monolithischen Bauweise unterscheidet. Nach DIN 1045‐1 sind bisher Schnittgrößenumlagerungen in Segmenttragwerken mit Trockenfugen nicht zulässig. Experimentelle und numerische Untersuchungen zeigen jedoch, dass unter Beachtung der Lage der Fuge zu einem plastischen Gelenk die Rotationsfähigkeit von Segmenttragwerken für Schnittgrößenumlagerungen ausreichend ist. Es werden der Einfluss der Biege‐ und Schubschlankheit auf die Rotationsfähigkeit von Segmenttragwerken und ein Vorschlag zur Schnittgrößenermittlung mit Umlagerung vorgestellt.
Probleme bei der Berechnung von Stahlbetonkonstruktionen mittels dreidimensionalen Gesamtmodellen
Authors: Rombach Günter A. 
Published: March 2007

AbstractIn der Praxis werden für die Berechnung von Stahlbetontragwerken immer häufiger dreidimensionale Finite‐Elemente‐Modelle des gesamten Tragwerkes (Gesamt‐ oder Gebäudemodelle) verwendet, wobei teilweise auch das stofflich nichtlineare Materialverhalten des Betons berücksichtigt wird. Dabei wird oftmals den Ergebnissen des Rechenprogramms blind vertraut. Aus Zeitgründen unterbleiben die unbedingt notwendigen Kontrollen ebenso wie eine übersichtliche Dokumentation der wesentlichen Rechenergebnisse. Diese Entwicklung bietet Anlass zur Sorge im Hinblick auf die Tragsicherheit der Bauwerke. In diesem Beitrag werden an einer relativ einfachen Tragstruktur, einer Bogenbrücke, die Schwierigkeiten erläutert, welche bei komplexen FEBerechnungen auftreten können. Es wird verdeutlicht, dass eine automatische, programminterne Bemessung von Stahlbetontragwerken nicht möglich ist. Die Ausführungen sollen dazu dienen, dem Tragwerksplaner die Notwendigkeit einer eingehenden Prüfung der Ergebnisse zu vermitteln.
Hochfester Beton im Eisenbahnwesen: Dieser Bericht erschien auch in der niederländische Fachzeitschrift “Cement”, Heft 6/2006
Authors: de Bruijn Jos , van der Vaart Frank , van der Veen Cor 
Published: March 2007

AbstractBrücken im Eisenbahnwesen wurden bisher vorwiegend aus Stahl gebaut. Beim Entwurf neuer Brücken und beim Ersetzen vorhandener Brücken fällt die Entscheidung meist wieder zugunsten von Stahlbrücken aus, weil diese i. A. eine geringere Bauhöhe haben als Brücken aus herkömmlichem Beton. Mit hochfestem Beton scheint es jedoch möglich zu sein, Brücken mit einer vergleichbaren Bauhöhe zu konzipieren, die eine gute Alternative zu Stahlbrücken darstellen können. Im Eisenbahnbereich wurde hochfester Beton allerdings noch nicht angewendet. Deshalb wurden hierzu Untersuchungen durchgeführt.
Intraoperative diagnosis and treatment of parathyroid cancer and atypical parathyroid adenoma
Authors: Ippolito G , Palazzo F F , Sebag F , De Micco C , Henry J F 
Published: March 2007

Abstract

Background
Distinction of parathyroid cancer from atypical parathyroid adenoma (APA) at operation is difficult. The aim of this study was to determine whether parathyroid cancer and APA have different operative findings and long-term outcomes.

Methods
A retrospective review was undertaken of patients with suspicious or malignant parathyroid tumours treated between 1974 and 2005. Parathyroid cancer was defined as a lesion with vascular or tissue invasion, and APA as a neoplasm with broad fibrous bands, trabecular growth, mitosis and nuclear atypia.

Results
Twenty-seven patients with suspicious or malignant parathyroid tumours were identified. After histological review, parathyroid cancer was confirmed in 11 patients (group 1) and 16 tumours were classified as APA (group 2). The clinical presentation and operative findings of the two types of tumour were indistinguishable. At initial surgery, seven patients in group 1 underwent en bloc resection, and four had parathyroidectomy. Four of the seven patients who had en bloc resection had recurrences. No recurrences were observed in the other seven patients in group 1 at a median follow-up of 65 months. In group 2, eight patients had en bloc resection and eight had parathyroidectomy; no patient had recurrence at a median follow-up of 91 months.

Conclusion
Operative findings cannot distinguish APA from parathyroid cancer reliably. Without evidence of macroscopic local invasion, the value of en bloc resection at initial surgery remains debatable.
Epidemiological study of the relationship between volume and outcome after abdominal aortic aneurysm surgery in the UK from 2000 to 2005
Authors: Holt P J E , Poloniecki J D , Loftus I M , Michaels J A , Thompson M M 
Published: March 2007

Abstract

Background
The aim was to assess the relationship between hospital volume and outcome after abdominal aortic aneurysm (AAA) surgery in the UK.

Methods
Hospital Episode Statistics (2000–2005) were classified as elective, urgent or ruptured AAA repair. Analysis was by modelling of mortality rate, complication rate and length of hospital stay with regard to the annual operative volume, after risk adjustment.

Results
There were 112 545 diagnoses, or repairs, of AAAs, of which 26 822 were infrarenal aneurysms. The mean mortality rate was 7·4, 23·6 and 41·8 per cent for elective, urgent and ruptured AAA repair respectively. Elective AAA repair undertaken at high-volume hospitals showed volume-related improvements in mortality (P &lt; 0·001). Patients were discharged from hospital earlier (P &lt; 0·001). The critical volume threshold was 32 elective AAA repairs per year. For urgent repair, patients at high-volume hospitals had a reduced mortality rate (P = 0·017) with an increased length of stay (P = 0·041). There was no relationship between volume and outcome for ruptured AAA repairs.

Conclusion
Increased annual volumes were associated with significant reductions in mortality for elective and urgent AAA repair, but not for repair of ruptured AAAs.
Randomized clinical trial comparing bipolar coagulating and standard great saphenous stripping for symptomatic varicose veins
Authors: Lorenz D , Gäbel W , Redtenbacher M , Weissenhofer W , Minzlaff M , Stengel D 
Published: March 2007

Abstract

Background
Typical side-effects of saphenous stripping for symptomatic varicose veins include painful thigh haematomas, which a new bipolar coagulating electric vein stripper (EVS) may reduce.

Methods
In a randomized, single-blind trial at three vascular centres, 99 patients were assigned to EVS and 101 to conventional stripping. The primary outcome was postoperative pain at rest and following physical exercise (climbing stairs). Haematomas were quantified by ultrasonography. Further endpoints were duration of postoperative compression, sick leave and quality of life (measured by the Chronic Lower Limb Venous Insufficiency Questionnaire (CIVIQ) and Short Form 36 (SF-36®)).

Results
Mean resting visual analogue scale for pain 24 h after surgery was 1·6 in the EVS group and 3·3 in the conventional stripping group (mean difference 1·7, 95 per cent confidence interval (c.i.) 1·4 to 1·9, P &lt; 0·001). Mean ratings following exercise were 3·3 and 5·5 (mean difference 2·3, 95 per cent c.i. 2·0 to 2·6, P &lt; 0·001) respectively. No patient in the EVS group had a measurable thigh haematoma, compared with 74 patients after conventional stripping (P &lt; 0·001). The EVS significantly decreased the length of compression therapy and sick leave, and produced superior CIVIQ and SF-36 ratings.

Conclusion
The EVS was safe and effective in avoiding painful haematomas following varicose vein surgery.