bluuebunny/crossref_metadata_2025_split huggingface dataset:
Decision-making for Parents of Children With Medical Complexities: Activity Theory Analysis
Authors: Buchanan Francine , Lai Claudia , Cohen Eyal , Milo-Manson Golda , Shachak Aviv 
Published: January 2022

Background
Shared decision-making (SDM), a collaborative approach to reach decisional agreement, has been advocated as an ideal model of decision-making in the medical encounter. Frameworks for SDM have been developed largely from the clinical context of a competent adult patient facing a single medical problem, presented with multiple treatment options informed by a solid base of evidence. It is difficult to apply this model to the pediatric setting and children with medical complexity (CMC), specifically since parents of CMC often face a myriad of interconnected decisions with minimal evidence available on the multiple complex and co-existing chronic conditions. Thus, solutions that are developed based on the traditional model of SDM may not improve SDM practices for CMCs and may be a factor contributing to the low rate of SDM practiced with CMCs.

Objective
The goal of our study was to address the gaps in the current approach to SDM for CMC by better understanding the decision-making activity among parents of CMCs and exploring what comprises their decision-making activity.

Methods
We interviewed 12 participants using semistructured interviews based on activity theory. Participants identified as either a parent of a CMC or a CMC over the age of 18 years. Qualitative framework analysis and an activity theory framework were employed to understand the complexity of the decision-making process in context.

Results
Parents of CMCs in our study made decisions based on a mental model of their child’s illness, informed by the activities of problem-solving, seeking understanding, obtaining tests and treatment, and caregiving. These findings suggest that the basis for parental choice and values, which are used in the decision-making activity, was developed by including activities that build concrete understanding and capture evidence to support their decisions.

Conclusions
Our interviews with parents of CMCs suggest that we can address both the aims of each individual activity and the related outcomes (both intended and unintended) by viewing the decision-making activity as a combination of caregiving, problem-solving, and seeking activities. Clinicians could consider using this lens to focus decision-making discussions on integrating the child’s unique situation, the insights parents gain through their decision-making activity, and their clinical knowledge to enhance the understanding between parents and health care providers, beyond the narrow concept of parental values.
Rancang Bangun Alat Pengasapan Ikan dengan Metode Pengasapan Panas (Hot Smoking) dan Pengasapan Dingin (Cold Smoking)
Authors: Mangera Yosefina , Widanarti Indah , Br Karo Emai Rizkita 
Published: January 2022

The purpose of this study was to produce a fish smoking device for hot smoking and cold smoking methods. This study used 3 types of fish, namely paha fish (Leptobrama sp.), stingray (Dasyatis sp.), and tilapia fish (Oreochromis mossambicus), and the fuel used as fuel for smoking is coconut shell. The data measured included smoking room temperature data, fish weight before and after smoking. The data obtained were analyzed descriptively. The results showed that smoking fish using hot smoking and cold smoking methods with specifications, length 50 cm, width 50 cm, overall height 83 cm. This tool consists of three main components, namely, a fumigation chamber which is combined with a hot smoking biomass combustion chamber, a cold smoking biomass combustion chamber and a connecting pipe. The performance test of the tool was carried out by calculating the weight loss of fish during hot smoking and cold smoking. The smoking time used for hot smoking is 2 hours (temperature 50 – 75℃) and cold smoking 4 hours (30 – 45 ℃). The results showed that the highest percentage of weight loss during hot smoking occurred in stingrays on the second shelf, which was 29.25%, while the highest percentage of weight loss during cold smoking occurred in stingrays on the first shelf, which was 23.79%. The weight loss of fish in both hot and cold smoking is strongly influenced by the smoking time, the distance between the smoking rack and the heat source and the type of fish. Keywords : cold, heat, shrinkage, smoking, weight
Changes in diversity of protected scree and herb-rich beech forest ecosystems over 55 years
Authors: Hájek Vojtěch , Vacek Zdeněk , Vacek Stanislav , Bílek Lukáš , Prausová Romana , Linda Rostislav , Bulušek Daniel , Králíček Ivo 
Published: January 2022

Abstract
Species composition along with spatial and age structure are the main attributes of forest ecosystems. The diversity of scree forests and herb-rich beech forests was analyzed in the Broumovsko Protected Landscape Area, the Czech Republic. The paper objective was to evaluate forest structure and dynamics of species diversity of tree layer, natural regeneration and herb layer in the period 1961–2016. Scree forests were structurally, and species very rich forest stands, in herb-rich beech forests the stands were of medium richness. Studied stands managed by small-scale methods, in the past especially by coppicing and later by shelterwood and selection felling, have maintained high species biodiversity during the 55 years of observation. Substantially higher biodiversity was found out in scree forests compared to herb-rich beech forests. Based on the comparison of predominantly coppiced forest stand and stand of generative origin at sites of scree forests, coppice have maintained higher biodiversity than high forests. Species richness increased during the observation period, but species evenness had mostly decreasing tendency. Species heterogeneity in coppiced scree forests increased in tree layer and natural regeneration, but it decreased in herb layer; inverse dynamics was observed in the high forests. Changes in biodiversity dynamics were remarkable for coppice, while high forests showed relatively high level of stability. During study period herb population of light-demanding species and species characteristic for broadleaved forests decreased, while an increase in shade tolerant, moisture-demanding and nutrient-demanding species, especially nitrophilous species was confirmed. Moreover, occurrence of thermophilic plants increased, respectively cold-tolerant plant population decreased in relation to climate change.
A high proportion of norway spruce in mixed stands increases probability of stand failure
Authors: Roessiger Joerg , Kulla Ladislav , Sedliak Maroš 
Published: January 2022

Abstract
The decline of pure spruce forests in the Beskydy Mountains in the Czech Republic and Slovakia is mainly driven by bark beetle attacks and storm events. Salvage-harvest records based on timber volume on the forest-stand level document the extent of stand failure processed by salvage logging. On the basis of these records, the stand failure proportion was expressed as the proportion of timber volume processed by salvage harvest divided by the standing timber volume over a period of 10 years (sf). Two null hypotheses to be tested are that sf is not influenced by (H1) the size of trees expressed by mean stand age (age) or alternatively by mean stand diameter (dbh); and (H2) the volume proportion of spruce within the stand (spp). The dataset was evaluated as a total and separately for the three site types, each for spruce, beech, fir, larch, pine, and other broadleaved species. The dataset was analysed using a binary logistic regression. The sf increased with age, dbh, and the spp. Pure spruce stands with high age and high dbh on mountain sites are associated with the highest sf. However, a slight admixture of 25% tree species other than spruce was shown to stabilise the stands significantly. Species other than spruce in a minor admixture to spruce stands were destabilised by the breakdown of spruce stands. For a realistic financial evaluation of forest-stand management, managers should consider the risk of stand failure, and reduce the risk by increasing species admixture in the spruce forest stands.
KAJIAN TENTANG PERBAIKAN KUALITAS CITRA DALAM AIR MENGGUNAKAN METODE DARK CHANNEL PRIOR
Authors: Putra Edi , Lina Lina 
Published: January 2022

Digital image processing is a branch of engineering informatics. image processing is an attempt to change your photo or image into another by using certain techniques. The process of changing the image data into digital data by using a computer known as digital image processing. The purpose of this application is to improve the image quality of the water using test images and imagery training, to train image by image is in the water, while the test images by using the image processing Dark Channel Prior. The image that was in the sea water murky and foggy be processed and then do a comparison with the image that is not in the water. The design is made in the form of software applications to improve the quality of the image using the Dark Channel Prior. In this study, created by using Visual Basic 2013.
A case of fibromuscular dysplasia related intracerebral hemorrhage without angiographically cerebral abnormal vessels
Authors: Fujiwara Gaku , Maruyama Daisuke , Okabe Hidetosho , Komaru Yujiro , Murakami Mamoru , Katsura Kanade , Murakami Nobukuni , Hashimoto Naoya 
Published: January 2022

Background:
Fibromuscular dysplasia (FMD) can cause cerebral aneurysms and dissection, which can lead to stroke. Angiographic findings are important in the diagnosis. We report a case of FMD in which the cause of hemorrhage could not be determined by angiography.

Case Description:
A 73-year-old woman suffered from intracerebral hemorrhage (ICH) associated with FMD without abnormal angiography cerebral vessels. She presented with headache and nausea. Subsequent head-computed tomography-revealed ICH in the left frontal lobe, and contrast-enhanced magnetic resonance imaging revealed a gadolinium-enhancing lesion in the perihematoma area and in the genu of the corpus callosum. Although cerebral angiography revealed a string of beads appearance in the bilateral extracranial internal carotid arteries, no abnormality explaining the hemorrhage was identified. The hematoma was removed and the pathological diagnosis was FMD. In the pathological specimen, various patterns of vulnerable vessels, such as aneurysmal dilatation and obstruction, were observed, which could easily collapse and result in hemorrhage. In the case of ICH of unknown origin, microscopic vessel disruption due to FMD should also be considered.

Conclusion:
FMD can cause ICH in microscopic vascular lesions that are undetectable on angiography.
The Mediating Relationship of Political Skills between Political Personality Traits and Career Success of Educators in Punjab, Pakistan
Authors: Rehan Muhammad Farooq , Mumtaz Raheel , Khan Quaisar Ijaz , Iqbal Samreen 
Published: January 2022

Purpose of the Study: The study explored a unique framework developed from social cognitive career theory by hypothesizing the mediating relationships to test.
Design/methodology/approach: The statistical model measured mediating relationship by using SPSS version 23 and Process version 4.0 to summarize the findings. Total 400 questionnaires were distributed in different secondary schools of Punjab, Pakistan from which 317 were returned and 289 were found fit for analysis. The study is cross sectional in nature and data were collected physically and online as well through self-administrative questionnaire.
Findings: The results can be generalized as all the secondary schools follow the same rules and regulations. As for the results are concerned the mediating relationship of political skills between political personality traits and career success is significant.
ИННОВАЦИОННЫЕ ТЕХНОЛОГИИ СОЦИАЛЬНОЙ РАБОТЫ С ПОЖИЛЫМИ ЛЮДЬМИ (НА ПРИМЕРЕ РД)
Authors: Лугуева Ариза , Раджабова Анжела 
Published: January 2022

Перед государством встает острая необходимость в профессиональной работе с пожилыми людьми, где социальный работник занимает одну из главных ролей в социальной адаптации пожилых для поддержания их личностного и социального статуса, защиты их прав и законных интересов в целях улучшения качества жизни пожилых людей. Рассматривается практическое применение инновационных технологий социальной работы с пожилыми людьми. В работе проанализирован современный уровень социального обслуживания и меры по совершенствованию социальной работы с гражданами пожилого возраста. Рассмотрено состояние социального обслуживания граждан пожилого возраста в России на примере Республики Дагестан, выявлены проблемы социального обслуживания граждан пожилого возраста в Республике Дагестан, исследованы современные технологии и передовые практики социального обслуживания граждан пожилого возраста. В качестве методов эмпирического исследования применялись методы традиционного анализа документов, анализ статистических данных.
violación sexual es política: las migrantes venezolanas en las fronteras colombo-venezolanas
Authors: Mancilla Bautista Liliana 
Published: January 2022

El presente artículo tiene como objetivo aproximarse a analizar la violación sexual que han experimentado las mujeres migrantes venezolanas en las zonas de frontera entre Colombia y Venezuela durante la más reciente etapa de éxodo venezolano. Para esto, se partirá de la re!exión sobre los aportes teóricos de Rita Laura Segato acerca de las nuevas expresiones de la violencia contra la mujer y cómo el consumo del cuerpo femenino y el odio hacia el cuerpo de la mujer extranjera hacen parte de la construcción de un sistema de poder patriarcal paraestatal, donde la violación tiene que ver más con una expresión del poder político —por medio de un cuerpo-territorio— que con el deseo sexual, a pesar de sexualizar el cuerpo a través de su profanación. Esta indagación se hará a partir del diálogo de los aportes de Segato y otras autoras que circundan el tema de las relaciones de dominación y apropiación de la mujer, y se tomarán de fuentes secundarias diversos relatos de las migrantes para comprender este fenómeno. Por último, se señalarán los límites teóricos de la propuesta de Segato relacionados con la producción de un sujeto mujer-víctima-sacrificial sin capacidad de agencia, ni de reapropiación de su cuerpo como campo político para vindicar la reparación y desafiar al mandato masculino.
Perlindungan Hukum Atas Jaminan Kesehatan Bagi Pekerja Migran Indonesia Di Hongkong Masa Pandemi Covid 19
Authors: Indiantoro Alfalachu , Izziyana Wafda Vivid , Sari Rika Maya , Rimbawan Andhika Yuli 
Published: January 2022

Dunia dikejutkan dengan wabah virus corona (Covid-19) yang menginfeksi hampir seluruh negara. bermula dan terdeteksi di Wuhan China. mulai tersebar keberbagai penjuru dunia. Indonesia adalah negara pengirim pekerja migran. Sehingga pada masa pandemic covid 19 Indonesia harus memperhatikan jaminan atas kesehatan bagi pekerja migran di luar negeri. Penelitian ini menggunakan metode penelitian doktrinal atau yuridis normatif menganalisis aturan serta bentuk perlindungan hukum atas jaminan kesehatan bagi pekerja migran Indonesia di Hongkong pada masa pandemic covid 19. hasil penelitian ini menjelaskan bahwa Employment Ordinance (Cap. 57) merupakan Undang-undang yang mengatur ketentuan-ketentuan umum berkaitan dengan perlindungan pekerja dan pemberi kerja yang menjadi salah satu pedoman di masa pandemi covid 19. Aturan tersebut merupakan kebijakan pemerintah Hongkong terhadap kontribusi pekerja migran. Kebijakan pemerintah Hongkong di Masa pandemi covid 19 PMI dtidak boleh bekerja diluar batas, upaya jaminan kesehatan bagi PMI di Hongkong melalui vaksinasi. Pelaksanaan vaksinasi di monitoring kementrian ketenagakerjaan kementrian kesehatan dan KBRI. Sistem kesehatan masa pandemic covid 19 di Hongkong sama dengan sistem layanan kesehatan Inggris. pelayanan kesehatan dikoordinasikan melalui biro makanan dan kesehatan. layanan kesehatan holistic ini dapat diakses semua pihak di Hongkong, Pekerja migran dalam kasus darurat yang mengancam nyawa di masa pandemic covid 19 dapat mengakses layanan tanpa diskriminasi. Layanan kesehatan terdiri dari layanan dengan skema CSSA yang meliputi 90% rumah sakit dan 29% layanan medis non rawat rumah sakit. Serta layanan bersubsidi dari HKSAR. PMI di tetapkan sebagai salah satu penerima vaksin covid 19 oleh pemerintah Hongkong. PMI dianjurkan konsultasi ke dokter terlebih dahulu untuk mendaftarkan diri untuk mengikuti vaksinasi. Vaksinasi yang dapat di lakukan di pusat vaksinasi atau di beberapa klinik rawat jalan. Hongkong tersedia vaksin coronavac buatan sinovac biotech limited dan vaksin comirnaty yang di kembangkkan yang di kembangkan oleh Foshun parma yang berkolaborasi dengan Biontech. Perlindungan hukum bagi PMI di berikan oleh pemerintah HIKSAR dengan cara memberikan layanan rujukan dapat di akses melalui bahasa Indonesia. Sehingga PMI dapat memahami dengan jelas dan tidak terpengaruh isu simpang siur tentang pengaruh vaksinasi pada masa pandemi covid 19.
Pemutusan Hubungan Kerja Masa Pandemi Covid-19 Di Indonesia Perspektif Force Majeure
Authors: Budiwati Septarina , Inayah Inayah , Nuswardani Nuswardani , Izziyana Wafda Vivid 
Published: January 2022

Dunia menghadapi permasalahan yang sangat krusial termasuk di negara Indonesia masa Pandemi Covid-19 saat ini. kerugian yang berdampak pada kesehatan maupun perekonomian. Indonesia melakukan pencegahan penyebaran terhadap pandemi melalui berbagai kebijakan. Kebijakan tersebut, membuat perekonomian Indonesia mengalami banyak permasalahan, beberapa perusahaan mengambil langkah untuk mengurangi kerugian akibat Covid-19. Pekerja harus istirahat dan bekerja di rumah. Penelitian ini menggunakan metode yuridis normatif, menganalisis aturan-aturan, kebijakan, asas, serta prinsip hukum ketenagakerjaan. Hasil penelitian Perlindungan hukum adalah memberikan pengayoman terhadap hak asasi manusia masa pandemic covid 19 saat ini. PHK sejalan dengan Pasal 164 dan 165 Undang-Undang No.13 Tahun 2003 tentang Ketenagakerjaan menyatakan bahwa suatu perusahaan berhak memutus hubungan kerja terhadap pekerja apabila suatu perusahaan mengalami kerugian. Perusahaan yang memutus hubungan kerja di masa pandemi Covid-19 seringkali menggunakan alasan force majeure, padahal perusahaan tersebut masih berproduksi seperti biasanya. syarat PHK perusahaan yaitu, perusahaan terbilang mengalami penurunan atau kerugian selama 2 tahun. pandemi saat penetapan PHK belum mencapai 2 tahun. Kejelasan force majeure menjadi pertanyaan memasuki klasifikasi dalam bencana alam atau tidak. alasan force majeure yang dipakai perusahaan untuk memutus hubungan kerja tidak dapat dibenarkan. force majeure dalam Kebijakan Pemutusan Hubungan Kerja dimasa pandemi Covid-19 di Indonesia Merujuk Pasal 164 Ayat (1) Pasal 164 Ayat (3) UU 13/2003 Menteri Ketenagakerjaan, menghimbau bahwa perusahaan seharusnya membuat langkah yang bisa ditempuh seperti; mengurangi upah, fasilitas, shift kerja, atau merumahkan sementara waktu. beberapa perusahaan mengeluarkan kebijakan memutus hubungan kerja tetap berdalih tidak memiliki dana yang cukup untuk membayar pesangon atau upah para pekerja. Hal tersebut menyalahi Peraturan ketenagakerjaan yang menyakan bahwa perusahaan boleh tutup jika sudah mencapai kerugian selama 2 tahun. Covid-19 ini belum mencapai dua tahun. Alasan force majeure yang dipakai oleh beberapa perusahaan tidak dapat diterima oleh beberapa kalangan. force majeure diartikan sebagai kejadian yang timbul diluar kemauan dan kemapuan. Keadaan memaksa tersebut meliputi: Keadaan memaksa bersifat mutlak (absolut) Keadaan memaksa bersifat mutlak (relatif). Wabah covid-19 merupakan peristiwa yang tidak terduga pada saat perjanjian atau kebijakan itu dibuat. Artinya jika ada perjanjian yang dibuat pada saat wabah sedang menjalar dan menjangkit pemutusan hubungan kerja tidak dapat dijadikan alasan sebagai force majeure.
7 • I contratti di rete che coinvolgono imprese di grandi dimensioni
Authors: La Rotonda Carlo , Arianna Lupo 
Published: January 2022

Large Italian companies play a decisive role in the productive activities and benchmarks set in several areas with positive effects for SMEs and their supply chains. Business network contracts act as drivers of collaboration and management of relations between large enterprises and SMEs. The first part of the chapter introduces the context of the networks in which large enterprises exist; the second part highlights the results of the 2021 Survey and looks at the "large enterprises" sub-sample, with a focus on the launch and objectives of the networks examined, their organizational structure, coordination mechanisms, performance and evolution.
Effectiveness of oxidative stress correction at non-alcoholic steatohepatitis and diabetic kidney disease in patients with type 2 diabetes mellitus
Authors: Khukhlina O. S. , Kotsiubiichuk Z. Y. , Antoniv A. A. 
Published: January 2022

Objective — to study the state of oxidative‑antioxidant homeostasis, intensity of hepatocytes’ apoptosis based on the blood levels of cytokeratin‑18 in patients with non‑alcoholic steatohepatitis (NASH) and type 2 diabetes mellitus (DM 2) depending on the stage of diabetic kidney disease, and to investigate effects of the medications’ complex on the above factors.
Materials and methods. The investigation was performed in the dynamics of treatment of 75 NASH patients with DM 2 and DKD of stage I — III. Depending on the treatment type, patients were divided into two groups. The control group (37 patients) was administered a hypocaloric diet with account of dietary restrictions #9, received essential phospholipids (Essentiale forte H) 300 mg 2 caps. 3 times a day) during 30 days for the NASH treatment, and antidiabetic and lipid‑lowering therapy with metformin hydrochloride (Metformin ‑Teva) 1000 mg per day, rosuvastatin (5 mg 1 time per day) for 1 month. The main group consisted of 38 patients and in addition to the similar 30 days of dietary recommendations, essential phospholipids, hypoglycemic and hypolipidemic therapy, received quercetin and povidone (Corvitin) 500 mg intravenously in 100 ml of isotonic sodium 10 mg for 10 days. The mean age of patients was (54.7 ± 3.56) years. Both groups were randomized by age, gender ratio and disease duration.
Results. Before the treatment, the significant degree of oxidative stress was established, which was accompanied by accumulation in the blood of intermediate and final products of lipid peroxidation and oxidative modification of proteins. Blood plasma levels of malonic aldehyde exceeded the reference values in 2.1 times (p < 0.05). The state of the antioxidant defense system was significantly disbalanced. The blood levels of reduced glutathione were in 1.7 times lower than in healthy individuals (p < 0.05), glutathione peroxidase activity was inhibited in 1.3 times (p < 0.05), which explains the high intensity of oxidative stress in the examined patients.
Conclusions. In patients with type 2 diabetes mellitus, accompanied by diabetic kidney disease with comorbid non‑alcoholic steatohepatitis, the significant increase in the oxidative stress intensity was observed, together with 1 to 3‑fold raise (p < 0.05) in the blood levels of intermediate and final products of lipid peroxidation and oxidative proteins’ modification.
Śląsk Cieszyński: spojrzenie na regionalizm z perspektywy geografii społecznej
Authors: Matykowski Roman 
Published: January 2022

The multidimensionality and multifacetedness of relations between residents and the area they inhabit in the form of regionalism, as well as the activities of organizations aimed at the development of pro-regional attitudes have found themselves in the field of interest of various scholarly disciplines, including geography. Roman Matykowski’s aim in this article is to examine this phenomenon from the perspective of geography, which in various periods of its development also used the achievements of other disciplines (e.g., sociology). In the second part his article, Matykowski uses the perspective of social geography to present selected results of his research on the specific regionalism in Cieszyn Silesia.