376 research outputs found

    Revolutionizing Digital Marketing with Blockchain Technology: An empirical investigation of Pakistani SMEs

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    Blockchain technology, with its unique advantages of decentralization, security, and transparency, has completely changed marketing strategies and brought new modern frameworks. Scholars and industry professionals have been drawn to this technology in recent years to investigate the fundamental mechanisms and prospects of using blockchain technology in marketing. This study aims to investigate the future impact of blockchain technology on digital marketing by focusing on its role in reducing costs, improving security and privacy. To fulfill the aim of the study, the author investigates the perceived benefits of blockchain adoption in digital marketing, including its disintermediation, transparency, and security. The research also aims to provide insights for marketers, firms, and governments on how to use blockchain technology to enhance digital marketing practices. The study used a structural questionnaire to assess the intention to use blockchain technology in digital marketing among small and medium-sized enterprises in Pakistan. The present study conducted the structure equation modelling analysis to empirically examine the hypothesis via AMOS. The study demonstrates that employees\u27 intentions to utilize blockchain technology for digital marketing are significantly influenced by training, perceived value, and resource availability. Additionally, user adoption intentions are greatly influenced by blockchain capabilities including security & privacy, storytelling, disintermediation, and transparency

    „Wir sprachen babylonisch kunterbunt“: literarische Kreativität bei Ilma Rakusa

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    This article examines the creative use of the German language in the works of Ilma Rakusa, a writer born in Slovakia and currently living in Zurich, Switzerland. In particular, the analysis deals with the collection of poems Impressum: Langsames Licht. Gedichte (2016) and the literary creativity of the author who mixes with great skill multilingual play on words, sounds, voices and alliterations, rendered through a creative manipulation of the German language. Chinese words, Hebrew names as well as entire English and French sentences can be found in Ilma Rakusa’s poems, which lead to a rhythmic, multilingual and partly rhymed texture

    Die "poetische Autobiographie" Mehr Meer von Ilma Rakusa

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    The goal of the following contribution is to analyse the book Mehr Meer by theSwiss author Ilma Rakusa in terms of genre designation. The fascinating text contains many autobiographical elements and references but is exquisitelyliterary formed, in style it does not differ from other texts of the author. Because Mehr Meer is written in an explicit poetic style, typical for the Swiss Author, and because the work is formed by different literary strategies, the most appropriate terms seem to be literalized or poeticized autobiograph

    Present distribution of the threatened killifish Aphanius fasciatus (Actinopterygii, Cyprinodontidae) in the Maltese Islands

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    A survey of the nine localities from which the threatened Killifish Aphanius fasciatus has been recorded in the Maltese Islands showed that large and thriving populations exist at Salina, at the Simar and Ghadira bird sanctuaries and in reservoirs at Marsa and Ghadira. The Simar and Ghadira populations are introduced and originate from a mixture of animals collected from Salina and Marsa. The provenance of the Marsa population is unknown but it is possibly autochthonous to the Marsa area. The Salina and possibly the Marsa populations seem to be the only remaining natural populations of this species in the Maltese Islands.peer-reviewe

    Hubungan Disfungsi Ventrikel Kiri dengan Gangguan Fungsi Ginjal Tahap Dini yang Dinilai dengan Cystatin C

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    Abstract RELATIONSHIP LEFT VENTRICULAR DYSFUNCTION WITH IMPAIRED EARLY STAGE OF RENAL FUNCTION ASSESSSED BY CYSTATIN Zakhri Ilma Fadly, Zainal Safri*, Abdur Rahim Rasyid Lubis**, Refli Hasan* C Division of Cardiology*, Division of Nephrology-Hypertension** Department of Internal Medicine Faculty of Medicine, University of North Sumatra H. Adam Malik / Dr. Pirngadi Hospital Medan Background: Heart failure and chronic kidney disease has similarities to the process of the underlying pathology that is the process that has been going on long before clinical symptoms appear which cause the diagnosis is often delayed in the early stages of disease progression, so that progress and improvements in early detection can be a great potential to reduce the numbers morbidity and mortality from this disease. State of heart failure can be detected early by echocardiography examination in patients with heart failure risk faktor encountered when left ventricular dysfunction. Studies meta-analysis showed that cystatin C is another appraiser renal function is more sensitive to assess the decline in glomerular filtration rate of mild to moderate compared with creatinine. Aim: To find out how the relationship between left ventricular dysfunction with impaired early stages of renal function was assessed by cystatin Materials and Methods: C Cross-sectional study conducted on patients with systolic dysfunction and diastolic dysfunction who came to Dr H. Adam Malik and Dr. Pirngadi Hospital Medan in June to December 2011. Anamnesis, physical examination, electrocardiography, laboratory examinations were perfomed and serum cystatin C was measured. Then we correlate and compared serum cystatin C values between systolic and diastolic dysfunction patiens. Results: Found 13 patients with systolic dysfunction and 22 patients with diastolic dysfunction, the two groups hardly differ in terms of age, gender, body mass index, hemoglibin, creatinine and GFR (Crockcroft- Conclusion: Gault). There were no statistically significant differences between the two groups even though serum cystatin C values in the group are higher than systolic dysfunction diastolic dysfunction group (1.22 ± 0.39 vs. 1.17 ± 0.43 mg / L with p = 0.76). Bivariate correlation between serum cystatin c with systolic dysfunction is not significant (r = - 0.09 and p = 0.75) and of diastolic dysfunction is also not significant (r = - 0.13 and p = 0.54) Found no relationship between left ventricular dysfunction with impaired early stage of renal function was assessed by cyatatin C. Keywords: Left Ventricular Dysfunction, Serum Cystatin C, Impaired Early Stage of Renal FunctionAbstrak HUBUNGAN DISFUNGSI VENTRIKEL KIRI DENGAN GANGGUAN FUNGSI GINJAL TAHAP DINI YANG DINILAI DENGAN CYSTATIN C Zakhri Ilma Fadly, Zainal Safri*, Abdur Rahim Rasyid Lubis**, Refli Hasan* Divisi Kardiologi*, Divisi Nefrologi-Hipertensi** Departemen ilmu Penyakit Dalam Fakultas Kedokteran Universitas Sumatera Utara RSUP H. Adam Malik / RSUD Dr. Pirngadi Medan Latar belakang: Gagal jantung dan penyakit ginjal kronik memiliki kemiripan pada proses patologi yang mendasarinya yaitu adanya proses yang telah berlangsung lama sebelum gejala klinis muncul yang menyebabkan diagnosa sering terlambat pada tahap awal perkembangan penyakit, sehingga kemajuan dan perbaikan dalam deteksi dini dapat menjadi potensi yang besar untuk mengurangi angka kesakitan dan kematian dari penyakit ini. Keadaan gagal jantung dapat dideteksi secara dini dengan pemeriksaan ekokardiografi pada pasien dengan fakor resiko gagal jantung apabila dijumpai disfungsi ventrikel kiri. Penelitian-penelitian meta-analisis menunjukkan bahwa cystatin C merupakan penilai lain fungsi ginjal yang lebih sensitif untuk menilai penurunan laju filtrasi glomerulus yang ringan sampai sedang dibandingkan dengan kreatinin Tujuan: Untuk mengetahui bagaimana hubungan antara disfungsi ventrikel kiri dengan gangguan fungsi tahap ginjal dini yang dinilai dengan cystatin C Bahan dan Cara: Penelitian dilakukan secara potong lintang terhadap pasien dengan disfungsi sistolik dan disfungsi diastolik yang datang ke RSUP H. Adam Malik dan RSUD Dr. Pirngadi Medan pada Juni-Desember 2011. Dilakukan anamnese, pemeriksaan fisik, elektrokardiografi, laboratorium termasuk pemeriksaan cystatin C serum. Kemudian dikorelasi dan dibandingkan nilai cystatin C serum terhadap disfungsi sistolik dan diastolik Hasil: Didapatkan 13 pasien dengan disfungsi sistolik dan 22 pasien dengan disfungsi diastolik, kedua kelompok hampir tidak berbeda dalam hal usia, jenis kelamin, indeks massa tubuh, hemoglobin, kreatinin dan GFR (Crockcroft-Gault). Tidak terdapat perbedaan bermakna secara statistik antara kedua kelompok walaupun nilai cystatin C serum pada kelompok disfungsi sistolik lebih tinggi dari kelompok disfungsi diastolik (1,22 ± 0,39 vs 1,17 ± 0,43 mg/L dengan p = 0,76). Korelasi bivariat antara cystatin C serum dengan disfungsi sistolik tidak bermakna (r = - 0,09 dan p = 0,75) dan terhadap disfungsi diastolik juga tidak bermakna (r = - 0,13 dan p = 0,54) Kesimpulan: Tidak dijumpai hubungan antara disfungsi ventrikel kiri dengan gangguan fungsi ginjal tahap dini yang dinilai dengan cyatatin C. Kata kunci: Disfungsi ventrikel kiri, Cystatin C serum, Gangguan fungsi ginjal tahap dini67 HalamanTesis Magiste

    Hubungan Disfungsi Ventrikel Kiri dengan Gangguan Fungsi Ginjal Tahap Dini yang Dinilai dengan Cystatin C

    No full text
    Abstract RELATIONSHIP LEFT VENTRICULAR DYSFUNCTION WITH IMPAIRED EARLY STAGE OF RENAL FUNCTION ASSESSSED BY CYSTATIN Zakhri Ilma Fadly, Zainal Safri*, Abdur Rahim Rasyid Lubis**, Refli Hasan* C Division of Cardiology*, Division of Nephrology-Hypertension** Department of Internal Medicine Faculty of Medicine, University of North Sumatra H. Adam Malik / Dr. Pirngadi Hospital Medan Background: Heart failure and chronic kidney disease has similarities to the process of the underlying pathology that is the process that has been going on long before clinical symptoms appear which cause the diagnosis is often delayed in the early stages of disease progression, so that progress and improvements in early detection can be a great potential to reduce the numbers morbidity and mortality from this disease. State of heart failure can be detected early by echocardiography examination in patients with heart failure risk faktor encountered when left ventricular dysfunction. Studies meta-analysis showed that cystatin C is another appraiser renal function is more sensitive to assess the decline in glomerular filtration rate of mild to moderate compared with creatinine. Aim: To find out how the relationship between left ventricular dysfunction with impaired early stages of renal function was assessed by cystatin Materials and Methods: C Cross-sectional study conducted on patients with systolic dysfunction and diastolic dysfunction who came to Dr H. Adam Malik and Dr. Pirngadi Hospital Medan in June to December 2011. Anamnesis, physical examination, electrocardiography, laboratory examinations were perfomed and serum cystatin C was measured. Then we correlate and compared serum cystatin C values between systolic and diastolic dysfunction patiens. Results: Found 13 patients with systolic dysfunction and 22 patients with diastolic dysfunction, the two groups hardly differ in terms of age, gender, body mass index, hemoglibin, creatinine and GFR (Crockcroft- Conclusion: Gault). There were no statistically significant differences between the two groups even though serum cystatin C values in the group are higher than systolic dysfunction diastolic dysfunction group (1.22 ± 0.39 vs. 1.17 ± 0.43 mg / L with p = 0.76). Bivariate correlation between serum cystatin c with systolic dysfunction is not significant (r = - 0.09 and p = 0.75) and of diastolic dysfunction is also not significant (r = - 0.13 and p = 0.54) Found no relationship between left ventricular dysfunction with impaired early stage of renal function was assessed by cyatatin C. Keywords: Left Ventricular Dysfunction, Serum Cystatin C, Impaired Early Stage of Renal FunctionAbstrak HUBUNGAN DISFUNGSI VENTRIKEL KIRI DENGAN GANGGUAN FUNGSI GINJAL TAHAP DINI YANG DINILAI DENGAN CYSTATIN C Zakhri Ilma Fadly, Zainal Safri*, Abdur Rahim Rasyid Lubis**, Refli Hasan* Divisi Kardiologi*, Divisi Nefrologi-Hipertensi** Departemen ilmu Penyakit Dalam Fakultas Kedokteran Universitas Sumatera Utara RSUP H. Adam Malik / RSUD Dr. Pirngadi Medan Latar belakang: Gagal jantung dan penyakit ginjal kronik memiliki kemiripan pada proses patologi yang mendasarinya yaitu adanya proses yang telah berlangsung lama sebelum gejala klinis muncul yang menyebabkan diagnosa sering terlambat pada tahap awal perkembangan penyakit, sehingga kemajuan dan perbaikan dalam deteksi dini dapat menjadi potensi yang besar untuk mengurangi angka kesakitan dan kematian dari penyakit ini. Keadaan gagal jantung dapat dideteksi secara dini dengan pemeriksaan ekokardiografi pada pasien dengan fakor resiko gagal jantung apabila dijumpai disfungsi ventrikel kiri. Penelitian-penelitian meta-analisis menunjukkan bahwa cystatin C merupakan penilai lain fungsi ginjal yang lebih sensitif untuk menilai penurunan laju filtrasi glomerulus yang ringan sampai sedang dibandingkan dengan kreatinin Tujuan: Untuk mengetahui bagaimana hubungan antara disfungsi ventrikel kiri dengan gangguan fungsi tahap ginjal dini yang dinilai dengan cystatin C Bahan dan Cara: Penelitian dilakukan secara potong lintang terhadap pasien dengan disfungsi sistolik dan disfungsi diastolik yang datang ke RSUP H. Adam Malik dan RSUD Dr. Pirngadi Medan pada Juni-Desember 2011. Dilakukan anamnese, pemeriksaan fisik, elektrokardiografi, laboratorium termasuk pemeriksaan cystatin C serum. Kemudian dikorelasi dan dibandingkan nilai cystatin C serum terhadap disfungsi sistolik dan diastolik Hasil: Didapatkan 13 pasien dengan disfungsi sistolik dan 22 pasien dengan disfungsi diastolik, kedua kelompok hampir tidak berbeda dalam hal usia, jenis kelamin, indeks massa tubuh, hemoglobin, kreatinin dan GFR (Crockcroft-Gault). Tidak terdapat perbedaan bermakna secara statistik antara kedua kelompok walaupun nilai cystatin C serum pada kelompok disfungsi sistolik lebih tinggi dari kelompok disfungsi diastolik (1,22 ± 0,39 vs 1,17 ± 0,43 mg/L dengan p = 0,76). Korelasi bivariat antara cystatin C serum dengan disfungsi sistolik tidak bermakna (r = - 0,09 dan p = 0,75) dan terhadap disfungsi diastolik juga tidak bermakna (r = - 0,13 dan p = 0,54) Kesimpulan: Tidak dijumpai hubungan antara disfungsi ventrikel kiri dengan gangguan fungsi ginjal tahap dini yang dinilai dengan cyatatin C. Kata kunci: Disfungsi ventrikel kiri, Cystatin C serum, Gangguan fungsi ginjal tahap dini67 HalamanTesis Magiste

    Topical Legal Problems of Spatial Planning

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    Darbs identificē un risina aktuālas problēmas teritorijas plānošanas tiesiskajā regulējumā, tiesību normu piemērošanā un to jaunradē. Ņemot vērā apskatīto problēmu raksturu, darbs sadalīts četrās nodaļās. 1.nodaļā autors analizē teritorijas plānošanas jēdzienu, salīdzina citu valstu plānošanas jēdzienus, nošķir jēdzienu „telpiskā plānošana”. Darba 2.nodaļā cita starpā norādīts uz nacionālā līmeņa teritorijas plānojuma neesamības trūkumu, izvirzīti vairāki ieteikumi teritorijas plānošanas tiesību normu pilnveidei. Savukārt darba 3. un 4.nodaļā īpaša uzmanība tiek pievērsta sabiedrības līdzdalības tiesību ievērošanai, tiesībām vērsties tiesā ar vidi saistītu jautājumu risināšanā un rīcībai teritorijas plānojumu tiesiskuma uzraudzības uzlabošanai. Darba kopsavilkumā izvirzīti priekšlikumi būtiskāko teritorijas plānošanas problēmu novēršanai.The title of master’s work is “Topical legal problems of spatial planning”. The work consists of four chapters. In the first chapter author analysis the main concepts of planning. Author separates two basic concepts - territorial planning and spatial planning - and gives the common and opposite features to both of them. Author reviews the planning legislation of Scandinavia and several Western Europe states. The Second chapter is focused to main legal problems regarding the planning system in general. Author analysis the main legal threats that slow down the effectiveness of achieving the spatial planning goals. The third and fourth chapter is mostly dedicated to analysis of supervision procedure at municipality planning level as well as to the role of Constitutional court to ensure the public access to justice in environmental matters

    Liability for Environmental Damage Caused by Maritime Accidents

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    Maģistra darba tēma ir “Atbildība par kuģu negadījumu rezultātā jūras videi nodarīto kaitējumu”. Autore skaidro atbildības problemātiku, skatoties no Latvijas perspektīvas, vienlaikus paturot prātā, ka lielākā daļa problēmu šajā jomā rodas atbildības par jūras videi nodarīto kaitējumu starptautiskās dabas dēļ. Autore mēģina noskaidrot, vai būtu nepieciešams paplašināt atbildības jēdzienu starptautiskajā un nacionālajā līmenī. Papildus tiek izvērtēts, vai, lai saskaņotu nacionālo regulējumu ar starptautisko tiesību standartiem, nebūtu nepieciešams izdarīt grozījumus normatīvajos aktos. Visbeidzot autore piedāvā atsevišķus nepieciešamo izmaiņu variantus. Kopumā autore ierosina panākt vienošanos starptautiskā līmenī attiecībā uz atlīdzinājuma jēdziena paplašināšanu. Papildus tiek piedāvāts izdarīt atsevišķus grozījumus nacionālajā tiesiskajā regulējumā.The topic of Master’s thesis is “Liability for damage caused to marine environment by ship incidents”. The author seeks to explain the liability issues from Latvian perspective, while at the same time, staying aware that the most of them derive from the international nature of this kind of liability. The author tries to find out, whether it would be necessary to expand the concept of liability at both the international and national levels. Additionally, it is examined, if some adjustments regarding national regulatory framework in order to achieve higher level of conformation with international standards should be made. Finally, the author proposes some possibilities, how such adjustments could be made. In summary, the author proposes: It would be necessary to reach an agreement about the extension of reimbursement at the international level. In addition, there should be made some changes in national regulations regarding some aspects of liability
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