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Correlation Analysis of Lactic Acid Level as A Predictor of Severity of Patients with Acute Appendicitis 乳酸水平与急性阑尾炎患者病情严重程度的相关性分析
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.2816
Perforated appendicitis is a leading cause of morbidity and mortality in all appendicitis cases, both for adults and children. Delay in preoperative diagnosis is the main reason for perforation. In previous studies, it was revealed that diagnostic modalities such as radiological examination and the current scoring system have not been able to predict the onset of perforated appendicitis. Serological biomarkers of lactic acid are associated with intestinal obstruction and ischemia. The increase in the serological value of lactic acid in perforated appendicitis compared to acute one was shown to increase significantly by 0.25 mmol/L (p<0.05) according to a previous study. This study aimed to determine the correlation between lactic acid level and the severity of appendicitis in patients visiting Dr. Hasan Sadikin General Hospital. This was a cross-sectional prospective analytic observational study on adult patients diagnosed with appendicitis who were admitted to the emergency room of Dr. Hasan Sadikin General Hospital from January 1, 2021 to June 1, 2021. Data analysis was performed using bivariate analysis and correlation tests of difference. This study involved 54 subjects with a mean lactic acid level of 2,5093 mmol/L (0.9 mmol/L - 11.8 mmol/L). In the complicated appendicitis group, 20 subjects (37%) was found to experience an increase in lactic acid (OR 1.07; 95% CI: -0.03-0.22; p=0.14). The correlation analysis showed the direction of negative correlation. Thus, it is concluded that there is no significant correlation between lactic acid level and the severity of appendicitis in patients with appendicitis.
穿孔性阑尾炎是所有阑尾炎病例中发病率和死亡率的主要原因,无论是成人还是儿童。术前诊断的延误是导致穿孔的主要原因。在以前的研究中,发现诊断方式如放射检查和目前的评分系统不能预测穿孔性阑尾炎的发病。乳酸的血清学生物标志物与肠梗阻和缺血有关。先前的研究显示,与急性阑尾炎相比,穿孔阑尾炎的乳酸血清学值显著增加0.25 mmol/L (p<0.05)。本研究旨在确定在Dr. Hasan Sadikin总医院就诊的患者乳酸水平与阑尾炎严重程度之间的相关性。这是一项横断面前瞻性分析观察性研究,研究对象是2021年1月1日至2021年6月1日在哈桑·萨迪金综合医院急诊室就诊的诊断为阑尾炎的成年患者。采用双变量分析和差异相关检验进行数据分析。这项研究涉及54名受试者,平均乳酸水平为2,5093 mmol/L (0.9 mmol/L - 11.8 mmol/L)。在复杂阑尾炎组中,20名受试者(37%)发现乳酸增加(OR 1.07;95% ci: -0.03-0.22;p = 0.14)。相关分析显示出负相关的方向。由此可见,阑尾炎患者乳酸水平与阑尾炎严重程度无显著相关性。
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引用次数: 0
Impact of First Eye Cataract Surgery on Quality of Life 首次白内障手术对生活质量的影响
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.2935
M. W. Kuntorini, Maya Primagustya Achmad, Aldiana Halim
Cataracts are the second leading cause of visual impairment and the first cause of blindness, both globally and Indonesia. Cataracts do not only reduce vision but also the quality of life of the patients. Cataract surgery of at least one eye is expected to improve the patient's visual function and quality of life. This study aimed to assess the quality of life of patients with bilateral senile cataracts after the first eye surgery compared to people with normal vision. This was a cross-sectional study on 75 patients who underwent their first eye cataract surgery at the Cataract and Refractive Surgery Unit and 75 people with normal vision who visited the Refraction, Contact Lens, and Low Vision Unit of the National Eye Center of Cicendo Eye Hospital during the period of March-June 2020. The quality of life assessment was conducted through interviews using the National Eye Institute Visual Function Questionnaire-25. The non-inferiority test with a margin of 20% was performed. The mean age of the subjects was 63.49 years with no difference in the proportion of gender. Presenting visual acuity of binoculars after the first cataract surgery was 0.26 LogMAR and normal vision was 0.07 LogMAR. With a margin of 20%, the patient's quality of life after the first cataract surgery was not inferior to the normal vision subjects (d = -2.45% (95% CI -6.3% to 1.4%).) Hence, patients' quality of life after the first cataract surgery is not inferior to those with normal vision.
白内障是全球和印度尼西亚视力受损的第二大原因,也是失明的第一大原因。白内障不仅会降低视力,还会降低患者的生活质量。至少一只眼睛的白内障手术有望改善患者的视觉功能和生活质量。本研究旨在评估双侧老年性白内障患者在第一次眼部手术后与视力正常的人相比的生活质量。这是一项横断面研究,涉及75名在白内障和屈光手术室接受第一次白内障手术的患者,以及75名视力正常的患者,他们在2020年3月至6月期间访问了美国西塞多眼科医院国家眼科中心的屈光、隐形眼镜和低视力病房。生活质量评估是通过使用国家眼科研究所视觉功能问卷-25的访谈进行的。进行了20%的非劣效性测试。受试者的平均年龄为63.49岁,性别比例没有差异。第一次白内障手术后双筒望远镜的显示视力为0.26 LogMAR,正常视力为0.07 LogMAR。患者在第一次白内障手术后的生活质量不低于视力正常的受试者(d=-2.45%(95%CI-6.3%-1.4%),差异为20%。
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引用次数: 0
Effect of High Fat and Cholesterol Diet on Total Blood Cholesterol Levels in Pregnant Wistar Rats 高脂高胆固醇饮食对妊娠Wistar大鼠总胆固醇水平的影响
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.2651
Hypercholesterolemia during pregnancy is a physiological condition resulting from increased insulin resistance, lipoprotein synthesis, and lipolysis in adipose tissue, which mobilizes lipids as an energetic substrate for fetal growth. Consumption of foods high in fat and cholesterol may lead to an increase in total blood cholesterol levels during pregnancy due to saturated fat and cholesterol contents that will increases the synthesis of lipoproteins in the blood. The objectives of this study were to determine the effects of high fat and cholesterol diet on the total blood cholesterol levels in pregnant Wistar rats. This study was a true experimental research using a randomized post-test-only control group design  conducted from November 2020 to October 2021on fourteen female Wistar rats that were divided into control and intervention groups. Cow brain was provided as the high fat and cholesterol diet and after the rats gave birth, blood was drawn from the heart. The total blood serum cholesterol levels were assessed  using Micro Lab 300 with the CHOD-PAP method and the data were analyzed using an independent t-test. This study showed that the mean total blood cholesterol levels for the control and treatment groups were 80.43±18.512 mg/dL and  142.57±24.786 mg/dL, respectively, which reflected a significant differences in the mean total blood cholesterol level between the control and treatment groups (p-value <0.01). In conclusion, a high fat and cholesterol diet affects the total blood cholesterol level in pregnant Wistar rats.
妊娠期高胆固醇血症是一种由胰岛素抵抗、脂蛋白合成和脂肪组织脂解增加引起的生理状况,脂肪组织将脂质作为胎儿生长的能量基质。由于饱和脂肪和胆固醇含量会增加血液中脂蛋白的合成,在怀孕期间食用高脂肪和高胆固醇的食物可能会导致血液总胆固醇水平升高。本研究的目的是确定高脂肪和高胆固醇饮食对怀孕Wistar大鼠血液总胆固醇水平的影响。这项研究是一项真正的实验研究,使用了2020年11月至2021年10月在14只雌性Wistar大鼠上进行的仅试验后的随机对照组设计,这些大鼠被分为对照组和干预组。提供牛脑作为高脂肪和高胆固醇饮食,大鼠出生后,从心脏抽取血液。使用Micro Lab 300和CHOD-PAP方法评估血清总胆固醇水平,并使用独立t检验分析数据。本研究显示,对照组和治疗组的平均总血胆固醇水平分别为80.43±18.512 mg/dL和142.57±24.786 mg/dL,这反映了对照组和处理组之间的平均总胆固醇水平的显著差异(p值<0.01)。总之,高脂肪和高胆固醇饮食会影响怀孕的Wistar大鼠的总血液胆固醇水平。
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引用次数: 0
Pneumonia Clinical Features in Under-Five Children Treated in Atma Jaya Hospital in 2017-2020 2017-2020年在Atma Jaya医院接受治疗的五岁以下儿童的肺炎临床特征
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.2966
Rachel Roselany, Edward Surjono
Pneumonia is the leading cause of infection-related death among children and still remains a global health problem, especially for children under five. This study aimed to identify the clinical features of pneumonia in under-five chilren treated at Atma Jaya Hospital during the period of 2017-2020. This was a cross-sectional retrospective descriptive study on all under-five patients diagnosed with pneumonia treated in Atma Jaya Hospital. Data were collected from November 2021-January 2022 from the medical records of these children (n=148) and analyzed using the univariate analysis.  Results showed that most subjects of this study were boys (60.8%), in the age group of 1-4 years old (62.2%), with fever as the most common pnemonia clinical symptom (93.9%). Physical examinations revealed that the average pulse of the subjects were 131.2 beats/minute and the average temperature was 37.1°C. Other signs and symptoms identified during physical examinations were tachypnea (20,3%), retractions (56.1%), crackles (82.4%), and wheezing (22,3%). The laboratory findings presented a mean hemoglobin of 11.0 g/dL, a mean hematocrit of 32.5%, and a mean CRP of 13.2 mg/dL, while most subjects had normal leukocyte (58.1%) and platelet counts (52.0%). The most common chest X-ray finding of pneumonia in these children was infiltrate (92.6%) and the average length of stay was 4 days. Most under-five children experiencing pneumonia recovered after treatment (97.3%).
肺炎是儿童感染相关死亡的主要原因,并且仍然是一个全球健康问题,特别是对五岁以下儿童而言。本研究旨在确定2017-2020年期间在Atma Jaya医院治疗的五岁以下儿童肺炎的临床特征。这是一项横断面回顾性描述性研究,研究对象为在Atma Jaya医院接受治疗的所有5岁以下诊断为肺炎的患者。从这些儿童2021年11月至2022年1月的医疗记录中收集数据(n=148),并使用单变量分析进行分析。结果本研究以男孩为主(60.8%),年龄在1 ~ 4岁(62.2%),以发热为最常见的肺炎临床症状(93.9%)。体格检查显示,受试者平均脉搏131.2次/分钟,平均体温37.1℃。体检时发现的其他体征和症状为呼吸急促(20.3%)、内缩(56.1%)、噼啪声(82.4%)和喘息(22.3%)。实验室结果显示平均血红蛋白为11.0 g/dL,平均血细胞比容为32.5%,平均CRP为13.2 mg/dL,而大多数受试者的白细胞(58.1%)和血小板计数(52.0%)正常。这些儿童最常见的肺炎x线表现为浸润性肺炎(92.6%),平均住院时间为4天。大多数患有肺炎的五岁以下儿童在治疗后康复(97.3%)。
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引用次数: 0
Hospital Management Information System Implementation Assessment Using HOT-FIT Model in Langsa General Hospital Aceh, Indonesia 利用HOT-FIT模型对印尼亚齐Langsa总医院的医院管理信息系统实施进行评估
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.280
In providing the best health care to the community, hospitals as health care facilities utilize technologies that are influenced by developments and advances in medical sciences and technologies. One of such technologies is the information management technology. Since the quality of information processing is an essential factor for succesful medical care of patients, Regulation of the Minister of Health of the Republic of Indonesia Number 82 of 2013 requires all hospitals to implement a hospital information management system (HIMS). To assess the successful implementation of HIMS, various models and frameworks have been developed, including the HOT-FIT model. This study aimed to analyze the implementation of the hospital management information system at Langsa General Hospital, Aceh, Indonesia, using the HOT-FIT model which applied the SEM-PLS method. This quantitative study was performed in approximately three months using the HOT-FIT (company, technology-FIT human,) framework that includes nine variables of system quality, information quality, service quality, organization structure, facility situations, support from leadership, system usage, user satisfaction, and net benefits. Data analysis was performed using the SEM-PLS analysis in SmartPLS application (V.3.2.9). Results showed that human, organization, and technology supports were factors that influence the successful implementation of HIMS. To conclude, the HOT-FIT model can be used to identify the factors that influence the successful implementation of HIMS to inform the HIMS improvement in the hospital that will eventually improve the hospital’s quality system, information, service quality, and user satisfaction.
在向社区提供最好的保健服务时,医院作为保健设施利用的技术受到医学科学和技术发展和进步的影响。其中一种技术就是信息管理技术。由于信息处理的质量是成功为患者提供医疗服务的关键因素,2013年印度尼西亚共和国卫生部长第82号条例要求所有医院实施医院信息管理系统(HIMS)。为了评估HIMS的成功实施,已经开发了各种模型和框架,包括HOT-FIT模型。本研究旨在分析印尼亚齐Langsa总医院医院管理信息系统的实施情况,采用HOT-FIT模型,应用SEM-PLS方法。这项定量研究使用HOT-FIT(公司,技术- fit人)框架在大约三个月内完成,该框架包括系统质量、信息质量、服务质量、组织结构、设施情况、领导支持、系统使用、用户满意度和净收益等九个变量。使用SmartPLS应用程序(V.3.2.9)中的SEM-PLS分析进行数据分析。结果表明,人力、组织和技术支持是影响HIMS成功实施的因素。综上所述,HOT-FIT模型可用于识别影响HIMS成功实施的因素,从而为医院的HIMS改进提供信息,最终改善医院的质量体系、信息、服务质量和用户满意度。
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引用次数: 1
Association of Lower Urinary Tract Symptoms and Benign Prostatic Enlargement in Patients with Hypertension 高血压患者下尿路症状与良性前列腺增生的关系
IF 0.1 Pub Date : 2023-03-30 DOI: 10.15395/mkb.v55n1.2689
Development of hyperplastic nodules in the transition zone of the prostate is the characteristic of Benign prostatic enlargement (BPE). Men with hypertension have a high risk of severe lower urinary tract syndrome (LUTS). This restrospective cohort analytic study investigated the association between LUTS and BPE in hypertension patients. Subjects were BPE patients with primary hypertension who visited the urology clinic of Dr. Hasan Sadikin General Hospital Bandung that were sampled consecutively from 2017 to 2020. Three hundred and twenty-four patients from the urology department participated in the study. These patients were categorized into  mild LUTS (IPSS 1-7)  (n=37, 11.4%), moderate LUTS (IPSS 8-19) (n=169, 52.2%), and severe LUTS (IPSS 20-35) (n=118, 36.4%). A positive correlation (r = 0.761, p = 0.000) and weak positive correlation (r = 0.152, p = 0.006) were found between systolic blood pressure and prostate volume and between LUTS and systolic blood pressure, respectively. In addition, there was also a weak positive correlation between diastolic blood pressure and prostate volume (r = 0.065, p = 0.245) and LUTS (r = 0.015, p = 0.784). Thus, there is an association between hypertension and prostate enlargement and the severity of lower urinary tract symptoms
前列腺过渡区增生性结节的发展是良性前列腺肥大(BPE)的特征。患有高血压的男性患严重下尿路综合征(LUTS)的风险很高。这项回顾性队列分析研究调查了高血压患者LUTS和BPE之间的关系。受试者是2017年至2020年连续采样的曾在万隆Hasan Sadikin综合医院泌尿外科诊所就诊的原发性高血压BPE患者。来自泌尿外科的324名患者参与了这项研究。这些患者分为轻度LUTS(IPSS 1-7)(n=3711.4%)、中度LUTS(IPS 8-19)(n=16952.2%)和重度LUTS(IPSS 20-35)(n=11836.4%)。此外,舒张压与前列腺体积(r=0.065,p=0.245)和LUTS(r=0.015,p=0.784)之间也存在弱正相关。因此,高血压和前列腺肥大与下尿路症状的严重程度之间存在关联
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引用次数: 0
Samir Amin the African, Global Giant, and Epitome of uBuntu in Tireless Pursuit of the ‘Highest Level of Human Civilization’ 萨米尔·阿明:非洲人、全球巨人、不懈追求“人类最高文明”的乌班图代表
IF 0.1 Pub Date : 2023-03-10 DOI: 10.1163/21983534-10010003
N. Assié-Lumumba
This article is the English version of a presentation delivered at the international symposium that was held on February 10–12, 2020, in Dakar (Senegal) in honor and memory of Professor Samir Amin. In what could be read as an autoethnography of more than four decades of observation and evolution the intellectual journey has been enriched from the status and experiences as students to adult academics with critical perspectives shaped the uBuntu-inspired life vision of Samir Amin. The journey of this global giant evolved with extraordinary consistency from childhood questioning social inequality to the global arena as the ultimate advocate of the marginalized everywhere. He inspired generations with his unsurpassed prolific knowledge production, his intellectual rigor and his humanity. The article also recognizes the role of his comrade and spouse, Isabelle Eynard Amin. Samir Amin’s unwavering commitment to the struggle to create a new world of equality and respect of our common humanity to achieve the highest level of human civilization. Beside the economy as the substructure articulated in Marxist analysis, formal education, as part of the superstructure, plays a more critical role than conceived by the classical Marxist and dependency theory as a critical tool for colonial and neo-colonial control. Indeed, formal education also contains the seed for possible social transformation.
本文是2020年2月10日至12日在达喀尔(塞内加尔)举行的纪念Samir Amin教授的国际研讨会上发表的演讲的英文版。在这本可以被解读为四十多年观察和进化的自传中,从学生的身份和经历,到成年学者的批判性观点,丰富了萨米尔·阿明的智力之旅,塑造了ubuntu启发的人生愿景。从儿时质疑社会不平等,到在全球舞台上成为世界各地边缘化群体的终极倡导者,这位全球巨人的旅程始终保持着非凡的一致性。他以其无与伦比的丰富知识,他的知识严谨和他的人性激励了几代人。这篇文章也承认了他的同志和妻子伊莎贝尔·艾纳德·阿明的作用。萨米尔·阿明坚定不移地致力于为创造一个平等和尊重我们共同人性的新世界而奋斗,以实现人类文明的最高水平。在马克思主义的分析中,除了作为下层结构的经济之外,正规教育作为上层建筑的一部分,扮演着比经典马克思主义和依赖理论所设想的更为关键的角色,作为殖民和新殖民控制的关键工具。事实上,正规教育也包含着可能的社会变革的种子。
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引用次数: 0
Ubuntu: Applying a Southern Theoretical Paradigm to Counter Youth Radicalization 乌班图:运用南方理论范式对抗青年激进化
IF 0.1 Pub Date : 2023-03-10 DOI: 10.1163/21983534-10010006
R. Ghosh
As societal and community institutions, schools operate within certain worldviews. These worldviews impact the aims and objectives of schooling and therefore influence the culture of the school and classroom, not to mention the content of the curriculum and teacher practices. In this paper I consider the “traditional” African worldview of Ubuntu as a framework or a foundation for schooling and education to combat the alienation and discrimination faced by many students in the schools in Western countries which are pushing neo-liberal objectives but that lead them to violence and increasingly, to radicalization. I look at the recent phenomenon of radicalization that makes societies and nations unsafe, and some of the push and pull factors that are increasingly attracting some students in the contemporary world to extremist actions. While the threat of Islamic terrorism seems to have subsided, the threats from extreme right-wing nationalist and alt-right groups is increasing at a fast pace (Ghosh et al, 2016a; Eger and Valdex, 2014; Fadel, 2019; Jones, 2018). I contrast the concept of Ubuntu with Western values of humanism and analyze the core values of the Ubuntu worldview in pedagogical practices. I conclude that present punitive measures are ineffective in preventing radicalization which poses a security threat to all nations, but that schooling has an important role to play in combating this phenomenon through a worldview that is not only humanistic but different in its very understanding of what a human being is and therefore, in preventing schools from alienating individuals and groups.
作为社会和社区机构,学校在一定的世界观下运作。这些世界观影响了学校教育的目的和目标,从而影响了学校和课堂的文化,更不用说课程的内容和教师的实践了。在本文中,我认为“传统”非洲世界观的乌班图是学校教育的框架或基础,以对抗西方国家学校中许多学生所面临的疏远和歧视,这些学生正在推动新自由主义目标,但却导致他们暴力和越来越激进化。我研究了最近使社会和国家变得不安全的激进化现象,以及越来越多地吸引当代世界一些学生采取极端主义行动的一些推动和拉动因素。虽然伊斯兰恐怖主义的威胁似乎已经消退,但来自极右翼民族主义和另类右翼团体的威胁正在快速增加(Ghosh等人,2016a;Eger and Valdex, 2014;Fadel医生,2019;琼斯,2018)。将乌班图世界观与西方人文主义价值观进行对比,分析乌班图世界观在教学实践中的核心价值。我的结论是,目前的惩罚措施在防止对所有国家构成安全威胁的激进化方面是无效的,但学校教育在通过一种不仅是人道主义的世界观,而且在理解人类是什么方面是不同的世界观来对抗这一现象方面发挥着重要作用,因此,在防止学校疏远个人和群体方面。
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引用次数: 0
The Racialized Global Capitalist Economy: Reading Samir Amin in the 2020s 种族化的全球资本主义经济:20世纪20年代萨米尔·阿明的解读
IF 0.1 Pub Date : 2023-03-10 DOI: 10.1163/21983534-10010007
B. Nordtveit
Using Samir Amin’s theories of worldwide value and historical materialism, this article seeks to show that capitalism is inherently racist, at least since the TransAtlantic enslavement, and that its proponents are perpetuating racism by using it as a tool to deepen economic divides, and to destroy solidarity between workers. The global health crisis of Covid-19 demonstrates the expendability of frontline workers, a large proportion of whom are Black people and has exasperated the economic injustice propagated by the capitalist model. The racist and exploitative structure is global, with a Center extracting rent from the Periphery, where political power and “corruptionists” collude with global corporations. In low-intensity democracies such as the US, paid elections at best will lead to politicians making superficial discursive changes at Superstructure level, whereas the racist Base remains the same. Movements such as Black Lives Matter can be shaped and contained through manipulation of media. To change the Base, this article argues the need for “delinking” of the Periphery from the monopoly economy, and rehabilitation of Marxism through creation of a new global organization – a new Internationale of Workers, or a new Bandung. Putin’s invasion of Ukraine in Spring 2022 adds a layer of complexity to the international situation (as it is opening for discourses that are strengthening the monopoly economy worldwide, e.g., in arms manufacturing), but may eventually lead to the demise of the autocratic-capitalist system in Russia, with international repercussions.
本文运用萨米尔·阿明(Samir Amin)的世界价值理论和历史唯物主义,试图表明资本主义本质上是种族主义的,至少从跨大西洋奴役开始就是如此,而资本主义的支持者将其作为加深经济鸿沟和破坏工人之间团结的工具,从而使种族主义永久化。2019冠状病毒病的全球健康危机证明了一线工人的可牺牲性,其中很大一部分是黑人,并加剧了资本主义模式所传播的经济不公正。种族主义和剥削结构是全球性的,中心从边缘榨取租金,政治权力和“腐败分子”与全球公司勾结。在美国等低强度民主国家,付费选举最多只能导致政客们在上层建筑层面做出肤浅的话语改变,而种族主义基础则保持不变。像“黑人的命也是命”这样的运动可以通过操纵媒体来塑造和控制。为了改变基础,本文认为有必要将边缘国家与垄断经济“脱钩”,并通过创建一个新的全球组织——一个新的国际工人组织,或一个新的万隆会议——来恢复马克思主义。普京在2022年春入侵乌克兰给国际形势增加了一层复杂性(因为它为加强全球垄断经济的话语打开了大门,例如在武器制造业),但最终可能导致俄罗斯专制资本主义制度的消亡,并产生国际反响。
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引用次数: 0
On the Educational Potential of Ubuntu 论Ubuntu的教育潜力
IF 0.1 Pub Date : 2023-03-10 DOI: 10.1007/978-3-319-70043-4_4
Y. Waghid
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引用次数: 11
期刊
Majalah Kedokteran Bandung-MKB-Bandung Medical Journal
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