bluuebunny/crossref_metadata_2025 huggingface dataset:
Functional Outcome of Arthroscopic Meniscal Root Repair.
Authors: Antao Nicholas , Desouza Clevio
Published: July 2022

Objectives: The aim of the study was to assess the functional outcome of the knee in patients before and after meniscal root repair.

Material and Methods: This study was a prospective study done on 52 patients with Meniscal Root tear treated by arthroscopic repair. The follow-up period was 6 weeks, 3 months, and 6 months. Functional outcome was assessed using the VAS and Lysholm Knee Score.

Results: The VAS pre-operative was 7.46, the VAS post-operative at 6 weeks was 4.23, the VAS post-operative at 3 months was 3.12 the VAS post-operative at 6 months was 1.19. As compared to preoperative scores at the end of 6 months the difference was statistically significant with a p-value < 0.001. Following surgery there was an excellent outcome in most of the cases with respect to the range of motion, overall, the improvement in the range of motion was statistically significant with a p-value < 0.001. On the evaluation of the Lysholm Knee Score, there was a significant difference between the pre-operative and post-operative scores at each follow-up. The pre-op was 68.52, the Lysholm Knee Score post-op - 6 weeks was 81.72, the Lysholm Knee Score post-op - 3 months was 85.72, and the Lysholm Knee Score post-op - 6 months was 92.23. As compared to preop scores at the end of 6 months the difference was statistically significant with a p-value < 0.001.

Conclusion: In the present study we found that sports-related injuries were commoner, seen more in males and in young. Following meniscus repair, it is possible to get a good range of motion back post-operatively. A fair number of cases get back their knee function if appropriate post-operative physiotherapy rehabilitation protocol is followed.
Success Rate and Complications Associated with the Surgical Treatment of Cervical Spondylosis Myelopathy in Albania.
Authors: Halili Nehat , Xhumari Artur
Published: July 2022

Background: Patients suffering from cervical spondylotic myelopathy (SCM) and that do not respond to conservative treatment could benefit from anterior cervical spine surgery. However, surgical intervention is associated with increased risk of complications and therefore the decision to operate should be weighed against benefits. The purpose of this study was to describe the effectiveness and the rate of complications of anterior cervical spine surgery among CSM who do not respond to conservative treatment in Albania.   

Material and Methods: A total of 100 CSM patients who did not respond to conservative treatment and who showed up at our Service during 2014-2019 were subjected to anterior cervical spine surgery to resolve the CSM related signs and symptoms. The success rate as well as short-term and long-term complication of surgery were evaluated and reported.    

Results: The mean age of CSM patients (59% males) in the study was 51.5 years. One surgical procedure was employed in 90% of CSM patients whereas two procedures were necessary in the remaining 10%. The overall success rate of anterior cervical spine surgery was 70% (excellent in 40% of CSM patients and good in 30% of patients) whereas in 30% of CSM patients’ surgery did not bring any benefit or there were no changes compared to before the surgery. The overall rate of complications was 16%; no patients died following surgery. Specific complications were rare and varying from 1% of patients (Brown-Sequard syndrome, vocal cord paresis, wound infection) to 3% (subcutaneous hematoma).

Conclusion: Anterior cervical spine surgery is associated with a relatively high success rate and a low level of post-operative complications and it might be regarded as a safe treatment among these CSM patients who do not respond to conservative treatment.
Is acute Appendicitis as an extra Pulmonary Manifestation of Covid-19 infection?
Authors: Muco Ermira , Xhemali Astrit , Hasa Amela , Nurci Deniona , Como Najada
Published: July 2022

Background; Coronavirus disease-19 (COVID-19) is an infectious respiratory disease. The first confirmed case of 2019-nCoV infection in Albania was reported in Tirana on 08 March 2020, when a patient and his adult son who had come from Florence, Italy tested positive. Patients with COVID-19 can be presented with a series of signs and symptoms. Acute abdomen as a presentation of COVID-19 is rare. The diagnosis of COVID-19 should be suspected and investigated in every case of acute abdomen.

Case presentation: We report a case of a 42-year-old male who presented with features of acute appendicitis. SARS-CoV-2 polymerase chain reaction test result was positive for COVID-19. Abdominal ultrasonography and his computed tomography of the chest and abdomen showed a perforated appendix and no infiltrates or abnormalities of COVID-19. The diagnosis of our case was appendicitis with COVID-19 without pneumonia. He was admitted and treated with antibiotic therapy and supportive care. He had an improvement in his health condition which made it possible to leave the hospital on the third day of hospitalization.

Conclusion: Based on our clinical case and literature data, we suggest that clinicians should suspect the diagnosis of acute appendicitis in patients with COVID 19. So the case of acute abdomen pain must be completed with a SARS-CoV-2 test. Therefore we recommend additional studies to reinforce the idea of ​​linking SARS COV 2 infection with acute appendicitis.
Acute Esophageal Necrosis. A Case Report.
Authors: Tafaj Irgen , Sadiku Edite , Mamaj Ines , Çili Qazim , Cuko Liri , Llazani Arvit , Babameto Adriana
Published: July 2022

Acute esophageal necrosis syndrome, is a rare cause of gastrointestinal bleeding. It is characterized by a particular black coloration, mostly of the distal esophagus, which ends abruptly in the gastroesophageal junction. The hemorrhagic manifestation may be hematemesis, melena or both of them. It is a life-threatening condition with significant difference between the two sexes.We report a case of a 67 years old male with schizophrenia, aspiration pneumonia and sepsis who presented with hematemesis. The endoscopic finding was a black, wide linear necrosis of the esophageal mucosa which extended from the middle esophagus to the gastroesophageal junction, compatible with acute esophageal necrosis. The esophageal lesion healed progressively at the same time with the improvement of the general health condition.

We must think of acute esophageal necrosis in critically ill male patients, in their sixth decade of life, with multiple comorbidities and gastrointestinal hemorrhage, because early recognition can help reducing the mortality of this rare syndrome.

In conclusion, we must think of acute esophageal necrosis in critically ill male patients, in their sixth decade of life, with multiple comorbidities and gastrointestinal hemorrhage. The diagnostic is made most of the time only by the characteristic endoscopic findings. Because of the gravity of this affection, the treatment must be quick and aggressive.
Some Consideration about Port Site Hernia after Laparoscopic Surgery.
Authors: Haxhirexha Kastriot , Dogjani Agron , Haxhirexha Aulona , Haxhirexha Labeat , Fejzuli Blerim , Ademi Aferdita
Published: July 2022

Introduction: Port site hernias continue to be a major problem in laparoscopic surgery. The causes of this type of hernia are numerous. The main ones are operative wound infection, obesity, male gender, diabetes, BPH, etc. However, in addition to these factors it seems that in the etiology of post laparoscopic port - site hernias are at least two other factors that have an impact on these complications.

Aim of the article is to assess the role of different factors in the occurrence of port site incisional hernias according to our experience.

Material and Methods:  the 187 patients who were operated on at the General Surgery Department of the Clinical Hospital of Tetovo between January, 2017 and June, 2019 on whom the surgical intervention was performed through laparoscopic techniques were included in this study. The reason for the surgical interventions has been various surgical pathologies of the abdomen such as cholecystolithiasis, acute appendicitis, cysts of the liver, ovaries and kidneys, etc. Postoperative complications in these patients, especially port site hernia will be in the focus of our study.

Results: Out of the total of 187 patients included in this study the occurrence of incisional hernia was recorded in six of them. In five patients the hernia was localized at the site of insertion of the supra-umbilical trocar, while in the other, the trocar was inserted below the xiphoid process. From our records it happened that in all these patients, with postoperative hernia, the insertion of the cannula was done with the cutting trocar. At the same time in all six patients with post laparoscopic hernia the surgical intervention performed was cholecystectomy or appendectomy. Thus, the removal of the gallbladder and appendix, without the use of an Endo-bag, was performed at the site of the hernia presentation. In all these patients the entrance porta infection in which the hernia has occurred, was registered in the early post operative period.

Conclusion: Of the many factors that increase the risk of incisional hernias, at the site of cannula insertion during laparoscopic interventions, it seems that the type of trocar and the place from which the extruded organ is removed, if it is done without the use of an Endo-bag, are very important.
Choledocho-Duodenal Fistula as a Complication of a Chronic Duodenal Ulcer.
Authors: Haxhirexha Kastriot , Haxhirexha Labeat , Dogjani Agron , Dika – Haxhirexha Ferizat , Ademi Aferdita , Fejzuli Blerim , Emini Teuta
Published: July 2022

Choledocho-duodenal fistulas are rare disorders that can be of various etiologies. Some of the most common causes of these fistulas are neoplastic processes in the extra-hepatic bile ducts, biliary stones or chronic duodenal ulcers. We will present the case of a patient with a choledocho-duodenal fistula who was treated in our clinic due to a severe episode of acute hepatitis.  

We will present a case report as follow; a 52-year-old man was urgently brought to the abdominal surgery ward of the Tetovo Clinical Hospital due to severe pain in the right epigastric and subcostal region which also appears in the back region. It is accompanied by nausea, vomiting, sub-febrile fever, and weakness.

The patient reports that he has long been treated with proton pump inhibitors such as pantoprazole due to a chronic duodenal ulcer…

Conclusion; Choledocho-duodenal fistulas are very rare disorders and therefore pose a real challenge to surgeons and endoscopists in terms of their timely diagnosis. However, there are authors who prefer a conservative treatment, while some others suggest surgical intervention respectively fistulectomy, in order to prevent complications that may occur as a result of the regurgitation of duodenal contents in the bile duct.
Endovascular Treatment of post-traumatic Renal Artery Dissection.
Authors: Laçi Ilirian , Spahiu Alketa
Published: July 2022

Blunt renal artery injuries are rare, and no single trauma center has accumulated sufficient experience to draw meaningful conclusions or recommendations about optimal therapeutic strategies.[1]

The increased use of CT scans to evaluate blunt abdominal trauma identifies more acute renal artery injuries that may have gone undetected.[2]

Patients with renal injury have limited options such as open surgical repair or anticoagulation.[3] The use of endovascular stents to treat trauma is a good option treatment. [4] But not every case is successful.

The purpose of this case report is to describe the importance of accurate diagnosis and successful repair in emergency traumatic conditions by means of interventional radiology in cases of intimal damage to the renal arteries.

We will present a 38-year-old man who shows on the emergency room because of an accident with abdominal and thoracic trauma. The patient complained of pain in the right side of the abdomen…

Through Angiography, an intimal dissection localized in the upper pole of the right kidney was confirmed. We inserted an expandable balloon stent using a transfemoral approach to successfully repair the dissection.

Conclusion: Blunt renal artery injury is rare. Nonoperative management should be considered an acceptable therapeutic option. Management of blunt renal injuries includes timely evaluation to maximize the preservation of renal function. Recent management trends support the consideration of endoluminal intervention for traumatic renal artery dissections.
Non-surgical Treatment of Metastatic Liver Tumors with Microwave Ablation.
Authors: Laçi Ilirjan , Spahiu Alketa
Published: July 2022

With all the measures taken, the trend of liver cancer cases has increased worldwide, as a consequence, this is accompanied by an increase in mortality by 43% (10.3 per 100,000 in 2016 (USA)) [1, 2].

Liver cancer is also associated with the lowest 5-year survival rate among all types of cancer (19%) [1].

Liver cancer (including intrahepatic bile duct cancer) was the ninth leading cause of cancer death in 2000 and rose to sixth in 2016 [3].

This shows that the identification of safe and effective treatments for liver cancer is urgent now.

Microwave ablation is a thermal ablation modality that has particular applicability in treating hepatic malignancies primary tumors or metastases. Microwaves can generate very high temperatures in short time periods, potentially leading to improved treatment efficiency in larger ablation zones.

We will show a patient male 55 years old. Post-surgery of colon cancer 6 months ago. Normal exam. There is e liver metastasis in the right lobe subcapsular 22mm. The patient was a good candidate for MWA.

Conclusions

MWA is an effective and safe alternative in patients/tumors that are not suitable for resection. Survival and recurrence outcomes after MWA are significantly improved with significantly shorter hospital stays and operative times, with little or no intraoperative blood loss and minor complications. Its use should be extended more and more in the field of treatment of these patients depending on the therapeutic indications
WEBSITE PENYEDIAAN INFORMASI RUMAH KONTRAKAN KEB.INHIL
Authors: Sidik Abdul , Yuli Prasetyo Dwi , Rianto Bayu
Published: July 2022

Sehubungan dengan semakin berkembangnya teknologi informasi, maka dengan sewajarnya akan memaksa masyrakat memanfaatkan teknologi dengen semaksimal mungkin dari segala segi kehidupan sehari-hari seperti pekerjan maupun usaha yang dijali. Informasi tentunya bermaca-macam, salah satunya untuk para mahasiswa dan para pelajar yang menjalani kuliah atau belajar. Kebutuhan akan pendidikan yang layak telah mengalami peningkatan yang sengat pesat atau segnifikan.. Menyadari akan hal tersebut maka rumah kontrakan, ,membagun sebuah system informasi rumah kontrakan berbasis website, sebagai sarana penyediaan informasi tempat tinggal yang efektif bagi para pencari kontrakan ,penyewa,maupun bagi pengelola rumah kontrakan untuk mempromosikan rumah kontrakan yang akan di sewakannya  dan mengelola segala hal yang berkaitan dengan kontrakan tersebuat di website secara cepat, mudah, dan terkini. Rumah kontrakan adalah rumah susuan atau rumah tunggal yang dibangun dengan tujuan di sewakan dengan jangaka waktu sebulan ataupun pertahun maupun lebih. Pembangunan website menggunakan metode waterfall, sedangkan untuk pemodelan mengunakan UML ( unifield modeling language ). Bahasa pemodelan yang digunakan adalah PHP dan XAMPP untuk database. Website Penyediaan Informasi Rumah Kontrakan Keb.Inhil ini di lengkapi dengan pemesana rumah kontrakan  secara online untuk memudahkan calon penghuni kontrakan tanpa harus langsung turun lapangan untuk memesan rumah kontrakan.

Sehubungan dengan semakin berkembangnya teknologi informasi, maka dengan sewajarnya akan memaksa masyrakat memanfaatkan teknologi dengen semaksimal mungkin dari segala segi kehidupan sehari-hari seperti pekerjan maupun usaha yang dijali. Informasi tentunya bermaca-macam, salah satunya untuk para mahasiswa dan para pelajar yang menjalani kuliah atau belajar. Kebutuhan akan pendidikan yang layak telah mengalami peningkatan yang sengat pesat atau segnifikan.. Menyadari akan hal tersebut maka rumah kontrakan, ,membagun sebuah system informasi rumah kontrakan berbasis website, sebagai sarana penyediaan informasi tempat tinggal yang efektif bagi para pencari kontrakan ,penyewa,maupun bagi pengelola rumah kontrakan untuk mempromosikan rumah kontrakan yang akan di sewakannya  dan mengelola segala hal yang berkaitan dengan kontrakan tersebuat di website secara cepat, mudah, dan terkini. Rumah kontrakan adalah rumah susuan atau rumah tunggal yang dibangun dengan tujuan di sewakan dengan jangaka waktu sebulan ataupun pertahun maupun lebih. Pembangunan website menggunakan metode waterfall, sedangkan untuk pemodelan mengunakan UML ( unifield modeling language ). Bahasa pemodelan yang digunakan adalah PHP dan XAMPP untuk database. Website Penyediaan Informasi Rumah Kontrakan Keb.Inhil ini di lengkapi dengan pemesana rumah kontrakan  secara online untuk memudahkan calon penghuni kontrakan tanpa harus langsung turun lapangan untuk memesan rumah kontrakan.
APLIKASI DIAGNOSA PERTUMBUHAN ANAK-ANAK MENGGUNAKAN METODE CASE BASED REASONING
Authors: Risnawati  , Samsudin
Published: July 2022

Perkembangan teknologi yang sangat pesat pada bidang kedokteran saat ini telah memanfaatkan teknologi untuk membantu peningkatan pelayanan yang lebih baik. Sistem pakar yang berusaha mengadopsi pengetahuan manusia ke komputer, agar komputer dapat menyelesaikan masalah seperti layaknya para pakar. Sistem pakar juga mengefesiensikan waktu dan kinerja bagi dokter maupun pasien. Rancangan sistem pakar untuk mendiagnosa pertumbuhan anak-anak dengan menggunakan metode Case Based Reasoning (CBR) yaitu salah satu metode untuk membangun sistem pakar dengan pengambilan keputusan dari kasus yang baru dengan solusi dri kasus-kasus sebelumnya. Proses diagnosa dilakukan dengan cara memasukkan kasus baru (target case) yang bermasalah pada pertumbuhan anak, kemudian dilakukan proses similitar antara kasus baru dengan kasus-kasus (source case) yang sudah tersimpan didalam basis data (case-based) sistem. Kasus dengan nilai silimilitar tertinggi akan diambil dan kemudian solusi dari kasus tersebut akan dijadikan solusi bagi kasus yang baru. Metode silimilitar yang digunakan adalah Nearest Neighbort. Jika suatu kasus tidak berhasil didiagnosa, maka akan dilakukan revisi kasus oleh pakar. Kasus yang berhasil direvisi akan disimpan untuk dijadikan pengetahuan baru (Fresh Knowledge). Penelitian ini menggunakan Web, berguna untuk membantu kinerja dokter dalam mengetahui pertumbuhan anak-anak khususnya, dengan demikian program ini akan memberikan pembelajaran kepada pihak-pihak akan pentingnya teknologi informasi yang bisa dimanfaatkan sebagai penyedia informasi tentang pertumbuhan anak-anak. Sistem pakar ini tidak berarti menggantikan kedudukan dokter, tetapi hanya dalam pengambilan keputusan karna mungkin bisa terdapat banyak alternative yang harus dipilih secara cepat dan tepat.
APLIKASI E-LEARNING JURUSAN IPS PADA SMA 2 ENOK
Authors: Ma'arif Selamet , Usman
Published: July 2022

Tidak dipungkiri dunia pendidikan semakin maju dengan diiringi berbagai teknologi dan informasi yang mendukungnya , salah satunya adalah konsep  e-learning. Dengan e-learning kegiatan belajar mengajar bisa sedikit lebih efesien dari segi waktu, jadwal kegiatan maupun dalam percetakan atau pengarsipan laporan di sekolahan. Aplikasi didesain sesederhana mungkin agar siswa dan guru tidak sulit untuk menggunakannya,serta menggunakan metode pengembengannya dengan menggunakan UML,  analisa PIECES dan bahasa pemrograman PHP. Aplikasi e-learning juga dilengkapi dengan fitur download tugas dan materi untuk siswa, selain itu ada fitur diskusi guru dan siswa agar berkomunikasi secara online, hal ini tentu saja berguna dalam membangun hubungan antara guru dan siswa.
Jurnal SISTEM INFORMASI GEOGRAFIS ( SIG) PEMETAAN TOKO BANGUNAN DI TEMBILAHAN BERBASIS WEB
Authors: Jepridin  , Usman
Published: July 2022

Kabupaten Indragiri Hilir  memiliki banyak lokasi Toko Bangunan yang tersebar di beberapa tempat di Kabupaten Indragiri Hilir. Namun tidak semua masyarakat Kabupaten Indragiri Hilir mengetahui letak lokasi-lokasi Toko Bangunan tersebut. Hanya sebagian kecil saja yang mengetahui lokasi Toko Bangunan. Oleh karena itu peneliti mencoba membangun aplikasi Sistem Informasi Geografis untuk pemetaan lokasi toko bangunan di Kabupaten Indragiri Hilir, dengan maksud supaya masyarakat Kabupaten Indragiri Hilir mengetahui informasi mengenai lokasi dan tempat  Toko Bangunan yang tersebar di wilayah Kabupaten Indragiri Hilir. Tujuan dilakukan penelitian adalah untuk Menyajikan informasi mengenai obyek tempat Toko Bangunan yang tersebar di wilayah Kabupaten Indragiri Hilir dan merancang sebuah aplikasi sistem informasi geografis berbasis web yang dapat memberikan data akurat yang dibutuhkan oleh pihak-pihak yang membutuhkan informasi. Metode penelitian ini menggunakan model Waterfall. Model pengembangan Waterfall merupakan model pengembangan yang sistematis dan berurutan (sekuensial).  Pada penelitian ini, peneliti menggunakan analisis pieces untuk melakukan analisa dalam beberapa perihal. Tahap analisa dan perancangan merupakan salah satu alat bantu untuk membuat sistem. Tujuannya ialah untuk meminimalisir kelemahan sistem yang akan di buat  Dalam proses perancangan sistem peneliti menggunakan permodelan dengan pendekatan UML (Unified Modeling Language). Telah dibangun sebuah web sistem informasi geografis pemetaan  toko bangunan yang memberi kemudahan bagi para pengguna untuk memperoleh informasi mengenai toko bangunan yang berada di Tembilahan dengan cepat, akurat, dan dapat diakses oleh siapa saja, dimana saja, kapan saja tanpa mengenal jarak dan waktu. Toko Bangunan di Tembilahan berbasis web menggunakan Google Maps API. Untuk basis data menggunakan XAMPP dan menyusun script/kode pemrogramannya menggunakan teks editor Visual Code Studio, Notepad++ dan bahasa pemograman yang di pakai adalah PHP dan untuk CSS nya mengunakan Materialize.
Penerapan PSAK Etap Wisata Kebun Teh Gunung Gambir
Authors: Jaya Andika , Yulinartati Yulinartati , Martiana Nina
Published: July 2022

PT Perkebunan Nusantara XII(Persero) Jember meru- pakan salah satu Badan Usaha Milik Negara (BUMN)yang bergerak dalam bidang pertanian yang menghasilkan produk-produk pertanian seperti kopi, kakao, karet, teh, dan kayu . Salah satu kebun milik PT Perkebunan Nusantara XII (Persero) adalah Kebun Teh Gunung Gambir yang mulai ditanam pada tahun 1918, 1823, dan 1927 dikelolah oleh PT Perkebunan Nusantara XII. Selain itu PT Perkebunan Nusantara XI I juga mengolah destinasi wisata alam, yang di buka pada pertengahan 2018. Berdasarkan penelitian pendahuluan diketahui bahwa penyusunan laporan keuangan PT Perkebunan Nusantara XII Gunung Gambir tidak sesuai dengan SAK ETAP. Pihak PT Perkebunan Nusantara XI Gunung Gambir kurang memahami cara penyusunan laporan keuangan yang sesuai dengan standar akuntansi keuangan. Penelitian ini menggunakan metode kualitatif dengan metode stady kasus. Penerapan SAK ETAP pada Wisata Kebun Teh Gunung Gambir adalah tindakan yang tepat untuk mencatat laporan keuangan yang sesuai dengan pedoman Akuntansi. sehingga bisa mempermudah mengetahui hasil pendapatan keuangan baik neraca, laporan laba/rugi, laporan arus kas, laporan perubahan ekuitas, dan catatan laporan keuangan. Dengan adanya penera pan SAK ETAP ini karyawan yang ada di Wisata Kebun Teh Gunung Gambir bisa menerapkan atau menyusun laporan keuangan dengan benar dan tidak menyesatkan pengguna laporan keuangan. Laporan keuangan terbagi dari beberapa elemen Akuntansi yang disesuaikan dengan SAK ETAP antara lain laporan neraca, laporan laba/rugi, laporan arus kas, laporan perubahan ekuitas, dan catatan atas laporan keuangan. Dari laporan keuangan yang disusun berdasarkan SAK ETAP antara lain dapat diketahui bahwa Wisata Kebun Teh Gunung Gambir memiliki Aset lancar sebesar Rp. 308.300.000 dan Aset Tetap sebesar Rp 241.700.000.
Implementasi Time Driven Activity Based Costing (TDABC) Dalam Penentuan Tarif Rawat Inap Pada Klinik Aisyiyah Asy-Syifa’ Wuluhan Jember
Authors: Faizaturruhaniah Faizaturruhaniah , Yuliarti Norita Citra , Afroh Ibna Kamelia Fiel
Published: July 2022

Penelitian ini bertujuan untuk menghitung tarif kamar rawat inap pada klinik pratama Aisyah Asy-Syifa’ Wuluhan dengan menggunakan metode TDABC. Metode TDABC merupakan pengembangan dari metode ABC yang menggunakan waktu untuk menyelesaikan aktivitas sebagai dasar perhitungan biaya. Jenis penelitian ini adalah deskriptif kualitatif. Objek penelitian ini adalah  Klinik Aisyiyah Asy-Syifa’ Wuluhan. Pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan bahwa metode TDABC dapat digunakan untuk menghitung tarif rawat inap pada Klinik Aisyiyah Asy-Syifa’ Wuluhan. Metode TDABC dapat menghasilkan informasi yang digunakan untuk pengambilan keputusan bagi pihak manajemen klinik dalam mengontrol efisiensi biaya dan efekivitas dalam kegiatan pelayanan jasa rawat inap.
Analisis Usahatani Kopi Rakyat (Coffea Sp.) Di Kecamatan Sukorambi Kabupaten Jember
Authors: Widjayanti Fefi Nurdiana , Saputra Wildan Dwi
Published: July 2022

Kopi merupakan salah satu hasil komoditi perkebunan yang memiliki nilai ekonomis yang cukup tinggi di antara tanaman perkebunan lainnya dan berperan penting sebagai sumber devisa negara. Tujuan dari penelitian ini adalah: (1) Menghitung keuntungan usahatani kopi rakyat (2) Menghitung efisiensi penggunaan biaya produksi (3) Mengidentifikasi faktor–faktor yang mempengaruhi produksi usahatani kopi rakyat. Penelitian ini dilakukan di Kecamatan Sukorambi Kabupaten Jember. Metode yang digunakan dalam penelitian ini yaitu metode deskriptif dan kuantitatif. Pengambilan sampel dilakukan secara acak (random sampling), sebanyak 52 responden yang terdiri dari tiga desa, Metode analisis data yang digunakan: (1) Analisis keuntungan (2) Analisis efisiensi biaya (3) Analisis cobb-douglas. Hasil penelitian menunjukkan bahwa: (1) Keuntungan usahatani kopi di Kecamatan Sukorambi sebesar Rp 4.444.865/ha. (2) Nilai R/C ratio untuk usahatani kopi, jika dihitung berdasarkan rata-rata per hektar R/C ratio adalah 1,198 (3) Faktor-faktor yang berpengaruh signifikan terhadap produksi adalah luas lahan, jumlah pupuk, jumlah tenaga kerja, sedangkan jumlah tanaman, jumlah pestisida berpengaruh tidak signifikan terhadap produksi usahatani kopi.
Pengaruh Celebrity Endorser dan Word of Mouth Terhadap Purchase Intention Dimediasi oleh Brand Image
Authors: Tusmawati Tusmawati , Budiyanto Budiyanto , Wijayanti Wijayanti
Published: July 2022

Perkembangan teknologi dan informasi yang semakin pesat, menjadikan perusahaan berlomba-lomba untuk memenangkan pangsa pasar di Indonesia. Hal ini yang menjadikan pemasar mencari strategi pemasaran yang tepat untuk bersaing. Upaya strategi pemasaran yang dilakukan oleh Perusahaan Paragon Technologi and Innovation sebagai perusahaan kosmetik Emina yaitu menggunakan celebrity endorser dan komunikasi word of mouth. Keahlian celebrity endorser dalam menyampaikan keunggulan-keunggulan produk serta komunikasi word of mouth yang positif dapat menarik perhatian konsumen terhadap produk tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh antara (1) pengaruh celebrity endorser terhadap purchase intention (2) pengaruh word of mouth terhadap purchase intention (3) pengaruh celebrity endorser terhadap brand image (4) pengaruh word of mouth terhadap brand image (5) pengaruh brand image terhadap purchase intention (6) brand image memediasi pengaruh celebrity endorser terhadap purchase intention (7) brand image memediasi pengaruh word of mouth terhadap purchase intention. Teknik pengumpulan data dalam penelitian ini menggunakan survei. Populasi penelitian ini adalah konsumen kosmetik Emina. Sampel penelitian ini berjumlah 125 orang. Teknik pengambilan sampel menggunakan teknik non probability sampling (judgement sampling). Instrumen pengumpulan data menggunakan kuesioner dengan skala likert yang terjawab lengkap, sesuai kriteria dan telah memenuhi syarat validitas dan reliabilitas. Analisis data menggunakan SmartPLS dengan metode analisis SEM (Structural Equation Modeling). Hasil penelitian ini menunjukkan bahwa celebrity endorser, word of mouth, dan brand image berpengaruh terhadap purchase intention. Selain itu, brand image juga memediasi secara parsial untuk pengaruh celebrity endorser dan word of mouth terhadap purchase intention.
Women’s Attitude Toward C-Section: Evidence from Bay Regional Hospital in Baidoa, Southwest State of Somalia
Authors: Jawaani Munira Abdiladhif Mohamed , Yakub Abdifatah Mohamed
Published: July 2022

Background: The general societal belief among Somali women is that anything other than normal vaginal delivery is riskier than could be imagined or anticipated, no matter the delay or prolongation of labor and related complications. This widely circulated perception has become a reason for many expectant mothers to either completely decline to consider c-section or suffer in prolonged labor that could be fatal to either the mother or the baby or both.

Methods:    This study follows several aspects of the triangulation method of research. It adheres to the case study approach by mixing qualitative and quantitative methods. It uses purposive sampling by selecting 19 women who delivered by c-section at Bay Regional Hospital, Baidoa, Southwest State of Somalia.

Results: About 58% had believed c-section as ‘very risky’ or ‘risky’ prior to undergoing the procedure; after delivery 89.5% thought it was either ‘very safe’ or ‘safe’, while none of the respondents considered it to be ‘unsafe’ or ‘very unsafe’ anymore.

Conclusion: Women’s perception of c-section changed dramatically after undergoing the procedure as compared to their belief before the surgery. It is also remarkable that they would not hesitate in their next delivery by c-section and that they would recommend it to other women in order to avoid fatal complications.

Keywords: childbirth, health research, labor complications, medical health
Perception of Burden and Stress Among Mothers of Autistic Children in Pakistani Cultural Background
Authors:   Department of Speech Language Pathology, Faculty of Rehab and Allied Health Sciences,Riphah International University, Lahore, Pakistan., Mumtaz Nazia , Fatima Tanveer ,   Centre of Mentally and Physically Affected Special Students (COMPASS), Lahore, Pakistan., Saqulain Ghulam ,   Department of Otorhinolaryngology Capital Hospital PGMI, Islamabad, Pakistan.
Published: July 2022

Objectives: The study aimed to explore the perceived burden and stress among mothers of autistic children. Methods: This cross-sectional study was conducted at Riphah International University over 4 months, from October 2020 to January 2021. The samples were recruited using non-probability convenience sampling and comprised 84 mothers (23-60 years old) of children aged 3-16 years with Autism Spectrum Disorder (ASD) from different special education centers in Lahore. A demographic questionnaire, Parental Stress Scale (PSS), and Zarit burden interview (ZBI) were used to collect the study data, which were analyzed in SPSS v. 22 software. Results: Forty-five Mothers (53.6%) suffered from moderate to severe burden with a high Mean±SD ZBI (41.75±10.62) and Parental Stress Scale (PSS) scores (48.67±8.04). Also, there is a significant positive correlation between the two scores (r=0.585, P=0.000). A significant association was noted between the mother’s stress and the severity of autism (P=0.006) and the child’s medication (P=0.008), also between the mother’s burden and the child’s age (P=0.019). Discussion: According to the current study’s findings, mothers of children with ASD perceived a high level of burden and stress. The association was seen with factors of children’s age, severity level, and child medication.
Kortikosteroid Tedavisi Sonrası Otizm Spektrum Bozukluğu Bulguları Düzelen Bir Landau-Kleffner Sendromu Olgusu
Authors: EROĞLU Mehtap , YILDIRIM İçsel Duru , GÜMÜŞ Hakan
Published: July 2022

Çok nadir rastlanan bir çocukluk-çağı hastalığı olan Landau-Kleffner Sendromu (LKS), elektroensefalogramdaki (EEG) epileptiform etkinlik ile ilişkili edinsel afazidir. Landau-Kleffner Sendromu’nun klinik görünümü bazı çocuklarda Otizm Spektrum Bozukluğu’na (OSB) benzeyebilir. Bu yazıda Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları (ÇRS) polikliniğine OSB belirtileri ile başvuran, ancak nörolojik tetkikler sonucunda LKS tanısı konulan, LKS medikal tedavisi sonrası nöropsikiyatrik semptomlarında belirgin düzelme gösteren bir vaka sunulmuştur. Dört yaş yedi aylık erkek çocuk, konuşmada gerileme, sosyal iletişimde azalma ve tekrarlayıcı davranış kalıpları şeklindeki yakınmaları ile ÇRS polikliniğine getirilmiştir. İlk olarak OSB tanısı konulmuş ve Çocuk Nöroloji’ye yönlendirilmiş olan vakanın yapılan nörolojik değerlendirmeleri sonrasında, hastaya LKS tanısı konulmuş ve antiepileptik tedavi başlanmıştır. Üç ay kadar kullanılan konvansiyonel antiepileptik tedaviden fayda görmeyen hastaya kortikosteroid tedavi başlanmış ve 1 ay içerisinde konuşma regresyonunda ve LKS’ye bağlı olan OSB belirtilerinde klinik olarak azalma görülmüştür, 3 ay içinde ise bu belirtilerde belirgin düzelme olduğu gözlenmiştir. Bu makalede, LKS’de konvansiyonel antiepileptik tedavi ile bilişsel ve dil fonksiyonlarında ve EEG patolojisinde düzelme olmayan vakalarda kortikosteroid tedavisiyle hem nöropsikiyatrik semptomlarında hem de EEG bulgularında hızlı düzelme sağlanabileceği bildirilmiştir. Alanyazında, LKS’de bilinen tedavilerin konuşma regresyonunu düzeltmede etkili olduğuna yönelik daha fazla bilgi olmakla birlikte, LKS’ye bağlı ortaya çıkan OSB belirtilerini azaltmasına yönelik çok az vaka bildirimi vardır.
Effect of some current enzymes on milk coagulation indicators
Authors: Bilyi V. Y. , Merzlov S. V.
Published: July 2022

Soft cheese technology involves using a significant number of enzymes involved in the circulation of milk. The market is filled with drugs of microbial origin; although they are cheaper than their counterparts made from ruminants, the demand for cheeses made with pure enzymes is relatively high. Brine cheeses are famous in Ukraine, and their production occupies an important place in cheesemaking and belongs to the dynamically developing food industries. Cheese is a source of complete protein, calcium, magnesium, and vitamins. Cheeses contain all the essential nutrients of milk except carbohydrates. The task of our work was to establish the effectiveness of the action on the circulation of milk and rennet enzymes obtained from rennet calves of different ages (from 2 to 20 weeks). The research was conducted in the conditions of the Research Institute of Food Technologies and Technologies of Processing of Livestock Products of Bila Tserkva National Agrarian University. It was found that enzymes derived from the abomasum of calves slaughtered at an earlier age coagulate milk faster, and enzymes obtained at an older age convert milk more slowly, but the quality of milk clots in organoleptic characteristics is almost the same. The effect of enzymes obtained from the abomasum of calves of different ages on serum acidity has not been established.
Results of monitoring studies of caecal samples with animal contents for antimicrobial resistance in 2021
Authors: Chechet O. M. , Haidei O. S. , Andriiashchuk V. O. , Horbatiuk O. I. , Kovalenko V. L. , Musiiets I. V. , Ordynska D. O. , Skliar V. V. , Gutyj B. V. , Krushelnytska O. V.
Published: July 2022

The article presents the results of studies of caecum samples (cecal appendages) with contents from cattle, pigs, and poultry following the State Monitoring Plan for Antimicrobial Resistance in Veterinary Medicine for 2021, isolated and identified isolates of zoonoses and commensal microorganisms, namely: Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. The disk diffusion method conducted a study on determining antimicrobial sensitivity to antibacterial drugs. The results of studies on identifying acquired resistance mechanisms to antibacterial drugs are also presented. Interpretation of growth retardation zones was carried out following EUCAST requirements. As a result of the obtained data, 448 isolates were isolated and identified among 2120 samples submitted for research: E coli accounted for 37.7 %, Salmonella spp. – 4.24 %, Enterococcus faecium – 12.7 %, Enterococcus faecalis – 37.9 %, Campylobacter spp. – 7.4 % of all isolated isolates. When determining the sensitivity to antibacterial drugs, eight sensitive isolates were found. 237 isolates were monoresistant (sensitive to 1–2 ABP), and 203 were polyresistant (sensitive to 3 or more ABP). As a result of the research, production (ESBL) was detected and confirmed in ten Escherichia coli strains. Three vancomycin-resistant strains of Enterococcus faecium, and Enterococcus faecalis were identified. Study the prevalence of Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. circulating in Ukraine. will promote a standardized approach to data collection, analysis, and sharing on a global scale and will ensure the fulfillment of the National Action Plan for Combating Antibiotic Resistance to Antimicrobial Drugs tasks. Ukraine has developed a National Action Plan to combat antimicrobial resistance. In the countries of the European Union, there is constant monitoring for Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. The prospect of further research is to continue monitoring antimicrobial resistance against zoonoses and commensal bacteria, namely: isolates of Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp., as they play an important epidemiological role among infectious diseases common to humans and animals, determining their sensitivity and identifying acquired mechanisms of resistance to antibacterial drugs.
Affinamento, sviluppo personale e pratiche meditative: aspetti introduttivi
Authors: Dendasck Carla Viana
Published: July 2022

Questo materiale è il primo articolo di una sequenza di cinquanta materiali, che avranno come obiettivo principale la costruzione di conoscenze teoriche sull’affinamento e lo sviluppo personale, e la sua fattibilità pragmatica attraverso l’aiuto di varie pratiche meditative. Obbedendo alla sistematizzazione del rigore scientifico, ogni materiale sarà organizzato sulla base di una domanda guida che darà significato a ogni materiale individualmente, anche se fa parte di una sequenza. Questa volta, la domanda qui evidenziata sarà: quali sono gli approcci concettuali e le episteme che costituiscono il raffinamento, lo sviluppo personale e in che modo le pratiche meditative aiutano questo processo? In generale, è possibile osservare che l’essere umano è un individuo in continua metamorfosi, che deve sempre cercare di svilupparsi per agire in modo più efficace sia nella sfera personale che sociale. I concetti teorici sono importanti in quanto supportano questo processo; tuttavia, le pratiche meditative possono essere strumenti strategici per eseguire efficacemente questo processo, producendo effetti mentali, sociali e fisiologici.
Raffinement, développement personnel et pratiques méditatives : aspects introductifs
Authors: Carla Viana Dendasck
Published: July 2022

Ce matériel est le premier article d'une séquence de cinquante matériaux, qui aura pour objectif principal la construction de connaissances théoriques sur le raffinement et le développement personnel, et sa faisabilité pragmatique à travers l'aide de diverses pratiques méditatives. Obéissant à la systématisation de la rigueur scientifique, chaque matière sera organisée autour d'une question directrice qui apportera un sens à chaque matière individuellement, même si elle fait partie d'une séquence. Cette fois, la question mise en exergue ici sera : quelles sont les approches conceptuelles et les épistémès qui composent le raffinement, le développement personnel, et comment les pratiques méditatives aident-elles ce processus ? De manière générale, il est possible de constater que l'être humain est un individu en constante métamorphose, qui doit toujours chercher à se développer pour agir plus efficacement tant sur le plan personnel que social. Les concepts théoriques sont importants car ils soutiennent ce processus; cependant, les pratiques méditatives peuvent être des outils stratégiques pour exécuter efficacement ce processus, produisant des effets mentaux, sociaux et physiologiques.
Verfeinerung, persönliche Entwicklung und meditative Praktiken: einführende Aspekte
Authors: Dendasck Carla Viana
Published: July 2022

Dieses Material ist der erste Artikel einer Reihe von fünfzig Materialien, deren Hauptziel der Aufbau von theoretischem Wissen über Verfeinerung und persönliche Entwicklung und seine pragmatische Umsetzbarkeit durch die Hilfe verschiedener meditativer Praktiken sein wird. Der Systematisierung wissenschaftlicher Strenge gehorchend, wird jedes Material auf der Grundlage einer Leitfrage organisiert, die jedem Material individuell Bedeutung verleiht, selbst wenn es Teil einer Sequenz ist. Diesmal wird die hier hervorgehobene Frage lauten: Was sind die konzeptionellen Ansätze und Episteme, die Verfeinerung und persönliche Entwicklung ausmachen, und wie unterstützen meditative Praktiken diesen Prozess? Generell lässt sich feststellen, dass der Mensch ein Individuum in ständiger Metamorphose ist, das sich stets weiterentwickeln muss, um sowohl im persönlichen als auch im sozialen Bereich effektiver agieren zu können. Theoretische Konzepte sind wichtig, da sie diesen Prozess unterstützen; Meditationspraktiken können jedoch strategische Werkzeuge sein, um diesen Prozess effektiv auszuführen und mentale, soziale und physiologische Effekte hervorzurufen.
Refinement, personal development and meditative practices: introductory aspects
Authors: Dendasck Carla Viana
Published: July 2022

This material is the first article of a sequence of fifty materials, which will have as main objective the construction of theoretical knowledge about refinement and personal development, and its pragmatic feasibility through the help of various meditative practices. Obeying the systematization of scientific rigor, each material will be organized based on a guiding question that will bring meaning to each material individually, even if it is part of a sequence. This time, the question highlighted here will be: what are the conceptual approaches and epistemes that make up refinement, personal development, and how do meditative practices help this process? In general, it is possible to observe that the human being is an individual in constant metamorphosis, who must always seek to develop themselves in order to act more effectively both in the personal and social spheres. Theoretical concepts are important as they support this process; however, meditative practices can be strategic tools to effectively execute this process, producing mental, social and physiological effects.
Утончение, личностное развитие и медитативные практики: вводные аспекты
Authors: Dendasck Carla Viana
Published: July 2022

Этот материал является первой статьей из серии из пятидесяти материалов, основной задачей которых будет построение теоретических знаний об утончении и личностном развитии, и их прагматическая реализуемость с помощью различных медитативных практик. Соблюдая систематизацию научной строгости, каждый материал будет организован на основе наводящего вопроса, который придаст смысл каждому материалу в отдельности, даже если он является частью последовательности. На этот раз здесь будет выделен вопрос: какие концептуальные подходы и эпистемы составляют утончение, личностное развитие, и как медитативные практики помогают этому процессу? В целом можно заметить, что человек — это личность, находящаяся в постоянных метаморфозах, которая должна всегда стремиться к саморазвитию, чтобы действовать более эффективно как в личной, так и в социальной сферах. Теоретические концепции важны, поскольку они поддерживают этот процесс; однако медитативные практики могут быть стратегическими инструментами для эффективного выполнения этого процесса, производя умственные, социальные и физиологические эффекты.
¿Las diferencias ecomorfológicas predicen la coexistencia de murciélagos cavernícolas en Cuba?
Authors: Ferrer-Sánchez Y. , Denís Ávila D.
Published: July 2022

Do ecomorphological differences predict the co–existence of cave bats in Cuba?

Identifying mechanisms that influence the coexistence of species is primordial to understanding patterns and processes in biodiversity. Here we aimed to assess the association between coexistence and morphology of cave bats in Cuba and differences in morphologic and dietary aspects. We assembled lists of species from 108 localities with at least three co–inhabiting species. Fourteen species of bats in at least three localities were included. Based on the literature we also obtained the mean values of five morphological variables and the basic composition of diet. We calculated coexistence patterns using EcoSim v7.72 based on the average number of checkerboard units that appeared between each pair of species. We evaluated the predictive capacity of the morphological variables and diet over the degree of coexistence between species using a neural regression network. The best neural network was accepted (correlation of 0.87, training error < 0.006). The prediction error was 13.5 % (± 1.1) of the value of the coexistence index. Our findings indicate that the composition of cave bat assemblages in Cuba has not come about by chance. Rather, we found that the most functionally different species tended to coexist. This finding is consistent with the effect of competitive relationships driving the composition of species of cave bats in Cuba.
Early Assessment of Cognitive Skills, Self-Regulated Learning Skills, and Attitudes Toward Education Predict University Success at Graduation
Authors: Cassady Jerrell , Finch W. Holmes , Heath Joshua A.
Published: July 2022

Considerable research has been conducted on the incremental or individual influences of cognitive skills, self-regulated learning skills, and attitudes toward education on the success of learners in many levels of educational inquiry. In addition, much work has been focused on predicting student success in the first year of college, or examining factors that promote retention only for the second semester or second academic year. This study expands the focus by specifically examining the interactive nature of these three broad domains of student characteristics over the course of the entire students’ experience in higher education. Specifically, this study examines seven years of institutional data exploring the predictive utility of measures of students’ cognitive skills, self-regulated learning skills, attitudes toward education, and academic anxiety prior to the start of their first semester on graduating GPA for anyone completing a degree within 6 years of matriculation. The results demonstrate that while all of the variables were instrumental in explaining overall university success, the best explanation of the data was achieved through a partial moderated mediation model. Furthermore, the data illustrated that the patterns of these relationships for first generation and non-first generation students differed. The results are supportive of a model of early assessment to identify areas of need for learners to promote more adaptive coping strategies at the start of the university experience to support optimal graduation outcomes for both first generation and non-first generation learners.