bluuebunny/crossref_metadata_2025 huggingface dataset:
Emerging biomarkers in gestational diabetes: perspectives for improving diagnosis and prognoses
Authors: Miranda Sánchez Andrea Belén , Moina Veloz Álvaro Paul
Published: February 2024

Gestational diabetes mellitus is a pathology suffered by one in seven pregnant women worldwide, in which carbohydrate metabolism is altered, that is, glucose intolerance occurs. It is recognized for the first time in pregnancy since these adaptations occur with the objective of providing an adequate amount of glucose to the fetus for its development. They are related to risk factors such as age, diet, lack of physical activity, among others, and can cause fetal macrosomia, neonatal jaundice, and cardiorespiratory complications. In the mother, it is diagnosed through different blood glucose tests such as the oral glucose tolerance test, O'Sullivan test, however currently new biomarkers have been implemented for an early prognosis such as IL-27, a protein retinol transporter 4, maternal fetuin A, high sensitivity C-reactive protein and molecular biomarkers, but more studies are required so that these biochemical markers can be standardized by an organization
Variation of hematological and biochemical profile in dialyzed patients before and after this treatment
Authors: Pérez Salazar Noelia Nataly , Tabares Rosero Lourdes Gioconda
Published: February 2024

Introduction: Chronic kidney disease has developed in recent years and has become one of the top 10 leading causes of death worldwide. Patients undergoing dialysis require monitoring of hematological and biochemical parameters to detect the progression of the disease and assess the quality of treatment.Objective: To evaluate the variation in different parameters of the hematological and biochemical profile in patients before and after dialysis.Methods:  a comprehensive literature review was conducted with 24 scientific articles obtained from digital databases such as Google Scholar, SciELO, PubMed, Elsevier, related to chronic kidney disease and the measurement of hematological and biochemical parameters in patients during pre and post-dialysis.Results: Most hematological parameters, such as red blood cells, hemoglobin, MCV, MCH, and platelets, significantly increase after treatment. On the other hand, both urea and creatinine decreased during post-dialysis measurements, although they did not decrease enough to reach normal values.Conclusions: Dialysis produces positive changes in hematological profile parameters, as levels increase after treatment. It also helps eliminate toxins from the blood by demonstrating a decrease in urea and creatinine
Formación didáctica dialógica para promover el desarrollo de competencias investigativas
Authors: Fernández Betsi , Otero Gustavo , Piñero Liliana
Published: February 2024

En este artículo se presenta una forma de teorizar acerca de la formación didáctica dialógica para promover el desarrollo de competencias investigativas en docentes universitarios, tomando en consideración los elementos significativos de este enfoque que demanda mayor vinculación éntrelos diferentes actores del hecho educativo, formulando la siguiente interrogante: ¿Es en y desde el proceso formativo que se deben crear las condiciones para que el desarrollo de las competencias investigativas, capacidades y/o talentos pueda darse, requiriendo para ello de una verdadera formación didáctica dialógica? Desarrollado desde un paradigma interpretativo, con un enfoque cualitativo aplicando como técnica la entrevista en profundidad y analizando la información de forma constante, hasta llegar a la saturación y a la teorización, de la formación didáctica dialógica.
Competencias humanas en gerentes del sector manufacturero de Panamá
Authors: Garces Yuria , Benavides Terrientes Aldo
Published: February 2024

La investigación estuvo orientada a proponer lineamientos para el desarrollo de Competencias Humanas del personal de las empresas manufactureras de Panamá. Los fundamentos teóricos que soportan este estudio se concentran en los aportes que ofrecen Villarini, Besseyre Des Horts, Dirube, entre otros. Tal objetivo permite caracterizar la investigación como proyectiva, y la identificación de competencias presentes y necesarias en gerentes la enmarca como un estudio proyectivo apoyado de un diseño no experimental, transeccional descriptivo y de campo de campo. Los datos se obtuvieron mediante la aplicación de dos (2) instrumentos, uno para gerentes y empleados y, el otro dirigido a expertos. Para el análisis de los resultados se utilizaron medidas de estadística descriptiva: media y desviación estándar. Los resultados obtenidos indican un nivel de desarrollo en las competencias humanas que hace necesario la formulación de lineamientos, con el fin de proveer un marco de referencia para dirigir las acciones necesarias hacia el desarrollo de estas en gerentes de empresas en estudio.
Perspectivas teóricas en las dinámicas del marketing internacional
Authors: Wong Manchong Doraya , Wong Manchong Yara Guadalupe
Published: February 2024

El marketing internacional atiende aquellas actividades competentes a la mezcla de mercado y a todas las desafiantes para el desarrollo del comercio internacional. Al revisar algunas perspectivas teóricas en las dinámicas del marketing internacional, emerge un marco teórico que permite el análisis de los conceptos fundamentales que guían las decisiones estratégicas en el ámbito internacional. La presente investigación es cualitativa, documental e inductiva a nivel descriptivo, considerando que para alcanzar el objetivo del estudio se requirió de la exploración en los procesos de internacionalización de las empresas con apoyo del marketing basados en las variables marketing internacional y comercio internacional. Los resultados exponen teorías que van desde las clásicas a las teorías contemporáneas y, una vez explicadas las características de las siete teorías seleccionadas, se comprende cómo cada una de ellas impulsa la dinámica del marketing internacional porque, como el entorno no solo es cambiante sino volátil, el marketing internacional ofrece perspectivas teóricas que ayudan a las empresas a examinar ese entorno, para que ajusten sus estrategias y herramientas, actuando en consecuencia.
OPTIMALISASI KUALITAS KOPI ROBUSTA PADA MESIN ROASTING KOPI DENGAN MENGGUNAKAN METODE TAGHUCI PADA CAFE ALBIRU BANYUWANGI
Authors: Langgeng Dewantoro  , Herdiana Dyah Susanti  , Abdul Hamid
Published: February 2024

Café Albirru berlokasi di Jl. HOS Cokroaminoto No. 47, Kecamatan Glagah, Kabupaten Banyuwangi, Café Albirru ini menjual berbagai macam jenis makanan dan minuman dengan harga terjangkau. Minuman kopi yang disediakan di cafe allbirru diproses dengan menggunakan mesin roasting kopi yang dilengkapi dengan pengatur suhu dan waktu. Selama ini di café albiru belum ada standar kualitas dalam proses penyangraian kopi supaya dapat menghasilkan biji kopi yang layak untuk dijadikan biji kopi. Hal ini menyebabkan kualitas bubuk kopi yang dihasilkan beragam dan menyebabkan biji kopi robusta kurang diminati oleh konsumen.Tujuan dari penelitian ini ialah Mengetahui kontribusi putaran mesin,waktu dan kecepatan putaran mesin dalam kualitas color roasting kopi robusta menggunakan metode taguchi.Hasil dari penelitian ini yakni Dari hasil pengujian mesin roasting pada café albirru menggunakan kopi robusta ijen banyuwangi dengan dilakukan 4 kali experiment, dengan pengolahan data aplikasi minitab 2018 diketahui hasil yang optimal untuk color roasting kopi medium to dark terdapat  kecepatan putaran mesin 40 rpm, waktunya 9 menit dan kapasitas roasting 1 kg kopi robusta dan perhitungan Analisis varians (ANOVA) telah diperoleh faktor dengan kontribusi yang paling berpengaruh terhadap proses roasting kopi yaitu waktu (B) dengan nilai 53,30%, kemudian kecepatan putaran mesin (A) dengan nilai 21,59%, sedangkan kapasitas roasting (C) terdapat nilai 11,01% yang mana dengan kapasitas roasting tidak terlalu berpengaruh terhadap proses roasting kopi robusta banyuwangi. Dengan demikian untuk menghasilkan bubuk kopi yang terbaik diproses selama 21,15 menit dengan kecepatan putaran mesin 23,00 rpm.
Crónica sobre la cirugía en Antioquia. Tercera entrega.
Authors: Álvarez-Echeverri Tiberio
Published: February 2024

Based on personal interviews, records from the Study Group on the History of Surgery in Antioquia, original documents, and a correspondence exchange between doctors Bernardo Ochoa Arizmendi and Jorge Emilio Restrepo Gaviria, a historical account is provided on the founding of the Department of Surgery at the University of Antioquia and the San Vicente de Paúl University Hospital in Medellin, Colombia, during the 1950s and 1960s.
El papel de los revisores de artículos de investigación científica en medicina
Authors: Morán Villota Carlos
Published: February 2024

The aim of this article is to describe the task and responsibility of the peer reviewers of medical scientific articles. It succinctly defines what constitutes an original scientific research article and discusses the responsibility and ethics involved in performing this task. Reviewing scientific articles is a commendable yet challenging job that requires knowledge and time to delve into the depth required. This has generated a shortage of reviewers of scientific articles willing to carry out this important task.
DESIGN PRIORITIZATION STUDY FOR A SEMI-SUBMERSIBLE NAVAL SHIP BASED ON FAST DECISION METHOD
Authors: Karabulut Utku Cem , Barlas Barış , Baykal Mehmet Ali
Published: February 2024

Recently, number of countries included various types of special operations crafts to their navies. One type of these crafts is called semi-submersible naval ship, which utilizes superior properties of a submarine and a surface ship. This paper presents general characteristic design features of these type of ships. Additionally, a design prioritization study based on a Fast-Decision survey was carried to determine the importance of different design features of such ships. Survey participants were chosen from experienced naval officers who served the Navy. The responses are analyzed and presented with bar charts which shows the order of importance of the different design parameters. Results reveals that the most important operational tasks for a semi-submersible naval ship are naval special operations capability and ability to infiltrate, dodge and operate in hostile waters while the most important functional features are high maneuverability in surface operations and low acoustic detectability in underwater operations. In addition, it appears that the size of the control room and engine room is more important than the ship's ability to be transported by another vehicle. The authors are intended to make conceptual designs for semi-submersible naval ships and investigate their hydrodynamic features in future studies.
Healthcare musicians and musico-emotional work: An in-depth case study within the context of end-of-life care
Authors: Koivisto Taru-Anneli
Published: February 2024

The purpose of this in-depth case study is to explore the work of musicians in end-of-life care. In this study, a healthcare musician is considered to be a professional who has both an academic degree in music and in-service training in music and healthcare settings. In addition to working with healthcare personnel, they often collaborate with music therapists to provide integrated healthcare services for the best patient care. In the study, six musicians who had experience in end-of-life care settings were interviewed. Their reflections on their socially engaged work were analysed through the emerging theoretical lens of emotional work. This resulted in the identification of three themes beyond that of pure performativity in music professionalism, relating to the emotional work in end-of-life care. Furthermore, the emotional processes that were encountered, which were deeply social in nature, were conceptualised as musico-emotional work. This other-centred work aligns with music therapy research, and is an essential part of music therapists’ end-of-life work. In conclusion, the similarities between music therapists and musicians, as well as the interprofessional potential of their cooperation, are reflected upon.
التلاؤم الصوتي عند سيبويه واثره في كتاب معاني القرآن وإعرابه للزجاج (ت311هـ) (دراسة في التخفيف والتحر ك، والحذف)
Authors: أ.م.د. علي شاكر جواد
Published: February 2024

يهدف البحث إلى بيان أثر سيبويه في آراء الزجاج في "كتابه معاني القرآن وإعرابه" في ظاهرتي التخفيف والتحريك، والحذف، ومقدار هذا الأثر من حيث توافق الآراء أو طريقة التحليل التي يعتمدها في بيان الظاهرة الصوتية عن طريق هذا التحليل، ولا يخلو البحث من ذِكر بعض الآراء التي خُولف بها سيبويه من لدن بعض علماء اللغة من غير العالم المذكور آنفًا، وكذا يعرض البحث مقدار المواضع التي توافق بها الزجاج مع سيبويه، وبصورة مختصرة يمكن أن نوجز هذا الأثر الذي ظهر في كتاب الزجاج، في بعدين:

الأول: اعتماد أراء سيبويه منطلقًا لعرض أصالة ما يتعلق بالمسألة من توضيح، ومرتكزًا لإثبات أثر التحولات الصوتية وأسبابها في المسائل المدروسة، ومقدار الأخذ بها على النحو التنصيصي وما توصل إليه من التحليل.

الثاني: ظاهرة الإمضاء التي انماز بها في الأخذ بآراء سيبويه.
حل التعارض بين الامارات الرجالية عند السيد الخوئي
Authors: الغريفي م . د. زين العابدين المقدس
Published: February 2024

اعتمد الباحث المنهج التحليلي في بيان رأي السيد المحقق الخوئي في التعامل مع الأمارات الرجالية سواء كانت دلالتها منفردة على المطلوب أم معارضة بغيرها .

وهذا التنافي تارة يكون مستقراً بحيث لا يمكن رفعه ، وأخرى غير مستقر بحيث يمكن معه الجمع الرافع للتضاد ، حيث ذهب عدد من الأعلام إلى إمكان الجمع العرفي بين كلمات الرجاليين وأقوالهم من قبيل حمل المطلق على المقيد أو العام على الخاص في حين يرى المحقق الخوئي إلى امتناعه لتعدد المتكلم المفضي إلى تعدد الارادة .

ثم تعرض الباحث لبيان القاعدة الأولية في المتعارضين وتوصل إلى كونها التساقط ، فكل دليلين تساويا في جهات الصدور والدلالة والجهة يتساقطا ويرجع فيه إلى العمومات الفوقانية ، فإن لم يوجد فيرجع الى الأصل ، وحيث إن أصالة العدالة لم تثبت فإن الراوي يبقى على جهالته ما لم تبرز دليل آخر على الوثاقة أو الضعف .

نعم ، ذهب مشهور الرجاليين بما فيهم المحقق الخوئي إلى ثبوت الترجيح بين أقوال الرجاليين فيما يعرف بالقاعدة الثانوية، فإذا وجد مرجح في البين يثبت مزية لأحد القولين فيؤخذ حينئذٍ بالراجح منهما .

والترجيح إما يكون بصفات الراوي أو بكثرة أحد الطرفين أو بأي مرجح يوجب الوثوق أو الاطمئنان بالرجحان
بناء الفضاء في نصوص علي العبادي (( تصاميم مقترحة))
Authors: الباحث علي حسين صاحب  , أ. د. حيدر جواد كاظم
Published: February 2024

تناول البحث الآتي بناءَ الفضاء عند الكاتب والمخرج علي العبادي في نصوصه المسرحية حيث قام الباحثان بإنشاء تصاميم مقترحة لهذه النصوص في الفصل الثالث باختيار عينة البحث وتحليلها بتصاميم مقترحة جديدة لهذه.

          وقد تناول الباحثان في الفصل الأول مشكلة البحث وهدفه وحدوده وتعاريف الفضاء والبناء.

          أمّا في الفصل الثاني فقد قسمه إلى ثلاث مباحث فتناول المبحث الاول أنواع الفضاءات المسرحية, بينما دار المبحث الثاني حول عناصر بناء الفضاء وهي الكتلة واللون والشكل والملمس والحركة والغطاء، بينما تكلّم في المبحث الثالث عن حياة الكاتب واعماله ومميزاته وما يدور عنه.

          أمّا الفصل الثالث حيث تناول البحث مجتمع البحث وعينه البحث.

          وأخيرا تناول الفصل الرابع من البحث النتائج والاستنتاجات والتوصيات والمقترحات.
Endogenous and Exogenous Factors Affecting Capital Structure: A Theoretical Review
Authors: Darmono Darmono , Su’un Muhammad , Jillbert Julius , Ikawijaya Natali , Mursyidin Mursyidin
Published: February 2024

Capital structure refers to the way a company finances its operations through a mix of equity and debt. The choice of capital structure has important implications for the risk and return of a firm, as well as its ability to raise funds and invest in future growth. In this theoretical review, we will examine the endogenous and exogenous factors that affect a firm's capital structure decisions. In conclusion, a firm's capital structure decisions are influenced by a complex set of endogenous and exogenous factors. By understanding these factors, firms can make informed decisions about their capital structure, balancing the trade-offs between risk, return, and growth potential.
Role of Human Resource Management Value-Added on Financial Performance Efficiency Management: The Mediating Role of Employee Commitment
Authors: Pantih Suwardhi
Published: February 2024

This study explores the interconnections among transformational leadership, employee motivation, employee commitment, and financial management efficiency in the Central Sulawesi banking sector, Indonesia. It aims to uncover how transformational leadership and employee motivation impact a company's financial management efficiency and assesses the mediating function of employee commitment in this context. The research encompasses a sample of 396 employees drawn from various Central Sulawesi banks, selected via convenient sampling. Inclusion criteria encompassed a minimum one-year tenure at their current organization and direct exposure to their superiors' leadership styles and familiarity with financial management practices. Data collection entailed a self-administered questionnaire comprising four sections. The first segment gathered demographic data, including age, gender, education, job position, and tenure. The second assessed transformational leadership, employing adapted items from the Multifactor Leadership Questionnaire (MLQ). It scrutinized idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. The third section gauged employee motivation, adapting items from the Work Extrinsic and Intrinsic Motivation Scale (WEIMS), covering extrinsic and intrinsic motivation factors. The fourth section measured financial performance efficiency, considering metrics such as stock price, firm innovativeness, and learning orientation. It also assessed employee commitment, comprising affective, continuance, and normative commitment. Responses utilized a Likert-type scale from 1 (strongly disagree) to 5 (strongly agree). A pilot test ascertained questionnaire clarity and comprehensibility. The findings illuminate the intricate web of factors impacting financial management efficiency, underscoring employee motivation and transformational leadership's pivotal roles, mediated by employee commitment. This study enriches practical and theoretical understanding, offering invaluable insights for leaders, managers, and researchers striving to enhance financial management efficiency and organizational performance.
The Conditions and Guidelines of Action Learning Resources Through Miang Indigenous Wisdom in Mae Kampong Village, Chiang Mai Thailand
Authors: Samerjai Phremyaphar , Khanongnuch Chartchai , Mangkhan Charin , Saenjum Chalermpong
Published: February 2024

The objectives of this qualitative research were to study the conditions of the action learning resources through Miang indigenous wisdom in Mae Kampong Village, Chiang Mai Thailand, key informants consisted of twenty-six respondents, the instrument used was an unstructured interview form, the data were analyzed by content analysis and summarized into issues, and to study guidelines of the action learning resources through Miang indigenous wisdom in Mae Kampong Village, Chiang Mai Thailand; key informants consisted of twenty-five respondents,  the data were analyzed by classifying into items. The research results were as follows: 1. The conditions of the action learning resources through Miang indigenous wisdom in Mae Kampong Village, Chiang Mai Thailand consisted of six aspects including 1.1 The social structure of Mae Kampong Village, Chiang Mai Thailand, 1.2 Ways of life, livelihood, and local wisdom, 1.3 Occupations and living, 1.4 Miang planters as an occupation, 1.5 Characteristics, and 1.6 Economics. 2. Guidelines of action learning resources through Miang indigenous wisdom to promote creative education in Mae Kampong Village, Chiang Mai Thailand consisted of the strengths, weaknesses, opportunities, and threats of the action learning resources applying as derived data to construct a model of action learning resources through Miang indigenous wisdom in Mae Kampong Village, Chiang Mai Thailand.
Working Capital Management Aggressiveness and Its Performance: Evidence from Agro-Food Industry in Thailand
Authors: Wanganusorn Bhannawat , Hantrakul Chirayu
Published: February 2024

The primary objective of this research study was to empirically examine the association between the efficiency of working capital management (WCM), comprising measures such as the Cash Conversion Cycle (CCC), Efficiency Index (EI), Aggressiveness Index (AGGR), and Accounts Receivable Aggressiveness (ARAGGR), and the financial performance (FP) metrics, including Earnings on Assets (EOA) and Return on Assets (ROA). Additionally, this study aimed to compare the efficiency of WCM across various models of publicly listed companies operating in Thailand's Agro & Food Industry. The study utilized a dataset spanning a period of 11 years, from 2007 to 2018, encompassing a sample of 53 enterprises listed within the Agri-business and Food & Beverage sectors. The data was sourced from the SETSMART database, a reputable financial data repository. To investigate the relationship between WCM efficiency and financial performance, the study employed multiple regression analysis. The empirical findings from this research indicate that all the independent variables associated with WCM have a statistically significant impact on financial performance. Notably, the variable AGGR exhibited the most substantial influence on financial performance, as evidenced by its beta coefficient of 0.485. These findings suggest that a model incorporating a combination of performance metrics provides a more comprehensive explanation of the interplay between working capital management and financial performance.
Cyberbullying among Children and Youth in Thailand and Measures to Combat It
Authors: Sripa Kantita , Ninphet Theeravut
Published: February 2024

The incidence of cyberbullying among Thai youth has increased recently. Some situations may become severe and challenging to resolve. Consequently, the purpose of this study is to develop regulatory measures that protect young people from cyberbullying, with a focus on integrating collaboration throughout research and development (R&D). Participating in the study were elementary and secondary school students, as well as their families, educators, and experts, in addition to a group of stakeholders from educational institutions, law enforcement departments, and relevant government and civil society organizations. The findings revealed that cyberbullying among children and young people is widespread and takes many different forms. The circumstances related to cyberbullying arise from a youth's lack of understanding of the consequences of bullying, as well as their familial background and social environment. The measures developed to protect youth from cyberbullying included regulatory measures for schools (developing teachers, encouraging students, gaining access to the family, surveillance, and caring) and legal measures (modernizing the law, promoting legal literacy, and protecting youth). Focus should be placed on all levels, including the policy and operational levels. While expanding the study's results, it should be implemented in an approach that integrates with routine duties and operates network-connectedly in order to prevent and solve problems continuously and sustainably.
Masters of Camouflage and Mimicry: Unusual World of Lepidoptera
Authors: Khan Perveen Farzana , Khan Anzela
Published: February 2024

Camouflage is derived from the French word “camoufler”, which originally means disguise. Camoufler derives from camouflet, means a puff of smoke that obscures visibility. As a kind of defense, Lepidoptera uses camouflage, also known as cryptic coloration means to conceal its appearance and blend it with its surroundings. This adaptation prevents Lepidoptera from being detected or recognized by other animals. Lepidoptera, in particular, uses a variety of strategies, including disruptive coloration, active camouflage, concealing coloration, disguise, mimicry, counter-shading, aposematic coloration, color matching, self-decoration, and blending into their surroundings. Camouflage involves animals resembling inanimate objects, while mimicry refers to the similarities between different Lepidoptera species. Since the earliest evolutionists, these ideas have been used as examples of natural selection and adaptation. For surviving in their environments, Lepidoptera employs physical, behavioral, and structural adaptations. Such adaptations include hibernation, migration, instinct, and learning. A Lepidoptera’s body has features called structural adaptations that help it for surviving, such as water retention capacity and defensive coloration. In camouflage, there are eight factors of recognition: position, shape, shadow, texture, color, tone, movement, and shine, those must be considered to ensure that the animal’s location remains concealed. Nature has provided its creatures with great weapons for survival through these amazing techniques.
Biomarkers as a Therapeutic Approach in Colorectal Carcinoma
Authors: Effendi-YS Rustam , Rey Amido , Rey Imelda
Published: February 2024

This review highlights the most promising biomarker tests of tumor tissue from colonoscopy biopsy for more individualized therapeutic approaches to patients with colorectal carcinoma (CRC). Biomarkers are a key tool in early detection, survival, and predicting treatment response and prognostic value. The tests can help doctors to select a specific CRC treatment and targeted therapy. CRC is the third most common cancer diagnosed, and the second leading cause of cancer-related deaths worldwide, despite the progress made in detection and management through surgery, chemotherapy, radiotherapy, and immunotherapy. With a population totaling 273,523,621 people, Indonesia has estimated 396,914 new cases of all cancer and 234,511 cancer-related deaths. Among those cancer cases, estimated 34,189 new CRC cases and 17,786 CRC deaths occurred in 2020. Most of CRC cases were located in the rectum compared to those in the distal colon or proximal colon. CRC is a heterogeneous cancer. Its therapeutic approaches vary, depending on the tumor location (proximal, distal colon, or rectum), clinical signs and symptoms, staging and biomarkers such as KRAS and NRAS, BRAF V600E, MSI high (dMMR), CIN, HER2-amplified, PD-1, CTLA-4, MEK, and NTRK gene fusion-positive. CSCs and other biomarkers are being developed and remain under investigation.
Efektivitas Pengelolaan Limbah Medis Padat Puskesmas Ngagel Rejo Kota Surabaya
Authors: Syarif Hidayatullah Muhammad Alaika , Afridah Wiwik , Adriansyah Agus Aan
Published: February 2024

Pengelolaan limbah medis di Puskesmas Ngagel Rejo pada proses pengangkutan terkendala oleh penjadwalan pengangkutan limbah medis padat oleh pihak ketiga yang tidak menentu yang mengakibatkan limbah medis padat harus secara rutin dimasukkan di coldstorage, untuk menambah masa simpan. Selain itu pandemi yang terjadi merupakan salah satu faktor yang menyebabkan timbulan limbah medis padat mengalami peningkatan. Sehingga tujuan penelitian ini adalah mengetahui efektivitas pengelolaan limbah medis padat di Puskesmas Ngagel Rejo Kota Surabaya. Penelitian ini merupakan penelitian deskriptif kualitatif dan menggunakan metode pengamatan/pengukuran secara langsung dan wawancara digunakan untuk memperoleh data primer berupa kondisi eksisting pengelolaan limbah medis padat Puskesmas. Wawancara dilakukan dengan beberapa narasumber yang mengerti mengenai kondisi eksisting pengelolaan seperti Kepala Puskesmas, Sanitarian, dan petugas kebersihan Puskesmas Ngagel Rejo. Analisa data menggunakan perbandingan antara kondisi eksisting dengan instrumen penilaian. Puskesmas Ngagel Rejo menerapkan sistem pengelolaan limbah medis padat internal dengan melakukan pemilahan dari sumber, pengangkutan internal menggunakan tempat sampah tertutup dan memiliki roda, penyimpanan sementara menggunakan safetybox. Sedangkan pengelolaan eksternal melalui tahapam pengangkutan eksternal menggunakan mobil box container, pengumpulan dilakukan di TPS medis, pengolahan dan penimbunan yang dilakukan oleh pihak ketiga. Pengelolaan internal limbah medis padat membutuhkan jalur khusus untuk pengakutan. Sedangkan pengelolaan eksternal limbah medis padat pada tahap pengolahan akhir dan penimbunan dilakukan sepenuhnya oleh pihak ketiga. Berdasarkan hasil penilaian evaluasi dan monitoring Puskesmas Ngagel Rejo mencapai skor 80, yang artinya sistem pengolahan limbah medis padat actual sesuai dengan standar. Maka Puskesmas Ngagel Rejo memerlukan pengadaan jalur khusus pengangkutan, pengakutan secara teratur dan penambahan kantong plastik berwarna coklat untuk menyimpan limbah farmasi
Perancangan Sistem Informasi Administrasi Pengajuan Nikah Berbasis Web pada GKPM Mandiri Padang
Authors: Sakeru Ardonald
Published: February 2024

Permasalahannya antara lain data Jemaat GKPM Mandiri Padang yang ada saat ini masih berupa file cetak (menggunakan kertas), karena datanya masih berupa cetakan yang jumlahnya banyak, sehingga data jemaahnya mudah hilang dan dapat dipalsukan. Data sulit dipelihara dan tidak up to date. mengakibatkan pengguna atau pihak tertentu tidak bisa mendapatkan informasi terbaru. Pada sistem ini dilakukan analisis terhadap sistem yang sedang berjalan yang dilakukan dengan desain output, desain input, desain file. Metode yang digunakan adalah SDLC (System Development Life Cycle) dimana metode ini digunakan untuk mendapatkan data untuk diolah menjadi informasi yang lebih akurat sesuai dengan penelitian. Model yang digunakan adalah model waterfall yang memiliki beberapa tahapan dalam pembentukan sistem informasi yaitu; Perencanaan, Analisis, Desain, Desain, Pengujian, dan pemeliharaan menggunakan alat desain yaitu UML (Unified Modelling Language). Perancangan sistem ini diimplementasikan secara komputerisasi dengan menerapkan bahasa pemrograman Xampp, Sublime Text, PhpMySql. Hasil dari penelitian ini adalah Sistem Informasi Pengajuan Nikah Berbasis Web di GKPM Mandiri Padang, yang diharapkan dapat membantu pengolahan data pernikahan atau admin gereja dan calon yang melamar di GKPM Mandiri Padang lebih mudah mengakses informasi secara cepat dan akurat
Analisis Gaya Bahasa pada Puisi “Doa” Karya Chairil Anwar
Authors: Esa Putra Muhammad Zanika
Published: February 2024

Chairil Anwar merupakan salah seorang penyair terkemuka di Indonesia. Karya puisinya yang berjudul DOA menggambarkan seorang hamba yang sedang melakukan komunikasi dengan Tuhan melalui doa yang dipanjatkan. Selain itu, puisi DOA memiliki gaya bahasa di dalamnya. Penelitian ini bertujuan untuk menganalisis gaya bahasa pada puisi DOA karya Chairil Anwar. Penelitian ini menggunakan metode deskriptif kualitatif. Teknik pengumpulan data dilakukan melalui studi pustaka. Teknik ini diawali dengan membaca jurnal ataupun tulisan-tulisan yang mendukung data primer, kemudian memilah dan mencatat data yang dibutuhkan untuk dianalisis. Hasil analisis menunjukkan bahwa puisi DOA karya Chairil Anwar terdapat dua gaya bahasa di dalamnya, yaitu hiperbola dan metafora. Terdapat tiga data dalam gaya bahasa hiperbola dan terdapat satu data dalam gaya bahasa metafora
Problematika Orang Tua dalam Pembelajaran Daring terhadap Minat Belajar Anak Kelas 1 di SD Kristen Kalam Kudus Sentani Kab Jayapura
Authors: Olvie Mulder Deysi
Published: February 2024

Latar belakang penelitian ini adalah bahwa terdapat problem yang dialami orang tua selama mendampingi anak belajar dari rumah pada masa covid19. Di karenakan problem yang ada makan orang tua juga memiliki upaya untuk mengatasi problematika tersebut. Penelitian ini merupakan penelitian kulitatif dengan pendekatan deskriptif kualitatif. Subyek penelitian pada penelitian ini yakni orang tua, peserta didik, dan salah satu guru di sekolah kalam kudus sentani. Pengumpulan data dilakukan dengan cara wawancara, dokumentasi dan observasi. Analisis data dengan mengumpulkan seluruh data untuk ditelaah, meeduksi data, menyajikan data kemudian ditarik kesimpulan dan verifikasi data. Pengujian keabsahan data dilakukan dengan triangulasi. Hasil penelitian: (1) Problematika orang tua dalam mendampingi anak belajar dari rumah yaitu orang tua yang kurang bisa membimbing dan memahami materi secara penuh, sehingga tidak bisa maksimal dalam mengajari anak, tidak adanya handphone, kesulitan dalam menjangkau akses internet kesulitan mengoprasikan gadget, dan orang tua tidak memiliki cukup waktu untuk membimbing anak belajar dari rumah. (2) Upaya orang tua dalam mengatasi problem dalam mendampingi anak belajar dari rumah yaitu orang tua memberikan motivasi kepada anak, memberikan cara atau trik yang menarik buat belajar anak
Faktor-Faktor yang Mempengaruhi Pendeteksian Kecurangan: Karakteristik Komite Audit, Pengalaman Kerja, dan Tipe Kepribadian Auditor
Authors: Roy Jhones , Kuntadi Cris
Published: February 2024

Riset terdahulu atau riset yang relevan sangat penting dalam suatu riset atau artikel ilmiah. Riset terdahulu atau riset yang relevan berfungsi untuk memperkuat teori dan fenomena hubungan atau pengaruh antar variabel. Artikel ini mereview faktor-faktor yang mempengaruhi dalam mendeteksi kecurangan, yaitu: karakteristik komite audit, pengalaman kerja dan tipe kepribadian auditor, suatu studi literatur audit. Tujuan penulisan artikel ini guna membangun hipotesis pengaruh antar variabel untuk digunakan pada riset selanjutnya. Hasil artikel literature review ini adalah:  1) karakteristik komite audit berpengaruh terhadap mendeteksi kecurangan; 2) Pengalamankerja berpengaruh terhadap mendeteksi kecurangan; dan 3) Tipe kepribadian auditor berpengaruh negatif terhadap mendeteksi kecurangan
Kepastian Hukum terhadap Sertifikat Hak Tanggungan Terkait Akibat Hukum Atas Kepemilikan Hak Atas Tanahnya Dibatalkan oleh Putusan Pengadilan
Authors: Ari Bowo Dedi , Maryono Maryono , Widjajaatmadja Dhody AR
Published: February 2024

Tanah merupakan objek yang sering digunakan sebagai jaminan, sebagaimana ternyata pada Undang-Undang Nomor 4 Tahun 1996, tentang Hak Tanggungan Atas Tanah Beserta Benda-Benda Yang Berkaitan Dengan Tanah, akan tetapi perbankan selaku kreditur sering dirugikan dikarenakan hapusnya Hak Tanggungan atas jaminan kreditnya sebagaimana dapat dilihat pada perkara nomor 254/PK/Pdt/2008, dalam penelitian ini masalah yang hendak dibahas adalah Kepastian Hukum dan Akibat Hukum Hak Tanggungan yang kepemilikan Hak atas Tanahnya dibatalkan oleh Putusan Pengadilan, dengan menggunakan teori kepastian hukum Jan Michiel Otto dan teori akibat hukum Soeroso. Metode yang digunakan dalam penelitian ini dengan jenis penelitian yuridis normative, Adapun pendekatan penelitian yang dipergunakan Pendekatan Kasus dan teknik pengumpulan bahan hukum dilakukan dengan cara mengidentifikasi dan menginventarisasi aturan hukum positif, literatur buku, jurnal dan sumber bahan hukum lainnya. Teknik analisa dengan penafsiran hukum Penafsiran Gramatikal dan metode konstruksi hukum. Hasil penelitian Kepastian Hukum terhadap Sertifikat Hak Tanggungan yang hak atas tanahnya dibatalkan oleh Putusan Pengadilan menyimpulkan bahwa terhadap Sertifikat Hak Tanggungan tersebut tetap memiliki nilai kepastian hukum, Hak Tanggungan tidak kehilangan Kekuatan Hukum, dan Akibat Hukumnya, mengakibatkan kreditur kehilangan jaminan atas kreditnya dan beresiko debitur menjadi Wanprestasi
Research to improve disolution of celecoxib
Authors: Huynh Thi My Duyen , Le Thi Minh Ngoc
Published: February 2024

Background: Celecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, is a nonsteroidal anti-inflammatory drug (NSAID) which is known for its decreased risk of causing gastrointestinal bleeding compared to other NSAIDS. It is used to manage symptoms of various types of arthritis pain. However, celecoxib is poorly soluble in water, so the drug solubility in the stomach is poor and the oral bioavailability is low (about 22-40%). Objectives: Study on the preparation of the solid dispersion of celecoxib with different carrier ratios and analyze the mechanism to improve the solubility of the solid dispersion. Materials and Methods: Celecoxib, excipients used in the preparation of solid dispersions, experimental studies by solvent evaporation, Infrared spectroscopy (FTIR) and Differential scanning calorimetry (DSC) methods to analyze the mechanism of increase the solubility of solid dispersions containing celecoxib. Results: Found the best carrier to improve the solubility of celecoxib and analyzed the mechanism to improve the solubility of solid dispersions.

Conclusions: Celecoxib solid dispersion system using PVP K30 (1:5) carrier system with 2% sodium laurylsulphate, which improves the solubility by 9.1 times, the solubility improvement mechanism is proved by modern analytical methods.
The survey of antibiotic resistance of the bacteria that cause infections isolated at Can Tho University Medicine and Pharmacy Hospital in 2021
Authors: Nguyen Thi Hai Yen , Nguyen Thi Be Hai , Luong Quoc Binh
Published: February 2024

Background: The rate of antibiotic resistant bacteria increases dramatically, therefore choosing antibiotics for treatment of bacterial infections is more and more difficult. Objectives: 1).

To identify the bacterial agents which caused infectious diseases isolated from patient samples and some related factors; 2). To describe the antibiotic resistance of isolated bacteria. Materials and methods: 627 bacterial strains were isolated and identified. Antimicrobial susceptibility testing were done by MicroScan. Results: The predominance of isolated bacteria is S. aureus (22.8%).

Other isolated bacteria are Staphylococcus spp. (17.4%), S. pneumoniae (16.2%), Klebsiella spp. (11.9%) and E. coli (9.7%). The resistance of S. aureus are high level with erythromycin (71.6%), clindamycin (78.7%), gentamycin (50.3%); S. aureus resistant to vancomycin are (10.4%). The resistance of Staphylococcus sp are low level with erythromycin (67.0%), clindamycin (57.5%), levofloxacin (50.5%). High level resistance of S. pneumonia is erythromycin (84.2%). High level resistance of E. coli are aztreonam (81.7%), piperacillin and levofloxacin (78.7%). High level resistance of Klebsiella spp. is piperacillin (83.8%). High level resistance of Pseudomonas spp. are ciprofloxacin (38.1%), piperacillin (38.6%) và levofloxacin (40.0%). Conclusions: S. aureus accounted for the highest percentage with 22.8%, bacterial strains with multi-antibiotic resistance accounted for a high rate.
Risk factors for prediction community acquired pneumonia due to gram-negative-bacteria
Authors: Truong Van Lam , Dang Tran Van Anh , Nguyen Giang Son , Nguyen Thi Tho
Published: February 2024

Background: The Community acquired pneumonia is a very popular infectious disease and it has a high mortality. Pneumonia due to gram negative bacteria is increasing in prevalence in the recent reports. Predict these agents as the cause of the CAP is very useful in using initial antibiotics.Objective: To determine the risk factors associated with community-acquired pneumonia caused by gram-negative bacteria at An Giang Central General Hospital. Materials and methods: A cross- sectional descriptive study with analysis was conducted on 73 patients with CAP at addmistion in An Giang Central General Hospital from 1/1/2021 to 30/9/2021. The multivariable logistic analyse was applied to determine the independent risk factors for CAP due to gram negative bacteria agents.Results: There were 73 patients, the mean age was 72.1±14.4 years, the youngest was 26 years old, the oldest was 94 years old. The proportion of male patients accounted for 83.6%, female patients 16.4%. The CAP due to gram negative agents was defined in (53 cases) 72.6 % of cases. The previous addmission (OR=1.8; 95% CI, 1.1-27; P=0.03), and chronic lung disease (OR=12.6; 95% CI, 1.7-93.8; P=0.013) are the independent predidic factors for CAP due to gram negative bacteria agents Conclusion: Factors such as prior hospitalization and chronic lung disease are independent risk predictors of CAP gram-negative bacteria.
Clinical, sub clinical features of early neurological deterioration during the acute phase with large vessel occlusion and minor neurological deficits
Authors: Huynh Quoc Si , Nguyen Thi Hong Tuyen , Phan Thi Hong Lac , Luu Dang Diem Tran
Published: February 2024

Background: Patients with mild stroke (NIHSS ≤6) and large vessel occlusion (LVO) generally do not receive revascularization therapy according to stroke guidelines. Several studies have shown that in patients with mild ischemic stroke and LVO, approximately 5% to 40% have early neurological deterioration (END). END was independent predictor of unfavourable outcomes and mortality [1]. Therefore, clinical monitoring of these patients in the acute phase is necessary to have timely interventions when the patient has signs of END. Objective: To describe the clinical and subclinical features of acute ischemic stroke patients with LVO and END. Materials and methods: A cross-sectional descriptive study was conducted on 60 patients at Can Tho Stroke International Services with LVO and END. Results: From March 2021 to December 2021, there were 60 eligible patients. The rate of anterior circulatory stroke was 86.7%. Middle cerebral artery was accounting for 53.3% of culprit lesion. Admission – END interval was 35.1±26.8 hours. END associated with poor neurological deficits (increases NIHSS 6.4 points), functional independence (increases mRS 1.5 points). Conclusion: The clinical and subclinical characteristics of stroke patients with END are similar to the general characteristics of stroke patients.
Clinical and imaging characteristics of patients with lung tumors undergoing transthoracic lung biopsy under the guidance of computed tomography thoracic at Can Tho Central General Hospital in 2021-2022
Authors: Nguyen Van Tuyet , Vo Pham Minh Thu
Published: February 2024

Background: Lung cancer has the highest morbidity and mortality rates among cancers in the world as well as in Viet Nam. The disease is reported in both sexes. Objectives: To describe the clinical and imaging characteristics of patients with lung tumors undergoing transthoracic lung biopsy under the guidance of computed tomography thoracic at Can Tho Central General Hospital in 2021-2022. Material and methods: A prospective cross-sectional descriptive study on 56 patients who came to Can Tho Central General Hospital for examination and treatment with tumor-like lesions in the lungs and were assigned a transthoracic lung biopsy under the guidance of microscopic tomography thoracic, and analyzed the data using SPSS 18.0 software. Results: Fatigue was the most common functional symptom, accounting for 75.0%, followed by chest pain (58.9%), shortness of breath (51.8%), and joint pain (1.8%) the lowest. Cough is the physical symptom with the highest proportion 76.8%, weight loss 55.4%, fever 26.8%, fainting lowest 1.8%.Most of the tumors were non-circular, accounting for 87.5%, and round-shaped tumors accounted for 12.5%. Patients with lesions with uneven margins accounted for the highest rate of 69.6%, the lowest rate was with thorny fringes accounting for 8.9%. Conclusion: The most common symptoms and physical symptoms were fatigue (75.0%) and cough (76.8%) respectively. Most of the tumors were non-circular, accounting for 87.5%, patients with non-smooth border lesions accounted for the highest rate of 69.6%.
Study on clinical characteristics and outcome evaluation of cross finger flap in soft tissue defect of finger at Can Tho Central General Hospital
Authors: Bui Thi Thien Lan , Nguyen Thanh Tan
Published: February 2024

Background: Fingers and hand are important parts of human body and soft tissue defect of fingers are the most common form of hand injuries. There are various techniques used for reconstruction of finger defect but cross finger flap is effective and very simple  procedure without significant complication or require special techniques. Objectives: To examine characteristics of clinical and to evaluate the outcomes of cross finger flap for reconstruction of soft tissue defect of fingers. Materials and methods: 22 patients who had soft tissue defect of fingers who had undergone the cross finger flap cover. We noted mechanism of injury, size of defect, size of the flap, type of cross finger flap was used. Outcome measures recorded were flap viability, flap sensibility using two -point discrimination (TPD), total active motion of fingers (TAM) and patient satisfaction.

Results: Among 22 patients treated with cross finger flap, there were 18 men and 4 women with the average age 38.6±11.4. The most common mode of injury was industrial accident (59.1%). The mean size of the defect was 205.5±86.6mm2 (range: 110mm2-500mm2). The average TPD test measured was 7.6±1.5mm. Full range of motion was obtained in 81.8% of patients. The functional and aesthetic results were satisfactory in 95.5% patients. Conclusion: The cross finger flap is safe and effective method for reconstruction of soft tissue defect of finger. This procedure is simple to perform under local anesthesia and is able to provide both mechanical stability & sensory recovery.
Implementasi Shalat Zuhur Berjamaah dalam Membentuk Karakter Disiplin Peserta Didik Kelas Tinggi di SD Negeri 09 Ulakan Tapakis
Authors: Andriani Widya , Saputra Edi
Published: February 2024

Congregational prayer is a prayer performed by two or more people, one of whom is the imam and the other is the congregation with the terms and conditions of congregational prayer. Of the high class students, the majority are still unable to follow the imam's movements in carrying out congregational prayers, students are not yet orderly and regular in carrying out congregational prayers. This research aims to determine the implementation of congregational Zuhr prayers in shaping the disciplined character of high class students at SD Negeri 09 Ulakan Tapakis as well as the supporting and inhibiting factors. This research includes qualitative research with a descriptive approach. The data analysis techniques used are data collection, data reduction, data presentation, and data verification. The results of the research show that the implementation of midday prayers in congregation in forming the disciplined character of high class students at SD Negeri 09 Ulakan Tapakis includes three activities, namely carrying out ablutions guided by PAI teachers, carrying out midday prayers in congregation at school carried out by students, after carrying out midday prayers in congregation with teachers. provide advice and direction regarding prayer movements to students. From the implementation of the congregational Zuhr prayer, it is carried out with the students' self-awareness so that it can form the disciplined character of the students. Supporting factors for the congregational Zuhr prayer include students being accustomed to carrying out religious activities at school, the school providing prayer mats and mukenas, all teachers and students taking care of it. cleanliness of facilities for carrying out congregational Zuhr prayers. The inhibiting factors are inadequate school facilities, inadequate teacher management and supervision of students.