bluuebunny/crossref_metadata_2025 huggingface dataset:
Enhancing Numeracy Skills and Self-Efficacy in Junior High School Students: A Project-Based Learning Approach
Authors: Nurhasanah Nurhasanah , Ikhsan M. , Elizar Elizar
Published: August 2024

Numeracy skills are integral to the National Assessment, serving as a benchmark for gauging learning success. In addition to cognitive aspects, the affective aspect crucial in learning is self-efficacy. However, according to PISA 2018 data, the average score for numeracy skills of Indonesian students ranks in the bottom 6. The existing condition of students does not reflect optimal self-efficacy. This reality stems from the lack of meaningful application of the learning model. Consequently, there is a need for a student-centered learning approach, such as the project-based learning (PjBL) model. This study aimed to assess the enhancement of students' numeracy skills and mathematical self-efficacy when taught using the PjBL model. Employing an experimental design with a pretest-posttest control group, the research sample comprises two groups: experimental (PjBL) and control (conventional), each consisting of 50 students. Data collection involved tests and questionnaires, with the numeracy test and self-efficacy questionnaire serving as research instruments. The ANOVA test was applied for data analysis. The results indicate that 1) students' numeracy skills, when exposed to the PjBL model, surpass those of students undergoing conventional learning; 2) students' self-efficacy, influenced by the PjBL model, is superior to that of students engaged in conventional learning.
Sustainability Challenges of Universities’ Online Learning Practices
Authors: Adhikari Yam Nath , Rana Karna
Published: August 2024

This paper analyses university teachers and students’ experiences of online learning during the COVID-19 pandemic in Nepal and presents post-pandemic implications. Potential ramifications of the findings in a normal setting were suggested by the analysis of data gathered through semi-structured interviews with participants both during and after the pandemic, as well as through observation of online classes during the period. Findings demonstrate teachers' ability to create online learning, an alternative mode to a physical classroom, during the pandemic while having an inadequate level of ICT understanding. Despite limited access to digital technology and no administrative assistance, teachers and students created an online learning environment. Findings, however, show an increasing digital gap between rural and urban areas. The discontinuation of effective online learning techniques in the post-pandemic circumstances produced by the teachers during the pandemic pointed out the issues of reforming higher education in developing countries such as Nepal.
Implementing a Patient Education Bundle to Improve Patient Satisfaction
Authors:   , Tyler Madison
Published: August 2024

Practice Problem: Patients on the intervention unit reported via HCAHPS surveys a lack of understanding of the nurse provided education on their medications’ side effects and purpose after discharge home from the hospital. Nurses at the intervention unit’s organization do not use any formal or standardized method of patient education to ensure patient comprehension. PICOT: Among adult inpatients (18 years or older) on a step-down unit in an acute care facility (P), does implementing an education bundle related to patient medication education (I), compared to current practice of no formal education process (C), increase patient satisfaction as measured by HCAHPS scores on patient medication (O) in eight weeks (T)? Evidence: Through rigorous literature review, evidence-based methods proven to assist patients’ learning were discovered. The literature states that to enhance comprehension, education should be provided using plain language, in patients’ preferred language, and utilizing their preferred learning method. Healthcare providers can then ensure their understanding with the use of the teach-back method. Intervention: Nurses on the intervention unit were educated on an education bundle and implemented the bundle as new practice throughout patients’ hospitalization. Use of this bundle was promoted for each alert and oriented patient during medication administration and at discharge. Outcome: The intervention of a medication education bundle resulted in a statistically significant increase of the intervention unit’s patients’ satisfaction of provision of medication education HCAHPS scores over time. Conclusion: When used together, multiple education interventions are effective in increasing patient satisfaction of education and reported understanding of medications’ side effects and purpose.
Impact of applying the biostimulant Seed+ on initial growth of peanut cultivars
Authors: Aguilera Jorge , Do Nascimento Ana Carolina Vidal , Rocha Alana Silva , de Oliveira Isabella Santos , Guedes João Vitor Ferreira Lima , Steiner Fábio , Zuffo Alan Mario
Published: August 2024

The use of biostimulants in agriculture has been shown to be suitable for stimulating the initial development of several crops; however, reports on its impact on peanut cultivation are scarce. A study was conducted to investigate the effect of application doses of the biostimulant Seed+ on the initial development of two peanut cultivars under controlled greenhouse conditions. The experiment followed a randomized block design in a 2 × 4 factorial scheme: two peanut cultivars [IAC Tatu ST (upright growth habit) and Runner IAC 886 (prostrate growth habit)] and four doses of the biostimulant Seed+ (0, 3, 6 and 9 mL kg–1 of seeds) applied in the seed treatment, with three replications. At 21 days after sowing, plant height (PH), main stem diameter (SD), number of lateral branches (NLB), and main root length (RL) were measured. Our results showed that the use of two improved contrasting cultivars with an erect and prostrate growth habit showed that peanut cultivars have different responses to the doses of biostimulant applied, with crop development, especially for the IAC Tatu ST cultivar. The application of 9 mL kg-1 of the biostimulant Seed+ in seed treatment can be an efficient alternative to stimulate the initial development of peanut cultivars grown in sandy soil of the Cerrado Sul-Mato-Grossense under controlled greenhouse conditions. However, these beneficial effects must be confirmed in experimental trials under field conditions
Desempenho agronômico da soja em resposta ao tratamento da semente com bioestimulantes
Authors: Silva Thais Costa , Lopes Lucas Emanuel , Damaris Mariano Pereira Rodrigues  , Barbosa Ruth Teles , Aguilera Jorge González , Steiner Fábio
Published: August 2024

O uso de bioestimulantes pode melhorar o desempenho produtivo da cultura da soja. Este trabalho foi conduzido com o objetivo de avaliar a eficiência agronômica do uso de diferentes bioestimulantes no tratamento das sementes sobre o desenvolvimento das plantas e a produtividade de grãos da cultura da soja [Glycine max (L.) Merrill., cv. BMX Desafio RR] cultivada em um solo arenoso do Cerrado Sul-Mato-Grossense durante a safra 2019-2020. Os tratamentos foram constituídos pela aplicação de diferentes produtos bioestimulantes no tratamento das sementes de soja [Booster® (Agrichem), Broadacre CMZ® (Agrichem), Raiz® (Aminoagro), CoMoFos® (Nortox), Nobrico Star® (Nortox), Stimulate® (Stoller), Co-Mo Platinum® (Stoller), NiCoMo Dry® (Produquimica) e Improver® (Produquimica)]. Um tratamento adicional sem aplicação de bioestimulante foi utilizado como controle. Foram avaliados o índice de velocidade de emergência (IVE), comprimento e produção de matéria seca da parte aérea e das raízes, massa de mil grãos e produtividade de grãos. Os resultados evidenciaram que o uso de bioestimulante tem potencial para melhorar a velocidade de emergência e o desenvolvimento das plantas de soja. No entanto, este efeito benéfico é dependente do tipo de bioestimulante. O tratamento das sementes de soja com bioestimulantes proporciona aumento na produtividade de grãos da cultura, especialmente com o uso de Booster®, Raiz®, CoMoFos®, Nobrico Star® TS, Stimulate®, Co-Mo Platinum® e Improver®.
Seed treatment with Stimulate® improves the initial development of peanut plants
Authors: Aguilera Jorge González , Silva Rocha Alana , Vidal do Nascimento Ana Carolina , Guedes João Vitor Ferreira Lima , De Oliveira Isabella Santos , Steiner Fábio , Zuffo Alan Mario , Hernández Daniela Pérez , Rodriguez Pavel Vargas , Bardiviesso Diógenes Martins
Published: August 2024

Seed treatment with biostimulants may be an option to improve the emergence and initial growth of peanut plants. A pot experiment was conducted to evaluate the effect of using doses of Stimulate® in seed treatment on the initial growth of plants of two peanut cultivars grown in a sandy Cerrado soil. The treatments were arranged in a randomized block design in a 2 × 4 factorial scheme: two peanut cultivars [IAC Tatu ST (upright growth habit) and Runner IAC 886 (prostrate growth habit)] and four doses of Stimulate® (0; 10; 20; and 30 mL kg-1 of seeds) applied to seed treatment, with three replications. At 21 days after sowing, plant height (PH), main stem diameter (SD), number of lateral branches (NLB), and main root length (RL) were evaluated. Our results showed that peanut cultivars with different growth habits (erect and prostrate) have different responses to the application of Stimulate® doses on plant development, with the IAC Tatu ST cultivar being more responsive to the application of biostimulant. The application of 25 to 30 mL kg–1 of Stimulate® via seed treatment improved initial development of peanut plants grown in sandy soil of the Cerrado Sul-Mato-Grossense under controlled greenhouse conditions.
Sistem Informasi Evaluasi Produktivitas Karyawan Pada PT Cosmoprof Indikarya Pemalang
Authors: Fatma Wati Fanny , Hidayati Nadiyah
Published: August 2024

Kemajuan di bidang teknologi informasi belakangan ini berkembang sangat pesat apalagi di iringi dengan makin maraknya internet di kalangan masyarakat. PT. Cosmoprof Indokarya merupakan sebuah perusahaan yang memproduksi dan mengekspor bulu mata palsu yang sudah berdiri selama 10 tahun. Sistem administrasi perusahaan PT. Cosmoprof Indokarya telah terkonsep sedemikianrupa dengan baik. Sistem administrasi perusahaan PT. Cosmoprof Indokarya telah terkonsep sedemikianrupa dengan baik. Dari sistem yang telah terkomputerisasi maupun sistem yang masih dengan konsep manual, semua berjalan dengan semestinya. Namun, dalam pelaksanaan evaluasi produktivitas karyawan, PT.Cosmoprof Indokarya Permalang, masih menggunakan konsep sistem manual yang kurang efektif dalam pelaksanaannya dikarenakan laporan masih menggunakan excel dan dikirim via email yang menghambat kecepatan laporan. Maka dari itu kami menciptakan sebuah sistem informasi yang bernama “SIEPOKAR (Sistem Informasi Evaluasi Produktivitas Karyawan)”. Sistem Informasi Evaluasi Produktivitas Karyawan merupakan merupakan sebuah sistem yang berfungsi untuk mengumpulkan data performa karyawan bagian produksi guna memudahkan tim HR dalam memantau dan mengevaluasi karyawan bagian produksi berdasarkan target yang diberikan perusahaan.
Dampak Kualitas Produk, Pelayanan, Lokasi, serta Store Atmosphere pada Keputusan Pembelian
Authors: Putro Tanto Askriyandoko , Augusto Dio
Published: August 2024

Objektif. Beberapa aspek yang diteliti antara lain kualitas produk, pelayanan, lokasi, store atmosphere, dan keputusan pembelian. Tujuan penelitian ini adalah untuk menganalisis dampak dari aspek-aspek tersebut pada keputusan pembelian di Kafe de Classe Gelato and Coffe Blitar. Material and Metode. Sebanyak 100 responden konsumen Kafe de Classe Gelato and Coffe dijadikan sampel melalui penyebaran kuesioner sebagai sumber data. Data kuantitatif yang telah terkumpul selanjutnya dilakukan uji instrumen, uji asumsi klasik, regresi linier berganda, uji T, uji F, dan mencari Koefisien Determinasi menggunakan program SPSS. Hasil. Pengujian instrumen menunjukkan bahwa semua item kuesioner valid dan reliabel. Uji asumsi klasik juga menunjukkan data yang dikumpulkan berdistribusi normal, homokedastisitas, serta tidak terdapat multikolinieritas. Uji T dan uji F menunjukkan semua hipotesis diterima. Kesimpulan. Hasil dari penelitian yang dilakukan menunjukan bahwa kualitas produk, pelayanan, lokasi, dan store atmosphere kualitas produk secara parsial memiliki pengaruh signifikan terhadap keputusan pembelian. Selain itu, kualitas porduk, pelayanan, lokasi, dan store atmosphere secara simultan memiliki pengaruh signifikan pada keputusan pembelian.
Analisis Kinerja Bisnis Klinik Reza Medika Dengan Model Data Flowchart
Authors: Candra Dori , Permata Wawan Erry
Published: August 2024

Klinik Reza Medika adalah sebuah lembaga kesehatan yang memberikan pelayanan medis kepada masyarakat. Penelitian ini bertujuan untuk menganalisis kinerja bisnis klinik tersebut dengan menggunakan model data flowchart. Data flowchart digunakan sebagai alat analisis untuk memahami, menggambarkan, dan mengevaluasi alur informasi serta proses bisnis di dalam klinik. Penelitian ini diharapkan dapat memberikan wawasan yang lebih baik mengenai efisiensi operasional dan potensi peningkatan kinerja bisnis Klinik Reza Medika. Penelitian ini bertujuan untuk menganalisis kinerja bisnis Klinik Reza Medika dengan menggunakan model data flowchart. Klinik Reza Medika sebagai penyedia layanan kesehatan dihadapkan pada tuntutan untuk meningkatkan efisiensi operasional dan kualitas pelayanan. Dengan menerapkan pendekatan analisis proses bisnis, penelitian ini fokus pada identifikasi proses bisnis utama dan pembuatan data flowchart sebagai alat visualisasi yang memungkinkan pemahaman yang mendalam terhadap alur informasi dan interaksi proses di dalam klinik. Metode penelitian mencakup analisis mendalam terhadap berbagai aspek operasional, mulai dari pendaftaran pasien, proses pemeriksaan medis, hingga pengelolaan rekam medis. Pembuatan data flowchart menjadi langkah kunci dalam menganalisis dan memahami secara holistik proses bisnis yang terjadi di Klinik Reza Medika. Evaluasi kinerja bisnis dilakukan dengan mempertimbangkan aspek efisiensi, kecepatan, dan kualitas pelayanan yang diberikan. Hasil penelitian ini diharapkan dapat memberikan wawasan yang lebih baik terkait potensi peningkatan operasional dan pelayanan di Klinik Reza Medika. Temuan penelitian ini menjadi dasar untuk memberikan rekomendasi perbaikan yang dapat meningkatkan kinerja bisnis klinik serta memberikan kontribusi pada pemahaman analisis proses bisnis menggunakan model data flowchart dalam konteks layanan kesehatan.
Prototype Pemantauan Kebocoran Gas LPG dan Kebakaran di Dapur Rumah Tangga
Authors: Kholila Ni'ma , Prabowo Budi Utomo  , Adimas Ketut Nalendra  , Dona Wahyudi
Published: August 2024

Tujuan. Banyak orang tidak menyadari bahwa di dalam rumah juga terdapat potensi bahaya yang dapat menyebabkan kecelakaan atau cedera pada penghuninya. Seringkali penghuni rumah abai terhadap potensi bahaya dan risiko di dalam rumah. Salah satu potensi bahaya dan risiko di dalam rumah tangga berasal dari dapur. Kebocoran gas LPG dan kebakaran merupakan potensi bahaya yang berasal dari dapur. Sayangnya, masih sangat sedikit rumah tangga yang memiliki perangkat mitigasi, khususnya untuk dapur rumah tangga. Prototype Pemantauan Kebocoran Gas LPG dan Kebakaran ini di Dapur Rumah Tangga ini, diharapkan mampu mengurangi risiko kebakaran akibat kebocoran gas LPG dan kelalaian penggunaan kompor.
Material dan Metode. Prototype dalam penelitian ini terdiri atas alat pendeteksi gas LPG, asap, dan api; kontrol pompa air dan katup solenoid; serta antarmuka pengguna berbasis mobile menggunakan blynk. Hasil deteksi alat dikirimkan oleh mikrokontroller melalui server blynk dan ditampilkan dalam antarmuka pengguna berbasis mobile. Jika nilai deteksi melebihi nilai normal (dalam dapur), maka alat pendeteksi akan mengaktifkan buzzer dan lampu LED. Jika nilai gas LPG terdeteksi melebihi 200 ppm, maka katup selenoid akan diaktifkan secara otomatis. Jika nilai asap terdeteksi melebihi 610 ppm dan api terdeteksi melebihi 500 nm, maka pompa air akan diaktifkan secara otomatis. Kesemua aktifitas tersebut ditampilkan dalam OLED display juga dalam antarmuka pengguna berbasis mobile.
Hasil. Prototype diuji coba dalam beberapa skenario pengujian untuk memastikan alat mampu mendeteksi gas LPG, asap, dan api pada kondisi normal maupun kondisi tidak normal. Uji coba juga dilakukan untuk memastikan aktuator dapat berfungsi sebagaimana mestinya. Antarmuka pengguna berbasis mobile juga dipastikan mampu menampilkan informasi hasil deteksi alat sebagai bagian dari pemantauan dan sistem kontrol terhadap fungsi aktuator.
Kesimpulan. Prototype ini dapat dimanfaatkan sebagai perangkat mitigasi khususnya di dapur rumah tangga. Mitigasi dilakukan dengan pemantauan gas LPG, asap, dan api melalui alat deteksi. Hasil pemantauan dikirimkan dan ditampilkan melalui antarmuka pengguna berbasis mobile. Jika hasil pemantauan menunjukkan kondisi tidak normal, maka fungsi aktuator akan diaktifkan secara otomatis hingga kondisi kembali normal.
Pengaruh Pemberian Dosis Kapur Dolomt yang Berbeda Terhadap Kualitas Air Ikan Lele Sangkuriang (Clarias Gariepinus)
Authors: Sakti Bima , Afriani Dwi Tika , Batubara Pebry Aisyah Putri , Manullang Hellentina Marriance
Published: August 2024

penelitian ini bertujuan untuk mengetahui pengaruh kapur dolomit terhadap kualitas air dan kandungan logam berat pada air budidaya penelitian. Penelitian ini dilaksanakan pada tanggal 1 Maret 2024 di Laboratorium Fakultas Perikanan Universitas Dharmawangsa Medan. Metode yang digunakan adalah metode eksperimen dengan menggunakan Rancangan Acak Lengkap yang terdiri dari 4 perlakuan dan 3 ulangan. Hasil analisis sidik ragam Sgr (Laju Pertumbuhan Ikan Lele) menggunakan aplikasi SPSS Versi 22 melihat pengaruh kapur dolomit, menunjukkan F Hitung < F Tabel ( SGR 3,87<4,07), (Panjang 4,00<4,07), (SR 0,833<4,07), ( FCR 0,778<4,07) pada taraf uji 5% yaitu tidak berpengaruh nyata terhadap SGR, Panjang, Sr dan FCR. Sedangkan pada kualitas air, kapur dolomit memberikan pengaruh terhadap peningkatan Ph air dari air sebelum penelitian dan sesudah penelitian hal ini menunjukkan kandungan sidolomit nya mempengaruhi kualtitas air, pada uji kandungan logam berat menyatakan perlakuan yang paling optimal memberikan kapur dolomit ialah pada perlakuan p2 (10 gr/40 ltr air) terdapat beberapa jenis yang paling banyak dan mengurangi kandungan logam yang toksik ialah kandungan besi (Fe): 0,09 mg, Mangan (Mn) : 0,33 mg, Alumunium (AI) : <0,00019* mg dan Timbal (Pb) : <0,003* mg
Adaptación lingüística: la variación diafásica y su influencia en el aprendizaje de bachillerato general unificado
Authors: Medina Espejo Rothman David , Cortez Carrión Rita Irlanda , Vinueza Paz Rosario Cecilia , Pilco Remache Aracelly del Carmen
Published: August 2024

El problema de la investigación radica en la variación diafásica del lenguaje en el proceso de enseñanza-aprendizaje y cómo esta afecta la comprensión y el rendimiento académico de los estudiantes de Bachillerato General Unificado en la Institución Educativa Fiscal Amazonas. El objetivo general es analizar cómo estas variaciones del lenguaje influyen en los estudiantes. La metodología empleada es cualitativa y descriptiva, utilizando entrevistas a seis estudiantes seleccionados por conveniencia. Los resultados muestran que el 65% de los estudiantes tienen dificultades con el lenguaje técnico y formal utilizado por los docentes, y el 70% expresa confusión durante las evaluaciones. Los datos indican que el 60% de los docentes utilizan predominantemente un registro formal. Las conclusiones destacan la necesidad de que los docentes adapten su lenguaje para mejorar la comprensión y el rendimiento académico. Se recomienda la implementación de programas de formación para docentes que enfaticen la adaptabilidad lingüística en el aula.
Implementation of Effective Needs Assessment Learning Model Literacy in Klaogin Sorong Selatan Preparation Primary School
Authors: Siti Hamidah Ida
Published: August 2024

Learning training using the needs assessment model approach carried out in Klaogin preparatory elementary schools is an effective way to reduce students' literacy disabilities. The aim of this research is to analyze the reasons why students are still unable to read and write. And help students in learning by using the needs assessment model method, so that the results obtained are more effective in a short time. The author, who is also an educator, found success in implementing this approach program which was carried out in one month of learning. Students get a 60% increase in results after being trained in literacy intensively.
Analisis Penurunan Kinerja Lalu Linta Akibat Hambatan Samping (Studi Kasus: Jalan Sarapung di Depan SD Negeri 6 Manado)
Authors: Y. R. Rompis Semuel , I. R. Lefrandt Lucia , G. I. Momuat Diana
Published: August 2024

Salah satu alasan terjadinya kemacetan lalu lintas adalah hambatan samping. Hambatan samping memiliki dampak signifikan terhadap kinerja lalu lintas karena semakin tinggi hambatan samping, maka semakin besar pengaruhnya terhadap volume dan kecepatan kendaraan yang melewati jalan tersebut. Penelitian ini dilakukan untuk menganalisis penurunan kinerja lalu lintas Jalan Sarapung di Depan SD Negeri 6 Manado, menganalisis dampak signifikan hambatan samping terhadap kinerja lalu lintas, dan menganalisis kinerja ruas jalan pada kondisi eksisting dan skenario tanpa hambatan samping. Data yang dikumpulkan dari survei mencakup data volume lalu lintas, data hambatan samping dan data kecepatan kendaraan. Analisa data menggunakan metodologi PKJI 2014 dengan menerapkan model Greenshield, Greenberg dan Underwood kemudian disimulasikan menggunakan PTV Vissim. Survei dilakukan selama tiga hari yakni pada hari Sabtu, 15 April 2023, Senin, 17 April 2023 dan Selasa, 18 April 2023 pada pukul 06.00 – 19.00 WITA dengan interval waktu 15 menit. Berdasarkan analisis, volume lalu lintas (Q) tertinggi terjadi pada Senin, 17 April 2023 pada periode waktu 11.00 – 12.00 WITA yakni mencapai 1205.9 skr/jam, kapasitas jalan (C) sebesar 1470,64 skr/jam sehingga menghasilkan derajat kejenuhan (DJ) sebesar 0,819985 dan Tingkat Pelayanan (LOS) D, yang menunjukkan kondisi lalu lintas tidak stabil. Akibat adanya hambatan samping kapasitas jalan Sarapung di depan SD Negeri 6 Manado adalah sebesar 67% yang berarti mengalami penurunan 33% dari kapasitas optimalnya, yaitu 100%, sehingga menyebabkan kemacetan lalu lintas terutama pada saat jam arus lalu lintas tinggi
Net Zero Finance Analysis: A Framework for Assessing Net Zero Commitments by Financial Institutions
Authors: Lee Anderson , Carter Amanda , Luo Catherine , Zhou Lihuan
Published: August 2024

The Financial Institutions Net Zero Tracker described in this technical note aims to bring more clarity and accountability to the field of net zero commitments made by financial institutions. The tracker is based on a framework that assesses such commitments on their transparency and ambition, implementation, credibility, and consideration of nature and equity issues.
The Effect of Subjective Norm and Perceived Risk on Consumers’ Purchase Intention towards Secondhand Clothes
Authors:   School of Business and Management Bandung (ITB) Jl. Ganesa 10, Bandung, Azzahra Muthia Shafira , Purwanegara Mustika Sufiati ,   School of Business and Management Bandung (ITB) Jl. Ganesa 10, Bandung
Published: August 2024

Fashion serves as a form of self-expression and symbolizes various social, cultural, and economic statuses. The rise of affordable and accessible fashion has led to significant environmental concerns due to increased textile waste. Due to these emerging issues, the slow fashion movement has been gaining popularity with the sustainable and ethical value it brings to the table, particularly through social media platforms that foster communities advocating for eco-conscious fashion choices. With slow fashion being a relatively new topic, challenges are faced that withholds the growth of slow fashion in Indonesia. Hence, this research was conducted to explore consumers’ perception and intention towards slow fashion products along with the factors affecting it. From the objective of the research, variables were identified and hypotheses were constructed to explain the relationship between each variable. In order to fulfill the objectives of the research, a quantitative research approach was obtained to gather various and in-depth information regarding the topic. The quantitative approach was obtained through mini surveys utilizing online questionnaires and the result was processed through the PLS-SEM method using SmartPLS software, where the result was explained through descriptive analysis, validity and reliability testing, hypothesis testing, and suitability evaluation and goodness of fit model testing. The result found that subjective norms have a positive impact on consumers’ purchase intention towards the products, whereas perceived risk negatively affects the intention to purchase slow fashion products. Suggestions were also provided for many parties to ensure the development of the slow fashion movement in the future.
Challenges in Diagnosis of Melanoma from the Perspective of a Pathologist
Authors:   Former Professor, Department of Pathology IPGME&R, Kolkata, HOD Pathology JISMSR, West Bengal, India., Mukhopadhyay Madhumita , Bandopadhyay Binata ,   Senior Resident, Department of Pathology, Murshidabd Medical College, Murshidabad, West Bengal, India, Saha Subhamoy ,   PGT, Dept. of Pathology, IPGME&R, Kolkata, West Bengal, India., Mukhopadhyay Biswanath ,   Senior Consultant, Department of Pediatric Surgery, Apollo Multispeciality Hospital, kolkata
Published: August 2024

Introduction: Melanoma is an aggressive melanocytic neoplasm with a continuously increasing incidence worldwide. Vast majority of melanoma arises from skin whereas a small subset of melanoma can arise as a primary malignancy of mucosal membranes. Gastrointestinal (GI) melanoma is usually metastatic in origin whereas primary GI melanomas are extremely rare. Anorectal Melanoma comprises of 1/% of all malignant neoplasms of this area. About 70% of these lesions are pigmented whereas 30% of them are amelanotic. Upto 25% of the patients with melanoma develops recurrent disease locally or in regional lymph nodes. Materials And Methods: This is a prospective study conducted in a tertiary care hospital comprising of six cases of Melanoma. We studied the cases according to their age, sex, clinical presentation, site, radiological findings, histopathological findings, immunohistochemical findings and treatment provided. Results: This study comprises of six cases of Melanoma among which five cases are primary one case is recurrent. Among the five primary cases, four cases have GI origin (sigmoid colon, rectum, anal canal) one case originated from skin involving left foot. There is a single case of recurrent MM involving right inguinal lymph nodes with a history of primary MM in the right lower limb. The patients belong to the age group of 6th to 8th decade with male preponderance. Histopathological examination of formalin fixed paraffin tissue sections was done followed by Hematoxylin & Eosin and Immunohistochemical staining which confirmed the diagnosis of Melanoma. Conclusion: Melanoma is an aggressive melanocytic neoplasm that carries a poor prognosis. It commonly involves skin. Its occurrence in GI tract is rare in which primary lesions are exceedingly unusual. Diagnosis and Treatment require multidisciplinary team approach with surgery remaining as a cornerstone of treatment.
SPSS vs. AMOS: A Comparative Approach to Analyzing Moderators in Behavioral Research
Authors:   Department of Human Development and Family Studies, Universiti putra Malaysia, Moosavi Azadeh
Published: August 2024

Many researchers face confusion in selecting appropriate software for quantitative data analysis due to the lack of comparative studies in this area (1). This study examines the moderator analysis results conducted using AMOS and SPSS software. Moderator analysis assesses the extent to which the independent variable influences the dependent variable through a moderator variable. The research utilized data from a questionnaire completed by 383 adolescents in Ahvaz, Iran. The independent variables included the impact of COVID-19, parental attachment, and peer attachment, while emotional intelligence served as the dependent variable, with online networking acting as the moderator. Analysis using SPSS indicated that online networking moderated the relationship between all independent and dependent variables. Conversely, results obtained from AMOS revealed no significant moderating effect between the independent and dependent variables. Descriptive data indicated that students experienced low internet connectivity during the COVID-19 pandemic, suggesting that online networking may have had a limited capacity to moderate these relationships. Consequently, the findings derived from AMOS are regarded as more reliable than those from SPSS. The novelty of this research lies in its comparative analysis of AMOS and SPSS, alongside its pioneering examination of moderation within developmental psychology studies using AMOS. The results underscore AMOS's superior accuracy and reliability, as demonstrated by its alignment with the descriptive data and ability to provide clearer visualizations of variable relationships. This study strongly advocates for the application of AMOS in psychological research, particularly for complex interaction effects.
Assessment of Risk of Type 2 Diabetes using Indian Diabetes Risk Score: A Community-Based Cross-Sectional Study in Marathwada region of Maharashtra
Authors: Giri Purushottam A , Kausar Hina M
Published: August 2024

Background: Diabetes mellitus is one of the non-communicable diseases which have become a major global health problem whose prevalence is increasing worldwide and will reach to 12.2% (783 million) by 2045. The risk of diabetes escalates with increase in the number of risk factors and their duration as well. The Indian Diabetic Risk Score (IDRS) is a simple, low cost, feasible tool for mass screening programme for diabetes at the community level. Hence the present study was carried out to assess the level of risk of developing type 2 diabetes using IDRS. Methods: A cross-sectional study was carried out amongst 380 participants aged 20 years and above during the period of July 2018 to June 2019 in the field practice area of Rural Health Training Centre of IIMSR Medical College in Jalna, Maharashtra. A semi-structured interview schedule consisting of socio-demographic characteristics, risk factor profile and Indian Diabetes Risk Score was used. Data was analysed by using appropriate statistical test whenever necessary. Results: In our study, 52% are moderately at risk and 2% are at high risk for developing diabetes mellitus. About 62.1% participants belonged to nuclear family, 42.6% had family history of diabetes mellitus, 76.3% carried out moderate physical activity and 50.3% were overweight / obese. Family history of diabetes, lack of physical activity and overweight / obesity were found to be potential risk factors for developing diabetes mellitus. Conclusion: More than half i.e. 52% of the study subjects were at risk of having diabetes, hence screening is of utmost importance so that interventions can be initiated at an early stage.
Under Nutrition in Less than Six Months Needs More Attention
Authors: Muthukumar Aarthi , Menon Pramila , Mane Shailaja , Giri Purushottam A
Published: August 2024

Under nutrition in infants is a critical public health concern with far-reaching consequences on child growth and development, particularly during the crucial first six months of life(1). This formative period lays the foundation for future health outcomes and any disruption in adequate nutrition can lead to a host of long-term issues, including stunted growth, compromised immune function, and impaired cognitive development(2). According to the Black et al. (2008) study, these factors are responsible for approximately 2.2 million deaths annually and contribute to 21% of disability-adjusted life-years in this age group(3).
The 2011 United Nation Children's Fund (UNICEF) Global Nutrition report indicated that more than 311 million children (32% of all children) were undernourished. Globally, more than four million children died within a year of their birth due to inadequate nutrition.In addition, poor infant nutrition has been shown to be responsible for more than 40% of deaths in children younger than 5 years, particularly during their first month of life(4). The adverse effects of infant undernutrition include physical disabilities, poor school attendance, diabetes, hypertension and cardiovascular disease which may affect the subsequent generation(5).Therefore, undernutrition may have negative long-term consequences for a country’s economic growth and development. The impact of undernutrition on child growth and development starts in utero. Maternal undernutrition has been associated with poor foetal growth which may result in low birth weight (LBW, weight at birth less than 2500 g), small for gestational age (SGA, newborns weighing less than the 10th percentile of a sex-specific reference population) and preterm birth (PTB, children born before 37 gestational weeks(6). In 2016, UNICEF reported that 15% (20 million) of newborns worldwide had LBW and 10% (15 million) PTB. In 2010, 32.4 million newborns worldwide were SGA. The prevalence of SGA was 27% in LMICs, with SSA having one of the highest prevalence(7). The first six months of life are characterized by rapid growth and development, as well as a heightened vulnerability to nutrition-related risks(8).
Strategi Marketing Bank BTN Pada Produk KPR Ditinjau Dari Analisa SWOT & Dalam Upaya Meningkatkan Jumlah Minat Nasabah Di BTN KCP Setia Budi
Authors: Marpaung Fenny Krisna , Latif Abdul , Virginia Stephanie , Surbakti Floren Natalia br.
Published: August 2024

This study is targeted at analyzing Bank BTN's marketing strategy for KPR (Home Ownership Credit) products using SWOT analysis and evaluating efforts to increase the number of customer interest in BTN KCP SETIA BUDI. This study takes a qualitative descriptive approach to illustrate the strengths, weaknesses, opportunities and threats faced by Bank BTN's KPR products. The information was compiled from in-depth interviews with management and customers, as well as relevant literature studies.
Ocorrência de sementes de outras espécies em lotes comerciais do gênero Urocholoa fiscalizados em Rondônia
Authors:   , Santos Adriana Aparecida dos
Published: August 2024

A boa qualidade das sementes de espécies forrageiras é fundamental para a formação ou reforma de pastagens, fazendo-se necessário que elas atendam aos atributos de qualidade física, fisiológica, genética e sanitária. Estudos realizados em algumas regiões do país têm apontado que as sementes forrageiras disponíveis no mercado nem sempre estão em conformidade com o que preconiza a legislação, principalmente no que se refere ao atributo de qualidade física. O presente estudo teve como objetivo avaliar a ocorrência de sementes de outras espécies em lotes comerciais de sementes do gênero Urochloa, coletadas por fiscais da Agência de Defesa Sanitária Agrosilvopastoril do Estado de Rondônia –IDARON. Foram avaliados todos os boletins de Análise de Sementes, de amostras coletadas entre os anos de 2020 e 2023, emitidos por laboratórios oficiais do Ministério da Agricultura. Tabelas e gráficos foram elaborados para auxiliar na análise dos dados e discussão dos resultados. Os resultados mostraram que a maioria dos lotes introduzidos em Rondônia tiveram origem em São Paulo, Mato Grosso e Mato Grosso do Sul. A espécie com maior número de amostras analisadas foi a Urochloa brizantha, com mais de 80%, destacando-se as cultivares Marandu e Xaraes. A qualidade física das sementes foi reprovada em 58% das amostras e dentre essas, 78% foram consideradas fraudadas, com ocorrência de “outras sementes” acima dos limites globais. Outras espécies cultivadas foram encontradas em 34 amostras, se afastando em até 800% do padrão mínimo tolerado. Não foram encontradas sementes de nocivas proibidas e as sementes de plantas daninhas encontradas com maior frequência foram: Ipomoea sp, Diodea teres, Sida spp., Euphorbia heterophylla e Digitaria insularis. A principal conclusão é de que a baixa qualidade dos lotes analisados representa um grande problema para os produtores, reforçando a importância da fiscalização e de implementação de medidas para coibir a importação de sementes que sejam difusoras de espécies indesejadas no Estado de Rondônia. Palavras-chave: Rondônia. Sementes. Urochloa Brizantha. Qualidade física.
Trocas gasosas e qualidade de luz na micropropagação de clones de Corymbia torelliana x C. citriodora
Authors:   , Souza Marcus Dhilermando Hora de
Published: August 2024

A cultura de tecidos apresenta-se como importante técnica de propagação clonal, permitindo melhor produção de mudas para espécies de difícil enraizamento em viveiros. Buscou-se avaliar o efeito das trocas gasosas associadas às concentrações de sacarose, bem como uso de diferentes qualidades de luz na micropropagação, analisando a produtividade de propágulos, desenvolvimento morfofisiológico e enraizamento de microestacas na condição ex vitro em dois clones híbridos de Corymbia torelliana x C. citriodora. Os explantes foram cultivados em frascos selados com tampas sem membranas permeáveis a gases [troca gasosa de 14 μL L- s-1 CO2] ou com duas membranas [troca gasosa de 25 μL L-1 s-1 CO2], e diferentes concentrações de sacarose (0, 15 ou 30 g L-1) no meio de cultura JADS. A partir destes resultados uma condição de troca gasosa e sacarose foi definida, variando-se em um novo experimento as fontes de luz, sendo testadas: luz fluorescente, LEDs branca, vermelho/azul (3:1) e azul. O uso de 14 μL L-1 s-1 de troca gasosa e 15 g L-1 de sacarose favoreceram a produtividade de propágulos. A taxa de 25 μL L-1 s-1 de troca gasosa aumentou as concentrações de clorofilas, carotenoides, amido, açúcares, fenóis, malato, fumarato, prolina, aminoácidos totais e proteína. A presença de membranas e sacarose incrementaram a atividade fotossintética. A atividade enzimática da SOD foi aumentada com 25 μL L-1 s-1. O enraizamento de microestacas foi favorecido com uso 15 g L-1 de sacarose e presença de membranas. A luz branca reduziu a produtividade de propágulos, enquanto a azul produziu brotações mais alongadas e a vermelho/azul (3:1) incrementou a biomassa. O enraizamento das microestacas foi favorecido quando os propágulos foram micropropagados sob a luz fluorescente em ambos os clones híbridos de Corymbia torelliana x C. citriodora. Palavras-chave: Silvicultura clonal; Biotecnologia; Propagação fotoautotrófica; Irradiância.
Avaliação do conhecimento sobre Transtorno do Espectro Autista no curso de Medicina do Unifoa
Authors: Couto M. L. , Silva M. L. C. D. P. M. D. , Mota E. S. , Reis M. L. L. D. S. , Pinheiro R. B.
Published: August 2024

O Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM), da American Psychiatric Association, é uma classificação de transtornos mentais com critérios associados que busca facilitar o diagnóstico de forma mais confiável desses transtornos. Ao decorrer de suas edições, ao longo dos últimos 60 anos, tornou-se uma referência para a prática clínica na área da saúde mental. Na sua última atualização, o Transtorno do Espectro Autista englobou transtornos antes chamados de Autismo: Infantil Precoce, Infantil, de Kanner, de Alto Funcionamento, Atípico, e os Transtornos: Global do Desenvolvimento sem outra especificação, Desintegrativo da Infância e de Asperger. O aspecto relevante do Transtorno do Espectro Autista (TEA) tem sido, nos últimos anos, a evidência de que é bem mais prevalente do que se pensava tornando-se assim, o transtorno do desenvolvimento mais frequente, com alto impacto pessoal, familiar e social. Dessa maneira, é imprescindível que médico, da atenção primária, tenha capacidade de reconhecer prontamente os sinais e indícios, uma vez que são eles os profissionais em maior contato com as crianças nos seus primeiros anos de vida, e o tempo gasto para o diagnóstico ser crucial para o tratamento e desenvolvimento da criança. Considerando-se a importância do diagnóstico precoce e da necessidade de um acompanhamento detalhado para o desenvolvimento e trajetória do paciente com TEA, o objetivo desta pesquisa é realizar uma análise comparativa do conhecimento sobre o tema dos alunos de Medicina do UniFOA durante a formação médica e pelos resultados propor a inclusão do tema na grade curricular. A pesquisa será realizada através de um questionário, que será aplicado a 100 alunos que frequentam os Módulos iniciais e finais do curso, foi estabelecido um roteiro simples de, aproximadamente, 12 perguntas sobre o Síndrome do Espectro Autista, sendo elas de caráter geral, cuja as opções de resposta são 3: sim, não e não lembro/ desconheço o assunto. A participação dos entrevistados será condicionada ao preenchimento de um Termo de Consentimento Livre e Esclarecido, o trabalho foi aprovado pelo comitê de ética do Centro Universitário de Volta Redonda (UniFOA/Fundação Oswaldo Aranha) com Certificado de Apresentação para Apreciação Ética (CAAE) 04406918.8.0000.5237.
Complicações relacionadas à mononucleose infecciosa
Authors: Medeiros C. B. C. , Maia G. C. , De Moura J. S. B. , Salles L. T. , Pinheiro M. O. , Guedes T. R. , Marques F. C. G . , Costa L. R.
Published: August 2024

A mononucleose infecciosa, também conhecida como angina monocítica ou doença do beijo, é uma síndrome causada pelo Epstein-Barr vírus (EBV), que geralmente acomete indivíduos entre 15 e 25 anos de idade. O vírus é transmitido entre as pessoas através da saliva (é rara a transmissão através de transfusão sanguínea ou contato sexual). Há um período de incubação de 30 a 45 dias, com período de transmissibilidade que pode durar um ano ou mais. A apresentação clínica pode ser assintomática ou apresentar-se com febre alta, odinofagia, tosse, artralgias, adenopatia cervical posterior simétrica (o que pode se generalizar), esplenomegalia, hepatomegalia discreta (raramente com icterícia) erupções cutâneas e comprometimento da orofaringe, sob a forma de faringo-amigdalite exsudativa. Frequentemente há petéquias na junção do palato mole com o duro. A linfadenopatia epitroclear é particularmente sugestiva de mononucleose infecciosa. Também pode haver exantema e edema das pálpebras. O paciente pode restabelecer-se em poucas semanas, mas alguns doentes necessitam de meses para recuperar sua saúde. (NELSON, 2014). Este é um estudo descritivo na modalidade de revisão bibliográfica em bases de dados, tendo, como descritores, mononucleose infecciosa e complicações pelo vírus Epstein-Barr (EBV). É uma doença cosmopolita. No Brasil revela maior prevalência em crianças do que em adultos, porém a suscetibilidade é geral. Como parte dos exames complementares o hemograma apresenta leucopenia, neutropenia, posteriormente leucocitose mononuclear com elevada linfocitose atípica; trombocitopenia leve ocorre em mais da metade dos pacientes, mas raramente está associada a púrpura. O hepatograma apresenta discreta elevação das transaminases hepáticas em cerca de 50% dos casos não-complicados, sendo geralmente assintomática sem icterícia. O teste rápido para detecção de anticorpos heterofilos e/ou de anticorpos específicos para EBV podem ser usados para confirmação laboratorial (TAVARES, 2007). As complicações agudas incluem manifestações neurológicas, hematológicas, cardiovasculares, pulmonares, hepáticas e renais, sendo a Síndrome de Alice no País das Maravilhas a mais característica complicação da doença, apesar de rara. Além disso, o EBV tem potencial oncogênico para desenvolvimento de neoplasias em médio e longo prazo, como linfoma de Burkitt, linfomas de Hodgkin e não-Hodgkin. Contudo, um diagnóstico precoce tem se mostrado eficaz em contribuir para a redução das complicações que essa doença traz. Em conclusão, são necessários novos estudos sobre formas de rastreio da doença, no sentido detectar inicialmente e definir a melhor proposta terapêutica.
Situações difíceis na Unidade Básica de Saúde da Família
Authors: Sepulvene P. H. M. , Oliveira B. N. , Naliati B. C. , Silva L. A. F. , Mosqueira A. R.
Published: August 2024

A Unidade Básica de Saúde (UBS) é a porta de entrada no Sistema Único de Saúde (SUS) e promove atenção integral e contínua da população, respeitando o princípio da equidade. Devido à proximidade entre a equipe de saúde e usuário, é possível conhecer o indivíduo, sua família e vizinhança, garantindo, em teoria, maior adesão ao tratamento e maior resolutividade de problemas na Atenção Primária (AP), sem necessidade de intervenção de média e alta complexidade em uma Unidade de Pronto Atendimento (UPA 24h) ou hospital. Por 7 semanas, acompanhamos a rotina na Unidade Básica de Saúde da Família (UBSF) de Volta Grande, em Volta Redonda – RJ. O presente artigo tem como objetivo relatar e refletir sobre as dificuldades no atendimento e manejo de dois casos vivenciados no atendimento da Clínica Médica da UBSF de Volta Grande. O primeiro é um caso de pseudocrise hipertensiva em uma paciente idosa, visto diversas vezes em atendimentos na unidade, e que deve ser um importante diagnóstico diferencial para situações mais graves, como a urgência e emergência hipertensiva. Podemos propor à essa paciente que venha sempre acompanhado às consultas, evitando qualquer esquecimento sobre seu tratamento, além de solicitar que realize um controle da PA, para que possa ser feito o ajuste da medicação anti-hipertensiva, caso necessário. Sobretudo, poderíamos convidá-la a participar da Roda de Terapia Comunitária da unidade, permitindo que ela seja acompanhada de perto pela equipe além de atuar como promoção e proteção à saúde e recuperação do seu sofrimento emocional. Já o segundo caso, um caso de anorexia nervosa, que não pode ser dito como rotineiro, pois engloba diversos profissionais presentes na UBSF além do médico, como nutricionista, psicólogo e o agente comunitário de saúde. Nesse caso, acreditamos que seja necessário adotar um Projeto Terapêutico Singular (PTS) e considerar a terapia familiar (TF), que é uma forma de tratamento bastante eficaz em pacientes com anorexia nervosa, considerada indispensável ao passo que favorece a aderência ao tratamento e promove o entendimento sobre a doença pelo paciente e familiares. Ao longo das 7 semanas que acompanhamos a rotina UBSF de Volta Grande, podem ser revertidas ou ao menos amenizadas com o empenho de toda a unidade, afim de garantir os princípios preconizados pelo SUS. Afinal, a ação dos profissionais na promoção e manutenção da saúde podem permitir uma condução melhor de situações de difícil manejo, ao fortificar a relação médico paciente e ampliar a linha de cuidado a outros profissionais de modo interdisciplinar.