bluuebunny/crossref_metadata_2025 huggingface dataset:
DESIGNING SURVIVAL ROGUE-LITE GAME “TAMON” BASED ON ANDROID
Authors: Sanjaya Steven , Pragantha Jeanny , Haris Darius Andana
Published: July 2024

"TAMON” is a survival rogue-lite game that combines the aspects of rogue-lite games, where the game can be replayed with progress carried over to subsequent rounds, and role-playing games, where monsters can be controlled and improved. The game is designed using Unity as the game engine and character models are sourced from the Unity asset store. The gameplay begins in a vast forest where the player controls a trainer character who can train monsters. The monsters controlled by the trainer are referred to as tamed monsters or TAMON. The trainer and TAMON must work together to fight against evil monsters called DEMON to survive for 15 minutes. “TAMON” is a 3D game that can be played on Android-based smartphones.
AVOID FORGETTING TO PRESS THE LEFT SIGN BUT TURN RIGHT WITH SMART LIGHT-TURN SIGNAL (SLTS)
Authors: Widodo Lamto , Gozali Lina , Atmodjo Cherry
Published: July 2024

Turn signal lights function to give a signal when a motorcyclist wants to turn right and left or when overtaking other motorists. By turning on one side of the light, right or left, it gives information to the riders behind and in front that you want to turn. Some of the factors that cause drivers to forget to turn off the turn signal are a lack of concentration and the color of the turn signal indicator during the day is less visible. Turn signal lights that stay on cause confusion for other motorists. Confusion of other drivers can break the concentration of road users and cause traffic accidents. The method used in this study is the distribution of questionnaires and design based on the Analytical Hierarchy Process. The “Smart Light Turn Signal –SLTS”Mirror design consists of 4 alternative variants. The chosen alternative is the fourth alternative. The selected product is then prototyped and implemented on the user's motorcycle. As a result, most users no longer forget to turn off the turn signal
TRIANGLE HEDGING ROBOT FOR EURGBP, EURJPY AND GBPJPY PAIRS ON THE MT4 PLATFORM
Authors: Fat Joni , Satria Utama Hadian , Reinard Vinsensius , Yoshua Huntarso Axel Irving
Published: July 2024

The Triangle Hedging Robot or Expert Advisor is designed for the MetaTrader 4 (MT 4) platform. The robot can monitor signals, open positions, close positions both for each currency pair and as a whole. The robot is also designed to be able to run automatically or semi-automatically. The robot is implemented in the foreign exchange (forex) market for the EURJPY, GBPJPY and EURGBP pairs. Position opening is based on technical analysis using the Moving Average (MA) method. A Buy position will be opened if there is an upward cross from the small period MA to the big period, and conversely a Sell position will be opened if there is a downward cross from the small period MA to the big period. The robot works based on two cycles that have been defined, namely the first cycle in the form of buying EURJPY, selling GBPJPY and selling EURGBP; and the second cycle is selling EURJPY, buying GBPJPY and buying EURGBP. Each cycle is a complete position of Triangle Hedging. Robots can also work with user interaction. If the user opens a position with a certain lot size, the robot will perform lot calculations and determine cycles to hedge properly. The results of testing the robot show that the robot works well according to its purpose. It's just that the robot still needs to be tested more intensively to determine whether the robot can provide benefits for the user in the medium or long term.
STRENGTH ANALYSIS OF THE JAW GRIPPER DESIGN USING FILAMENT ONYX-CARBON FIBER REINFORCED MATERIAL
Authors: Suhandar Gerren Aurelian , Widya Utama Didi , Halim Agus , Raynaldo Kevin
Published: July 2024

A robot gripper is one of the technologies commonly used to grip an object. Gripper has an arm shape that is adjusted to its function. Gripper with a circular shape that functions to grip the workpiece, but the design of this jaw gripper is still not optimal because it still uses too much material. This research aims to improve the existing jaw gripper design to be more optimal in using materials and costs incurred. In addition, after making design improvements, then conduct a Finite Element Analysis (FEA) based simulation to determine the strength of the design when stressed and also conduct an analysis using Markforged software to find out the difference in part details such as the time required to print, the use of materials and the estimated material costs incurred. The results of the stress analysis simulation Von Mises stress of 13.34 Mpa, Von Mises stress that occurs is categorized as safe because it is below the Yield Strength of 254.1 Mpa. In contrast, the displacement result is 0.014 mm, while the minimum safety factor is 15.
AUTOMATED DELIVERY ROBOT SYSTEM DESIGN FOR OFFICE USING ESP32 TECHNOLOGY
Authors: Arifandi Luthfi , Setyaningsih Endah , Calvinus Yohanes
Published: July 2024

The emergence of Industry 4.0 has brought about major changes in various industries, including the use of Internet of Things (IoT) technology. One of the technologies of Industry 4.0 is IoT (Internet of Things), which allows the connection between tools and other devices. The use of smart robots as a solution for task completion in office areas is increasing rapidly. This smart robot can be equipped with sensor modules and ESP32 microcontroller processing modules to enhance its functionality. In addition, integration with smartphones through Android applications and websites allows this robot to be controlled and monitored remotely (online). The design of this IoT-based delivery robot with the integration of the ESP32 microcontroller and advanced sensors shows promising potential in improving convenience in offices. The use of TCS34725, infrared sensor, and HC-SR04 Ultrasonic Sensor enhances color detection and object recognition capabilities, enabling the execution of tasks as a delivery robot in an office environment. Integration of Android app and website as online control and monitoring function of the robot with real time
PANDANGAN MASYARAKAT TERHADAP PELAKSANAAN PROGRAM KELUARGA BERENCANA (KB) DALAM MEWUJUDKAN KELUARGA SAKINAH DI KECAMATAN LEMBOR SELATAN
Authors: Nawang Sari Rahma Pramudya , Rosalina Naitboho Yanti , Hariyati Hikmah , M. Sali Jakaria , Idris. PS Syarif
Published: July 2024

Awareness of the importance of creating a sakinah family is the ideal that every married couple hopes for. There are a lot of efforts that must be made by all families to make this happen. The Ministry of Religion, through the Advisory Body for the Development and Preservation of Marriage (BP4) tries to provide an idea regarding efforts to form a sakinah family, namely by providing four main efforts that must be made. One of them is the implementation of the family planning (KB) program. The method used is a qualitative descriptive method with interview data collection techniques and documentation. Based on the conclusions in this research, the implementation of family planning in Golojong village, Nangalili Village, South Lembor District, West Manggarai Regency, is largely possible to create a sakinah family. Because they can maintain birth spacing, have an adequate economy, can save money, and married couples understand and love each other and always carry out the obligations commanded by Allah SWT. So that the family is more harmonious, safe, peaceful and peaceful in the family.
Analisis Gharar Dalam Jual Beli Limbah Tambang Emas Di Kecamatan Muarasipongi Kabupaten Mandailing Natal
Authors: Aswari Fitri Nuri , Harahap Zul Anwar Ajim , Siregar Sawaluddin
Published: July 2024

This study examines gharar in the sale and purchase of gold mine waste in Muarasipongi District, Mandailing Natal Regency in terms of Fiqh Muamalah. This research is a field research with a qualitative approach. The data obtained using primary data, namely data obtained from the village government, sellers (owners of galundung machines) and buyers. To complete this research, the author also uses secondary data, namely references such as books, journals, and related documents. Data collection is done by observation, interviews, and documentation. The data analysis technique is descriptive qualitative. The results of this study indicate that the sale and purchase of gold mining waste should be able to provide benefits to both buyers and sellers. However, when the buyer reprocesses the waste there is no gold content in it, because basically the seller does not know at all about the quality, quantity, or level of gold contained in the waste. So the buyer feels very disadvantaged due to the unclear object he bought. The sale and purchase of gold mining waste carried out by the people of Muarasipongi District, Mandailing Natal Regency is not valid because it contains gharar and does not meet the terms and conditions stipulated in the fiqh muamalah.
The Relationship Between Dowry And Education: The Practice Of Giving Dowry In Padang Sidempuan
Authors: Pasaribu Ahmad Rusli , Siregar Fatahuddin Aziz
Published: July 2024

The research problem is the influence of women's education on marriage dowries in the city of Padang Sidimpuan. Giving dowry is mandatory in marriage while education is experience in studying in formal educational institutions so giving dowry based on education is a practice in society in giving marriage dowries. Articles 30 and 33 state that the determination of the dowry must be made by both parties and must be made in cash, but in a state of debt at the time after the contract, it does not cancel the marriage. The research methodology used is qualitative field research, namely research conducted by collecting primary and secondary data on the phenomenon that is happening directly. this research which becomes the primary data is data obtained directly from the research subject. Primary data is the influence of education in determining the dowry and public opinion on the matter in Padang Sidimpuan. Primary legal materials are the Al-Qur’an and Hadist, Book translation dictionary. Furthermore, data collections techniques were carried out by interview, observation, and documentation. The result of this study are, firstly Education is indeed the determinant of dowry in marriages in the city of Padang Sidempuan, this is supported by several factors such as the request of the prospective wife, and secondly, the dowry given is a form of honoring the wife.
Studi Living: Persepsi Masyarakat Terhadap Tradisi Bacaan Shalat Tolak Bala
Authors: Hasibuan Elida Marwiyah , Hasiah Hasiah , Siregar Sawaluddin
Published: July 2024

This article examines the perceptions of the people of Hutaraja Lamo Village, Sosa District, Padang Lawas Regency towards reading the prayer to reject reinforcements. This type of research is field research with a qualitative approach. The primary data sources in this article are religious leaders, traditional leaders, village heads, Naoso Nauli Bulung and the Hutaraja Lamo village community. While the secondary data comes from books, journal articles related to this article. for data collection techniques using observation, interviews and documentation, then analyzed using data analysis techniques is descriptive research. The results of this study indicate that the people of Hutaraja Lamo village, Sosa sub-district, Padang Lawas district believe that the community's understanding of the recitation of the prayer to reject reinforcements is selected verses (al-ikhlas, an-nas and al-falaq). As well as reciting three times after al-Fatihah, totaling four cycles, one greeting and having a bayati rhythm. The public's understanding of the recitation of the prayer against reinforcements may be carried out and there is no compulsion to carry it out. When there are conditions such as being overwritten by a disaster or a disease that does not go away. Then it is permissible to carry out the recitation of the prayer to repel reinforcements with the aim of asking forgiveness from Allah SWT. So by holding the recitation of the prayer to repel reinforcements, this is done with the intention because of Allah Ta'ala and surrendering to Him all illnesses will disappear forever. As for the people's reasons for reading the prayer to reject reinforcements, it must be done with confidence and surrender to Allah. The people also say that after reading the prayer to repel reinforcements, there is a change in the people who are sick, and all the calamities that have befallen us all will not come again. The reason for the community to carry out the recitation of the prayer to reject reinforcements must be with confidence and surrender to Allah.
Perlindungan Hukum Terhadap Anak Korban Toxic Parenting Dalam Perspektif Hukum Islam
Authors: Lubis Yulia Khairani , Siregar Fatahuddin Aziz , Gunawan Hendra
Published: July 2024

The problem in this research is legal protection on children suffering toxic parenting in the Labuhanbatu district in the perspective of Islamic law. The type of research in this study is field research, using qualitative approaches, the primary data source of children to experience toxic parenting in the family in 2021-2022 and the caretaker of the women and child protection services (DPPPA), A secondary source of data consists of books, journals, and documents related to the study. The data-gathering techniques used are interviews, observations, and documentation. The data-analysis techniques use qualitative descriptive. That the protection of law in labuhanbatu district is good enough because there is an institution that serves to protect children: the women's protection and child protection service (DPPPA), by performing socialization, and protecting children by providing mediation services, legal aid, and psychological recovery, according to the 2014 35th act on child protection, while it is the perspective of Islamic law that children should be protected from all that could lead to the exclusion of children's rights, Like the one in QS. At-Tahrim: 66, which is the right to an education, a living, protection, and nurturing, and hampering growth of children, for in the perspective of Islamic law the violent behaviour of children is strictly prohibited except in education and worship, it should fit within some provisions, it is according to Ahmad bin Hanbal that the Prophet SAW forbids such violence as beating and educating children, And also, in the opinion of clerics educating children with violence, is not recommended according to dalil-dalil, both the Qur'an and As-Sunnah. Therefore, legal protection in the Labuhanbatu district is in keeping with an Islamic law perspective that prohibits violent child abuse.
The Perspective of Gender and Islamic Law on Waithood Phenomenon in The Millennial Generation
Authors: Afrilian Andre
Published: July 2024

The recommendation to get married is clearly explained in the naṣ shara', but in reality at this time many teenagers who are considered mature and ready to get married are reluctant to get married and prefer to delay being single. This phenomenon has recently become widespread and is used as a principle by many teenagers in various parts of the world to Indonesia and is known as waithood. In the context of millennial adolescents today, the reasons that become factors for choosing waithood are so diverse that it is interesting to study and review their correlation with Islamic studies and gender issues. This research is a library research with a normative-sociological approach by analyzing the phenomenon of the idea of waithood through gender studies and Islamic law. The results of this study indicate that there are many factors, concepts and goals of waithood carried out by millennial adolescents today that contradict Islamic principles which clearly recommend getting married immediately if you are able and there is a connection to gender issues in the case of women who prefer waithood to not getting married, as well as gender inequality which is being called for by the UN program Transforming Our World: The 2030 Agenda for Sustainable Development which is not only on the issue of roles in marriage but even on many other factors so that the shift in the meaning of marriage and the decision to have children is no longer considered an obligation, but a choice that can be made by women
Estrategias de rehabilitación propioceptiva en lesiones postraumáticas de muñeca.
Authors: Sánchez Lida Johana , Sanchez Diana Patricia , Ordoñez-Mora Leidy Tatiana
Published: July 2024

Antecedentes:El enfoque propioceptivo puede mejorar de manera efectiva la fuerza, la movilidad, la reducción del edema y la disminución del dolor; lo que a su vez tiene un impacto positivo en la funcionalidad.
Objetivo:Identificar las estrategias de rehabilitación propioceptiva reportadas en la literatura, en adultos con lesiones traumáticas de muñeca.
Métodos: Se efectuó una revisión de alcance siguiendo los parámetros de la estrategia Prisma ScR. Se incluyeron investigaciones con pacientes adultos, diagnóstico de lesión postraumática de muñeca, que utilizaron rehabilitación propioceptiva. Se evaluó el dolor, la funcionalidad, la fuerza, los rangos de movilidad articular y el edema.
Resultados: Se incluyeron seis artículos, que involucraron 125 pacientes al aplicar los criterios de exclusión. Se han generado protocolos de rehabilitación basados en facilitación neuromuscular propioceptiva y el uso de herramientas sensoriomotoras que promueven la recuperación de la muñeca. Además, se han establecido otros abordajes como la imaginería motora, que genera un trabajo de identificación y organización del movimiento, mejorando el dolor y la función manual. Faltan seguimientos de mayor tiempo, estandarización de los instrumentos utilizados durante la intervención propioceptiva y aumentar la población observada para generar una recomendación de intervención temprana y estimaciones entre el costo y el beneficio.
Conclusiones: La rehabilitación propioceptiva ha demostrado beneficios en la recuperación del miembro inferior y la cadera o espalda. Para la rehabilitación de las lesiones traumáticas de muñeca, es un pendiente de la investigación. La información bien descrita y los diseños de buena calidad son necesarios para proponer rutinariamente esta estrategia en la clínica.
Sistematización de una experiencia de implementación del formato pódcast como herramienta de investigación
Authors: Monje Abril Daniel Enrique
Published: July 2024

Como parte del proyecto Los investigadores y el cine, se ha generado un programa de análisis cinematográfico en formato pódcast disponible en la plataforma Ivoox, con el título Conversaciones sobre cine y sociedad. El pódcast estuvo en producción entre los años 2018 y 2023 con un total de 91 episodios realizados durante este periodo. En el presente artículo se describe la sistematización de la experiencia, explicando metodológicamente cómo un pódcast puede ser utilizado como herramienta de investigación para problematizar la relación que existe entre las manifestaciones culturales y/o artísticas con los procesos de investigación, docencia y extensión desarrollados en el programa de Cine y Televisión de la Universidad Manuela Beltrán (UMB). Al analizar la experiencia de la producción del pódcast, así como las características de cada una de las conversaciones, se logra percibir una tendencia a la revisión de material norteamericano, de corte realista, dramático, producido por hombres para tratar temas relacionados con situaciones políticas coyunturales de la actualidad.
La construcción de conocimiento y las prácticas de enseñanza sobre la salud colectiva en Trabajo Social
Authors: Bru Gabriela Silvina
Published: July 2024

La salud es un ámbito de amplio desarrollo y ejercicio profesional del Trabajo Social. El artículo se propone reflexionar sobre la producción de conocimiento en el campo de la salud colectiva desde el Trabajo Social. El interés por este tema surge a partir de la práctica docente en la asignatura Salud Colectiva de la carrera de Trabajo Social en la UNMDP (Argentina). Para realizar este ejercicio hicimos una revisión de fuentes bibliográficas e identificamos algunos de los temas investigados desde Trabajo Social en el campo de la salud colectiva. El apartado principal del artículo está estructurado en tres momentos. El primero, expone el marco teórico a partir del cual pensamos la salud colectiva como campo de estudio. El segundo, consta de una descripción de publicaciones sobre salud y Trabajo Social. Finalmente, el tercero está dedicado a repensar cómo la formación en salud colectiva en la carrera de grado de Trabajo Social contribuye con la construcción de conocimiento disciplinar. Las conclusiones exponen que la incorporación de temas vinculados a la salud colectiva a la currícula de Trabajo Social es clave en la construcción de esquemas analíticos para pensar problemas de pesquisa y, así, abonar la actitud investigativa de la profesión.
La maternidad lacerada: duelo de madres que han perdido hijos en contextos de violencia sociopolítica en Cali
Authors: Mercado-Lenis Diego Fernando
Published: July 2024

La presente investigación exploró el duelo de un grupo de madres, pertenecientes a una asociación de víctimas de la ciudad de Cali-Colombia, que perdieron sus hijos en contextos de violencia sociopolítica. Para tal fin se adelantó una estrategia metodológica destinada a comprender la elaboración subjetiva de la pérdida en estas madres, indagar el papel que jugaron los aspectos socioculturales en sus procesos de duelo y analizar el papel de los procesos de verdad, reparación y justicia en su vivencia de la pérdida. Dicha estrategia metodológica de corte cualitativo tuvo un diseño fenomenológico, recurrió al muestreo por conveniencia y al análisis de contenido conforme a las categorías de análisis. Los resultados pusieron de relieve algunos elementos para comprender la singularidad de este tipo de duelos, como la necesidad de acudir a la noción de duelo traumático en tanto hay un sinsentido de la experiencia imposible de tramitar; la vivencia de un cuerpo sufriente, roto por la pérdida del vínculo madre-hijo; la experiencia de pérdida de la confianza básica en el otro contrastada con la comunión experimentada con otras madres y víctimas, lo que se convirtió en un potente elemento resiliente y, por último, la inoperancia de la justicia, el predominio de la impunidad que, por un lado, obstaculizaba los procesos de elaboración del duelo, pero, por el otro, propició que el escenario de investigación se convirtiera en un espacio en el que las participantes pudieron dar un testimonio que fue reparador y sanador.
Potencialidad turística del paisaje: identificación de Sitios de Interés Paisajístico (Camino de la Costa, Argentina)
Authors: Zuccarini Luisina ,   Universidad Nacional del Sur (Argentina), Serrano Rodríguez Rocío Belén ,   Universidad Nacional del Sur (Argentina)
Published: July 2024

This article describes research into the Camino de la Costa, an area made up of eleven destinations and tourist centres along the coast of the Argentine Sea in the province of Río Negro. The objective was to identify Sites of Landscape Interest based on the evaluation of the scenic quality of the landscape, applying the method of disaggregation by components. The research shows that the characteristic landscape of the Camino has in itself a significant scenic quality with potential for tourism use; nine LIS were identified as the most relevant to be included in the design of proposals aimed at promoting the landscape as a tourism resource. It should be added that, in Argentina, there are practically no scenic routes bordering the sea, so the landscape as a tourist resource of the Camino de la Costa could be reworked to integrate it into various tourist-recreational proposals, thereby promoting its protection and conservation.
Practices of Informing and Consenting in Indigenous Communities: The Case of The Marshall Islands
Authors: DeCoursey C. A.
Published: July 2024

The 1979 Belmont Report established the guiding principles of informed consent. The 2007 United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) pointed out several problems in the meaning of these principles, and in how they were operationalised in small, indigenous communities. The Belmont Report originated in a developed economy, and was taken forward by researchers in individualist societies more than collectivist societies. But in the 21st century, with cross-cultural work a routine element of academic research, these issues have greater salience. UNDRIP focuses on the local meanings of concepts such as respect, informed, consent and privacy. It privileges local cultural norms, meanings and practices in the processes of gaining consent, and foregrounds the need for selecting culturally appropriate processes of consulting, comprehending, and withdrawing. This paper uses examples from the Republic of the Marshall Islands (RMI) to explore these issues, and make recommendations for social science researchers in navigating cross-cultural dimensions of informing, respect, privacy and consent.
Exploring the kaleidoscope: Ocular manifestations in leukaemia – A case series revelation
Authors: Walia Shweta , Thorat Krutika Kamalakar
Published: July 2024

Leukaemia is a systemic cancer of the blood and blood-forming tissues that affects multiple organs. Acute lymphocytic leukemia (ALL) is the dominant leukaemia type in children and more than 50% of these patients can be cured. In adults, acute myelocytic leukemia (AML) is the predominant myeloproliferative disorder, with lower survival rates. Around 35.4% of leukaemia patients present with leukaemic retinopathy. The purpose of the study is to present ocular manifestations in acute leukaemia. This report outlines the clinical presentations of three patients. Among them, one adult presented with AML at diagnosis, exhibiting ocular symptoms. Another adult, 6 months after diagnosis, experienced retrobulbar haemorrhage and leukaemic retinopathy. In addition, a paediatric patient, previously treated for ALL and in remission, developed unilateral vision loss, subsequently indicating disease relapse. During the diagnosis of acute leukaemia patients, it is recommended to conduct a thorough ophthalmic evaluation, which should include a dilated fundus examination, as ocular involvement in these patients is prevalent and may occasionally be asymptomatic.
Prevention & management of snakebite envenomation: A qualitative study on perspectives & practices in Maharashtra & Odisha
Authors: Munshi Hrishikesh , Gavhande Millind , Bhad Ganesh , Mohanty Bijayalaxmi , Dash Jagdish Prasad , Madavi Kanna , Bansode Manohar , Mohapatra Amarendra , Mahale Smita D. , Pati Sanghamitra , Sachdeva Geetanjali , Bawaskar Himmatrao S. , Gajbhiye Rahul
Published: July 2024

Background & objectives

Snakebite envenoming (SBE) is a major public health concern, with India bearing the highest global burden of SBE-related deaths. SBE is concentrated in rural and tribal regions of India, where the knowledge, attitude and behaviour of the dwelling communities largely influence mortality and morbidity. Understanding these factors is crucial to designing effective SBE prevention and management strategies. The present study’s objective was to document the perspectives of community members and practices in selected blocks of Maharashtra and Odisha States regarding SBE prevention, first aid and health-seeking behaviour.

Methods

Between March and April 2022, 28 focus group discussions (FGDs) were conducted. Study sites included Shahapur block in Thane district, Aheri block in Gadchiroli district of Maharashtra, and Khordha block in Khordha district, Kasipur block in Rayagada district of Odisha. Separate FGDs were held for males (n=14) and females (n=14), involving about 8-16 participants above 18 yr. All discussions were audio recorded, and a grounded theory approach was employed to identify key themes from the translated transcripts.

Results

The findings of this study revealed a variety of perspectives and practices determining the SBE burden at the study sites. The findings included insufficient knowledge about snake species and their nature of toxicity, use of non-scientific first aid techniques, inaccessible health care and reliance on traditional healers, non-utilization of prevention methods, varied cultural beliefs and practices, and differential treatments based on gender. The findings have been collated in two simplistic frameworks; barriers to effective prevention and barriers to effective management.

Interpretation & conclusions

SBE burden results from a complex interplay between socioeconomic, cultural, and demographic factors, necessitating a collaborative inter-sectoral effort for adequate control. Through crucial regional inputs and the barriers to prevention and management models, this study provides critical insights and priority intervention areas to strengthen India’s upcoming National Action Plan for Prevention and Control of Snakebite Envenoming (NAPSE) in all high-burden States.
Strengthening cardiac services in Faridabad District: A facility mapping exercise to explore implementation of a hub-and-spoke model
Authors: Asadullah Md , Amarchand Ritvik , Roy Ambuj , Bhatia Rohit , Kumar Rakesh , Krishnan Anand
Published: July 2024

Background & objectives

Improving access to acute cardiac care requires remodelling of existing health systems into a service delivery network with an anchor establishment (Hub) offering a full array of services, complemented by spoke establishments that offer limited services. We assessed the availability of cardiac services in the district of Faridabad in the northern State of Haryana, India and explored the feasibility and challenges of implementing a hub-and-spoke model.

Methods

In 2019-2020, we listed all the facilities in private and public sectors in the study-district and mapped their geocoordinates with the help of QGIS (Quantum Geographic Information System) software version 3.20. After consent, we assessed the availability of specific cardiac care-related inputs (medicines, technologies and staff) using a checklist by enquiring from the hospital staff. Each facility was classified as L1 (No ECG) to L5 (cardiac catheterization) as per the national guidelines for the management of ST-elevation myocardial infarction (STEMI).

Results

There were 109 health facilities (66% private) in the district, 1.6 cardiologists and 5.4 coronary care unit beds per 100,000 population (94% private). Only one district hospital running in a public-private partnership mode at the L5 level provided any cardiac services. Private facilities were providing a range of services with a considerable number of them functional at L5. The higher-level facilities were concentrated in the central and urban parts of the district. Only 46 per cent of the ambulances had oxygen cylinders and 14.7 per cent had defibrillators.

Interpretation & conclusions

Implementation of a hub-and-spoke model for cardiac care in Faridabad district will require significant strengthening of public health services, development of a private-sector participation model, and strengthening of ambulance services.
Implementation research on registering cancer cases in primary health centres of Puducherry through community health workers
Authors: Varughese Cincy Merin , Sahu Swaroop Kumar , Karunanithi Gunaseelan , Duraisamy R. , Sriramulu G. , Raghavan Bitty , Thulasingam Mahalakshmy
Published: July 2024

Background & objectives

Hospital-based cancer registry does not represent the true burden of cancer in the community. Initiating a Primary Health Centre (PHC)-based cancer registry may better estimate population-level data for cancer cases in an area. This study aimed to set up a system for facilitating a PHC-based cancer registry and to assess the registration status of cancer cases in various PHCs of Puducherry. The facilitating and limiting factors while setting up this registry were also assessed.

Methods

A quasi-experimental study with an embedded mixed-method design was conducted in 31 PHCs/Community Health Centres (CHCs) from March 2021 to November 2022. The interventions were implemented in all PHCs/CHCs of Puducherry with the involvement of the State Non-Communicable Diseases (NCD) cell. The line list of cancer cases from the Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) Hospital-based cancer registry was shared with all PHCs/CHCs. Sensitization sessions for all Community Health Workers (CHWs) were conducted, and feedback on cancer registration status was given to the State NCD cell. Focus group discussion (FGD)/Key informant interview (KII) was undertaken to understand strengths, challenges, and suggestions. The logic model was used to understand the various indicators while setting up this PHC-based cancer registry.

Results

Over a one-year intervention period, 1270 cancer cases were registered at Puducherry’s PHCs/CHCs, 1203 (88%) from the shared list and 67(5%) from other facilities. However, only 53 per cent of the expected living cases were captured in the various PHCs. Major limitations for registration were the COVID-19 pandemic, stigma, inadequate manpower, infrastructure issues, and privacy concerns during screening.

Interpretation & conclusions

It was feasible to set up a PHC-based cancer registry in all PHCs of Puducherry. However, registration of cancer cases was suboptimal, as population-based screening of cancer cases, as recommended in the National Programme for Prevention & Control of Non-Communicable Diseases (NP-NCD) programme, was weak due to the COVID-19 pandemic. Once this is strengthened, the PHC-based cancer registry will better represent the population.
Hospital level interventions to improve outcomes after injury in India, a LMIC
Authors: Anthony Anna Aroke , Panchal Khushboo , Mathew Fleming , Soni Kapil Dev , Malhotra Ajai K.
Published: July 2024

Background & objectives

Trauma is one of the leading causes of disability and death, worldwide. Ninety per cent of trauma related mortality occurs in low- and middle-income countries (LMICs). Despite this, there is paucity of literature emanating from LMICs with studies that present and/or evaluate feasible interventions that can have a measurable impact on outcomes after injury, primarily mortality. The current article aims at developing such interventions key elements of implementation and measures of compliance and impact.

Methods

A literature review was conducted to evaluate the status of injury care among LMICs worldwide. Based on this review, interventions were identified/developed, that (i) were feasible to implement within the constraints of available resources; (ii) could be implemented within a two year timespan; and (iii) would improve outcomes primarily, mortality. These interventions were then discussed at a symposium of experts and stakeholders from around the world.

Results

The literature review identified gaps across the entire spectrum of injury care at all levels – primary, secondary and tertiary prevention. Additionally, lack of data systems capable of ensuring quality of care and driving performance improvement was identified. Utilizing the review as the basis and focusing on hospital level interventions, one policy intervention, five in-hospital interventions and one major research question were identified/developed that met the defined criteria.

Interpretation & conclusions

Gaps in trauma care in LMICs at every level and in data systems were identified. Feasible interventions that can be implemented within the resource constraints of LMICs in a reasonable timeframe and that can have a measurable impact on injury related mortality were developed and are presented.
Implementation of stroke care & road safety in India: Lessons from Australia
Authors: Gupta Anupam Datta , Gupta Koninika Datta , Kleinig Timothy John
Published: July 2024

India is home to one-fifth of the world’s population and is currently the fastest-growing economy. As the health industry is growing, India needs to develop robust implementation of evidence-based health care addressing the major public health issues. Two of such issues India is grappling with are the establishment of stroke care and the reduction of road accidents. Australia has achieved notable success in implementing stroke care and reducing road accidents. In stroke, Australian initiatives include dedicated stroke units, the development of clinical guidelines, the implementation of acute interventions, the establishment of a national stroke foundation, and the stroke registry. As a result, the combined, primary, and secondary prevention measures, acute treatment, and rehabilitation have reduced the total disease burden of stroke from 2003 to 2023 by 53 per cent, from 7.4 to 3.5 Disability Adjusted Life Years (DALYS) per 1,000 population, which is a 56 per cent decline in fatal burden and 23 per cent decline in non-fatal burden. For road safety, Australia implemented evidence-based practices such as education, legislation including mandatory use of seat belts, and other road safety initiatives. Data show that seat belt use reached 98 per cent in Australia in 2023. Furthermore, about 20 per cent of drivers as well as passengers who were killed in crashes in 2024 did not wear seat belts. The reduction of speed limits in built-up areas, the adoption of monitoring technology, and the clever use of infrastructure are proving to be effective in reducing fatalities and serious injuries. Australia’s implementation research can provide valuable insights into the efforts of mitigating the impact of stroke and enhancing road safety in India.
Asthma control among teenagers attending the respiratory outpatient clinic of an academic hospital in Pretoria, South Africa
Authors: Garrach Bhavic , Kalidas Kamlesh , Mpe Matlawene John
Published: July 2024

Objectives:

Bronchial asthma is characteristically a diverse illness that results from chronically inflamed bronchi. Adolescents are a particularly vulnerable group to asthma, and both its prevalence and death rate have increased in this patient population. Asthma care creates a particular set of difficulties for adolescents who are at a stage where there is a search for greater autonomy and changing social and emotional dynamics. The aim of this study was to describe the clinical characteristics of teenage asthmatics in an academic hospital.

Materials and Methods:

This was a cross-sectional study of patients between the ages of 13 and 18 who had consented to participate. The study consisted of face-to-face interviews and a review of their clinical and laboratory records. Data were analyzed using descriptive statistics and comparisons between groups made using Fisher’s test of exactness.

Results:

Eighty-seven teenagers were studied. The mean age was 15.5 ± 1.5 years. The majority (59%) were male. Ten study subjects (11.5%) were current smokers. A positive family history of asthma was found in 31% (n = 27) of the patients. All patients were on inhaled corticosteroid therapy. The majority of the study subjects (60.9%) had satisfactory asthma control as evidenced by a mean asthma control test score (ACT) of 19.2 ± 2.29. Fifteen patients (26.7%) had had an acute flare-up of the disease requiring hospitalization in the preceding 12 months, and 5.8% had had a previous intensive care unit admission.

Conclusion:

The majority of the teenagers studied had overall satisfactory asthma control, as determined by their ACT scores. The use of inhaled corticosteroids was standard, but the inhaler technique was largely unsatisfactory. The prevalence of tobacco use is a cause for concern.
Concentrated Surfactant Gel Dressing for Effective Wound Healing in Pediatric Patients: A Case Series
Authors: Boyar Vita
Published: July 2024

Background. CSG dressing is water-soluble and helps to hydrate the wound, control exudate, and provide gentle debridement by virtue of a high concentration of surfactant micelles. The primary objective of this retrospective case series is to report on the feasibility of CSG use in pediatric wounds and its mechanism of action. The secondary aim was to measure pain during application and removal of CSG. Methods. Eight pediatric patients ranging in age from newborn to a few months old with wounds requiring medical intervention were treated with CSG. The CSG dressing was applied twice daily at initiation of treatment in some patients, but mostly once daily. NIPS was utilized for pain measurements. Results. Near-complete healing of wounds was observed by the end of treatment duration, which was only a few days. The calm temperament of these patients during dressing changes and objective NIPS suggested minimal to no pain. None of the patients experienced any adverse events related to the use of this dressing. Conclusion. The CSG dressing could be the dressing of choice in this population to enhance debridement and maintain moist healing and support granulation, either proactively or if other treatments fail.
Repair of Facial Dog Bite Wound Utilizing Cryopreserved Umbilical Cord Allograft
Authors: Yee Addison , Davis Kyle , Anderson Zachary , Hartzell Larry
Published: July 2024

Background: In the United States, craniofacial injuries are the most frequently observed traumas in the pediatric population. Human birth tissue products contain growth factors, cytokines, and signaling molecules that can be potentially harnessed for tissue regeneration and wound healing. Purpose: A cryopreserved ultra-thick amniotic membrane (AM) allograft wound dressing was used in a patient with significant facial soft tissue loss due to a dog bite injury. Methods: This is a single case report of a pediatric patient. After obtaining IRB exemption, operative and postoperative clinic notes were reviewed. Results: A 10-year-old female presented to the emergency department after suffering a dog bite to her left cheek and upper lip, resulting in tissue loss. A cryopreserved ultra-thick AM allograft was used to cover the area of tissue loss as part of surgical reconstruction. The patient was followed up at 1 week, 3 weeks, 4 months, and 1 year after the graft was placed, and rapid healing and full epithelialization were achieved in addition to scar contracture due to wound location. Conclusion: In the setting of acute trauma and tissue loss, human birth tissue was found to promote epithelialization and regenerative healing of facial tissues.
ROBOTIC REVOLUTION: DOES ARTIFICIAL INTELLIGENCE TRIGGER INTERNATIONAL ARMED CONFLICT OR NON- INTERNATIONAL ARMED CONFLICT
Authors: Akkuş Berkant
Published: July 2024

The introduction of new forms of artificial intelligence (AI) military weaponry specifically autonomous weapon systems (AWS) can select and engage targets without human intervention therefore the application of lethal AWS incorporation with AI has revolutionized armed conflicts.The main concern regarding the military application of AI is the use of force should be maintained by only human soldiers. There is an urgent need to reinterpret the threshold for triggering an international armed conflict because AI technology unintentionally causes war during border control or surveillance operation. This article predominantly focuses on fully autonomous weapon systems which refer to human agents being removed from certain force applications. The main research questions in this article are first, is it possible that an AWS might, alone, spark an international armed conflict, thus bringing international humanitarian law into force? Second, can the criteria of organisation and intensity that give rise to non-international armed conflicts be met when AWS are controlled by non-state armed actors? This study will examine the research questions by focusing on the main areas of debate in the field of international law on AWS, specifically the compatibility of AI with the principles of humanitarian law, the determination of international responsibility, and ethical problems.
Osmanlı döneminde Alâiye sancağının sosyal ve ekonomik yapısı
Authors: Uzun Ahmet , Özkök İlyas , Türkan Tolga Evrim
Published: July 2024

Bu çalışma arşiv belgelerinden hareketle Osmanlı döneminde Alâiye’nin (Alanya) sosyal ve ekonomik yapı özelliklerini incelemektedir. Dönemsel olarak değişmekle beraber, idari açıdan Alâiye sancağı, genellikle Senir maa Düşenbe, Manavgat, Akseki ve İbradı kazalarını kapsamıştı. Dolayısıyla bu çalışmada Alâiye’nin sosyo-ekonomik yapısı, bu beş kaza bütününde ele alınmaktadır. 19. yüzyıl ortalarında 60 bin civarında nüfusa sahip Alâiye sancağında az miktarda gayrimüslim de yaşamaktaydı. Çalışma Alâiye sancağında bazı bölgelerde tarıma elverişli mekânlar olmasına rağmen, genel olarak kısıtlı bir tarımsal potansiyelin varlığı gösterilmektedir. Buğday, arpa, susam, keten tohumu, ceviz, keçiboynuzu gibi ürünlerin yanı sıra meyve- sebze üretimi nispeten önem kazanmıştı. İmalat faaliyetlerinin sınırlı kaldığı Alâiye’de, gemi inşa sanayii gelişme göstermişti. Sancakta ayrıca dağınık halde farklı Yörük grupların yaşadığı anlaşılmaktadır. Yaz, kış ve sonbaharda farklı yerlerde ikamet eden bu grupların hayvancılık faaliyetleri ve ulaşım hizmetlerindeki rolleri önem taşıyordu. Özellikle İstanbul’a ulaştırılmak üzere Bozkır madeninden çıkarılan kurşunun Alâiye iskelesine taşınmasında Yörük gruplar aktif bir rol üstlenmekteydi. Alâiye’nin deniz ulaşımı sayesinde Mısır, Kıbrıs ve sahil şeridinde bulunan diğer yerleşim yerleriyle ticari ilişkileri gelişmişti. Kereste ve hububat türü ürünler ticarete konu olan temel mallardı. Bir bütün olarak bakıldığında, bölgeler itibarıyla önemleri değişmekle beraber, sancakta tarım, hayvancılık, madencilik, ormancılık, imalat ve ticarete dayalı bir ekonomik yapının gelişme gösterdiğini söylemek mümkündür.
СОВЕРШЕНСТВОВАНИЕ ПРОЦЕССА УПРАВЛЕНИЯ ИННОВАЦИОННЫМИ ИДЕЯМИ В ОРГАНИЗАЦИИ
Authors: Синицына К.И. , Половян А.В. , Гришина И.В.
Published: July 2024

В данной статье раскрыт новый исследовательский фрейм – рефлексивные процессы, выступающие ключевой составляющей инициирования и укоренения процессов самоорганизации, что позволяет осуществить развертывание коллективной рефлексивной деятельности всего персонала инновационно-активной организации. В условиях роста сложности и неопределенности рынка должно происходить параллельное изменение и подстраивание параметров процессов инновационной деятельности и на смену традиционным формам должно прийти симбиотическое сотворчество когнитивно разнообразных субъектов, как возможность преодолеть бич современной инновационной деятельности – генерирование невостребованных инноваций. Уточнение понятия «управление инновационными идеями», под которым предложено понимать структурированный процесс генерации, обмена, оценки и селекции значимых инновационных идей субъектами внутренней и внешней среды инновационно-активной организации для конструирования инновационных ценностей, релевантных рыночным потребностям, позволило формализировать процессуальность менеджмента идей, что позволит сформировать адаптивную способность организации, отвечающей условиям VUCA-мира.
ИССЛЕДОВАНИЕ ИНФЛЯЦИОННЫХ ПРОЦЕССОВ В РОССИИ
Authors: Варфоломеева В.А.
Published: July 2024

Высокая инфляция уменьшает покупательную способность денег, что снижает уровень жизни населения и вызывает социальные проблемы. Борьба с инфляцией является одной из ключевых задач макроэкономической политики государства. Целью написания статьи является исследование теоретических и практических аспектов инфляционных процессов. В статье рассматриваются природа возникновения и развитие, методы анализа инфляционных процессов. Уделяется внимание статистике инфляционного процесса в России на сегодняшний момент. В заключение перечислены, какие меры следовало бы предпринять для сдерживания уровня инфляции. Проведенное исследование указывает, что самое тяжелое последствие от постоянного влияния инфляционного процесса для социума, это расслоение на лиц, которые могут себе позволить хорошо жить, а другие нет.