bluuebunny/crossref_metadata_2025 huggingface dataset:
The Perception of Social Media Usage on
the Development of Democracy in
Selangor
Authors: Anuar Razak Mohd Hairul , Sabarudin Muhammad Aiman
Published: January 2023

The main of this study is to identify the relationship between the perception of social media usage on the development of democracy in Malaysian as reference. This study used a quantitative approach and survey analysis research method. Data were collected systematically based on data structured questionnaire survey.. The sample selection is based on a randomly-target focus and consists of 384 local youth in Selangor as respondents. Probability sampling is selected, and the collection of systemic information requires careful selection and accurate measurement of the unit explored for each variable to clarify the purpose of the study at the end. The study's findings show a significant relationship between social media influences towards the development of democracy in Malaysia. The relationship shows a positive correlation between the perception level of social media users and the level of understanding towards the development of democracy (r=0.838, p=0.001). Furthermore, the relationship between the level of understanding reported a strong and positive correlation with the level of attitudes of social media users towards the development of democracy in Malaysia (r=0.807, p=0.001). Meanwhile, there is a strong positive correlation between the perception level of social media users and the level of attitudes towards the development of democracy (r=0.884, p=0.001). This indicated that the respondents' perception, understanding and attitudes towards the development of democracy in Malaysia are good and correlated.
Stabilization of Zeolite and Bentonite with Sewage Sludge Ash
Authors: Yıldız Özgür , Ceylan Çiğdem
Published: January 2023

In this study, it is aimed to evaluate the wastewater sludge supplied locally at 100 tons/day in the investigation area. In this context, the geotechnical properties of bentonite, zeolite-type clays and sands, which are common in the investigation area, were determined by mixing with sewage sludge ash (SSA) in specified ratios. Grain size distribution and specific gravity of pure materials and mixtures were determined. Direct shear tests, permeability tests, consistency limits tests, modified proctor tests and PH determination tests were performed with the mixtures. Soils were mixed with 0.5, 7.5, 10 and 12.5 percent SSA in order to determine the physical, chemical and mechanical properties. Mixtures of sand with 40% bentonite (i.e., BS40) and sand with 40% zeolite (i.e., ZS40) were used as host materials for SSA inclusion. As a result of extensive laboratory studies, it was observed that the engineering properties of the specimens changed significantly as a result of the 7.5% and 12.5% mixture of SSA. BS40/SSA7.5 and ZS40/SSA12.5 samples from the mixtures reached 83 kPa and 80 kPa maximum shear strength under 200 kPa normal pressure. The maximum unit weight of specimens was achieved by BS40/S5 and ZS40/S5 specimens as 1.72 and 1.82 g/cm3, respectively. With the addition of SSA, the hydraulic permeability of the mixtures decreased to an order of 10E–8 (cm/s) for BS40/SSA12.5 and ZS40/12.5 specimens. Experimental studies have provided significant engineering and environmental benefit in the evaluation of sewage sludge ash, which is inevitable in residential areas.
Ganhos com o programa de reabilitação e ensino à pessoa com insuficiência cardíaca (Programa REPIC)
Authors: Pestana Sandra Maria da Cruz , Vermelho Ana Cristina Martins Alferes , Martins Maria Manuela Ferreira Pereira da Silva
Published: January 2023

Introdução: Apesar dos avanços no tratamento, a insuficiência cardíaca é uma doença crónica, cuja incidência aumenta com a idade. Os internamentos por descompensação mantêm-se elevados, pelo que é crucial priorizar estratégias para a autogestão, tais como o ensino, o acompanhamento e os programas de reabilitação cardíaca. Face ao exposto, este estudo teve como objetivo verificar o impacto do programa REPIC na qualidade de vida, nível de conhecimentos e adesão ao exercício físico.
Metodologia: Estudo quantitativo com desenho antes-após de grupo único realizado numa amostra de 110 pessoas com insuficiência cardíaca, sujeitos a um programa de reabilitação e educação para a saúde durante o internamento e com follow-up telefónico, ao final de um mês, seis meses e um ano após a alta clínica.
Resultados e Discussão: A maioria dos participantes são do sexo masculino (66%) e a amplitude da idade varia entre 30 e 89, com uma média de 64,3 anos e um desvio padrão de 14,4. A análise dos dados evidenciou uma melhoria estatisticamente significativa no conhecimento sobre a doença, bem como na perceção da qualidade de vida nas dimensões mobilidade, cuidados pessoais, atividades habituais e nível geral de saúde (p=0,01). O incremento no tempo de exercício físico após o programa REPIC foi confirmado com resultado estatisticamente significativo [t (109)=6,03; p=0,019]. Os resultados obtidos demonstram os benefícios da educação para a saúde e do acompanhamento telefónico de enfermagem, nomeadamente a melhoria no nível de conhecimentos sobre a doença, na qualidade de vida e na adesão ao exercício físico.
 Conclusão: O programa REPIC permitiu reforçar o processo educativo, potenciar os comportamentos de autogestão, melhorar a qualidade de vida e aumentar a duração do exercício físico.
DIVERSIDADE DE ESPÉCIES E VARIEDADES CRIOULAS UTILIZADAS PELOS AGRICULTORES DO PAD ANAUÁ, ZONA RURAL DE RORAINÓPOLIS, RORAIMA– BRASIL
Authors: CRUZ ELIZANGELA da Conceição , Da Silva Lelisângela Carvalho , Smiderle Oscar José
Published: January 2023

A modernização da agricultura é uma das questões que leva ao abandono da prática de uso e conservação das variedades crioulas. Neste sentido, o objetivo do estudo foi investigar se os agricultores familiares do PAD Anauá, em Rorainópolis-RR, dispõem de diversidade de espécies e variedades crioulas em seus roçados, além de identificar como é feita sua conservação, bem como quantificá-las verificando as mais produzidas. Para isto, foram realizadas entrevistas semiestruturadas com 40 agricultores, onde foram abordadas questões sobre a diversidade agrícola, descrição das variedades crioulas, formas de conservação e armazenamento, o uso e a importância das variedades para os agricultores. Para verificar a diversidade agrícola, realizou-se a análise descritiva dos dados. Verificou-se que os agricultores possuem significativa diversidade de espécies e variedades conservadas por meio de práticas tradicionais e multiplicadas em suas propriedades, totalizando 42 espécies e 147 variedades entre exóticas, nativas e agrícolas. As espécies crioulas mais cultivadas são: feijão, milho, macaxeira, mandioca e abóbora. A diversidade encontrada é importante para os agricultores, pois o seu cultivo representa segurança alimentar e geração de renda, além de ser fundamental para manter os sistemas agrícolas ricos e dinâmicos.
Selçuk Gelişimsel Değerlendirme Envanteri (48-72 Ay)'nin Geliştirilmesi
Authors: Köroğlu Alper Yusuf , Tepeli Kezban
Published: January 2023

Bu çalışmada, ailelerin görüşleri doğrultusunda 48-72 aylık çocukların gelişimsel değerlendirmesini yapabilmeyi hedefleyen norm referanslı, güvenilir ve geçerli bir envanterin geliştirilmesi amaçlanmıştır. Selçuk Gelişimsel Değerlendirme Envanteri (SEGDE)’nin geliştirilmesi için olasılığa dayalı olmayan örnekleme yöntemlerinden kolay örnekleme yöntemi kullanılarak Türkiye’nin 7 coğrafi bölgesini temsil yeteneğine sahip olacak şekilde 48-53 ay 30 gün grubunda 304, 54-59 ay 30 gün grubunda 218, 60-65 ay 30 gün grubunda 270 ve 66-72 ay 30 gün grubunda 307 olmak üzere toplam 1099 çocuk çalışma grubuna dahil edilmiştir. Çocukların gelişimleri hakkındaki veriler ebeveynlerden çevrimiçi yöntemler ile toplanmıştır. SEGDE’nin güvenirliğini değerlendirmek için iç tutarlık ölçütleri olarak madde-toplam puan korelasyonu, alt-üst grup madde ortalama puanları arasındaki farkın analizi, iki yarı test güvenirliği ve Cronbach alfa güvenirliği incelenmiştir. Dış tutarlık ölçütleri olarak da test-tekrar test ve gözlemciler arası tutarlık incelenmiştir. SEGDE’nin geçerliğini değerlendirmek için ise kapsam geçerliği, yapı geçerliği ve ölçüt bağımlı geçerliği incelenmiştir. Daha sonrasında ise her bir yaş grubu ve gelişim alanı için norm değerleri belirlenmiştir. Analizler sonucunda SEGDE’nin 48-53 ay 30 gün, 54-59 ay 30 gün, 60-65 ay 30 gün ve 66-72 ay 30 gün olmak üzere dört farklı yaş grubu için geliştirilen formlarında yer alan bilişsel gelişim, dil gelişimi, sosyal duygusal gelişim, kaba motor gelişim, ince motor gelişim ve öz bakım becerileri alt boyutlarıyla ailelerin görüşleri doğrultusunda çevrimiçi yöntemlerle Türk çocuklarının gelişimsel değerlendirmesini yapabilmek amacıyla kullanılabilecek güvenilir, geçerli ve norm referanslı bir test olduğu söylenebilir.
Ters Yüz Öğrenme Uygulamalarında Öğretmen Adaylarının Pedagojik Yeterliklerinin Gelişimi: Bir Eylem Araştırması
Authors: Aşiroğlu Sevim
Published: January 2023

Bu araştırmada katılımcı öğretmen adaylarının sınıf yönetimi dersinde ters yüz öğrenmeye göre geliştirilen ve uygulanan eylem planları aracılığıyla pedagojik yeterliklerinin geliştirilmesi amaçlanmıştır. 43 öğretmen adayı, araştırmacı ve geçerlik komitesi araştırmanın katılımcılarını oluşturmuştur. Ters yüz öğrenme modeline (TÖM) dayalı sınıf yönetimi dersinde anlama ve hatırlama seviyesindeki öğrenme çıktılarına yönelik ders anlatım videoları ders öncesinde öğrencilerin kullanımına sunulmuş, yüz yüze ders süresinin tamamında uygulama seviyesi ve üstündeki öğrenme çıktılarına yönelik etkinliklere yer verilmiştir. Yüz yüze etkinliklerde pedagojik yeterliklerin gelişimini amaçlayan; derslik planı tasarlama, örnek sınıf olayı inceleme, sınıf ortamı anısını sınıf yönetimi açısından değerlendirme, sınıfta zamanı ve öğretimi yönetebilme açısından uygun bir ders planı hazırlama ve sınıfta problem çözme yaklaşımlarına uygun örnek olay kurgulama çalışmalarına yer verilmiştir. TÖM uygulamaları boyunca öğretmen adaylarının öğrenme çıktıları aracılığıyla pedagojik yeterlik ve alt boyutlarında gelişim gösterdikleri gözlemlenmiştir.
A Critical Point About Early Childhood Assessments: Validity and Reliability Issues in Teachers’ Formative Assessment
Authors: Buldu Elif , Öneren Şendil Çağla
Published: January 2023

In the current study, Turkish early childhood teachers’ self-reported beliefs and practices on ensuring reliability and validity on their formative assessment implementations were investigated. A total of 17 female early childhood teachers participated in this study. The data for this phenomenological study was collected through semi-structured interviews. The researchers developed some themes and categories based on participant teachers’ responses about validity and reliability through constant-comparative data analysis method. The finding of the study revealed that the teachers who took part believe that obtaining valid and reliable information is critical for their assessment. Their self-reported practices, on the other hand, revealed that they have some difficulty using multiple assessment procedures with one another due to crowded classrooms and other excessive paper shuffling. The findings once again underline the importance of practical teacher training in understanding that assessment is an evidence-based process.
Pelatihan Teknik Pembuatan Alat Permainan Edukatif (APE) Berbasis Bahan Bekas di PAUD Al Hasanah Ampenan
Authors: Iman Nurul , Abdurrahman Abdurrahman , Irfan Ahmad Zainul , Endriani Ani , Huda Khairul
Published: January 2023

Keberhasilan kegiatan pembelajaran di PAUD sangat ditentukan oleh pengelolaan berbagai kegiatan main oleh pendidik. Kegiatan tersebut diupayakan seoptimal mungkin harus dapat dan mampu mengembangkan seluruh aspek perkembangan anak usia dini. Maka dari itu sebagai calon pendidik PAUD harus berusaha untuk membuat dan atau mengembangkan alat permainan edukatif dengan memanfaatkan barang-barang bekas yang ada di lingkungan sekitar. Dengan adanya alat permainan edukatif (APE) ini bisa membantu pendidik untuk mempermudah proses pembelajaran di kelas dengan lebih efektif dan menyenangkan. Tujuan kegiatan ini adalah untuk melatih guru dalam pembuatan alat permainan edukatif (APE) berbasis bahan bekas. Metode yang digunakan adalah partisipatif. Hasilnya semua guru antusias dalam mengikuti pelatihan serta bisa menstimulasi seluruh aspek perkembangan anak.
Penyuluhan Dampak Penggunaan Gadget Pada Siswa SMK Negeri 1 Janapria Lombok Tengah
Authors: Zainuddin M. , Yani Ahmad , Zulaifi Reza
Published: January 2023

Gadget adalah kata yang diserap dari bahasa Inggris yang artinya perangkat elektronik berukuran kecil dan memiliki fungsi khusus dan praktis dengan ukuran kecil yang dapat dibawa kemana-mana dengan mudah. Gadget merupakan salah satu bagian dari perkembangan teknologi yang selalu menghadirkan teknologi terbaru yang dapat membantu aktivitas manusia menjadi lebih mudah. Penggunaan gadget yang berlebihan bisa membawa dampak yang cukup besar bagi tumbuh kembang (remaja). Salah satunya perihal berkurangnya aktivitas fisik yang seharusnya dilakukan. Untuk memberi pemahaman dan pengetahuan tentang dampak penggunaan gadget, maka dilakukan pengabdian dalam bentuk penyuluhan. Tujuan penyuluhan masyarakat ini untuk mengetahui tingkat pengetahuan siswa/i tentang dampak penggunaan gadget. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dalam bentuk penyuluhan tentang dampak penggunaan Gadget pada siswa/I SMK Negeri 1 Janapria Lombok Tengah NTB. Kegiatan ini dilaksanakan pada hari senin, tanggal 16 Januari 2023 yang diikuti oleh siswa/I SMK Negeri 1 Janapria Lombok Tengah NTB sebanyak 87 orang. Kegitan penyuluhan ini mendapat respon yang baik dari peserta. Hal ini dapat dilihat dari respon peserta saat kegiatan penyuluhan berlangsung. Dimana tingkat diskusi yang terjadi cukup antusias dan merata serta menunjukkan tingkat pemahamana yang baik dari para siswa/I SMK Negeri 1 Janapria Lombok Tengah NTB.
Convergence of Eastern and Western Medicine
Authors: IS Yavelov , DG Isaev , AV Rochagov , AV Zholobov
Published: January 2023

The article argues that, thanks to the study of the nature of meridional connections, it is possible to open the mechanism of interaction of body systems through the control of local blood flow and introduce methods of diagnosis and treatment, providing local blood supply through the control of heart rate variability (HRV).
The Subretinal Fluid Tolerance Post Faricimab Injection Short Case Review Study
Authors: Almamoori Fawwaz
Published: January 2023

Aim: To evaluate the efficacy of a new Anti-VEGF molecules Faricimab 6 mg (0.05ml of 120mg/ml) in resolving a refractory subretinal fluid (SRF) in wet AMD cases. Method: We retrospectively reviewed a 64-year-old female Caucasian single eye patient, presented to our clinic on September 2019 with (wet AMD) in the right eye & advanced wet AMD with fibrosis and scar in the left eye. The patient decided to treat the right eye only, she received initially 3 loading doses of aflibercept (40 mg/ml) and then was shifted to a treat and extend regimen (T&E). Thew best corrected vision (BCA) has been improved from 0.5 to 0.8 with persistence of subretinal fluid during the treatment period. On her recent visit, the patient then shifted to Faricimab (Vabysmo 6mg). Result: The swept source OCT (SS-OCT) image one month post Faricimab injection showed a complete resolution of subretinal fluid with improvement of vision to all 0.8 + 2.
The Effect of Volatile Oils on Debonding of Polycarbonate Brackets Reinforced with Ceramic Filler: A Qualitative Study
Authors: Hashim Hayder Abdalla , Linjawi Amal Ibrahim
Published: January 2023

Introduction: An effective debonding agent should be capable of reducing not only the debonding force, but also the amount of adhesive remaining with no enamel or bracket fracture. Aim: The aim of the present in vitro study was to evaluate the amount of the adhesive remnants, enamel fracture as well as bracket fracture after application of different volatile oils at different time of application using ARI system. Material and Method: Polycarbonate brackets reinforced with ceramic filler were bonded to one hundred and eighty (180) sound extracted human premolars using Transbond XT light curing adhesive. The teeth were then distributed into five groups. Teeth were then de-bonded using the Instron Universal Testing Machine. The enamel surface of debonded teeth and their bracket bases were examined under the stereomicroscope SEM for adhesive remnants (ARI), enamel fracture and bracket fracture. Result: At 5 minutes of application, no significant difference was noticed among volatile oils in all the qualitative results including; adhesive remnants, enamel fracture and bracket fracture. At 5 minutes of application, the peppermint volatile oil exhibited the highest percentage (55%) of score 1 whereas the clove oil revealed the least percentage (15%). At 30 minutes of application, the black seed exhibited the least percentage of score 1 and the highest percentage of score 2 (75%). At 5 minutes, the peppermint oil showed the least brackets fracture (20%) whereas the clove oil was in the second rank (25%) and the mixture of peppermint oil with black seed oil revealed the highest (55%). At 30 minutes, the clove oil showed the least bracket fracture (5%) whereas peppermint oil was in the second rank (20%) and the black seed oil depicted the highest percentage (45%). Conclusion: The present study supported that the 5- minutes of peppermint as well as the black seed volatile oil applications can be considered the best debonding agents whereas the clove oil can be used as a medication or mouthwash before debonding. The latter approach worth further investigations.
Minimally Invasive Aesthetic Crown Lengthening: A Piezoelectric Assisted Case Series with 4-Year Follow-Up
Authors: Morales Andrés Gómez , Morgado Renzo Caselli , Mogollones Rodrigo Florio , Jiménez Ricardo Clavería , Benguria Paola Bezama
Published: January 2023

Aim: This retrospective study aims to reveal the clinical outcome at 48 months of a minimally invasive crown lengthening technique performing an intrasurcular flapless osteotomy, using a piezoelectric tip designed for this purpose. Material and Methods: All subjects in the current case series required esthetic crown lengthening procedures in the anterior esthetic zone of the maxilla. Prosthetic planning was carried out, which included a digital waxup of the ideal tooth morphology, which allowed constructing a surgical guide to transfer the proposed gingival margins to the patient. Gingivectomy was performed by using an electrosurgery system Perfect TCS IITM (Coltene Whaledent) and osteotomy by using a piezoelectric insert PiezoSmileTM (BROK) until achieving a bone crestgingival margin distance similar to the presurgical. Results: 57 patients were followed postoperatively for 48 months. During the post-operative period, healing, complications, periodontal and aesthetic health parameters including the position of the gingival margin were observed. WES, PES and RES indexes showed an optimal integration with the restorative materials and a good aesthetic result. Conclusion: Minimally invasive crown lengthening technique with electrosurgery and a piezoelectric insert is effective in repositioning the gingival margin in a stable and predictable manner within a 48 months follow-up.
The Dentists of the Family Health Strategy: Study on the Taste Related to their Practices
Authors: Reis Neta Gilda Rocha dos , Cruz Denise Nogueira , Aranha Rossi Thais Régis , de Barros Sandra Garrido , Teixeira Cangussu Maria Cristina
Published: January 2023

This study aimed to characterize origin and social trajectory as well as the taste relative to the professional practices of dentists working in the ESF of the municipal network of Salvador-BA. This is a cross-sectional, quantitative and exploratory study involving dentists who worked at the ESF in Salvador-BA. Data collection was carried out through structured questionnaires. Simple, relative frequencies were obtained and the Chi-square test was performed. 72 dentists who worked in the FHS participated in the study. There was a predominance of female dentists (80.28%) and with an average age of 39.2 years. As for social origin, 13.46% had a popular social origin, and 76.79% had an upward trend. About what they most like to do in the clinic, 58.82% answered procedures involving the restorative clinic. The taste for surgical clinic seems to have a correlation with popular social origin (28.57%). The study confirmed a phenomenon already described in the literature as feminization. Most dentists have an upward trend, which points to a rise in accumulated school capital. The taste was preferably for the restorative clinic. Therefore, the taste of professionals of popular origin for the surgical clinic can be the expression of a class habitus. This study points to a relationship between the taste for surgical clinic among professionals of popular origin.
The Effectiveness of Laser Assisted Irrigation in Endocanalary Disinfection and Hard Tissue Debris Removal: A Systematic Review
Authors: MAFTAH Hajar , DHAIMY Said
Published: January 2023

Introduction: The control of the bacterial load during an endodontic treatment is challenging; the usual chemomechanical procedures such as conventional needle irrigation (CNI) has not always shown satisfying outcomes. Hence, the necessity of finding complementary methods such as passive ultra-sonic irrigation (PUI), sonic activated irrigation (SAI) and laser assisted irrigation (LAI) in order to achieve the most complete disinfection of the endodontic system. The aim of our study is to systematically review and critically analyze the current evidence of the effectiveness of laser assisted irrigation when compared to CNI, PUI, SAI. Materials and methods: Electronic search on four data-bases: PubMed, Scopus, ScienceDirect and Cochrane Library was done looking for Systematic reviews, in-vitro and clinical controlled trials assessing the effectiveness of LAI in removing bacteria and dentine debris. Articles were selected, deduplicated than assessed. The studies that met all the inclusion criteria were included and were further screened in order to extract their data and evaluate their methodological quality. Results: The electronic search yielded a total of 895 potentially eligible record. After the final stage of selection, 25 studies, that are all in-vitro were included; the risk of bias and quality assessment was done through the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and the Joanna Briggs Institute critical appraisal Checklist. All in all, LAI showed better results when compared to CNI in both removal of bacteria and smear layer, yet when compared to PUI and SAI, the studies could not testify significantly for the superiority of an activation method over another. Conclusion: The use of LAI increased the potential of the irrigant within the endodontic system, especially when compared to CNI. Yet the current data could not give a conclusive judgment of the effectiveness of LAI when compared to PUI and to SAI; eventually further studies need to be performed.
Use of Blood Mononuclear Cells Autologous Fraction for Treatment of Menstrual Disorders (Case Report)
Authors: I.M Dababsekh , O.V Dababsekh , Y.I Lesniak , N.P Oleksenko
Published: January 2023

The aim of our work was to investigate the effectiveness of circulating SC in the blood mononuclear fraction to restore normal functioning of the human ovaries. AH270 patient complained to the clinic about an irregular menstrual cycle in the last 6 months (duration of the menstrual cycle from 38 to 60 days). On day 10 of the menstrual cycle, under general anesthesia, 2 ml of a solution containing a fraction of native nucleus-containing cells isolated from a pool of peripheral blood was administered transvaginally to the right and left ovaries. Microscopic examination of these cells showed that the obtained fraction contains polymorphic nucleus-containing cells of different sizes and high viability, which was 95-98%. After 2 months, the patient came for a follow-up examination, during which an ultrasound of the pelvic organs was performed, as well as laboratory diagnostics of blood tests for AMH and FSH levels. Were taken according to the results of ultrasound of the pelvic organs, the following changes were observed - in the right and left ovaries there were 2 antral follicles in each, up to 3 mm in diameter. The duration of the menstrual cycle after the introduction of stem cells has decreased to 30-35 days. Thus, it is shown that the pool of nuclear-containing peripheral blood cells, which contains circulating progenitors and stem cells, has a powerful regenerative effect with concentrated topical administration, which in this case led to a full functional recovery of the ovaries and normalization of the menstrual cycle.
Case Study: Reimplementation of the Proximal Third of the Arm
Authors: CA Jimenez-Martinez , B González-Jiménez , FJ Huerta- Rivadeneyra , LE Mata-Sansores , VR Morgado-Oropeza , RM Torres-Hernández
Published: January 2023

Introduction: Microsurgical reimplantation in patients faces challenges due to complex factors, concerning the comorbidities of the patient and the type and severity of the amputation. The one-year survival rate is 90, 9% [1]. Plastic surgeons and a multidisciplinary team will be needed to perform microsurgical techniques, such as the use of tridimensional models to reconstruct different body parts using top-notch technology [2]. This study aims to evaluate the technique of reimplantation of the third proximal left arm in a patient with a traumatic amputation. Background of the Case Study: 49-years old man suffered an amputation of his left forearm by an industrial grinding machine in his workplace on October 5th, 2017, which resulted in a total avulsion of his limb. The patient was taken to the Emergency room to perform a warm ischemic technique for around 30 minutes. Physicians kept the amputated forearm on ice for 3 hours and conducted the intraoperative ischemia for 4 hours. The surgery included an extent debridement of the devitalized muscles, injured tendons and vessels, and the osteosynthesis of the radius and ulna without complications. After one year, researchers conducted the metacarpophalangeal capsuloplasty, tenolysis of the extensors and opening of the first space and section of the pronator quadratus. Conclusion: Revascularization within the first four hours was crucial because it prevented permanent damage to the tissues. The surgery technique focused on the reconstruction of the viable tissues, resulted in the reimplantation of the forearm.
Utility of combining PIVKA-II and AFP in the surveillance and monitoring of hepatocellular carcinoma in the Asia-Pacific region
Authors: Kim Do Young , Toan Bao Nguyen , Tan Chee-Kiat , Hasan Irsan , Setiawan Lyana , Yu Ming-Lung , Izumi Namiki , Huyen Nguyen Nguyen , Chow Pierce Kah-Hoe , Mohamed Rosmawati , Chan Stephen Lam , Tanwandee Tawesak , Lee Teng-Yu , Hai Thi Thanh Nguyen , Yang Tian , Lee Woo-Chang , Chan Henry Lik Yuen
Published: January 2023

Even though the combined use of ultrasound (US) and alpha-fetoprotein (AFP) is recommended for the surveillance of hepatocellular carcinoma (HCC), the utilization of AFP has its challenges, including accuracy dependent on its cut-off levels, degree of liver necroinflammation, and etiology of liver disease. Though various studies have demonstrated the utility of protein induced by vitamin K absence II (PIVKA-II) in surveillance, treatment monitoring, and predicting recurrence, it is still not recommended as a routine biomarker test. A panel of 17 experts from Asia-Pacific, gathered to discuss and reach a consensus on the clinical usefulness and value of PIVKA-II for the surveillance and treatment monitoring of HCC, based on six predetermined statements. The experts agreed that PIVKA-II was valuable in the detection of HCC in AFP-negative patients, and could potentially benefit detection of early HCC in combination with AFP. PIVKA-II is clinically useful for monitoring curative and intra-arterial locoregional treatments, outcomes, and recurrence, and could potentially predict microvascular invasion risk and facilitate patient selection for liver transplant. However, combining PIVKA-II with US and AFP for HCC surveillance, including small HCC, still requires more evidence, whilst its role in detecting AFP-negative HCC will potentially increase as more patients are treated for hepatitis-related HCC. PIVKA-II in combination with AFP and US has a clinical role in the Asia-Pacific region for surveillance. However, implementation of PIVKA-II in the region will have some challenges, such as requiring standardization of cut-off values, its cost-effectiveness and improving awareness among healthcare providers.
Clinical practice guidelines and real-life practice in hepatocellular carcinoma: A Taiwan perspective
Authors: Su Tung-Hung , Wu Chih-Horng , Liu Tsung-Hao , Ho Cheng-Maw , Liu Chun-Jen
Published: January 2023

Hepatocellular carcinoma (HCC) is the fourth most common cancer and the second leading cause of cancer-related death in Taiwan. The Taiwan Liver Cancer Association and the Gastroenterological Society of Taiwan developed and updated the guidelines for HCC management in 2020. In clinical practice, we follow these guidelines and the reimbursement policy of the government. In Taiwan, abdominal ultrasonography, alpha-fetoprotein, and protein induced by vitamin K absence or antagonist-II (PIVKA-II) tests are performed for HCC surveillance every 6 months or every 3 months for high-risk patients. Dynamic computed tomography, magnetic resonance imaging, and contrast-enhanced ultrasound have been recommended for HCC surveillance in extremely high-risk patients or those with poor ultrasonographic visualization results. HCC is usually diagnosed through dynamic imaging, and pathological diagnosis is recommended. Staging of HCC is based on a modified version of the Barcelona Clinic Liver Cancer (BCLC) system, and the HCC management guidelines in Taiwan actively promote curative treatments including surgery and locoregional therapy for BCLC stage B or C patients. Transarterial chemoembolization (TACE), drug-eluting bead TACE, transarterial radioembolization, and hepatic artery infusion chemotherapy may be administered for patients with BCLC stage B or C HCC. Sorafenib and lenvatinib are reimbursed as systemic therapies, and regorafenib and ramucirumab may be reimbursed in cases of sorafenib failure. First-line atezolizumab with bevacizumab is not yet reimbursed but may be administered in clinical practice. Systemic therapy and external beam radiation therapy may be used in specific patients. Early switching to systemic therapy in TACE-refractory patients is a recent paradigm shift in HCC management.
Hubungan Sosial Pasca Pemilihan Kepala Daerah di Kabupaten Maros Tahun 2020
Authors: Rais Lukman , Pulubuhu Dwia Aries Tina , AT M Ramli
Published: January 2023

Penelitian ini bertujuan untuk menganalisis hubungan social pasca pelaksanaan pemilihan kepala daerah di Kabupaten Maros tahun 2020. Metode penelitian yang digunakan adalah kualitatif dengan tipe penelitian fenemonologi. Penentuan informan penelitian dengan purposive sampling dimana informan penelitian sebanyak 10 (sepuluh). Selain itu dilakukan observasi dan analisis kualitatif. Hasil penelitian menunjukkan pemilihan kepala daerah membuat deharmonisasi dalam hubungan social dan menciptakan hancurnya kesatuan kelompok bahkan sampai di dalam keluarga. Hancurnya jejaring keluarga menjadi masalah baru dalam masyarakat bahkan memunculkan stigma negative antara sesama. Pasca pemilihan kepala daerah bentuk hubungan social bervariatif dimana hubungan yang mudah dipulihkan pada level elit yaitu antara sesama partai politik bahkan terjalin kerja sama dan perpindahan keanggotaan sehingga terjadi kaloborasi antara partai. Dalam kolaborasi dan kerja sama ini terbentuk atas dasar status dan pekerjaan. Pada level elit seperti antara kontestan belum terjadi kerja sama dan sebatas perbaikan komunikasi. Yang menjadi perhatian pada level bawah yang memiliki fanatisme tinggi sehingga hubungan social belum mampu dipulihkan, bahkan program perbaikan hubungan lintas komunitas belum tercapai sehingga menciptakan konflik laten dalam masyarakat. Konflik ini akhirnya melahirkan segregasi dengan pola komunikasi berdasarkan arah dukungan serta menciptakan oposisi dalam pemerintahan.
PARTISIPASI POLITIK MASYARAKAT KECAMATAN KAPUAS MURUNG PADA PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR KALIMANTAN TENGAH TAHUN 2020
Authors: Sompa Andi Tenri , Febrianti Olivia , Mahyuni Mahyuni , Syahrin Muhammad Najeri Al
Published: January 2023

Partisipasi pemilih dalam pemilu di Indonesia dapat terlihat dari pemilihan Presiden dan Wakil Presiden, pemilihan DPR dan DPD. Sedangkan di tingkat lokal, ada pemilihan langsung Kepala Daerah (Pilkada) di tingkat Provinsi dan Kabupaten/Kota.Â Pada Pilkada Langsung (Pemilihan Gubernur dan Wakil Gubernur Kalimantan Tengah) pada tanggal 9 Desember 2020, Jumlah partisipasi pemilih di Kecamatan Kapuas Murung mencapai 66,33%. Pencapiaan ini di bawah target provinsi yaitu 70% dan target nasional yaitu 77,5%. Apakah hal itu menandakan kurangnya partisipasi masyarakat dalam menggunakan hak pilihnya pada pemilihan Gubernur dan Wakil Gubernur Kalimantan Tengah Tahun 2020 di Kecamatan kapuas Murung.Â Penelitian ini berupaya mendeskripsikan penyebab terjadinya capaian target nasional partisipasi masyarakat pada pemilihan Gubernur dan Wakil Gubernur Kalimantan Tengah Tahun 2020. Peneliti menggunakan pendekatan kualitatif dan jenis penelitian deskriptif, teknik pengumpulan data menggunakan wawancara dan dokumentasi, dengan sumber data primer dan data sekunder.Â Hasil penelitian menunjukan bahwa terdapatÂ 7 faktor untuk melihat mengapa di Kecamatan Kapuas Murung tidak mencapai target nasional pada pemilihan Gubernur dan Wakil Gubernur Kalimantan Tengah Tahun 2020 yaitu faktor pandemi Covid-19, faktor kepercayaan, faktor money politic, faktor pendidikan, faktor lingkungan keluarga, faktor pekerjaan,Â serta faktor situasi dan kondisi. Faktor-faktor tersebut menjadi penyebab tidak tercapainya target nasional pada pemilihan Gubernur dan wakil Gubernur Kalimantan Tengah Tahun 2020 di Kecamatan Kapuas Murung.
Stigma yang Dirasakan ODHA di Sumatera Barat
Authors: Tristanto Aris , Afrizal Afrizal , Setiawati Sri , Ramadani Mery
Published: January 2023

Berbagai penelitian mengungkapkan bahwa orang yang hidup dengan HIV dan AIDS (ODHA) di Indonesia mendapat stigma negatif dari anggota masyarakat. Salah satunya adalah ODHA di Sumatera barat. Tujuan dari penelitian ini adalah untuk memberikan gambaran tentang stigma yang diterima oleh ODHA di Sumatera barat. Penelitian kuantitatif ini dilakukan dengan menggunakan pendekatan deskriptif. Populasi dalam penelitian ini berjumlah 63 orang. Teknik pengumpulan data dalam penelitian ini adalah melalui angket dengan bantuan google form. Skala pengukuran yang digunakan adalah skala Likert. Dalam mengukur validitas alat ukur yang digunakan dalam penelitian ini adalah validitas muka. Teknik analisis data yang digunakan dalam penelitian ini adalah statistik deskriptif. Hasil penelitian menunjukkan bahwa Stigma instrumental berada pada posisi sedang dengan total skor 3489. Sedangkan simbolis berada pada posisi rendah menuju sedang dengan total skor 3254, dan stigma kesusilaan berada pada posisi rendahÂ  dengan total skor 3243. Dalam penelitian ini peneliti menyarakan kepada semua peneliti sosial terutama pekerja sosial yang fokus pada layanan HIV dan AIDS secara eksplisit memeriksa efek stigma dalam studi mereka tentang aspek psikososial AIDS dan infeksi HIV.
KUASA ETNISITAS DALAM MEREK POLITIK KONSUMEN KABUPATEN TEBO DI ERA REFORMASI
Authors: Muhammad Hatta Abdi , Bafadhal Faizah , Anggara Dony
Published: January 2023

This study will examine political marketing in the electoral contestation in Tebo Regency during the Reformation Era which is then associated with the construction of the ethnicity of the people of Tebo Regency as the main force in winning the power contest. This study aims to determine the construction of political marketing on the electoral political contestation targeting populism of ethnicity in Tebo Regency. By using descriptive qualitative research methods, the results of this study answer that the real power of ethnicity is able to become a consumer political brand through political marketing carried out by candidate pairs who fight with a combination pattern of ethnicity (Javanese and Jambi Malay). Then there is a distributive populist policy that targets ethnic groups that are the basis of voters with the aim of personal political interests to be re-elected in the election. This study offers a recommendation that in the context of ethnicity, which is usually one of the topics in the theory of voting behavior, it is also packaged in a political marketing strategy which can cause several negative impacts later which causes the development process to not prioritize the principle of justice, resulting in polarization in society.
Olebolo: Sastra Lisan dan Ritus Petani (Kolaborasi Kearifan Lokal dan Rekayasa Sains dalam Praktik Petani di Tidore)
Authors: Yuliana  , Wahid Bustamin , Purwanti Nanik , Mardliyah Uswatul
Published: January 2023

This article aims at describing two important things in the agricultural tradition in Tidore, namely about olebolo as an oral literary expression of the Tidore farmer entity and farmer rites in agricultural practice in Tidore. This study used a folklore perspective with a phenomenological research type. The author used the Indonesian oral literature expert Endaswuara as a theoretical basis, besides that the author used the economic theory of farmer J. Scott to read, and direct the research in depth. Our findings show that olebolo is an oral literature of farmers singing when they are in the fields and gardens, olebolo is also an encouragement and has mystical and moral content as a true farmer and is able to bring strong solidarity between humans. In addition, the agricultural process in Tidore, especially in Gurabunga, still carries out rituals in the farming process, such as determining the good day during the process of land clearing, planting and harvesting, all of which contain a mystical dimension. Although this ritual is filled with a mystical mechanism, the farmers in Gurabunga also prioritize science, especially the engineering problem of farmers through fertilizers, agricultural bricks can improve the quality and quantity of the harvest. This integration of practice in the world of agriculture shows that the farming community in Gurabunga, cassava with local wisdom but they are so open to the presence of knowledge.

Keywords: Oral literature, Farmer’s rite, Tradition-science collaboration
Gaya Kepemimpinan Transformasional Kepala Desa Sekapuk Kecamatan Ujungpangkah Kabupaten Gresik Dalam Pengembangan Desa Wisata
Authors: Setyaningrum Miranda Dwi , Kriswibowo Arimurti
Published: January 2023

Artikel atau tulisan ini bertujuan untuk menganalisa gaya kepemimpinan transformasional Kepala Desa Sekapuk dalam pengembangan desa wisata sehingga mampu mengantarkan desa tersebut menjadi desa mandiri. Masalah difokuskan pada gaya kepemimpinan kepala desa dalam proses pengembangan desa wisata. Teori yang digunakan pada penelitian ini adalah teori dari Bass dan Avilio dalam Wagimo (2013) yaitu teori mengenai gaya kepemimpinan transformasional, dimana didalam teori ini terdapat 4 aspek yang digunakan yaitu: Idealized Influence (Pengaruh Idealis), Inspirational Motivation (Inspirasi Motivasi),Intellectual Stimulation (Stimulasi Intelektual), Individualized Consideration (Dukungan Individual). Data-data dikumpulkan melalui baberapa cara yaitu: observasi, dokumentasi serta melakukan wawancara dengan beberapa narasumber yang dianggap berdekatan dengan fokus penelitian ini serta dalam penelitian ini dianalisis secara kualitatif. Berdasarkan dari hasil penelitian ini dapat diperoleh kesimpulan bahwa melalui kepemimpinan transformasional yang dilakukan oleh kepala desa mampu menjadikan Desa Sekapuk menjadi desa mandiri melalui pengembangan desa wisata. Dikarenakan Kepala Desa Sekapuk setelah menerapakan 4 aspek dari kepemimpinan transformasional yaitu pada aspek Idealized Influence kepala desa memiliki pendirian yang kuat, kharisma yang bagus serta mampu menjadi role model. Pada Motivasi Inspirational yaitu memiliki motivasi yang tinggi serta mampu menumbuhkan motivasi bawahannya. Pada Intellectual Stimulation yaitu mampu menyelesaikan masalah yang ada serta memberikan inovasi pada pengembangan wisata. Pada Individualized Consideration yaitu kepala desa memberikan perhatian pada setiap individu pelaku pengembangan wisata dengan memfasilitasi kebutuhan SDM yaitu dengan memberikan pelatihan untuk meningkatkan kualitas SDM serta upaya melakukan pencerdasan SDM.
Collaborative Governance dalam Pengembangan Wilayah Ruang Terbuka Hijau (RTH) Pada Kawasan Bantaran Sungai Jagir Wonokromo Kota Surabaya
Authors: Moch Faizal  , Tukiman
Published: January 2023

Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis collaborative governance dalam pengembangan wilayah RTH pada kawasan Bantaran Sungai Jagir Wonokromo Kota Surabaya. DLH Kota Surabaya yang menjadi leading sector menjadikan kawasan bantaran sungai menjadi RTH guna memberikan keseimbangan pada lingkungan sekitarnya dengan mengajak pemangku kepentingan lain seperti Dinas Pekerjaan Umum Bina Marga dan Pematusan Kota Surabaya, Sinar Mas Land, Lembaga Perwakilan Masyarakat Kelurahan Jagir dan Karang Taruna sebagai perwakilan masyarakat sekitar. Metode penelitian ini yang digunakan yaitu kualitatif dengan pendekatan deskriptif yang menghasilkan data berupa kata-kata tertulis dari hasil wawancara, observasi dan dokumentasi. Penelitian menggunakan fokus teori model collaborative governance kerangka kerja integratif dari Emerson, Nabatchi, dan Balogh. Hasil penelitian ini menunjukkan bahwa collaborative governance dalam pengembangan RTH pada kawasan Bantaran Sungai Jagir Wonokromo Kota Surabaya telah terlaksana dengan sangat baik dan telah sesuai dengan model kerangka kerja integratif collaborative governance, walaupun terdapat beberapa kendala, namun kendala yang ada tidak mengganggu proses kolaborasi dan dapat diatasi dengan baik.
Analisis Pengendalian Persediaan Air Mineral Dengan Metode Just In Time
Authors: Hahury Sanny , Marasabessy Umar Rusli , Ahistasari Asih , Silalahi Fadli Pelani Rama
Published: January 2023

Inventory in a company has an important role in supporting the course of a production and sales process. If the inventory in a company is managed properly, the production and sales processes can run smoothly. Based on this method of meeting the needs that are applied, sometimes the inventory becomes out of control, because demand changes every time. In response to this problem, Gudang Blessing Mandiri requires a new method to control inventory to be more efficient and effective. One method of inventory control is a method that only brings in goods if they are going to do the sales process or if they have received orders from consumers or distributors. And cooperate or contract with several suppliers of goods in the long term. This method is called Just In Time (JIT). The results obtained after applying the Just In Time method to the Mandiri Berkah Warehouse, the total cost for Aqua 330 ml was Rp. 103,723 with a cost savings of Rp. 105,476, on Aqua 600 ml of Rp. 236,560 with a cost savings of Rp. 552,683 and at Aqua 1,500 ml Rp. 187,789 with a cost savings of Rp. 417,158.
Newer Oral Levothyroxine Formulations: Is It Time to Switch Over?
Authors: Rajkumar Venkatraman
Published: January 2023

Primary hypothyroidism is a frequent presentation in primary care, and is treated with levothyroxine sodium tablets once daily in the morning in the fasting state. With an adequate dose, the goal is to achieve a thyroid stimulating hormone in the normal range in 6–8 weeks. Medications, foods, and gastrointestinal conditions can interfere with the absorption of the levothyroxine tablet. This can lead to increased visits to the laboratory and physician, necessitating frequent dosage changes, and causing suboptimal care. The newly-introduced oral solutions and soft gel capsule formulations received approval for use by regulatory authorities. This article describes the kinetics of levothyroxine, examines the available evidence from the literature, and summarises the rightful place of the levothyroxine solution from the perspective of the clinical practitioner. At the end of the analysis, it is evident that more robust trials with this new formulation are needed to consider a switchover from tablet form for millions of patients, in order to justify the cost. The newer levothyroxine formulations may have a role in selected patients with resistant hypothyroidism.
Ewing’s Sarcoma of the Lung as a Second Malignancy in Long-Term Survivor of Childhood Hodgkin’s Lymphoma: A Rare Case Report and Literature Review
Authors: Bharti Sumit , Bhasin Deepak , Goyal Gautam , Sharma Priya
Published: January 2023

In patients with haematologic malignancies such as lymphoma and leukaemia, significant increases in survival have been seen, due to advances in treatment strategies. However, long-term survivors of these cancers still remain at a higher risk of developing second cancers during their lifetime, especially in the fourth decade. It is well known that immunodeficiency after radiotherapy, chemotherapy, or haematopoietic stem cell transplantation impairs the antitumour activity of the innate and adaptive immune systems, predisposing the immune system to fail to detect and eliminate newly mutated cells. Literature shows evidence of various malignancies in these survivors, including sarcomas; breast cancers; mesothelioma; and solid secondary malignancies like breast cancer, thyroid cancer, and bone or soft tissue sarcoma.

Here, the author reports a case of development of Ewing’s sarcoma of the lung in an adult who is a long-term survivor of Hodgkin’s lymphoma.
Consistency Versus Equity – Cardiovascular Disease Management For South Asians in the United Kingdom
Authors: Patel Jeetesh V. , Flinders Paul , Gammon Brian D.A. , Dwivedi Girish S. , Steeds Richard P.
Published: January 2023

An increased risk of coronary heart disease was an immediate healthcare concern following the mass arrival of South Asian immigrants to the UK, and it has since contributed as a persistent source of health inequality. The process of risk assessment and management in the UK has been backed by a strong body of scientific evidence, but there are limitations. For example, the cardiovascular risk profile amongst South Asians appears different to Whites. Health policies, which strive for consistency in risk assessment and management, can exaggerate such weaknesses, contributing to inequalities in healthcare. There is an urgent need for scientific proof that can improve the availability of tailored prevention and intervention services. Deficit in communication is a key concern for many South Asians and non-English speaking patients, which not only impacts on the access to services, but also creates critical delays with respect to diagnosis and treatment for acute myocardial infarction. Linguistic tools and language education perhaps play an undervalued role in coronary heart disease management.
Practical Guidance for Stroke Prevention in Atrial Fibrillation – Interactive Case Studies
Authors: Viney Jonathan
Published: January 2023

This Boehringer Ingelheim sponsored satellite symposium was held on 2nd September 2013 as part of the ESC conference, which was hosted this year in Amsterdam, the Netherlands. In light of recent advances within the field of stroke prevention in atrial fibrillation (AF), the scientific programme contained an overview of the updated guidelines, with a subsequent focus on their everyday implementation, through interactive case studies in order to address some of the practical issues that have arisen.

The meeting was co-chaired by Professors Gregory Lip and Michael Brainin, who were supported by a distinguished faculty of Professor Jonas Oldgren, Professor Hans-Christoph Diener and Dr John Eikelboom.