bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Program Pendidikan dan Pelatihan Terhadap Prestasi Kerja Pegawai di Pusdiklat Ir. H. Djuanda PT. KAI Persero Bandung
Authors: Sopyanti Herlina Eri , Koswara D. Deni , Achmad Kurniady Dedy
Published: October 2023

This study entitled "The Effect of Education and Training Program Against Job Performance Employees at Pusdiklat Ir. H. Juanda PT.KAI (Persero) Bandung ". Issues examined in this study concerning the education and training programs and their influence on job performance of employees at the Training Center Ir. H. Juanda PT.KAI (Persero) Bandung with the object of study participantsTraining.Generally, this study aims to find out and get a picture of the influence of education and training programs at the Training Center Ir. H. Juanda PT.KAI (Persero) Bandung. This research uses descriptive method with quantitative approach. The data collection technique was conducted by questionnaire enclosed, with a sample of 30 participants that education and training education and training in the period from May 2016. Analysis of the calculations in this study using a support program Microsoft Excel 2007 and SPSS for Windows version 23.0.Based on calculations using the formula Weight Means Score (WMS), an overview of variable X (Education and Training) that are in the very good category with an average score of 4:06. While the general description of the variable Y (Job Performance) in the excellent category, with an average score of 424. Correlation variables X and Y have a significant relationship. It can be seen from the results of the correlation coefficient of 0.650 which is in a strong and significant category, with a coefficient of determination of 38% as well as the results of the regression analysis is Y = 0.518 + 75,201 that are significant and linear.Conclusion The study says education and training programs have a significant effect on the performance of employees in Pusdiklat Ir. H. Juanda PT.KAI (Persero) Bandung.
MANAJEMEN PENERIMAAN PESERTA DIDIK BARU (PPDB) SISTEM ZONASI
Authors: Nurjaningsih ST
Published: October 2023

New students admission (PPDB) zoning system policy is considered ineffective in achieving goal of equitable education access and services in Indonesia. And also considered unable to eliminate people's views about favorite schools, especially in SMA Negeri 2 Tasikmalaya which has huge enthusiasts, and there were registrants buildup, so that PPDB services held by schools became less than optimal. This research means to describe management of implementation PPDB zoning system in SMA Negeri 2 Tasikmalaya, including planning, organizing, actuating, and controlling. This research used qualitative methods with descriptive approach. The data sources were head of the branch education office regional XII, vice principal, and committee of PPDB. The data collection used interviews, and documentation study techniques. The results showed that: 1) PPDB zoning system planning including understanding of applicable policy, determination requirements, capacity and zoning, budgeting, and socialization. 2) PPDB zoning system organizing is done by departmentalization based on dividing division of main tasks and functions of each committee, and adjusted to school needs. 3) PPDB zoning system actuating including registration, data input, data verification, selection, announcement of selection results, and re-registration. 4) PPDB zoning system controlling is implemented by the controlling team, head master, branch of education office regional XII, West Java Provincial Education Office, mass media and public users of PPDB services. Based on the research results, it was found that schools were not fully ready for implementing PPDB zoning system because there were advantages and disadvantages. So, it needs a massive sosialization to the public and an evaluation for improving this zoning policy.
EFEKTIVITAS MANAJEMEN SARANA PRASARANA DI BALAI PELATIHAN OPERASI DAN PEMASARAN AGUS SUROTO PT KERETA API INDONESIA (PERSERO) BANDUNG)
Authors: Setiani Dyah Ayu
Published: October 2023

The theme of this research is "The Effectiveness of Management Facilities at the Training Center Operations and Marketing Agus Suroto PT Kereta Api Indonesia (Persero) Bandung”. management facilities is the process of procuring and utilizing components both directly and indirectly in the education process to achieve effective and efficient educational goals. Effectiveness is reviewed by the approach of objectives, systems, constituency strategies, competitive value. The objectives of this study are 1) Obtain an overview of the effectiveness of Facilities Management in the Training Center Operations and Marketing Agus Suroto PT Kereta Api Indonesia (Persero) Bandung. 2) obtain an overview of the obstacles in the management of facilities and infrastructure at BP OPSAR PT KAI (Persero). 3) Measuring the efforts made in overcoming the strongest obstacle of managing facilities and infrastructure in the Training Center Operations and Marketing Agus Suroto PT Kereta Api Indonesia (Persero) Bandung. This study uses qualitative research because it investigates direct phenomena and describes in depth. The findings in this study are described in accordance with the research questions, namely: 1) Having an effective approach in its implementation, the organizing committee has succeeded in communicating with teachers and students in realizing effective infrastructure management goals that refer to the vision and mission of the training center. The systems approach consists of an input-process-output, monitoring and evaluation system. The strategic constituency approach is evidenced by the organizing committee and instructors who are able to meet the needs of infrastructure for the needs of stakeholders during training activities, and the training center measurement reference is to obtain accreditation certification given by the director general. The training center's competitive value approach applies modernization innovations. 2) Inhibiting factors, namely technical errors, teacher negligence in filling in the TTD and the date on the student satisfaction evaluation form, student problems, there has been no improvement in the modernization of tools in the mechanical laboratory the problem is due to illness, the committee assesses graduation with a score indicator
EFEKTIFITAS GERAK DAN LAGU “PERGI KE SEKOLAH” DALAM MENINGKATKAN KEMAMPUAN BAHASA ANAK USIA 5–6 TAHUN
Authors: Ratistiningtyas Mittha
Published: October 2023

The purpose of this study was to determine how effective the motion and song "Going To School" in improving the language skills of children aged 5-6 years in TK Pertiwi Banaran Kab. Nganjuk This research is a quantitative study with a pre-experimental design method showing that the motion and the song "Going to School" are effective for stimulating language skills of children aged 5-6 years in group B in TK Pertiwi Banaran Kab. Nganjuk The number of samples in this study were 21 children. Pretest results with an average value of 9.76, a maximum value of 14, and a minimum value of 5. While posttest results with an average value of 14.14, a maximum value of 20, and a minimum value of 4. Results of data analysis using Paired Test Sample T-Test with df = 20 shows a t table of 2.085 and a t-test value of 12.112. This shows t arithmetic from the t table value so that the motion and the song "Go to School" are effective in stimulating language skills of children aged 5-6 years.
PENTINGNYA SARAPAN PAGI DALAM MENUNJANG KONSENTRASI BELAJAR SISWA DI SEKOLAH
Authors: Ramadhani Pradini Syarifah
Published: October 2023

Learning concentration is one of the important thing in student learning success. Concentration is needed to understand the material delivered by the teacher. One factor that supports concentrate is breakfast. Although it’s often ignored or underestimated, but actually it the main support of the brain to improve concentration of learning. Skipping breakfast can cause lethargy, weakness, dizziness and drowsiness. It causes a decrease or difficulty in concentrating during school learning activities. So breakfast is needed because it can improve concentration of learning.
STRATEGI KEPEMIMPINAN KEPALA SEKOLAH DALAM MENGEMBANGKAN BURSA KERJA KHUSUS (BKK) STUDI DESKRIPTIF DI SMK NEGERI 2 CIMAHI
Authors: Sulistiani R. Utami
Published: October 2023

This research was titled "School principal's leadership strategy in developing a special job market (BKK) descriptive study at SMK Negeri 2 Cimahi". This study aims to determine the principal's leadership strategy in developing BKK. This study uses a descriptive method of qualitative approach. The data collection technique used is interviews and documentation studies. In carrying out the duties and functions of the BKK SMK Negeri 2 Cimahi refers to the decision of the Director General of Development and Placement of Domestic Workers Number: Kep-131 / DPPTKDN / XI / 2004 concerning Technical Guidelines for Special Peterinary Exchange. In carrying out his duties of the principal referring to the function of the Goldlim (Educator, Manager, Administrator, Supervisor, Leader, Innovator, Motivator) plus the Leader of Entrepreneur. The role of edification of leadership through the Educator function, namely facilitating the BKK coordinator to attend the technical guidance of BKK management and attending a meeting between BKK Chairperson, in addition to making a cooperation MoU with the company, coordinating with the Cimahi City Manpower Office and Ministry In the implementation there are several obstacles, including the lack of staff in BKK, policies that are not in one direction, parental permission, there are still graduates who are not ready to work, the existence of companies that want to recruit do not match the majors, the limitations of the school in accessing employment information, and age The recommendations for schools, especially to develop BKK, namely schools need to re-analyt the need for employees, especially for BKK staff, the school needs to convince students' parents that the Vocational School aims to create individuals who are ready to plunge into the business world / industry and have been equipped with certain competencies. Then the school can create a culture that is similar to the business of the business world / industrial world to improve the readiness of students to work.
PENGARUH KEMAMPUAN PROFESIONAL GURU TERHADAP MUTU PEMBELAJARAN PESERTA DIDIK
Authors: Arini Ghiffarin Kintan
Published: October 2023

The purpose of this research is to determine the influence of teachers professional competence on student’s learning quality at SMKN 1 Bandung. The background of this research is problems based on an interview conducted to teachers of SMK Negeri 1 Bandung, teachers discovered that there are students who are not actively participated during the process of learning and some who have not met the minimum completion score which has been determined. Therefore, this study will describe the student’s learning quality, the teachers professional competence, and to determine whether there is simultaneous influence of teachers professional competence on student’s learning quality. This research applies descriptional method with quantitative approach. Results shows that on the variable of teachers professional ability on dimension developing professionalism on an ongoing basis by performing reflective actions got the lowest score (4,36) compared to other dimension. Another result from this research shows that on variable student’s learning quality on learning outcomes dimension got the lowest score (4,39) in comparation to other dimension. The analysis result from this research initiate that in general, both teachers professional competence and student’s learning quality in SMK Negeri 1 Bandung scored excellence and there is a significant influence between teachers professional competence and student’s learning quality. Thereupon, based on the result it is recommended for the school to frequently hold traning and education, In House Training, Teachers’ Working Forum (MGMP) and self-evaluation also to contemplate or even escalate every factors that can influence the learning outcomes so the students can improve capability, knowledge, and skills.
PENGARUH SARANA DAN PRASARANA PENDIDIKAN TERHADAP MOTIVASI BELAJAR SISWA DI SMP LABORATORIUM PERCONTOHAN UPI BANDUNG
Authors: Wandikbo Wani
Published: October 2023

This study aims to determine the effect of educational facilities and infrastructure on student motivation in SMP Laboratorium Percontohan UPI Bandung. The method used in this research is descriptive method with a quantitative approach. The data collection technique used a questionnaire to the respondents which was distributed to 46 junior high school students, the Pilot Laboratory of the University of Bandung, Bandung as the research sample. The results of the calculation of the correlation analysis using the Pearson product moment, obtained the correlation coefficient between variables X and Y is 0.750 which is in the coefficient interval from 0.600 to 0.799 so that it is at the level of a strong relationship. The results of the significance test between the X variable (Educational Facilities and Infrastructure) and the Y variable (Student Learning Motivation) SMP Laboratorium Percontohan UPI Bandung obtained t count ≥ t table, namely 2,924 ≥ 2,015 so it can be said to be significant. Furthermore, the coefficient of determination test results showed that educational facilities and infrastructure contributed 56.25% to students' learning motivation while the remaining 43.75% (100% -56.25) was influenced by other factors. The conclusion of this study states that there is a relationship strong and significant between the influence of educational facilities and infrastructure on student motivation in SMP Laboratorium Percontohan UPI Bandung.
Dampak Efektivitas Kepemimpinan Terhadap Kinerja Guru Mengajar di Sekolah Dasar
Authors: Supriadi Apriant Cahyo , Istikomah Istikomah
Published: October 2023

The purpose of this study was to obtain the magnitude of the influence of leadership efficacy on teaching performance in public elementary schools in Pasawahan District, Purwakarta Regency. In this study, the researcher uses a descriptive quantitative approach to explain the current phenomenon in relation to the research focus set. The data was collected using a purposive sampling technique on 244 existing public elementary school teachers. Through distributing questionnaires, researchers conducted data mining on respondents and obtained data collected by 69 respondents. Determination of this purposive sampling in order to facilitate the conclusions of the research results. The criteria set out in this determination are: 1) the respondent is a civil servant (PNS), 2) has a service period of more than 5 years, and 3) is certified. The test results obtained regression coefficient values of 3.706 and 1.272 on leadership efficacy. Both values are positive, meaning that there is an unambiguous relationship that applies. From these coefficients, it means that when there is an increase of 1.272 in leadership efficacy, this will have an impact on increasing teaching performance by 3.706 linearly. In addition, the t-value also indicates the number is above the required test limit, which is 12,478 (0.0001) so it can be said that leadership efficacy has a significant effect on teaching performance for elementary school teachers.
Penggunaan Video Pembelajaran Untuk Meningkatkan Hasil Belajar Peserta Didik Kelas VI di Masa Pandemi
Authors: Herlambang Bambang
Published: October 2023

This research aims to improve learners' learning outcomes through the use of class VI learning videos on Theme 1 Subtheme 1 1st Learning in pandemic times. This type of research uses the DDD-E model research and development (RD) method, namely decide, design, develop, and evaluate. Techniques and data collection tools use observation techniques with observation sheet tools and measurement techniques with test tools. The sample in this study was 26 learners from class VI. The results showed that the use of learning videos can increase learning outcomes of learners. Research using learning videos is declared feasible and can be used as one of the learner's learning options
Implementasi Active Learning Dengan Tipe Kuis Tim dan Tipe Turnamen Belajar Pada Mata Pelajaran IPA
Authors: Yuliani Irma
Published: October 2023

The purpose of this study was to determine the difference in science learning outcomes between students who used the Team Quiz type active learning method and the Learning Tournament type at Elementary School 4 Mangunjaya. The method used in this research is quasi-experimental by dividing the research group into two, namely the active learning group, the Team Quiz type and the Learning Tournament type. The results showed that there was a very significant difference between the team quiz type active learning method and the learning tournament type. These results can be seen from testing the hypothesis that the class that learns using the active learning method of the team quiz type has an average of 68.7 lower than the class that learns by the active learning method of the learning tournament type which has an average of 76.97. This research provides benefits for scientific developments, especially in the field of biology
Kepemimpinan Spiritual Kepala Sekolah: Sebuah Analisis Bibliometrik
Authors: Syaripudin Dani , Sidabungke Henni
Published: October 2023

This research on the leadership of school principals using a spiritual leadership approach also examines the development of research using VOSviewer through a bibliometric analysis approach on spiritual leadership. The source of the article was obtained from a database with published or perish application support. The research period used as a document indexed by Google Scholar is in the last 3 years (2020-2022). The results of the research show that this research can be separated into 2 terms: spiritual leadership and school principal. The term "Spiritual Leadership" is associated with 40 links with a total link strength of 383. The term "Principal" has 36 links with a total link strength of 266. The results of the analysis of the development of publications on spiritual leadership in the last 3 years as a whole are quite stable and and the number of publications is the highest. in 2021 with 84 publications. We checked how many published articles on spiritual leadership of principals and their relation to problem areas using VOSviewer. This review can be a starting point for research related to further research regarding the spiritual leadership of school principals.
Pelatihan dan Pengembangan SDM di SMA Laboratorium Percontohan UPI
Authors: Juwandi Muhammad Andi , Legistia Yulan Triani
Published: October 2023

Human Resource Management (HRM) is one of the efforts that can be made by an organization or institution to manage its human resources in order to achieve goals together and optimally. One part of HRM is the training and development of human resources, which is a method commonly used in an organization or agency, especially in the field of education. This is because it can support education so that it can develop even more. For example, in terms of the quality of education, the quality of teaching or educational staff and students, graduates, or the output produced from education, The researcher chose the UPI Pilot Laboratory High School because it is one of the educational institutions in the city of Bandung that usually participates in training and development activities for teachers and their students. The research results obtained regarding human resource training and development are very good to emulate for other schools, because the purpose of participating in this training and development is to improve the quality of education in the school concerned
Analisis Instrumen Diagnosis Kesehatan Evaluasi Program di Lembaga Diklat
Authors: Fauziah Syifa
Published: October 2023

Analysis of Health Diagnostic Instrument of Evaluation Program in Training Institute" has participants of 19 heads (Echelon II, III, IV) and 148 staff. The study applies a descriptive study method with a quantitative approach. Forming an evaluation program health instrument in the training institute goes through four stages: previous research studies, test construction, validity tests, and reliability tests. The data collection technique used a questionnaire that was later converted into a Google Form link. The result has proven that the instrument substantiates the measuring tool used to diagnose the health of the evaluation program in the training institute. The instrument of usability testing illustrates that the health evaluation program at the Center for Teacher and Staff Development Science falls under the "Healthy" category, scoring 84.93 as the lowest. Meanwhile, kindergarten and the special center of teacher and staff development scored 88 as the highest, followed by the center of teacher and staff development scoring 86.04. The scores indicate that they are both in the "very healthy" category. The study advances the idea that the three institutes have implemented the evaluation program activities according to the research dimensions: the preparation stage, implementation stage, and reporting stage
Design of Discrete and Hybrid Nonlinear Control Systems
Authors: Gaiduk A. R.
Published: October 2023

In this article the new method of discrete control systems design for nonlinear plants with differentiable nonlinearities is suggested. The increasing demands on the quality of control processes and the widespread use of computer technology provide ample opportunities for the design and implementation of digital control systems. However, discrete models of control plants are needed to solve this problem. In the case of linear plants, such models are created on the basis of z-transformation, Euler or Tustin formulas. In the case of nonlinear plants, these transformations are not applicable, so a large number of approximate discretization methods have been developed to date. Euler and Runge-Kutt transformations are used for these purposes most often, but they lead to satisfactory results only with very small period of discretization. In the case of automatic control systems, this requires the use of digital automation tools with very high speed, which is often economically impractical. Methods of discretization with a long period were most often developed on the basis of decomposition into series of the right-hand sides of the differential equations, transformed on Euler. Here, firstly, the problem of selecting the number of the series members, which to be retained arises, and secondly, already in the third or fourth order of the plant, the calculating ratios turn out to be extremely complex. The discretization method suggested below differs in that it is not the equations of nonlinear plants in the Cauchy form that are discretized, but the corresponding quasilinear model. In this case, a modified trapezoid method is used, and the discretization purpose is not the most accurate approximation of the original equations of the plant, but the stability of a closed nonlinear control system with rather big period. This system is designed using the algebraic polynomial-matrix method for designing of the nonlinear control systems. As a result, a hybrid nonlinear system with fairly simple algebraic calculation expressions is formed. The suggested approach makes it possible to create the control systems for nonlinear controlled plants using conventional computational automation tools.
«Dynamic Axiology» of Contemporary Popular Culture
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Pilkevych Andrii
Published: October 2023

«Dynamic Axiology» of contemporary popular culture represents a pivotal apparatus for deconstructing deeply-embedded processes that underpin the value paradigms of the modern sociocultural matrix. This conceptual framework elucidates the mechanisms of value interaction, adaptation, and transformation within the milieu of dynamic sociocultural modifications. An astute interpretation of this logic facilitates a profound comprehension of the multidimensionality and intricacy of global human history. Cultural identifiers, propagated through global communicative networks, can augment their primordial context, yet when integrated into new sociocultural environments, often exhibit transformed connotations. Concurrently, what is observed is not merely a nonlinear cultural influence, but a dynamic value exchange that conceptually enriches both interacting facets. A significant concern in axiological analysis is the commodification of values. Amidst globalization and technological advancements, popular culture emerges as the primary conduit for transmitting standardized values, leading to the homogenization of cultural landmarks and the reinforcement of hedonistic tendencies. Popular culture confronts the quandary of value ephemerality. Phenomena that rapidly gain traction also swiftly diminish, engendering a «disposable» culture. Axiological instability results in individuals losing bearings in a world dominated by randomness and unpredictability. Among other axiological dissonances, the conflict between authenticity and simulacrum stands out. In a realm where images and symbols eclipse reality, discerning authentic experiences from their imitations becomes challenging. The informatic-technological dimension is pivotal in the discourse of «dynamic axiology», highlighting the acceleration, intricacy, and modification of value interactions, revealing new horizons and issues for both individual subjects and collective identities. Explicating these processes is imperative for the intellectual scrutiny of axiological dynamics in contemporary contexts. The economic component, notably the advertising industry, as a formidable influence mechanism on public consciousness, plays a significant role in shaping the axiological foundations of contemporary popular culture. It is evident that this influence isn’t always beneficial or positive, considering the potential deleterious ramifications for individual and collective value systems.
Acute blood pressure responses of hypertensive patients after multimodal training session: Protocol study
Authors: Silva de Sousa Gabriel , Cardosos Santos José Wilhan , Martins da Cunha Raphael
Published: October 2023

Background: Systemic arterial hypertension (SAH), as well as other chronic degenerative diseases, has been growing around the world. In this context, physical exercise is presented as a non-pharmacological strategy both in the treatment and in the prevention of this disease. Although pressure responses to strength and aerobic exercise are vast in the literature, in high-intensity multimodal exercises they are very scarce. Objectives: To develop a study protocol on the acute effects of blood pressure after a high-intensity multimodal training session in adult hypertensive individuals through a randomized crossover clinical trial. Methods: This is a controlled crossover clinical trial to evaluate the acute responses of blood pressure after a multimodal training session in hypertensive patients. 20 hypertensive adults will be recruited, who, after inclusion in the study, will perform 02 protocols with an interval of 07 days, one session of high-intensity multimodal exercises, and a control session (without exercises). Blood pressure (BP) will be measured before, immediately after, and for 60 minutes after carrying out the protocols. Results: The designed intervention is expected to provide additional information on the behavior of (BP) hypertensive individuals in the practice of multimodal exercises.
Agresiones a profesionales del Sistema Nacional de Salud. Propuesta formativa
Authors: Muñiz-González Joaquín
Published: October 2023

Las agresiones a los profesionales del Sistema Nacional de Salud (SNS), por pacientes, familiares y/o acompañantes, es un fenómeno que está en aumento continuo en los últimos años en nuestro entorno cultural. Atendiendo a esta situación hemos planteado un estudio empírico que tiene por objeto identificar el estado de preocupación existente entre el personal del SNS en Asturias, ante el aumento de estas agresiones, así como conocer su opinión en relación con la formación en autoprotección y también analizar el grado de disposición a participar en formación en materia de autoprotección ante situaciones de agresión inminente. Se ha utilizado una metodología cualitativa y cuantitativa donde la población diana fue el conjunto de los trabajadores del SESPA, realizándose la muestra sobre el Área Sanitaria IV del Principado de Asturias. Los resultados obtenidos muestran un claro interés de los encuestados en participar en los programas piloto que se desarrollasen. A este respecto cabe destacar el valor que otorgan a la formación en habilidades sociales, psicológicas, comunicativas y actitudinales, además de las habilidades físicas y técnicas en materia de autoprotección que permitan optimizar la eficiencia de respuesta ante las situaciones de emergencia por agresión violenta.
Aprendizaje basado en proyectos en educación infantil: Una metodología emergente
Authors: Martínez Enríquez Paula
Published: October 2023

El Método de Proyectos, también denominado Aprendizaje Basado en Proyectos (ABP en adelante), se basa en la creación, indagación y construcción colaborativa en el que un grupo de alumnas y alumnos diseñan, planifican y resuelven entre todos, construyendo su propio aprendizaje de forma significativa y contextualizada. El Aprendizaje Basado en Proyectos (ABP) es una metodología educativa que tiene sus raíces en las corrientes pedagógicas del constructivismo y el enfoque de aprendizaje centrado en el alumno/a (Handrianto & Rahman, 2019). Aunque el ABP ha sido aplicado en diferentes niveles educativos, este artículo estudia su aplicación en la etapa de Educación Infantil. Por lo tanto, en el presente texto se detalla el desarrollo de esta metodología tan relevante en la etapa de Educación Infantil, en la que el alumnado experimenta, busca información, fomenta su creatividad e investiga las diferentes cuestiones que surgen de los desafíos y los problemas planteados.

En definitiva, este artículo profundiza en el origen, conceptualización, rol del docente y Sistema Educativo del ABP en Educación Infantil, una metodología educativa que, lejos de ser novedosa, fue impulsada en el siglo XIX por William H. Kilpatrick (1871-1965) con el fin de consolidar la necesaria práctica del ABP en las aulas de Infantil como método indispensable y consumado.
Materia Gris.
Authors: Román Fabian
Published: October 2023

Un libro siempre es la creación de un espacio-tiempo que transport­a a un universo único, imaginativo, emocional, reflexivo, personal, p­ropuesto por el autor y completado por el lector.
Simulation in medical education in Iceland
Authors:   Faculty of Medicine, University of Iceland, Landspítali – National University Hospital of Iceland, Valsdóttir Elsa , Haraldsson Hans ,   Educational Research Institute, School of Education, University of Iceland, Schram Ásta Bryndís ,   School of Health Sciences, University of Iceland, Dieckman Peter ,   Copenhagen Academy for Medical Education and Simulation (CAMES), Denmark, Department of Technology and Quality, Stavanger University, Norway, Department of Public Health, Copenhagen University, Denmark
Published: October 2023

BACKGROUND: Skills labs and simulation centers have become an integrated part of teaching methods in many medical schools. This study aims to describe the status of simulation in medical education in Iceland by examining student and faculty experience, facilitating and barring factors for its use in teaching and how the concept appears in the Course Catalog. MATERIALS AND METHODS: The study was threefold. In parts one and two, electronic surveys were sent to students and faculty members at the Faculty of Medicine, University of Iceland. Part three was a key word search in the University´s course catalogue relating to simulation. RESULTS: Response rate for both student and faculty surveys was 65%. Simulation as a teaching method was reported for 10% of faculty according to students but approximately a third of faculty, according to faculty. Attitudes of students and faculty were positive. Faculty, previously exposed to simulation, were more likely to use simulation, as were those who had received training in educational methods. Main barriers identified were lack of facilities, equipment, funds, and training. Key words related to simulation appeared rarely in the University Course Catalogue. CONCLUSION: Student and faculty experience with simulation is limited, less than third of faculty claim to have used simulation when teaching medical students. Barring factors in Iceland are similar to what has been reported elsewhere. Lack of words describing simulation in the Course Catalog may raise questions about emphasis on teaching methods or lack thereof. Potential ways to increase the use of simulation could be to improve infrastructure and offer training in diverse educational methods, including simulation, to selected faculty.
Epidemiology of polypharmacy in primary healthcare in the Reykjavik metropolitan area 2010-2019
Authors:   Apotekarinn Pharmacy, Faculty of Pharmaceutical Sciences, University of Iceland, Friðgeirsson Hjaltalín Dagur Andri , Jónsson Jón Steinar ,   Development Centre for Primary Healthcare in Iceland, Faculty of Pharmaceutical Sciences, University of Iceland, Linnet Kristján ,   Development Centre for Primary Healthcare in Iceland, Faculty of Pharmaceutical Sciences, University of Iceland, Sigurðsson Emil Lárus ,   Development Centre for Primary Healthcare in Iceland, Faculty of Pharmaceutical Sciences, University of Iceland, Department of Family Medicine, Faculty of Medicine, University of Iceland
Published: October 2023

INTRODUCTION: Taking medicines can induce risks leading to negative health issues that can grow in accordance with the number of medicines used. Many studies on the prevalence of polypharmacy have been carried out in other countries, but such studies are lacking in Iceland. The aim of this study was to analyse the prevalence of polypharmacy in primary care in the Reykjavik metropolitan area. METHODS: The study population consisted of individuals who had been prescribed five or more drugs by physicians in primary care in the Reykjavik metropolitan area during the study period. Data was collected on all drug prescriptions for individuals in the area. Those who had five or more drugs prescribed in the primary healthcare database from 1 January 2010 through 31 December 2019 were included in the study. According to Statistics Iceland, the total number of inhabitants in the area was 200.907 in 2010 and 228.222 in 2019. FINDINGS: The prevalence of polypharmacy increased gradually in 2010-2019, or by 37.9% during this period. Patients with polypharmacy were 9.8% (19.778) at the beginning of the study in 2010 and increased to 13.6% (30.970) in 2019. A clear association was observed between age and polypharmacy, and the study showed polypharmacy to be more common among women. The study findings revealed that the greatest relative increase in polypharmacy was among young people from 20-49 years of age. ATC class analysis showed a sharp increase in the first and third levels of the ATC subgroups. CONCLUSION: The findings suggest polypharmacy to be common in the Reykjavik metropolitan area. Similarly, its prevalence seems to be increasing in younger patients. It is important to gain a better understanding of the reasons for the development of polypharmacy and evaluate the increasing medicalisation in society. The underlying reasons, as well as the effects of polypharmacy, can lead to both positive and negative health outcomes.
Migration of an intrauterine contraceptive device outside of the uterine cavity – a case report
Authors:   Department of General Surgery, Landspitali National University Hospital, Viðarsdóttir Guðrún Margrét , Böðvarsson Ásgeir ,   Department of Medicine, The Healthcare Institution of North Iceland, Sigurðsson Helgi Kjartan ,   Department of General Surgery, Landspitali National University Hospital, Möller Páll Helgi ,   Department of General Surgery, Landspitali National University Hospital, Faculty of Medicine, University of Iceland
Published: October 2023

Intrauterine devices (IUDs) are a safe and common form of contraception. Uterine rupture and migration of the IUD is a rare complication of insertion but can be serious and cause damage to adjacent organs. We present a case report of a 43 year old woman with chronic abdominal pain who was diagnosed with an IUD in the wall of the sigmoid colon. That IUD had been inserted in the uterine cavity 22 years earlier.
Security and Privacy in Cloud Computing: Challenges and Opportunities
Authors: Ballamudi Venkata Koteswara Rao , Desamsetti Harshith
Published: October 2023

ICT advancements have made cloud computing popular and successful. Cloud computing lets corporate users relocate and utilize the pay-as-you-go price model's scalability. However, outsourcing data and business applications to the Cloud or a third party creates security and privacy concerns, which are crucial to cloud adoption. Researchers and impacted organizations have offered several security measures to address security issues in the literature. Cloud computing security and privacy are extensively covered in the literature. Unfortunately, literature efforts lack flexibility in mitigating numerous threats without contradicting cloud security aims. The literature has also focused on security and privacy issues and has yet to give technical solutions. Research on technical remedies to security concerns has yet to explain their origins. This paper introduces security and privacy challenges that require adaptive solutions without compromising cloud security. This research evaluates the literature, including its adaptability to future threats and how cloud security conflicts have invalidated their models. The essay uses STRIDE to highlight cloud computing security issues from a user perspective. It also analyses literature-based inefficient solutions and recommends secure, adaptive cloud environments.
Computational Identification of Candidate Genes Involved in the Inflammation Pathway of AGE-RAGE Signaling in Lung Cancer Invasiveness
Authors: Wang Grace , Bai Yongsheng
Published: October 2023

Due to its high mortality rate, cancer has been at the forefront of biomedical research. Specifically, lung cancer has been an ongoing public health problem as it accounts for the highest number of cancer deaths worldwide. Phenotypic expressions such as the invasiveness of lung cancer can vary among individuals. Studies have shown a strong correlation between lung cancer invasiveness and inflammation pathways, making inflammation an ideal biomarker for lung cancer diagnostics and a target for therapeutics. The AGE-RAGE signaling pathway, which causes inflammation by genes with differential expression, is one such pathway for inflammation. Typical causing factors include but are not limited to reactive oxygen species, miRNA targets, mutational signatures, and other pathological functions. Even though the AGE-RAGE inflammation pathway is influential in cancer, it has not yet been developed in therapeutics for cancer invasiveness and should be further studied. In this study, we evaluated the complexities of the AGE-RAGE pathway expression in cancer. Through a detailed investigation using online genomics databases, bioinformatics data analysis, and literature review, the role of inflammation is systematically explored. We also examined the implications of the upregulation of AGE-RAGE on other pathological functions and diseases.
INCREASED RETICULAR FIBER GRADE IN PRIMARY IMMUNE THROMBOCYTOPENIA
Authors: Özbalcı Demircan , Alanoğlu Emine Güçhan , Başpınar Şirin , Günhan Enes , Gür Hatip Fatma , Hatip Ahmet Yunus
Published: October 2023

OBJECTIVE: Bone marrow fibrosis in primary immune thrombocytopenia (ITP) has become a centre of attention since cases with fibrosis were reported during trombopoeitin receptor agonist therapies but, there have been few studies evaluating the fibrosis status of the patients at diagnosis. The aim of the study was to evaluate the impact of marrow fibrosis on especially response to treatment and prognosis in patients with ITP.
MATERIAL AND METHODS: Bone marrow reticulin fiber grade, haemoglobin, platelets, age, sex, co-morbidities of the patients, hepatitis and autoimmune markers on admission, response, remission status and duration of remission and treatments were recorded from medical files of the patients and each parameter was evaluated for an association with reticular fiber grade in 53 patients with ITP.
RESULTS: 79.3% of patients had marrow reticulin content grade 1 or more. No significant correlations were found between bone marrow reticular fiber grade and total blood count at diagnosis, response times to the first, second- and third-line treatment, platelet counts after treatment and time between two treatment lines, age, gender, presence of comorbidity and antinuclear antibody positivity and response rate and time. There was a significant and positive correlation between platelet count at diagnosis and age (p<0.05) and, there was a statistically significant and negative correlation between white blood and neutrophil count at diagnosis and age (p<0.05)
CONCLUSIONS: For the first time, higher grade of fibrosis was found in patients with ITP. Prospective studies with follow-up bone marrow biopsies are needed to validate the link between ITP and autoimmune fibrosis.
SAĞLIK KURUMUNDA ÇALIŞANLARIN ATIK YÖNETİMİ KONUSUNDA BİLGİ DÜZEYİ: BİR ÜNİVERSİTE HASTANESİ ÖRNEĞİ
Authors: Konya Petek , Uzakgider Murat , Yavuz Hasan , Yağın Tuğba , Aydın Zeynep , Özkan İdil Yaren
Published: October 2023

AMAÇ: Atık yönetiminin amacı, insan sağlığı ve çevreye zarar vermeden ekonomik yolla atıkların toplanması, ayıklanması, geri dönüştürülmesi, bertaraf edilmesidir. Çalışmamızda; Afyonkarahisar Sağlık Bilimleri Üniversitesi hastane personelinin anket uygulama yolu ile, atık yönetimi konusundaki bilgi düzeyinin araştırılması amaçlanmıştır.
GEREÇ VE YÖNTEM: Çalışmaya Ocak 2020 - Temmuz 2020 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Hastanesinde çalışan 261 katılımcı dahil edildi. Katılımcılara eğitim durumu,görev yeri ve ünvanı, tıbbi atık ile ilgili eğitim durumu, maruziyeti ve bilgi düzeyi ile ilgili 20 sorudan oluşan anket düzenlendi.
BULGULAR: Çalışmaya katılanların 101(%38.7)'i erkek, 160 (%61.3)'ı kadındı. Katılımcıların görev ünvanları incelendiğinde 42(%16.1) araştırma görevlisi, 38(%14.6) akademisyen, 112(%42.9) hemşire, 21(%8) temizlik personeli ve 48 (%18.4) tıp fakültesi öğrencisi çalışmaya katıldı. Katılımcıların 194(%74.3)’ünün atık yönetimi hakkında en az bir kez eğitim aldığı, 128(%49.4)'inin ise hastane atık prosedürünü en az bir kez okuduğu saptandı. Hastanelerde tıbbi atık sorumlusunun kim olduğu ile ilgili soruyu, çalışanların yalnızca 41(%15.7)’i başhekim diyerek doğru cevapladı. Tıbbi atıkların konulması gereken poşet rengini katılımcıların büyük bir çoğunluğu 255(%97.7)'i kırmızı olarak doğru cevaplarken evsel nitelikli atıklarda ise siyah renk olarak doğru cevaplama oranı 194(%74.3), cam ambalaj atıklarında ise 133(% 51) idi. Atık yönetimi ile ilgili bilgi sorularından en yüksek puanı hemşireler alırken, en düşük puanı temizlik personellerinin aldığı görüldü.
SONUÇ: Çalışmamızda tıbbi atık ile ilgili eğitim alan sağlık çalışanı oranı %74.3 olmasına karşın, tüm sorulara verilen doğru cevap oranı daha düşüktü. Atık yönetimi ile ilgili bilgi sorularına verilen puanlar incelendiğinde yalnızca 30 (%11.4) kişinin tam puan aldığını, en düşük puanı alanların ise atıklara en çok maruz kalan grup olan temizlik personelleri olduğu belirlendi. Çalışmamızın çarpıcı sonuçlarından biri de kırmızı tıbbi atık poşet rengi dışındaki atık poşet renklerinin doğru bilinme oranının çok düşük olmasıdır. Buradan yola çıkarak evsel ve cam atık prosedürünü eğitimlerde tekrar vurgulamak gerektiği kanısındayız.
A DEVASTATING COMPLICATION OF DENTAL EXTRACTION: LEMIERRE’S SYNDROME WITH NECK AND MEDIASTINAL ABSCESS
Authors: İmre Yetkin Duygu , Onur Ruhi
Published: October 2023

A dental extraction is a frequently performed procedure in daily routine. Fatal infections may occur after dental extraction due to the richness of the oropharyngeal flora from aerobic and anaerobic microorganisms. Oropharyngeal infections can extend into the neck and mediastinum via cervical fascia leading to severe inflammation in soft tissues and vessels with life-threatening complications. We present a patient with complications after dental extraction procedure including severe deep neck inflammation, thrombophlebitis of jugular vein (Lemierre’s syndrome), mediastinal abscess, and empyema. A dental extraction is the most frequent cause of the oral infection that may cause coexisting and individually life-threatening complications in diabetic patients.
A Code of Laws, Which Did Not Exist: How Began to Teach the Siete Partidas in the Universities
Authors: Marey Alexander
Published: October 2023

The author analyzes the history of the Siete Partidas of Alfonso X the Wise to establish when they began to be taught at universities and why the Partidas became the subject of lawyers’study in  so late. He emphasizes that the Partidas were perceived by Castilian lawyers and notaries precisely as local law, as opposed to ius commune, represented by the texts of the Justinian Corpus and the norms of canon law. The author sees the reason for this in the language in which the Partidas was composed — the romance language never became a «language for the high culture», which means that the texts created in it had practically no chance of becoming scholastic authorities. At the end of the article, the author shows that at universities began to study the Partidas only in the midst of 18th century, after the creation of the departments of the so-called «derecho patrio». Up to this point, the legal community had kept the texts of royal law out of the university classrooms, although the most intelligent and astute of jurists recognized the need to study it.
Lex Regia in the Writings of Oldrado da Ponte: Pros and Cons for the Emperor
Authors: Ponomareva Maria
Published: October 2023

The article examines the argument elaborated by Oldrado da Ponte, an Italian postglossator, in one of his legal consultations known as Consilium 69. This piece of Oldrado’s writings is a refutation of the possibility of world monarchy de iure, which means the impossibility of one world laic power, the emperor’s power. In the corpus of Roman law which was studied and commented on by medieval jurists the emperor’s power was substantiated by lex regia, mentioned in the Digests, and according to them the emperor owes his power to the Roman people, who had transferred it into him. Among the glossators this fact was commented in different ways, but the emerging of the ius commune system of legal knowledge allowed Oldrado to create a universal hierarchy of different species of law as a genre. This hierarchy assumes and demonstrates that different species of law have different amount of authority, therefore the emperor’s power as instituted by ius civile can not pretend on the world scale, because ius civile is less authoritative then ius gentium which prescribes the existence of many kingdoms. Consequently, Oldrado refutes de iure the world monarchy and asserts the plurality of laic powers
The Use of the Authentica Habita of Emperor Frederick I Barbarossa in the Corporate Law of the Portuguese University in the 13th — 14th Centuries
Authors: Rusanov Aleksander
Published: October 2023

The article discusses various forms of using the most important authoritative medieval legal text dedicated to the status of scholars, the authentica Habita of Emperor Frederick I Barbarossa in documents related to the founding and corporate law of the Portuguese University, established in 1288/1290 in Lisbon and later moved to Coimbra. It proposes to consider this text as the most important guideline for understanding the essence of the studium generale by members of university corporations, royal and ecclesiastical authorities. At the same time, Habita was open to various interpretations, reflecting the mobility of ideas about the tasks and status of higher education, as well as its relations with the authorities, which is clearly visible in the case of the University of Lisbon–Coimbra