bluuebunny/crossref_metadata_2025 huggingface dataset:
The Correlation Between Middle School 8th-Grade Students’ Reflective Thinking Skill Towards Problem-solving and Their Mathematics Anxieties
Authors: ERDEM Süruri Selim , ARIKAN Elif Esra
Published: June 2023

This research aims to explore the potential correlation between the reflective thinking skills of 8th-grade students in secondary education and their level of math anxiety. The study also intends to investigate potential discrepancies in students' reflective thinking abilities for problem-solving and mathematics anxiety, considering factors such as gender, parental education level, and the type of games played. One of the quantitative research designs, the relational survey model, was employed in this study. There were 779 8th-grade students in the study group, comprising 415 females and 364 males. The researchers collected data using three tools: the reflective thinking skills in problem-solving scale developed by Kızılkaya and Aşkar (2009), the mathematics anxiety scale developed by Bindak (2005), and a personal information form created by the researchers. The data obtained from the scales were analyzed using statistical methods such as arithmetic mean, t-test, analysis of variance (ANOVA), and Scheffe test. A noteworthy finding is that the math anxiety scale score and the reflective thinking skills scale score for problem-solving exhibit a significant difference based on the type of game played by the students. An important finding is that the reflective thinking skill scale for problem-solving reasoning sub-dimension accounts for 10% of the total variance in mathematics anxiety, as revealed by the multiple regression analysis.
RESEARCH THE STABILITY OF REFRIGERANT OVERHATING
Authors: ŚNIEGOWSKI Sebastian , GASZEK Krzysztof , BURLAGA Zuzanna
Published: June 2023

The article consists of two parts. The first of them presents an overview drossel elements used in cooling devices.The second part of the article is focuses on the study of the stability of the superheat of the factor. Two expansion valves were compared, the thermostatic one and the electronic one. For this purpose, advanced measuring devices with the possibility of mobile system control were used in the research.
ANALISIS KECERDASAN EMOSIONAL PADA MAHASISWA PSIKOLOGI ISLAM INSTITUT AGAMA ISLAM NEGERI KEDIRI
Authors: J.A Abdatul
Published: June 2023

The study is intended to analyze and describe the emotional intelligence of III semester psych class students. The methods in this study use descriptive methods with a qualitative approach. The subject of this study is 29 students of III semester psychology. The data collection involves observation, interviews, distribution of angkets, and documentation. Results from the data analysis suggest that in this early adult phase there are some learners who still have not been able to recognize their own emotional condition. still remarkably stable in his emotional control. The percentage of its stability in the preferred response in the commission of his teacher was 86.2% no and 138% said yes. Her emotional intelligence has not been able to control behaving or behaving according to certain conditions. Because we need to know that the task is one of his duties from a student.
An integrated modelling approach for an optimal location of warehouses in the defence industry organisation
Authors: Melda Gelibolu Bayrakcı  , Ömer Faruk Baykoç
Published: June 2023

Countries’ defence industries are the leading indicator of their global power. The warehouse is the place where the materials are kept until the customer order arrives so that the companies are viable and can respond appropriately to internal/external customer demands. In this regard, warehouse location plays a vital role in the defence industry in terms of storage options with increased flexibility, a simplified supply chain with cost management and optimal positioning according to deployment locations. In this study, the decision on the location of warehouses for logistic support during the warranty period of military vehicles manufactured and supplied to the armed forces by a defence company was made. It is aimed to propose the best solution to a real-life problem with high complexity, containing many data and constraints. In this context, the criteria that are thought to be most relevant to this problem have been determined by taking expert opinions. Having determined the order of importance of the requirements by the analytical hierarchy process (AHP) with the Super Decisions V 2.10, their weights were included as a coefficient of the objective function in the goal programming (GP) model. As a result of solving the GP model using GAMS (general algebraic modelling system), it was decided to select the warehouses that provided the optimal results among the alternative warehouse locations in 9 different locations. Furthermore, to see the impact of changes in criterion weights, sensitivity analysis has also been included. The significance of this research lies within the integrated usage of AHP and GP in the defence industry when determining warehouse locations by the experts’ opinions. With this study, not only a solution strategy was developed, but also a basis for the warehouse location decision in the defence industry projects already signed or to be signed was given.
In vitro assessment of the combined effect of letermovir and sirolimus on cytomegalovirus replication
Authors: Giménez Estela , Guerreiro Manuel , Gozalbo-Rovira Roberto , Aguilar Cristobal , Albert Eliseo , Piñana José Luis , Solano Carlos , Navarro David
Published: June 2023

Introduction. Letermovir (LMV) is used for prophylaxis of cytomegalovirus (CMV) reactivation and end-organ disease in adult CMV-seropositive allogeneic hematopoietic stem cell transplant recipients (allo-HSCT). In turn, sirolimus (SLM) which displays in vitro anti-CMV activity, is frequently employed for prophylaxis of Graft vs. Host disease in allo-HSCT. Here, we aimed at assessing whether LMV and SLM used in combination may act synergistically in vitro on inhibiting CMV replication. Material and methods. The antiviral activity of LMV and SLM alone or in combination was evaluated by a checkerboard assay, using ARPE-19 cells infected with CMV strain BADrUL131-Y. LMV and SLM were used at concentrations ranging from 24 nM to 0.38 nM and 16 nM to 0.06 nM, respectively. Results. The mean EC50 for LMV and SLM was 2.44 nM (95% CI, 1.66-3.60) and 1.40 nM (95% CI, 0.41-4.74), respective. LMV and SLM interaction yielded mainly additive effects over the range of concentrations tested. Conclusion. The additive nature of the combination of LMV and SLM against CMV may have relevant clinical implications in management of CMV infection in allo-HSCT recipients undergoing prophylaxis with LMV.
Implementasi Program Sekolah Sehat dan Bersih melalui Kegiatan Lingkungan berbasis Partisipatif di SDN 2 Candirenggo Kecamatan Singosari Kabupaten Malang
Authors: Suprapti Yuni
Published: June 2023

The purposes of this study were to find out, analyze and describe: (1) the school's strategy for achieving healthy and clean schools, (2) the implementation of healthy and clean school programs through participatory-based environmental activities in schools, (3) how environmental activity programs are based participatory activities carried out by school members in supporting healthy and clean schools, (4) How is the participatory-based environmental activity program carried out with the community in supporting clean and healthy schools.. This type of research is qualitative research. The subjects of research were school principals, staff, teachers, and students. Data collection techniques are interviews and documentation. The results of the study show that: (1) The strategy adopted to achieve healthy and clean schools is to plan and socialize to residents and foster a shared commitment to achieving goals, (2) Implementation of healthy and clean school programs through participatory-based environmental activities in the form of healthy and clean school program activities given to students, teachers, staff, school members and the community, (3) participatory-based environmental activity programs carried out are clean Friday activities, integrated classroom learning with a healthy and clean school environment, and environment-based extracurricular activities, and (4) Participatory-based environmental activity programs carried out with the community, Student Parents' Association and Committees by establishing and maintaining school parks, as well as prohibiting littering.
Analisis Teknik Penulisan Laporan Praktikum Biokimia Mahasiswa Prodi Biologi Semester 2 ITS NU Pasuruan
Authors: Sofiyah Fina , Rokhimah Ainur , Kamelia Nisaul , Rizqiyah Sila
Published: June 2023

This study aims to describe whether the causes of difficulty in writing biochemistry practicum students of ITSNU Pasuruan semester 2 class 22d-A are related to the format of student understanding reports. The research method used is quantitative research where in this research the data collection techniques used include interviews and documentation. This research was conducted at ITSNU Pasuruan in April-May 2023. The results of this study concluded that 58.1% of students knew what a biochemistry report was, 48.4% found it easy to make a biochemistry report, 61.3% were still unsure whether the lecturer had a format separately, 64.5% of students were able to explain/define what had been done in the laboratory into practicum reports, and 61.3% of students were able to manage practicum reports with Ms. word.
Persepsi Mahasiswa Universitas Wisnuwardhana Malang terhadap Minat Belajar Mata Kuliah Pendidikan Kewarganegaraan (PKn)
Authors: Samosir Tiur Meida , Pribadi Nukhan Wicaksana
Published: June 2023

Citizenship Education is education that examines and discusses government, constitution, democratic institutions, rule of law, human rights, rights and obligations of citizens and the democratic process. Aims to form a better citizen (a good citizen) and prepare them for the future. The aims of this study were (1) to find out the perceptions of Wisnuwardhana University students towards the Citizenship Education course. (2) To find out students' learning interest in taking Citizenship Education courses which are low and often less desirable. (3) To find out the factors that cause and influence the low learning interest of students taking Citizenship Education courses. The approach and type of research used is qualitative. The results of the study were: (1) Perceptions of students at the Wisnuwardhana University of Malang on their interest in studying Citizenship Education courses. Citizenship Education is a very important and mandatory subject for all students from all faculties and study programs in hiding moral values. It is very important for the formation of individuals who have good character, are patriotic, love their homeland and have a strong sense of nationalism in accordance with Pancasila and the 1945 Constitution. Students participate enthusiastically. However, there are still students who have the perception that the Citizenship Education course is a subject that is often taught (at every level of education). The teaching material is generally the same, the material is too heavy and dominated by memorization. so that they have low motivation and enthusiasm in participating in Citizenship Education courses. (2) The interest of students in participating in Citizenship Education courses can be said to be quite good, this is shown by the students being very enthusiastic in participating.
STRATEGI PENANGANAN ANAK BERHADAPAN DENGAN HUKUM MELALUI UNDANG-UNDANG NOMOR 11 TAHUN 2012 TENTANG SISTEM PERADILAN PIDANA ANAK
Authors: Farida Nurul
Published: June 2023

The deviation of the behavior of today's children has crossed the appropriate limit. Many children begin to indulge in casual sex, narcotics, violence, thuggery, and many more actions that can be categorized as unlawful.  The Law mandates that children are a gift of God Almighty who has the dignity and dignity as a full human being, and therefore, they are entitled to special protection, especially legal protection in the judicial system by providing special protection to children who face the law. The Indonesian Child Protection Commission (KPAI) stated that the number of children facing the law (ABH) is increasing year on year. Nevertheless, in accordance with UNICEF's mandate, the involvement of children in criminal justice for adults can hurt children, both psychologically and socially. The formulation of the problem in this writing is "What is the strategy for handling ABH through Law No. 11 of 2012 concerning the Juvenile Criminal Justice System (UU SPPA)?" The method used is an empirical juridical method with a sociological approach, which seeks to review the application of the SPPA Law in the handling of ABH. The results of the review showed that there are several factors that cause ABH, namely instrinsic and extrinsic factors. To protect children's rights, ABH handling strategies can be used in accordance with the SPPA Law, namely by using restorative justice and diversion efforts. Obstacles faced in the implementation of ABH handling strategies include the lack of socialization of laws and regulations related to children so that the understanding of law enforcement officials in the implementation of ABH handling is still varied and tends to use different perceptions.

Keywords:     Strategy, Juvenile Criminal Justice System, Restorative Justice, Diversion
PENEGAKAN HUKUM DALAM PENGAWASAN ORANG ASING DI MASA PANDEMI COVID-19
Authors: Widjanarko Anggoro , Cornelis Vieta I
Published: June 2023

The purpose of this study is to analyze forms of immigration criminal violations committed by foreigners and law enforcement mechanisms in an effort to supervise foreigners during the Covid-19 pandemic. This study uses a normative legal research method, because this research analyzes legal materials based on concepts, theories, laws and regulations, doctrines, legal principles and the author's opinion.

The study findings various policy instruments and strategies were issued by General Director of Immigration to overcome the problems due to restrictions on the mobility of people, including foreigners. There are two forms of violation of the Immigration Law, namely administrative violations and pro-justice violations. This study found that the types of violations committed by foreigners include abuse of residence permits, falsification of documents and involvement in human trafficking. The Directorate General of Immigration as the authorized party to enforce immigration law takes action against violators of immigration law who commit administrative and criminal violations in accordance with applicable regulations.

There are three recommendations from this study. First, socialization related to immigration services during the pandemic must be increased. Second, it is necessary to build synergy and coordination between Timpora, especially in detecting potential vulnerabilities in the presence and activities of foreigners in Indonesia. Third, a structured law enforcement organizational is needed which clearly and hierarchically on function, controlling, supervised of the law enforcement process. Fourth, improving the competence of immigration personnel needs to be intensified to understand the substance and technicalities, especially in mastering information technology
Pemanfaatan Aplikasi Sentuh Tanahku Guna Perbaikan Kinerja Layanan di Kantor Pertanahan Kota Palangka Raya
Authors: Mariana Derlan Masia Harahap  , Ferdinand Ferdinand , Luluk Tri Harinie
Published: June 2023

This study aims 1) To reveal how the impact of changes in the use of service systems from non-electronic data to electronic data for the Internal Land Office and the Community at the Land Office of the City of Palangka Raya, 2) To reveal how the service performance process is done electronically by using the Touch Tanahku Application at the Land Office of the City of Palangka Raya, and 3) To reveal how the obstacles encountered in improving service performance with the Touch Tanahku application at the Land Office of the City of Palangka Raya. This research is a qualitative research with data analysis using the Miles and Huberman technique, where activities in qualitative data analysis are carried out interactively with State Civil Servants, Notaries/PPAT, and service users at the Land Office of the City of Palangka Raya. The results of this study reveal that 1) The existence of an electronic service system and land service information through the Touch Tanahku Application has an impact on increasing public information disclosure, services that are faster, accurate and safer, as well as providing convenience for the public to obtain certainty of service information; 2) The existence of land services electronically can improve the performance of land services in accordance with service standards, namely timeliness, transparency, and increasing community satisfaction; and 3) Obstacles faced are the need to improve the quality of land data, the need for synchronization and harmonization in the Touch Tanahku Application, and the need for outreach to the public regarding the use of the Touch Tanahku Application.
Kualitas Layanan dan Promosi Terhadap Loyalitas Melalui Kepuasan
Authors: Rahmi aulia  , Achmad Syamsudin  , Lelo Sintani
Published: June 2023

This study aims to analyze the effect of service quality and promotion on loyalty through customer satisfaction. The research method used is a quantitative method with data collection techniques using questionnaires and observation. Data analysis uses reflective and formative constructs. The data used in the form of primary data with analysis tools using SmartPLS03. This research was conducted for one month from the month. The results of this study are service quality has a positive and significant effect on customer satisfaction, promotion has a significant positive effect on customer satisfaction, service quality has an insignificant negative effect on loyalty, promotion has a significant positive effect on customer loyalty, customer satisfaction has a significant positive effect on customer loyalty, customer satisfaction able to mediate between service quality variables and customer loyalty, satisfaction is able to mediate promotion variables and customer loyalty.
Increasing the competence of future economists to improve the effectiveness of training in the context of achieving the principles of sustainable development
Authors: Popov Vasiliy
Published: June 2023

Objective: The study aims to shed light on the opportunity of using the KmPlot software in teaching the topics of further mathematics associated with the study of functions, as well as to substantiate the feasibility of its use. Methods: The conducted experimental study using the methods of observation, analysis, systematization, and pedagogical experiment provides qualitative and quantitative information on the expediency of using KmPlot in teaching further mathematics. Results: The results obtained indicate an increase in the level of learning outcomes when using the KmPlot software, i.e. improved learning outcomes of future economists in the study of further mathematics by means of freely distributed computer mathematical programs. Conclusion: The use of licensed software by Russian universities may become a topical problem in current realities. Free software products for learning further mathematics, such as graphing software, can serve as a good alternative.
Brazil: Impacts of Digital Technology on Sustainability in the Automotive Recycling Sector
Authors: Vilas Luiz Henrique Lopes
Published: June 2023

Objective: The article aims to analyze the impact of digital technology on the sustainability of automotive recycling, highlighting the importance of using digital technology to monitor sustainability requirements throughout the vehicle life cycle and recycling processes.

 

Method: The study is based on research developed under the Postdoctoral Program in Business Administration at FCU Florida Christian University. Preliminary data and literature review on sustainable management, automotive recycling and waste disposal are presented, and the use of digital technology in this context is explored.

 

Results: The results highlight the lack of shared protocols and knowledge about hazardous waste in the automotive sector. Areas of action for companies and countries wishing to move towards the circular economy, such as neutralizing CO2 emissions and using renewable energy sources, are also presented.

 

Conclusions: The article highlights the need to develop and implement digital technology tools for managing sustainability policies in the automotive sector. The use of digital technology can contribute to the proper management of waste, the valorization of components, and the minimization of environmental impact throughout the life cycle of the vehicle.
Study of Hearing loss in Diabetes Mellitus in Maharashtra Population
Authors: Pramod Ramachandra Shiralkar  , Karan Suhas Vayangankar  , Nikesh Gosrani
Published: June 2023

Background: High blood glucose levels are found to derange the vessels found in the stria vascularis and adjacentnerves thus it results into diminished ability to hear Early diagnosis and treatment can prevent the severity orpermanent hearing loss.Method: 40 adult patients aged between 30 to 50 years were studied by pure tone audiometry. By audiometry thedegree, type and configuration of hearing was assessed. Ear examination was done by otoscopy followed by puretone audiometry.Results: 20 (50%) patients had moderate, 12 (30%) had moderate severe, 8 (20%) severe hearing loss. The associatedclinical manifestations were 13 (32.5%) parasthesia, 10 (25%) skin disease, 8 (20%) visual problems, 9 (22.5%) lackof sleep.Conclusion: This pragmatic study with different degree of hearing loss will be helpful to ENT surgeon to assessthe severity and treat efficiently to prevent the complications of hearing loss.
The Psychological Impact of the COVID-19 Pandemic and Online Teaching on the Academic Performance of Medical Students in Eastern India
Authors: Sukanta Sen  , Sandeep Shrivastava  , Satwika Sinha  , Sudip Ghosh  , Tapan Kumar Jana  , Tripti K Srivastava
Published: June 2023

Background: COVID-19 has spread throughout the world and has resulted in significant morbidity, mortality, andnegative psychological impact. This cross-sectional study is exploring the effect of the pandemic on mental healthand academic performace of medical students. Survey was done to solicit participants’ feedback regarding theirexperience in academic difficulties during the COVID-19 pandemic.Material and Methods: It was a cross-sectional observational study with a convenience sample conducted inMedical College at Eastern India. Study assessed the mental health of students’ participants during the COVID-19outbreak by using structured questionnaires and studies its impact on academic performance in upcoming WBUHSProfessional Examinations. An online google form questionnaire link was shared with the participants. The finalquestionnaire for this study consisted of 17 questions (15 closed-ended and 2 open-ended) and a rating scaledivided into three sections. After the filling of questionnaires, participants were followed up for their academicperformances.Results: Ability to focus on academic work (72-93%) and difficulties with online learning (17-31%) were the mostcommonly cited issues related to academics. Change of behavior in response to the pandemic was pervasive. Ourrespondents almost universally increased hand washing, limited social outings, and started wearing masks.Conclusion: Study results indicate that college students who are experiencing considerable number of academicand everyday difficulties during the COVID-19 pandemic also report increased levels of mental health burden This study will add to the existing body of literature on the impacts of the COVID-19 pandemic, lockdown andonline learning on the social an sychological health of students.
A Study of Road Traffic Accident Reported at Tertiary Care Hospital BPSGMC (W) Khanpur Kalan, Sonepat
Authors: Sanjeet Singh  , SK Jha  , Anita Punia  , Babita Rani  , Rajender Deshwal  , Dheeraj Parihar
Published: June 2023

Background: Injury and deaths due to road traffic accidents (RTA) are a major public health problem in developingcountries where more than 85% of all deaths and 90% of disability-adjusted life years were lost from road trafficinjuries.Objectives: To study the type of injuries in Road Traffic Accidents reported at a tertiary care hospital and todetermine the various factors for the occurrence of the accidents.Method: Study was planned to study the major causes/risk factors as well as nature, type and mode of occurrenceof road traffic accidents in sonepat city and study demographic profile and injury pattern among RTA victims.Road traffic accidents are responsible for a substantial proportion of deaths &injuries and are responsible for moreyears of life lost than most human diseases. The WHO has defined road traffic accident (RTA) as when a vehiclecollides with another vehicle, pedestrian, animal, road debris, or other stationary obstruction.Results: The data were summarized using percentages. There is a high percentage of RTA among males (86.4%)and no experience of driving were important risk factors identified for accidents. Total of 140 injured patients wereseen in the emergency department. More than 80% accident cases were two wheelers. The most common site ofthe RTA was found at state highway.
Laryngeal Mucosal Changes in Patients in Laryngo-Pharyngeal Reflux before and after Treatment with Proton Pump Inhibitors
Authors: Sarita Gupta  , Syeda Shamim Fatima  , Preeti Singh  , Harsimrat Singh
Published: June 2023

To evaluate pre and post treatment results based on Laryngeal mucosal changes as assessed by direct videolaryngoscopy/stroboscopy using Belafsky scores. In our study we have evaluated laryngeal changes in patientswith dysphonia and RSI 10 before treatment and after 6 months of treatment with Tab. Pantoprazole and Tab.Mosapride. This prospective study was carried out on 50 patients attending the ENT out patient department ofa tertiary care referral centre over a period of 18 months i.e. from Nov 2008 to Apr 2010. The study showed thatprolonged therapy is required to treat laryngopharyngeal reflux (LPR) effectively and 24 h ambulatory dual probe pHmetry and videolaryngoscopy to assess RFS are the most preferred diagnostic tools in LPR. Dr Speech software forvoice analysis can give an objective assessment of voice changes in LPR before and after treatment. The treatmentconsisting of proton pump inhibiter (PPI) and prokinetic drugs proved to be effective in laryngopharyngeal refluxdisease as improvement was seen in all the parameters including reflux findings score. According to results of ourstudy, 24 h ambulatory dual probe pH-metry, Reflux Finding Score (RFS), can be used as indicators of efficacy oftreatment.
Assessment of Cardiorespiratory Dysfunctions of Health Professionals above the Age of 40 years by means of Electrocardiography and Spirometry
Authors: Saswati Ray  , Paramita Pal (Bhattacharyya)  , Debarati Chanda  , Debjani Chakraborti  , Sukanta Sen
Published: June 2023

Background: The increasing prevalence of chronic respiratory diseases, particularly chronic bronchitis andemphysema (COPD), is reflected as a growing concern regarding its diagnosis and control. Moreover medicalpersonnel working in different medical set up are at greater risk of stress and disease related susceptibility.Materials and Methods: Descriptive observational study based on ‘convenience sampling done on Healthprofessional viz. Doctors, Nurses and Technicians attached with Medical College, Kolkata and Ruby GeneralHospital, Kolkata between Feb 2015 to May 2016. Overall 50 doctors, 25 nurses and 25 technicians were taken fromMedical College, Kolkata. Pulmonary function tests were done by Spirotech ©, a software after rest for 10-15 minand briefing about to the technique of FVC (maximum inhalation followed by maximum exhalation) and MVV(voluntary hyperventilation for 15 seconds) tests were carried out. Spirometric parameters recorded for analysiswere FVC, FEV1, FEV1/FVC, PEFR, FEF25%-75% and MVV. The controls were selected from relatives of Out PatientDepartment (OPD) of Medical College who were non-health professionals. They followed the same procedure asthe cases.Results: It shows among cases of Medical College, 8 people are hypertensive and 42 people are normotensive,whereas in control group 5 people are hypertensive and 44 people are normotensive and 1 person had hypotension,which is not statistically significant (P Value 0.419). It shows among Medical college cases Mean FEV1 / FVC ratiois 114.50 (SD 12.63) whereas that of control is 103.90 (SD 15.94), which is statistically significant (P Value 0.000).Conclusion: Medical personnel are more obese particularly in corporate hospital. Medical personnel have similarblood pressure level as in general population. RBBB pattern is the most predominant QRS abnormality which isnot uncommon. Medical personnel have lower mean FEV1%, FEV1/ FVC and PEFR % than general population.Predominant spirometry abnormality in our study is restrictive pattern.
A Qualitative Study on Factors Associated with Low Academic Performance among Medical Students
Authors: Selvam Paramasivam  , A R Parveen Gani  , Josephine Priya K
Published: June 2023

Introduction: To ensure optimal quality of health care for the community, it is important to produce an efficientprimary care provider. In order to attain this quality we must ensure that all students achieve the requiredstandards. In spite of pre-set prescribed standards, the academic performance varies among medical students.Objectives: 1. Describe the factors affecting the learning of medical students. 2. Explore the possible solutions toimprove their academic performance.Materials and Methods: A total of 18 students and 12 faculties participated in the study. Among them, five FocusGroup Discussions (FGD) were carried out (three FGDs with students and two FGDs with faculties). The discussionwas guided by a facilitator and audio-recorded. Information from the audio was transcribed.Results: Factors affecting learning include content of the class, class schedule, attention span, assessment pattern,audio-visual aids, level of integration of classes, ability of the teacher and teaching learning methods used.Solutions include field visits, hands-on training, appropriate use of audio-visual aids, integration of classes, activeparticipation in research, communication with peers, strict maintenance of attendance and motivation of thestudents, etc,.Conclusion: Addressing all the factors hindering the learning process by incorporating solutions suggested byfaculties and students may help the learners to improve their academic performance. It is important to teach thetopics with its practical application with an appropriate assessment pattern.
Retrospective Comparative Study of Analgesia and Complications between Particulate (Triamcinolone) v/s Non-Particulate (Dexamethasone) Steroid in Transforaminal Epidural Injection at Tertiary care Hospital
Authors: Sonavane Vikram  , Sankalecha S.C  , Khairnar Karan  , Sali J.N
Published: June 2023

Transforaminal epidural steroid injection (TFESI) is frequently used for the treatment of lumbar radiculopathy.A retrospective analytical study was conducted at a pain clinic among 100 adult patients more than 18 yearsof age who underwent ‘Transforaminal epidural injection’ for Lumbar radiculopathy from November 2017 toDecember 2020. Group A (50 patients) received Transforaminal epidural injection with Particulate corticosteroid(Triamcinolone) and Group B (50 patients) received non-Particulate corticosteroid (Dexamethasone). Pain intensitywas assessed using the NRS score. T-test was used as a test of significance. The intensity of analgesia as measuredby NRS score is similar in particulate (triamcinolone) and non -particulate (dexamethasone) in transforaminalepidural injection done for Lumbar radiculopathy patients immediately after the procedure as well as at threemonths follow-up
A Longitudinal Study on Oral Potentially Malignant and Malignant Lesions in a Tertiary Care Teaching Hospital
Authors: Sanjay Mishra  , Shaikh Ifterkhar
Published: June 2023

Objectives: This study aims to qualitatively and quantitatively over five years using a clinical spectrum ofpresentation and frequency distribution, prevalence, and malignant transformation rates of Potentially malignantdisorders.Methods: This study follows a longitudinal prospective study design which was conducted in the Departmentof Oral Medicine, Oral Diagnosis and Radiology, at SCB Dental College and Hospital, Cuttack over 5 years, fromJanuary 2013 to December 2017.Results: The frequency of OPMDs was 55% with 36.88% males. The most and least frequently encountered OPMDsincluded Pouch keratosis (30.96% of OPMDs) and Discoid Lupus Erythematosus (0.002% of OPMDs). The meanage of malignant transformation was 41 years with a male predilection (68%) and was largely habit associated(72%). Over the 5 years, the highest rate of malignant transformation was observed for actinic cheilitis (20.66%)and the least for oral lichen planus (0.35%).Conclusion: The significantly higher rate of transformation noted in our population can be attributed to latepresentation for treatment, rampant production and continued use of smokeless forms of tobacco. To the best ofour knowledge, this study is one of the few to recruit a large population presenting with varied lesions.
Hematological Parameters: Manual vs Automated Method; Among the β-Thalassemia and other Haemoglobinopathies in a Tertiary Care Hospital in Kolkata
Authors: Sumitra Sen  , Krishna Laskar  , Writtika Chattaraj  , Sukanta Sen
Published: June 2023

Background: According to a report of WHO in 2007, 7% of world populations are carrier for Haemoglobindisorder and accurate and timely detection of various Hb variants including beta thalassemia trait can preventoccurrence of more serious disorders like thalassemia major in new-borns. But in a developing country like ususe of high pressure liquid chromatography (HPLC) is limited, manual testing is done and accurate assessmentis quite impossible. So, an observational cross-sectional study was done among 117 β-thalassemia and otherHemoglobinopathies cases and carriers.Objective: To find out the variation between the results of haematological tests obtained by automated countingchamber and manual method.Materials & Methods: This Observational, cross-sectional study was done at Thalassemia control unit and Physiologydepartment of R G Kar Medical College and Hospital, Kolkata. β-thalassemia and other Hemoglobinopathies casesand carriers detected by complete blood count with HPLC from Thalassemia Outpatient Department (OPD) andantenatal mothers from antenatal clinic (ANC) were the population of this study. Findings and variations of thefeatures of different hematological parameters amongst the β-thalassemia and other hemoglobinopathies werereviewed. A finding by HPLC was HbA, HbA2, HbF, HbD, and HbE.Results: Result of only Hb% obtained from HPLC and manual method was significantly different inβ- THALASSEMIA Trait (p=0.0001), HbE Trait (p=0.0001), HbS trait (p=0.0001) and not significant in HbE diseaseand no other Red cell indices were significantly different in two methods. Conclusion: As hematological featureslike TC of RBC or PCV results by manual method shows no significant differences with HPLC/Automated counter assessment, such methods can be utilized even at primary level cost effectively for assessment of hematologicaldisorders. But significant difference is seen in estimating Hemoglobin percentage in between Shalli‘s method andHPLC/Automated counter assessment. So some alternate method may introduce at lower level of health systemother than Shalli’s method
Comparative Study of Epidural Ropivacaine 0.75% and Bupivacaine 0.5% with Fentanyl for Elective Caesarean Section in Andhra Pradesh Population
Authors: Veeranna Chowdary V  , P. Naveen Chandra Kishore  , Satti Venkata Subbarayala Reddy
Published: June 2023

Background: Ropivacaine had clinical advantages over Bupivacaine with respect to cardiac toxicity and motorblock and it was suitable for epidural caecerian section. This study was set-up to compare epidural ropivacainewith fentanyl with Bupivacaine / Fentanyl mixture in LSCS surgeries.Method: Out of 90 patients 45 received 10 mg hyperbaric Bupivacaine with 20 microgram fentanyl and 45 (groupRF) received 15 mg hyperbaric Ropivacaine with 20 microgram fentanyl Hemodynamic parameters sensory andmotor blockade APGAR score were compared in both groups.Results: Demographic profile i.e., Weight, Height BMI Duration of surgery was same in both groups (p>0.001 wasinsignificant) were motor and sensory blockades highly significant (p<0.001). VAS scores at 4 hours, 6 hours and 8hours had significant p value (p<0.001). Apgar score at 1 minute was also highly significant (p<0.005).Conclusion: In the present study it was proved that, Hyperbaric Ropivacaine with fentanyl is a better alternativeto hyperbaic Bupivacaine with fentanyl in LSCS patients of c-section.
A Study on Body Mass Index, Physical Activity and Hypertension among Legal Practitioners
Authors: Vijay Kumar Edward  , Shanthi Edward  , Praveena P
Published: June 2023

Background: Advocates practise for long hours with hectic work schedules. Work pressure, changing legallandscapes, uncertainty of legal cases is a great challenge to lawyers. They are unable to concentrate on their healthrelated activities. Physical inactivity causes obesity leading to risk of hypertension. In view of above issues oneof the main objectives of the study is to evaluate the relationship between physical activity, Body Mass Index andhypertension among practising advocates.Methods: A sample of 300 practising advocates at Madurai district court was selected by simple random samplingmethod. Data was collected using structured interview schedule and analysed using SPSS.Results: Nearly 90% advocates with raised body mass index were hypertensives and 68.42% advocates withinadequate physical activity developed hypertension. The difference of observation was found to be statisticallysignificant (p=0.0000).Conclusions: Practice of health fitness activities amidst busy schedule and Self- care management modifies theeffect of Body Mass Index on hypertension risk.
Gender Based Differences in Mental Health Outcomes among Young Adults in Srikakulam, Andhra Pradesh
Authors: Vurajana Varsha  , Saptarishi Bose  , Satyajit Patnaik  , Dhananjaya Sharma  , Paromita Roy
Published: June 2023

Background: According to WHO “ Health is a state of physical, mental & social wellbeing” but mental healthneeds are neglected due to the low availability of services & less community participation. Young adults are moreprone to get mental health problems due to transition both physically & mentally. Females have more mooddisorders & males have substance use disorders, gender disparities in mental health are not clear, so we aimed toinvestigate the gender differences in mental health outcomes.Objective: To assess individual & social factors responsible for mental health problems & to estimate the level ofawareness regarding mental health services available in the community.Materials & methods: This cross-sectional survey was carried out among young adults (18-25 years). Participantswere given (GHQ-12), a self-administered questionnaire. The collected data was stored & tabulated in MicrosoftExcel. Mean, Percentages, and Chi-square tests were used to find the association & differences between variousfactors using Microsoft Excel.Results: Out of 240 students only 29% were found to have awareness regarding mental health services at acommunity level. Female students were found to have higher stigma rather than males which is statisticallysignificant (chi square-6.285, p-value-0.018).Conclusion: Males & females have mental health issues but there are no significant gender differences. Femaleswere found to have more stigma. Mental health awareness programs at institutes can promote good mental health.
Osteoporosis, Its Pathophysiology and Effect of Nutraceuticals
Authors: Zeenat Ara  , Sandeep Pandey  , Shatakshi Pant  , Ramesh Mani Tripathi  , Devarshi Rastogi  , Shah Waliullah
Published: June 2023

Osteoporosis a classical age related disease that effects women more in comparison to men. Albright and colleagueswere first proposed the hypothesis that estrogen deficiency is related to osteoporosis. Its a condition relatedto bone fragility resulting from micro-architectural deterioration and decreased bone mass, Nowadays typicalWestern diet (high in protein, salt and refined, processed foods) combined with an increasing sedentary lifestylemainly contribute to the increasing incidence of osteoporosis in the elderly. Mediterranean diet (MD), proved verybeneficial in chronic diseases and fragility related fractures. Thus for management of osteoporosis proper lifestyleis plays major role.Healthy, well-balanced nutrition can play an important role in the prevention and pathogenesisof osteoporosis, and in support of pharmacological therapy. Calcium plays major role in proper bone health
Deformation Resistance Evaluation Of High Rise Building Frame Elements With Core Wall As Lateral Load Resisting System
Authors: Jodh Paresh R.
Published: June 2023

, Girish V. Joshi
T-shirt Illustration for Griya Baca's Street Children as an Awareness Campaign Media
Authors: Gunawan Indra , Verdiana Elfa Olivia
Published: June 2023

Street children are a social problem that is an interesting phenomenon in social life. Quoting from street children who are cared for by Griya Baca Malang, here there are a lot of children who do not get an education like ordinary children, due to their circumstances which require them to live on the streets, even earn money by busking/begging, their background is mostly from economic pressure. , from this problem it is important for the community to care more about them because after all they are the nation's generation, after research on the problem, the solution for this is to hold a awareness campaign through t-shirt illustrations. The purpose of designing this t-shirt illustration is as a form of public awareness to be more concerned with street children. Illustrations will make it easier to convey messages and have their own charm so that messages from the campaign can be conveyed properly. Product effectiveness testing was carried out on February 16, 2022, showing that the results of the assessment of this t-shirt illustration obtained a fairly high positive percentage, namely 29 out of 30 respondents. This book received a positive response from respondents based on the results obtained from this test.

Keywords: Street children, illustration, campaign
Decision Tree for Mode Estimation
Authors:   The Korean Data Analysis Society, Kang Donggil , Yu WenXing , Cho HyungJun
Published: June 2023

Decision trees are one of the data mining techniques that make predictions by recursively partitioning data structures based on split rules. Since the analysis results can be understood through the tree structure, it has the advantage of having high interpretation power as well as predictive power. In addition, it is used in many fields because it is able to identify nonlinear relationships between response and predictor variables. However, if the purpose of it is to predict the mode of the response variable, there is a limitation in that the previously proposed decision tree cannot be applied. Thus, we develop a new form of the modal decision tree model by integrating the kernel density estimation methods into the decision tree model. The simulation is conducted with four models. The results are compared for each size of the data when the predictor variable and the response variable are linear and nonlinear relationship cases. When the data has a linear relationship, the performance of the modal desicion tree model proposed in this paper is comparative to that of the previously proposed modal linear regression (MODLR) model. When the data has a nonlinear relationship, the performance of the modal tree model is better.
A Analisis Lean Manufacturing Menggunakan Metode VSM dan WRM pada Lini Produksi Riau Jaya Paving
Authors: AlifDian. R Muzakir , Nofirza Nofirza , Silvia Silvia , Yola Melfa , Devani Vera
Published: June 2023

Usaha Kecil Menengah  Riau Jaya Paving bergerak dibidang percetakan yang telah beroperasi sejak tahun 2000. Penelitian pada Usaha Kecil Menengah  Riau Jaya Paving difokuskan pada jenis paving block model batu bata (conblock) mutu K-175, karena paving block model ini rata- rata permintaanya setiap bulan lebih banyak dari pada paving block model lain. Perusahaan ini melakukan perubahan pada proses produksi salah satunya menggunakan konsep lean manufacturing untuk meminimalisir waste. Tujuan penelitian adalah mengurangi persentase waste yang dianalisa menggunakan Value Stream Mapping serta memberikan usulan perbaikan berupa checksheet dan Standar Operasioal Produksi. Data diperoleh Berdasarkan pengamatan langsung dilapangan. Pengolahan data dilakukan menggunakan metode Value Stream Mapping, Waste Relationship Matrix dan tools Relationship Diagram.  Dari hasil penelitian yang telah dilakukan besar Nilai Value Added, Non Value Added, Necessary Non Value Added dan total lead time proses produksi  dapat dilihat pada Current Value State Mapping, nilai Process Cycle Efficiency adalah 67,08%. Future Value Stream Mapping merupakan hasil dari usulan perbaikan, nilai Process Cycle Efficiency adalah 75,05%.
Analisis Jarak Titik Pengukuran Temperatur Tuang pada Kualitas Coran Aluminium Daur Ulang
Authors: Masnur Dedy , Rasyad Abdur , Nawangsari Putri , Abdurrahman Ridwan
Published: June 2023

The melt exhibits non-uniform temperature in a crucible at the surface, middle, and bottom. Thus, selecting the proper measurement location is essential since it affects the casting quality. This study investigates the proper temperature measurement location of recycled aluminum cans in investment casting. The selection was made based on casted samples' tensile strength and porosity. The pattern was prepared using the polylactic acid mold, then coated by dipping it in ceramic slurry, and then dewaxed at 120ºC. The aluminum cans were heated up to 700ºC, and the temperature was measured at 50 mm from the crucible bottom. Finally, the melt was poured into a 100ºC ceramic shell. The processes were repeated with the measurement at 125 and 200 mm. The samples were characterized through tensile tests and porosity measurements. The results show that the optimum tensile strength (112.97 MPa) and minimum porosity (6.367%) were found in the 125 mm sample.

Abstrak

Temperatur logam cair tidak seragam di permukaan, tengah, dan dasar kowi. Pemilihan lokasi pengukuran yang tepat sangat penting karena mempengaruhi kualitas pengecoran. Studi ini menyelidiki titik pengukuran suhu kaleng aluminium daur ulang pada pengecoran investment. Pemilihan dilakukan berdasarkan kekuatan tarik dan porositas sampel yang dicor. Pola dibuat menggunakan cetakan using polylactic acid. Pola dilapisi dengan mencelupkannya ke dalam bubur keramik kemudian didewaxing pada temperatur 120ºC. Kaleng aluminium dipanaskan hingga 700ºC, suhu diukur pada 50 mm dari dasar kowi. Logam cair dituangkan ke dalam cetakan keramik saat temperaturnya 100ºC. Proses diulang dengan pengukuran untuk lokasi 125 dan 200 mm. Sampel dikarakterisasi melalui uji tarik dan pengukuran porositas. Hasil menunjukkan kekuatan tarik optimum (112,97 MPa) dan porositas minimum (6,367%) ditemukan pada sampel dengan lokasi pengukuran temperatur 125 mm dari dasar kowi.