bluuebunny/crossref_metadata_2025 huggingface dataset:
Placa alopécica en el cuero cabelludo como única manifestación de una infección de transmisión sexual
Authors: Coletto Gianina Anabella , Arzalluz Gabriela Delia , Cantú Parra Laura , Díaz Florencia
Published: October 2023

Una paciente de 55 años, con antecedente de artritis reumatoide de 5 años de evolución, en tratamiento con metilprednisona 8 mg/día, consultó en nuestro servicio por caída del cabello de 3 meses de evolución.
El acné duele
Authors: Carbia Sergio Gabriel , Cortes Macarena Lucía
Published: October 2023

Una vez, una chica de mi clase me las vio cuando me estaba cambiando para Educación Física y me preguntó: «¿Qué te ha pasado?», mientras señalaba mis caderas, yo le contesté que mi gato me había arañado y ella puso los ojos como platos por el horror, pero me creyó porque eso era lo que parecían mis estrías: salvajes arañazos de un gato monstruoso. Aunque las estrías no eran nada comparado con las espinillas. Al principio tenía solo algunas dispersas, lo normal, pero luego aparecieron más y más. Después, casi de la noche a la mañana, se convirtieron en acné profundo y quístico. Bultos gruesos y duros que se formaron debajo de la piel de la espalda, los hombros, el cuello y la cara. No es una historia guay, ni una tragedia de las que a la gente le gusta escuchar. Es repugnante. Me miraba la parte trasera en cualquier superficie donde pudiera verme reflejada. Estaba paranoica por si dejaba algún rastro. Los granos de los hombros a veces reventaban y manchaban la camiseta. Yo era algo desagradable, algo que iba soltando líquido, algo incontenible. Mi cuerpo era un desastre bochornoso. Me sentía demasiado avergonzada para salir de casa a menos que no tuviera más remedio. No, era peor que eso. Me sentía demasiado avergonzada para existir.
Conflitos ambientais na comunidade do Paraíso e seus entornos: cotidiano, mobilizações e embates na definição do rural e do urbano
Authors:   , Paixão João Pedro dos Anjos
Published: October 2023

A comunidade do Paraíso, localizada em Viçosa – Minas Gerais, passa por um processo de mudanças que tem reverberado na discussão do próprio futuro do município. A comunidade do Paraíso, principalmente a partir dos anos 2000, se depara com pressões diversas no sentido da transformação do seu papel histórico de comunidade rural em função das propostas de zoneamento da área. Tais mudanças contribuem para a alteração dos modos de vida dos habitantes do campo: alguns se apropriam de novos estilos de vida e incorporam novos hábitos e valores, e outros, em geral, mais velhos, resistem. Essa dissertação foi estruturada para responder às questões que surgem em torno das novas propostas de apropriação da terra nessa comunidade. Tem a intenção de responder quais são propostas de ocupação, quem são os propositores, que impactos as propostas esboçadas têm em relação à natureza e sociedade local, quais as formas de resistência que se constituem, e, por fim de que forma usos e atividades são negociadas com o Estado, grupos imobiliários e moradores na região do Paraíso. Parte-se da hipótese que a região do Paraíso se apresenta, em função de suas características ambientais, como mais uma fronteira do urbano em Viçosa. Palavras-chave: Planejamento Urbano. Urbanização. Conflito Ambiental.
Estimativa populacional e uso de drone para monitoramento da comunidade de primatas não humanos na área de proteção ambiental São Francisco Xavier – São Paulo
Authors:   , Dias Paulo Rodrigo
Published: October 2023

Cerca de 60% das espécies de primatas no mundo estão ameaçadas de extinção e apresentam declínio populacional. Embora muitos estudos tenham sido realizados sobre a abundância, densidade e riqueza desses animais, a ocorrência natural de várias populações isoladas e não avaliadas, sempre gera a demanda de que novos estudos sejam feitos. Este trabalho teve como objetivo estimar o tamanho populacional de muriqui-do-sul (Brachyteles arachnoides) e outros primatas simpátricos, sauá (Callicebus nigrifrons), macaco-prego (Sapajus nigritus), sagui-da- serra-escuro (Callithrix aurita) e bugio-ruivo (Alouatta guariba) na Área de Proteção Ambiental São Francisco Xavier (APA SFX). A APA SFX tem 11.880 hectares, sendo 6.475 hectares de floresta. Os estudos foram realizados de julho/2021 a novembro/2022, visitando 16 propriedades com um total de 14 transectos. Foi utilizado o método de Censo por Transecto para estimar a população de primatas e drone com câmera termal acoplada para busca de grupos/subgrupos. Ressalta-se que, encontros oportunísticos foram contabilizados durante as buscas ativas, mas não compuseram as análises populacionais (Censo por Transecto). Ao todo, foram 190 dias de amostragem, onde 127 dias de buscas ativas, percorrendo 532,94 quilômetros (km), contabilizando 129 registros de primatas. O censo por transecto foi realizado em 63 dias, percorrendo 136,87 km de transecto a 0,84 km/h e se utilizou do software Distance 7.5 e Kelker para cálculo de estimativa populacional. B. arachnoides apresentou-se com mais registros de forma visual e, também, com maior estimativa populacional, 165 indivíduos, seguida por C. nigrifrons (59), S. nigritus (42) e C. aurita (17) para a área de 2331,92 hectares, soma das propriedades visitadas. Com a utilização do drone, B. arachnoides apresentou-se com mais encontros (15), sendo visualizado dois grupos em locais distintos não registrados pelo censo ou busca ativa, seguida pela espécie C. nigrifrons (4). A espécie A. guariba não foi detectada. A baixa estimativa de algumas espécies, seguida da falta de avistamento de A. guariba, pode estar associada aos eventos de febre amarela e/ou à baixa detecção durante o censo. O drone se apresentou como uma boa ferramenta na busca por locais onde não haviam trilhas ou de dificil acesso, menor tempo/distância percorrida para encontros e aumento na contagem de indivíduos. A presença destas espécies está relacionada aos fatores ambientais, ecológicos, qualidade do habitat e disponibilidade de recursos presentes na área da APA SFX. Porém, recomenda-se aumentar os esforços de censo e buscas através do drone para encontrar novos grupos/subgrupos, gerando dados mais robustos sobre o status dos primatas na região, especialmente de muriquis-do-sul. Palavras-chave: Monitoramento. Estimativa populacional. Drone.
Penyelesaian Sengketa Pajak Di Bidang Pajak Pertambahan Nilai
Authors: Sihotang Erikson
Published: October 2023

Implementation of tax audits often occur due to differences ofopinion between the Taxpayer with the Fiskus of payments to be made by thetaxpayer. Application for Appeals is one of the rights granted by taxation regulationto the Taxpayer. In this research, will be examined on the subject of dispute overthe dispute on Value Added Tax, and the process of settling the dispute on ValueAdded Tax on the Tax Court. This research is a normative juridical research usingapproach of legislation and conceptual approach, concerning the settlement of taxdispute. Based on the results of the discussion, that the subject matter of the disputeover the dispute on Value Added Tax is: a. The basic correction of the impositionof value added tax; b. The correction of domestic delivery; c.Correction of deliveryof heavy equipment rental services; d. Correction is not a taxable item, localdelivery occurs; e.Correct positive sales discount; f. Positive correction of customs duties; g. Correction of input tax invoice; h. There is no tax invoice for delivery tothe bonded zone. The process of settling the dispute on Value Added Tax at the TaxCourt starts from the appeals process of tax dispute in accordance with the taxcourt's law of conducting an examination of the appeal letter, then having to gothrough the process of preparation of the trial, then the judges will be investigatedto examine the principal issue of the case, then with the verification of the partiesand ending with the appeal decision.
Pemberantasan Pungutan Liar
Authors: Wismani Herry Indiyah
Published: October 2023

Illegal charges are unofficial charges and have no legal basis, thereforethey are called illegal fees. In illegal levies, the criminal offenses that have beenimposed have no clear rules. In the absence of clear rules on illegal levies, this willlead to the problem of criminal law itself, especially regarding the issue of criminalliability. Illegal charges of most cases that occur there is an element of abuse ofauthority.In the implementation of the eradication of illegal levies, elements against the laware necessary to determine a person has committed a crime. The governmentestablished Presidential Regulation Number 87 of 2016 on the Task Force of CleanSweep of Illegal Levies to combat illegal levies. But the reality in the practice ofillegal levies is still happening. These illegal charges are just a term in everyday lifeand should be equated with a criminal act of extortion, fraud and corruption. Thecriminal act of illegal levies is felt very disturbing society, because the impact isdirectly felt by the community.The purpose of this study is to provide an explanation of what types of illegal feesare and what the underlying laws of illegal levies are and how to combat illegal feesand by using whatever approaches are used.In this study used literature research and field research. Library research wasconducted to obtain theoretical data, while field research was conducted to obtainprimary data through interviews with informants and respondents. The result of theresearch indicates that the factors causing illegal charges are economic factorswhose purpose is to increase income and the opportunity to conduct illegal leviesdue to weak supervision system, low legal awareness as well as poor stateadministration discipline and abuse of authority.
Eksistensi Masyarakat Adat Bali Dalam Era Globalisasi (Suatu Kajian Filosofis, Yuridis dan Sosiologis)
Authors: Poetri Paraniti A. A. Sagung
Published: October 2023

The establishment of the Government of the Republic of Indonesia in1945, there has not been explicitly or specifically issued a law regulating indigenouspeoples or indigenous and tribal peoples. In general, the nation in Article 18 BParagraph (2) of the 1945 Constitution, states that the State recognizes and respectsthe community unity, customary law along with its traditional rights as long as it isalive and in accordance with the development of society and the principle of NKRIas set forth in Undang- invite. Seen from sociology that the indigenous peoples ofBali are not static but dynamic, because of the development of the era, civilization,human resources and mingle with various tribes, religion, race and class. Againstthe customs, religions and cultures of Bali in such a harmonious way that a wholeunity of relationships must be preserved, protected and conserved with greatjurisdiction and sociology. The position of indigenous peoples in Bali remainsstrong even though the development of the era has been so rapid, even the positionof Desa Pakraman institution defeated the position of Desa Dinas, because for the Balinese people where custom, culture, religion are united in one very tightlybonded nafat.
Pembatalan Sertipikat Hak Milik Dalam Jual Beli Tanah Sebagai Akibat Wanprestasi
Authors: Dharma Saputra Komang Edy
Published: October 2023

Research with the theme of cancellation of freehold title in sale and purchase of land due to default aims to find out (1) How the procedure to cancel freehold title in sale and purchase of land due to default, and (2) How the legal consequence toward the cancellation of freehold title in sale and purchase of land due to default. This type of research used normative legal research which studying applicable laws and regulations in Indonesia. The source of legal materials were in the form of primary legal material, secondary legal material, and tertiary legal material and analysis was using hermeneutics analysis technique by interpreting legislation and studying more clearly the meaning contained in each article. The result of research shows that (1) the procedure to cancel freehold title in sale and purchase of land due to default is that the injured party may file a lawsuit in district court and PTUN (State Administrative Court), (2) legal consequence toward cancellation of freehold title in sale and purchase of land due to default is that the injured party has the rights to get legal protection and acquiring compensation from the default party.
Kebijakan Investasi Asing Pada Pariwisata Berbasis Desa Adat
Authors: Agus Prabawa I Nyoman
Published: October 2023

The Economic Policy Package Volume X has been announced by the Government on February 11th, 2016. The concrete step of the policy package is to revise the Presidential Regulation concerning the field of business in investment known as the negative list of investment. Areas of business that are experiencing changes in the negative list of investment include the sector of Tourism and Creative Economy. In Bali, the tourism appeal is built and developed, apart from Government and private, is also managed by the community of customary villages. The existence of customary village - based tourism can attract foreign investors or otherwise require foreign capital which may then be agreed upon in the form of agreement. In addition to globalization, other things that could lead to the possibility of such agreement are the liberalization in the field of investment and tourism. Liberalization arises from various international agreements that have been agreed by the Government, such as one of ASEAN regional liberalization with the ASEAN Economic Community. So, to face that possibility, the Government needs to regulate foreign investment in customary village based tourism with various levels of policy. As a normative legal research, the method used in this study is a legislative approach that is integrated with a conceptual approach. Policy and legislation have variations in relationships based on differences in understanding and application of the use of policy concepts. The policies studied in normative legal research, in addition to legislation also concerning government actions relating to the terms discretion, policy, beleid, and ermessen are reviewed.s
Implementasi Etika Administrasi Negara Sebagai Upaya Untuk Mencegah Korupsi
Authors: Sumerti Asih Ni Made
Published: October 2023

State apparatus in realizing good governance is required to have more ethical obligation in relation to behavior compared with private person. Each State officer must have behavior which has superior character, nobility and various ethical principles which are based on moral virtue that is justice . The State Apparatus must genuinely understand and implement as much ethical values as possible in exercising his power and authority and in his official acts as a servant of society, nation and State. Corruption is an immoral act involving misuse of office, misappropriation of power in office, placement of persons or classes within the official office of power. It is a violation of societal norms, ethical norms and legal norms.Implementation of State Administration Ethics as an effort to prevent corruption is done by instituting ethical values in the Code of Ethics as well as legislation to be obeyed and implemented as a work ethic for State administrators. The Ethics of State Administration has been set forth, among others: in the Code of Conduct of the Corps of the Republic of Indonesia, Overseas Pledge Pledge, Civil Service Personnel Act No. 43 of 1999 and Government Regulation No. 53 of 2010. The Administration of the State is a Preventive Effort to Prevent Corruption
Dampak Industri Perkerasan Jalan Di Bali Dengan Sistem Overlay Dari Berbagai Sudut Pandang
Authors: Juniastra I Made , Sedana I Ketut Merta
Published: October 2023

Environmental issues are a very important issue to find solutions together. The pavement industry with an overlay system with a continuous coating system has a positive and negative impact. The positive impact is the longer the more stable and strong. Because it continues to be overlaid on the new asphalt. But the negative results are not less powerful, namely the problem of environmental and cultural damage. Where houses of residents who are along the road will be smaller than the road to the position of the road and get higher. This will cause flooding and drainage difficulties. This situation is indeed beneficial from one side, namely that there is no need to incur costs to extract existing roads to be repaired with new ones. But on the other hand society and the environment is very disadvantaged. That is tantamount to the costs of the Government to the general public. Joint solutions that can be implemented in the short term in the same way for recycling for environmental reasons. And a long -term solution by developing a recycling system to make it easier and also with rules that favor the environment.
Hepatitis B Immunity Status among Healthcare Sciences Students, 20 Years after the Infantile Vaccination: The Most Appropriate Policy to Confer Full Protection.
Authors: Saffar Mohammad-Jaafar , Hiva  , Saffar Hana , Mousavi Sayed Jaber , Shiraj Hanieh , Rezaei Mohammed-Sadegh.
Published: October 2023

Abstract

Background. During recent years, an increasing number of previously vaccinated children against hepatitis B (HBV) may begin activities as healthcare sciences students (HSS), so, at the higher risk of HBV infection. Therefore, documenting their immunity at before training was recommended. To evaluate their immunity status, as well as measuring the presence of immunological memory and protection through administering 1-to-3 additional doses of HBV vaccine among HSS who have been immunized at childhood, this study was conducted.

Subjects and Methods. The vaccination status of the accepted HSS was documented by reviewing their vaccination record card. HBV infection markers at before, and following 1-to3 dose of HBV vaccine were measured using ELISA.  Simple descriptive statistical methods were used to analyze collected data.

Results. Totally, 274 HSS, 59.1% female, with mean age 23.8 years were included. Of those, 228 in infancy, and 46 within last 12-years have been immunized. From 228 infantile immunized students,103 with 1-to-3 doses of HBV vaccine were vaccinated. Of 125 non-boosted HSS, 64 preserved their protective antibody titers. The proportion of protected students and their antibody levels were increased significantly and approached to 96.8% following 3-doses of booster injection.

Conclusion. Nearly half of the vaccinated students had lost their protective antibody titers, but, the majority of them preserved their immunological memory, detected through anamnestic response to booster vaccination. To provide appropriate protection, universal vaccination with one-doses of HBV vaccine followed by serological monitoring to identify non-protected students for further management seems reasonable.
A CatBoost-Based Approach for High-Accuracy Botnet Detection
Authors: Hajjouz Abdulkader , Avksentieva Elena
Published: October 2023

The rising prevalence of network botnet attacks poses a significant threat to online security. Compromised networks controlled by malicious entities can perpetrate harm, including distributed denial of service attacks and data theft. In this study, we introduce a method to detect these botnets using the CatBoostClassifier. By analyzing network traffic for suspicious patterns, our system efficiently identifies potential botnet activities. Utilizing the CTU-13 dataset, we achieved an impressive 99.8699% accuracy, underscoring the efficacy of our approach. This research offers valuable insights into botnet attack detection and presents a robust solution for enhancing network security.
THE RLOLE OF INFORMATION AND COMMUNICATION TECHNOLOGY IN IMPROVING THE PERFORMANCE OF THE HUMAN RESOURCE IN THE ORGANIZATION
Authors: MEKAOUSSI Saliha
Published: October 2023

The revolution of modern technology, especially those that depend on information and communication systems, has brought about profound developments in all scientific, service and industrial fields, as institutions have benefited from information and communication technology and its mechanisms in improving their performance and productivity. Achieving the organization's objectives comes only through paying attention to its human resources, investing in developing its skills and competence, and training it to face changes and challenges, paying attention to what is new, especially in the field of communication technology, and trying to learn about everything new. Our goal that we seek through this study that seeks to give a picture of the reality of the use of information and communication technology and what are the requirements that should be provided in this resource to succeed in the information age, while identifying the most important technologies used in the company under study and the various applications of information and communication technology and how Most of the activities are now performed on the network, so that these applications contribute to increasing the effectiveness and efficiency of the performance of the human resource
Reducción de intususcepción ileocólica con enema hidrostático bajo guía ecográfica en pacientes pediátricos: Reporte de casos
Authors: Matos Rojas Irma Aracelly , Bazán Elsa , Chirinos Mario
Published: October 2023

La intususcepción ileocólica es una emergencia pediátrica con tratamiento inicial no quirúrgico a nivel mundial. La reducción hidrostática bajo guía ecográfica en pacientes pediátricos es un método de tratamiento inicial ampliamente utilizado en el mundo; sin embargo, en nuestro medio no se encuentra difundido su uso. Presentamos 4 casos de pacientes con intususcepción ileocólica tratados mediante enema hidrostático del Niño – San Borja (INSNSB), con reducción terapéutica y sin complicaciones.
Hamartoma lipomatoso pancreático: Reporte de caso y revisión de la literatura
Authors: Bravo Taxa Mercedes Del Pilar , Berrospi-Espinoza Francisco , Taxa-Rojas Luis
Published: October 2023

Los hamartomas pancreáticos (HP) son lesiones no neoplásicas extremadamente inusuales y representan < 1% de todos los hamartomas. Además, existe una variante distintiva denominada Hamartoma Lipomatoso Pancreático (HLP), que es aún más raro, con solo 5 casos, incluyendo el presente reporte, descritos en la literatura. HLP carecen de características específicas y clínicamente puede ser confundido con otras lesiones lipomatosas pancreáticas, como lipoma, lipomatosis pancreática, PEComa, liposarcoma y tumores malignos con componentes lipomatosos. El presente reporte describe un caso de HLP en un paciente varón de 70 años, que aquejaba de dolor y masa abdominal, preoperatoriamente diagnosticado como tumor neuroendocrino de bajo grado no funcionante pancreático. Subsecuentemente, fue sometido a enucleación lapar ógico postoperatorio y los estudios de inmunohistoquímica confirmaron el diagnóstico de HLP.
Guía de práctica clínica para el manejo de la pancreatitis aguda en el seguro social del Perú (Essalud)
Authors: Guzmán-Calderón Edson , Suárez Ale Wilen Horacio , Chávez-Rimache Lesly , Zavaleta Jara Luygy , Díaz Gonzales Miguel José , Quiroga Purizaca Wilmer Gustavo , Terán Choquehuanca Marco , Lizarzaburu Rodríguez Victor , Vargas Márquez Sandra Graciela , Juarez Granda Hector , Contreras Quincho Victor , Revoredo Rego Fernando Rómulo , Merino Chávez Oscar Miguel , Coayla Castillo Fredy Guillermo , Velásquez-Rimachi Victor , Goicochea-Lugo Sergio , Mejía-Santiváñez Jonathan , Taype-Rondan Alvaro , Salvador-Salvador Stefany , Santos Sánchez Vladimir
Published: October 2023

El presente artículo resume la guía de práctica clínica (GPC) para el manejo de la pancreatitis aguda en el Seguro Social del Perú (EsSalud). Su objetivo es proveer recomendaciones clínicas basadas en evidencia para el manejo de la pancreatitis aguda en EsSalud. Se conformó un grupo elaborador de la guía (GEG) que incluyó médicos especialistas y metodólogos. El GEG formuló 7 preguntas clínicas a ser respondidas por la presente GPC. Se realizó búsquedas sistemáticas de revisiones sistemáticas y –cuando fue considerado pertinente– estudios primarios en PubMed durante el 2022. Se seleccionó la evidencia para responder cada una de las preguntas clínicas planteadas. La certeza de la evidencia fue evaluada usando la metodología Grading of Recommendations Assessment, Development, and Evaluation (GRADE). En reuniones de trabajo periódicas, el GEG usó la metodología GRADE para revisar la evidencia y formular las recomendaciones, los puntos de buenas prácticas clínicas y flujogramas correspondientes. Finalmente, la GPC fue aprobada con Resolución N° 105-IETSI-ESSALUD-2022. La presente GPC abordó 7 preguntas clínicas sobre fluidoterapia, momento de inicio de nutrición enteral, analgesia, tipo de nutrición, tratamiento antibiótico y quirúrgico. En base a dichas preguntas se formularon 8 recomendaciones (1 fuerte y 7 condicionales), 13 BPC, y 1 flujograma. El pres as en evidencia de la GPC para el manejo de la pancreatitis aguda en EsSalud.
In Memoriam Dr. Rodrigo Ubillus Dagha del Castillo
Authors: Castillo Teresa
Published: October 2023

Recordar o mencionar al Dr. Rodrigo Ubilluz hace que en quienes lo conocimos afloren emociones que han quedado grabadas en nuestra mente y corazón. Lo conocí en la etapa de estudiante, cuando él dictaba las clases de Fisiología Digestiva en la Facultad de Medicina de San Fernando de la Universidad Nacional Mayor de San Marcos (UNMSM) y supervisaba celosamente las prácticas digestivas, mesa por mesa; desde entonces, supe valorar su calidad como docente y su dedicación y esmero para que sus enseñanzas sean adecuadamente entendidas. Ese mismo proceder lo seguí observando en el transcurso de los años, ya egresada de la universidad y encaminada hacia la especialidad de Gastroenterología, período en el que supe cultivar su amistad con el mutuo respeto de alumna-profesor.
Cáncer colorectal en el embarazo. Reportes de caso
Authors: Haro Sánchez Silvia Ivonne , Jave Cardich Samy Liz
Published: October 2023

El cáncer colorrectal (CCR) durante el embarazo es una neoplasia poco frecuente, con una incidencia entre el 0,07- 0,1% en la población. Para un diagnóstico preciso es necesaria una alta sospecha y con ello realizar pruebas diagnósticas oportunas. Cuando no se tiene sospecha ni se busca el diagnóstico, el pronóstico suele ser malo, ya que muchas veces se halla en estado avanzado. Presentamos los casos de dos gestantes de 27 y 31 años, diagnosticadas de adenocarcinoma colorrectales medianamente diferenciados a las 29 y 30 semanas de gestación, respectivamente. Debido a la importancia de realizar un diagnóstico oportuno para mejorar la sobrevida de las pacientes, se realizó una búsqueda de información en la literatura en relación con el diagnóstico, manejo y pronóstico de esta patología.
Generación de un test predictivo para el diagnóstico de la etiología de la hemorragia digestiva alta variceal
Authors: Pérez-Condori Luis Yasser , Alvarado-Malca Arnold Esthif , Loza-Munarriz César Antonio , Espinoza-Río Jorge Luis
Published: October 2023

Nuestro objetivo fue desarrollar un test diagnóstico para predecir la etiología de la Hemorragia Digestiva Alta Variceal (HDAV). Realizamos un estudio de cohorte retrospectivo. Se revisaron historias clínicas de pacientes mayores de 18 años con Hemorragia Digestiva Alta (HDA) que acudieron al servicio de emergencia del Hospital Cayetano Heredia (HCH) de Lima-Perú entre el 2019 a 2022, se recolectaron datos demográficos, de laboratorio y clínicos; posteriormente, se identificaron variables predictivas de HDAV mediante una regresión logística múltiple. A cada variable con capacidad predictiva se les asignó un puntaje con un punto de corte y sirvió para construir una escala predictiva de HDAV. Se incluyeron 197 historias clínicas de pacientes con HDA, de los cuales 127 (64%) tuvieron sangrado de causa no variceal, y, 70 (36%), variceal. Se identificaron 4 factores predictivos independientes: hematemesis (vómito rojo) (OR: 4,192, IC 95%: 1,586-11,082), recuento de plaquetas (OR: 3,786, IC 95%: 1,324-10,826), antecedente de HDA (OR: 2,634, IC 95%: 1,017-6,820), signos de enfermedad hepática crónica (OR: 11,244, IC 95%: 3,067-35,047), con los que se construyó una escala predictiva, con un punto de corte >7 y ≤7; que mostró una sensibilidad, especificidad, valor predictivo positivo, valor predictivo negativo, cociente de probabilidad positivo, y, negativo de 58,6%, 90,6%, 77,4%, 79,9%, 6,20, y 0,46 respectivamente. En conclusión, la escala predictiva con un punto de corte >7 es útil para predecir la presencia de la HDAV en pacientes que acuden a la emergencia por HDA.
Curar a veces, aliviar a menudo, consolar siempre
Authors: Cedrón-Cheng Hugo Guillermo
Published: October 2023

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HIRİSTİYANLIKTA TESLİS İNANCI VE TESLİS KARŞITLIĞI
Authors: Akkavak Elıf , Ünal Mustafa
Published: October 2023

Teslis inancı Hıristiyanlık öncesi dinlerde de çeşitli şekillerde karşımıza çıkmaktadır. Ancak Hıristiyanlık dini yapısında teslisin izleri ilk defa İsa’nın göğe yükselişinden sonra Pavlus’un misyonerlik faaliyetleri sonucunda ortaya çıkmıştır. Erken dönem Hıristiyanlık tarihinde teslis inancı Hıristiyanlıktaki yerini alırken, Hıristiyanlık Yahudilikten ayrılarak bireysel bir dini yapı oluşturmaya başlamıştır. Bu her iki gelişmenin de oluşmasında Putperest kökenli Hıristiyanların etkisi göz ardı edilemeyecek kadar fazladır. Erken dönem Hıristiyanlık döneminde teslisin Hıristiyan dini yapısına girmesiyle teslis anlayışının şekilleri, teslis karşıtlığı, İsa’nın kişiliği, Meryem’in Tanrı annesi olup olmadığı gibi pek çok konu gündeme gelmiş ve Hıristiyanlık bünyesinde tartışmalar ve ayrılıklar olmuştur. “Hıristiyanlıkta teslis karşıtlığı” konusu da bu tartışmalar sonucunda ortaya çıkmıştır. Teslis karşıtı gruplar erken dönem Hıristiyanlıktan itibaren tarih sahnesinde görülmektedir. Ancak bu gruplar Roma’nın 380 yılında Hıristiyanlığı resmi din ilan etmesinden sonra dikkatleri üzerine çekmiştir. O tarihe kadar baskı altında yaşayan Hıristiyanlar kendi içindeki sorunları ele almaya fırsat bulamayıp saklanarak varlığını sürdürmüşlerdir. Ancak bu tarihten sonra saklanmak zorunda kalmamışlar ve Hıristiyanlık dininin temel kaideleri üzerinde çalışmalar yapmaya başlamışlardır. Bu dönemde temel kaideler üzerinde tartışmalar gün yüzüne çıkmıştır. Bu tartışmaların içerisinde en fazla dikkat çeken ve net bir sonuca ulaşılamayan ise teslis karşıtı görüşlerin meydana getirdiği tartışmalardır. Bu tartışmalar sonucunda Hıristiyanlık içerisinde bölünmeler meydana gelerek pek çok akım ve mezhep ortaya çıkmıştır. Teslis karşıtı gruplar erken dönemden günümüze kadar Hıristiyanlığın uğraştığı bir sorun olmuştur. Ancak günümüz de Kilise daha çok fikrî olarak teslis karşıtı görüşlerle mücadele etmektedir.
Role of e-Procurement on Organization and Its Performance of Textile Segment in Karachi
Authors: Waqar Waqas , Farooqi Raheel , Aleem Usman , Abbas Qaiser , Ali Syed Rizwan , Faraz Muhammad
Published: October 2023

This study examined the e-procurement parameters that is information system, procurement staff competences, information technology, procurement internal process, and its positive impact on organization performance. The study used multivariate regression techniques for data analysis. The results showed that information technology maximized the income limits of organizations. It observed that the 2d speculation records device could additionally have a wonderful effect on the company’s overall performance. Increasing the use of records systems in firms that have higher knowledge to increase those talents to set up a mechanism that helps and collaborates in attaining the company goals. The third variable team of workers competency defined that the agency workforce having to be sufficiently trained and geared up that allows you to compete with the organizational performance parameters. This cognizance and training give advanced understanding to personnel, thru which organization paintings higher in our future initiatives. The last hypothesis that is common is procurement inner approaches consistent with the company’s performance point of view. Research recommends that timely duty of employee’s actions and right justifications regarding their choices is beneficial for destiny lawsuits in company affairs.
Giving Voice to the Voiceless Causes, Challenges, and Opportunities in the Changing Paradigm through the Lens of marginalized communities in developing Countries
Authors: Zehra Amber , Zehra Sumaiya
Published: October 2023

Digital leadership plays a pivotal role in addressing the needs of the fast-growing and changing scenarios of organizations and countries, mainly affecting and segregating society into different classes. This article aims to identify the challenges and opportunities for Digital leaders who are in touch with the digital practices in marginalized communities and working in various areas of Karachi, Pakistan. The study participants consisted of 15 Heads and coordinators of I.T. institutes. This study is based on a qualitative research approach, and data for the analysis was collected through snowball sampling technique in the marginalized areas of Sindh. A semi-structured questionnaire was designed to inquire about the challenges and opportunities that digital leaders face especially working with marginalized communities. Data collected through semi-structured interviews were analysed through descriptive coding techniques. The findings revealed digital leaders are facing multiple issues related to the implementation and deregulation of digital practices especially in marginalized areas. Whereas, the Pakistani Nation has ample potential to uplift their lifestyles through acquiring skills and utilizing them in the right direction.
Remittances, Financial Depth and Economic Growth of Malaysia
Authors: Yee Ee Chia
Published: October 2023

The objective of this study is to investigate the effects of remittances inflows to Malaysia's economy and does the financial sector development level have influence on remittances impact to economic growth of Malaysia. Time series technique has been adopted to explore long run effect of remittances, financial depth and growth in Malaysia using annual data for the period 1984-2013. The results showed that remittances and financial depth have positive and significant effect on growth in long run. Granger Causality tests are also used to explore the relationship between remittance-growth and financial development-growth. The findings revealed that there is an impact of remittances on economic growth of Malaysia via the influence of the country's financial depth.
Islamic Credit Card Adoption: Empirical Evidence From Malaysia
Authors: Hanudin Amin , Rizal Hamid , Ahmad Hamzah Aizuddin , Haneffa Gazali Muchlis , Lada Sudin , H. Tanakinjal Geoffrey , Liew Raymond
Published: October 2023

The aim of this study is to investigate the factors determining the Malaysian bank customer's behavioral intention to use Islamic credit card. Drawing from the Theory of Reasoned Action (TRA), this study proposes a modified and simplified model to examine the acceptance factors of attitude, subjective norm and perceived financial cost within the Islamic credit card context. The model is tested using survey data from 257 respondents. The results reveal that attitude, subjective norm and perceived financial cost significantly influence the Islamic credit card intention to use. The study is an eye opener on the need to establish the link between TRA and Islamic credit card behavioral intention, which previously is limited to investigate.
CREATING SUSTAINABLE LIVELIHOOD OPPORTUNITIES FOR THE B20 COMMUNITIES THROUGH ISLAMIC MICROFINANCE PRODUCTS AND SERVICES
Authors: Binti Nawai Norhaziah , Mohd Dali Nuradli Ridzwan Shah , Abdul Mutalib Mahazan
Published: October 2023

It is crucial to establish sustainable livelihoods and distribute wealth in order to ensure inclusion across rural and urban regions as well as between various ethnic groups. Microfinance, as one of the social finance instruments, could help the underprivileged gain access to capital. Islamic microfinance, unlike conventional microfinance, avoids riba and is based on Shariah principles. The government of Malaysia categorises families according to their income, and it utilises this data to create policies targeted at bridging the income gap between the B40 and higher income groups as well as between rural and urban populations. In ensuring that all citizens, particularly B20 communities, have access to Islamic finance, the development of Islamic microfinance products based on profit and loss sharing is critical. Debt-based, interest-free loans and equity-based Islamic microfinance are available. The majority of debt-based instruments are based on tawarruq or commodities murabahah, with qardhul hasan being utilised for interest-free loans. However, equity-based instruments such as musyarakah and mudharabah are not used by any microfinance institutions. Specifically, musharakah mutanaqisah model is seen as a potential product that can be applied in Islamic microfinance. This paper proposes that Islamic microfinance through musharakah mutanaqisah as a viable mechanism for creating sustainable livelihood opportunities, especially for the lower B20 communities.
THE RELATIONSHIP BETWEEN STRATEGIC MANAGEMENT PERFORMANCE AND SAFETY: BIBLIOMETRIC REVIEW ANALYSIS
Authors: Misan Andirison , Lada Suddin , Omar Pg Mohd Faezul Fikri Ag
Published: October 2023

Organizations all around the world need a set of strategic management performance and safety that is properly prepared in detail. Past research has shown that properly implementing this set of strategies will increase the performance and safety level in the organization. The goal of this research is to observe the intellectual structure, volume and knowledge development from the previous study to add information and knowledge to the existing information regarding the subject of the study. This research is conducted using bibliometric review analysis on the topic of strategic management performance and safety which was published between the year 2012 to 2021. The source of the database is only Scopus and uses the VOS viewer software and Excel to analyse the extracted information needed to complete this article. The analysis of this paper is to identify the volume of the published article, most influential and most preferred authors, topic, and documents such as article, conference paper and review paper. The result suggests that there is a relationship between strategic management performance and safety and recommends that all companies need to prepare a proper and detailed strategy. Future research is required to provide more knowledge on any unidentified factor to add more resources as well as information and knowledge in this field.
BOARD SIZE AND FIRM VALUE IN THE CONTEXT OF MALAYSIA: A CONCEPTUAL FRAMEWORK
Authors: Asmira Syakirra  , Chia Yee Ee
Published: October 2023

This paper presents a conceptual framework between board size and firm value in the context of Malaysia. A comprehensive study of the impact of corporate governance on firm value was conducted. Theoretically, agency theory and resource dependence theory are two frameworks that can be used to analyse the relationship between board size and firm value. Agency theory states that smaller boards of directors are associated with better firm performance and higher firm value because they lead to better decision-making and more effective oversight. Resource dependence theory, on the other hand, suggests that larger boards are able to access external resources, a diverse group of backgrounds, skills, and expertise in specific areas relevant to the company’s operations will increase the value of the firm. Considering the countervailing positive and negative effects of board size on firm value, this paper predicts a non-monotonic relationship between board size and the firm value of listed companies in Malaysia. Therefore, it is important for policymakers to consider the composition and size of the board of directors to ensure effective corporate governance and contribute to the overall success of the company.
Bureaucracy, Situation, Discrimination, and Elite in Islamic Education Perspective of Digital Era
Authors: Badruzaman Abad , Hosaini Hosaini , Halim Abdul
Published: October 2023

The article is to find out the definition and system of good and correct bureaucracy from an Islamic education perspective in the Digital Era. To find out the definition and practice of discrimination as well as solutions to deal with discrimination from an Islamic education perspective. To find out the definition of elite in the Islamic view of the digital era. The researchers engage in synthesizing the gathered information and conducting a thorough analysis. It presents this literature review within a descriptive qualitative research framework, adopting a phenomenological approach, to extract insights that address the research question by first collecting data and then seeking understanding. The result show that Discrimination can be overcome by instilling the teachings of the Islamic religion (caliphate principles) into oneself by accepting the nature of humans as social creatures who must live side by side with other humans who have different personalities and characteristics. At the elite level of thinking, we observe a pragmatic approach as elites gravitate toward populist figures to boost their popularity. This behavior is often characterized as a form of currying favor with those in power. The resulting phenomenon has generated narratives that have become a source of political turmoil, leading to widespread unrest among the grassroots population.

Keywords: Elite in Digital Era, Discrimination in Digital Era, Bureaucracy in Digital Era
Investigating the contribution of NGOs in improving the health sector in Kitui County
Authors: Mutisya Joshua Kithuva , Mogote Charles
Published: October 2023

This study aimed to investigate the contribution of Non-Governmental Organizations (NGOs) in improving the health sector in Kitui County, Kenya. The population of interest for this study was the community members residing in Kitui County who had been directly or indirectly impacted by NGO interventions. The research design employed a mixed-methods approach, combining quantitative and qualitative methods. Quantitative data was collected through surveys and questionnaires to gather information on the reach and impact of NGO interventions, while qualitative data was collected through interviews and focus group discussions to gain insights into the community members' experiences and perspectives. Data analysis involved descriptive and inferential statistical techniques for quantitative data, including measures of central tendency and correlation analyses. Qualitative data was analysed thematically to identify key themes and patterns related to NGO contributions to community empowerment. The research findings conclusively demonstrated that NGOs have played a pivotal role in enhancing healthcare accessibility in Kitui County. Maternal and child health services, in particular, have benefited from NGO interventions, resulting in improved healthcare outcomes. The establishment of healthcare facilities and health awareness campaigns have collectively contributed to a more accessible and responsive healthcare system. This will enable authorities to make data-driven decisions and allocate resources efficiently, raise awareness about available NGO services and programs to ensure that beneficiaries fully utilise healthcare, education, and women empowerment resources.
Causes of disunity among the churches in Tigania east Sub-county, Meru County, Kenya
Authors: Mitu Andrew Kubai , Nkonge Dickson , Mathai Lucy
Published: October 2023

The aim of this study was to determine the causes of disunity among Churches in the Tigania east sub-county, Meru County, Kenya. The Churches have struggled to come together and establish a shared stance on certain outdated traditional beliefs and practices that no longer contribute positively to people's lives. Disagreements on these issues raise questions about whether they are truly serving the same Christ, the founder of the church. It is widely recognised that when the church is united, it can accomplish more in terms of fulfilling its mission. Compounding the issue of disunity is the rapid proliferation of splinter Churches, further dividing an already fragmented religious landscape. Some Churches have undergone multiple schisms, leading to the emergence of numerous new denominations. The study employed systematic random sampling to select the churches included in the study. A proportional sampling technique was adopted to determine the sample for Church members. Purposive sampling was used to select the Bishops/Reverends/Pastors, Pastors' Fellowship Chairpersons and the Secretaries, and Church Chairpersons as key informants due to their direct knowledge of Church matters. The research used questionnaires, interview schedules and focus group discussions to collect the required data. Data collected was presented using tables and pie charts. The study found that Churches in Tigania East need to invest towards the unity of the church. The following recommendations were suggested: Theological schools should aim to produce people who understand society's dynamics.
Simulação de um sistema de aproveitamento de água pluvial para órgãos públicos: o caso da cidade universitária professor José Aloísio de Campos
Authors: Rodrigues Junior Jocimar Coutinho , Santos Ester Milena dos , Rocha Daniella
Published: October 2023

A partir da atual crise hídrica mundial, que afeta diversos países no mundo, houve a necessidade de desenvolver diversas práticas sustentáveis como soluções de impactos ambientais e, dentre estas, destacam-se as atividades relacionadas ao aproveitamento e reuso de águas. Tendo em vista este cenário, o aproveitamento de água pluvial por órgãos públicos, como em instituições de ensino, para fins menos nobres, é essencial para reduzir o consumo de água originada das fontes de abastecimento público. Diante do exposto, esse trabalho tem como finalidade, simular um sistema de aproveitamento de água pluvial para a Cidade Universitária Professor José Aloísio de Campos, sede da Universidade Federal de Sergipe, a fim de averiguar o potencial econômico com a implementação desse sistema na redução do consumo e gasto com a água de abastecimento. A metodologia consistiu em realizar o levantamento da demanda total de água em edificações de salas de aula, dimensionamento de reservatórios conforme a ABNT/NBR 15527:2007 e, utilização do software Netuno para simular o referido potencial econômico com as devidas particularidades de projeto. As simulações realizadas mostram uma redução no consumo de água potável com o uso da água pluvial, além de indicar que a implementação do sistema, produz uma relevante economia na conta de água, com possiblidade de retorno financeiro em até 11 anos. Deste modo, constatou-se que a utilização da técnica de aproveitamento da água pluvial consiste em uma tecnologia potencialmente viável.
Análise dos estudos de fragilidade ambiental na identificação e mitigação de impactos ambientais em bacias hidrográficas, a partir de análise bibliométrica
Authors: Pereira Patricia Barbosa , Rocha Glairton Cardoso , Aquino Cláudia Maria Sabóia de
Published: October 2023

A análise da fragilidade ambiental envolvendo as bacias hidrográficas, vêm sendo amplamente utilizada para a identificação de atividades degradadoras, e como subsídio ao manejo sustentável dos sistemas terrestres. Neste sentido, o objetivo do presente artigo é analisar as contribuições de metodologias sobre fragilidade ambiental na identificação e mitigação de impactos ambientais em bacias hidrográficas, através de análise bibliométrica. Dessa maneira, a partir da revisão de literatura sobre fragilidade ambiental em bacias hidrográficas brasileiras, foi possível verificar que os estudos analisados obtiveram resultados satisfatórios. Além da identificação dos impactos ambientais, identificou-se que as pesquisas apresentam variadas medidas mitigadoras com destinação às ações de planejamento ambiental e auxílio à tomada de decisão. Em linhas gerais, reitera-se que esse estudo contribuirá com informações úteis ao desenvolvimento de pesquisas futuras, além de identificar os principais impactos ambientais recorrentes na temática da fragilidade ambiental, e medidas de ordenamento territorial.