bluuebunny/crossref_metadata_2025 huggingface dataset:
Spatial Study as an Integration Approach of Digital Technology in Wayfinding Design to Enhance Hospitals Sustainability Aspect in Jakarta
Authors: Latif Fauzia , Fanthi Reno , Chadijah Siti
Published: September 2023

Hospitals in Jakarta face the problem of ineffectiveness in providing information regarding directions within the hospital because it still depends on the staff on duty. Also, different flow activities with multiple destinations depend on each patient case. This situation causes crowd points in some intersection areas; this is detrimental to the patient because much time is wasted in their medical journey. The application of GPS technology will reduce patient’s traveling time in doing some activities such as registration, queuing, doctors’ consultation, lab checks, payment, and other administration matters, by guiding the patient through the path shown in their mobile apps, which integrate with the signage in the hospitals. This research was conducted by qualitative data analysis through design simulation methods and data collection of facilities and activities in Jakarta’s hospital. The research focused on patients with Government Health Insurance (BPJS). GPS-based mobile apps are the solution to improve the condition so that the flow of activities within the hospital can run effectively and achieve a level of comfort for the patients, providing adequate, accessible, and easily understood information by the patients and achieving sustainability in health services.
Designing Drug-addictive Rehabilitation Centre with Digital Technology as the Therapeutic Methods
Authors: Nefathslam  , Nediari Amarena
Published: September 2023

Drugs cause damage to the nation’s generation, which affects moral decay and loss of norms in society. Many productive ages have a history as drug-addictive users, and it increases each year. The social environment is one of the main aspects of a person’s fall into drug addiction. Drug use impacts physical and psychological dependence, raising individual problems and changing societal behavior. The number of drug- addicted users in Indonesia does not match the number of adequate rehabilitation centers. How to design an interior of a Drugs-addictive Rehabilitation Center with digital technology as a therapy method? Designing a rehabilitation center aims to provide a place as a facility for the recovery process for rehabilitant. Design thinking is the method applied in designing the interior of a rehabilitation center for rehabilitants in Surabaya, East Java. A good interior can increase positive emotions that affect the rehabilitant’s health, supported by selected colors. The interior conception is to support comfort and safety for rehabilitant during their rehabilitation process, which applies digital technology to therapy methods. Through this research, it is expected that the interior can support the digital technology approach and positively impact reducing drug addiction and increase the creativity of rehabilitants.
The impact of e-wallet towards consumer behavior in Indonesia moderated by consumers aged 15-30
Authors: Agustin Alya , Marvella Dhammamitta , Deviarti Holly
Published: September 2023

The e-wallet system has affected many industries in Indonesia, especially e-commerce. E-wallet is one of the most important systems for customers to make purchases and settle payments within e- commerce applications. Therefore, this research aims to study the impact of e-wallets on consumer behavior in Indonesia, especially on e-commerce platforms, focusing on consumers aged 15-30 for the variation of teens to young adults. The theoretical basis of this research is the Technology Acceptance Model (TAM), where the variables involved are perceived usefulness, perceived ease of use, attitude towards using, behavioral intention to use, and actual usage. This research was conducted quantitatively with a questionnaire distributed to active e-wallet users. SEM-PLS with the stratified random sample examines the study data and hypothesis. The sample data of 143 users obtained were people aged 15 to 30 in Indonesia who utilized e-wallets and e-commerce. The research results show that all hypotheses are supported by three different impact sizes, which are small, medium, and large. The study indicates that e-wallet impacts consumer behavior to become more consumptive, but it is not significant.
The Usage of Wetbond-SP and Retona Blend 55 on Hotmix Asphalt
Authors: Mangiring Andronikus , Nataadmadja Adelia Dwidarma
Published: September 2023

The flexible pavement layers are very susceptible to damage due to moisture or water. Excess moisture on any of pavement layers can cause damage before the designed pavement lifetime. To improve the quality of flexible pavement layers, modifications to asphalt mixtures are required. This study aims to compare the performance of asphaltic mixture that was constructed by using two different additives, which are Wetbond-SP and Retona Blend and by two different natural aggregates. There were three tests conducted for each sample variation in this study, namely Marshall, Cantabro Loss, and Indirect Tensile Strength (ITS) tests. From the test results, it was found that adding the Retona Blend 55 to the asphaltic mixture resulted in better Marshall, Cantabro Loss, and ITS test results compared to the asphaltic mixture that was mixed with Wetbond-SP.
Green Accounting and Disclosure of Sustainability Report on Firm Values in Indonesia
Authors: Astari Tri Ayu , Laurens Sebastianus , Wicaksono Aries , Sujarminto Aditya
Published: September 2023

The industry must deal with environmental issues by implementing green accounting and disclosure of sustainability reports. This study aimed to determine the effect of implementing green accounting and disclosure of sustainability reports on firm value. The research was conducted in Indonesia Manufacturing companies with an observation period of 2019-2021. The data analysis technique used is Multiple Linear Regression Analysis. The study results show that applying green accounting has a positive effect on firm value, and disclosure of sustainability reports has a negative effect on firm value. The application of green accounting can significantly increase the company’s value. However, the disclosure of the sustainability report shows a negative result because the company continues to improve its sustainability reports, but the increase is not in line with firm value.
Indonesia Digital Policy Against Distribution of Information Disorder: A Better Policy for Sustainable Society
Authors: Prahassacitta Vidya
Published: September 2023

The paper aims to criticize Indonesia’s digital policy against the dissemination of information disorders and to offer a better policy model against the distribution of information disorders that meets sustainable society goals. The paper does not confer and analyze information disorders produced and published by the press and broadcasting media. Nonetheless, it only discusses and analyzes information abnormalities created and spread by regular internet users. Document research and secondary data analyses reveal that Indonesia has two policies in place to combat the development of information disorders. First, penal policy on Article 14 and Article 15 Criminal Law Act of 1946 and Article 263 and Article 264 Penal Code of 2023 criminalizes a person who intentionally and/or negligently distributes information disorder that disrupts public order. Second, there is a non-punitive approach to the Information and Electronic Transactions Act regime. Unfortunately, the acts and their execution do not accord with the ideals of a sustainable society. According to the study’s findings, the present policy focuses on criminal law, which does not support freedom of expression and minimizes the liability for internet intermediaries. Further research findings indicate that the new and integrated policies necessitate criminal law and regulating greater responsibilities for internet intermediaries to battle and stop the spread of information disorder.
“My Ancestors were Seafarers!”: New Media Design to Restore Collective Memory of Maritime Cultural Heritage in Public Spaces
Authors: Kumoratih Dewi , Aprilia Hervina Dyah , Syaravina Santika , Utoyo Arsa Widitiarsa
Published: September 2023

Design plays a vital role in the process of knowledge production. To foster nationalism and national identity formation, the form uses design as means for public learning in museums and schools. However, history lessons are less desirable and often considered boring. The younger generation has new knowledge acquisition methods along with increasingly advanced technology. This research explores new media design in digital technology as a means of knowledge production. Taking the case of Indonesia, which in recent years has been trying to evoke collective memory as a maritime nation through its cultural heritage, learning about Austronesian speakers who are the maritime ancestors of the Indonesian archipelago in schools is developed as a preliminary study for further development into exhibition materials that can be utilized for community learnings in public spaces. This research uses a visual thinking map facility with a design thinking approach that puts forward ethnographic methods, including literature studies, group discussions, interviews, and participant observations. This study shows that digital technology can generate curiosity and excitement through gamification. Based on these findings, we conclude that the conceptual knowledge production process can be more effective if digital technology’s new media design approach also prioritizes aesthetic/sensory experiences.
Does Appearance Matter? Building Digital Brand Image Through Brand Ambassador on Instagram
Authors: H Adhi , Nugroho Veronica , Putri Gabriella , Savitri Galuh
Published: September 2023

The increasingly high demands of modernization make people pay attention to their physical appearance to achieve the applicable beauty standards. Many people are dissatisfied with their physical appearance, even though their beauty standards differ. Various beauty brands are competing fiercely by making a breakthrough, namely using Brand Ambassadors who have unique and different appearances to enhance their image in the eyes of consumers. Instagram is used to build a brand image digitally, so it can more easily reach the public. This study aims to measure how the appearance of a different comedian’s Brand Ambassador influences the digital image of a cosmetic brand on Instagram. The research method uses quantitative questionnaires distributed to 110 respondents who are consumers of a beauty brand. The results of this study show that the appearance of a Brand Ambassador has a positive and significant effect on brand image by 71.77%. The test results for the coefficient of determination are only 65.2%, while 34.8% are influenced by other variables. It can be concluded that attractiveness must support another variable to strengthen the effect on brand image, such as visibility, credibility, and power. This research has limitations on the effect of brand ambassador appearance on brand image.
Model of Education Technology for Language Pedagogy in Higher Education
Authors: Simanjuntak Risa
Published: September 2023

Education technology enables advances in every aspect of education. This paper explored a model for language pedagogy through Educational Data Mining (EDM). EDM has offered important contributions in the last decade. With EDM, many predictions could be made in terms of learning paths, patterns for success and failure, and students’ preferences. Such predictions would be much needed for decision-making, business, and academic-wise. However, not enough EDM has been done regarding language learning. This present study provides a potential model for EDM in language pedagogy. A substantial review of the literature was complemented with samples of data from students’ language learning performance as illustrations for the model. Corpus for this study was students’ writing from various universities. Results showed the need to integrate language input, process, and output into EDM and create a base model of learning. Predictions for learning challenges, problems, and failures would be beneficial to improve teaching and learning. In conclusion, EDM was inevitably needed in the rise of online learning. Practical implications for language platforms and digital language learning were also discussed.
Enterprise Risk Management and Firm value: Evidence of Indonesia before and during Covid-19
Authors: Slamet Angeline Calista , Christiana Angelyn , Kurniawati Heny
Published: September 2023

This research paper aims to investigate whether there is a relationship between the implementation of Enterprise Risk Management (ERM) and the firm value of listed companies in Indonesia, specifically at the time of crises. A sample of non-financial Indonesia listed companies during the period before the Covid-19 pandemic (2019) and during the Covid-19 pandemic (2020) were used to investigate this relationship. According to this study’s findings, our results indicate that in the circumstances before the Covid-19 pandemic there was a significant negative relationship between ERM implementation and company value. During the Covid-19 pandemic, we find no significant association between ERM implementation and company value because Indonesian companies’ financial performance has experienced a decline. Our results suggest that companies should continue to improve their ERM implementation and investors can use this as a consideration for investing. Limited time period and prior research have become a limitation to our research as by the time of the research, the pandemic is still ongoing.
The Effect of ESG Dimensions on Banking Performance: An Empirical Investigation in Asia Pacific
Authors: Alamsyah Suma Anio Lui , Muljo Hery Harjono
Published: September 2023

This study aims to assess whether there is a relationship between the overall ESG, ENV, SOC, and GOV indices on banking performance based on three dimensions, namely financial performance indicators (ROE), company operations (ROA), and banking markets (Tobin’s Q). The research sample includes 656 observations from 164 banks registered during 2018-2021. The Ordinary Least Squares (OLS) regression model is used to test the relationship between the variables studied and prove the research hypothesis. The results show that the overall ESG, ENV, SOC, and GOV indices have a non-significant negative effect on ROA. However, those have a significant negative effect on market performance as measured by Tobin’s Q. Interestingly, the overall ESG, ENV, SOC, and GOV indices have a positive effect on banking ROE in Asia Pacific. The results of this study can be used to formulate appropriate policies for bank managers and government regulators to ensure that the optimal allocation of resources in ESG practices can maximize the company’s financial performance and improve the welfare of stakeholders as a whole.
Optimization of Atmospheric Fluidized Bed Combustion Boiler by Computational Fluid Dynamics
Authors: Ramadhan Fajar , Gunawan Fergyanto E.
Published: September 2023

Viscose rayon is a natural fabric from regenerated cellulose derived from wood pulp, bamboo, or cotton linters. The viscose rayon industry relies on electricity to generate steam for textile production. This study aims to optimize the 45-ton-per-hour Atmospheric Fluidized Bed Combustion (AFBC) boiler. Its efficiency is 78.16%, lower than the industry benchmark of 85.78%. Boiler efficiency decreases as the flue gas temperature increases, reaching 220 degrees Celsius, indicating suboptimal coal fuel utilization for water heating. The study explores two controllable variables: coal calorific value and combustion air mass flow rate for optimum efficiency. ANSYS Fluent 2021, a Computational Fluid Dynamics (CFD) software, is used for analysis. Boiler efficiency is calculated using the indirect method following ASME PTC 4.0. The research shows that adjusting the combustion air mass flow rate and coal calorific value increases efficiency to 81.04%.
Environmental, Social and Governance (ESG) Report Quality and Firm Value in Southeast Asia
Authors: Kartikasary Metya , Paramastri Hayuning Adi Maria , Marojahan Sitinjak Martogi , Hardiyansyah  , Yolanda Sari Desti
Published: September 2023

This study examines the impact between the Environmental, Social, and Governance (ESG) score and firm value described by market capitalization from the perspective of legitimacy theory. This study focuses on ESG disclosures from 608 companies in Southeast Asia for 5 years. This study tested three dimensions of the ESG Score (environmental, social, and governance pillar score) that most affect the value of the company. ESG Score is measured from the Thomson Reuters Eikon Refinitiv matrix and analyzed with multiple regression analysis. This research shows that ESG disclosure positively affects firm value. This finding shows that every ESG score increase affects the increase in market capitalization. Furthermore, the social score is the most affected by firm value. This study adds to ESG literature by examining three components of ESG score. Previous research focused on each component of ESG. This research uses three components of ESG and its relationship to firm value to examine which component has a strong effect on market capitalization.
The Influence of e-WOM and Brand Image on Hotel Booking Intention in Jakarta: A Study of Generation Z
Authors: Lina  , Lorenzo Vida , Iwai Shevira , Wahyuningtias Dianka
Published: September 2023

The era of digitization has made every daily activity involve some form of digital media or online interaction. The number of individuals using the Internet in Indonesia is expected to continue rising alongside the increase in population. As a result, information is now widely available without cost or restriction. This study examines the influence of electronic word of mouth (e-WOM) and company brand image on hotel booking intention in Jakarta. Using Generation Z is the focus of the study because the use of technology and the internet has become a trend for them before making a purchase decision. We collect data in the Jakarta area, expecting the Generation Z we examine to have already made online hotel reservations. Online surveys were distributed using Google Forms to collect the data needed for the analysis. A total of 211 people participated in this survey. In this study, descriptive analysis was conducted using the Smart PLS software. The findings indicated that the e-WOM variable positively and significantly affected hotel booking intentions in Jakarta. Brand image positively and significantly impacts hotel booking intentions in Jakarta. Then, e-WOM positively and significantly influences the brand image.
Electricity Consumption Prediction in Oil and Gas Equipment Service and Maintenance Workshops Using RNN LSTM
Authors: Rafael Benedict , Muhammad Zacky Asy’ari , Irwan Kurniawan
Published: September 2023

This research offers a Recurrent Neural Network (RNN) and Long Short-Term Memory (LSTM) model for forecasting power usage in a facility that provides oil and gas equipment service and maintenance. The model was used using hourly electricity consumption data. The LSTM model was chosen because of its compatibility with time-series data and its capacity to capture temporal dependencies and patterns in sequential data, which may be utilized to predict future consumption. Experiments were undertaken in this study to determine the ideal model parameters and evaluate the model’s accuracy using the root mean squared error (RMSE), mean absolute error (MAE), and mean absolute percentage error (MAPE) metrics. The findings demonstrated that the suggested model accurately predicted electricity usage with a MAPE of 3%. The quality and quantity of available data for the training dataset may, however, affect the accuracy of the model. Overall, our results indicate that the suggested RNN LSTM model can properly estimate factory power use.
Financial Technology Performance During the Pandemic Covid- 19
Authors: Kurniawan Roy , Helen
Published: September 2023

Covid-19 is a pandemic that carries a great deal of changes in economic and social aspect. The pandemic has led to a severe global recession ranging from 4.4%-5.2%. In Indonesia, this pandemic has affected the operations of fintech companies. This study aims to explore the impact of the Covid19 pandemic on fintech operations in Indonesia. The sample of the study includes 102 financial technology companies licensed by OJK (Indonesia Financial Services Authority). This research uses the case study method, followed by the analytical tool used on the SPSS, parametric statistics in the different T-tests. This research shows that the performance of Fintech before and during the pandemic is different. The TWP90 increase but still in healthy condition.
Entrepreneurial Strategic Philosophy: A Cross-decade Conceptual Model Between Entrepreneurial Orientation and Strategic Philosophy
Authors: Hadiyanto Heru Santosa
Published: September 2023

The development of literature on entrepreneurship has continued for several decades. Starting from the mainstream of innovation, strategic changes, until intersecting with strategic management. Several studies have discussed the relationship between entrepreneurship and strategic management so that companies can improve their entrepreneurial orientation. But, there is still no research that specifically discusses how entrepreneurship combines with the philosophy of strategic management to create a better entrepreneurial strategic orientation. The research here aims to create a specific conceptual relationship between entrepreneurial orientation and the philosophies of strategic management. The qualitative method through literature study was carried out on this research with purposive and snowball sampling techniques to build several propositions to become a model of entrepreneurial strategic philosophy. As a result of the conceptual review here, it is known that there is a conceptual relationship between the entrepreneurial orientation and the philosophy of the strategic management. The formation of art, bottom-up, and flexibility approach will be the most compatible strategic philosophy if the organization aims to increase entrepreneurial orientation rather than bureaucracy orientation. Otherwise, the combination of science, top-down, and consistency approach will be the most compatible strategic philosophy if the organization aims to emphasize bureaucracy orientation rather than entrepreneurial orientation.
Human-Centered Design Approach in Art Therapy Center for Autistic Children with Sensory Dysfunction
Authors: Nadinta Bianda Haya , Meliana Silvia , Ruki Ulli Aulia
Published: September 2023

The more in-depth development of autism treatment means that children with autism are no longer learning only through Special Schools (SLB). Treatment efforts for autistic children have been carried out in Indonesia to aid growth and development. However, not all places of therapy for autistic children provide an additional platform for them to express themselves creatively, such as through art therapy methods. For example, art therapy, which uses nonverbal expressions expressed through works of art, can help children with autism who have difficulty expressing themselves verbally. Art therapy also aids motor and sensory development in children with autism who have hyper-sensory or hypo-sensory dysfunctions. We can focus the design on the differences in sensory dysfunction that autistic children have, which are implemented in the results of designs and design solutions that can improve the process of development and growth of children with autism using the Human-Centered Design (HCD) approach. The qualitative data for the study was gathered through literature studies, observations, field surveys, and interviews.
The Effect of Live Streaming Methods in Online Sales on Behavioral Intention in Generation Z
Authors: Gunadi Valentino , Indah Septyani Nur , Annafi Riyadh , Nugroho Perwiro Atmojo Robertus
Published: September 2023

This study examines the impact of Hedonic Motivation, Price Value, and Performance Expectancy on Behavioral Intention and Use Behavior in Generation Z in order to explore the impact of the live broadcast technique. A descriptive-quantitative approach (questionnaire) was employed in this study to gather information from 370 respondents who actively utilized streaming services and made purchases. This study uses the proposed framework adapted by UTAUT 2. The results of the analysis show that Hedonic Motivation has a positive and significant effect on consumer buying interest because the T-Statistic value = 2.264 and P-Value = 0.024 are valid numbers, while Price Value with Behavioral Intention has a T-Statistic value = 17.783 and P-Value = 0.000 indicates a positive and significant effect. Performance Expectancy with Behavioral Intention has a T-Statistic value = 3.461 and P-Value = 0.001 which shows a significant effect but with a negative correlation, so it does not fulfill the hypothesis on this research. And the relationship between Behavioral Intention and Use Behavior has a T-Statistic value = 15,284 and P-Value = 0.000 indicating a significant influence and a positive correlation. The study concluded that Price Value and Hedonic Motivation influenced consumers’ desire to use the live streaming feature.
Do Social Media Marketing Activities Build Long-Term Relationships? An Empirical Study of Indonesian Cosmetic Brand on Gen Z
Authors: Erobathriek Annisya , Pangaribuan Christian Haposan , Putra Okta Prihatma Bayu , Hidayat Desman
Published: September 2023

Social Media Marketing (SMM), which offers two-way communication between brand and customer, has been widely used for marketing activities as a communication channel. Drawing from the tenets of Stimulus-Organism-Response (SOR) framework, the present study examined how social media marketing activities (SMMA) affect brand loyalty with brand experience and relationship quality as the mediators for Indonesian cosmetic brand. Empirical evidence was collected from 300 cosmetic users who follow specific Indonesian cosmetic brand on social media and have purchased cosmetic items from that brand. The results of structural equation modelling revealed that SMMA has a beneficial influence on brand experience and relationship quality, brand experience and relationship quality are significant mediators in the relationship between SMMA and brand loyalty, SMMA has no direct influence on brand loyalty, and brand experience significantly influences relationship quality. The findings go beyond the existing literature on Social Media Marketing Activities (SMMA) by providing a holistic model for customer behavior outcome (brand loyalty) in perceiving SMMA through brand experience and relationship quality and confirming the relationship between SMMA and brand experience to relationship quality. This research suggests that managers optimize SMMA and the brand experience dimension to improve relationship quality, significantly promoting brand loyalty for building a long-term relationship.
Sustainable Well Segment Operational Service Strategy through Standard Work Instruction Design Analysis
Authors: Christhia Maria Loura , Khair Fauzi , Pratama Adhitiya Yudha , Noviandini Rizka
Published: September 2023

The maintenance and productivity of oil and gas wells heavily rely on well service, which is provided by various departments including Laboratory and Maintenance. Although existing work procedures are in place, operational effectiveness and quality are often inadequate, leading to errors, unstructured tasks, downtime, and safety hazards. In order to improve the quality of well service, a set of standardized work procedures based on DMAIC principles is proposed. This paper presents findings from field observations, performance index analysis, and HSE statistics. By implementing redesigned Standard Work Instructions, a reliable mitigation measure is found to be achievable, as evidenced by House of Risk data. The results suggest that a sustainable and effective operational service strategy for well segments can be established through a carefully designed set of Standard Work Instructions.
Women’s Share as Leaders in Indonesian Digital and Technology-Savvy SOEs
Authors: Wijaya Talitha Xaviera Rana , Prihatini Ella S.
Published: September 2023

Technological advancement encourages people to adapt, this is also the case in the business sector including those State-Owned Enterprises (SOEs). One form of adaptation by the Ministry of SOEs to technology is through the addition of a new set of Key Performance Index (KPI) which mainly promotes leadership in technology. In addition to focusing on technology development, the Ministry of SOEs also has set a target to increase gender equality in the workplace. With the existence of these two targets, this paper seeks to examine gender diversity in 7 SOEs clusters deemed as digital and technology savvy companies. In particular, we are interested in answering the question: how do women fare as leaders in Indonesian digital and technology savvy SOEs? The findings suggest that women’s representation in the Financial Services cluster has outperformed other clusters in terms of gender diversity as the proportion of female president director, commissioner and president commissioner is higher than any other clusters. This paper contributes to the conversation on women’s representation in SOEs, particularly in companies known with its commitment with digital and technology adaptation.
Dossier « Recherches sur la question animale : entre mobilisations sociétales et innovations technologiques » – La mise en marché du « progrès génétique » : le cas de la sélection et de la reproduction des vaches laitières
Authors: Doré Antoine
Published: September 2023

À partir d’une analyse sociohistorique des modalités de production, d’amplification et de distribution du « progrès génétique » dans les productions animales, cet article étudie les manières dont des scientifiques et ingénieurs évaluent, retraduisent et redistribuent les propriétés naturelles et sociales des vivants afin d’en faire des biens échangeables. Sur la base d’une courte généalogie des marchés de la sélection et de la reproduction des vaches laitières, il montre que la mise en marché de la génétique animale passe par l’instauration d’un « progrès génétique » qui ne soit affecté ni par les contingences sociales, ni par les contingences naturelles et qui puisse ainsi circuler dans une diversité de situations qu’il contribue à unifier. Il montre ensuite que le gain d’autonomie vis-à-vis d’un large panel de contingences (sociales et naturelles) suppose et engendre l’instauration d’une forte hétéronomie à l’égard d’une infrastructure sociotechnique qui supporte l’existence d’un nouvel ordre.
Le longe-côte, une activité physique de santé en pleine nature
Authors: Schwob Valerie , Jarthon Jeanne-Maud
Published: September 2023

Le longe-côte est une pratique physique de santé mais aussi un sport de compétition. Il s’agit d’un « espace social » (Dubuisson-Quellier, S., & Plessz, M. (2013). La théorie des pratiques, Sociologie, 4(4)) encore peu questionné aujourd’hui. Dans cet article, nous nous proposons d’interroger le rapport à la nature et à la santé à travers la pratique physique du longe-côte (Corneloup, J. (2011). La forme transmoderne des pratiques récréatives de nature. Développement durable et territoires. Développement durable et territoires, 2(3), 1–15). L’approche sociologique s’appuie sur une démarche d’enquête par entretiens auprès des membres et dirigeants de l’association « Les Foulées nordiques de la Prée » située dans le département de la Charente Maritime. L’analyse thématique des entretiens (Bardin, L. (2013). L’analyse de contenu. Paris : PUF : Tessier, G. (1993). Pratiques de recherche en sciences de l’éducation. Rennes : Presses universitaires de Rennes) conduit à produire une grille d’analyse catégorielle complétée par des observations participantes (Laplantine, F. (2010) [1996]. La description ethnographique. L’enquête et ses méthodes. Paris : Armand Colin). Cette étude permet de saisir les enjeux sanitaires, sociaux et environnementaux de cette pratique émergente de pleine nature pour la population locale.
Die Interdisziplinäre Familienmedizinische Sprechstunde in
der Kinderheilkunde – Ein integrativer Ansatz für komplex
belastete Familien mit einem chronisch kranken Kind
Authors: Zumbaum-Fischer Franziska , Hartmann Mechthild , Kotzaeridou Urania , Mondry Anne , Resch Franz , Hoffmann Georg Friedrich , Friederich Hans-Christoph
Published: September 2023

Bei hochbelasteten Familien chronisch kranker Kinder ist es notwendig
psychosoziale Expertise direkt in den pädiatrischen Behandlungsprozess
einzubeziehen. Hierzu wurde in der Heidelberger
Universitätspädiatrie in einem Modellprojekt eine
interdisziplinäre Familienmedizinische Sprechstunde, besetzt mit
pädiatrischem sowie kinder- und jugendpsychiatrischem bzw.
psychosomatischem Fachpersonal, eingerichtet. Es zeigt sich, dass die
Implementierung der Sprechstunde, trotz eines hohen organisatorischen Aufwands,
funktioniert und regelmäßig in Anspruch genommen wird. Erste
Evaluationsergebnisse bestätigen die vorbeschriebenen hohen
psychosozialen Belastungswerte der Familien. Sie deuten auf eine positive
Bewertung der Sprechstunde und einen Wunsch nach dauerhaftem Angebot bei den
betroffenen Familien hin. Erste Verlaufsergebnisse weisen auf eine signifikante
Abnahme behandlungsbezogener Sorge sowie Verunsicherung und eine Reduktion
behandlungsbezogener Probleme hin. Das Fehlen eines tragfähigen
Finanzierungsmodells stellt für die dauerhaften Implementierung eine
Herausforderung dar.
Clinical Characterization and Molecular Analysis of Fourteen Chinese Patients with Factor V Deficiency
Authors: Zhang Ke , Ye Longying , Jin Yanhui , Chen Yuan , Zeng Manlin , Jia Kaiqi , Yang Lihong , Wang Mingshan
Published: September 2023

Introduction Coagulation factor V (FV) functions as a vital cofactor that performs procoagulant roles in the coagulation system. We investigated 14 unrelated patients whose plasma FV levels were all below the reference range.

Methods FV activity (FV:C) and FV antigen were detected by one-stage clotting and ELISA, respectively. All 25 exons of the F5 gene in patients were amplified by the PCR, and they were sequenced directly. Haplotype analysis was performed with different polymorphisms on F5. Protein modeling was applied to analyze the potential molecular mechanisms.

Results Of five patients with higher FV levels (FV:C > 10%), only one had minor bleeding symptoms. In contrast, of the remaining eight patients with lower FV levels (FV:C < 10%), six showed various bleeding manifestations. A total of 10 mutations were detected from 14 patients (6 were novel mutations). Interestingly, the homozygous p.Phe190Ser was found in five pedigrees, and haplotype analysis showed that they shared almost the same haplotype, indicating the common origin rather than a hotspot mutation. In silico analysis preliminarily investigated the potential pathogenic mechanism of the mutation. Modeling analysis showed that all six missense mutations would lead to conformational alterations in the FV protein. Among them, three (p.Gly1715Ser, p.Ser1753Arg, and p.Asp68His) would decrease hydrogen bonds.

Conclusion This is the largest genetic analysis of a single cohort of FV deficiency in Chinese. The study demonstrated that FV levels tended to be correlated with the probability of hemorrhage. The identification of a large number of unique FV-deficient pedigrees highlighted the screening for mutations in F5.
Analysis of Suspected Achromatopsia by Multimodal Diagnostic Testing
Authors: Kugler Sylvia A. , Valmaggia Christophe , Sturm Veit , Schorderet Daniel F. , Todorova Margarita G.
Published: September 2023

Background Achromatopsia (ACHM) as a hereditary cone disease might manifest in a stationary and progressive manner. The proper clinical and genetic diagnosis may allow an individual
prognosis, accurate genetic counselling, and the optimal choice of low vision aids. The primary aim of the study was to determine the spectrum of clinical and genetic diagnostics required to
characterize the ACHM.

Methods A retrospective analysis was performed in 8 patients from non-related families (5 ♀,3 ♂); age at diagnosis: 3 – 56 y, mean 18.13 (SD ± 18.22). Clinical phenotyping, supported
by colour vision test, fundus photography-, autofluorescence- (FAF), infra-red- (IR), OCT imaging and electroretinography provided information on the current status and the course of the
disease over the years. In addition, genetic examinations were performed with ACHM relevant testing (CNGA3, CNGB3, GNAT2, PDE6C, PDE6H and the transcription factor ATF6).

Results All patients suffered photophobia and reduced visual acuity (mean: 0.16 [SD ± 0.08]). Nystagmus was identified in 7 from 8 subjects and in one patient a head-turn right
helped to reduce the nystagmus amplitude. Colour vision testing confirmed complete achromatopsia in 7 out of 8 patients. Electrophysiology found severely reduced photopic- but also scotopic
responses. Thinning and interruption of the inner segment ellipsoid (ISe) line within the macula but also FAF- and IR abnormalities in the fovea and/or parafovea were characteristic in all
ACHM patients. Identification of pathogenic mutations in 7 patients helped to confirm the diagnosis of ACHM (3 adults, 4 children; 3 ♀ and 4 ♂). Achromatopsia was linked to CNGA3 (2
♀, 1 ♂) and CNGB3 variants (2 ♀, 3 ♂). The youngest patient (♀, 10 y) had 3 different CNGB3 variants on different alleles. In a patient (♂, 29 y) carrying 2 pathogenic
digenic-triallelic CNGA3- and CNGB3-mutations, a severe progression of ISe discontinuity to coloboma-like macular atrophy was observed during the 12-year follow-up. The oldest
female (67 y) showed a compound homozygous CNGA3- and heterozygous CNGB3-, as well as a heterozygous GUCY2D variants. The destruction of her ISe line was significantly
enlarged and represented a progressive cone-rod phenotype in comparison to other ACHM patients. In a patient (♂, 45 y) carrying a pathogenic CNGB3 and USH2 mutation, a severe
macular oedema and a rod-cone phenotype was observed. In addition, two variants in C2ORF71 considered as VOS were found. One patient showed the rare ATF6 mutation, where a
severe coloboma-like macular atrophy was observed on the left eye as early as at the age of three years.

Conclusion Combining multimodal ophthalmological diagnostics and molecular genetics when evaluating patients with ACHM helps in characterizing the disease and associated modifiers,
and is therefore strongly recommended for such patients.
Primary Intracranial Extraskeletal Mesenchymal Chondrosarcoma of the Brain in a Pediatric Patient: A Case Report and Review of Literature
Authors: Sikdar Debanjan , Gupta Sweety , Roshan Ravi , Agarwal Shruti , Joseph Deepa M. , Gupta Manoj
Published: September 2023

Intracranial extraskeletal mesenchymal chondrosarcoma, which is characterized by undifferentiated mesenchymal cells in the presence of occasional pockets of mature hyaline cartilage, is rare in our clinical practice and commonly seen in young adults. In the pediatric population, only a few cases have been reported. In this article, we describe a case of primary recurrent intracranial mesenchymal chondrosarcoma in an 11-year-old boy well treated by surgery, radiation, and chemotherapy. We also reviewed all previously published reports on pediatric patients on the basis of their manifestations and management.
Pulmonary Hypertension Associated with Left Heart Disease
Authors: Baratto Claudia , Caravita Sergio , Vachiéry Jean-Luc
Published: September 2023

Pulmonary hypertension (PH) is a common complication of diseases affecting the left heart, mostly found in patients suffering from heart failure, with or without preserved left ventricular ejection fraction. Initially driven by a passive increase in left atrial pressure (postcapillary PH), several mechanisms may lead in a subset of patient to significant structural changes of the pulmonary vessels or a precapillary component. In addition, the right ventricle may be independently affected, which results in right ventricular to pulmonary artery uncoupling and right ventricular failure, all being associated with a worse outcome. The differential diagnosis of PH associated with left heart disease versus pulmonary arterial hypertension (PAH) is especially challenging in patients with cardiovascular comorbidities and/or heart failure with preserved ejection fraction (HFpEF). A stepwise approach to diagnosis is proposed, starting with a proper clinical multidimensional phenotyping to identify patients in whom hemodynamic confirmation is deemed necessary. Provocative testing (exercise testing, fluid loading, or simple leg raising) is useful in the cath laboratory to identify patients with abnormal response who are more likely to suffer from HFpEF. In contrast with group 1 PH, management of PH associated with left heart disease must focus on the treatment of the underlying condition. Some PAH-approved targets have been unsuccessfully tried in clinical studies in a heterogeneous group of patients, some even leading to an increase in adverse events. There is currently no approved therapy for PH associated with left heart disease.
A New Technique To Enhance Levator Power in Congenital Ptosis
Authors: Nandi Dr. Mrinmay
Published: September 2023

Severe degree of congenital Ptosis, not correctable by resection of levator alone poses a formidable challenge. Results with classical technique of brow suspension with frontalis sling, leaves much to be desired. Improved version of this technique is tried on seven patients and appears to be superior.
Complicated Membranous Urethro-anal Fistual Treated With Staged Scrotal Flap urethroplasty
Authors: Marya Dr. S.K.S. , Yadav Dr. S.P. , Gupta Dr. Ashok K.
Published: September 2023

A rare case of inatrogenic membranous urethroanal fistula is reported. The fistula was associated with stricture urethra and scarred anal sphincter. The anourethral fistula and stricture urethra were treated simultaneously by staged scrotal flap urethroplasty without disturbing the anal sphincter.
Associated Anomalies With Those Of The Hands
Authors: Tripathi Prof. F.M. , Atam Dr. R. , Rai Dr. A.K. , Gupta Prof. S.K.
Published: September 2023

The present study is based on the observations of associated anomalies with those of the 50 cases of congenital hand anomalies. 15 cases had associated anomalies of feet and 4 had anomalies of the other parts of the body like face and genito urinary tract.
Case of Extensive Polydactyly of Foot
Authors: Sharma R N
Published: September 2023

A case of extensive polydactyly of the foot is being reported because of its rarity. The result of surgery has been satisfactory from cosmetic and functional points of view. A comparison with similar cases reported in the literature is included.
Malignant Schwannoma of Mandible - Case Report
Authors: Nabirasool M , Babu V Surendra , Reddy D Venkata Raghava
Published: September 2023

A case of malignant schwannoma of the mandible in a forty year old female is presented because of its rarity at that site. The clinical features, histopathology and management is presented and the relevant literature is reviewed.
Role of Vitamin E in Ischaemic Skin Flap Survival in Rats
Authors: Khazanchi Rakesh K , Pal Sujoy , Mital Deepak , Gupta Kalpana , Guleria Sandeep , Nanda Vipul
Published: September 2023

The efficacy of free radical scavenger – Vitamin E (VE) in salvage of ischaemic skin flaps was studied in an experimental rat skin flap model. The animals were divided into two groups – a control group (N=15) who did of receive VE and a test group (N=15) who received VE starting one week preoperatively. No significant difference was found in flap necrosis between the control group (38.365% ± 1.398% SEM) and the test group (35.288% ± 0.635% SEM), which received therapeutic dose of VE (100 mg/kg/day. 1 mg = 1.49 I.U). Further research is needed to establish the role of vitamin E as an agent of ischaemic skin flap salvage.
Reconstruction Of Thumb By Distraction - A Case Report
Authors: Sharma Dr. P.K. , Verma Dr. K.K. , Sharma Dr. O.P. , Malhotra Dr. A.
Published: September 2023

A simple, excellent, practical & effective method of Reconstruction of thumb is described in this distraction technique. Reconstructed thumb is of near normal, colour, texture, sensation, stability, aesthetics, and function wise.
Burns In Elderly Patients
Authors: Banerjee Dr. Chhanda , Mazumdar Dr. Biman
Published: September 2023

In 60 years old or above, 35% total body surface area burns prove fatal.

In patients of less than 35% T.B.S., aggressive excisions and free grafts also prove a disaster. Elderly in authors opinion should not receive highly specialized care in isolation ward and should be allowed to remain in company of their relations throughout the period of treatment.
New Technique In Umbilical Reconstruction
Authors: Singh Dr. A.K. , Mishra Dr. P.
Published: September 2023

This paper describes new and easy technique for umbilical reconstruction. Three patients are operated by this technique with good results.
Modified Incision For Orbicularis Oris Function Conservation In Intra Oral Lesions
Authors: Sen Dr. Mira , Dasgupta Dr. Asit Ranjan , Chatterjee Dr. Meera , Chatterjee Dr. Dipankar , Vani Dr. N. , Bhowmik Dr. Amit
Published: September 2023

A new incision with a view to reduce vascular compromise, to have a better control of saliva, speech and mastication, in oral cancer surgery is described.
Gluteal Thigh Flap Coverage In Pressure Sores
Authors: Uppal Dr. Sanjeev , Singh Dr. Gurpartap , Mander Dr. Karamjit S. , Singh Dr. Avtar , Pasricha Dr. Puneet , Bath Dr. J.S.
Published: September 2023

Single stage successful and easy closure of Ischial and trochantric pressure sores is now possible with use of a gluteal thigh flap. Experience of six cases, so treated is presented.
Gluteal Fascio-cutaneous Flap For Reconstruction Of Lower Leg Defects
Authors: Khan Dr. Masood H. , Khan Dr. Arshad Hafeez , Yaseen Dr. M. , Bhat Dr. F.A.
Published: September 2023

Reconstruction of full thickness defects of lower leg by ipsilateral inferior gluteal fasciocutaneous flap is presented. This flap is based on the decending branch of the inferior gluteal artery.
Chin Augumentation In Temporoman-Dibular Ankylosis
Authors: Sinha Dr. J.K. , Mangal Dr. K.K.
Published: September 2023

In T.M. Joint ankylosis cases post operatively, normal facial contour and profile cannot be achieved although trismus is relieved. Development of mandible and facial skeleton by puberty exaggerate this problem. Not only is there chin retrusion, wide lip separation, there are also problems related to obliquely placd protruding upper and lower incisor and canines, in need of further treatment. Chin augumentation at puberty by sialistic implant, to bring about normal chin appearance and face profile is discussed.
Reconstruction Of Lower Lip By Neurovascular Fan Flap
Authors: Khan Dr. Masood H. , Khan Dr. Arshad H. , Yaseen Dr. M.
Published: September 2023

Full thickness excisional defects of upper and lower lips are normally reconstructed by local tissues such as remaining lip segment. And adjacent check tissues, whenever possible or by regional or distant flaps when defects are large.

Disadvantages inherited in all these flaps are loss of continuity of oral sphincter because of interruption of orbiculari oris muscle continuity and aesthetical unsatisfactory results. In present case a technique is used where above factors are overcome.
Use Of Extended Deep Inferior Epigastric Artery Flap In Management Of Groin Wounds With Exposed Vessels
Authors: Sharma Dr. Ramesh Kumar
Published: September 2023

Consistency, safety, ease and least morbidity of donor site are some of the factors which have made extended inferior epigastric artery based flap popular. For major reconstruction in groin region where important structures are exposed, its use in demonstrated in eight cases.