bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostics of hamartomal polyps of the deep sections of the small intestine in children with Peutz–Jeghers syndrome and juvenile polyposis
Authors: Korolev Grigory A. , Lokhmatov Maksim M. , Dyakonova Elena Yu. , Tupylenko Anton V. , Oldakovskiy Vladislav I. , Budkina Tatiana N. , Khazykova Dzhirgal V. , Bekin Aleksandr S.
Published: September 2023

Introduction. Peutz–Jeghers syndrome (PJS) and juvenile polyposis (JP) are congenital, inherited polyposis of the gastrointestinal tract. Both diseases are rare and characterized by the development of polyps in the small intestine, which can cause small intestine intussusception, obstruction of the gastrointestinal tract, and perforation of the intestinal wall. The main method of treatment is surgical. Polyps are formed throughout the life, and most patients undergo many surgical interventions, but despite this, there is currently no unequivocal opinion on the effectiveness of diagnostic and monitoring methods.
The purpose of this study is to determine the effectiveness of balloon enteroscopy, ultrasound examination of the abdominal cavity and video capsule enteroscopy as methods for diagnosing hamartoma polyps of the deep sections of the small intestine in children with Peutz–Jeghers syndrome and juvenile polyposis.
Materials and methods. Twenty seven SPE and JP patients were examined. Over the period from 2018 to 2022, this group of patients was hospitalized 67 times. Each hospitalization was assessed as a separate case. The average age at the first visit to medical care was 11 years 3 months. (min — 3 years, 6 months, max — 17 years 10 months). All patients underwent abdominal ultrasound and balloon enteroscopy (BE), 7 patients underwent video capsule enteroscopy (VCE).
Results. In 24 cases, ultrasound revealed intussusception of the small intestine. BE revealed 236 polyps in the small intestine, including 29 giant ones. 7 VCE revealed 57 polyps, while BE revealed 30 polyps in the same patients.
Conclusion. Ultrasound of the abdominal cavity does not reveal polyps of the small intestine, but is able to determine the presence of intussusceptum. VCE is the most effective method for detecting polyps, however, BE allows not only searching, but also radical removing.
Responsabilidad médica administrativa, Manejo de datos personales relativos a la salud, Ecuador, 2023
Authors: Heredia Peñaloza Luis Fernando , Santacruz Vélez María Auxiliadora
Published: September 2023

La presente investigación se enfoca en la protección de los datos personales en el ámbito médico y las responsabilidades administrativas asociadas en Ecuador en 2023, el problema se centra en el punto de la omisión de derechos que pueden ocurrir en la difusión o publicación de hallazgos médicos o artículos científicos. La Ley de Protección de Datos Personales establece que todo tipo de tratamiento de datos personales requiere el consentimiento inequívoco y expreso del titula del derecho, salvo mandato de ley. El objetivo es analizar los aportes teóricos sobre una sentencia sobre el fenómeno de estudio. La metodología utilizada es de tipo cualitativo, particular, descriptivo, heurístico e inductivo. Los resultados se ofrecen mediante búsqueda de información en bases de datos científicas, el protocolo de investigación, marco teórico y análisis aplicado. Se concluye que la protección de datos personales en el ámbito médico que es importante tanto en el Ecuador como a nivel mundial y requiere una gestión pública efectiva. La Ley de Protección de Datos Personales y el marco jurídico ecuatoriano establece principios claros que deben ser exigidos por las empresas y organizaciones del sector médico.
Network and information technologies implemented in vocational selection and personnel training in RZD JSC
Authors: Chesnov A. N. , Smirnov A. E. , Ivanikhina E. E. , Sugorovsky A. V.
Published: September 2023

The purpose of the study is to study the process of professional selection of candidates and the subsequent development of professional competencies. To determine the infl uence of skills and abilities on management decisions.

The process of selection and training of personnel of the leading transport company of Russia — JSC “Russian Railways” is considered. The main stages of professional selection and its goals are described, as well as specifi c examples of methods and tools used in the process are given. Special attention is paid to the training and development of personnel, including the description of professional development and professional growth programs that allow employees to develop their skills and competencies. The infl uence of the level of profi ciency in skills and knowledge on operational decision-making is considered.

In general, the article allows you to get acquainted with the specifi cs of the process of professional selection and training in the company, and also gives an idea of how JSC “Russian Railways” provides high-quality training of its employees for successful work in the railway industry. The specifi cs of working in the railway industry are discussed, including the requirements for the qualifi cations and professional skills of employees. In conclusion, the importance of professional selection and training for the development of the company’s human resources and improving the quality of services provided is emphasized.
ĐENERAL ĐORĐE (JOVANA) MIHAILOVIĆ KOMANDANT ŠUMADIJSKE DIVIZIJE I POZIVA U PRVOM BALKANSKOM RATU
Authors: Stanković Slavoljub Tale
Published: September 2023

General ĐorĎe J. Mihailović was an elite Serbian army officer in the time of Serbian Principality / Kingdom. Unitil nowadays, just an enciclopedic biographic entry was published. His father-in law Aćim P. Prokić was a high positioned clerk and peoples’ representative on King’s electotal list. His brother-in-law also were: Belgrade administrator, state counselor, colonel Bogdan M. Damjanović colonel Antonije Milošević, medical corps officer Dr Blagoje Nikolić, colonel Petar A. Prokić, railroad clerk Nikola A. Prokić and proffesor Sofronije Simić. Their relationship significantly influenced the ouctome of the May Coup in 1903. General ĐorĎe j. Mihailović, during The First Balkans War commander with almost 30.000 soldies in Šumadija. He is almost unheard of in his homeland (the vicinity Požega). In Čačak, the town of his upbringing and early education, there is no mark, as in Kragujevac, where he spent most of his life, died, and was buried. His grand-daughter, a modestly paid, retired secondary school history professor, regulary bears maintenance costs of the family cript.
NABAVKA ARTILjERIJSKIH ORUĐA I TEŠKIH MITRALjEZA U ČEHOSLOVAČKOJ ZA POTREBE VOJSKE KRALjEVINE JUGOSLAVIJE
Authors: Đokić Nebojša , Radovanović Radovan ,   University of Criminal Investigation and Police Studies, Belgrade, Serbia
Published: September 2023

The paper presents the history of the procurement of artillery weapons and heavy machine guns from Czechoslovakia for the needs of the Army of the Kingdom of Serbs, Croats and Slovenes, ie Yugoslavia. An overview of the material seized at the end of the First World War, as well as obtained by exchange with Poland, is also given. A brief description and tactical technical data for some of the mentioned tools are also given.
NASTANAK RAKETNIH JEDINICA PVO U JNA
Authors:   Srpski naučni centar, Beograd, Đokić Nebojša
Published: September 2023

The paper gives a brief history of the formation of air defense missile units in the JNA, based on the official history of the 250th Missile Regiment. The introduction also gives a brief development of air defense in the JNA before the introduction of air defense missile systems.
Adenocarcinoma de colon con células en anillo de sello en un adolescente: reporte de un caso
Authors: Ortiz Ramon Alfredo Castañeda , Montiel Maria Dolores , Gallego Anali Meza , Izaguirre Rodrigo Alejandro Rodriguez , Rodriguez Eduardo Jose Baños
Published: September 2023

El cáncer de colon es una de las neoplasias más frecuentes del mundo1 El carcinoma colorrectal con células en anillo de sello en específico es un subtipo infrecuente del adenocarcinoma mucinoso, constituyendo menos del 1% del total de tumores colorrectales3. Para el diagnóstico, debe existir un origen primario en colon o recto y al menos un 50% con patrón de células en anillo de sello. Habitualmente la presentación clínica es tardía, asociando una alta agresividad4 Se presenta un caso de un paciente  adolescente con diagnostico por biospias de colon de adenocarcinoma de celulas en anillo de sello en etapa abanzada que requirio reseccion completa de colon trasverso y 15 cm de ilion, manejo agresivo por ser de mal pronostico ademas de quimioterapia y controles de endoscopias y colonoscopias con biospias de seguimiento.
Factors Affecting the Office of Justice of Peace in Punjab, Pakistan: A Critical Study
Authors: Salim Muhammad
Published: September 2023

Justice of the peace is a public officer introduced by British colonists during their expedition to colonize, in various regions. This research carried out a study about the inevitable role of justice of the peace and the challenges faced by public while attaining the benefits of the law duly prescribed in Pakistan. A mixed research approach was deployed having questionnaires, observations and interviews. These tools were applied on a number of institutions like aggrieved person, police personnel, advocates, public prosecutors and justices of the peace. Some questionnaires were also prepared separately for all the above mentioned entities and some observations also made to put the truthfulness of those answers in check. Interviews were also conducted in the same vein which helped in drawing a clearer diagram in this regard. According to the obtained analysis, 95% of the people believe in the fact that police system needs a serious overhaul. On the contrary, 90% to 95% police officials themselves consider the role of justice of the peace a burden on them. 90% of advocates feel the power of justice of the peace as justifiable. 82% justices of the peace were found satisfied with their system. However, 90% to 95% Justices of the Peace shows their desire of feeling the need to improve the system. A shocking 97% of people were actually found aggrieved. On the analysis structured and unstructured interviews, 94.5% people were found as actual victims.
Pengaruh Struktur Kepemilikan Terhadap Financial Distress serta Implikasinya kepada Manajemen Laba
Authors: Rosifah Risma , Zulfikar Rudi , Yulianto Agus Sholikhan
Published: September 2023

Analyzing the impact of ownership structure, namely management ownership, institutional ownership, and ownership concentration on financial hardship is the goal of this study, then consider how financial crisis affects the administration of earnings. A transportation firm listed on the Indonesia stock market from 2016 to 2021 served as the study's sample. The transportation company's annual report was the source of the data, which was gathered through documentation and observation. SPSS version 26 was used to analyse the data using a multiple linear regression strategy. The findings revealed managerial ownership and institutional ownership had positive and negative impact on financial distress. Ownership concentration no impact on financial distress. Financial distress had positive impact on earnings management.
The Effect Of Budget Participation On Managerial Performance With Psychological Capital And Job Relevant Information As Mediation Variables
Authors: Munana Nila , Bastian Elvin , Lestari Tri
Published: September 2023

The purpose of this study was to investigate the mediating impact of psychological capital and job relevant information on the budget participation to job performance at the public sector managers in the South Tangerang City Government. Data analyzed using SEM-PLS. The SEM-PLS allows the examination of the direct effects of budget participation on job performance and the indirect effects between budget participation and job performance that run through psychological capital and job relevant information. The findings of this study are that psychological capital fully mediates influence of budget participation to job performance, job relevant information fully mediates influence of budget participation to job performance. Limitations of this study are using questionnaire media to obtain primary data so that it relies on the level of respondent perception so that the subjectivity factor can be contained in it. Second limitation is generalizability of samples. Despite its limitations, this study has both academic and practical implications. The study adds to the job performance literature in a public sector organizations. The study also finds that manager’s job performance can be improved by minimizing Psycap and JRI. Future research should study other mediation variables on the effect of budget participation on job performance.
Drivers of Customers Advocacy in Support of Subscription-based Digital Entertainment Services (NETFLIX)
Authors:   Master of Business Administration, School of Business and Management Bandung Institute of Technology, Bandung, Indonesia, 40132, Ariesmendi Denish , Ridwansyah Ardhi ,   Master of Business Administration, School of Business and Management Bandung Institute of Technology, Bandung, Indonesia, 40132, Sunitiyoso Yos ,   Master of Business Administration, School of Business and Management Bandung Institute of Technology, Bandung, Indonesia, 40132
Published: September 2023

Subscription business models are increasingly gaining attention in recent year, especially entertainment services such as music subscription, streaming TV/movies and video games. One of the service platform that comes to mind is Netflix, a subscription-based video streaming service. Video on demand streaming service currently competing each other quite aggresively where these provider competing by providing different series that exclusively only available on their services or with different versatile pricing package in hope to attract new subscribers while retaining it’s existing subscribers. This call for new strategy for Netflix to maintain it’s position in competition. This research examines the relationship between customer empowerment values and customer advocacy in relation to a digital platform subscription-based consumption. A quantitative approach was employed by conducting a survey of 110 user of Netflix in Indonesia. Data collected was subsequently analyzed using partial least squares structural equation modeling (PLS-SEM) in order to test the formulated hypothesis. The research resulted in an understanding that value-for-choice, value-for-knowledge and value-for-involvement are significant predictors of customer advocacy of the platform. The findings suggest that Customer advocacy is primarily influenced by the level of product choice and convenience also reliable information and privacy security also constitute important elements for providers to deliver in order to promote advocacy behavior from customers using the platform.
The Defense Policy of King Gia Long on Vietnam’s Southwestern Border Region (1802-1820)
Authors:   An Giang University, Vietnam National University, Ho Chi Minh City, SGU, Vietnam, Hien Duong The
Published: September 2023

After reuniting the nation in 1802, King Gia Long set out to build, develop and protect it. King Gia Long was particularly interested in the defense of the southwestern border area due to its geo-strategic location and significant influence on the security of the country’s south. Consequently, King Gia Long planned and executed a defense policy in this critical border area to promote all the resources to serve Vietnam’s defense and protection. Using specialist research methods, this article focuses on clarifying King Gia Long’s defense policy on the southwestern border region during the period 1802-1820, order to firmly safeguard Vietnam’s southern territorial integrity.
Legal Aspects in Religional Financial Management Case Study on the Surabaya City Covernment Budget
Authors:   Faculty of Law Madura University, Wahyono Sapto , Sumriyah Sumriyah ,   Faculty of Law Trunojoyo University
Published: September 2023

Economic development aims to enhance capabilities and freedom of choice, relying significantly on government spending. The local government's financial administration, as shown by the Regional Budget (APBD), reflects its capacity to fund governance, development, and social services. Financial ratios analysis is employed to assess the local government's performance. Regional autonomy laws empower regional authorities to provide transparent, participatory, and accountable services to the community. This study evaluates the efficiency of regional revenue realization using a descriptive juridical approach, focusing on the legal aspects of financial management in Surabaya City's local government budget.
Research and Development of Human Resource Management System at SMP Dharma Wirawan 08 Donomulyo
Authors:   Universitas Pawyatan Daha Kediri, Sumaryati Sri Ari
Published: September 2023

This research aims to develop a Human ReSource Management system at SMP Dharma Wirawan 08 Donomulyo. This Research and Development uses the Design Based Research method with the following steps: (1) Problem Identification (2) Identification of Goals (3) Preparation of Product Design (4) Product Design Test (5) Evaluation of Product Design Test Results (6) Product Communication. The subject used is Donomulyo Islamic Junior High School, data obtained through observation and interviews, and questionnaires. The questionnaire answers use a Likert scale with 5 assessment categories (1) very inappropriate, (2) not feasible, (3) quite feasible, (4) feasible, (5) very feasible. The data analysis technique uses a percentage of the quality system tested by two academic validators and practitioners. The result of this research is a human reSource management quality system at Donomulyo Islamic Junior High School with the following specifications: vision, mission, objectives, organisational structure, job description, quality policy and SOP (Standard Operating Procedure).
Tratamiento contable del deterioro de los activos conforme a las NIIF para PYMES – casos prácticos
Authors:   Tecnológico de Antioquia Institución Universitaria, Rico Buitrago Jesús Daniel , Galviz Cataño Diego Fernando ,   Tecnológico de Antioquia Institución Universitaria, Cárcamo Hernández Catalina ,   Tecnológico de Antioquia Institución Universitaria, Torres Taborda Sandra Liliana ,   Tecnológico de Antioquia Institución Universitaria
Published: September 2023

El deterioro de activos es un concepto que se debe evaluar y aplicar en las compañías que emiten sus estados financieros con base en las NIIF. Este capítulo de investigación tiene como objetivo principal analizar de una forma teórico-práctica el tratamiento contable del deterioro de activos conforme a las NIIF para pequeñas y medianas empresas. Asimismo, el mismo tiene fundamentación normativa y teórica de diversos autores. En cuanto a la metodología, se evidencia un enfoque cualitativo y un nivel descriptivo con una fase documental. En la recolección de datos, se utilizó la revisión sistemática de bibliografías y la técnica para analizar los resultados, se implementó el resumen lógico, análisis documental y el desarrollo de casos prácticos. Por último, los resultados permiten determinar que las pérdidas por deterioro se pueden presentar en cualquier tipo de activos, siendo responsabilidad del Gobierno Corporativo y el contador público trabajar en conjunto para elaborar y aplicar políticas contables para detectar sucesos que ocasionan el deterioro y así reconocerlo, medirlo, presentarlo y revelarlo periódicamente en la información financiera con el fin de mostrar una realidad económica más exacta a las partes interesadas de la compañía.
Backyard production as a sustainable circular bioeconomy model in the reduction of food waste
Authors:   Tecnológico Nacional de México, Montalvo-Romero Nayeli , Montiel-Rosales Aarón ,   Tecnológico Nacional de México, Fernández-Lambert Gregorio ,   Tecnológico Nacional de México
Published: September 2023

Achieving food security is one of today’s most critical challenges. FAO estimated that in 2020 globally, between 720 and 811 million people worldwide suffered from hunger, while one in three people did not have adequate food. It is a reality that the performance of the agri-food production chain is being influenced by climate change, deforestation, a transition in eating habits, and a displacement of the rural population to urban areas, among others. Based on the above, the objective of this chapter focuses on analyzing backyard production as a system of agri-food self-production supported by the circular bioeconomy that allows the reuse of the waste generated, such as agricultural residues, as inputs in the form of fertilizer, irrigation water, for backyard production components. The methodological approach used is retro-prospecting, supported by an analytical, observational, descriptive non-experimental analysis; Implemented in three phases to obtain the conceptual design of a backyard production system. As a result of the study, the conception of a conceptual design supported by a circular bioeconomy model capable of revaluing waste from backyard production, and its reuse in the same generating chain or another value chain. The conceptual design from the circular bioeconomy obtained is presented as a strategy with high potential to improve the food self-sufficiency of the self-producing family in vulnerable areas, under a commitment to environmental responsibility, pays towards guaranteeing food security.
Educación emocional en los estudiantes de licenciatura de ciencias naturales de la facultad de educación.
Authors:   Universidad Popular del Cesar, Colina María de las Mercedes , García Romero Teovaldo ,   Universidad Popular del Cesar, Maya Raúl Enrique ,   Universidad Popular del Cesar, Peña Herazo Daissy Marcela ,   Universidad Popular del Cesar, Petit Granados Yerlys Isabel ,   Universidad Popular del Cesar
Published: September 2023

La presente investigación analiza la educación emocional en los estudiantes de la Licenciatura de Ciencias naturales y educación ambiental de la Universidad Popular del Cesar. La variable de estudio se identifica como educación emocional, apoyada Bisquerra y Mateo. (2019). Calderón (2014) y Martínez (2019), bajo el paradigma positivista con diseño no experimental, de campo, transaccional y enfoque analítico; la muestra se constituyó por 18 docentes y 26 estudiantes cursantes del 8vo y 9no semestre, con elementos coincidentes y dispuestos a participar en el estudio, a los cuales se le aplicó la encuesta tipo Likert dando como resultado un promedio de 0,91 para los docentes y 0,90 para los estudiantes; empleándose una estadística descriptiva para analizar los datos; como conclusión, se pudo evidenciar que en los micro currículos de los programas no existen elementos para fortalecer la educación emocional, generando en ocasiones hechos azarosos que validan la ausencia de competencias para su optimo abordaje, limitando las acciones en ambos actores. Se recomienda diseñar e implementar espacios académicos, que le permitan la adquisición de herramientas que faciliten la modificación de patrones de pensamiento frente a situaciones adversar que requieren solución con pensamiento crítico y agilidad.
Motivación académica y madurez vocacional en estudiantes universitarios
Authors:   Universidad Femenina del Sagrado Corazón, Rodríguez Saavedra Liliana
Published: September 2023

La elección de los estudios universitarios se ha convertido en una decisión de gran trascendencia para la autorrealización profesional y personal del individuo. El presente estudio tuvo como objetivo identificar la asociación que existe entre motivación académica y madurez vocacional en estudiantes de primer y quinto año de estudios. Para la metodología se utilizó el enfoque cuantitativo, de nivel descriptivo comparativo y correlacional. Con una muestra de 190 estudiantes universitarios. Para la recolección de la información se utilizó los instrumentos: Motivated Strategies for Learning Questionnaire, y el cuestionario de madurez vocacional. Obteniendo como resultado, que la motivación académica se relaciona significativamente con la madurez vocacional. Asimismo, los estudiantes del quinto año de estudios presentan mayor nivel de motivación académica y madurez vocacional en comparación con los estudiantes del primer año. De esta manera se evidenció que, si los estudiantes presentan mayor compromiso y un alto interés activo para cumplir con sus tareas académicas, también se incrementa la capacidad vocacional.
Fuentes de financiamiento en las MiPyMes del sector comercio en Hidalgo, México con relación al tamaño
Authors:   Tecnológico Nacional de México, Amador Martínez María de Lourdes , García Hernández Yessica ,   Tecnológico Nacional de México, De Lucio Islas Aline Aurora ,   Tecnológico Nacional de México, García Ortiz Brenda Midhely ,   Tecnológico Nacional de México
Published: September 2023

El financiamiento en las organizaciones las ayuda como estrategia para captar fondos y con ello poder operar de manera eficiente en los mercados competitivos de hoy en día. La investigación tiene por objetivo, identificar las fuentes de financiamiento a las que acceden las MiPyMEs del sector comercio en Hidalgo con la finalidad de realizar un comparativo de acuerdo con el tamaño. Es un estudio de enfoque cuantitativo, alcance descriptivo y correlacional. El método de recolección de información fue la compilación de datos en los Censos Económicos. El objeto de estudio se integró por 527 unidades económicas del sector 431 comercio al por mayor de abarrotes, alimentos, bebidas, hielo y tabaco. Los resultados indican que la mayoría de las MiPyMEs independientemente del tamaño acceden a los bancos como principal fuente de financiamiento, el cual destinan a la adquisición de insumos. Por otra parte, se establece que no existe relación significativa entre la obtención de financiamiento y el tamaño (micro, pequeñas y medianas) de las empresas analizadas del sector comercio al por mayor de abarrotes, alimentos, bebidas, hielo y tabaco en Hidalgo.
Strategi Komunikasi Kominfo Pada Program Podcast Di Media Youtube Dalam Menyampaikan Informasi Pada Masyarakat Kota Padang Panjang
Authors: Fitri Zikra Mutia , Edlina Ria
Published: September 2023

In presenting information, Kominfo chose social media in disseminating information, one of which was through the official Kominfo Youtube channel called Padang Panjang TV. In its strategy, the Ministry of Communication and Informatics chose Youtube as the medium in providing information because of the Podcast program which is currently a trend among young people. Therefore, this research was conducted to find out how the Communication Strategy of Communication and Informatics in the Podcast Program on Youtube Media in conveying information and its obstacles. This research is a qualitative research using descriptive method, the researcher uses this method because the researcher explores a particular case in greater depth regarding the communication strategy of Kominfo on youtube media in conveying information. Data collection techniques using observation, interviews, and documentation. The main informant in this study is the head of the section for managing information and public communication, someone who is responsible for disseminating information on YouTube media and the supporting informants are the people who are the target recipients of information. In this study, the researcher uses media wealth theory because media wealth theory has four criteria, namely the ability of the media to use multiple media, the speed of feedback, the variety of languages used, and the personal focus of the media. Therefore, from the theory of media wealth, we want to see the communication strategies used in conveying information.
MENINGKATKAN KEPUTUSAN PEMBELIAN MELALUI PERAN MEDIASI KUALITAS PELAYANAN DI THE GALLERY RESTAURANT HOTEL CIPUTRA JAKARTA
Authors: Agustina Sartika Dewi , Silitonga Parlagutan
Published: September 2023

Penelitian ini bertujuan untuk menganalisis pengaruh kualitas terhadap peningkatan keputusan pembelian melalui mediasi kualitas pelayanan pada The Gallery Hotel ciputra Jakarta. Populasi dalam penelitian ini adalah seluruh pelanggan Gallery Restaurant Jakarta dengan menggunakan data primer yang diperoleh dari 132 responden di Gallery Restaurant. Metode analisis data yang digunakan dalam penelitian ini adalah uji validitas dan uji reliabilitas. Sedangkan pengujian hipotesis meliputi analisis jalur, evaluasi model pengukuran dan model struktural, pengaruh langsung, dan pengaruh tidak langsung. Penulis menggunakan metode deskriptif kuantitatif yaitu dengan menganalisis data menggunakan SmartPLS 3. Hasil menunjukkan Kualitas produk terbukti berpengaruh langsung terhadap kualitas Pelayanan. Promosi terbukti tidak memiliki pengaruh langsung dan terhadap Kualitas Pelayanan. Kualitas produk terbukti berpengaruh langsung terhadap keputusan pembelian. Promosi terbukti tidak memiliki pengaruh langsung terhadap keputusan pembelian. Kualitas Pelayanan terbukti berpengaruh langsunng terhadap keputusan pembelian. Kualitas Produk terbukti berpengaruh langsung terhadap kualitas pelayanan melalui peran mediasi. Promosi terbukti tidak berpengaruh langsung terhadap kualitas pelayanan melalui Keputusan pembelian.
ANALISIS DETERMINAN PEMBANGUNAN DESA DENGAN MENGGUNAKAN PENGELOLAAN ALOKASI DANA DESA (ADD) STUDI PADA DESA TEGAL TUGU GIANYAR
Authors: Triadhi Nyoman Andika
Published: September 2023

Penelitian ini bertujuan untuk mengetahui fsktor-faktor yang paling berpengaruh terhadap pembangunan desa dengan pemanfaatan Alokasi Dana Desa (ADD). Populasi dalam penelitian ini adalah Perbekel, Perangkat Desa, Badan Permusyawaratan Desa (BPD) dan Tokoh Masyarakat lainnya yang ikut berperan penting dalam Pembangunan Desa. Sampel dalam penelitian ini berjumlah 41 orang dengan menggunakan metode full sampling. Jenis penelitian ini adalah kuantitaif, dengan pengujian uji Aasumsi klasik, uji determinasi, uji linier berganda, uji signifikansi parsial (t-test), uji signifikansi simultan (F-test) dan dilakukan uji validitas dan reliabilitas. Hasil penelitian menunjukan pengaruh partisipasi masyarakat, transparansi dan akuntabilitas dalam pengelolaan alokasi dana desa secara parsial dan simultan berpengaruh positif dan signifikan terhadap pembangunan Desa.
ANALISA PERBEDAAN PENGGUNAAN PASIR SEBAGAI AGREGAT HALUS TERHADAP NILAI KUAT TEKAN BETON (Pasir Sungai lau-Hata Liquica dan Laklo Liquica dengan Kuat Tekan Beton Rencana 25 MPa dan 30 MPa)
Authors: Soares Martinho Madeira , Anggreni Made Yani , Salu Egidius
Published: September 2023

Pasir dari sungai Lau-Hata dan Sungai Laklo banyak dipergunakan sebagai bahan campuran beton untuk konstruksi oleh masyarakat, baik itu Bangunan, Jalan raya, dan gorong-gorong. Akan tetapi, penelitian tentang kualitas dan spesifikasi agregat tersebut dalam hal penggunaannya sebagai material pengisi pada beton masih minim dilakukan. Untuk itu, dalam studi ini dicoba melakukan Analisa dan studi eksperimen tentang penggunaan material agregat halus dari sungai Lau-Hata dan Sungai Laklo sebagai bahan pengisi pada campuran beton. Tujuan penelitian ini adalah untuk mengetahui bagaimana perbandingan spesifikasi agregat dari Sungai Lau-Hata dan Sungai Laklo serta bagaimana hasil nilai analisis terhadap nilai kuat tekan beton. Metode yang digunakan dalam penelitian ini adalah metode elsperimental, yaitu dengan melakukan percobaan langsung di laboratorium. Penelitian ini melakukan uji perbandingan spesifikasi agregat halus yang berasal dari sungai Lau-Hata dan sungai Laklo Municipio Liquica. Studi ini hanya dikhususkan untuk mengetahui spesifikasi agregat halus dari kedua sungai tersebut dan mencoba menguji dalam bentuk uji kuat tekan untuk mengetahui kualitas beton yang dihasilkan oleh penggunaan bahan pengisi tersebut. Dari hasil penelitian dan hasil analisis yang dilakukan, maka dapat disimpulkan bahwa pasir sungai Lau-Hata dan sungai Laklo Municipio Liquica masih dapat digunakan sebagai bahan pengisi beton, hanya saja perlu dilakukan perlakuan khusus seperti mencuci pasir terlebih dahulu karena mengingat kadar lumpur pada agregat memiliki nilai yang melebihi standar. Hasil nilai kuat tekan beton yang menggunakan agregat ini sebagai bahan pengisi beton (yang sebelumnya telah dicuci) mendapatkan hasil nilai kuat tekan yang sesuai dengan kuat tekan rencana. Dari kuat tekan rencana 25 dan 30 MPa, beton yang menggunakan pasir sungai Lau-Hata menghasilkan kuat tekan rata-rata 25,6 MPa dan 30 MPa. Sedangkan beton yang menggunakan pasir sungai Laklo menghasilkan kuat tekan 25,7 MPa dan 30,5 MPa.
KONSEP TRICKLING DOWN DAN POLARISASI EFFECT PADA PEMBANGUNAN DAN PARIWISATA DI KABUPATEN BADUNG, BALI
Authors: Witari Made Ratna , Saidi Agus Wiryadhi
Published: September 2023

Aktivitas ekonomi yang terjadi di sebuah wilayah akan mempengaruhi bagaimana perkembangan pembangunan di wilayah tersebut. Terdapat titik-titik pusat pertumbuhan ekonomi yang akan memberikan pengaruh terhadap wilayah sekitarnya. Pengaruh yang dimaksud dapat berupa wilayah sekitarnya ikut berkembang atau justru menjadi tertinggal. Terdapat berbagai jenis kegiatan ekonomi salah satunya ialah kegiatan ekonomi pada sektor pariwisata. Penelitian ini dilakukan dengan memilih Kabupaten Badung yang terdapat di Provinsi Bali sebagai studi kasus karena Kabupaten Badung memiliki kegiatan pariwisata yang sangat pesat dibandingkan dengan kabupaten lainnya di Bali. Kegiatan pariwisata di Badung hanya berpusat pada beberapa titik yang mengakibatkan adanya ketimpangan dan kurang meratanya pembangunan di wilayah Badung. Penelitian ini bertujuan untuk mengetahui pengaruh dari perkembangan pariwisata di Kabupaten Badung, mengetahui seberapa besar pengaruh teori trickling down dan efek polarisasi di Kabupaten Badung, serta mengetahui upaya yang dapat ditempuh untuk mencapai pemerataan pembangunan perekonomian di Kabupaten Badung. Data penelitian diperoleh dengan melakukan studi kepustakaan dan penelitian dilakukan dengan pendekatan kualitatif yang nantinya akan menghasilkan data deskripsi. Hasil akhir penelitian menunjukkan bahwa kegiatan pariwisata di Badung merupakan sektor vital yang menjadi tumpuan perkembangan ekonomi dan pembangunan di Kabupaten Badung; trickling down dan efek polarisasi terjadi di Kabupaten Badung dengan skala wilayah yang berbeda;serta perlu adanya pengembangan sektor wisata lainnya di wilayah pinggiran Kabupaten Badung yang didukung dengan kebijakan pemerintah
PERENCANAAN FASILITAS SISI UDARA UNTUK PELAYANAN PENERBANGAN BISNIS BANDAR UDARA LETKOL WISNU BALI
Authors: Sumarda Gede , Sudika I Gusti Made , Pasoepati I Gusti Putu Agung Giga
Published: September 2023

peningkatan jumlah pergerakan yang signifikan seperti jumlah pesawat udara, penumpang dan kargo. Namun demikian, perluasan atau perpanjangan runway maupun apron yang ada tidak memungkinkan karena bandara tersebut dekat dengan kawasan padat penduduk dan lingkungan perairan. Selain itu, jadwal penerbangan juga terganggu akibat adanya delay di apron yang mengakibatkan pesawat yang baru tiba harus mengantri di taxiway atau holding di udara akibat antrian penggunaan runway. Mengingat pengembangan Bandara I Gusti Ngurah Rai tidak memungkinkan, maka untuk mengatasi kepadatan lalulintas penerbangan Bandara I Gusti Ngurah Rai tersebut, perlu ada alternatif lain yaitu dengan memanfaatkan Bandara Letkol Wisnu sebagai bandar udara khusus untuk pesawat kategori nonkomersial. Dalam proses perencanaan, metodologi yang digunakan adalah metode observasi, studi pustaka, wawancara dan perhitungan. Adapun data- data yang dibutuhkan adalah data survey lingkungan bandara, airport information publicer dan annual departure. Dari perhitungan analisis dengan metode peramalan regresi dan analisis jumlah kebutuhan parking stand didapatkan hasil pergerakan pesawat sejumlah 3 pergerakan/jam, sehingga dibutuhkan 18 parking stand disertai 3 taxiway. Panjang runway yang dibutuhkan adalah 2340 meter dan tebal perkerasan flexible terhadap pesawat kritis (PCN ≥ ACN) total adalah 96,5 cm. Hasil perencanaan ketebalan perkerasan tersebut selanjutnya digunakan untuk tebal perkerasan pada masing-masing fasilitas sisi udara.
PERENCANAAN SIMPANG TAK BERSINYAL PADA SIMPANG KEMUDA, JALAN SEROJA, JALAN KEMUDA III DENPASAR
Authors: Putra I Gede Ardi Maha , Asmani K Anak Agung Rai , Armaeni Ni Komang
Published: September 2023

Kota Denpasar merupakan Ibu Kota Provinsi Bali. Sebagai Ibu Kota Provinsi, Denpasar menjadi pusat kegiatan, baik kegiatan social budaya, kegiatan pemerintah, kegiatan perdagangan, kegiatan Pendidikan dan lain – lain. Kota Denpasar memiliki luas wilayah 127,78 km2 atau 2,18% dari luas wilayah Provinsi Bali. Jumlah penduduk di Kota Denpasar mencapai 947,1 ribu jiwa dengan tingkat kepadatan penduduk sebesar 7,41 ribu jiwa/km2. Jumlah ini diperkirakan akan terus bertambah setiap tahunnya. Dengan bertambahnya jumlah penduduk yang ada di Kota Denpasar tiap tahunnya mengakibatkan bertambahnya jumlah pengendara kendaraan bermotor. Pertumbuhan ini secara langsung berpengaruh pada peningkatan proporsi kendaraan pada arus lalu-lintas. Salah satu lokasi di Denpasar yang mengalami permasalahan lalu-lintas adalah simpang 4 lengan yang mempertemukan Jalan Kemuda, Jalan Seroja, Jalan Kemuda III. Kemacetan kerap terjadi di jalan raya khususnya di simpang.  Di bagian simpang inilah biasanya sering sekali terjadi kemacetan. Hal itu disebabkan karena simpang merupakan titik bertemunya beberapa pergerakan dari arah yang berbeda menuju suatu area yang sama yakni di pertengahan simpang. Untuk mengurangi kemacetan yang terjadi di simpang maka diperlukan manajemen pada simpang. Selain mengurangi kemacetan, juga dapat meningkatkan kapasitas simpang dan meminimumkan terjadinya kecelakaan lalu lintas. Persimpangan yang sering terjadi kemacetan yaitu persimpangan jalan di kawasan simpang Kemuda. Pada kawasan tersebut terdapat sekolah, perkantoran, juga pusat perbelanjaan yang memicu adanya bangkitan pergerakan. Usaha untuk menyelesaikan permasalahan konflik lalu lintas diperlukan suatu pembangunan sarana dan prasarana yang mendukung, terutama peningkatan jaringan jalan, perencanaan persimpangan serta manajemen lalu lintas, diharapkan dengan penataan sistem lalu lintas yang tertata dengan baik dapat mengurangi permasalahan pada kedua persimpangan tersebut
Sanitation Facilities, Services and Education in North-Eastern Nigeria
Authors:   Department of Mathematics & Statistics, Yobe State University, Damaturu, Nigeria, Dalah Chiwa Musa
Published: September 2023

A sanitation facility, Services and Education greatly influences the sanitary situation of every society. They are the most important instruments for combating bad sanitary situation in every society.
A Study of Reliability of Mid Upper Arm Circumference for Detection of Severe Acute Malnutrition in Infants Between 1-<6months of Age
Authors:   Grant Medical College and J.J. Group of Hospitals, Mumbai. Institute Where the Work was Carried Out: Department of Pediatrics, R.N.T. Medical College, Udaipur, India, Vijayanand Potdar Ojas
Published: September 2023

Introduction: Severe Acute Malnutrition (SAM) in children below 6months of age is diagnosed in presence of either of (1) weight for height/length <-3 standard deviations (SD) of median WHO growth reference (in infants >45cm); (2) visible severe wasting; (3) presence of bipedal edema. Simple measuring tape with reorientation of health workers can detect beginning of childhood malnutrition. This study aims to study reliability of mid upper arm circumference (MUAC) for detection of SAM in infants aged 1-6 months of age.
Ether Model
Authors:   Independent Researcher, John Chappell Natural Philosophy Society, USA, Model Ether
Published: September 2023

I am a retired physician who has developed a theoretic model alternative to the present standard physics model. It is based on two main propositions: (1) that the universe originated according to a creational design, by an Entity(ies) billions of years ago (rather than being the result of random chance processes) and (2) that the quantum/atomic forces we are familiar with operate in conjunction with, and are secondary to, etheric forces we still have yet to detect.
Spatial distribution and clustering of the proportion of disabled individuals by districts in Punjab
Authors: Masood Ali Shaikh
Published: September 2023

Disabilities are globally endemic and will increase with population ageing and ubiquitous prevalence of noncommunicable diseases. The Pakistan Social and Living Standards Measurement survey conducted in 2019-20 is the only district-level representative survey that provides proportion of disabled individuals. The survey used a standardized and validated six-questions from the ‘Washington Group Questions’ that identify functional disabilities pertaining to difficulty in the domains of sight, hearing, walking/climbing steps, remembering/ concentrating, self-care (washing/dressing), and communicating/being understood. Disabilities were more common in men in both urban and rural areas of districts.
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Comparison of potential plasma biomarkers in Alzheimer’s disease and neurodegenerative dementias in Pakistani population
Authors: Faraz Ahmed Tehniat , Imtiaz Fauzia , Zaman Uzma , Ahmed Affan , Shahbaz Naila
Published: September 2023

This study aimed to compare the mean plasma levels of Amyloid B42, Phosphorylated Tau and Neurofilament Light chain in patients diagnosed with Alzheimer’s Clinical Syndrome (ACS), and other neurodegenerative dementias to find affordable and less-invasive means of diagnosing Alzheimer’s disease (AD) early in its course.
Blood samples of 36 subjects presenting with cognitive decline to the neurology OPDs of Dow and Civil hospitals, Karachi, were centrifuged, and plasma was stored at 80C. Before analysis, it was thawed at 4C and protein levels were measured through ELISA.
Two-thirds of the patients were females but age distribution across both the groups was not significantly different (p 0.21). No difference was observed in the mean plasma concentrations of AB42, P-Tau, and NFL between the two groups (p-values 0.78 and 0.27 and 0.09 respectively).
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Hazards of monopolar diathermy plate in Surgery
Authors: Zafar Hamna
Published: September 2023

Respected Madam,
I would like to draw attention to the hazard of severe skin burns from the using the monopolar diathermy plate electrode during surgical procedures. Diathermy operates in two modes. The monopolar mode where the current enters the  patient’s body through an active electrode and exits via a grounding pad attached to the patient.(1)
During a recent total abdominal hysterectomy with bilateral salpingo-oophorectomy of a 30-year-old lady with a complex mass, the grounding pad for the electro-cautery had been applied to the left foot, which was found to have third degree burns after completion of the procedure. Similarly, an elderly diabetic lady presented to our outpatient department with the history of a 32 days old non-healing lesion on her left thigh and a Pfannenstiel incision on her abdomen. She had undergone a complete abdominal hysterectomy in another health care centre. During the surgery, the grounding pad was placed on her left thigh which suffered partial thickness burns. According to the patient’s history, the lesion was coin sized at the beginning, but due to poor glycemic control, it continued to involve the surrounding healthy tissue, including the bone. She had previously undergone multiple debridements for the lesion and was advised hip disarticulation after a thorough assessment by the senior management at our department. Even though the procedure was carried out, she, unfortunately, could not survive a few days following the disarticulation.
The reason for the burns was a loose application of the grounding pad to the skin of the patient resulting in heat generation and sparking at the site preventing the current to pass safely causing skin burns. To prevent this, the grounding pad should be firmly applied to the skin preferably with crepe bandage. Some other ways to help prevent such complications are adhesive grounding pads and utilization of diathermy machines alarm system.(1)Surgical briefing with the entire perioperative team is necessary so that each individual understands their role in preventing electrosurgical hazards.(2) In addition to this, case reporting of surgical burns to the national database is necessary for implementation of such preventive measures.(3)
Post-cardiac injury syndrome following permanent pacemaker implantation presenting exclusively as massive pleural effusion —A rare occurrence
Authors: Khalid Nasiha , Rana Ikram Ahmed
Published: September 2023

Post-Cardiac Injury Syndrome (PCIS) akin to Dressler’s syndrome is late-onset pericarditis that is triggered by the body’s immune system and presents commonly as pleuro-pericardial symptoms and raised inflammatory markers. Its occurrence following the insertion of a pacemaker has been reported infrequently and varies in different studies with an estimated prevalence of 1-2%. Our case reports a unique incidence of isolated pleural effusion following the implantation of a pacemaker in a 62-year-old female with complete heart block with no evidence of pericardial effusion on imaging. She developed dyspnoea, pleuritic chest pain, and lethargy. She successfully responded to treatment with NSAIDs and colchicine with no recurrence. This report demonstrates the uncommon course of the disease and highlights the need to consider PCIS as a possible diagnosis in patients presenting with predominant pulmonary findings and suspect it early so that timely treatment can be started, thereby preventing complications.
Can adapalene be repurposed for melanoma?
Authors: Nasir Aiman
Published: September 2023

Madam, Melanoma, the most lethal skin cancer, accounts for 75% of deaths by skin cancer in the US.1 Nivolumab, Pembrolizumab, and a combination of Nivolumab and ipilimumab are used in adjuvant therapy for distant metastatic melanoma.2 The combination therapy of ipilimumab and nivolumab for melanoma per patient per month was estimated to be USD 71,689.3 Nevertheless, the efficiency of these treatments is limited.4 Furthermore, metastasis can reduce the effectiveness of cancer treatment. With time, cancer cells can also develop resistance to drugs. Hence alternative treatment regimens should be identified.5 The development of new therapies requires a vast amount of time, research, and investment. Drug repurposing provides an alternate approach to this passage. It refers to the new application of previously approved drugs. This process is rapid, potentially safer, and cost-effective.5
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