bluuebunny/crossref_metadata_2025 huggingface dataset:
MANEJO DO TRAUMATISMO MAXILOFACIAL
Authors: Davalo Daniel Carvalho , Mileski João Vitor Ferro , Jaccoud Mayara Leal , Rizzo Vitória Martins
Published: February 2025

Introdução: O traumatismo maxilofacial é caracterizado como uma agressão mecânica, química ou térmica que é infligida no dente ou em outra estrutura da face e do crânio, variando em tipo, causa e intensidade. É mais comum nos homens. A faixa etaria mais acometida é entre 15 a 40 anos. Objetivo:  Analisar o manejo dos pacientes com traumatismo maxilofacial. Metodologia: Trata-se de uma revisão integrativa dos últimos 5 anos, do período de 2020 a 2025, utilizando o site para pesquisa Biblioteca Virtual em Saúde (BVS) e as bases de dados da Medline, LILACS, BBO-Odontologia, CUMED e IBECS. Os descritores utilizados foram: "trauma" "maxilofacial" "tratamento" . Foram encontrados 50 artigos, sendo eles submetidos aos critérios de seleção. Os critérios de inclusão foram artigos disponibilizados na íntegra e que se relacionavam à proposta estudada. Resultados e Discussão: O uso de ferramentas auxiliam na avaliação, de modo adequado, da gravidade funcional e anatômica da lesão, sobrevida e mortalidade dos acidentes, possibilitando uma estratificação do paciente e auxiliando na tomada de decisão ao guiar um tratamento mais adequado para cada paciente. O tratamento instituído varia das particularidades do paciente e do local da lesão. Pacientes com múltiplas lesões em face, normalmente, utilizam a redução aberta e fixação interna (RAFI). O manejo conservador pode ser utilizado nas fraturas do ramo/coronóide, processo alveolar, além de fraturas em órbita, maxila, complexo zigomático e ossos nasais. Conclusão: A identificação das particularidades do paciente é importante para escolha do tratamento mais adequado, a fim de melhorar o prognóstico do paciente.
DESAFIOS DO TRATAMENTO ENDODÔNTICO DE UM MOLAR EM “C”: RELATO DE CASO COM REVISÃO DA LITERATURA.
Authors: Almeida Dennys Ramon de Melo Fernandes , Lima Carlos Augusto de Souza
Published: February 2025

O tratamento endodôntico desempenha um papel de extrema importância na manutenção da saúde bucal das pessoas, indo além da estética, pois se concentra na investigação das causas das doenças que afetam o interior do dente. Os endodontistas são especialistas que buscam solucionar dores e doenças irreversíveis por meio de procedimentos específicos. Nesse contexto, este trabalho visa relatar um caso de tratamento endodôntico em um molar com uma forma atípica em "C". O caso envolve um paciente de 48 anos que procurou uma clínica de graduação devido às características anatômicas do seu dente. Inicialmente, foi realizado um processo de anamnese detalhado para obter informações precisas sobre a saúde oral e sistêmica da paciente, o qual apresentou um quadro de boa saúde. Posteriormente, após a obtenção de radiografias do dente 37 e a sua abertura, foi requisitada uma Tomografia de Feixe Cônico. A partir dessa análise, ficou evidente que a anatomia interna do dente assumia uma forma incomum em "C". Diante desse desafio, o diagnóstico preciso, a modelagem adequada e a obturação eficaz tornaram-se imperativos, exigindo a aplicação de técnicas avançadas de instrumentação e obturação para alcançar o sucesso desejado no tratamento endodôntico.
PREPARO COM LIMAS ROTATÓRIAS SOLLA COLLORS EM DENTE PORTADOR DE LESÃO PERIAPICAL EXTENSA E REABSORÇÃO INTERNA
Authors: Travassos Rosana Maria Coelho , Lima Samuel Nogueira , Chaves Adriane Tenório Dourado , Nascimento Alexandre Batista Lopes , Alves Josué , Freitas William José Lopes , Rodrigues Verônica Maria de Sá , Prosini Priscila , Pontes Mônica Maria de Albuquerque , Maciel Tereza Augusta
Published: February 2025

Paciente de 43 anos foi encaminhado a um especialista em Endodontia, para tratamento do dente 33. O exame radiográfico revelou área radiolúcida extensa que acometia os dentes 22, 23 e 24. O dente 23, além da lesão periapical extensa, apresentava uma reabsorção interna mo terço médio-apical, bem como uma curvatura apical. Clinicamente, apresenta-se assintomático, resposta negativa ao teste de sensibilidade pulpar a frio realizado com gás refrigerante. Após anestesia, foi realizada a abertura coronária e a exploração do canal radicular. O comprimento de trabalho foi determinado, seguido por irrigação suave com hipoclorito de sódio a 2,5% . O preparo do canal foi realizado com Lima Solla Collors rotatórias 50/04 e a patência foraminal foi feita com a Lima de Glidepath Solla Collors 16/02 no forame apical. A obturação do sistema de canais foi realizada pela técnica do cone único HB, associado ao cimento Bio C Sealer. Conclui-se que o sucesso da terapia endodôntica é alcançado quando se realiza corretamente o diagnóstico, saneamento do sistema de canais com limas Solla Files Collors e uma obturação hermética, bem como o selamento definitivo do acesso coronário.
Analisis Pemberian Vaksinasi Covid-19 Pada Lansia Di Wilayah Kerja Puskesmas Sematang Borang
Authors: Muchtar Hartini , Ekawati Dianita , Harokan Ali
Published: February 2025

Covid-19 sekarang menjadi masalah serius di seluruh dunia dan jumlah kasus meningkat dari hari ke hari. Menyerang semua orang, tanpa memandang usia atau jenis kelamin, dianggap sebagai pandemi. Pandemi global Covid-19 pertama kali diumumkan pada 11 Maret 2020. Vaksinasi Covid-19 bertujuan untuk memperoleh kekebalan dalam rangka mengurangi penyebaran virus Covid-19, mengurangi angka kesakitan dan kematian yang disebabkan oleh Covid-19. Penelitian ini bertujuan diketahuinyaAnalisis Pemberian Vaksinasi Covid-19 pada Lansia Usia 60-75 Tahun di Wilayah Kerja Puskesmas Sematang Borang Tahun 2022. Penelitian ini dilaksanakan pada tanggal 25 April-28 Mei 2022. Penelitian ini kuantitatif dengan desain cross sectional. Populasi penelitian ini masyarakat berusia 60-75 tahun diwilayah kerja Puskesmas Sematang Borang yang berjumlah 320 sampel, dengan teknik pengambilan sampel accidental sampling. Uji statistik dengan menggunakan chi square dan regresi logistik dengan tingkat kemaknaan (α=0,05). Hasil penelitian menunjukan ada hubungan tingkat pendidikan (p=0,032), riwayat penyakit penyerta (p=0,015), akses pelayanan kesehatan (p=0,028), informasi kesehatan (p=0,024), ketersediaan vaksin (p=0,005), dukungan keluarga (p=0,054) dan motivasi (p=0,036) dengan pemberian vaksinasi Covid-19. Pada analisis multivariat diperoleh variabel dominan yang berhubungan dengan pemberian vaksinasi covid-19 yaitu ketersediaan vaksin (p=0,005; OR=0,498). Disarankan untuk lansia memahami pentingnya mengikuti vaksinasi covid-19. Karena dosis sudah diatur dengan baik untuk membentuk sistem kekebalan tubuh.
Hubungan antara Umur dan Jenis Kelamin dengan Penerimaan Vaksinasi Covid-19 di Wilayah Kerja Puskesmas Kawangkoan Barat
Authors: Pantow Deysi Ivoneke Juliske , Tatura Suryadi , Nelwan Jeini Ester
Published: February 2025

Pendahuluan: Salah satu upaya yang dapat dilakukan untuk menanggulangi penyebaran Covid-19 yaitu dengan vaksinasi. Pemberian vaksin Covid-19 di Indonesia saat ini sudah mecapai 3 tahap yaitu vaksinasi primer 1 dan 2 serta ditambah vaksinasi ke-3 atau booster. Namun dibeberapa wilayah target cakupan vaksinasi tahap 2 masih < 70%. Penerimaan vaksinasi Covid-19 dipengaruhi oleh multifactor seperti umur dan jenis kelamin. Tujuan penelitian ini yaitu untuk menganalisis hubungan antara umur dan jenis kelamin dengan penerimaan vaksinasi Covid-19 di wilayah kerja Puskesmas Kawangkoan Barat. Metode: Penelitian ini merupakan penelitian korelasional. Penelitian ini dilaksanakan di wilayah kerja Puskesmas Kawangkoan Barat pada Februari-Juli 2022. Responden penelitian berjumlah 400 masyarakat yang berumur 18 tahun ke atas. Variabel dalam penelitian ini yaitu umur, jenis kelamin dan penerimaan vaksinasi. Instrumen yang digunakan yaitu lembar isian. Analisis data yang dilakukan secara bivariat menggunakan uji khi kuadrat. Hasil: Hasil penelitian ini menemukan bahwa umur berhubungan secara signifikan dengan penerimaan vaksinasi. Selain itu, diperoleh nilai prevalensi rasio (PR) sebesar 1,504 yang berarti responden yang berumur 18-59 tahun berisiko 1,504 kali menerima vaksinasi secara tidak lengkap. Selanjutnya, ditemukan juga bahwa jenis kelamin berhubungan secara tidak signifikan dengan penerimaan vaksinasi. Kesimpulan: Kesimpulan penelitian ini yaitu umur merupakan faktor yang berhubungan dengan penerimaan vaksinasi Covid-19.
Analisis Manajemen Pengendalian Penyakit Demam Berdarah Dengue (DBD) di Puskesmas
Authors: Asnel Roza , Selvia Rindang Ompusunggu  , Suryani  , Rahmi Pramulia Fitri  , Kursiah Warti Ningsih
Published: February 2025

Penyakit Demam Berdarah Dengue (DBD) disebabkan oleh virus dengue yang dibawa nyamuk  aedes aegepty,  merupakan masalah kesehatan masyarakat yang terjadi  setiap tahun dan  berdampak pada kehidupan sosial dan ekonomi masyarakat. Manajemen pengendalian DBD berperan penting dalam kewaspadaan dini dan  pencegahan terjadinya komplikasi. Prevalensi DBD di Kabupaten Kampar pada tahun 2020  sebanyak 271 kasus. Tujuan penelitian adalah melakukan analisis manajemen pengendalian penyakit DBD di Puskesmas Siak Hulu 1 Kabupaten Kampar. Jenis penelitian adalah kualitatif analitik. Informan berjumlah 5 orang.. Instrumen terdiri dari  pedoman wawancara, lembar observasi dan  dokumen terkait, analisis dilakukan secara triangulasi sumber, metode dan data. Hasil penelitian menunjukkan variabel perencanaan dalam manajemen pengendalian penyakit DBD dilaksanakan  dengan baik terlihat pada rencana kegiatan,  SDM, sarana dan prasarana dan pendanaan  yang mendukung pelaksanaan manajemen pengendalian penyakit DBD. Variabel pelaksanaan seperti fogging, PSN, penyuluhan, Penyelidikan Epidemiologi, sudah terlaksana sesuai Standar Operasional Prosedur. Variabel evaluasi menunjukkan program dilaksanakan sesuai dengan rencana yang disusun, melalui kerjasama yang baik dan dilaporkan rutin ke dinas kesehatan.
Hubungan kontrol darah dengan kualitas hidup penderita diabetes mellitus selama pandemi COVID-19
Authors: - Windasari , Hasneli Yesi , Lestari Widia
Published: February 2025

Diabetes mellitus adalah gangguan metabolisme yang ditandai dengan hiperglikemi yang disebabkan oleh ketidakmampuan pankreas untuk mensekresi insulin, gangguan proses kerja insulin, maupun keduanya. Penatalaksanaan diabetes melitus salah satunya dengan melakukan kontrol kadar gula darah dan meningkatkan kualitas hidup. Penelitian ini bertujuan untuk mengetahui hubungan kontrol gula darah dengan kualitas hidup penderita diabetes mellitus selama pandemi COVID-19. Desain penelitian kuantitatif dan pendekatan cross sectional. Sampel penelitian adalah 143 orang responden yang diambil berdasarkan kriteria inklusi menggunakan teknik purposive sampling. Alat ukur yang digunakan adalah kuesioner. Analisa yang digunakan adalah analisa univariat untuk mengetahui distribusi frekuensi dan bivariat menggunakan uji Chi-Square dengan nilai α 0,05. Penelitian menunjukkan bahwa ada hubungan kontrol gula darah dengan kualitas hidup penderita diabetes mellitus selama pandemi COVID-19 (p-value 0,001). Berdasarkan hasil penelitian diharapkan bagi pelayanan kesehatan dapat memberikan informasi dan mengidentifikasi masalah dukungan keluarga, kontrol gula darah, dan kualitas hidup yang berhubungan dengan upaya meningkatkan pelayanan kesehatan pada pasien diabetes mellitus, sehingga dapat memberikan perawatan secara maksimal.
Case Studi : Penerapan Terapi Seft (Spiritual Emosional Freedom Technique) Terhadap Gangguan Pola Tidur Pada Pasien Post Op Laparatomi
Authors: Sasmita Wira , Misrawati  , Sarina Dewi
Published: February 2025

Laparatomi merupakan operasi yang dilakukan untuk membuka bagian abdomen dengan indikasi adanya masa pada abdomen atau terjadinya perdarahan Post operasi laparatomi dapat menyebabkan komplikasi seperti infeksi dan perdarahan. Proses terjadinya penyakit dapat mempengaruhi tidur sehinggga mencegah tidur dan memberikan dampak pada pola tidur. Tujuan penelitian ini untuk mengetahui pengaruh terapi SEFT (Spiritual Emosional Freedom Technique) terhadap gangguan pola tidur pada klien post operasi laparatomi. Metode penelitian ini menggunakan studi kasus (case study) dengan pendekatan asuhan keperawatan pada klien Ny. M dengan gangguan pola tidur meliputi pemberian intervensi terapi SEFT. Beberapa penelitian terkait terapi SEFT pada gangguan tidur sudah banyak yang membuktikan keefektifannya. Pemberian asuhan keperawatan ini dilakukan pada klien post laparatomi dengan gangguan pola tidur yang dilakukan selama lima hari dengan lama pemberian terapi 15-20 menit, dengan pengukuran hasil kualitas tidur menggunakan kuesioner PSQI sebelum (hari pertama pemberian terapi) dan setelah (hari berikutnya setelah pemberian terapi). Setelah pemberian terapi SEFT menunjukkan bahwa kualitas tidur klien meningkat. Berdasarkan hasil penerapan asuhan keperawatan ini disarankan kepada studi kasus berikutnya diharapkan dapat digunakan sebagai referensi pada studi kasus yang serupa dan dijadikan referensi perbaikan dalam penelitian selanjutnya, serta evaluasi untuk lebih memfokuskan klien ketika pemberian intervensi agar hasil terapi menjadi lebih maksimal
Kecanduan Internet pada Mahasiswa Keperawatan
Authors: Santi Rinjani  , Winasari Dewi  , Andri Nugraha
Published: February 2025

Teknologi Internet berfungsi sebagai alat komunikasi, bisnis, kesehatan, sarana belajar dan berinteraksi serta dilengkapi berbagai fitur yang menarik yang menyebabkan pengguna berlama-lama di depan komputer atau gadget. Penggunaan internet yang berlebihan memiliki dampak terutama pada kondisi kesehatan jiwa. Masyarakat dengan usia muda seperti pelajar/mahasiswa memiliki hubungan lebih emosional dengan sosial media, merasa cemas saat tidak bisa online, kesulitan untuk rileks pada waktu tidur karena takut ketinggalan jika ada pesan. Tujuan penelitian yaitu mengidentifikasi tingkat kecanduan internet pada mahasiswa. Metode penelitian ini menggunakan rancangan metode penelitian deskriptif kuantitatif. Pengumpulan data menggunakan kuesioner. Analisa data menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa dari 68 responden, sebagian besar responden (60,3%) mengalami kecanduan internet ringan dan sebagian kecil dari  responden (19,11%) mengalami kecanduan internet sedang. Kesimpulan pada penelitian ini yaitu tingkat kecanduan internet pada mahasiswa keperawatan yaitu pada tingkat ringan-sedang.
Determinan pemanfaatan pelayanan kesehatan oleh peserta Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS)
Authors: Herlinawati  , Lilis Banowati  , Hilma Dessy Nurhasan
Published: February 2025

Terjadi penurunan pemanfaatan pelayanan kesehatan oleh peserta BPJS ditunjukan dengan data persentase kunjungan tahun 2020 sebesar (12,54%), tahun 2021 sebesar 16,83% dan pada tahun 2022 sampai dengan bulan Oktober sebesar 11,46%. Determinan pemanfataan pelayanan kesehatan dipengaruhi oleh keterpaparan informasi, pengetahuan, pendapatan, dukungan keluarga dan keluhan penyakit. Tujuan penelitian ini adalah untuk mengetahui determinan pemanfaatan pelayanan kesehatan oleh peserta Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS). Jenis penelitian yang digunakan adalan survei analitik dengan pendekatan cross sectionall. Populasi dalam penelitian ini adalah seluruh peserta BPJS di Wilayah Puskesmas Ligung periode tahun 2022 sebanyak 29.303 orang, sampel sebanyak 100 orang. Teknik sampel yang digunakan yaitu Probability Proportional to Size Sampling (PPS Sampling), instrumen yang digunakan adalah kuesioner, metode pengumpulan data menggunakan angket dan analisis data menggunakan uji chi square. Hasil penelitian diperoleh ada hubungan antara keterpaparan informasi p value 0,000 (<0,05), pengetahuan p value 0,000 (<0,05), dukungan keluarga p value 0,000 (<0,05) dan keluhan penyakit p value 0,000 (<0,05) dengan pemanfaatan pelayanan kesehatan oleh peserta BPJS di Puskesmas Ligung. Tidak ada hubungan antara pendapatan dengan pemanfaatan pelayanan kesehatan oleh peserta BPJS di Puskesmas Ligung dengan nilai p-value 0,601 (>0,05).
Hubungan Dukungan Suami dengan Kunjungan Antenatal Care pada Ibu Hamil di Puskesmas Langsat
Authors: Tengku Hartian  , Siska Mulyani  , Mustika Hana Harahap
Published: February 2025

Pemeriksaan antenatal care dinilai dengan melihat angka cakupan K1 (Kunjungan awal) K4 (Kunjungan ulang). Rendahnya cakupan ANC pada ibu hamil dikarenakan beberapa factor seperti usia, pendidikan, paritas, jarak kehamilan, jarak kefasilitas kesehatan, pengetahuan, status ekonomi dan dukungan suami. Tujuan penelitian ini untuk mengetahui Hubungan Dukungan Suami Dengan Kunjungan Antenatal Care Pada Ibu Hamil Dimasa Pandemic Covid-19 Diwilayah Kerja Puskesmas Langsat. Jenis penelitian ini adalah kuantitatif dengan menggunakan rancangan desain penelitian deskriptif korelasi dengan pendekatan crosectional.instrumen penelitian ini menggunakan lembar kuesioner dukungan suami yang terdiri dari 15 pertanyaan. Penelitian ini menggunakan analisis univariat dan analisis bivariat, menggunakan uji chi-square untuk mengetahui hubungan variabel. Hasil dari penelitian didapatkan responden mendapatkan dukungan suami sebanyak 56,9% dan kunjungan ANC lengkap sebanyak 74,5%. Hasil uji statistic yang telah dilakukan di dapatkan p valueI 0,000 > 0,005 artinya terdapat hubungan yang signifikan antara dukungan suami dengan kunjungan antenatal care. Penelitian ini merekomendasikan kepada suami untuk lebih medukung dalam hal pemeriksaan kehamilan.
Pengaruh Ekonomi Keluarga Terhadap Emisi Gas Rumah Kaca Sektor Limbah Di Kota Medan
Authors: Purba Seri Ulina , Sri Malem Indirawati  , Nurmaini
Published: February 2025

Suhu permukaan bumi telah meningkat sebesar 1,5°C. Salah satu penyebab kenaikan suhu global adalah gas rumah kaca. Secara Nasional emisi sektor limbah (54,4%) lebih banyak yang dihasilkan rumah tangga dibandingkan industri. Kota Medan merupakan kota terbesar nomor 4 di Indonesia dengan kepadatan penduduk sebesar 9.283 jiwa per km2 dan kepadatan penduduk memiliki korelasi positif terhadap timbulan sampah dimana timbulan sampah merupakan salah satu sektor sumber emisi GRK. Tujuan dalam penelitian ini untuk mengenalisis pengaruh ekonomi keluarga (pendapatan dan pengeluaran keluarga) terhadap emisi GRK sektor limbah pada rumah tangga di Kota Medan Populasi terdiri dari 523.097 rumah tangga, dengan jumlah sampel 270 rumah. Tujuh kecamatan terpilih adalah Medan Deli, Medan Helvetia, Medan Marelan, Medan Denai, Medan Johor, Medan Amplas, dan Medan Tembung. Kriteria inklusi adalah rumah tangga yang tidak memiliki usaha atau kegiatan pertanian/peternakan. Metode pengambilan sampel dengan incidental sampling. Total pendapatan keluarga di Kota Medan paling kecil adalah Rp 1.000.000 dan paling tinggi sebesar Rp 25.000.000. Total pengeluaran keluarga paling kecil adalah Rp 1.000.000 dan paling tinggi sebesar Rp 15.000.000. Ada pengaruh pendapatan terhadap emisi GRK sektor limbah pada rumah tangga di Kota Medan (Sig.2 tailed < 0,05). Kekuatan hubungan pendaptan dengan emisi GRK sektor limbah adalah lemah dengan arah hubungan tidak searah. Begitu juga dengan pengaruh pendapatan terhadap emisi GRK sekor limbah pada rumah tangga di Kota Medan.
Threat Modeling and Risk Assessment in Industrial Control System Environments
Authors: - Jyothsna Devi Dontha
Published: February 2025

The increasing reliance on Industrial Control Systems (ICS) in critical infrastructure has made these systems attractive targets for cyberattacks. To ensure the security of ICS environments, it is vital to develop robust threat modeling and risk assessment strategies. This paper explores various methodologies for identifying potential threats and vulnerabilities within ICS, analyzing their risks, and applying mitigation strategies. By integrating threat modeling techniques with risk assessment frameworks, organizations can identify and prioritize security risks, implement effective countermeasures, and ensure the continued safe operation of critical infrastructure. The paper presents a comprehensive review of the latest tools and frameworks used in threat modeling and risk assessment for ICS. It also examines how these methodologies can be integrated into the operational security lifecycle, enhancing overall risk management and decision-making processes. The study highlights the importance of real-time monitoring, predictive analytics, and continuous risk assessment in mitigating cybersecurity threats. Key findings suggest that a well-executed threat modeling approach can significantly reduce vulnerabilities, improve situational awareness, and enhance response times to cyber incidents. Additionally, the research emphasizes the need for a collaborative, multi-disciplinary approach to managing ICS security risks, involving cybersecurity professionals, engineers, and decision-makers. The research also discusses emerging trends in ICS security, including the integration of AI and machine learning for proactive threat detection and response.
Implementing Microservices Architecture with Object-Oriented Programming (OOP) and Design Patterns
Authors: - Sadhana Paladugu
Published: February 2025

This paper explores the implementation of Microservices Architecture (MSA) with Object-Oriented Programming (OOP) principles and design patterns. It highlights the challenges and benefits of combining microservices with OOP to build scalable, maintainable, and flexible systems. Key design patterns commonly used in microservices, including creational, structural, and behavioral patterns, are examined in the context of real-world applications. The paper discusses how MSA and OOP complement each other to improve code reusability, modularity, and performance in distributed systems.
From Monolithic to Modular: Using Design Patterns for Application Modernization
Authors: - Sadhana Paladugu
Published: February 2025

Modernizing monolithic applications into modular architectures is a pressing need in the software industry. With the rise of cloud-native systems and the demand for scalable, maintainable, and adaptable solutions, monolithic applications often become bottlenecks to innovation. This paper explores how established design patterns can facilitate application modernization by transitioning from monolithic to modular systems. We discuss key design patterns such as microservices, repository, API gateway, and event-driven patterns, illustrating their roles in achieving modularity. Real-world examples and challenges faced during modernization are also highlighted.
Environmental Stewardship in the Automotive Industry: Challenges and Innovations
Authors: - Dr.Venkatesan Meyyappan
Published: February 2025

The global environmental concerns are mostly attributable to the automotive industry, namely in relation to greenhouse gas emissions, consumption of resources, and waste generation. The automotive industry is under increasing pressure to implement more sustainable practices as the globe grows more and more in favour of sustainability. This paper examines the numerous tactics and technological advancements being used in vehicle manufacture and design to promote environmental sustainability. It looks at waste reduction, material selection, energy efficiency in manufacturing processes, vehicle design using a lifecycle approach, and the role of technology in promoting sustainable development. The paper also addresses the obstacles and potential paths for sustainable car manufacture, highlighting the necessity of industry-wide cooperation, legislative backing, and ongoing innovation.
The Psychological and Emotional Development of Children: Understanding the Early Stages of Growth
Authors: - Arnab Maji
Published: February 2025

This paper examines the psychological and emotional development of children during the early years of life. It explores the critical stages of growth, the influence of parental care and social environments, and the impact of early childhood education on overall development. The paper also delves into the importance of emotional well-being, social interactions, and cognitive abilities in shaping a child's future.
The Impact of Play on Cognitive and Emotional Development in Children
Authors: - Sumon Pal
Published: February 2025

Play is a fundamental aspect of childhood that contributes significantly to cognitive, emotional, and social development. This research explores how different types of play, such as free play, structured play, and imaginative play, influence children's problem-solving abilities, emotional regulation, and interpersonal skills. Additionally, it examines the role of caregivers and educators in facilitating meaningful play experiences.
Investigating Cocoa Farmers’ Perception and Determinants of Their Perceptions on Farm Support Services in Ghana
Authors: - Emmanuel Opoku , - Fred Nimoh , - Faizal Adams , - Seth Etuah
Published: February 2025

This study investigated three institutions that provide support services for cocoa farmers in Ghana. These institutions are: extension, Farmer - Based Organisations (FBOs) and Licenced Buying Companies (LBCs) in three cocoa producing regions of Ghana, namely: Ahafo, Bono and Western North regions. The sample size for the study was seven hundred (700) cocoa farmers; comprising two hundred and fifty (250) cocoa farmers each selected from Ahafo and Western North regions and two hundred (200) cocoa farmers from Bono region. Simple random sampling procedure was employed to interview farmers using structured questionnaires. Five point ‘Likert’ scale perception index coded from 1-5 ("Strongly Disagree," to "Strongly Agree.“) was used to evaluate farmers’ perception on support services and the results obtained indicated that the majority of farmers agree to extension and FBO supports. The overall perception index of extension was 3.84 and FBO 3.63 indicating farmers agreement to extension and FBO supports. Farmers were neutral to LBC support (2.87). Multivariate Ordered Probit model was used to determine factors that influence farmers’ perceptions on support services. Years of formal education positively influenced extension and FBO supports at 1% level of significance. Household size positively influenced extension support at 1% level whilst negatively influenced LBC service at 10% level of significance.
The Role of Property Law in Regulating Digital Land Markets and Virtual Real Estate
Authors: - Rekha V
Published: February 2025

The emergence of digital land markets and virtual real estate has transformed traditional property law frameworks, raising novel legal, economic, and regulatory challenges. As digital assets become integral to the global economy, the application of property law principles to virtual real estate requires critical examination. This paper explores the role of property law in governing digital land transactions, ownership rights, and disputes within metaverse platforms such as Decentraland and The Sandbox. It examines whether conventional legal doctrines—such as possession, transfer, and easements—can effectively regulate virtual property, or if a new legal framework is necessary. The study delves into intellectual property rights, smart contracts, and blockchain-based ownership verification as foundational elements of virtual land transactions. It further analyzes the enforceability of virtual property agreements under existing legal statutes, including the Information Technology Act, 2000, and the Bharatiya Nyaya Sanhita (BNS), 2023. Additionally, international legal perspectives, such as the European Union’s Digital Services Act and U.S. case laws on digital assets, are explored to highlight comparative regulatory frameworks. The paper also addresses critical concerns surrounding fraud, taxation, and jurisdictional conflicts in digital real estate transactions. It argues for the development of robust legal mechanisms to ensure transparency, protect investors, and resolve disputes in virtual land markets. Ultimately, this study contributes to the evolving discourse on how property law must adapt to the digital economy, balancing innovation with legal certainty.
The Lived Experiences of a Spouse of a Person with Alzheimer’s Disease: A Qualitative Study of Caregiver Burden and Psychosocial Intervention
Authors: - Dr. Smitakhi Mahanta
Published: February 2025

Introduction: This case study explores the impact of Psychosocial Intervention Module for Caregivers of Persons with Alzheimer’s Disease (PIM-Care) on the life of Mrs. S, a 67-year-old woman who has been the primary caregiver for her husband diagnosed with Alzheimer's disease. The study aims to understand how the intervention affected her psychological well-being, stress levels, and overall quality of life.
Methodology: The study employed in-depth interviews and observation. Mrs. S participated in a structured psychosocial intervention program that included providing education, counseling, and stress management techniques over 10 sessions. Data was collected through pre- and post-intervention assessments.
Results: Before the intervention, Mrs. S reported high levels of stress, emotional exhaustion, and social isolation. The post-intervention assessments showed significant improvements in her psychological well-being, with a notable decrease in caregiver strain and improved social interactions. Mrs. S reported feeling more empowered and better equipped to handle her caregiving responsibilities. She also experienced an increase in her social support network, which further alleviated her stress.
Conclusion: The psychosocial intervention had a profound positive impact on Mrs. S's life, reducing her stress and improving her overall quality of life. These findings suggest that structured psychosocial support can be highly beneficial for caregivers of individuals with Alzheimer's disease, highlighting the need for accessible intervention programs.
Challenges of Information Security and Assurance on Electronic Medical Record Systems: A Review of Implementation and Applications in Tanzania
Authors: - Daudi Mashauri , - Pankras Kandengukila
Published: February 2025

Over the last decade, methods for collecting, storing, organizing, analyzing, and communicating information have been vastly influenced by the application of Information Communication Technology (ICT) tools. Demands for electronic health (eHealth) systems in Tanzania are enormous. This demand resulted from the inconveniences of paperwork-based information processing. With the primary focus on implementing and applying eHealth systems, aspects of security and privacy of electronic medical records (EMR) often need to be considered. However, medical records are sensitive and require a high degree of confidentiality and integrity. This paper articulates information security and assurance challenges in EMR system implementation and application in Tanzania. The paper adopted a peer review of published articles. An analysis of the current state of application of the eHealth system in Tanzania was conducted. Diverse EMR systems are being used in Tanzania hospitals. Information security should be prioritized during the implementation and application of these EMRs. Furthermore, data integration among systems still needs to be implemented. Several factors constrain the performance of secured EMR: inadequate budget allocation, lack of technical support, security threats and vulnerabilities, and user resistance. Finally, a recommendation for a secure EMR system and further research on improved security and reliable eHealth system is outlined.
Musculoskeletal Trauma on a Major Highway in Ghana: A Crossectional Study
Authors: - Prah G. K. , - Konadu-Yeboah , - Forson PK
Published: February 2025

Purpose: This study examined the epidemiology of road traffic trauma at the Trauma and Specialist Hospital, Winneba.

Method: A cross-sectional design with a mixed-method approach was used to collect data over three months. Primary data were gathered from health professionals, members of the Ghana Private Road and Transport Unit, Motto Transport and Traffic Department, and National Ambulance and Fire Service Departments using both closed- and open-ended questionnaires.

Results: The hospital received an average of 54.5% road traffic accidents (RTAs) weekly. Only 22.7% of victims arrived by ambulance; 77.3% were brought by unqualified individuals without paramedic or first aid training. Despite major injuries, recovery rates were 70-80%. It was agreed that driver negligence often caused accidents, suggesting increased police presence, driver-focused education, and periodic training. The driver’s license acquisition process should be stricter. All respondents affirmed the hospital's strategic location for managing numerous cases.

Conclusion: The hospital is well-placed to handle many accident cases but needs more resources to enhance its trauma care capabilities. The lack of first aid at accident sites is a significant cause of death, indicating the need for better protective policies. The facility’s recovery rates are promising.
Motivating Factors Influencing Women Entrepreneurs in choosing the Chikankari Business
Authors: - Saira Banoo Warsia , - Dr. Doa Naqvi
Published: February 2025

Chikankari, a traditional handicraft from Lucknow has emerged as an entrepreneurial avenue for women not only in Lucknow but also in other parts of the country. Chikankari businesses have long been providing economic independence to not only the women entrepreneurs but also to all the women artisans associated with it. This study explores the key motivating factors that drive women to engage in the chikankari business, analyzing socio-economic, cultural, and personal determinants. A qualitative approach has been adopted to fulfil the objective of this research. Women entrepreneurs who have been in the Chikankari business have been interviewed. Apart from the financial independence that the women entrepreneurs gain in this business factors like demand for chikankari products, development of the local community, passion for the art, a sense of independence have also been identified as significant motivating factors to choose this business. Findings suggest that targeted policy interventions, training programs, and enhanced market access can further empower women in chikankari entrepreneurship. This study contributes to the discourse on women's economic empowerment and the sustainability of traditional crafts in contemporary markets.
Relationship between severity of Ataxia, Quality of life and Motor Recovery in Indian population with Spinocerebellar Ataxia
Authors: - Tanpreet Kaur Bakshi , - Jaspreet Singh Vij , - Puneet Singh Bakshi , - Harsh Shekhawat
Published: February 2025

Background and Purpose: Spinocerebellar Ataxia (SCA) encompasses a group of neurodegenerative disorders characterized by progressive cerebellar ataxia. This study aims to explore the interrelationship between functional status, quality of life (QoL), and the severity of ataxia in Indian rural population with SCA patients.
Methodology: The study was observational in nature with correlational effect.Six patients (aged 25–70) diagnosed with SCA, confirmed by molecular or genetic testing, participated. Inclusion criteria required a minimum SARA gait score of 2 and FIM transfer score of 4, indicating the ability to walk independently without assistive devices. Exclusion criteria included concomitant brain lesions, terminal chronic diseases, unstable medical conditions, pregnancy, significant cognitive impairments, recent major orthopedic surgery, and other movement disorders. Patients were assessed for QoL, severity of ataxia and functional status using SF-36 v2, SARA, and m-FIM scales respectively. The data were collected and computed in a systematic way and then analysed by using SPSSv-26.
Results: Correlational analysis was done. The study found significant correlations between the severity of ataxia and both functional status and QoL. Higher SARA scores were associated with decreased functional independence and lower QoL scores.
Conclusion: The findings underscore the critical impact of ataxia severity on functional independence and QoL in SCA patients. Addressing ataxia severity is essential for enhancing patient outcomes. Future research should focus on interventions aimed at reducing ataxia severity to improve functional status and QoL.
Benefits of RCM (Reliability-centered Maintenance) in the Maritime Industry
Authors: - Amit Saxena
Published: February 2025

Reliability Centered Maintenance (RCM) now leads industries in better designing their upkeep strategies for important machinery. Maritime assets depend on ship engines and auxiliary machines to operate properly. RCM helps these operations work safely while saving costs via its forward-looking approach. This research analyzes how RCM helps keep ship machinery running by saving money while lowering breakdown periods and operating better. RCM helps us develop smart maintenance programs that match equipment conditions along with analyzing failure patterns to save resources while making sure equipment lasts longer. The maritime field benefits from using RCM while facing startup costs and transition difficulties but experiences significant sustained benefits. This research analyzes the methods and real-world uses of RCM shown through examples and findings from published studies to demonstrate its ability to transform ship maintenance systems.
Factors Influencing Learners’ Motivation in Learning English as a Second Language
Authors: - Regane B. Gapasin
Published: February 2025

This research identifies factors that affect learners’ motivation to learn English as a Second Language (ESL). A quantitative, descriptive-correlational approach was employed, surveying 169 Grade 10 learners through a total enumeration sampling technique, focusing on the motivation levels (Autonomy, Competence, and Relatedness) and affecting factors. The findings of this study revealed that (1) the majority of the learners were 15–16-year-old females with 90-94 English grades during the first quarter; (2) learners’ motivation levels in learning ESL were “Moderately High”; (3) the most agreed-upon factor was the teacher influence under competence motivation level; and (4) parental support significantly impacted learners’ English learning outcomes. These results underscore the need for targeted intervention programs. The proposed “PAMILYA MUNA” program aims to address these issues. Future research should evaluate this program’s effectiveness before broader implementation.
ICT For Teaching and Learning of Mathematics
Authors: - TAPAS KUMAR CHATTOPADHYAY
Published: February 2025

Information and Communication Technology (ICT) has significantly transformed the teaching, learning, and application of mathematics. Digital tools such as computer algebra systems, dynamic geometry software, and artificial intelligence enhance problem-solving, visualization, and mathematical modeling. ICT enables interactive learning through simulations, virtual labs, and online assessments, making abstract concepts more tangible. In research, it supports big data analysis, algorithm development, and automated theorem proving. Additionally, ICT facilitates global collaboration and access to vast mathematical resources, improving efficiency and innovation. The integration of ICT in mathematics continues to advance education, research, and real-world applications, fostering deeper understanding and exploration.
Emergence of Cause Marketing Strategy – New Consumer Behaviour Paradigm
Authors: - DR. SURESH B K
Published: February 2025

The pandemic has demonstrated that the world requires more time to recover, and nothing will return to the way it was before. In a world of isolation and solitary existence, people increasingly relied on the digital realm. The challenges faced by consumers have led to a shift in their purchasing behavior after the lockdown. Every aspect, including attitudes, preferences, purchasing channels, and post-purchase behavior, has transformed. Many companies have revisited their marketing strategies during the pandemic. From a strategic perspective, investment in Cause Related Marketing during this period is seen not only as an additional cost but also as a way for organizations to remain profitable in a highly competitive business environment. Consequently, every organization today is aiming to incorporate a Cause Related Marketing strategy into their marketing plans. This research aims to assess various Cause Related Marketing campaigns that illustrate how companies made efforts to demonstrate their commitment to society while also focusing on their survival amid the stillness of the world. The study further examines how companies restructured their marketing strategies to align with the evolving buying behaviors of consumers. It also seeks to explore how changing consumer preferences led to an increased demand for numerous products. The fundamental reason for companies to adopt Cause Related Marketing campaigns was their recognition that the pandemic presented an appropriate opportunity to emotionally connect with their customers while pragmatically setting aside the primary objective of profit-making, given that the pandemic posed significant challenges for many organizations.
Analisa Gangguan Teknis Pada Kwh Meter Prabayar 1 Phasa Guna Menjaga Kualitas Pelayanan Pelanggan di PT PLN (PERSERO) ULP Jayapura
Authors: Seno Titus Tandi , Putri Ni Made Feby Anggraini , Patoding Hestikah Eirene
Published: February 2025

PT PLN (Persero) adalah perusahaan yang bergerak di bidang kelistrikan dengan fungsi melayani semua masyarakat di seluruh Indonesia, berusaha melakukan upaya peningkatan kualitas layanan terbaik untuk memuaskan kebutuhan pelanggan.  Bentuk pelayanan listrik kepada masyarakat saat ini ada 2 yaitu layanan listrik pascabayar dan layanan listrik prabayar. Untuk mengetahui apakah pelayanan telah diberikan kepada syarakat sudah  optimal maka perlu dianalisis penyebab terjadinya kerusakan pada kWh Meter Prabayar 1 Phasa. Sering ditemukan gangguan pada kWh Meter Prabayar (MPB) dikarenakan kWh meter prabayar cenderung lebih sensitif dan mudah rusak. Penelitian ini dilakukan mengetahui penyebab terjadinya kerusakan pada kWh Meter Prabayar 1 Phasa  dengan lokasi PT PLN (Persero) ULP Jayapura. Metode yang digunakan berupa pendekatan kuantitatif untuk mengolah data-data yang diperoleh dari lokasi yang merupakan data   berbentuk angka. Hasil yang diperoleh jumlah pengaduan gangguan terbanyak terjadi di tahun 2022  sebesar 3283 gangguan, tahun 2023 sebesar 1962 gangguan dan tahun 2021 sebesar 1341 gangguan.Merek kWH meter yang sering rusak adalah Hexing 2117 buah dari total 6586 pengaduan, disusul  merek Sanxing sejumlah 2083 buah, merek Actaris sebanyak 760 buah, merek Metbelosa sejumlah 756 buah,   merek Meisys sejumlah 358 buah,   merek Itron sebesar 349 buah dan terakhir merek Fuji sebesar 163 buah.  Solusi untuk mengatasi kerusakan adalah dengan mengganti kWh yang rusak.
Netflix's Global Market Entry and Adaptation Strategies Critical Review
Authors: Jati Intan Mustika , Serenade Vincensia , Umar
Published: February 2025

This review analyzes Netflix's evolution from a local DVD rental service to a global streaming leader with 221 million subscribers across 190 countries. It focuses on Netflix's strategies for international expansion, including its innovative distribution methods, personalized user experiences, and localization efforts. By adapting its business model to meet diverse cultural and regulatory demands, Netflix has successfully navigated significant challenges such as cultural barriers and competition from local and global players like Disney+ and Amazon Prime. The review synthesizes insights from two academic articles: The Business Strategy Analysis of Netflix by Yu-Hao Hsiao, which emphasizes Netflix’s subscription model and technological advancements, and Strategy for Growth and Market Leadership: The Netflix Case by Kishwar Joonas et al., which explores marketing strategies and competitive dynamics. Key findings highlight the importance of original content development, technological innovations like AI and machine learning for user engagement, and effective localization strategies. This analysis aims to provide valuable perspectives for other technology companies seeking global expansion while maintaining a competitive edge. Ultimately, it underscores the significance of aligning long-term strategic vision with short-term tactical adaptations in navigating the complexities of the global entertainment landscape. Through this critical evaluation, we gain insights into how multinational corporations can thrive in an increasingly digitalized world.
RESPONS KETERSEDIAAN KALIUM, SERAPAN K DAN HASIL JAGUNG MANIS TERHADAP APLIKASI DOSIS PUPUK NK MAJEMUK PADA INCEPTISOLS
Authors: Nurlaela Endah , Devnita Rina , Machfud Yuliati
Published: February 2025

Fertilization is an agrotechnical method to improve soil fertility, which is crucial in increasing sweet corn production in Indonesia. Nutrient limitations in the soil often contribute to low corn yields. Inorganic fertilizers, such as compound NK fertilizers can provide essential nutrients for sweet corn. This study aims to identify the effects of different doses of compound NK fertilizers on available potassium (K), potassium uptake, and sweet corn yield. The research was conducted from October 2019 to January 2020 at the Experimental Farm and Soil Chemistry and Plant Nutrition Laboratory, Department of Soil Science and Land Resources, Faculty of Agriculture, Padjadjaran University, Jatinangor. The experimental method used was a Randomized Block Design (RBD) with 10 treatments and 3 replications. The treatments included 1 control (no fertilizer), 1 treatment with single N, P, K fertilizers, 5 treatments with various combinations of compound NK fertilizers (14.25:19.25) and single P fertilizer, 1 treatment with a single dose of compound NK fertilizer (14.25:19.25), and 2 treatments with various combinations of compound NK fertilizers (14.25:19.25) and single N, P, K fertilizers. The results showed that the combination of compound NK fertilizer (14.25:19.25) at 350 kg ha-1 with single P fertilizer at 50 kg ha-1 produced the best results, with available potassium at 2.13 cmol kg-1, potassium uptake at 42.37 mg plant-1, and cob weight with husk at 0.33 kg plant-1 on inceptisols in Jatinangor.
DAMPAK HUKUM ASAS KELEMBAGAAN ATAU PEJABAT PEMBENTUK YANG TEPAT DALAM PEMBENTUKAN PERDES
Authors: Tri Laksono Wibowo , Achmad Affandi Rizal , Estu Bagijo Himawan
Published: February 2025

The formation of village regulations that comply with the principles of appropriate forming officials is important to ensure the legitimacy and compliance of village communities. However, this process formation various problems. Problems in this research (1) What is the mechanism for forming village regulations that fulfill the principles of appropriate forming officials? (2) What are the legal impacts of forming village regulations that do not meet the principles of appropriate forming officials? This type of research uses normative law with a statutory and conceptual approach. Collecting legal materials uses literature study, and analyzes using qualitative descriptive. Research results: (1) The formation of village regulations has the same mechanism as the formation of statutory regulations, which includes planning, drafting, discussion, ratification or stipulation, and promulgation, (2) Village regulations do not meet the institutional principles or appropriate forming officials has the impact of formal defects, administrative disruption, potential abuse of power, and creates legal uncertainty. Moreover, village regulations that do not meet the appropriate institutional principles or forming officials can create a risk of non-compliance with village regulations so that village regulations do not run effectively.
Keywords: principles of appropriate forming officials, village regulations, challenges in forming village regulations, legal impact