bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of perioperative complication rates of total extraperitoneal and transabdominal preperitoneal repairs in primary inguinal hernia
Authors: Dokania Manoj Kumar , Ankur Ankur , Agarwal Nitin , Jain Atul , Anshu Anshu , Singh Rana A. K.
Published: December 2023

Background:

Hernia may be defined as a protrusion of viscus through layers anatomically designed to contain that viscus. Most abdominal hernias occur at well-described sites of potential weakness. Repair of inguinal hernia is one of the most common operations in general surgery. Objectives: To compare the perioperative complication rates of total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repairs of primary inguinal hernias.

Materials and Methods:

It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.

Results:

We observed that hernia occurrence is more common in the 31–50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.

Conclusion:

TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. The early recovery and return to the routine work were seen with the patient treated with the TEP and also showed better visual analogue score than the TAPP repair group.
Resectable distal duodenal gastrointestinal stromal tumour presenting with features of anaemia
Authors: Goyal Tushar , Dokania Manoj Kumar , Rana Anil Singh Kumar , Agarwal Nitin , Jain Atul , Sharma Lalit
Published: December 2023

Although gastrointestinal stromal tumours (GISTs) are encountered all along the gastrointestinal tract, duodenal GISTs are uncommon and account for <5% of the cases. A 45-year-old woman presented chiefly with anaemia and associated symptoms, whom on further evaluation was found to have a non-metastatic GIST in the distal duodenum sparing the pancreas and major vasculature. Patient was undertaken for segmental duodenectomy with the help of advanced bipolar energy device (tumour occupying D3–D4 with 1 cm proximal margin and 15 cm jejunum) preserving the pancreas and ampulla with end-to-end duodenojejunostomy with an uneventful postoperative course and clear margins on histopathology. Thus, the patient underwent a less morbid procedure with satisfactory oncological outcome and early resumption of activity. This highlights the need to conduct more trials to gather high level evidence in favour of conservative resection and its oncological adequacy and impact on overall survival and recurrence.
Evaluation of residual refractive prediction accuracy after phacoemulsification using the SRK/T formula
Authors: Tran Ket V. , Nguyen Tri H. M.
Published: December 2023

PURPOSE:

The purpose of this study was to determine the accuracy of residual spherical refraction predictability after phacoemulsification (Phaco) intraocular lens (IOL) implant surgery using the SRK/T formula.

METHODS:

A cross-sectional study was performed with a sample size of 112 patients diagnosed with cataracts and indicated for Phaco surgery. This study was conducted in Saigon Can Tho Eye Hospital, Can Tho City, Vietnam, from January 2022 to June 2022. Preoperative data and postoperative data were collected for each case. Residual refraction data were measured using the IOLMaster 500 and Anterion.

RESULTS:

The mean preoperative spherical refraction was 0.04 ± 0.4 diopter. The prediction of residual spherical refraction was −0.11 ± 0.17 diopter (for cases measured by IOLMaster 500: −0.02 ± 0.22 diopter; for cases measured by Anterion: 0.07 ± 0.27 diopter). The mean absolute error of prediction results value in a total of 112 eyes was 0.19 ± 0.21 diopter (for cases measured with the IOLMaster 500: 0.20 ± 0.21 diopter; for cases measured with an Anterion: 0.17 ± 0.26 diopter).

CONCLUSION:

The predictive result of the SRK/T formula showed relative and acceptable effectiveness and accuracy in predicting postoperative refraction using the SRK/T formula. The results of this study and those of other studies on the same topic are valuable data to help the ophthalmologist in preoperative consultation with the patient.
The effect of ptosis surgery on corneal topography and aberrometry
Authors: Sharifi Mohammad , Es’haghi Acieh , Kiarudi Mohammad Y.
Published: December 2023

PURPOSE:

To evaluate the corneal topography and aberrometry and their changes following ptosis surgery in patients suffering from unilateral congenital blepharoptosis.

METHODS:

The study included 15 eyes of 15 patients with unilateral congenital blepharoptosis who underwent surgical correction through anterior levator resection. Shack-Hartmann wavefront sensor was employed to assess Zernike coefficients and root-mean-square. Computerized corneal topography, Orbscan and aberrometry were measured pre-and 3 months post-surgery in the healthy and ptotic eyes. Aberrometric changes were compared between patients with more than one diopter of astigmatism and subjects with less amount of astigmatism. Data were analyzed using the SPSS version 16. P < 0.05 was considered as significance level.

RESULTS:

Following anterior levator resection, the amount of astigmatism decreased. However, the difference was not statistically significant. Changes in topographic indices were not statistically significant. Regarding tomographic indices, the change in minimum keratometry was significant. The amount of change in total higher-order aberrations (HOAs) was not statistically significant. However, there was a decrease in the amount of third-order aberrations (vertical coma and vertical trefoil) which was statistically significant for vertical coma (−0.002 ± 0.001 vs. −0.08 ± 0.02 µm, P = 0.02). Comparing aberrometric changes in patients with more than 1 diopter astigmatism and less, there was a significant difference in the amount of HOA w/o Z400.

CONCLUSION:

Surgical correction of ptosis could reduce the ocular aberrations, despite no significant change in astigmatism. Nonaxial high-order aberrations are mostly affected probably due to the meridional effect of ptosis on the cornea.
Artificial intelligence in cornea and ocular surface diseases
Authors: Pagano Luca , Posarelli Matteo , Giannaccare Giuseppe , Coco Giulia , Scorcia Vincenzo , Romano Vito , Borgia Alfredo
Published: December 2023

In modern ophthalmology, the advent of artificial intelligence (AI) is gradually showing promising results. The application of complex algorithms to machine and deep learning has the potential to improve the diagnosis of various corneal and ocular surface diseases, customize the treatment, and enhance patient outcomes. Moreover, the use of AI can ameliorate the efficiency of the health-care system by providing more accurate results, reducing the workload of ophthalmologists, allowing the analysis of a big amount of data, and reducing the time and resources required for manual image acquisition and analysis. In this article, we reviewed the most important and recently published applications of AI in the field of cornea and ocular surface diseases, with a particular focus on keratoconus, infectious keratitis, corneal transplants, and the use of in vivo confocal microscopy.
Dimension expanders via quiver representations
Authors: Reineke Markus
Published: December 2023

We relate the notion of dimension expanders to quiver representations and their general subrepresentations and use this relation to establish sharp existence results.
Strategies for patients with recurrent nasopharyngeal carcinoma involved internal carotid artery who are intolerant to embolization
Authors: Wu W-B , Zhang X-B , Feng Z-K , Li H-F , Liu Y-P , Liang J-L , Xie Y-L , Hua Y-J , Sun R , Wang S-L , Chen J-H , Chen M-Y
Published: December 2023

BACKGROUND: The surgical treatment of recurrent nasopharyngeal carcinoma (rNPC) involving the internal carotid artery (ICA) is challenging, as the massive bleeding caused by intraoperative rupture of the ICA is life-threatening. We reported that ICA embolization is an effective pretreatment to avoid fatal bleeding, but some patients cannot tolerate the procedure. We used endovascular vascular protection (ICA stents), vascular sacrifice (bypass grafting) and extravascular vascular protection (transcervical external stent placement) of the ICA to provide alternative options for these patients. METHODOLOGYy: This study enrolled patients with rNPC adjacent to or invading the ICA who were unsuitable for ICA embolization from January 2015 to June 2020. ICA pretreatment combined with endoscopic nasopharyngectomy (ENPG) was performed for the 30 patients. We report the survival outcome and incidence of complications after ICA pretreatment. RESULTS: ICA pretreatment was performed for the 30 enrolled patients, among whom 8 underwent endoscopic-assisted transcervical protection of the parapharyngeal ICA combined with ENPG, 6 underwent bypass grafting, and 16 underwent ICA stent implantation followed by ENPG. After pretreatment, at a median follow-up of 43 months (range, 2-80 months), the 3-year locoregional overall survival (OS), progression-free survival (PFS), locoregional recurrence-free survival (LRRFS), and distant metastasis-free survival (DMFS) were 62.9%, 61.3%, 70.2%, and 71.4%, respectively. CONCLUSIONS: ICA pretreatment combined with salvage ENPG enables the feasible and effective resection of rNPC lesions involving the ICA in patients who cannot tolerate ICA embolization. Therefore, this treatment may be an effective method for improving outcomes. Multidisciplinary therapy is needed to reduce operation-related complications.
Leveraging Tacit Knowledge for Teacher Performance in Vocational Schools After-Break
Authors: JUNAEDI Dudun , HERMANA Deni , APRIADI Akhmad Niko
Published: December 2023

Purpose – The primary objective of this study is to examine the utility of tacit knowledge in enhancing the performance of vocational school teachers who have experienced a career hiatus. Additionally, it seeks to investigate strategies for vocational schools to provide improved support to their teachers in leveraging tacit knowledge to enhance performance, particularly through the promotion of work engagement. Furthermore, the study aims to present a framework for vocational school managers, facilitating the explicit articulation of teachers' tacit knowledge, thereby contributing to the creation and dissemination of new knowledge through effective knowledge management. Design/methodology/approach – In order to gather data for this research, an explanatory survey methodology is employed, with the study's focus directed towards vocational education teachers in the region of West Java. A meticulously chosen sample size of 360 teachers is selected, guided by specific experience criteria and employment within the foundation overseeing the Private vocational school. Structural equation modeling (SEM) serves as the chosen method for hypothesis testing in this study. Findings – This study finds that teacher work engagement serves as a crucial mediator in the relationship between tacit knowledge and performance among vocational school teachers. It is observed that increased tacit knowledge may unexpectedly lead to reduced teacher performance, emphasizing the complexity of this relationship. Tacit knowledge is identified as a valuable resource for addressing workplace demands within vocational education. Moreover, it exerts a significant influence on the motivation process of teachers, subsequently impacting their engagement and overall performance. Interestingly, engagement plays a mitigating role, counteracting the negative effects of suboptimal tacit knowledge utilization by teachers, allowing them to achieve better performance, although not always reaching their full potential based on their rich experiences. Consequently, work engagement emerges as a key mediator, facilitating the translation of tacit knowledge into effective teaching outcomes. These findings shed light on the intricate dynamics of tacit knowledge, engagement, and performance in vocational education, providing valuable insights for educators and policymakers. Originality/value – The originality of this research manifests in its concentrated exploration of the application of tacit knowledge to enhance the performance of vocational school teachers, particularly those who have taken a hiatus in their careers. Additionally, the study introduces a fresh perspective to the realm of vocational education by highlighting the potential outcomes of making teachers' tacit knowledge explicit, with a particular emphasis on work engagement and knowledge management. This novel approach contributes valuable insights to the field, paving the way for further exploration and development.
How Welcoming Boomerang Employees Affects Employees’ Perception of Organizational Justice: an Analysis on Air Transport Personnel in Turkey
Authors: KARADENIZ Serhan , ŞENTÜRK Burcu
Published: December 2023

Purpose – The purpose of the study is to examine the relationship between former employee re-recruitment policies and organizational justice perceptions. Aims(s) – It is aimed to examine the studies on hiring former employees, which are performance-oriented in the literature, in the dimension of organizational behaviour. Design/methodology/approach – The study includes a literature review followed by implementation. In the application, data was collected by questionnaire method and then analysed by statistical methods. The analysed data were then interpreted in line with the literature. Findings – As a result of the study, it was revealed that supporting the reemployment of the former employee by the organization resulted in the employee feeling himself/herself in a more just environment. It was observed that the re-hiring of the former employee had a positive effect especially on the interactional justice sub-dimension. Limitations of the study – The fact that the study covers a single country and sector can be considered as a limitation. Conducting various studies in the context of sector and country may take the subject to different places. In addition, the reasons why employees change their jobs according to sectors should be examined in detail. Originality/value – Its focus on aviation personnel, where staff turnover is generally high and critical, and its focus on the employee perspective rather than performance can be considered original.
PENERAPAN PEMBERIAN IZIN USAHA BERBASIS RISIKO TERHADAP PELAKU USAHA MIKRO KECIL DAN MENENGAH DI DESA KEMBANG KERANG DAYA (STUDI KASUS DI DINAS PMPTSP KAB. LOMBOK TIMUR
Authors: Ningsih Kurnia
Published: December 2023

The purpose of this study is to find out How is the implementation of granting of risk-based business permits according to Government Regulation Number 5 of 2021 and what are the inhibiting factors for micro, small and medium businesses actors in Kembang Karang Daya village in processing their business permits at the one-stop investment and integrated services service in East Lombok Regency. The aim of this research is to find out how permits are implemented for micro, small and medium enterprises and what factors inhibit micro, small and medium enterprises in obtaining their business permits. This type of research is empirical normative legal research which includes interviews and direct observation from actual community actors, and normative law is a process of finding legal rules, legal principles and legal doctrines to answer the legal issues faced. Based on the result of the author’s research, the administration of business licensing from the applicant stage to the issuance of the permits is carried out electronically through the OSS-RBA (Online Single Submission – Risk Based Approach) system. and Public ignorance about risk-based business permits, lack of information and socialization from the government about risk-based business permits and low computer literacy are factors that hinder business actors in the Kembang kerang Daya Village in processing their business permits.
Análisis del manual de normas de convivencia y capacitación del personal de una empresa local
Authors: Zambrano Moreira Carmen María , García Ochoa Jhonny Vladimir , Valdez Andrade Leydi Mishelle , Ronquillo Montecel Lizeth Magdalena
Published: December 2023

La comunicación organizacional y las normas de convivencia son pilares fundamentales en el ámbito empresarial, influyendo directamente en la productividad y calidad de los servicios o productos ofrecidos. Este estudio se centró en la empresa sociedad de turismo en Santo Domingo, durante el período 2023-2024, con el objetivo de analizar la gestión de la comunicación y la sociabilización del manual interno de convivencia. A través de un enfoque cualitativo y un diseño de estudio de caso, se realizaron entrevistas semiestructuradas y se revisaron documentos internos para comprender las percepciones y experiencias de los empleados. Los resultados indican que, a pesar de la larga trayectoria de la empresa, existen desafíos en la comunicación y en la aplicación de las normas de convivencia, lo que puede llevar a conflictos internos y a un bajo rendimiento laboral. Se destaca la importancia de la capacitación del personal en temas de comunicación y convivencia como estrategia para mejorar el ambiente laboral. En conclusión, la gestión adecuada de la comunicación organizacional y la sociabilización de las normas de convivencia son esenciales para el éxito y sostenibilidad de cualquier empresa. Se recomienda a las organizaciones priorizar estos aspectos e invertir en formación y herramientas que promuevan una comunicación efectiva y un ambiente laboral positivo.
Evaluación de riesgos Ergonómicos del personal Docente de la Universidad Católica de Cuenca, Extensión Cañar
Authors: Tapia Urgilez Erika Viviana , Reinoso Avecillas Marco Benito
Published: December 2023

Los riesgos ergonómicos representan un problema considerable para la salud de los docentes, induciendo dolores musculoesqueléticos y disminuyendo tanto su calidad de vida como la del proceso de enseñanza aprendizaje de los estudiantes. De acuerdo con ello, el presente artículo tuvo como finalidad principal establecer un plan de gestión de riesgos ergonómicos asociados a las tareas académicas de los docentes en la Extensión Cañar, de la Universidad Católica de Cuenca, medido por metodologías y técnicas de reconocimiento internacional, que contribuya a la prevención de trastornos músculo esqueléticos. La investigación tuvo un enfoque cuantitativo, tipo exploratorio y descriptivo orientada a evaluar los riesgos ergonómicos de 32 docentes que participaron en el estudio. Para la recolección de información se utilizó la observación directa, detallada y sistemática de las actividades y condiciones presentes en el entorno laboral en base a los métodos estandarizados, Rapid Entire Body Assessment (REBA), Rapid Upper Limb Assessment (RULA), Rapid Office Strain Assessment (ROSA), con el objetivo de recopilar información precisa sobre cómo se desarrollan las tareas, el mobiliario y equipo de sus puestos de trabajo para establecer las condiciones ergonómicas en las que los docentes llevan a cabo sus labores diarias. Los resultados revelaron que la mayoría de los docentes se encuentra en niveles de riesgo bajo o mejorable en lo que se refiere a los movimientos reiterativos, posturas forzadas y utilización de pantallas de visualización, sin embargo, también se identificaron grupos con riesgo medio o alto en áreas específicas. Con base a los resultados se plantearon estrategias basadas en posturas adecuadas para promover la salud y bienestar en el trabajo diario de los docentes.
Sobre quando a Biologia e a poesia se encontram
Authors: Souza Guilherme Orsolon de , Machado Ligia Cristina Ferreira
Published: December 2023

A assunção da aprendizagem como processo de significação lança novos olhares sobre a sala de aula de Biologia e sobre a relação que os estudantes estabelecem com os objetos de conhecimento traduzidos nos conteúdos a serem ensinados. Considerando elementos da perspectiva teórica de Vygotsky e Zabala, este trabalho analisa uma unidade didática, articulando poesia e o conceito de fecundação humana para evidenciar como estudantes acionam e mobilizam suas concepções prévias em um contexto interativo para a produção de significados científicos e biológicos. Ao mediar as interações, o docente pôde construir espaços interativos mais interessantes que viabilizaram processos de aprendizagem em Biologia que incluem o desenvolvimento de competências de natureza cognitiva, contribuindo para uma leitura de mundo mais abrangente.
Ensino de evolução biológica e formação docente
Authors: Lunardi Larissa , Marques Keiciane Canabarro Drehmer , Schetinger Maria Rosa Chitolina
Published: December 2023

Nesta pesquisa, foram investigados trabalhos publicados no ENPEC e no ENEBIO relacionados ao ensino de evolução biológica e formação de professores. Identificaram-se 21 trabalhos sobre a temática, que foram analisados por meio da Análise de Conteúdo. Oito categorias temáticas constituíram o foco dos estudos relacionados à evolução biológica: a) concepções conceituais; b) dificuldades no ensino; c) estratégias didáticas; d) possibilidades no ensino; e) cursos de formação; f) epistemologia; g) evolucionismo e religião; e h) importância da evolução biológica. Com isso, percebe-se que as dificuldades e os equívocos relacionados aos conceitos evolutivos são frequentes, e que a formação está diretamente relacionada a esses desafios, pela fragmentação do conteúdo e escassez nas discussões sobre natureza da ciência e crenças religiosas.
Aulas práticas no ensino de Biologia
Authors: Leite Cheylla Jayna Silva Nascimento , Costa Odaléia Alves da
Published: December 2023

As aulas práticas no Ensino de Biologia são fundamentais para garantir o aprendizado dos conteúdos. Desse modo, este trabalho objetivou analisar as teses e dissertações que utilizam as aulas práticas no Ensino de Biologia como objeto de estudo na Biblioteca Digital Brasileira de Teses e Dissertações. Selecionou-se os trabalhos usando os descritores “Ensino de Biologia” e “Aulas Práticas” aplicando critérios de inclusão e exclusão. A busca nos trouxe 10 trabalhos, analisou-se as abordagens de ensino e a metodologia utilizada. Conclui-se que 60% dos autores não registraram no seu texto a abordagem de ensino que a sua aula está vinculada e quanto a Metodologia destacou-se os roteiros de práticas como peça fundamental no desenvolvimento das aulas para obtermos uma aprendizagem.

Palavras-chave: Ensino de Biologia; Aulas Práticas; Metodologia.
Trem de doido
Authors: Sousa Raquel Gonçalves de , Silva Fábio Augusto Rodrigues e
Published: December 2023

Este artigo apresenta uma sequência didática abordando os direitos humanos com ênfase em um período marcado pela exclusão de todos aqueles(as) ditas loucos(as) com sua reclusão forçada e tratamentos desumanos em manicômios como o da cidade de Barbacena – MG. A sequência didática permitiu a criação de uma peça teatral amadora. Para análise desse processo educacional, utilizou-se da metodologia “relato de experiência”. Ao se relacionar a experiência ao aporte teórico da Educação em Direitos Humanos, observou-se a relevância de uma não instrumentalização dos estudantes em um processo coletivo e autoral de aprendizagem. Percebe-se que o texto escrito para a peça se aproximou mais dos princípios da ética cordial: do “educar para o nunca mais” e da “formação do sujeito de direito”.
Love, Joy, and Intimacy:
Authors: Sapp Jeff , Donato Erwin "Sino" , Donato-Sapp Helena
Published: December 2023

Two parents and their middle school aged child reflect back on 550 days of COVID-19 lockdown.  Using a Poem in 3 Voices platform, each of them respond in conversation-style about their love of each other, their love of learning, and the joy and healing they found in common everyday things like reading, writing, cooking, music, and gardening.  Their playful banter seeks to speak to the intimacy they intentionally built with each other during the pain of the pandemic and their unspeakable losses.  The purpose of this aesthetic work is to illuminate that not all of lockdown was despair and that, in the midst of pain, there can also be moments of love, joy, and intimacy.
NARRATIVAS NA METODOLOGIA DE PESQUISA EM SOCIOLOGIA
Authors: Paludo Elias Festa
Published: December 2023

O objetivo do presente trabalho consiste em discutir, teórica e metodologicamente, o emprego de narrativas nas pesquisas em ciências sociais. O artigo está disposto em dois principais tópicos, sendo que o primeiro apresenta a relação entre epistemologia e metodologia, debatendo como a escolha de metodologias e técnicas, bem como objetos aparentemente empíricos são construídos com base em pressupostos teóricos. O argumento principal trata de que situando a narrativa dentro de um espaço social de possibilidades, pode-se conciliar as dimensões diacrônicas e sincrônicas de pesquisa, implicando numa metodologia mais robusta e que rompe com os obstáculos metodológicos das ciências sociais elucidados pela bibliografia. Para justificar o argumento, é feita uma explanação e revisão bibliográfica acerca do emprego de narrativas e histórias de vida como metodologias de pesquisa.
CONSUMO DE CANNABIS, CONTROLES SOCIAIS E SEUS EFEITOS
Authors: Melo Ricardo Bandeira de
Published: December 2023

Esta pesquisa foi realizada em São Lourenço da Mata entre 2018 e 2019. A partir de entrevistas semiestruturadas com consumidores recreativos de cannabis, apresentando um estudo comparado, baseado em diversificação interna, entre usuários das camadas populares. Durante a análise dos dados (análise temática), foi percebido que a escolaridade era a variável que gerava nas respostas uma grande distinção. Desse modo, as entrevistas foram divididas em dois conjuntos, sendo o A, formado por estudantes do ensino superior ou graduados, e o B, constituído por pessoas com no máximo o ensino médio completo. Foram analisados os perfis dos consumidores, os perfis de consumo e os controles sociais sobre a prática, exercidos pelos núcleos familiares, a vizinhança, as pessoas em geral e aqueles desempenhados pelo Estado. Entre os consumidores do conjunto B, pôde ser percebida maior intensidade no consumo, menor controle parental, menor preocupação com a vizinhança e baixa ou nenhuma estratégia em relação à polícia. Já no conjunto A, a prática se mostrou mais cautelosa. Quanto à atuação violenta da polícia, os mais vulneráveis se mostraram alvos preferenciais.
Analisis Tingkat Suku Bunga, Kurs dan Inflasi di Indonesia dengan Pendekatan Autoregressive Distributed Lag
Authors: Muliana Muliana , Fitrianti Retno , Riana Andi Dyna , Rusneni Rusneni
Published: December 2023

Inflasi merupakan hal yang sangat penting untuk terus diamati sebagai alat ukur dalam perekonomian negara yang diharapkan tetap rendah dan stabil. Dengan tingkat inflasi yang terus tinggi dapat diasumsikan harga pada barang maupun jasa dalam negeri akan naik dalam jangka waktu yang panjang. Selain itu daya beli masyarakat turun akibat dari inflasi tersebut juga akan diikut sertakan dengan penurunan pendapatan nasional. Pada akhirnya pemerintah selalu berupaya  untuk  terus  mengadakan  pengendalian  laju  Inflasi  sebab  dalam  waktu  tahun-tahun kebelakang  menunjukkan  adanya  grafik  inflasi  yang  meningkat.  Penelitian  ini  bertujuan  untuk menganalisis  pengaruh tingkat suku bunga dan kurs terhadap inflasi selama kurun waktu 5 tahun  (2017-2021) menggunakan data bulanan (monthly)  menggunakan  uji  Autoregressive Distributed Lag. Hasil penelitian menunjukkan dalam jangka pendek maupun jangka Panjang tingkat suku bunga maupun kurs berpengaruh positif tetapi tidak signifikan.
Konstruksi Agency Theory untuk Meminimalisir Asymmetry Information dalam Teori Keuangan Syariah Perspektif Tabligh
Authors: Jamal Jamaluddin , Enre Anwar
Published: December 2023

Penelitian ini bertujuan untuk mengkonstruksi salah satu teori dalam keuangan syariah yakni teori agensi dalam kaitannya dengan meminimalisasir adanya informasi yang tidak berimbang antara principal (pemilik modal) dan agent (penerima wewenang). Metode yang digunakan yakni metode penelitian kepustakaan dengan menggunakan sumber data utama referensi atau jurnal yang relevan dengan objek kajian. Penelitian ini dapat disimpulkan peran teori agensi dalam meminimalisir asimetri informasi adalah dengan cara menggunakan metafora tabliq, indikator metafora tablig yakni adanya keterbukaan yang dapat memberikan informasi yang jelas dan lengkap yang dilakukan oleh agen kepada shahibul mal sehingga segala aktivitas yang dilakukan oleh mudharib juga dapat diketahui oleh principal. Penelitian ini dapat berimplikasi pada lembaga keuangan syariah ataupun dengan Lembaga independen yang di dalamnya mengatur aktivitas bisnis dengan sistem keadagenan.
Aplikasi Kompresi Citra Dengan Menerapkan Algoritma SPIHT (Set Partitioning In Hierarchical Trees)
Authors: Yanti Milpadi
Published: December 2023

Seiring dengan berkembangnya teknologi digital saat ini,dengan banyaknya peralatan digital yang dapat ditemui dalam kehidupan sehari-hari seperti komputer,kamera digital ,handphone dan sebagainya. Dibandingkan dengan data teks,citra mempunyai karateristik tersendiri,yaitu citra merupakan data yang kaya dengan informasi. Bahkan ada sebuah isrtilah yang cukup populer yaitu “a picture is more than a thousand words”yang berarti bahwa sebuah gambar dapat memberikan informasi yang lebih banyak jika dibandingkan dengan informasi yang disajikan dalam bentuk kata-kata atau tulisan. Tetapi pada sebuah gambar digital mempunyai kapasitas atau ukuran yang cukup besar,jika disimpan akan membutuhkan memori yang besar untuk menyimpan data tersebut,mengingat media penyimpanan sangatlah terbatas,dan jika harus dikirim maka akan dibutuhkan waktu yang cukup lama dalam proses pentransmisian. Salah satu solusinya adalah dengan cara mengkompresi data citra tersebut. Dengan kompresi citra jumlah bit yang relatif sedikit sehingga transmisi citra dapat berjalan lebih cepat.
Implementasi Metode ARAS Dalam Pengambilan Keputusan Untuk Pemilihan Inseminator Terbaik
Authors: Rambe Ari Gunawan , Syahrizal Muhammad
Published: December 2023

Keberhasilan petugas inseminator sangat ditentukan oleh sinergitas peran dan fungsi masing-masing unit kerja di Puskeswan Kota Subulussalam, serta aktivitas petugas teknis di lapangan. Peran petugas inseminator merupakan salah satu faktor utama keberhasilan program yang diukur dari angka kehamilan dan kelahiran. Puskeswan yaitu Pusat Kesehatan Hewan yang memberikan pelayanan di bidang kesehatan hewan di Subulussalam Permasalahan yang terjadi di Puskesmas Subulussalam setiap tahunnya adalah menyeleksi inseminator terbaik guna meningkatkan apresiasi kinerja para inseminator, dalam memilih inseminator terbaik tersebut. masih kurang efektif. Untuk mengatasi masalah tersebut, penulis ingin melakukan pemilihan inseminator terbaik dengan menerapkan sistem pendukung keputusan dengan menerapkan metode ARAS karena metode ini digunakan untuk pemeringkatan sehingga masalah lebih terfokus karena berdasarkan kriteria yang telah ditentukan dan nilai bobot sehingga akan mendapatkan hasil yang maksimal dan menghasilkan keputusan yang lebih akurat dalam pemilihan inseminator terbaik di Puskeswan Kota Subulussalam.
Sistem Pakar Untuk Menscrening Tingkat Distress Mahasiswa Di Masa Covid 19 Menggunakan Metode Certainty Factor
Authors: Hasibuan Wilda Rina , Susilo Joko
Published: December 2023

Kondisi yang terjadi pada saat pandemi Covid 19 menyebabkan banyak mahasiswa yang mengalami depresi dan stress. Banyaknya kasus positif Covid 19 membuat mahasiswa diliputi kecemasan dan menambah tingkat distress yang dialaminya. Ditambah lagi dengan tidak dapat melakukan rutinitas seperti biasa, menyebabkan mahasiswa mengalami kejenuhan dan sampai merasa sangat kesepian. Untuk memahami dampak psikologis dan kejiwaan dari situasi pandemi Covid 19,  maka peneliti membuat sistem pakar untuk mengetahui seberapa tinggi tingkat distress yang dialami mahasiswa. Dari penelitian ini diperoleh sebanyak 25 % mahasiswa mengalami Distress dengan gejala ringan, 45% mahasiswa mengalami Distress dengan gejala sedang dan 35% mahasiswa mengalami Distress dengan gejala berat. Penanganan yang lambat pada penderita distress dapat mengakibatkan terganggunya kondisi tubuh baik itu kondisi fisik maupun mental, dan kemungkinan yang paling buruk dapat mengakibatkan kematian. Sistem Pakar yang dibuat dapat membantu dalam upaya mendeteksi dengan cepat tingkat distress sehingga dengan cepat dapat dilakukan pengendalian yang tepat pada mahasiwa, sehingga dapat menjaga kondisi kesehatan mental.
Penerapan Algoritma Galil Seiferas Pada Aplikasi Legenda Nusantara
Authors: Prambana Ferry
Published: December 2023

Legenda nusantara adalah cerita rakyat zaman dahulu yang berkaitan dengan peristiwa dan asal usul terjadinya suatu tempat, cerita yang dipercaya oleh beberapa penduduk setempat benar-benar terjadi, tetapi tidak dianggap suci atau sakral yang juga membedakannya dengan mite. Legenda sebagai salah satu jenis folklor lisan tidak hanya mengandung kisah-kisah dari suatu kolektif tetapi juga mengandung unsur sejarah didalamnya. Legenda dapat mengungkapkan sebagian cerminan kebudayaan atas suatu masyarakat. Bagi setiap orang penting untuk mengetahui bagian cerita dari legenda nusantara tersebut. Adapun solusi yang dapat dilakukan adalah dengan membuat suatu sistem pencarian pada aplikasi legenda nusantara yang dapat memberikan kemudahan dalam melakukan pencarian pada Aplikasi legenda nusantara. Dalam aplikasi pencarian pada legenda nusantara, pada aplikasi legenda nusantara yang akan dicari tidaklah dicari secara naïve (mencari huruf per huruf). Namun ada sebuah fitur dalam aplikasi yang membantu pencarian kata yaitu dengan menggunakan algoritma string matching Galil seiferas. Algoritma pencarian Galil seiferas, dimana cara kerja algoritma Galil seiferas yaitu dengan melakukan pencarian dari kanan lalu kemudian kekiri. Dengan diterapkannya Algoritma Galil seiferas pada sistem pencarian pada aplikasi legenda nusantara ini, maka diharapkan dapat melakukan proses pencarian aplikasi legenda nusantara dengan lebih mudah dan cepat.
Perancang Aplikasi Ensiklopedia Budaya Indonesia Dengan Menerapkan Algoritma Crochemore-Perrin Untuk Pencarian Teks
Authors: Siregar Ahmad Fauzi
Published: December 2023

Kebudayaan tradisional saat ini mulai ditinggalkan, banyak masyarakat yang sudah mulai tidak mempelajari keberagaman budaya indonesia. Hal ini dikarenakan masih sulitnya menemukan ragam budaya secara cepat. Ketersediaan bahan pembelajaran setiap budaya masih jarang ditemukan selain membeli buku atau jurnal yang tebal. Banyak yang berpikiran bahwa membeli buku yang tebal sangat merepotkan dan tidak efisien mengingat akan harga buku yang mahal dan kesulitan menemukan buku yang cocok. Dalam penelitian kali ini penulis akan memberikan satu solusi dengan menciptakan sebuah aplikasi berbasis android yang akan memudahkan masyarakat banyak untuk mempelajari setiap budaya yang akan disajikan didalam ensiklopeia budaya berbasis android. Dalam penelitian ini penulis akan melakukan tahap tahap yaitu: tahap analisa, perancangan, implementasi dan juga pengujian pada program. Pembuatan ensiklopedia budaya ini akan ditambah dengan pencarian kata menggunakan metode chrochemore perrin yang akan memudahkan untuk mencari setiap budaya yang akan di pelajari atau dibaca para pengguna. Diharapkan dengan perancangan aplikasi ini akan sangat bermanfaat untuk meningkatkan pengetahuan ma syarakat luas dalam mempelajari setiap budaya bangsa indonesia.
Implemetasi Algoritma Tuned Boyer Moore Pada Kamus Keamanan Komprehensif
Authors: Susanto Edi Mei
Published: December 2023

Seiring dengan perkembangan teknologi informasi pengertian  keamanan yang semula ditafsirkan dengan sederhana yaitu suasana bebas dari segala bentuk ancaman bahaya, kecemasan dan ketakutan sebagai kondisi tidak adanya ancaman fisik (militer) yang berasal dari luar. kemudian berubah menjadi pengertian  keamanan yang tidak berubah hanya terkait dengan militer namun terkait dengan hal hal lain yang menentukan eksistensi suatu negara, termasuknya didalamnya internal, kesediaan pangan, fasilitas kesehatan dan terakhir adalah kemanan dalam informasi. Namun dengan adanya dunia  pendidikan kamus menurut KBBI (Kamus Besar Bahasa Indonesia) Kamus merupakan buku acuan yang memuat kata dan ungkapan, biasanya disusun menurut abjad berikut keterangan dan makna, pemakaianya atau terjemahan nya, selain itu ,kamus merupakan buku yang memuat istilah atau nama yang disusun menurut abjad beserta dengan penjelasan makna dan pemakainya. Pencarian arti sebuah kata (string) sangat dibutuhkan dalam sebuah kamus, terutama kamus keamanan, sehingga menggunakan algoritma pencarian string sebagai solusi untuk mengatasinya,salah satu yang paling banyak. Berdasarkan uraian tersebut di atas maka penelitian ini dimaksudkan untuk mengetahui bagaimanakah pencarian string dalam kamus keamanan serta permasalahan-permasalahan apa saja yang dihadapi dalam penyelesaian pencarian string dalam kamus tersebut.
One-stage Surgical Correction of Proximal Hypospadias
Authors: Joseph VT
Published: December 2023

Introduction: Proximal hypospadias poses major problems in surgical correction owing to the complexity and severity of the abnormalities, leading to the use of staged repairs to correct this condition. However, with precise definition of the components of this deformity a single-stage operation can be developed and applied successfully for surgical correction of this condition.

Materials and Methods: Twenty-six patients with severe proximal hypospadias were subjected to a one-stage repair. Excision of proximal fibrotic dartos tissue and removal of dysplastic urethral plate tissue corrected chordee completely. Urethral reconstruction was then performed by tubularising a flap of dorso-lateral preputial skin which was then anastomosed to the proximal urethra. The glandular part of the urethra was reconstructed using the distal part of the flap as an onlay graft over the meatal groove. The suture lines were covered with a layer of dartos tissue and skin closure was completed by transposing dorsal skin to surface the ventral penile shaft. A urethral catheter was left in for 10 days.

Results: All patients have been followed up after surgery from 1 to 5 years with a median period of 2 years. There were no fistulas. Two patients had mild stenosis at the meatus which responded to dilatation. One patient developed a stricture at the proximal anastomosis which required secondary correction. All other patients achieved satisfactory correction, both in terms of voiding and in the cosmetic appearance of the genitalia.

Conclusion: Single-stage repair of hypospadias can be successfully applied in the correction of severe proximal hypospadias. It requires meticulous dissection and careful design of reconstructive techniques. The end results are comparable to staged procedures and morbidity is significantly lower.
Eating Disorders in Singapore: A Review
Authors: Ung E K
Published: December 2023

Introduction: Anorexia nervosa, bulimia and binge-eating disorder are the three best recognised eating disorders. Eating disorders have been reported to affect some 1 to 3% of adolescent females in the West. Increasing reports from Asia suggest that it is no longer possible to view these illnesses as ‘Western’ diseases. Eating disorders are the third most common serious medical disorder in female adolescents, after asthma and depression. It poses a tremendous burden for individuals, families and society. Historical and current studies on eating disorders in Singapore are reviewed, and discussed in the light of available regional and worldwide research.
Methods: Studies on anorexia nervosa and bulimia in Singapore were identified through a MEDLINE search (from 1979). Information from these studies were supplemented with relevant local monographs on eating disorders.
Results: Reports of eating disorders have increased over recent years in the local literature. The psychopathology of eating disorders in Singapore is very similar to that described in the Western literature, and in the two main current classification systems. Body dissatisfaction is prevalent among Singaporean Chinese schoolgirls and female undergraduates, with rates not dissimilar to the West. There is a link between ‘Westernisation’ (based on English being spoken as the main language at home) and body dissatisfaction.
Adolescent Alcohol and Other Substance Use: Sharing the Australian Experience
Authors: Bonomo Y
Published: December 2023

Substance use is common among adolescents. Although substance use may be a manifestation of experimentation in adolescent development, it may have more serious implications. It may be an indicator of emotional disturbance, or may be associated with several other health risk behaviours in adolescence. Substance use may also progress to harmful levels that can have a significant impact on a young person’s health. Health professionals are increasingly being exposed to teenagers who use alcohol and drugs. The following article aims to provide, based on clinical and research experience in a number of institutions in Melbourne, Australia, an overview of the epidemiology of adolescent drug use, a clinical approach to assess substance use in young people and the principles of management of drug use in adolescence.
Adolescent Admissions to a Tertiary Paediatric Hospital: A Dynamic Pattern
Authors: Lam PY , Yeo M , Sawyer SM
Published: December 2023

Introduction: Adolescent inpatient facilities emerged in Australia in the 1980s to cater for an increasing number of young people with chronic illness and disability. Yet, there is minimal published data on the number of young people admitted to hospital within these units, their unit of admission, length of stay or reason for admission. A 12-year audit of adolescents admitted to a tertiary hospital with a dedicated adolescent unit and adolescent medicine programme in Victoria, Australia, was conducted to review the pattern of hospitalisation in young people in order to provide data to assist healthcare policy and planning agendas.

Materials and Methods: Admissions to the Royal Children’s Hospital in Victoria, Australia, of adolescents aged 10 years and above were reviewed over a 12-year period from 1990 to 2001. We identified the annual number of adolescents admitted, the proportion of adolescents admitted to the Adolescent Inpatient Unit (ward) and annual admissions under the Adolescent Medicine Unit (department).

Results: Adolescents now constitute nearly 30% of all admissions at this children’s hospital. Over this period, admissions to the Adolescent Inpatient Unit have nearly doubled and annual admissions under the Adolescent Medicine Unit rose from 38 to 288. The majority of adolescents were admitted under specialty medical and surgical units.

Conclusions: The knowledge that nearly one in three admissions to this tertiary children’s hospital is over 10 years old should help promote the development of planning and policy agendas that better balance both health and developmental priorities in this age group.
Improving the Uptake of Human Immunodeficiency Virus (HIV) Antenatal Screening in a Primary Healthcare Setting
Authors: Tay EG , Emmanuel SC
Published: December 2023

Introduction: It has been well established that proper treatment and management of human immunodeficiency virus (HIV)-infected mothers can decrease virus transmission to their fetuses. HIV screening of antenatal mothers attending government polyclinics was offered from 1998 at a subsidised cost of $5 and given on a voluntary basis. The polyclinics provide antenatal care to approximately 12% of pregnant mothers in Singapore who belong mainly to the lower socio-economic group. The uptake of the HIV screening by these mothers has been poor.

Materials and Methods: A one-month study was first undertaken in 1999 to determine the reasons for the poor uptake and to propose recommendations for improving the uptake. A second one-month study was undertaken in 2001 to evaluate the effect of the new strategies after implementation.

Findings: This first study showed that refusal for the test was mainly due to poor perception of risk among the mothers. The HIV screening test was incorporated into an antenatal screening package and consent was obtained for this package. This was implemented on an opt-out basis. The second study done after implementation showed that the uptake of the HIV screening improved from 45% to 99%.

Conclusion: The incorporation of the antenatal HIV screening into an antenatal screening package, and implementing this on an opt-out basis, improves uptake to almost a universal level.
Citation on Mr Shaw Vee King for Admission to Honorary Fellowship on 1 August 2002
Authors: Pillay V K
Published: December 2023

My association with the Shaw Family goes back to the time three and a half decades ago when, as the Professor of Orthopaedic Surgery, I had the privilege to treat Vee King’s mother for an odontoid fracture sustained when she was thrown out from a car in an accident. Subsequently a decade later, I was fortunate to have diagnosed an aortic aneurysm and a common iliac artery stenosis that was affecting Vee King’s father.
Citation on Professor Lim Pin – 16th Gordon Arthur Ransome Orator
Authors: Lee Eng Hin
Published: December 2023

The Gordon Arthur Ransome Oration was inaugurated in 1971 in honour of Professor Sir Gordon Arthur Ransome, Founder Master of the Academy of Medicine of Singapore on the occasion of his retirement after 33 years of distinguished service to the University and the nation in the teaching and practice of medicine. The first orator was none other than our own Professor Seah Cheng Siang.
Modern Management of Colorectal Polyps: Are They All Premalignant?
Authors: Konishi F
Published: December 2023

There are various types of polyps in the colon and rectum. Most colorectal polyps in the colon and rectum are either adenomas or hyperplastic polyps. In general, adenomas are considered to be premalignant. Adenoma-carcinoma sequence is an established theory of carcinogenesis in the large bowel in Western countries. However, small adenomas are ubiquitous phenomena, and it is questionable whether they are actually precancerous. Most small adenomas did not become larger in our colonoscopic follow-up study of small adenomas measuring 5 mm or less. It was considered safe to leave such small adenomas behind, particularly in a situation in which follow-up examination is periodically performed, such as in patients who have undergone colorectal cancer surgery before. In Japan, small flat carcinomas have been reported as an important precursor of advanced colorectal carcinoma. They are also found in Western population. The malignancy rate of small flat and depressed lesions was significantly higher than that of polypoid lesions. Although small flat carcinomas are less frequently seen than polypoid-type carcinomas in the early stages, they are considered to be an important precursor of advanced colorectal cancer.