bluuebunny/crossref_metadata_2025 huggingface dataset:
A COMPARATIVE STUDY BETWEEN SCLEROTHERAPY, OPEN HAEMORRHOIDECTOMY AND MINIMALLY INVASIVE PROCEDURES FOR HAEMORRHOIDS (MIPH) IN PATIENTS WITH SECOND- AND THIRD-DEGREE HAEMORRHOIDS.
Authors: Shah Pooja , Vansdadia Rushi , Patel Janki
Published: August 2023

Background: Haemorrhoids are one of the common clinical conditions affecting most of the population. Materials and Method: This was a
prospective observational study comparing the three types of surgical procedures for haemorrhoids in 60 patients. Total 20 patients were included
in each of the group of Milligan-Morgan open haemorrhoidectomy (M-M), Minimally invasive Procedures for haemorrhoidectomy (MIPH) and
sclerotherapy. Results: Sclerotherapy was performed more in grade 2 haemorrhoids, while grade 3 haemorrhoids had more of MIPH and open
haemorrhoidectomy. Overall, all complications were more in the open haemorrhoid group. Duration of hospital stay was also more in open
haemorrhoidectomy group. Conclusion: Open haemorrhoidectomy had maximum post operative complications and prolonged stay at the
hospital. Sclerotherapy has performed well in our study which was comparable to other studies as well. MIPH remains the proper choice for all
grades of haemorrhoids with better patient satisfaction and outcomes.
ROLE OF INTRAVENOUS IMMUNOGLOBULIN (IVIG) IN THE TREATMENT OF NEONATAL SEPSIS
Authors: Singh Gurdeep , Ghatak Dhimoyee , Kumar Santosh
Published: August 2023

Introduction: One of the main causes of morbidity and mortality among preterms especially very low birth weight (VLBW) infants is neonatal
sepsis. Even if antibiotic treatment started immediately, sometimes fails to prevent death; in such neonates immunity functions could be improved
by administration of intravenous immunoglobulins. Objectives: The objective of our study was to evaluate the effect of intravenous
immunoglobulin (IVIG) in neonatal sepsis. Material and Methods: We enrolled a total 80 patients, 40 in case and 40 in control group and
evaluated the outcomes of both the groups in terms of mortality. Results:We found that Escherichia coli and Klebsiella pneumoniae were the most
common pathogens isolated in positive blood culture cases of neonatal sepsis and there was no signicant difference in the mortality rate in the
adjuvant use of intravenous immunoglobulin in the treatment of neonatal sepsis. Conclusion: This study concludes that there is no signicant
difference in the mortality rate in the adjuvant use of intravenous immunoglobulin in the treatment of neonatal sepsis.
ANTIDEPRESSANT EFFECT OF SESAMOL IN CORTICOSTERONE INDUCED MAJOR DEPRESSION PARADIGM IN MICE: BEHAVIOURAL EVIDENCE.
Authors: Singh Richa , N Kaore Shilpa , Kumar Shukla Ajay
Published: August 2023

Rationale Neuropsychiatric diseases are main cause of morbidity and mortality among human. Depression is one of the main cause of
neuropsychiatric diseases. Existing pharmacological treatments has lots of sides effects and currently phytochemicals are vigorously explored, so
in this context we explored sesamol for antidepressant effect in corticosterone induced major depression model in mice. Method In Our study, we
assessed antidepressant activity of sesamol in C57BL/6 mice. Depression was induced in mice by subcutaneous administration of 40 mg/kg
corticosterone for 21 days. Exploration of antidepressant activity was done by two behavioural tests namely forced swim test and tail suspension
test. To evaluate behavioural effect of sesamol on corticosterone induced maj Objective or depression model with forced swim test and tail
suspension test. In our study, sesamol was evaluated in C57BL/6 mice for antidepre Method ssant activity. Depression was induced by
subcutaneous corticosterone administration for 21 days, the animals were subjected two behavioural tests, as forced swim test and tail suspension
test. In both forced swim test and tail suspension test parameter assessed was time of immobility, that was considered as a measure of antidepressant activity. In both behavioural tests, decrease in time of immobility was indicative of antidepressant activity. In both behavioural test, forced Result swim test and tail suspension test, sesamol 20 mg/kg group, decrease in time of immobility was statistically signicant (p<0.05) in post hoc comparision suggesting that sesamol exhibited antidepressant activity in corticosterone induced major depression model. Conclusion So to conclude, sesamol exhibited signicant antidepressant activity in forced swim test as well as tail suspension test.
SPECTRUM OF MINERAL BONE DISORDERS IN PATIENTS OF CKD AT TERTIARY CARE CENTRE OF UTTRAKHAND
Authors: Khanna Ashima , Khrime Dorchhom , Kumar Alok , Khurana Payush
Published: August 2023

Introduction: Our bodies rely on two metabolic buffer systems, the kidneys, and bones, to maintain our internal environment. When one system is affected, it can have long-term effects on the other. Imbalances in minerals are increasingly important due to their correlation with cardiovascular disease and mortality. Chronic kidney disease (CKD) leads to mineral build-up in the kidneys, causing the parathyroid glands to overwork, resulting in mineral deposition in tissues. This compensatory response can lead to diseases when tissue function is affected. Aim and Objectives: Aim: To study the patterns of various mineral abnormalities in stage 3-5 CKD patients. Objectives: To evaluate the levels of S.CALCIUM, S.iPTH, S.ALKALINE PHOSPHATASE, SERUM PHOSPHOROUS, SERUM MAGNESIUM, and 25-Hydroxyvitamin D3 (25OHD) in CKD patients. Materials and Methods: This prospective observational study includes CKD patients in stage 3-5, aged over 18 years. Patients taking specic medications or with certain medical conditions are excluded. Data will be collected from 50 CKD patients, including demographic parameters, medical history, and various laboratory tests. Statistical analysis will be performed using SPSS Version 17 and Microsoft Excel 2010. Results: The baseline characteristics of the study population, including age and various mineral levels, are presented in Table 1. The study participants primarily had diabetes (46%) and hypertension (38%) as the etiology of CKD (Table 2). The majority of patients (74%) experienced symptoms related to CKD-MBD (Table 3). Various mineral levels were assessed, including S. calcium, iPTH, Vitamin D, magnesium, and phosphorus (Table 4). Conclusion: Hypocalcaemia is more common in early stages of CKD, while hyperphosphatemia is observed in all stages. Diabetes and hypertension are the main causes of CKD. High turnover bone disease is more prevalent than low turnover in CKD stages 3-5. Vascular calcication is also observed in CKD
MULTIDETECTOR COMPUTED TOMOGRAPHY (MDCT) ANGIOGRAPHY OF THE RENAL ARTERIES ANATOMY AND ITS VARIATIONS WITH LOW KV TECHNIQUES
Authors: Gupta Shailesh , Kumar Nimawat Ashwani , Kumar Jangir Rajesh
Published: August 2023

CT renal angiography is an excellent diagnostic test used to demonstrate the anatomy and patency of blood within the arteries. Reasons for a renal
angiogram embrace renal artery stricture, renal artery aneurysm, and Pre-operative assessment for renal transplant. Radiologists investigate the
aneurysm and stricture of a blood vessel, or thrombosis in a lumen and also see blood ow in the kidneys region. The patient study was done in our
department on 128 slice (Wipro GE) OPTIMA CT machine. In our case study of 572 patients, 152 cases (26.5 %) show variations in the variations of the
renal arteries. In 99 cases ( 17.3 %) renal artery is bifurcating early (<1.5mm) and in 53 cases (9.2 %) accessory renal artery is present bilaterally. MDCT
renal angiography allows us to provide precise information about the anatomy of the renal vasculature and the possible variants and diseases before
surgery. The valuable anatomical information has drastically reduced the risks and complications during and after renal transplant improving the
chances for a successful outcome. Knowledge of the surgical techniques performed and exclusion criteria allows radiologists to write an accurate
radiological report. There is no signicant difference in image quality on the low KV technique but it helps to reduce radiation exposure to patients.
SMBG AND GLYCAEMIC PARAMETERS (FBS, PPBS AND HBA1C) IN DIABETIC SHIFT WORKERS
Authors: Raja Sharma Bikram , Varma Amit , Garg Neeru
Published: August 2023

Introduction: Diabetes is a metabolic disease characterized by worsening of glycemic control and hyperglycemia. Landmark trials have shown
that strict control of blood sugar levels leads to slower progression of complications. Continuous Glucose Monitoring (CGM) offers close
monitoring but is costly and invasive. Self-Monitoring of Blood Glucose (SMBG) is a useful tool for glucose monitoring at home and helps in
achieving glycemic control. Shift workers face challenges in glycemic control due to irregular work schedules. Objective: To estimate 7-point
SMBG and glycemic parameters (FBS, PPBS, and HbA1c) in diabetic shift workers. Methods: A cross-sectional study was conducted at Shri
Mahant Indiresh Hospital in Dehradun. Fifty subjects with type 2 diabetes attending the outpatient and inpatient departments were enrolled.
Inclusion criteria included age > 18 years, type 2 diabetes, and being a shift worker. Exclusion criteria included specic diabetic emergencies and
secondary diabetes. Clinical history, examination, and relevant investigations were conducted. Results: The mean age of the participants was
59.4±11.93 years. Baseline characteristics and glycemic parameters were measured. Shift workers accounted for 50% of the cases. Random blood
sugar levels at 7 different time points were measured over a 10-day period. Statistical analysis showed signicant differences in blood sugar levels
based on shift work and shifting duration. Conclusion:This study evaluated 7-point SMBG and glycemic parameters in diabetic shift workers. The
ndings suggest that SMBG values at specic time points can be useful for integrating day-to-day glycemic targets. Shift workers may require
targeted preventive strategies for managing diabetes and reducing the risk of complications
A CLINICAL PROFILE OF LONGITUDINALLY EXTENSIVE TRANSVERSE MYELITIS IN A TERTIARY CARE CENTRE
Authors: Naveen Kumar S. , Sateesh K. , Veena N.
Published: August 2023

Purpose : Transverse myelitis is an inammatory disorder with acute or subacute spinal cord dysfunction, characterized by motor, sensory, bladder
and bowel involvement1 . Longitudinal extensive transverse myelopathy (LETM) is a spinal cord lesion involving three or more vertebral
segments2.Most common etiology is Neuromyelitis optica (NMO), followed by infective, neoplastic, autoimmune diseases and connective tissue
disorders, neoplasms and spinal cord trauma.3 This study assess the demographic, clinical, radiological and immunological characteristics and
compares the aquaporin-4 positive versus negative in relation to clinical and radiological features. :This is a hospital based prospective Method
case study that includes forty two patients presented to Neurology Department in tertiary care hospital, Hyderabad between October 2019 to
November 202. The patients were studied for demographic prole, clinical presentation, blood serology,CSF studies and neuroimaging as per standard protocol. Patients with chronic progressive disease not fullling LETM criteria were excluded. : Mean age of onset was 36.5 ± Results 12.9 years. Most common complaints were sensory, followed by bowel/bladder involvement, motor weakness. Most common etiology was NMOSD (55%) Seropositive 57%, seronegative 43%. Non-NMOSD group comprised of Idiopathic (24 %), ADEM (7%), SACD (7%) and MS (5 %) and systemic autoimmune disorders (2%). Spinal cord MR imaging in NMOSD showed cervical spine involvement in 21.7 % patients, cervicodorsal spine in 43.4%,dorsal spine involvement 17.3%. Radiologically Central full thickness pattern involving >1/2 transverse segment of cord was seen with NMOSD & ADEM. Marginal & posterior in MS. Posterior/ posterolateral in SACD. 8 had positive ANA of which 75% in NMOSD group. In our NMOSD cohort, certain clinico-radiological features were predicitve of seropositivity: female predominance; paroxysmal tonic spasms; unexplained recurrent hiccups, nausea or vomiting (Area postrema syndrome); relapsing course predominantly cervico-dorsal cord involvement , bright spotty lesions and T1 hypointense lesions on spinal MRI. In this Conclusion: study, NMOSD was the commonest cause of LETM. Female sex, paroxysmal tonic spasms, cervico-dorsal cord involvement, bright spotty lesions on MRI are features favoring seropositive NMOSD. Even topographical analysis, extent of lesions on MRI and contrast pattern may also give clues to the differential diagnosis. On axial topography, bright spotty lesions favour seropositive NMOSD, postero lateral pattern suggest SACD whereas posterior & marginal pattern suggests MS
Studies on Seasonality of Marine Algae at Appikonda, Visakhapatnam District, East Coast of India
Authors: Rao G. M. Narasimha , K Prasanna Lakshmi , Sree R. Raja
Published: August 2023

Seasonal studies on marine macro algae present along the coastal regions of Appikonda near Steel plant of Visakhapatnam was studied for a period one year during 2017 to 2018. Quadrant studies were conducted for three seasons such as winter, summer and monsoon, identified 24 macro algal forms in all three seasons of the year. Maximum number of species were recorded during winter season and minimum number of species were recorded in summer season during period of the investigation. Species of Ulva, Caulerpa, Cladophora, Chaetomorpha, Spongomorpha, Gracilaria, Gratelophia, Amphiroa, Jania, Gelidiopsis and Gelidium were present in all seasons along the intertidal habitats of the study area.
Algal Diversity in Paddy fields of Subbavaram Mandal, Visakhapatnam District, Andhra Pradesh
Authors: Ambika K. , Babu N. V. Jayanth , Rao G. M. Narasimha
Published: August 2023

Data on algal diversity and composition was collected for one season in the paddy fields of Subbavaram Mandal during the year 2019. In Subbavaram Mandal paddy was cultivated for one time in a year only due to unavailability of water. Water samples were collected randomly from different villages of this Mandal. A total of 28 species were reported from the paddy fields of the study sites and belongs to Chlorophyceae (16), Bacillariophyceae (5), Cyanophyceae (3).
Isolation and Virulence Evaluation of Currently Circulating Avibacterium paragallinarum in Poultry
Authors: Soliman Heba M. , Azooz Mohamed F. , Moustafa Hanaa A. , El-Moneim Wafaa S. Abd , Ibrahim Fatma F. , Zaki Farid F.
Published: August 2023

Avibacterium paragallinarum is a Gram-negative bacterium that causes infectious coryza (IC), a respiratory disease that is highly contagious among chickens. Through PCR testing and sequence analysis of the FlfA gene, a total of 10 Av. paragallinarum field isolates were identified, accounting for 5.7% of the samples. In this study, we assessed the virulence of field isolates by utilizing a rapid artificial intrasinus injection route model. Upon observation, we have found that all 10 field isolates from Egypt that were identified as type B strains possess virulent properties and have the ability to cause Infectious Coryza (IC) disease in chickens. The current study aimed to sequence the FlfA gene and conduct phylogenetic analyses to better understand the Avibacterium paragallinarum field isolates that have been circulating in Egypt in recent years. This research will provide valuable insights into the genetic makeup and evolution of this pathogen, which can inform future efforts to control and prevent its spread. The amino acid sequences of Avibacterium paragallinarum from Egypt and the reference sequence exhibit a remarkable degree of homology, ranging from 97.96% to 100%. This finding underscores the close relationship between the two sequences and highlights the potential for further research into the genetic makeup of this pathogen. Furthermore, the discovery of a fimbrial cluster that is identical to the Galli bacterium FlfA in the Av. paragallinarum genome indicates that these two species may have recently exchanged this fimbriae. This exchange could have occurred during the natural co-colonization of the chicken's upper respiratory tract. It is possible that this exchange could have implications for the pathogenicity and virulence of these bacteria. The FlfA protein has unique characteristics and was subjected to bioinformatics analysis to predict its properties and protein interactions. The FlfA protein structure is stable with many coiled regions. ..
EVASÃO E PERMANÊNCIA NA REFORMA AGRÁRIA: UM ESTUDO DE CASO NO ESTADO DO RIO DE JANEIRO
Authors: BASTOS Gabriel Souza
Published: August 2023

O presente artigo analisa por quais motivos os assentados do assentamento norte-fluminense Francisco Julião permanecem ou abandonam seus lotes, desistindo de serem beneficiados pelo Programa Nacional de Reforma Agrária. Para isso, damos uma especial atenção para os desdobramentos diretos de políticas públicas na vida dos assentados, nas relações de grupos familiares, indivíduos e atores presentes dentro do assentamento. Através de uma metodologia de observação participante ao longo dos anos de 2013 e 2014, constatamos a existência de dificuldades ocasionadas pela falta ou atraso de políticas públicas, abrindo margens para casos de evasão. Por outro lado, observamos relações de reciprocidade que operam como estratégias de permanência, a fim de contornar os problemas ocasionados pela ausência de políticas públicas.
O POVO KARAJÁ DE ARUANÃ-GO/BRASIL: TURISMO, TERRITÓRIO E VIDA INDÍGENA
Authors: DA SILVA Lorranne Gomes , DE LIMA Sélvia Carneiro , NAZARENO Elias
Published: August 2023

O presente artigo analisa questões referentes ao turismo, o território e a vida indígena do povo Karajá que se localiza no município de Aruanã, no Estado de Goiás - Brasil.  Aruanã está inserida na Região Turística Vale do Araguaia, conjunto complexo de dinâmica do capital e diferentes interesses econômicos. Desse modo, ao considerar as apropriações dos territórios, especialmente, no que se refere as atividades turísticas, é preciso repensar sobre os distintos usos e consequências de como essas práticas são instituídas, sobretudo, quando se trata de territórios indígenas. As pesquisas apontaram que o contato interétnico e a inserção dos Karajá nas demandas mercadológicas do turismo sem planejamento adequado, culminou em ressignificações socioculturais. Esta pesquisa é qualitativa e etnográfica e foi desenvolvida a partir de levantamento bibliográfico, trabalho e caderneta de campo, observação participante, roda de conversas, registros de narrativas e imagens.
O DIREITO ‘ACHADO NO ARQUIVO’: UM OLHAR SOBRE O ACERVO DO NÚCLEO DE PESQUISA, DOCUMENTAÇÃO E REFERÊNCIA SOBRE MOVIMENTOS SOCIAIS E POLÍTICAS PÚBLICAS NO CAMPO- NMSPP
Authors: DE OLIVEIRA Luiza Antunes Dantas
Published: August 2023

O Núcleo de Pesquisa, Documentação e Referência sobre Movimentos Sociais e Políticas Públicas no Campo vem se constituindo desde 1997 enquanto acervo dedicado à memória dos processos sociais agrários. Esta reflexão, na qual o acervo torna-se campo de pesquisa, busca identificar os usos do Direito que perpassam o repertório de ação dos movimentos sociais do campo, e que são explicitados a partir da organização documental. Aqui, o Direito, enquanto expressão da correlação de forças estabelecidas em sua produção, interpretação e efetivação, assume o papel de fio condutor do exercício de memória das lutas sociais do campo. Deste modo, vemos que o recurso aos acervos históricos pela pesquisa jurídica revela chaves importantes para compreensão das atuais investidas no desmonte de marcos legais outrora conquistados.
A PARTICIPAÇÃO DO SUL DE MINAS NO ABASTECIMENTO DE CARNE VERDE DO RIO DE JANEIRO: 1858-1864
Authors: MARTINS Marcos Lobato
Published: August 2023

Este trabalho investiga as atividades pecuárias no Sul de Minas e a trajetória da empresa ‘José Jorge da Silva & Companhia’, surgida no ano de 1858, em Santo Antônio do Machado, para o fornecimento de carne verde para o Rio de Janeiro. As fontes utilizadas são documentação cartorária (contratos, inventários, escrituras de vendas de terras), registros paroquiais de terras, ofícios enviados a Presidentes da Província, relatórios governamentais, periódicos de época.
A LIBERTAÇÃO LINGUÍSTICA DA LITERATURA NACIONAL: TRAMAS DE POLÍTICA, LÍNGUA E LITERATURA NO BRASIL (1930-40)
Authors: Figueiredo GOMES Gilvana de Fátima , COSTA Maria Paula
Published: August 2023

O texto analisa as contendas políticas e intelectuais ocorridas na década de 1930, que tiveram como eixo a unidade linguística nacional e nas quais tomaram parte os articuladores do Estado Novo, os críticos literários e os romancistas sociais, notadamente, Jorge Amado. O mapeamento dos textos produzidos sobre tema, das instituições, sujeitos e argumentos envolvidos revela as tensões de um período em que a busca pela identidade nacional ocupava lugar central nos projetos políticos e culturais. Conclui-se que, naquele período, os usos da língua presidiam muitas das escolhas políticas e estéticas.
INTRODUÇÃO AO DOSSIÊ “O PENSAMENTO INTELECTUAL, A HISTORIOGRAFIA E O ENSAÍSMO NA PRODUÇÃO INTELECTUAL BRASILEIRA E LATINO-AMERICANA (1870-1960)”
Authors: SCHNEIDER Claércio Ivan , SCHNEIDER Alberto Luiz
Published: August 2023

INTRODUÇÃO AO DOSSIÊ“O PENSAMENTO INTELECTUAL, A HISTORIOGRAFIA E O ENSAÍSMO NA PRODUÇÃO INTELECTUAL BRASILEIRA E LATINO-AMERICANA (1870-1960)”
INTEGRASI HOUSE OF RISK DAN PROBABILITY IMPACT MATRIX UNTUK MITIGASI RISIKO SUPPLY CHAIN (Studi Kasus : CV. Anugerah Jaya Mandiri)
Authors: Eko Wahyu Abryandoko
Published: August 2023

CV. Anugerah Jaya Mandiri merupakan perusahaan makanan bayi,. Produk makanan tersebut memilikinama paten dengan merk Bebicare Bubur Bayi Organik Bebicare. Perusahaan ini memiliki banyak otletyang tersebar di wilayah kabupaten Tuban dan Bojonegoro. Distribusi produk perusahaan sebanyak 17lokasi otlet. tentu resiko yang di hadapi perusahaan cukup komplek sehingga menarik untuk di teliti dandi kaji lebih dalam, agar perusahaan dapat meminimalisir resiko dalam distribusi produk. Tujuanpenelitian ini adalah Untuk menentukan cara memetakan risiko – risiko yang menjadi prioritas untukdiberi penanganan pada supply chain dan Untuk mencari bentuk respon resiko yang sesuai terhadappenanganan mitigasi resiko yang ada dalam supply chain CV. Anugerah Jaya Mandiri. Hasil penelitianmenunjukkan pemetaan strategi Supply chain yang di lakukan pada CV. Anugerah Jaya Mandiri memilikigambaran proses yang berlangsung yaitu pemasok, produsen, logistik, dan konsumen
PENINGKATAN KUALITAS PRODUK DAN HARGA UMKM SOTO AYAM SURABAYA “CAK NOER” KARAWANG
Authors: Mawa Syahputri  , Aura Aulia  , Santi Pertiwi Hari Sandi  , Dwi Epty Hidayaty
Published: August 2023

Usaha Mikro Kecil Menengah atau biasa disebut UMKM adalah kegiatan yang menjadi salah satu sumber kekuatan ekonomi negara. Tujuan dari kegiatan observasi ini adalah untuk mengetahui kualitas produk yang dijual dan harga yang ditawarkan oleh usaha Soto Ayam Surabaya Cak Noer. Metode kegiatan observasi ini menggunakan metode deskriptif observatif yang diambil melalui pendapat subjek saat melakukan observasi. Data primer diperoleh melalui wawancara dan observasi langsung kepada para pemilik usaha, dan data sekunder dari penelitian ini didapatkan dari artikel maupun buku yang berkaitan dengan judul penelitian. Hasil kunjungan menunjukkan bahwa Soto Ayam Surabaya Cak Noer dapat mempertahankan serta meningkatkan kepuasan konsumen. Kualitas produk yang diproduksi oleh soto ayam ini cukup terbilang baik karena bahan-bahan yang digunakan langsung dari pasar dan harga yang cukup terjangkau untuk setiap menunya. Soto Ayam Surabaya Cak Noer dapat menambah menu selain soto ayam sehingga memiliki beberapa variasi menu yang dapat dibeli oleh konsumennya. Soto Ayam Cak Noer juga dapat mencoba untuk membuka bisnis media online seperti Go Food atau Grab Food agar dapat meningkatkan minat beli konsumen.
PENGARUH PERSEPSI HARGA DAN PERILAKU KONSUMEN TERHADAP KEPUTUSAN PEMBELIAN PRODUK ORIFLAME
Authors: Robby Fauji  , Sihabudin  , Fitri Indah Sari
Published: August 2023

Penelitian ini bertujuan untuk mengetahui persepsi harga dan perilaku konsumen terhadapkeputusan pembelian mahasiswa Program Studi Manajemen angkatan 2018 Universita BuanaPerjuangan pada produk Oriflame. Jenis metode penelitian deskriptif dan verifikatid, denganpendekatan kuantitatif. Teknik penentuan sampel menggunakan cluster sampling dengan 224responden mahasiswa angkatan 2018 Program Studi Manajemen Universitas Buana PerjuanganKarawang. Teknik analisis yang digunakan yaitu analisi jalur (path analysis) dibantumenggunakan program SPSS. Berdasarkan hasil penelitian dapat disimpulkan, persepsi hargasecara parsial terhadap berpengaruh positif dan signifikan terhadap keputusan pembelianmahasiswa Program Studi Manajemen Universitas Buana Perjuangan Karawang pada produkOriflame. Perilaku konsumen secara parsial berpengaruh positif dan signifikan terhadap terhadapkeputusan pembelian mahasiswa Program Studi Manajemen Universitas Buana PerjuanganKarawang pada produk Oriflame. Persepsi harga dan perilaku konsumen berpengaruh secarasimultan dan signifikan terhadap terhadap keputusan pembelian mahasiswa Program StudiManajemen Universitas Buana Perjuangan Karawang pada produk Oriflame.
Agglomerative Clustering of 2022 Earthquakes in North Sulawesi, Indonesia
Authors: Rio Afrioni Roma , Siahaan Berton Maruli
Published: August 2023

This paper presents a cluster analysis of earthquake data in the surrounding region of North Sulawesi, Indonesia. The dataset comprises seismic data recorded throughout the year 2022, obtained from the BMKG earthquake repository. A total of 211 earthquakes were included in the analysis, with a minimum magnitude threshold of 2.5 and a maximum depth of 300 km. The agglomerative clustering technique, combined with the elbow method, was employed to determine the optimal and distinct number of clusters. As a result, four unique clusters were identified. Cluster 1 exhibited high magnitudes, with an average magnitude of 4.4, and shallow depths, averaging at 20 km. Cluster 2 also had high magnitudes, averaging at 4.4, but deeper depths, with an average of 199 km. Cluster 3 consisted of earthquakes with low magnitudes, averaging at 3.4, and shallow depths, averaging at 21 km. Lastly, Cluster 4 comprised earthquakes with low magnitudes, averaging at 3.4, but deeper depths, with an average of 136 km. Among the 211 earthquakes, 29 were assigned to Cluster 1, 39 to Cluster 2, 100 to Cluster 3, which had the highest population, and 43 to Cluster 4. This study provides valuable insights into the clustering patterns and characteristics of earthquakes in the region, contributing to a better understanding of seismic activity in North Sulawesi, Indonesia
EFIKASI DIRI GURU DAN LITERASI DIGITAL SERTA KONTRIBUSINYA TERHADAP EFEKTIVITAS PROSES PEMBELAJARAN DALAM JARINGAN
Authors: Ipong Dekawati  , Wahyu Trisno
Published: August 2023

The effectiveness of the learning process in the network is one that needs attention, especially after the 2019 pandemic where the use of the network in the learning process is a must. With the effectiveness of the learning process in a good network, students can get maximum education in the learning process. Based on the results of initial observations made by researchers, it was found that the effectiveness of the learning process in the network was not optimal. This is thought to be caused by low teacher self-efficacy and teacher digital literacy. Therefore, it is necessary to do research to test the truth. This study uses a survey method with a quantitative approach, as well as correlational and regression techniques. Data collection technique through a Likert scale questionnaire to 53 respondents who are elementary school teachers. The results of the data analysis show that (1) Teacher self-efficacy contributes to the effectiveness of the learning process in the network, (2) Digital literacy contributes to the effectiveness of the learning process in the network, (3) Teacher self-efficacy and digital literacy jointly contribute to the effectiveness of the learning process . Principals can provide special training related to the use of digital products or media, especially regarding the use of software. Additional knowledge about software is no longer an added value but has become a necessity in today's information technology era. The school principal is deemed necessary to provide training with the aim of making teachers accustomed to choosing digital literacy. With the circulation of various sources of information, ideally teachers can find sources of information that have high credibility.
What Can be Learned from More Than 100 Case Studies of Lean in Services?
Authors: Pereira Diana Isabel Pinto , Sousa Paulo S. A. , Moreira Maria R. A.
Published: August 2023

This research investigates the implementation of lean practices in services in order to identify those that have a greater influence on company performance. Regression analysis with data from a systematic literature review was the basis to study the relationship between lean and performance. For this purpose, a total of 104 case studies were considered. A main finding was that some lean practices, such as “voice of the customer” and “cross-functional teams” have a significant positive influence on performance. Also, the results suggest that the more engaged managers are and the more they invest in training, the better company performance will be. Finally, one may also conclude that knowledge about the determinants of lean management will allow managers to be aware of what is decisive to improve company performance.
The Impact of Employees Empowerment on Workplace Creativity in Interior Design Companies in Jordan
Authors: Alkhodary Dina Ahmad , Salhab Hanadi , Alzoubi Munif , Marei Ahmad , Ali Hussam
Published: August 2023

Objective: Examining how employee empowerment affects workplace creativity within SME employees of interior design firms in Jordan’s capital city of Amman. Method: Primary information gathered from a broad sample of SME workforce via online questionnaire. For analysis, 80% of the entire number of distributed surveys were deemed legitimate. Software for social sciences and humanities (SPSS). Results: Workers in Jordanian SMEs are highly empowered in terms of Job significant, Job competence, and Self-determination. The three factors have a considerable positive association, and employee empowerment has a favorable impact on workplace creativity. There is evidence to support the sub-hypotheses on the importance of the Job significant, Job competence, and Self-determination. Recommended Actions: Provide financial and moral support, recognize and encourage employees who have new ideas, and provide them the tools they need to succeed through training, responsibility delegation, and participation in decision-making. Meaning: The study emphasizes the value of employee empowerment in fostering workplace creativity and innovation in SMEs, which confront particular challenges due to scarce resources, competition, and market changes.
Analysis of Gold Price Movements Through a Financial Forecasting Model Approach
Authors: Erlina Rr , Ahadiat Ayi , Azhar Rialdi , Kesumah Fajrin Satria Dwi , Gunarto Toto
Published: August 2023

The resilience of gold to situations full of risk has been proven over a long period of time. Forecasting the movement of gold which is in a safe range is done to prove that gold is still stable. The purpose of this study is to obtain the best model, estimate the parameters, and predict the daily gold price change in the last two years. The AR-GARCH(1.1) model is proven to be able to form the best forecasting model so that future gold resistance can be known with a low error rate. This model can be reliably applied to predict gold prices over the next 30 days. This may prompt investors to consider investing in or out of gold.
Influence of Organizational Stress On Domestic Roles of Married Lecturers in Tertiary Institutions in Rivers State
Authors: Onyeama-Obioma Olive
Published: August 2023

Stress is one of the factors that contribute to the poor work performance of individual at workplace an even the home. Based on this, the study investigated the Influence of Organizational Stress on Domestic Roles of Married Lecturers in Tertiary Institutions in Rivers State. The study adopted the descriptive research design. The population for the study consisted of all the lecturers in faculty of education from University of Port Harcourt, Ignatius Ajuru University of Education As well as Rivers State University of Science and Technology. The sample size of the study consisted of 120 lecturers drawn across faculty if education from the three tertiary institutions mentioned earlier using the multi-stage sampling procedure. The “Occupational Stress and Domestic Activity Questionnaire (OSDAQ) was used as instrument for data collection for the study. Validity of OSDAQ was done by experts while Cronbach Alpha was used in determining a reliability coefficient of 0.81 for the instrument. Mean, standard deviation and t-test were used ad data analysis tools. Findings indicated that there was significant difference in the influence of occupational stress on sexual responsibilities of male and female lecturers (p=0.021<0.05), there was also difference on influence of stress on spousal care roles (p=0.042<0.05). On the contrary, there was no difference in the perceive influence of stress on parent-child responsibilities between male and female lecturers (p=0.251>0.05). Based on this, it was concluded among others that partner should also create time from their tight work schedule to keep up with their children. They should always manage their engagement and avoid unnecessary off work activities that may take their time
Using Dramatization Method to Teach Domestic Violence in Social Studies Classroom: Implications for Peace Curriculum in Nigerian Secondary Schools
Authors: Ekiugbo Uche Ken Emoefe
Published: August 2023

Globally, domestic violence is a significant problem and one of the most pervasive human rights challenges especially for the most part of African societies whose issues relating to partners violence is largely treated as hidden phenomenon. Domestic violence remains a hidden and persistent problem because of the power and control held by the abuser, the fear, intimidation and humiliation suffered by the victim of the crime. This study was carried out in secondary schools in Nigeria to investigate domestic violence on family relationships among couples in Ekiti state. Three research questions were raised to guide the study and three hypotheses were also formulated and tested at 0.05 level of significance. The study adopted the survey method of descriptive research design. Population is comprised of all JSS III students in social studies classes in Ekiti state. The sample of three [3] schools with one hundred and fifty (150) students were used. The schools were in three local government areas in Ekiti state. The students were taught domestic violence using demonstration method in one school and in another, using Discussion Method in another, using lecture method in the third school after which the students were served with the questionnaire designed by the researcher. Face and content validity of the instrumentation was done by the researcher together with colleagues in counseling psychology. Corrections were made. The reliability of the instrument was carried out on 30 students using the test retest method with a coefficient correlation of 0.81 obtained which implies the instrument was reliable for the study. To combat frequent domestic violence in families, the students in their formative years as recommended that peace and non-violent curriculum that will integrate the study of domestic violence, inter group conflict and development of critical thinking as well as problem solving be adopted in schools in Nigeria, since domestic violence has done more harm to couples and their relationships, this paper suggest peace curriculum in all schools for the sake of the children who will grow up to become responsible husband and wives in the future.
Ciencias Aplicadas al Rendimiento Deportivo
Authors: Oviedo Sarria Betty
Published: August 2023

Ciencias Aplicadas al Rendimiento Deportivo
Desarrollo Muscular como Componente del Deporte y Rendimiento Humano
Authors: Oviedo Sarria Betty
Published: August 2023

Desarrollo Muscular como Componente del Deporte y Rendimiento Humano
Colorectal Cancer in a 17-Year-Old Boy: A Case Report
Authors: Iswandi Febi , Asri Rizky E. , Lihawa Nur Fitriany , A.B Dewandaru Istighfaris
Published: August 2023

Introduction: Colorectal cancer is the fifth most common malignant neoplasm worldwide. Commonly found in adults, the adolescent population is scarce. Colorectal cancer diagnosed and treated late is potentially associated with the worst prognosis.Case: A 17-year-old boy was admitted to the hospital due to a distended abdomen and abdominal pain, nausea, and vomiting that he had been experiencing seven days prior. The patient neither had a bowel movement nor flatus for the day. Abdominal ultrasound showed a regional intraluminal mass on the right upper quadrant with a suspicion of an appendical mass with a differential diagnosis of intussusception, colon tumor, and obstructive ileus. Acute abdominal series showed small bowel obstruction. When the surgery was performed, there was a tumor in the hepatic flexure of the colon. Histopathological examination revealed colon adenocarcinoma.Conclusion: The incidence of colorectal cancer in adolescents has increased. Right extended hemicolectomy was performed in this case, but the patient refused the chemotherapy. The patient was readmitted to the hospital five months later, was only given palliative therapy in the Intensive Care Unit, and died two weeks later. We believe that had the chemotherapy been performed, the patient might have had a better prognosis. This case report will help increase awareness among doctors and surgeons in including colorectal carcinoma as a differential diagnosis in adolescents so that it can shorten the delay in diagnosis, which in turn will endanger the patient's prognosis.Keywords: Colorectal cancer; Adenocarcinoma; Adolescents
Medicial Education Strategy In The Era of Digitalization and Disruption
Authors: Ihsan Maimun , Masaong Abdul Kadim
Published: August 2023

Background: This article aims to (1) examine the current condition of education in the digitalization and disruption era and (2) examine medical education strategies in the digitalization and disruption era. Writing scientific papers is based on library research, whose object of study uses library data in the form of books as a data source.Content: Based on the literature review, it was found that: (1) global medical education currently uses the SPICES strategy (student-centered learning, problem-based, integrated, community-based, elective, and systematic), accompanied by nine educational trends; (2) SPICES is a medical education strategy that will produce graduate profiles that refer to World Health Organization (WHO) and World Organization of Family Doctor (WONCA) conference agreements. A doctor must have six-star doctor characteristics, namely: care provider, decision makers, communicators, community leaders, managers as well as creators and innovators; (2) the minimum standard of competence for doctors in Indonesia, constitute of seven areas of graduate competency namely; has noble professionalism, is always aware and develops himself, can communicate effectively, is reliable in managing information, always has a scientific basis in medical science, has clinical skills and can manage health problems well.Conclusion: A special strategy for medical education is required in the era of digitalization and disruption by applying a lifelong education approach. Indonesian medical education uses the SPICES strategy to create six-star doctors and master the seven defined competency areas.
Borderline ovarian tumors: twenty years of experience at a tertiary center
Authors: SAHİN Fatih , AKTÜRK Erhan , GÜNKAYA Osman Samet , ÖZDEMİR Savaş , KONAL Merve , GENÇ Simten , YURCİ Arzu , AKBAYİR Ozgur
Published: August 2023

Aims: To investigate whether there is a difference between serum tumor markers panel (CA 125, CA 19-9, CA 15-3, and carcinoembryonic antigen (CEA)) and tumor size and histopathology in well-staged patients with borderline ovarian tumors (BOTs).

Methods: Over the past 20 years (January 2001 to January 2021), the results of four tumor markers (CA 125, CA 19-9, CA 15-3, and carcinoembryonic antigen (CEA)) have been clinically analyzed for for this retrospective cohort study of 156 patients who underwent surgery and were diagnosed with histopathology consistent with a borderline ovarian tumor.

Results: The average age of patients with borderline ovarian tumors was determined to be 51.67 (4.726) years. Before the first surgery, high CA 125 levels (>35 U/l) were found in 53 patients (34%), high CEA levels (>4 ng/ml) were found in 24 patients (15.4%), high CA 19-9 levels (>37 U/ml) were found in 29 patients (18.6%), and high CA 15-3 (>30 ng/ml) levels were found in 12 patients (7.7%). The average CA 125 levels in tumors with serous histopathology [372.8 (1805.2)] were higher than those in tumors with mucinous histopathology (p=0.006). There was no statistically significant difference in tumor markers between tumors smaller than 8 cm and larger than 8 cm [(CA 125 p=0,257), (CEA p=0.9), (CA 19-9 p=0.295), (CA 15-3 p=0.404)].

Conclusion: Our primary outcome of the study is an increase in CA 125 levels, which indicates serous histopathology. Our secondary outcome is the higher levels of tumor markers, but it does not suggest larger tumors.
Lung immune prognostic index as a prognostic predictor in patients with advanced small cell lung cancer
Authors: SÖYLER Yasemin , AKIN KABALAK Pınar , KAVURGACI Suna , AYYÜREK Merve , ÖZTÜRK Ayperi , YILMAZ Ülkü
Published: August 2023

Aims: Identifying prognostic markers in advanced small-cell lung cancer (A-SCLC) patients is important. Therefore, our study aimed to evaluate the prognostic value of pretreatment lung immune prognostic index (LIPI) in A-SCLC.

Methods: This was a retrospective and observational study of A-SCLC patients treated with platinum plus etoposide chemotherapy as first-line treatment. The association of LIPI with progression-free survival (PFS) and overall survival (OS) was analysed.

Results: One hundred eighteen patients were included in this study and divided into three groups LIPI 0 (n=27, 22.9%), LIPI 1 (n=57, 48.3%) and LIPI 2 (n=34, 28.8%). The median PFS of LIPI groups (0/1/2) was 8.9 (95% CI 3.83-13.96), 8 (95% CI 6.41-9.58), and 5.6 (95% CI 4.60-6.60) months, respectively (p=0.1) The median OS of LIPI groups (0/1/2) was 12 (95% CI 9.11-14.88), 10.1 (95% CI 9.16-11.03), and 7.7 (95% CI 6.55-8.84) months, respectively (p=0.02). Cox regression analysis revealed that LIPI 2 score was an independent risk factor for both PFS (HR 1.839, 95% CI: 1.075-3.144, p=0.02) and OS (HR 1.757, 95% CI: 1.006-3.071, p=0.04).

Conclusion: LIPI score can be used as a simple and easily accessible marker to predict prognosis for A-SCLC patients.
The role of saline infusion sonohysterography in the evaluation of infertility
Authors: ÖZOKÇU Ekin , ŞAHİN AKER Seda , AĞAR Eser , BERKER Bülent
Published: August 2023

Aims: The study aimed to evaluate possible intrauterine pathologies that may not be visible in basal transvaginal ultrasonography in infertile patients using saline infusion sonohysterography.

Methods: Between January 2019 and January 2020, 110 patients who presented to the Ankara University Faculty of Medicine, Obstetrics and Gynecology Infertility Polyclinic were enrolled in the study. Saline infusion sonohysterography was performed on primary and secondary infertile patients who were not diagnosed with endometrial pathology via ultrasonography.

Results: Pathological findings were detected in 11 out of 110 patients (10.6%) during saline infusion sonohysterography, including polyps, myomas, and adhesions. These patients were referred to hysteroscopy by their practitioner. After the procedure, pathological findings were detected in 54.5% of cases by hysteroscopy. According to these data, the sensitivity of saline infusion sonohysterography in detecting intracavitary pathologies was 60%, specificity was 80.7%, positive predictive value was 54.5%, negative predictive value was 84%, and reliability was 75%.

Conclusion: Saline infusion sonohysterography can detect endometrial pathologies not identified by TV USG, suggesting its cost-effective addition to routine evaluations for infertile patients and potential endometrial pathologies.
The association of anemia and high neutrophil-lymphocyte ratio with decreased survival in patients with laryngeal cancer treated with radiotherapy
Authors: DELİKGÖZ SOYKUT Ela , KEMAL Yasemin , KAPLAN Serkan , KARAÇİN Cengiz , ODABAŞI Eylem , UNAL Asude , ER Zehra , AYTAÇ ARSLAN Suheyla , GUNEY Yıldız
Published: August 2023

Aims: We aimed to examine the prognostic value of inflammatory markers such as neutrophil‐to‐lymphocyte ratio (NLR), platelet‐to‐lymphocyte ratio (PLR), systemic immune-inflammation index (SII), and anemia on oncological outcomes in patients with laryngeal squamous cell carcinomas (LSCC) treated with radiotherapy.

Methods: 213 LSCC patients analyzed retrospectively. Inflammatory markers were established by examining blood samples taken within 7 days before treatment. Patients were categorized into two groups: low and high according to NLR, PLR, and SII threshold values. In addition, to evaluate the effect of hemoglobin (Hb) level, the threshold value of each inflammatory marker and Hb level were combined, and 3 groups were formed (3 groups for NLR, 3 groups for PLR, and 3 groups for SII). The relationship between inflammatory markers and overall survival (OS), disease-free survival (DFS), and local regional recurrence-free survival (LRRFS) was investigated.

Results: In univariate analysis, high NLR, PLR, SII, and low Hb (