bluuebunny/crossref_metadata_2025 huggingface dataset:
Glanzmann’s thrombasthenia: A nightmare for hernia surgeons
Authors: Gandhi Jignesh , Gajjar Aarsh , Shinde Pravin , Takalkar Yogesh
Published: August 2024

Glanzmann’s thrombasthenia is a rare inherited disorder affecting one in one million. It is characterised by a lack of platelet aggregation due to a defect in the platelet membrane receptor complex (αIIb/βIIIa), which mediates the aggregation of platelets at the site of vessel injury. We report here the first case of successful perioperative haemostatic management of a male patient with Glanzmann’s thrombasthenia, who underwent an elective laparoscopic hernia repair. The patient was posted for elective surgery considering the availability of expertise in minimally invasive surgery and accessibility to recombinant activated factor VII. The patient was operated using the extended-view totally extraperitoneal technique for inguinal hernia repair. The patient recovered successfully and reported no complication during follow-up. We conclude that with proper perioperative haematological consultation, and careful coordination between anaesthetists and surgeons, elective laparoscopic procedure can be done in patients with Glanzmann’s thrombasthenia, with only recombinant factor VIIa support.
Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child
Authors: Thanneeru Suresh Kumar , Ahmad Reyaz , Rajput Chandrakala Singh , Gupta Amit
Published: August 2024

Epigastric hernia with divarication of recti is uncommon in children, and the aetiology remains incompletely understood – as does the optimal management strategy – whether to repair epigastric hernia alone or both defects. We present an innovative technique utilising subcutaneous endoscopic surgery to address both epigastric hernia and divarication in children. Our approach yields excellent cosmetic outcomes, avoids the need for a larger laparotomy scar and mitigates the risks associated with the transperitoneal laparoscopic approach. It is a viable option with all the advantages of minimally invasive surgery for repairing epigastric hernia and divarication of recti in symptomatic cases, particularly when the aetiology is uncertain and multiple defects are anticipated. Its use may be extrapolated to isolated diastasis recti as working in subcutaneous space involves lesser risk with excellent cosmesis.
Calculation of Pension Funds for TNI Group IIIA Using the Individual Level Premium Method
Authors: Bisyarah Sania , Novi Elizabeth S. Sri
Published: August 2024

Prosperity in retirement is one of the important aspects to achieve in the career path of every individual, including the Indonesian National Army (TNI) which relies on pension funds as a source of post-retirement income. Pension funds manage programs that promise financial benefits to participants after they retire. In this context, the study aims to present the calculation of pension funds for TNI class IIIA using the Individual Level Premium method. This method allocates the total pension benefit equally each year. As a result, it is found that the Individual Level Premium method provides a greater pension benefit value than the benefit value using the proportion of salary from ASABRI. This shows that this method is effective in calculating retirement benefits.
Political Dynamics of Fulfilling Civil Rights of Religious Minority Communities in Cilegon City
Authors: Mayrudin Yeby Ma'asan , Amalinda Valerie
Published: August 2024

This article focuses on discussing the polemic about the establishment Church in Cilegon which has never been resolved. Minority communities are hampered in realizing religious freedom. They are subjugated by cultural, social and political conditions and groups who firmly oppose the Church's presence in Cilegon. We use descriptive qualitative research methods which are useful for exploring the main problem in a holistic manner. The theory used is freedom and plurality by Hannah Arendt. This research show that the concept of plurality and freedom of worship for non-Muslim communities has not been fully implemented due to pressure from conservative groups. This illustrates that the condition of representation of living together is only limited to drinking coffee with Muslim. But, on the basic understanding that every human being as a unique person is entitled to a freedom. The political dynamics in Cilegon also look very conservative, the political elites have no sensitivity towards minority groups. They are completely reluctant to leave their comfort zone, because the elites in the city do not strive for justice for minorities. The practice of plurality and conditions of freedom of worship have not been fully realized in the current living conditions of Cilegon society.
Comparative Analysis of Political Dynamics and Public Policy in Infrastructure Development: A Study of Indonesia and India
Authors: Napitupulu Chindy Apriani , Dompak Timbul , Salsabila Lubna
Published: August 2024

Public infrastructure development is a critical component of a nation's economic progress. Indonesia and India, both with significant population sizes and complex infrastructure challenges, adopt distinct strategies in their public infrastructure development programs. This study aims to provide a comparative analysis of the political dynamics and public policies shaping infrastructure development in Indonesia and India. By examining the disparities in policy approaches, implementation strategies, and the resulting effects on economic and social progress, this study offers insights into the effectiveness of different administrative practices. Employing a qualitative methodology, the research scrutinizes various public infrastructure development policies and relevant literature from both countries. Data collection involved documentation studies and comparative analysis. The findings reveal significant variations in development tactics, the involvement of public and private sectors, and the degree of community participation. Additionally, the study identifies the influence of government involvement, legislative frameworks, and financial resources on policy implementation and outcomes. Despite facing similar challenges in public infrastructure development, Indonesia and India's divergent policy approaches have led to different results. The study highlights the need for cross-country knowledge exchange to enhance policy efficiency and accelerate infrastructure development. Such advancements are essential for fostering economic growth and improving social well-being in both nations.
Evaluation of Temporomandibular Joint After Orthognathic Surgery with First Orthognathic Surgery Method: Scoping Review
Authors: Faizah Azra Zhafirah , Yuza Abel Tasman , Hadikrishna Indra
Published: August 2024

Introduction: Dentoskeletal anomalies are defined as aberrations of the maxillofacial complex that negatively impact the dental and skeletal relation. Orthognathic surgery is a treatment option to rehabilitate dentoskeletal anomalies. Surgery first orthognathic is one of the orthognathic surgeries conducted prior to the orthodontic treatment. One of the problems that might occur following the surgery first orthognathic is related to temporomandibular joint disorder (TMD). This study aimed to map the published articles about the clinical evaluation of temporomandibular joint post-surgery first orthognathic. This study used the scoping review method, following the PRISMA-ScR guideline. The search engines utilized in this study were PubMed, ScienceDirect, and Scopus, using keywords as follows, ((surgery first orthognathic) OR (surgery first orthognathic approach)) AND (temporomandibular joint).
Review: A total of eight articles suit the inclusion criteria. 119 patients underwent orthognathic surgery using the surgery first orthognathic method. Post-surgery, 25.2% of patients experienced TMD improvement, 70.6% experienced no change in the normal temporomandibular joint, and 4.2% experienced TMD impairment worse than before the surgery.
Conclusion: Based on the analysis results of the studies, it can be concluded that surgery first orthognathic inclines to preserve the normal condition of the patient’s temporomandibular joint before the surgery. In some cases, surgery first orthognathic yielded opportunities to relieve the TMD symptoms. However, there is a slight risk following the surgery first orthognathic, i.e., worsening of the TMD and generating new onset of TMD.
Potential Of Keprok Citrus (Citrus nobilis) From Lembang West Java For Dental Email Cleaning
Authors: Yuslianti Euis Reni , Endrowahyudi Hartanto , Rahaju Asih , Oktarina Orin
Published: August 2024

Introduction: Consumption of colored foods and drinks can cause tooth discoloration, synthetic whitening agents are used to increase the degree of brightness of tooth color but have many side effects. Tangerine (Citrus nobilis) is a natural ingredient that is used by the community for whitening the color of teeth safely and with minimal side effects. This study aims to determine the potential of the ethanol extract of tangerine peels to whiten teeth in terms of the degree of color brightness and tooth enamel surface roughness.
Material and Methods: This research analytic laboratory experiments. Samples used 30 premolars that had been soaked in coffee, divided according to the concentration of tangerine peel extract 25%, 50%, and 75% then each group was exposed to 1x30 and 2x30 minutes. Tooth discoloration seen from the value of the degree of color brightness and tooth enamel surface roughness before and after exposure was analyzed using the paired T test and Univariate GLM test (P<0.05).
 Results and Discussions: The result showed there were differences in the effect of ethanol extract of tangerine peel on the brightness of the color and roughness of tooth enamel at various concentrations before and after treatment and there was an interaction effect between concentrations of 25%, 50%, and 75% and exposure time of 1x30 and 2x30 minutes which was significant with p=0 .00.
Conclusion: It can be concluded that ethanol extract of tangerine peel has the potential to whiten teeth as seen from the degree of color brightness and tooth enamel surface roughness.
Lip Repositioning with Internal Suturing and Crown Lengthening in a Single Visit: Case Report
Authors: Handayani Dik Mega Putri , Nursolihati Vidya , Hafiyyah Osa Amila
Published: August 2024

Introduction: A gummy smile becomes one of the esthetic problems for patients, especially when smiling or laughing. Etiology-based treatment should be considered to fulfill the patient’s needs. In this case report, we performed treatment focused on both extraoral and intraoral etiology: lip repositioning with smile elevator muscle sutures and crown lengthening respectively.
Case: A 27 year old female patient presented with the chief complaint of excessive appearance of gingiva when especially laughing. The patient has a gummy smile and a disharmonious gingival line on the anterior maxilla. The diagnosis in this case was excessive gingival display et causa hyperactive upper lip and altered passive eruption.
Case treatment: To achieve the esthetic goal, crown lengthening was performed with ostectomy to correct the gingival line and zenith, followed by lip repositioning with partial thickness flap with smile elevator muscle suturing. Six months postoperative follow-up showed pink gingiva with harmonious gingival line contour.
Discussion: Lip repositioning has a high risk of relapse in cases of hyperactive upper lip. Lip reposition surgery with sutures on the smile elevator muscle along with a crown lengthening procedure is a predictable alternative treatment in this case.
Conclusion: The surgical procedure for handling gummy smile cases provides good treatment results, especially in cases of multiple etiologies of hyperactive upper lip and altered passive eruption.
Comparison of Surface Roughness of Nanohybrid Composite Resin Immersed in Various Mouthwashes
Authors: Permatasari Rina , Islamiah Kianti
Published: August 2024

Introduction: Surface roughness is a contributing factor to the accumulation of plaque and the development of secondary caries, also can determine the aesthetic and long-term durability of dental restoration materials, such as nanohybrid composite resin. The use of mouthwash is one of the factors that cause the surface roughness of nanohybrid composite resin.
Material and Methods: The research method used was laboratory experimental research with a pre-test and post-test design. Thirty samples of nanohybrid composite resin were randomly divided into three treatment groups (n=10) according to the types of mouthwash (alcohol-containing, alcohol-free, and herbal), and then were immersed for 36 hours. Surface roughness measurements were performed with a surface roughness tester before and after treatment.
Results and Discussions: One-way ANOVA statistical analysis showed a significant difference (p<0,05) in all treatment groups.
Conclusion: The highest surface roughness was found in alcohol-containing mouthwash, followed by alcohol-free mouthwash and herbal mouthwash.
Relationship Between Dental Caries Levels and Quality of Life Among Students at the Faculty of Education, Mulawarman University
Authors: Wibowo Edi , Sawitri Endang , S Dame Rimmauli , S Dewi Arsih , Listyawati
Published: August 2024

Introduction: : Teeth and mouth are parts of the body as a whole that have a function to support and enable humans to function essentially. The mouth is also a fundamental feature in a person's identity. The existence of diseases of the teeth and mouth such as caries can cause disruption of oral health conditions and reduce a person's quality of life. Therefore, this research was conducted to find out the relationship between the level of dental caries experienced and the quality of life of students at the Teaching Faculty of Mulawarman University.
Material and Methods: This research is an analytical observational study with a cross-sectional study design. This research involved 96 students from the 2018-2021 class who were selected using a stratified random sampling technique. This study used the OHIP-14 questionnaire to measure quality of life and oral photographs to measure the level of caries. Research data was analyzed using the Spearman test.
Results and Discussions: The research results showed that the level of dental caries among Mulawarman University students was 2.43 in the low category and the majority of students' quality of life level was good at 54%. The results of the relationship analysis show p = 0.000 (p < 0.05); rho = 0.703.
Conclusion: There is a relationship between the level of caries and the quality of life in students at the Teaching Faculty at Mulawarman University with strong strength and a positive direction of the relationship.
The Use of Nano Bio Fusion Gingival Gel as Adjuvant Therapy in The Treatment of Periodontal Disease: A Literature Review
Authors: Komala Olivia Nauli , Astuti Luki
Published: August 2024

Introduction: There are various types of adjuvant agents used in periodontal treatment, one of which is Nano Bio Fusion (NBF) Gingival Gel. Numerous studies have assessed the use of NBF gel in the treatment of periodontal disease. This paper attempts to review the literature on the efficacy of utilizing NBF gel to treat periodontal disease.
Review: Nano-Bio Fusion Gingival Gel contains propolis extract in the form of nanoemulsion, vitamin C, vitamin E, sodium monofluorophosphate, aloe, and green tea extract. NBF gel is used for protection and prevention in various oral conditions, such as gingival and periodontal disease; ulcerated conditions, erosions, xerostomia, white lesions of the mucosa, denture stomatitis; mucosal protection after radiation therapy or chemotherapy; dry lips or cheilitis, lip inflammation; and post-surgical conditions such as tooth extraction, alveolitis, after implant placement, flap surgery, periodontal abscess treatment, and others. In eight studies, NBF gel was found to be effective in the treatment of periodontal disease. The parameters used were plaque index, papillary bleeding index, pocket depth, clinical attachment level, gingival index, pain perception, signs of inflammation, sulcular bleeding index, and colony forming unit. The best results were seen in the use of  NBF gel after scaling. In comparison to other adjuvants, such as tetracycline fiber and hyaluronic acid (Gengigel), the results of the parameters obtained with NBF gel are not as excellent as those obtained with the other two substances.
Conclusion: NBF gel can be an effective adjuvant treatment following scaling.
Bioactivity of Kemangi (Ocimum sanctum L.) Flower Infusa Against Candida albicans In Vitro
Authors: Dewi Tri Purnami
Published: August 2024

Introduction: The surface of acrylic resin denture, which attaches to the oral mucosa, has microporosity, a place for bacterial plaque and Candida albicans to accumulate if not cleaned properly. An increase in Candida albicans colonies on the surface of dentures can cause denture stomatitis. Dentures can be cleaned mechanically with a soft-bristled brush, or chemically using cleaning agents. Denture cleaning materials on the market are sold in limited quantities at expensive prices. Natural ingredients can be alternative denture cleaning agents. This study aims to determine the difference in the bioactivity of basil and green betel leaf infusion on the growth of Candida albicans in vitro.
Materials and Methods: This research is a laboratory experimental study using a post test only control group design method, divided into 4 groups, group 1 as a negative control using aquadest, group 2 as a positive control using polident denture cleanser, group 3 using 50% green betel leaf infusa, and group 4 using 50% basil leaf infusa. Each group consisted of 6 acrylic resin plates as a medium for Candida albicans attachment. Differences in the mean number of colonies in the groups were analyzed using Mann-Whitney test.
Results and Discussions: Statistical analysis showed that there was a significant difference in the mean number of colonies between all groups regarding the growth of Candida albicans colonies with a p-value of 0.001 (p < 0.05).
Conclusion: The results showed that basil leaf infusion had lower bioactivity potential than green betel leaf infusion against Candida albicans in vitro.
Subacute Toxicity Test of Cocoa Bean Extract (Theobroma cacao L.) on Mice (Mus musculus L.)
Authors: Poernomo Hendri , Setiawan
Published: August 2024

Introduction: Cocoa is one of the plants that is believed to have many health benefits and is used in herbal medicine so it is necessary to test the safety of its use. The purpose of the study was to determine abnormalities in the hepatic histopathology of mice that occurred after repeated administration of the test preparation.
Materials and Methods: The research used in vivo laboratory experiments with the post-test only control group approach. The samples used were 25 consisting of 5 groups, namely the group of mice given cocoa bean extract at a dose of 4500 mg/kgBB, 5500 mg/kgBB, 6500 mg/kgBB, 7500 mg/kgBB, and the control group was given distilled water, and for the allergy test was given 32% cocoa bean extract gel. Oral administration of the test preparation was carried out every day for 28 days, once a day. Observations included toxic symptoms by looking at hepatic organ histopathology. Data analysis used Kruskal Wallis test followed by Mann Whitney test for subacute toxicity test.
Results and discussion: showed that the administration of cocoa bean extract at doses of 4500 mg/kgBB, 5500 mg/kgBB, 6500 mg/kgBB, and 7500 mg/kgBB had an effect on subacute toxicity at the time of administration to mice which caused the death of mice and affected the hepatic histopathology of mice.
Conclusion: The conclusion is that cocoa bean extract at certain doses has an effect on subacute toxicity in mice.
Differences In Oral and Dental Health Knowledge Between Undergraduate And Professional Level Students at FKG UNMAS Denpasar
Authors: Palgunadi I Nyoman Panji Triadnya , Rahina Yudha , Gede Widi Adnyana
Published: August 2024

Introduction. Knowledge is a primary factor in behavior establishment. Cognition or knowledge may be obtained naturally or planned through education. Knowledge is influenced by several factors including education level, socio-economic status, environment, and facilities availability of healthcare facilities. A person’s cognition level indicates their capability to obtain and understand health information. It is expected that a higher education level leads to more extensive cognition. A lower education level, however, does not necessarily represent a lower cognition level. Cognition escalation is not entirely gained through formal education, but it may be obtained through informal education as well. The health status of the oral cavity is a major part of general physical health. The health of the oral cavity can be determined through oral hygiene status, as various diseases are initiated by poor dental and oral health.
Materials and Methods. The objective of this study was to determine the difference in dental and oral health cognition between undergraduate and professional degree students at the Dental Medicine Faculty of Mahasaraswati University, Denpasar. The study was an analytical study with a cross-sectional approach. Data collection was performed simultaneously at the same time. Fifty-two undergraduate students and 48 professional degree students present during data collection were enrolled as the sample. Respondents were required to fill out the designated dental and oral health cognition questionnaire.
Results and Discussion. From the results of data analysis using the Independent T-test, the results obtained p < 0.05 where there is a significant difference in knowledge between undergraduate students and professional level students.
Conclusion. The conclusion of the study is that there is a significant difference in oral health knowledge between undergraduate students and professional students at the Faculty of Dentistry, Mahasaraswati University, Denpasar.
Analysis of Dental and Oral Health Outpatient Visits at Baturiti II Public Health Centre
Authors: Pratama I Wayan Agus Wirya , Idaryati Ni Putu , Yudistian Ilma , Wibhu I Dewa Gede Ananta , Kresnayana I Gusti Agung Ngurah Anindya , Paramisuari Ida Ayu Amara Tarisya , Pradnyani Komang Hesty , Putri Ni Kadek Meidy Xanaya
Published: August 2024

Introduction: Public Health Centers play a vital role in providing comprehensive and affordable healthcare services to the community. Baturiti II Public Health Centre, with an extensive service area covering a population of 18,893, is responsible for managing medical records and analyzing patient visit data. This study aims to collect empirical data and conduct an in-depth analysis of the outpatient visit patterns in the dental and oral health service unit.
Materials and Methods: This study employs a descriptive quantitative analysis method using a total sampling technique to collect outpatient visit data from the dental and oral health service unit of Baturiti II Public Health Centre throughout 2023. Data were collected through medical record document review, and the results are presented in tables and diagrams.
Results and Discussion: The analysis of patient visits to the dental and oral health service unit at Baturiti II Public Health Centre in 2023 recorded a total of 1,141 visits, consisting of 559 new patients and 582 follow-up patients, with the majority using the National Health Insurance (JKN) as the financing mechanism. The peak of new patient visits occurred in December, while follow-up patients peaked in June. The most prevalent diseases were pulp and periapical tissue diseases (41%), followed by persistence (24%), gum and periodontal tissue diseases (19%), dental caries (11%), and tooth impaction (5%). There was a tendency for males to experience pulp diseases and caries more frequently, while females more often experienced persistence, periodontal diseases, and tooth impaction, with hormonal, anatomical, and behavioural factors contributing to gender disparities.
Conclusion: Patient visits were dominated by new patients using the JKN financing mechanism. Pulp and periapical tissue diseases were the most prevalent cases, particularly among male patients.
Evaluación del conocimiento de la competencia de atención comunitaria en estudiantes de la licenciatura en medicina de la División de Ciencias de la Salud
Authors: Ruz Rigoberto de la Cruz Fajardo , Sánchez Susana Daniela Juárez , Torres Nissa Yaing , Laguna Luisa María Higareda
Published: August 2024

La investigación se propuso evaluar el nivel de conocimiento de la competencia de atención comunitaria en estudiantes de ciclos básicos de la licenciatura de medicina en la Universidad del Estado de Quintana Roo. El tipo de diseño de la investigación fue de fin aplicado, observacional, en tiempo prospectivo, con alcance longitudinal, de profundidad descriptiva y de carácter mixto. La muestra de estudio se realizó con 200 participantes de ciclos básicos de la licenciatura de medicina, seleccionados aleatoriamente, que cursaban asignaturas específicas durante septiembre-diciembre de 2023. Se construyó y validó un cuestionario ECACEM con 150 reactivos que reflejaban contenidos de asignaturas relacionadas con atención comunitaria. El cuestionario se administró a los participantes. Se aplicaron pruebas estadísticas para evaluar diferencias en el conocimiento antes y después de la intervención, así como para analizar la consistencia interna del cuestionario. Además, se realizaron evaluaciones cuantitativas por competencias y semestres. El ECACEM mostró buena consistencia interna (α = 0.836). La prueba piloto evidenció mejoras en el desempeño de los pasantes de servicio social. El análisis de los 200 estudiantes reveló incrementos significativos en el conocimiento en tercer y cuarto semestre. La evaluación por competencias indico dominio en áreas específicas para cada semestre. La investigación destacó la importancia de evaluar la competencia de atención comunitaria desde una perspectiva cognitiva. Se identificaron áreas de mejora en el plan de estudios y se proporcionó una herramienta validada para futuras evaluaciones.
First Aid Training For Divers In Watu Ulo Village
Authors: Nugrahani Ely Rahmatika , Anggraeni Zuhrotul Eka Yulis , Ambarsari Desinta Putri , Alkautsar Rijal Maulana Juan , Aprilia Vinda Anayu , Arifin Anisatus Syamsil
Published: August 2024

Health problems among divers in Watu Ulo Hamlet were increased incidence of emergencies in divers and the absence of a first aid training program for emergency diving incidents. The first aid training program for fishermen used the roleplay method is one program that can be attempted to prevent death. This program collaborates with the Sumberejo Village apparatus consisting of the Head of Watu Ulo Hamlet and the Head of the Payangan Beach Diver's Association. The methods used to achieve these goals are 1) situation analysis, 2) preparation, 3) training, and 4) evaluation and assistance to fishermen to see the suitability of the problem with the alternative solutions provided. The training results showed that 75% of fishermen experienced increased knowledge, 60% increased attitudes, and 85% experienced increased skills and expressed satisfaction with holding first aid training activities for fishermen's emergencies using the role-play method.kesehatan pada penyelam di Dusun Watu Ulo yaitu meningkatnya kejadian kegawatdaruratan pada penyelam dan belum adanya program pelatihan pertolongan pertama pada kejadian kegawatdaruratan penyelaman. Program pelatihan pertolongan pertama pada nelayan dengan metode role play merupakan salah satu program yang dapat diupayakan untuk mencegah kematian. Program ini bekerja sama dengan perangkat Desa Sumberejo yang terdiri dari Kepala Dusun Watu Ulo dan Ketua Ikatan Penyelam Pantai Payangan. Metode yang digunakan untuk mencapai tujuan tersebut yaitu 1) analisis situasi, 2) persiapan, 3) pelatihan, dan 4) evaluasi serta pendampingan kepada nelayan untuk melihat kesesuaian masalah dengan alternatif pemecahan yang diberikan. Hasil pelatihan menunjukkan bahwa 75% nelayan mengalami peningkatan pengetahuan, 60% mengalami peningkatan sikap, dan 85% mengalami peningkatan keterampilan serta menyatakan puas terhadap terselenggaranya kegiatan pelatihan pertolongan pertama pada kegawatdaruratan nelayan dengan metode role play.
Education for a Sustainable Future: Analysis of Universitiesvision and Mission Statements in Line With Global Sustainable development Goals
Authors: Armas Kenneth L. , Jugo Rhodora R.
Published: August 2024

Objective: The objective of this study is to analyze the vision and mission statements of universities in the context of their alignment with the Global Sustainable Development Goals (SDGs) to provide insights for strategic direction development in higher education institutions.
Theoretical Reference: This study is grounded in strategic planning theory and its application within higher education, focusing on how institutional vision and mission statements can guide universities towards sustainable development.
 
Method: A meta-synthesis approach is employed, synthesizing findings from multiple qualitative studies. Data collection includes a comprehensive literature review on higher education trends, best practices, and challenges, along with document analysis of vision and mission statements from various universities. Thematic analysis is utilized to identify key themes, trends, and challenges.
 
Results and Conclusion: Key findings reveal current trends such as digitalization, globalization, and the integration of technology in teaching and learning. Emerging challenges include financial sustainability, accountability, and alignment with labor market demands. Best practices in vision and mission development emphasize stakeholder engagement, alignment with institutional values, concise and inspirational language, and adaptability to changing circumstances. The proposed vision and mission statements for the state university reflect aspirations for global recognition, interdisciplinary collaboration, innovation, entrepreneurship, ethical leadership, and fostering sustainable and inclusive communities.
 
Implications of Research: The study underscores the importance of strategic planning and innovation in higher education. Engaging stakeholders and fostering collaboration are identified as critical strategies for addressing the highlighted challenges. These findings provide evidence-based recommendations for the state university's strategic direction, ensuring it remains adaptive, resilient, and aligned with both global and national goals.
 
Originality/Value: This research offers a novel synthesis of qualitative studies on strategic planning in higher education, providing valuable insights into effective vision and mission development. It contributes to the discourse on aligning university strategies with global sustainability objectives, offering practical recommendations for higher education leaders.
The Impact of Market Place Persona Based Neuromarketing on Brand Identity and Consumer Attitude on SDG's
Authors: Pasaribu Popy Novita , Kemora Haura , Eosina Puspa , Marlina Asti , Himawan Erry Nugroho
Published: August 2024

Objective: The objective of this study is to investigate the impact of persona-based neuromarketing on brand identity and consumer attitude in the digital marketplace, with the aim of understanding how neuromarketing principles can enhance consumer engagement and marketing effectiveness.   Theoretical Framework: This topic is underpinned by several key concepts and theories. Häusel's Limbic Map, consumer behavior theories, and digital marketing frameworks provide a solid basis for understanding the context of the investigation.   Method: The methodology adopted for this research comprises a quantitative approach using structural equation modelling with SmartPLS. Participants included 440 respondents, who were surveyed via Google Forms. The study analyzed variables such as Persona, User Interaction, Information Quality, Ease of Use, Visual Design, Entertainment Value, Customization, and Website Domain.   Results and Discussion: The results obtained revealed that consumer perceptions of marketplace personas significantly impact their attitudes, with mediator variables playing a crucial role. The marketplace itself acts as a confounding variable, influencing the relationship between brand persona and consumer engagement. In the discussion, these results are contextualized in light of the theoretical framework, highlighting the importance of aligning branding strategies with target audience motivations.   Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied in the field of digital marketing. These implications could encompass e-commerce strategy development, brand management, and consumer engagement tactics.   Originality/Value: This study contributes to the literature by applying innovative neuromarketing techniques to the digital marketplace context, offering new insights into consumer behavior. The relevance and value of this research are evidenced by its potential to enhance consumer loyalty and brand equity, aligning with SDG 8 and SDG 9.
DESARROLLO DE UNA FORMULACIÓN PARA LA CURTICIÓN DE PIEL CAPRINA CON ÁCIDO HÚMICO Y TARA
Authors: Barzallo Granizo Diego , Parada Rivera Mabel , Puente Guijarro Cesar , Carrera Beltrán Cumandá , Ramos Flores Juan
Published: August 2024

Este proyecto de investigación tuvo como finalidad determinar la apropiada dosificación de ácido húmico y Caesalpinia spinosa (tara), para el proceso de curtido de pieles caprinas, en función de la calidad del cuero obtenido, como alternativa al uso de sales de cromo y su impacto ambiental. Se establecieron 16 unidades experimentales, consistentes de pieles caprinas frescas, mismas que en la Planta Industrial “EL AL-CE” ubicada en el cantón Guano, fueron sometidas al proceso de curtido utilizando diferentes concentraciones de ácido húmico (0, 5, 10 y 20%) y una cantidad fija de tara (15%) como agentes curtientes. Una vez finalizado el proceso se evaluó la calidad de las pieles obtenidas, a través de pruebas físico-mecánicas, sensoriales y químicas. Finalmente, se aplicó un Diseño Experimental Completamente al Azar Simple, de 4 tratamientos con 4 réplicas cada uno utilizando un paquete estadístico. Los mejores resultados del tratamiento estadístico en las pruebas físico-mecánicas: resistencia a la tensión (2973.80 N/cm2), porcentaje de elongación (62.50%) y lastometría (7.89 mm) se reportaron al curtir con 10% de ácido húmico y 15 % de tara. De la valoración sensorial se obtuvo excelentes resultados de llenura al curtir con 20% de ácido húmico, mientras que en blandura y soltura de flor al curtir con 10% de ácido húmico y 15% de tara, generó los mejores resultados. De la valoración química se obtuvo muy buenos resultados en todos los tratamientos investigados. En conclusión, los resultados evidencian la viabilidad de curtir las pieles caprinas con 10 % de ácido húmico en combinación con 15% de tara, obteniendo de esta forma cueros curtidos sin cromo, que cumplen los requerimientos de mercados europeos, para su exportación industrial.
UNA TÉCNICA DE AGRUPACIÓN ROBUSTA PARA UN ENFOQUE BIG DATA: CLARABD PARA TIPOS DE DATOS MIXTOS
Authors: Morales Oñate Víctor , Morales Oñate Bolívar
Published: August 2024

Cuando el investigador no cuenta con un conocimiento apriori de la conformación  de grupos  en un conjunto  de datos dado, emerge la necesidad de realizar una clasificación conocida como clasificación no supervisada. Además, el conjunto  de datos puede ser mixto (datos  cualitativos y/o  cuan- titativos) o presentarse  en grandes volúmenes. El algoritmo  k-medias, por ejemplo, no permite  la comparación de datos  mixtos  y está limitado  a un máximo de 65536 objetos en el software R. K-medoides, por su parte, permite la comparación  de datos mixtos pero también tiene la misma limitación de objetos que k-medias. El algoritmo  CLARA tradicional  puede exceder fácilmente este limitante  de volúmenes, pero  no permite  la comparación  de datos mixtos. En este contexto, este trabajo  es una extensión del algoritmo CLARA para datos mixtos, el algoritmo CLARABD. La distancia  de Gower es central  en CLARABD para realizar esta extensión, debido a que permite la comparación de datos mixtos y también es posible procesar un conjunto de datos con mas de 65536 observaciones. Para mostrar  las bondades del algoritmo propuesto, se ha realizado un proceso de simulación así como una aplicación a datos reales obteniendo resultados consistentes en cada caso.
Factors Related to Complaints Regarding Carpal Tunnel Syndrome (CTS) Among Batik Craftsmen
Authors: Aeni Heni Fa’riatul ,   Lecture, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, West Java, Indonesia, Yulistiyana Laili Nurjannah , Indragiri Suzana , Arofah Nur , Sohlasiyah N Nur ,   Lecture, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, West Java, Indonesia,   Lecture, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, West Java, Indonesia,   Lecture, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, West Java, Indonesia,   Student, Public Health of Departement, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, West Java, Indonesia
Published: August 2024

The prevalence of complaints regarding CTS still become unknown problem due to very few people can make diagnosis and there are minimal reports of incidents from the formal and informal sectors. Batik craftsmen those who have a risk of complaints regarding CTS. This may occur due to repetitive hand movements, forceful hand movements, pressure on the hands or wrists, static hand positions, non-ergonomic hand and upper body positions, as well as flexion and extension positions. This study aims to determine the factors related to complaints regarding CTS among Batik Craftsmen. This was a cross sectional study with a quantitative approach. The study population involved all batik craftsmen in Trusmi Kulon Village, with total number of 135 people. There were 57 samples selected based on the Slovin formula and Accidental Sampling technique. The study instruments applied were questionnaire and observation sheet regarding working posture using RULA. Data were analyzed using the Chi Square test. The results that old age, long years of service and highrisk working posture were found as factors related to the incidence of CTS among batik craftsmen.
Comprehensive Surgical Management of Treacher Collins Syndrome in Plastic Surgery: A Multidisciplinary Approach
Authors: Gloria Joanna Paola Morales ,   Universidad Nacional Autónoma de México (UNAM). Hospital General Xoco. Ciudad de México, México, Martínez Laura Leticia Torres , Avalos Omar Alejandro Leal , Cruz Gabriela Rojas , Altamirano Ricardo Daniel Flores ,   Universidad Nacional Autónoma de México (UNAM). Hospital General Xoco. Ciudad de México, México,   Universidad Nacional Autónoma de México (UNAM). Hospital General Xoco. Ciudad de México, México,   Universidad Nacional Autónoma de México (UNAM). Hospital General Xoco. Ciudad de México, México,   Universidad Nacional Autónoma de México (UNAM). Hospital General Xoco. Ciudad de México, México
Published: August 2024

Treacher Collins syndrome (TCS) is a rare genetic disorder characterized by craniofacial deformities, resulting from mutations in the TCOF1, POLR1C, or POLR1D genes. These deformities often involve the zygomatic complex, mandible, palate, and external ears, significantly impacting aesthetics and function. This review elucidates the complex pathophysiology, clinical manifestations, and comprehensive surgical management of TCS within the realm of plastic surgery. We emphasize the importance of a multidisciplinary approach, involving otolaryngologists, maxillofacial surgeons, and speech therapists, to optimize functional and cosmetic outcomes. Through detailed analysis of current surgical techniques, including distraction osteogenesis, orthognathic surgery, and ear reconstruction, this article aims to provide a framework for individualized patient care, focusing on improving quality of life and psychosocial integration for patients with Treacher Collins syndrome.
Case Report: Anesthetic Management in Pregnant Woman with Severe Pulmonary Hypertension
Authors: Martínez Mariana Ortega ,   Third year resident physician of anesthesiology. General Hospital of Cancun. Faculty of Medicine of the Autonomous University of Yucatan., Clemente Karla Iveth Cabildo , Ocampo Fernando Alberto Avelar ,   Anesthesiologist assigned to the anesthesiology service, Cancun General Hospital.,   Third year resident physician of anesthesiology. General Hospital of Cancun. Faculty of Medicine of the Autonomous University of Yucatan.
Published: August 2024

Pulmonary hypertension is a disease of low prevalence that can affect women of childbearing age; however, it is the cardiovascular disease with the highest maternal mortality, up to 56%. Timely counseling and optimization of care during pregnancy and the peripartum period have reduced maternal mortality. We present the case of a 41-year-old female patient with a history of unspecified heart disease of 10 years of evolution without medical treatment and congenital hypoplasia of the right thoracic limb. She came to the emergency department with pregnancy of 22.3 weeks of gestation, dyspnea of medium efforts, peribuccal cyanosis and pulmonary murmur, so a transthoracic echocardiogram was performed at rest that reported moderate tricuspid insufficiency/mild aortic insufficiency/moderate pulmonary insufficiency with high probability of pulmonary hypertension, so it was suggested to interrupt the pregnancy via abdominal, which was denied by the patient and a referral to third level of care was made. Patient was readmitted at 34 weeks of gestation with dyspnea on small efforts and labor in latent phase, so an emergency cesarean section was performed, with anesthetic management with fractionated peridural block, leaving the room with spontaneous ventilation, without vasopressor support to ICU, which later presented a torpid evolution until death.
Pengaruh Kualitas Pelayanan, Kepuasan Nasabah Dan Citra Perusahaan Terhadap Loyalitas Nasabah (STUDI KASUS: Nasabah Kredit Konsumtif Pada Bank Nagari Capem M. Jamil)
Authors: Yentisna Yentisna , Alfian Alvin , Syentia Likanopa
Published: August 2024

Perkembangan dunia perbankan di Indonesia sangat pesat dinamis dan modern, baik dari segi ragam produk perbankan serta kualitas pelayanan dan teknologi yang dimiliki. Pemasaran jasa merupakan kegiatan perusahaan yang diarahkan untuk memenuhi kebutuhan dan keinginan nasabah. Loyalitas nasabah memiliki peran penting dalam sebuah perusahaan, mempertahankan mereka berarti meningkatkan kinerja keuangan dan mempertahankan kelangsungan hidup perusahaan, hal ini menjadi alasan utama bagi sebuah perusahaan untuk menarik dan mempertahankan mereka. Hal tersebut dikarenakan oleh salah satu perilaku nasabah yang loyal yaitu merekomendasikan perusahaan yang bersangkutan kepada orang lain. Maka dari itu, nasabah yang loyal akan menjadi aset yang sangat berharga bagi perusahaan. Kepuasan nasabah merupakan salah satu kunci untuk menciptakan loyalitas nasabah karena nasabah yang puas akan cenderung loyal. Penelitian ini bertujuan untuk (1).  Untuk mengetahui pengaruh kualitas pelayanan terhadap loyalitas nasabah kredit konsumtif pada PT. Bank Nagari Cabang Pembantu RSUP M DJAMIL (2). Untuk mengetahui pengaruh kepuasan nasabah terhadap loyalitas nasabah kredit konsumtif pada PT. Bank Nagari Cabang Pembantu RSUP M DJAMIL (3). Untuk mengetahui pengaruh kualitas pelayanan dan kepuasan nasabah terhadap loyalitas nasabah kredit pada PT. Bank Nagari Cabang Pembantu RSUP M DJAMIL metode yang digunakan dalam penelitian ini adalah metode kuantitatif, dimana penelitian ini menggunakan suatu gambaran dari hasil penelitian. Data diperoleh dari panduan wawancara dan kuesioner dengan skala penialian likearet yang terlebih dahulu diuji validitas dan reliabilitasnya. Untuk melihat pengaruh kyualitas pelayanan dan kepuasan nasabah terhadap loyalitas nasabah digunakan uji analisis statistika dengan Uji t dan Uji F. hasil penelitian ini menunjukkan bahwa penelitian responden berdasarkan uji hipotesis secara parsial (uji t) menunjukkan bahwa variable kualitas pelayanan dan kepuasan nasabah berpengaruh secara positif dan signifikan terhadap loyalitas nasabah. Berdasarkan uji hipotesisi secara simultan (uji F) menunjukkan variable kualitas pelayanan dan kepuasan nasabah berpengaruh secara positif dan signifikan terhadap loyalitas nasabah kredit konsumtif pada PT. Bank Nagari Cabang Pembantu R4SUP M DJAMIL.
Quarter Life Crisis: Strategi Untuk Sukses Dan Personal Growth
Authors: Syahti Maghriza Novita , Surya Eka Putri Amelia , Handayani Ruri
Published: August 2024

This assessment process aims to diagnose problems that occur in the General and Personnel Subdivision. The subjects involved in this study amounted to 4 people consisting of the Secretary of the Regional Civil Service Agency, the Head of the General and Personnel Sub-Division, and the Employees of the General and Personnel Sub-Division. The assessment method used is interviews and document studies. Based on the results of the analyst, it was found that problems related to the performance of the General and Personnel Sub Division are related to the lack of competence of leaders. This is related to managerial competence and personal competence, so that the work does not look optimal. In addition, there is dissatisfaction among group members due to the lack of interpersonal skills possessed by leaders.
Strategi Komunikasi Pemasaran Dalam Menarik Minat Beli Konsumen Pada Kopi Rukun Warga
Authors: Ramadhan Muhamad Putra , Hariyanto Fajar , Kusumaningrum Rastri
Published: August 2024

Komunikasi pemasaran merupakan sarana yang digunakan perusahaan dalam upaya menginformasikan, membujuk, dan mengingatkan konsumen baik secara langsung maupun tidak langsung tentang produk dan merek yang mereka jual. Minat beli konsumen merupakan perilaku yang ditunjukkan ketika pelanggan memiliki keinginan untuk menggunakan, mengkonsumsi, atau bahkan mendambakan produk yang ditawarkan. Strategi komunikasi pemasaran menjadi hal yang sangat krusial untuk menarik minat konsumen. Komunikasi yang efektif dapat membangun hubungan yang solid dengan konsumen, memperkuat citra merek, dan mendorong minat beli konsumen. Rukun Warga Coffee memiliki strategi perencanaan untuk menentukan pendekatan komunikasi pemasaran untuk menarik minat beli konsumen. Metode yang digunakan dalam penelitian ini adalah metode penelitian kualitatif, dengan paradigma konstruktivisme, dan pendekatan deskriptif. Temuan dari penelitian ini sesuai dengan teori yang digunakan. Pada dasarnya, strategi komunikasi pemasaran melibatkan sejumlah tahapan. Meskipun terdapat berbagai tantangan dan kekurangan selama pelaksanaannya, Kopi Rukun Warga terus belajar dari pengalaman dan melakukan perbaikan agar strategi komunikasi pemasaran yang digunakan menjadi lebih efisien.