bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Pemahaman Sistem Akuntansi Keuangan Daerah (SAKD), Pemanfaatan Teknologi Informasi Dan Pengendalian Internal Terhadap Kualitas Laporan Keuangan Pada Pemerintahan Desa Kecamatan Besitang
Authors: M. Putra Abdul Rozak Barus  , Hendra Harmain  , Khairina Tambunan
Published: April 2024

This research aims to determine the effect of understanding the Regional Financial Accounting System (SAKD), the use of information technology, and internal control on the quality of financial reports in the Besitang District Village Government. This research uses quantitative methods with an associative approach, data collection techniques using questionnaires, the number of samples in this research is 45 people from the Village Work Unit (SKPD) who are involved in financial preparation reports at the Besitang District village/district office. The sampling technique uses a saturated sampling technique. Data were analyzed using multiple linear regression methods. The results of this research show that Understanding the Regional Financial Accounting System (SAKD) partially has a significant effect on the Quality of Financial Reports in the Besitang District Village Government, while the partial use of Information Technology and Internal Control does not have a significant effect on the Quality of Financial Reports in the Besitang District Village Government. Understanding the Regional Financial Accounting System (SAKD), Utilization of Information Technology, and Internal Control simultaneously have a positive and significant effect on the Quality of Financial Reports in the Besitang District Village Government.
Pengaruh Gaya Kepemimpinan Dan Budaya Organisasi Terhadap Kinerja Karyawan PT. Radio Panjalu Raya
Authors: Ellen Erizka  , Ustadus Sholihin  , Zulfia Rahmawati
Published: April 2024

This research aims to determine the influence of leadership style variables (X1) and organizational culture (X2) on employee performance (Y) at PT Radio Panjalu Raya. This type of research is quantitative research which is used to test the relationship of a variable to other variables which emphasizes the analysis on numbers processed using statistical methods. The data collection techniques used are primary data and secondary data. Sample selection used the saturated sampling method, the number of samples in the study was 40 respondents at PT Radio Panjalu Raya. This research data was obtained through questionnaires, interviews and literature studies. The analysis techniques used are Validity Test, Reliability Test, Classical Assumption Test, Multiple Linear Regression Analysis, T Test, F Test and Coefficient of Determination Test. The research results showed that the multiple linear regression equation Y = 10.743 + 0.269 Organizational culture has a partially significant effect on employee performance with a sig result of 0.000 <0.05. The F test results obtained Fcount results with a significance value of 0.000 < 0.05. From the results of the analysis it can be concluded that leadership style and organizational culture have a simultaneous and significant effect on the performance of PT Radio Panjalu Raya employees.
Analisis Persediaan Suku Cadang Dengan Metode Economic Order Quantity Pada Bengkel Asia Jaya Motor Karawang
Authors: Desniyanti Manik  , Rika Kartika  , Salma Aulia Mulyawati  , Sulistyaningsih Sulistyaningsih  , Ujang Suherman
Published: April 2024

The development of hardware and software technology has developed rapidly in recent years. Currently, companies are still experiencing difficulties in processing data and information. Spare parts that are not available when needed can hinder maintenance and repair plans. For this reason, controlling spare parts inventory in the Asia Jaya Motor workshop company is very necessary to maintain the quality of goods. Asia Jaya Motor Workshop is a business operating in the automotive sector, where this place cannot be separated from an accurate information system. However, data management still uses manual methods, seeing the problems that occur at the Asia Jaya Motor Karawang Workshop, very high accuracy, convenience and speed are needed. The aim of this research is to obtain an effective and efficient spare parts inventory analysis so that spare parts procurement and control plans can be accurate in supporting maintenance and repair programs. The data collection techniques for this research are library research and field research. So, the total cost of spare parts inventory in the 2011-2014 period according to the Economic Order Quantity method for each spare part has increased. The total cost (total cost) of spare parts inventory according to the Economic Order Quantity method is lowest in the 2021 period and the total cost (total cost) of spare parts inventory is the highest in the 2023 period.
Advancing Food Security in Indonesia: Harnessing Innovative Intercropping Methods within Oil Palm Plantations for Enhanced Rice Farming
Authors:   Department of Soil Science and Land Resources, Faculty of Agriculture, Padjadjaran University Jl. Raya Bandung Sumedang Km 21 Jatinangor, Sumedang, Zahrah Adawiah Aliya , Hafizh Gumilar Ahmad ,   Department of Soil Science and Land Resources, Faculty of Agriculture, Padjadjaran University Jl. Raya Bandung Sumedang Km 21 Jatinangor, Sumedang, Pangestu Catherine Febriana ,   Department of Soil Science and Land Resources, Faculty of Agriculture, Padjadjaran University Jl. Raya Bandung Sumedang Km 21 Jatinangor, Sumedang, Simarmata Tualar ,   Department of Soil Science and Land Resources, Faculty of Agriculture, Padjadjaran University Jl. Raya Bandung Sumedang Km 21 Jatinangor, Sumedang
Published: April 2024

Indonesia faces the issue of meeting the escalating food demand caused by population growth. Intercropping rice in oil palm has emerged as a promising strategy to address food production and security challenges in Indonesia. This study thoroughly explores and evaluates the potential of innovative intercropping technology, which involves integrating rice farming into oil palm and industrial forest plantations in Indonesia. The study employed a systematic literature review (SLR) methodology, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow guidelines, focusing on the keywords "intercropping technology," "rice," and "oil palm Indonesia”. Using search engines in ScienceDirect and Google Scholar. From the earlier search, 1826 articles were generated, and after selection, 10 articles meeting the criteria were obtained. Out of 48 million hectares of oil palm plantations, approximately 2.4 million hectares (immature) can be utilized for intercropping with rice and capable of producing 4-5 tons per hectare. In brief, this additional rice crop production constitutes roughly a 20-25% augmentation to the national rice output. These findings highlight the significant role of rice intercropping with oil palm in increasing rice production and enhancing food security in Indonesia. Intensive research is crucial to develop innovative technologies capable of boosting both crop productivity and soil fertility, thereby supporting the increase in food production and oil palm productivity.
PKM MEWUJUDKAN KELUARGA BERKUALITAS MELALUI UPAYA PENCEGAHAN STUNTING DENGAN PEMBUATAN MAKANAN SEHAT DAN BERGIZI “ OLAHAN NAGET TEMPE” DI KELURAHAN TANJUNG RHU
Authors: Fitri Rahmi Pramulia , Silvia Fitri , Dina Rahmah Datul , Amelia Nur
Published: April 2024

Tempeh is a fermented food from soybeans (Glicyne max) with the help of microorganisms Rhizopus sp, which is currently starting to be developed by utilizing other types of raw materials. This review was conducted to understand the potential of tempeh fermented local food related to efforts to reduce stunting rates in Indonesia. There has been a lot of development of fermented tempeh food apart from soybeans. The fermentation process tends to increase macro and micronutrients needed by the body to support optimal growth so that in the end it can prevent stunting. The purpose of this service is an effort to prevent stunting from an early age and provide an understanding to the community in Tanjung Rhu village that diet is a factor in the high level of stunting. The result of this service is the increase in enthusiasm and increasing public understanding of stunting and diet for stunting prevention, one of which is the activity of making processed tempeh nuggets
PELATIHAN PEMBUATAN PORTOFOLIO INSTRUMEN STANDAR ISI PADA BORANG AKREDITAS PAUD DI TK KHOIRIYATUSSIBYAN
Authors: Sandra Ifa Aristia , Sumadi Sumadi , Permata Rista Dwi , Efendi Dwi Imam
Published: April 2024

Each PAUD (Early Childhood Education) must conduct a self-evaluation to measure the ability to meet the National Education Standards properly. This measure is then categorized in the form of institutional accreditation. Accreditation for the community is very important because the community is the main customer of educational institutions. The results of accreditation can describe the quality of an institution. Thus, the community can know and choose which institution to send their children to. But unfortunately, as we know, even the Ministry of Education and Culture also admits that many PAUDs in Indonesia are not accredited yet. This is also due to the lack of PAUD facilities and infrastructure itself in more than 30,000 villages. Out of a total of around 34 million early childhood children, only 30 percent have received their right to attend PAUD. There are more than 20 million unserved early childhood children, which belong to the 30,000 villages. So it is necessary to conduct training in the manufacture of accreditation instruments to equip early childhood institutions to improve quality, effectiveness, efficiency and innovation
MENINGKATKAN KESADARAN MASYARAKAT DALAM PENERAPAN PROTOKOL KESEHATAN MELALUI MEDIA SOSIAL DI KELURAHAN AEK MUARA PINANG KECAMATAN SIBOLGA SELATAN KOTA SIBOLGA
Authors: Yahya Afif Syarifudin , T.W.M Helen
Published: April 2024

The lack of citizens awareness of Covid-19 has resulted in many people in Aek Muara Pinang Village infected with the corona virus, so it is necessary to make efforts to increase citizens awareness about the prevention of transmission of COVID-19 through social media to help the citizens to continue implementing health protocols in Aek Muara Pinang Village. This activity aims to increase citizens awareness in implementing health protocols. The method used is making educational videos, socializing around and distributing masks.The results of this activity indicate that Muara Pinang has started to become aware of implementing health protocols which are marked by a reduction in crowd places, and people have started wearing masks every time they do activities outside the home. Besides that the video making activity program is spread on social media accounts such as YouTube with a total number of publishers / viewers as many as 88, the number of publishers on Facebook accounts as many as 249, and the number of viewers on Tiktok accounts as many as 52
PENINGKATAN KETERAMPILAN DAN PRODUKTIVITAS CABAI KELOMPOK PETANI BERBASIS PENERAPAN AGROVOLTAIC: IMPLEMENTASI MITIGASI PERUBAHAN IKLIM
Authors: Syahrullah Syahrullah , Sau Tenri
Published: April 2024

Climate change not, eliminate coal and oil-fueled vehicles will be substituted for electric vehicles. In the future, it is predicted that there will be more government policies to create innovations related to climate change mitigation and adaptation. Therefore, innovations and environmentally friendly technology breakthroughs are needed in every industrial and MSME management activity, one of which is the production and management of rice plants. This service activity aims to substitute the use of chemical fertilizers for the use of environmentally friendly fertilizers through activities to increase farmer group skills and productivity of rice plants based on Agrovoltaic innovation and technology. The implementation method begins with observation activities, program planning, implementation of training/assistance activities for making Agrovoltaic and then ends with monitoring and evaluation activities. The result of this program is the application of environmentally friendly innovation, namely Agrovoltaic technology in Mentoring activities to participants of the Pada Idi farmer group members so that they are able to improve the skills of farmer groups (100%) in utilizing agricultural waste into fertilizer that is very useful, cheap and environmentally friendly so that it has an impact on increasing land productivity and the balance of environmental ecosystems around rice fields. The range for the increase in rice production is 15% from the previous production data
PENCEGAHAN KECELAKAAN KERJA SAAT BERKENDARA MELALUI PENYULUHAN DAN PEMBAGIAN BUKU SAKU PADA SOPIR BENTOR DI KELURAHAN ANRONG APPAKA
Authors: Darwis A. Muflihah , Putri Hermalia , Aryanti Rizky Burty , Masitha Masitha , Paembonan Onestin Bintang , Tuwo Nur Amaliah , Wirasistha Nindya
Published: April 2024

Work accident is an event related to work that can cause injury or illness, and can even cause death. From the data obtained in the Anrong Appaka Village, as many as 4.6% had experienced work injuries, 3.3% had experienced work accidents, and 8.1% had experienced work-related health problems and most of these occurred in residents who worked as conventional motorcycle taxi drivers or bumped into them. In overcoming this problem, interventions are carried out in preventing accidents while driving. The activity was carried out by providing counseling accompanied by distribution of pocket books on accident prevention while driving. This activity was carried out in the RW 1-4 area of ​​Anrong Appaka Village. This counseling is carried out by visiting conventional or bentor motorcycle taxi drivers. The method used is the lecture and discussion method with pocket book educational media. This activity was preceded and ended with a pre test and post test. At the end of the activity, pocket books were distributed related to accident prevention while driving and personal protective equipment (PPE) in the form of masks and gloves. The results of this activity indicate that there is an increase in the knowledge of bump drivers related to accident prevention while driving
PELATIHAN KONSEP MATEMATIKA KEKONGRUENAN DAN KESEBANGUNAN MENGGUNAKAN PENDEKATAN ETNOBRA DI SMPN 3 CIKANDE
Authors: Hamidah Hamidah , Kusuma Jaka Wijaya , Auliana Sigit
Published: April 2024

Training on mathematical concepts on congruence and equality using ethnomathematics and Geogebra approaches at SMPN 3 Cikande aims to increase students' understanding of complex mathematical materials and relate them to local cultural contexts. In this training, students are equipped with an understanding of mathematical concepts through an ethnomathematical approach that connects mathematical concepts with their daily lives. In addition, the use of Geogebra as a learning aid provides an immersive visual and interactive experience in understanding mathematical concepts. The results of the training showed an increase in students' understanding of mathematical concepts, mathematical thinking skills, and learning motivation. The training also highlighted the importance of developing a mathematics curriculum that is responsive to the student's context and improving teachers' skills in applying innovative learning approaches. Thus, this training not only provides direct benefits for students at SMPN 3 Cikande, but also provides guidance for the development of more effective and relevant mathematics learning in other schools
Impactos psicológicos da COVID-19 nos profissionais de saúde
Authors: Farias Estrela Cecília Moreira de Holanda , Demarchi José Carlos Gomes , Campigotto Roberto Spadoni , Soares Thaíssa Fernandes de Souza , Lima Elizabeth Karine Freire de , Silva Ranyelle Hallana Andrade da , Martins Guilherme Teodoro , Lopes Lucas Moura , Alves Ana Paula da Penha , Gonçalves Raquel Calado da Silva
Published: April 2024

A pandemia de COVID-19 teve um impacto sem precedentes na saúde pública global, afetando não apenas a saúde física, mas também a saúde mental de milhões de pessoas em todo o mundo, incluindo os profissionais de saúde na linha de frente. A exposição constante ao risco de infecção, a carga de trabalho intensificada, a escassez de recursos e o enfrentamento de situações emocionalmente desafiadoras contribuíram para um aumento significativo nos impactos psicológicos negativos entre esses profissionais. Este estudo tem como objetivo realizar uma revisão integrativa da literatura para investigar os impactos psicológicos da COVID-19 nos profissionais de saúde. A revisão integrativa da literatura foi conduzida por meio de uma busca sistemática em bases de dados eletrônicas, incluindo PubMed, Scopus e Web of Science. Os critérios de inclusão foram estudos que abordaram os impactos psicológicos da COVID-19 em profissionais de saúde, publicados nos últimos dois anos. A análise dos artigos incluiu a identificação de temas comuns, manifestações de problemas de saúde mental e estratégias de enfrentamento. Os resultados da revisão destacaram uma série de impactos psicológicos negativos entre os profissionais de saúde durante a pandemia de COVID-19, incluindo aumento do estresse, ansiedade, depressão, burnout e transtorno de estresse pós-traumático (TEPT). Fatores como medo de contágio, falta de equipamentos de proteção individual adequados, carga de trabalho intensificada e estigmatização social foram identificados como principais contribuintes para esses problemas. As estratégias de enfrentamento adotadas pelos profissionais de saúde incluíram o apoio social entre colegas, práticas de autocuidado, como exercícios físicos e meditação, acesso a serviços de apoio psicológico e medidas organizacionais, como rotação de equipes e suporte emocional no local de trabalho. A pandemia de COVID-19 teve um impacto profundo na saúde mental dos profissionais de saúde, destacando a necessidade urgente de intervenções para mitigar os efeitos negativos e promover o bem-estar desses trabalhadores essenciais. Investimentos em programas de apoio psicológico, medidas de proteção no local de trabalho e políticas de saúde mental são fundamentais para garantir a saúde e a resiliência desses profissionais durante e após a pandemia. A atenção aos impactos psicológicos da COVID-19 nos profissionais de saúde é essencial para garantir a continuidade da prestação de cuidados de saúde de qualidade e proteger o bem-estar daqueles que estão na linha de frente do combate à pandemia.
Assessing the Challenges and Opportunities of Artificial Intelligence in Indian Education
Authors: Agarwal Pragati , Vij Anshita
Published: April 2024

Artificial Intelligence (AI) has emerged as a transformative force across various sectors globally, including education. In the Indian context, where education plays a pivotal role in socio-economic development, the integration of AI presents both challenges and opportunities. This research endeavors to analyze the landscape of AI adoption in Indian education, focusing on its challenges and the potential it holds for enhancing educational outcomes. The study employs a mixed-methods approach, combining quantitative data analysis and qualitative case studies. Quantitative analysis involves surveying educational institutions. Findings highlight several challenges hindering the widespread adoption of AI in Indian education, including infrastructural constraints, resource limitations, regulatory hurdles, and concerns regarding data privacy. However, amidst these challenges, there exist significant opportunities for AI to revolutionize. The research aims to provide actionable insights for policymakers, educators, and technology developers to navigate the complexities of AI integration in Indian education. By understanding the challenges and leveraging the opportunities presented by AI, stakeholders can work towards creating a more inclusive, efficient, and effective educational ecosystem that empowers learners and prepares them for the demands of the 21st century.
Factors Associated with Caregiver Decision Not to Transport Pediatric Patients Assessed by Emergency Medical Services
Authors: Johnson Kristen , Ward Caleb
Published: April 2024

Objectives: Almost one third of pediatric 9-1-1 calls result in non-transport by Emergency Medical Services (EMS). It is unknown to what extent these decisions are driven by caregivers’ decisions to decline transport versus EMS advice that transport is unnecessary. Further, it is unknown whether demographic, encounter, or agency factors are associated with caregivers declining transport.

Methods: We conducted a retrospective cross-sectional study with data from the national 2019 ESO Data Collaborative (a convenience sample with data from > 2,000 EMS agencies). We included 9-1-1 responses for children <18 years. The primary outcome was caregiver decision not to transport patient (per EMS documentation) compared to EMS-initiated non-transport. Descriptive data for patient dispositions were generated. Bivariable and multivariable logistic regression identified factors associated with caregiver decision not to transport.

Results: Of 313,903 pediatric 9-1-1 activations, 37.2% resulted in non-transport, with 80.0% of pediatric non-transports attributable to a caregiver decision. The patient and encounter characteristics for children not transported by EMS were similar, regardless of whether the caregiver or EMS clinician made the decision not to transport. There was wide inter-agency variation in both the rate of non-transport (median 0.37, interquartile range (IQR 0.25 – 0.48)) and the proportion of these encounters attributable to a caregiver decision (median 0.82, IQR 0.68-0.94).

Conclusions: In this large national dataset, pediatric non-transport by EMS was common, and in most cases non-transport was documented to result from a caregiver decision. Both the rates of non-transport and proportion of caregiver decision varied significantly between EMS agencies. Further research is needed to understand pediatric patient outcomes after non-transport and to identify the reasons for practice variability between EMS agencies. Developing standardized, evidence-based non-transport protocols for children may help reduce this potentially unwarranted clinical variation.
Assessing the Accuracy of ECG Chest Electrode Placement by EMS and Clinical Personnel Using Two Evaluation Methods
Authors: Clopton Edwin , Hyrkäs Eira Kristiina
Published: April 2024

Background and purpose:  A valid 12-lead electrocardiogram (ECG) depends on correct acquisition technique, particularly on the accurate location of precordial (chest) electrodes.  The emergency medical services (EMS) segment of the care continuum is under-represented in previous clinically oriented studies of electrode placement.  This study sought to assess the accuracy of chest electrode placement by EMS and clinical personnel in one geographic area, to identify patterns of misplacement to inform future training and continuing education, and to compare two methods of assessing electrode placement. 
Methods:  This prospective observational study recruited a convenience sample of EMS and clinical personnel.  Participants placed simulated electrodes on a CPR-style manikin and completed a questionnaire about their training and experience.  A subset also marked electrode locations on a printed diagram of the ribcage.  Digitized placement data and questionnaire responses were analysed statistically.
Results:  Findings from 149 participants showed misplacement patterns consistent with prior studies, with 41.6% rated as “acceptable” and 34.2% placing £ 3 electrodes acceptably.  Correctness of electrode placement was comparable between EMS and clinical participants. More correct electrode placement correlated with classroom vs. on-the-job training, frequent vs. infrequent practice, and greater self-confidence. The diagram data collection method proved not equivalent to, and probably less reliable than, the hands-on manikin method for assessing placement skills.
Conclusions:  Significant variation in ECG chest electrode placement by EMS personnel was comparable to that previously reported for clinical personnel, suggesting that existing concerns about placement errors by clinical personnel may apply equally to EMS personnel.  More frequent practice and classroom-based initial ECG training were associated with significantly greater placement accuracy.  Participants used diverse strategies to identify electrode locations.  Further research is warranted to clarify optimal strategies for placing chest electrodes, especially on diverse body types.  Sound initial ECG training and continuing education are necessary to reinforce high-quality ECG skills.
Examining Cognitive Aid Use in Emergency Medical Services
Authors: Harmer Bryan , Ivey Melissa , Hoyle, Jr. John , Fogarty Kieran
Published: April 2024

Background: Emergency Medical Service (EMS) clinicians render care in less than ideal environments, and errors occur at high rates. Some cognitive aids (CAs) have been shown to reduce errors and improve adherence to evidence-based practices. However, there have been no widespread studies examining CA use in EMS. The objective of this study was to examine the frequency of CA use by EMS clinicians and which clinicians were using them more frequently during patient care.

Methods: A cross-sectional online survey was developed using a modified Delphi method with items examining demographic information and the frequency that 15 selected CAs are used during patient care. A survey link was emailed to 136,093 EMS clinicians across six states (TX, ME, MI, LA, SC, and AR). Descriptive statistics were used to describe frequencies. Kruskal-Wallis was used to assess if use differed among demographic or employment groups, and Spearman correlation was used to examine the relationship between clinician age and CA use.

Results: A total of 2,251 respondents were included in the study after meeting the inclusion criteria. Of the 15 CAs examined, the length-based tape was the most used (Med= 3.0, IQR: 1.0 – 4.0). Overall CA use was limited, with a median score of 1.67 (IQR: 1.07 – 2.27). The following groups reported more frequent use of CAs: females (Med= 1.87, IQR: 1.27-2.47), Hispanics (Med= 1.93, IQR: 1.33-2.67), Black/African Americans (Med= 2.00, IQR: 1.20-2.53), air medical clinicians (Med= 2.00, IQR: 1.60-2.40) and clinicians working in military settings (Med= 2.23, IQR: 1.80-2.80). A small negative correlation was identified with age (r = -0.06, p = .005).

Conclusions: Overall, CA use in EMS is limited. More effort is needed to increase their use in EMS. This data may provide insight to better target areas of need, improve design, and improve implementation of CAs in EMS.
Relationship Between Emotional Intelligence, Self-Compassion and Wellbeing in Ambulance Staff
Authors: Parker Beth , Ashton Amy , Fletcher Ian , Eccles Fiona
Published: April 2024

Objective

Ambulance staff are at increased risk of negative wellbeing outcomes, though there is a lack of research into their wellbeing. This study aims to explore the relationship between emotional intelligence and self-compassion, two factors related to positive wellbeing in other populations, and the professional quality of life and psychological wellbeing of ambulance staff.

Methods

A within-participants cross-sectional survey was completed with UK ambulance staff. Data were collected via an anonymous online survey on participants’ demographics, emotional intelligence, self-compassion (separated into the subscales of self-coldness and self-kindness), compassion fatigue and compassion satisfaction, and psychological wellbeing. The relationships between variables were first explored using Pearson’s r correlational analyses. Then three hierarchical multiple regressions were used to explore what predicted the outcome variables of compassion fatigue, compassion satisfaction and psychological wellbeing.

Results

146 ambulance staff completed the survey. Emotional intelligence and self-kindness correlated negatively with compassion fatigue, while self-coldness correlated positively with compassion fatigue; emotional intelligence and self-kindness correlated positively with both compassion satisfaction and psychological wellbeing, and self-coldness correlated negatively with compassion satisfaction and psychological wellbeing. In hierarchical multiple regression analyses, compassion fatigue was significantly predicted by greater self-coldness and years of experience; compassion satisfaction was predicted by greater emotional intelligence and fewer years of experience; and psychological wellbeing was predicted by greater emotional intelligence and lower self-coldness.

Conclusions

The findings indicated that emotional intelligence and self-coldness can predict aspects of professional and psychological wellbeing in ambulance staff. Self-kindness does not predict wellbeing in models with age, years of experience, emotional intelligence, and self-coldness. This suggests that enhancing emotional intelligence and reducing self-coldness could be targets in interventions to support ambulance staff wellbeing.
When Should EMS Call a Child a Small Adult: Inconsistency in Protocol Definitions
Authors: Solazzo Elise , McCans Kerry , Owusu-Ansah Sylvia , Williams Kenneth
Published: April 2024

Age may be a factor in Emergency Medical Services (EMS) treatment of patients, and understanding of age-related patient differences is important to those providing care in the prehospital environment. The US Health Resources and Services Administration’s Maternal Child Health Bureau (HRSA MCHB) through their Emergency Medical Services for Children (EMSC) program has coordinated a focus on pediatric EMS care. However, there is a wide variety of age and other categorizations used to define the pediatric EMS population. This paper reviews the current state of pediatric EMS categorization from several sources, including national-level agencies and organizations, EMS Protocols, and other sources, and provides an overview of the anatomic, physiologic, and behavioral parameters that are generally expected within the range of pediatric ages. We found that, of 32 states publishing statewide EMS protocols online, there was great variability in the definition of a pediatric patient. The age at which states identified the transition from pediatric to adult patient ranged from 12-18 years old, and several states used non-aged-based definitions.
Effect of Paramedics in Emergency Department Triage on Ambulance Patient Offload Times
Authors: Kuhner Chris , Su John , Quinn Eric , Wolin Jennifer , Kimbrell Joshua , Friedman Matt , Lobel David , Dickman Eitan , Eng David
Published: April 2024

Background: Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval. Paramedics were added to the ED ambulance triage staff to receive verbal reports and perform certain tasks done traditionally by nurses. We hypothesized adding paramedics to the ED triage process would reduce delivery interval times and total turnaround times. Methods: This was a retrospective observational study comparing delivery and turnaround intervals for patients brought to the ED by ambulance, before and after the addition of a paramedic in triage. The study period included all adult ED patients brought in by ambulance between 11 AM and 11 PM. Pediatric patients (<21 years old), direct-to-inpatient interfacility transfers, and critical patients requiring immediate care in the resuscitation area and thus bypassing normal triage processes were excluded. The data was analyzed with two-sample t-tests with a confidence interval of a = 0.05. Results: Delivery interval pre-implementation of the program was 15:48 minutes (95% CI [15:28, 16:09]) compared to 14:04 minutes (95% CI [13:44, 14:25]) post-implementation. The mean turnaround interval pre-implementation was 35:21 minutes (95% CI [35:01, 35:42]) and 36:04 minutes (95% CI [35:40, 36:29]) post-implementation. The mean difference for the delivery interval was shortened by 01:44 minutes (p<0.0001; 95% CI [01:15, 02:13]). The mean turnaround interval increased by 00:43 seconds (p<0.01; 95% CI [00:11, 01:16]). Conclusion: Staffing a paramedic in ED triage decreased delivery interval by 1:44 minutes but did not affect ambulance turnaround times. Further research is needed to determine if the decrease in delivery interval improved patient outcomes and ways to translate the time saved in the delivery interval to total turnaround times.
Australian Paramedics’ Experiences of Stressors During the COVID-19 Pandemic
Authors: Finlayson-Short Laura , Metcalf Olivia , Arjmand Hussain-Abdulah , O'Donnell Meaghan , Dobbie Megan , North Danielle , Varker Tracey
Published: April 2024

Objective: Paramedics are exposed to significant job-related stressors, which have been exacerbated by the pressures of the COVID-19 pandemic. Given the essential role that paramedics play in the health system, it is imperative that we understand how their health and wellbeing are affected by this range of stressors.

Methods: We conducted a mixed-methods, cross-sectional statewide survey of the Ambulance Organization workforce between August and November 2021. A total of 690 paramedics (i.e., operational staff) answered a quantitative question about operational and organizational job stressors, while a subset (N=151) provided a response to a free-text qualitative question about stress related to COVID-19.

Results: Quantitative data revealed that COVID-19-related stressors were more stressful than all other job-related factors at that time. In addition, paramedics reported moderate to high levels of stress for nearly three quarters of all stressors listed. Thematic analysis of the qualitative question showed that paramedics experienced: stress related to operational changes; personal protective equipment related stress; the everyday life impacts of the COVID-19 pandemic; work-related conflicts and concerns; exposure to COVID-19; vaccine-related stress; and issues with management and communication.

Conclusions: Paramedics have been significantly affected by the unique stressors brought about by the COVID-19 pandemic, which have added strain onto an already stressful work environment. The stressors we have identified suggest that organizations should examine their internal practices and consider their impact on paramedics, along with offering mental health support to paramedics where appropriate.
CÂNCER INFANTIL: QUALIDADE DE VIDA DO CUIDADOR
Authors: Ribeiro Mírian Silveira , Mesquita Matheus Batz , Rodrigues Lucas Luiz da Silva , Ferreira Alaidistânia Aparecida
Published: April 2024

Introdução: O diagnóstico e tratamento oncológico são fatores prejudiciais no desenvolvimento das crianças. Os sintomas inespecíficos e a escassez de informação retardam cada vez mais o reconhecimento da patologia. Assim, as crianças podem iniciar o tratamento em estágios avançados e serem submetidas a procedimentos invasivos, o que justifica o impacto psicológico, emocional e físico para o cuidador. Objetivos: O presente estudo teve como objetivo identificar a sobrecarga emocional e a qualidade de vida dos cuidadores de crianças submetidas aos tratamentos oncológicos. Metodologia: Trata-se de uma revisão integrativa da literatura, entre os anos 2013 e 2023, nas bases de dados PUBMED, LILACS e BDENF. Resultados: Foram incluídos 54 artigos que abordam sobre a temática. Acredita-se que os resultados do estudo possam ampliar a percepção a respeito do tratamento de câncer infantil na sua totalidade e singularidade dos indivíduos que estão envolvidos no processo de cuidado com a criança diagnosticada com câncer.
AIR POLLUTION BY FINE PARTICULATE MATERIAL ON HOSPITALIZATION FOR RESPIRATORY DISEASES IN THE ELDERLY
Authors: Ferreira Alexsander Pippus , Ferreira Patrícia da Silva , Silva Ageo Mário Cândido da
Published: April 2024

Objective: To analyze the effects of air pollution exposure on hospitalizations for respiratory diseases in the elderly. Methods: this was an ecological time series study in Cuiabá, Mato Grosso, during the years 2015 and 2016. Daily levels of fine particulate matter PM2.5 and carbon monoxide were estimated and made available by the National Institute for Space Research. Variables related to temperature, relative humidity and adjustments for temporal trend, seasonality and calendar effects were included in the stochastic model of the ARIMA class (integrated autoregressive moving averages). Results: During the period selected for data collection, there were 1556 hospitalizations for respiratory diseases in Cuiabá. It was verified with this study that the number of cases of respiratory hospitalizations in the elderly was higher between the months of May and September 2015, despite a smaller number of occurrences, in the same period of 2016. As for the monthly average number of hospitalizations of elderly people aged 60 or over, these ranged from 41 hospitalizations in December 2016 to 103 hospitalizations in May 2015. Conclusion: The present study found an association between an increase in PM2.5 and a greater number of hospitalizations of elderly people with 60 years or older due to respiratory diseases. These results are consistent with some other studies found in other investigations on the subject.
Retrospective study on occurrence of bovine gastrointestinal parasitic infections in different regions of Haryana
Authors: PRAKASH ANAND , BHANOT VANDNA , YADAV RAHUL , KUMAR PANKAJ
Published: April 2024

The production and reproduction of livestock is hampered by the presence of gastrointestinal (GI) parasitic infections. The effect of parasites ranges from anorexia, loss of body condition, anaemia, diarrhoea, protein losing enteropathy and loss of body condition apart from aforementioned direct and indirect effects on the animals leads to huge economic losses to livestock owners. In the present study, a total of 1669 faecal samples from cattle (n=550) and buffaloes (n=1119) with the history of diarrhoea or digestive disturbances were processed for presence of parasitic infections at different disease investigation laboratories (Ambala, Bhiwani, Mahendragarh and Rohtak) of Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana from July 2021 to June 2022. All the faecal samples were processed by floatation and sedimentation methods for detection of parasitic eggs and the results revealed that 29.6% cattle and 34.7% buffaloes were positive for GI parasites. Buxtonella sulcata (17.7%), Amphistomes (5.2%), and Strongyles (6.9%) were the major parasites observed in cattle and buffaloes. The occurrence of parasitic infection was significantly higher (P<0.05) in Rohtak followed by Bhiwani, Ambala and the least in Mahendragarh district of Haryana. However, no significant difference (P>0.05) between the cattle and buffaloes of geographical regions was observed. Further, analysis of month, season and age influences on prevalence of GI parasites were found to have no significant impact (P>0.05). Overall, this study helps to assess the parasitic load within the study region and helps to further devise control strategies against the parasites of bovines.
MARKETING SENSORIAL: DECISIÓN DE COMPRA EN LOS LOCALES DE COSMÉTICOS DE LA POBLACIÓN - MANTA
Authors: López-Farias María José , Morán-Quiñonez Carlos Julio
Published: April 2024

El presente estudio tiene como objetivo principal determinar la incidencia del marketing sensorial en la decisión de compra en los locales de cosméticos de la población - Manta. Se desarrolló un estudio de tipo cuantitativo con un alcance descriptivo, correlacional, de campo, exploratoria y bibliográfica; aplicando una encuesta estructurada con escala calificativa de Likert, validada bajo el coeficiente Alfa de Cronbach obteniendo un valor de 0.930 y a través del índice de correlación del Rho-Spearman se evidenció una alta correlación entre las variables estudiadas. Finalmente, esta herramienta sensorial es la clave para conectar la marca con los consumidores o compradores que están en constante búsqueda de productos o servicios que generen una experiencia distinta de compra. Así mismo, el marketing sensorial es la herramienta innovadora de crecimiento eficaz para la economía de la empresa, agregando valor a su entorno apelando a sus sentidos, a sus sentimientos y a la razón.
ACCOUNTING INFORMATION SYSTEMS AND ENTREPRENEURSHIP: UNDERSTANDING E-COMMERCE
Authors: Abdul Malik Rifki , Dendy Syaiful Akbar  , Benny Prawiranegara
Published: April 2024

This information provides an overview of the opportunities for university graduates to find work by region. Waiting for the economic system to create decent jobs may take a long time. One of the other steps that can be taken to create jobs is to encourage entrepreneurship. The purpose of this study is to examine how accounting information systems affect entrepreneurship by including an understanding of e-commerce to strengthen the relationship between the two. This study analyzes primary data from questionnaires distributed to 100 students who have received accounting information systems courses and know and understand e-commerce. The sample selection in this study used a purposive sampling technique. Testing of research variables was carried out using the Partial Least Square method with the SmartPLS application. The results showed that the accounting information system had a significant positive effect on entrepreneurship. E-commerce directly has a significant positive relationship with entrepreneurship. Our analysis shows that knowledge of understanding e-commerce is not able to strengthen accounting information systems' impact on entrepreneurship
THE EFFECT OF OPERATING CAPACITY, LIQUIDITY, AND PROFITABILITY ON FINANCIAL DISTRESS IN FOOD AND BEVERAGE SUB-SECTOR COMPANIES LISTED ON THE INDONESIA STOCK EXCHANGE PERIOD 2016-2020
Authors: Sudaryono  , Bagus Nurcahyo  , Ika Puji Saputri
Published: April 2024

The purpose of this research is to identify and analyze the effect of operating capacity, liquidity, and profitability on financial distress in food and beverage sub-sector companies listed on the Indonesia Stock Exchange (IDX) for the 2016-2020 period. To implement these objectives, the panel data regression analysis method is used. and using the Altman method as a classification of companies experiencing financial distress. The type of data used is secondary data obtained from official websites and websites owned by each food and beverage company. The population of this study were 27 food and beverage sub-sector companies listed on the Indonesia Stock Exchange in 2022. Sampling used a purposive sampling method with several specific criteria. There are 12 companies that meet the criteria to be sampled in this study. The results of research with the help of Eviews 9 show that operating capacity as measured by total asset turnover (TATO) partially has no effect on financial distress while liquidity is measured by current ratio (CR) and profitability as measured by return on assets (ROA) partially effect on financial distress. Then simultaneously operating capacity, liquidity, and profitability affect financial distress.
PERFORMANCE STUDY OF UNBALANCED LOAD ON OPEN DELTA TRANSFORMERS
Authors: Pelpinus Sinay
Published: April 2024

A transformer is a device that can transfer (transmit) and change electrical energy from one electrical circuit to another with the same frequency based on the principle of electromagnetic induction. The transformer that will be used in this research is a three-phase open delta connection transformer, which is connected to a delta connected load. If one of the three phase windings in the delta connection transformer is damaged, then the remaining two windings can be implemented or designed into three phase open delta connections, which can be used to distribute three phase electrical power to the load. The performance of the unbalanced load influence on the open delta transformer, when it is loaded with an unbalanced load that is not the same size on each phase, causes an increase in current on each phase, resulting in an increase in the input power absorbed by the unbalanced load resulting in power loss. larger (losses) with reduced efficiency. The aim of the research is to study the performance of unbalanced loads on open delta transformers and the research method is an experimental method in the laboratory, which includes testing on three-phase open delta transformers in unbalanced load conditions. The measurement results show that there are differences in performance (output results) in the influence of unbalanced loads between the average current and losses and the efficiency of the open delta transformer.
IMPLEMENTASI PRESTASI KERJA DALAM PERUSAHAAN
Authors: Putrii Intan , Achmad Fauzi
Published: April 2024

Sumber daya manusia yakni suatu bagian berarti yang harus terdapat didalam dalam suatu tubuh, dimana kualitas SDM yang baik dalam sesuatu tubuh mempunyai dampak yang tidak bernilai dalam upaya pemasukan tujuan tubuh. Salah satu coretan berartinya kesertaan sumber daya manusia dalam sesuatu pabrik bisa dicermati dari metode invensi. Analisa sregresi linear berganda dipakai buat mengidentifikasi seberapa besarkah dampak yang dimiliki fleksibel Independent pada fleksibel Dependent. Sehabis itu Data diproses dengan eksperimen statistik untuk kemauan analisa dan eksperimen hipotesa yang mengenakan program SPSS 21. v. 0. Berasal pada Hasil studi diatas disimpulkan jika didalam penilaian keahlian pengaruhi positif pada hasil aktivitas. Berarti, suatu Penilaian keahlian dideskripsikan berlaku seperti bentuk amatan yang disusun dengan metode sistematik pada hasil aktivitas pegawai yang dimaksud ialah penilaian keahlian dipakai dalam melakukan evaluasi pada energi untuk aktivitas
Análisis de la presencia económica y comercial de Japón en América Latina
Authors: Campi Mayorga Ida Ivete , César Valdés Julio C. , De Lucas Coloma Luis Alberto
Published: April 2024

La presencia económica y comercial de Japón en América Latina ha evolucionado significativa en las últimas décadas. El objetivo del presente artículo es analizar la presencia económica y comercial de Japón en América Latina, explorando los factores que han impulsado esta relación, así como los desafíos y oportunidades que se presentan para ambas partes. El objetivo planteado unido la metodología diseñada, permite presentar como principales resultados que una de las formas en que Japón ha consolidado su presencia económica en América Latina es a través de inversiones y alianzas estratégicas, empresas japonesas han establecido filiales y sucursales en la región, participando activamente en sectores como la automoción, la tecnología y la energía, lo que evidencia que las Inversiones directas y alianzas estratégicas sean elementos clave que han fortalecido los lazos comerciales y económicos entre ambas regiones. Japón, ha contribuido al desarrollo tecnológico en América Latina, la transferencia de conocimiento han sido fundamentales en la relación económica entre ambas partes, generando un impacto positivo en sectores como la manufactura y la investigación científica. A modo de conclusión se puede plantear que las Inversiones Directas y Alianzas Estratégicas de Japón en América Latina representan una interacción dinámica que beneficia a ambas partes.