bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence and Associated Factors of Multimorbidity among Elderly People of Bangladesh
Authors: Manzur Manzila , Akter Shahana , Rahman Taslima , Hasan Sheikh Mahmood
Published: April 2024

Background: Human aging is a dynamic and progressive natural process which is depends on interacting hereditary, biological, social, environmental, historical and cultural factors that determine the quality of life of an older individual. Multimorbidity was defined as the co‐occurrence of at least two chronic diseases in a person whether as a coincidence or not. Little attention has been paid to the study of the prevalence of multimorbidity among the elderly in Bangladesh. The study aimed to find out the prevalence and associated factors of multimorbidity among elderly people of Bangladesh. Methods: It was a hospital-based cross-sectional study, conducted in Department of Community Medicine, International Nursing College, Tongi, Bangladesh from January to December 2022. Data were collected from 250 participants. Categorical data were presented as proportion, and continuous data were presented as mean (SD). The Chi-square test and multivariate logistic regression were used to find out the association between frailty and other variables. Results: Total Two hundred fifty eligible elderly persons were approached for the study. So, were analysed (response rate = 85%). The mean age (SD) of the participants was 70 (7.0) years. About half (55.2%) of them were female, 48% were living in a rural areas, and 68% were Muslim by religion. About two-thirds (58%) of participants were married (currently in union), and were living with either their spouses or children. Nearly one-third (64.4%) of participants were illiterate. The prevalence of multimorbidity was significantly higher among women than among men, among illiterate than among literate persons, among persons who belonged to the non-poorest quintiles than among the poorest quintile, and also significantly higher among single than among married persons. The most common disorders were arthritis (57.2%) and hypertension (38.4%). The prevalence of arthritis was significantly higher among the illiterate than among the ..........
Contribution of Physical Therapy to the Management of the Lumbar Osteoarthritis: About 62 Cases at the Teaching Hospital of Point G
Authors: Tamba DIARRA , Sidi TOURE , Ezéchiel DEMBELE , Moussa TRAORE , Sammuel DEMBELE , Matiéré KAMATE , Ahmadou CISSE Idrissa
Published: April 2024

Introduction: osteoarthritis is a degenerative process of the lumber spine [2]. Objective: the overall objective of this study was to determine the frequency of lumber osteoarthrosis and the contribution of physical therapy to its management. Patients and Method: we conducted a prospective longitudinal study over two [2]. years, from October first, 2021, to September 30th, 2023, in patients seen in the physiotherapy department of the Teaching Hospital of Point G for lumbar spine osteoarthrosis. Results: sixty-two (62) patients accepted to participate in this study with female predominating up to 66.1% (n=41). The age range was from 60 to 69-year-old in 24%. Paresis was found in 24.2% as neurological sign. Forty nine percent of the patients was found with obesity. All the participants underwent a CT scan to set the lesional diagnosis. Sickle cell disease was found in 4.8% (n=3). Physical therapy sessions sere from 10 to 45. Ninety-five point 2 percents of the patients had a distinctively clinical amelioration and 61.3% with no pain anymore according to the Visual Analog Scale (VAS). There was quite a statistical significance between the VAS and symptoms amelioration. This attest that physical therapy has a significant contribution in the caring process of lumbar osteoarthritis. Conclusion: physiotherapy supplement the management of lumbar osteoarthritis. Is must therefore be associated with the medical treatment of this condition.
Evaluation of Alterations in Basic Cardiac Functions in Operators of Artisanal Refineries in Rivers State, Nigeria
Authors: A Tamuno-Opubo, , M Odimabo, , O Stanley, Rosemary , O Wihioka, Joy , B Dede, Siyeofori , U Dienye, Zosa , T Bekinbo, M. , H Chris-Biriowu,
Published: April 2024

The impact of numerous artisanal refineries on the populace in Niger Delta region has been a great source of mainly health, economic and environmental concerns. Thus, the present study comparatively assessed the alterations of basic cardiac functions that may be associated with the operation of artisanal refineries (OAR) in Rivers State of Nigeria. This cross-sectional survey used a multi-stage sampling technique (including purposive and snowball tools) to recruit 203 (including 120 OAR-exposed and 83 non-OAR exposed) consenting and apparently healthy adult male and female subjects. With the use of the electrocardiographic (ECG) machine, the basic ECG indices were recorded from the study subjects. Quantitative data obtained from the subjects were subjected to statistical analyses using the Statistical Package for Social Sciences (SPSS) version 21.0. The result indicated significantly (P<0.0) elevated heart rates in the OAR-exposed subjects when compared to their non-OAR-exposed counterparts. Amongst the various ECG features, the exposed subjects predominantly presented with left atrial enlargement (LAE) (male exposed=57% and female exposed =46.3%) as against none in the unexposed group. And there was no significant association of the incidences of Abnormal/clinical ECG Features between the actively exposed (OAR operators) and passively exposed (residents in same city who are non-OAR operators) subjects. In conclusion, the operation of artisanal refineries in our locale may potentially predispose its operators to significant elevation of heart rate and incidences of abnormal ECG features.
Characteristics of Lower Urinary Tract Symptoms in Female Bladder Outlet Obstruction
Authors: Xiangxi Yao , Rongyu Tang , Ning Xiao , Jinhua Xiao , Qi Tang , Sheng Zhu , Huasheng Zhao , Lianhua Chen , Dan Chen , Qiuxia Huang
Published: April 2024

Objective: To investigate the characteristics of lower urinary tract symptoms (LUTS) in female patients with bladder outlet obstruction (BOO), and provide basis for the diagnosis of female patients with BOO. Method: Based on the fact that BOO can be diagnosed when the maximum flow rate (Qmax) is < 12ml/s and the detrusor pressure at maximum flow rate (Pdet.Qmax) is > 20cmH2O. The differences in the incidence of LUTS between female patients with BOO and the control group (female patients without BOO) and the characteristics of LUTS in female patients with BOO of two different groups (one is < 50 years old while the other is ≥ 50 years old) was compared. Results: The main symptoms of LUTS were urine storage period (72.1%), and the urination frequency was the most common. The incidence of urinary retention in women over 50 years of age had increased (P<0.05), as well as urinary incontinence (P=0.087) and nocturia (P=0.091). The incidence of frequent urination, urgent urination, increased nocturia, insufficient urination and dysuria in female patients with BOO was higher than those female patients without BOO (P<0.05). The incidence of symptoms in the urine storage phase in BOO female patients were higher than that in urination phase (P<0.05), The second age group (patients ≥ 50 years of age) tends to have similar manifestation (P<0.05), but different in the first age group (patients < 50 years of age) (P>0.05). Conclusions: LUTS of female patients with BOO were mainly characterized by symptoms in the urine storage phase. Compared with female patients with LUTS without BOO, the incidence of frequent urination, urgent urination, nocturia, insufficient urination, and dysuria were higher.
Assessment of Association between Fatigue and Disease Activity in Axial Spondyloarthritis
Authors: Hossain Md. Uzzal , Salek Abul Khair Mohammad , Shoma Farzana Khan , Refat Md. Tanzim Hasan , Rahman Sydur , Nag Palash
Published: April 2024

Introduction: Spondyloarthritis (SpA) is a common disease characterised by chronic inflammatory pain and debilitating manifesting itself most often in stiffness. Fatigue is widely regarded as a cardinal manifestation of Axial SpA and is one of the three most frequently reported symptoms alongside pain and stiffness. This study sought to assess the association between fatigue and disease activity in axial spondyloarthritis. Aim of the study: The aim of this study is to assess the association between fatigue and disease activity in axial spondyloarthritis. Methods: This cross-sectional study was conducted at the Department of Physical Medicine & Rehabilitation, BSMMU, from October 2021 to September 2022. A total of 48 patients fulfilling the ASAS criteria for Axial SpA were included. Data were collected through structured interviews, assessing socio-demographic parameters and disease history. Fatigue severity was measured using the FSS, and disease activity was evaluated with the ASDAS-CRP. Statistical analysis was performed using SPSS 24. Result: The majority of the studied patients (70.8%) had a normal BMI. The mean FSS score was significantly higher for patients with high and very high disease activity compared to those with inactive and low disease activity (p < 0.05). A significant association was found between disease activity and fatigue severity (p < 0.05). There is a statistically significant positive correlation between disease activity and fatigue severity (p < 0.05). A significant positive correlation was observed between the ASDAS-CRP score and the FSS score (r = +0.479, p = 0.001). Conclusion: Study results found that fatigue severity and disease activity score had significant positive linear association. Hence, it can be concluded that fatigue and disease activity have significant relationship in axial spondyloarthritis. Further large-scale multicenter research is warranted.
Comparison of Conservative and Surgical Treatment in Patients with Legg-Calve-Perthes Disease
Authors: Arshad Arslan , Maimaitiyiming Asihaerjiang , Li Guoqing , Ji Baochao , Wang Tianxing
Published: April 2024

Objectives: The overall main purpose of this study is to add some knowledge on the treatment of LCPD, with a main focus on the comparison between conservative and surgical treatments of Legg-Calve-Perthes Disease (LCPD). And a brief overview of the complications of these treatments. Methods: A retrospective cohort method was used in this study. A total number of 53 patients were registered with LCPD, at the first affiliated hospital of Xinjiang Medical University. Out of these 53 patients, 39 patients were included in this study, rest of 14 patients couldn’t be included due to missed data or loss of contact. For the comparison of results, a modified form of the Harris Hip Score (HHS) was used for the clinical assessment of hip function. Radiographs were also used for the evaluation. The radiological assessment was made by the use of CE and CCD angles. The main classification system, which was used for the evaluation, staging, and prognosis of hip function, was Stulberg’s classification. Statistical analysis was done by using the SPSS 23.0 version. A simple t-test was used for data analysis. Results: The clinical results supported our hypothesis that surgical treatment is a better choice of treatment than conservative treatment in patients with LCPD. However, the statistical data from radiographic assessment showed no significant difference between conservative and surgical treatment in patients with LCPD. The statistical data showed that both conservative and surgical treatment had significant p-values (<0.05) when compared results at the final follow-up check with that before starting treatment. So conservative treatment can be used as an alternative to surgical treatment in patients with Legg-Calve-Perthes Disease. Conclusion: From the statistical analysis of data, we concluded that there is no significant difference between outcomes of conservative and surgical treatment in patients with Legg-Calve-Perthes Disease (LCPD). So conservative treatment can be ........
Exploration and Practice of Value Cultivation for Students in Sino-Foreign Cooperative Education Programs
Authors: Xiao Meng
Published: April 2024

The management cooperative education program refers to collaborative educational projects in the field of management between domestic and foreign universities. This collaboration model helps integrate high-quality education resources from both domestic and international sources, enhancing the quality of teaching and providing students with a broader international perspective and opportunities for career development. This article focuses on the exploration and practice of fostering values for students in management cooperative education. By systematically reviewing key areas such as management ideologies both domestically and internationally, corporate culture and values, and the history of world economic development, this article delves into how to effectively guide students in embracing values of openness, inclusiveness, innovation, and collaboration. On the practical level, the article combines case studies of transnational corporate management practices with the growth and contributions of entrepreneurs in China and abroad, proposing a series of specific cultivation strategies and methods. By integrating case analysis with practical teaching, the aim of this article is to help students translate their learned values into tangible actions, laying a solid foundation for future career development and social responsibility. The research findings of this article have important guiding significance for promoting the cultivation of values for students in management cooperative education.
Place and Ambience Roemah Kantja sebagai Strategi Komunikasi dalam Membangun Brand Identity Kafe Berkonsep Industrial Floral
Authors: Hattu Neysa Feralda , Sujoko Anang , Oktaviani Fitri Hariana
Published: April 2024

Komunikasi pemasaran melalui brand identity merupakan suatu hal yang penting bagi sebuah perusahaan, karena dengan adanya identitas maka perusahaan dapat mengenalkan dan mengkomunikasikan merek dengan lebih efektif kepada publik atau konsumennya. Tujuan dari penelitian ini adalah untuk menganalisis strategi komunikasi melalui brand identity serta melihat bagaimana dampak yang dilakukan Roemah Kantja dengan memanfaatkan place and ambience yang tersedia sebagai brand identitynya. Tinjauan Pustaka dalam penelitian ini adalah brand identity sebagai strategi komunikasi, place ambience dalam perspektif komunikasi dan kajian brand identity dalam objek kafe. Hasil dari penelitian ini adalah Roemah Kantja melalui strategi komunikasi segi fisik dan suasananya mampu membentuk brand identity yang kuat sehingga terciptanya loyalitas pelanggan.
Implikasi Hukum Peralihan Pendaftaran Perseroan Komanditer Berdasarkan Peraturan Menteri Hukum Nomor 17 Tahun 2018
Authors: Edwin Shane , Rahayu Mella Ismelina Farma
Published: April 2024

Penelitian ini mengkaji dampak Peraturan Menteri Hukum dan Hak Asasi Manusia Nomor 17 Tahun 2018 terhadap peralihan pendaftaran Perseroan Komanditer (CV) dengan fokus pada implikasi hukum yang signifikan. Latar belakangnya adalah kebutuhan akan pengelolaan yang lebih terstruktur dan jelas bagi CV, yang semula dikelola langsung oleh pemiliknya. Tujuannya adalah untuk menganalisis penegasan terhadap tanggung jawab pemilik terhadap perusahaan serta memberikan perlindungan hukum yang lebih jelas bagi pihak terlibat. Metode yang digunakan melibatkan studi literatur dan analisis hukum untuk mengevaluasi dampak peraturan tersebut. Hasil penelitian menunjukkan bahwa peraturan tersebut memberikan kejelasan hukum yang lebih baik bagi CV, memperkuat perlindungan hukum bagi pihak terlibat, namun juga menuntut pemahaman dan kesiapan pemilik CV untuk beradaptasi dengan aturan baru yang telah ditetapkan. Kesimpulannya, implementasi Peraturan Menteri Hukum Nomor 17 Tahun 2018 memiliki dampak positif dalam memperkuat struktur hukum Perseroan Komanditer, namun diperlukan upaya pemahaman yang mendalam dan kesiapan dalam mengimplementasikan aturan baru tersebut.
Identifikasi dan Uji Kepekaan Bakteri Penghasil Extended Spektrum Beta Lactamase Pada Pasien Sepsis
Authors: Wiandanie Gina
Published: April 2024

Sepsis adalah keadaan darurat medis yang menggambarkan respons imunologis sistemik tubuh terhadap proses infeksi yang dapat mengakibatkan disfungsi organ dan menyebabkan kematian. Salah satu penyebab sepsis diataranya yaitu bakteri Gram negatif penghasil Extended Spectrum Beta Lactamase (ESBL). Produksi Beta-Lactamase didefinisikan sebagai enzim yang diproduksi oleh bakteri tertentu yang mampu menghidrolisa spektrum sefalosporin secara luas, serta efektif melawan antibiotik beta-laktam. Belum terdapat data penyebab sepsis yang disebabkan bakteri Gram negatif penghasil ESBL di RSUD Indramayu. Untuk itu tujuan penelitian ini untuk mengetahui spesies dan presentase penghasil ESBL pada pasien sepsis di RSUD Indramayu. Penelitian ini merupakan penelitian deskriptif. Data yang diperoleh dalam penelitian adalah data primer yang diperoleh dari hasil pemeriksaan kultur dan uji kepekaan specimen pasien sepsis yang dikerjakan di Bagian Mikrobiologi Laboratorium Patologi Klinik RSUD Indramayu Jawa Barat dalam kurun waktu September-Oktober 2023. Hasil penelitian didapatkan 38 spesimen pasien sepsis berupa darah, urin, dan pus. Dihasilkan bakteri penghasil ESBL sebanyak 18,4211%, bakteri Non ESBL sebanyak 13,1579%, dan tidak ada pertumbuhan bakteri sebanyak 68,4211%. Bakteri penghasil ESBL yang didapatkan yaitu Escherechia coli dari darah sebesar 10,5263% dan urin 2,6316%, Klebsiella pneumoniae dari darah sebesar 2,6316% dan pus sebesar 2,6316%.
Kajian Neurosains Terhadap Fungsi Nafs dan Qolb Perspektif Baru dalam Pendidikan Islam
Authors: Rahma Annisa , Suyadi Suyadi
Published: April 2024

Pendidikan Islam memberikan dasar moral dan etika yang kuat. Melalui ajaran agama, individu diajarkan nilai-nilai seperti kejujuran, kesabaran, keadilan, dan belas kasihan. Ini membantu membentuk Nafs dengan mengajarkan kontrol diri, penolakan terhadap kecenderungan negatif, dan pengembangan karakter yang baik. Konsep Mujahadah, atau usaha keras untuk mengendalikan hawa nafsu, adalah bagian integral dari ajaran Islam. Pendidikan Islam mengajarkan bahwa pengendalian diri adalah kunci untuk mengelola Nafs yang cenderung kepada keinginan negatif. Individu diajarkan untuk mengatasi godaan dan menempatkan ketaatan kepada Allah di atas keinginan pribadi. Pendidikan Islam mendorong praktik muhasabah, yaitu introspeksi diri. Melalui refleksi terhadap perbuatan dan perilaku, individu dapat lebih memahami Nafs mereka, mengidentifikasi kelemahan, dan mengambil langkah-langkah untuk perbaikan diri. Ini membantu dalam pengelolaan Nafs dan pengembangan spiritualitas. Ibadah dalam Islam, seperti shalat, puasa, dan dzikir, memiliki dampak langsung pada kondisi hati (Qalb) dan pengendalian Nafs. Shalat sebagai contoh, bukan hanya ritual formal, tetapi juga merupakan sarana komunikasi langsung dengan Allah yang dapat memberikan ketenangan dan kekuatan untuk mengelola Nafs. Neurosains atau disebut ilmu syaraf merupakan suatu bidang ilmu yang dimana  mempelajari  sisten  syaraf  atau  system  neuron. Penelitian ini bertujuan untuk 1) untuk mengetahui kemampuan akal dalam mengimplementasikan nilai-nilai kesilaman 2) untuk mengetahui keselarasan ajaran agama islam dengan akal manusia 3) untuk menguatkan bahwa  ajaran islam sudah sesuai dengan akal manusia. Jenis penelitian ini adalah studi kasus dengan pendekatan kualitatif. Subjek penelitian terdiri kepala sekolah, guru, dan siswa. Subjek penelitian ditentutkan berdasarkan purposive sampling. Data penelitian dikumpulkan melalui wawancara semi-terstruktur, observasi, dan dokumentasi. Data yang terkumpul dianalisis dengan menggunakan teknik analisis data induktif interaktif model Miles dan Huberman.
Madrasah Digital: Literasi Digital dan Sains bagi Guru dan Murid MAN 3 Tanah Datar
Authors: Rizqullah Muhammad Naufan , Sudirman Subhan Ajrin , Alfayed Fuad
Published: April 2024

Madrasah sebagai lembaga pendidikan memiliki tuntutan untuk terus bertransformasi mengikuti perkembangan zaman, termasuk dalam era digital ini. Transformasi ini mencakup penerapan teknologi informasi dan komunikasi (TIK) untuk meningkatkan efektivitas pembelajaran, manajemen sekolah, dan keterlibatan siswa. Penelitian ini membahas implementasi kegiatan literasi digital dan sains sebagai upaya untuk meningkatkan kompetensi dan kecakapan digital guru dan siswa di MAN 3 Tanah Datar. Metode yang digunakan melibatkan partisipasi aktif guru dan siswa dalam serangkaian kegiatan, termasuk pelatihan, workshop yang bertujuan membuat media pembelajaran dan karya kreatif. Hasil penelitian menunjukkan bahwa kegiatan literasi digital dan sains memberikan kontribusi positif terhadap peningkatan kompetensi digital guru dan siswa. Guru dan siswa tidak hanya meningkatkan pemahaman mereka tentang literasi digital dan sains, tetapi juga dapat mengaplikasikan pengetahuan tersebut dalam kegiatan pembelajaran sehari-hari. Selain itu, kegiatan ini membantu meningkatkan motivasi dan minat siswa terhadap pembelajaran sains, menciptakan lingkungan pembelajaran yang lebih interaktif dan berorientasi pada teknologi di MAN 3 Tanah Datar.
Analisis Naratif Kebijakan Insentif Kendaraan Bermotor Listrik Dalam Mengurangi Emisi Karbon
Authors: Fitri Okta Rina , Samputra Palupi Lindiasari
Published: April 2024

Pemerintah menerapkan strategi insentif Kendaraan Bermotor Listrik Berbasis Baterai (KBLBB) untuk mencapai target net zero emission. Namun dalam implementasinya terdapat kontra narasi dari kebijakan tersebut. Penelitian ini bertujuan untuk menganalisis latar belakang pemerintah dalam menetapkan kebijakan insentif KBLBB di Indonesia dengan menganalisis narasi pemerintah dan kontra narasi dari berbagai pihak. Penelitian ini menggunakan pendekatan kualitatif dengan metode Narrative Policy Analysis (NPA). Sumber data menggunakan dokumen instansi pemerintah berupa transkrip pidato dan siaran pers serta berita media online. Hasil perbandingan narasi pemerintah dengan kontra narasi dari akademisi dan kelompok masyarakat sipil, menunjukan terdapat perbedaan sistem kepercayaan. Pemerintah menilai penyebab emisi karbon bersumber dari kendaraan pribadi berbahan bakar BBM, sehingga solusinya dengan menggunakan KBLBB. Sementara itu narasi kontra meyakini bahwa KBLBB tidak menjadi solusi polusi dan emisi karena pembangkit listrik untuk KBLBB tersebut masih berasal dari energi fosil berupa minyak, gas dan batu bara. Pada dasarnya pihak kontra menyetujui konversi BBM untuk mengurangi emisi karbon, namun pemilihan listrik dinilai kurang tepat saat ini karena keterbatasan bahan baku dan emisi yang ditimbulkan. Strategi kebijakan insentif KBLBB perlu dipertimbangkan ulang dengan jaminan kepastian bahan baku listrik berasal dari energi terbarukan, kesiapan pengisian baterai dan sistem pengelolaan limbanya, serta pemberian insentif yang lebih tepat sasaran.
Gambaran Penggunaan Obat Antihipertensi di Instalasi Rawat Inap Rumah Sakit Umum Daerah Kajen Kabupaten Pekalongan
Authors: Larasati Intan , Fatoni Rismi
Published: April 2024

Pendahuluan: Hipertensi sering dianggap sebagai silent killer karena tidak menular dan tidak menimbulkan tanda atau gejala pada penderitanya, pada akhirnya berakibat kematian. Mengobati tekanan darah tinggi sangat penting untuk mencegah komplikasi serius seperti stroke, serangan jantung dan gagal ginjal. Obat antihipertensi merupakan salah satu pilar terapi terpenting dalam pengobatan hipertensi, namun penelitian terkait gambaran penggunaan obat anti hipertensi di RSUD Kajen Kabupaten Pekalongan belum pernah dilakukan sebelumnya. Tujuan: untuk mengetahui obat antihipertensi apa saja yang diberikan pada pasien hipertensi rawat inap tanpa penyakit penyerta di RSUD Kajen Kabupaten Pekalongan. Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan metode pengumpulan data yang berupa data sekunder yaitu rekam medik periode Januari hingga Juli 2023. Sampel penelitian ini adalah pasien hipertensi rawat inap tanpa penyakit penyerta dan memenuhi kriteria inklusi. Teknik pengambilan sampel menggunakan metode purposive sampel. Data yang diperoleh dibuat dalam bentuk gambar dan tabel. Hasil: Hasil penelitian menunjukkan 34 pasien memenuhi kriteria inklusi dan menerima pengobatan antihipertensi golongan CCB (64,29 persen), golongan Beta Blocker (1,20 persen), golongan ARB (11,90 persen), dan golongan diuretik (22,61 persen).
Evaluasi Penggunaan Antibiotik pada Pasien Diare Menggunakan Metode ATC/DDD di Puskesmas Kalisat Kabupaten Jember
Authors: Rachmawati Ema , Husnun Khoiriyah Haifa , Machlaurin Afifah , Norcahyanti Ika , Christianty Fransiska Maria , Aryani Dhita Evi
Published: April 2024

Pendahuluan: Diare merupakan masih menjadi masalah utama di seluruh dunia dan menjadi penyebab tingginya angka kesakitan dan kematian di segala usia. Sebagian besar kasus diare disebabkan oleh virus bersifat self limiting disease. Namun sayangnya, diare menjadi salah satu penyakit yang rentan menyebabkan overuse dan misuse dari penggunaan antibiotik. Hal tersebut berpotensi meningkatkan resiko terjadinya resistensi antibiotik. Surveilans pola peresepan antibiotik merupakan bagian penting dalam pengendalian resistensi antibiotik dan perlu dilakukan secara secara rutin dari waktu ke waktu. Tujuan: Melakukan evaluasi penggunaan antibiotik pada pasien diare di Puskesmas Kalisat Kabupaten Jember tahun 2021 menggunaakan metode ATC per DDD serta melihat kesesuiaan pemilihan antibiotik berdasarkan PPK tahun 2017. Metode: Penelitian ini merupakan penelitian cross sectional dengan metode retrospektif. Pengambilan data dilakukan terhadap 55 rekam medis pasien diare rawat jalan di Puskesmas Kalisat Kabupaten Jember tahun 2021 yang memenuhi kriteria. Data penggunaan antibiotik dihitung nilai sesuai indikator DDD per 1000 pasien per hari, Drug Utilization (DU) 90 persen serta kesesuaian dengan PPK 2017. Hasil: Karakteristik responden menunjukkan jumlah pasien diare perempuan lebih banyak dibanding pasien laki-laki (63,64 persen vs 36,36 persen). Persentase diare terbanyak terjadi pada kelompok usia 18-25 tahun dan 36-45 tahun dengan persentase masing-masing sebesar 21, 82 persen serta diagnosis paling banyak adalah gastroenteritis akut (GEA) yaitu sebesar 67,27 persen. Total penggunaan antibiotik pada pasien diare sebesar 5,98 DDD per 1000 pasien per hari dengan antibiotik yang sering diresepkan adalah kotrimoksazol dengan nilai 3,59 DDD per 1000 pasien per hari dan menyusun 60,13 persen dari segmen DU 90 persen. Persentase kesesuaian penggunaan antibiotik pada pasien GEA sebesar 94,59 persen. Sedangkan untuk pasien dengan diagnosis disentri, persentase kesesuaian penggunaan antibiotik didapatkan sebesar 38,88 persen. Kesimpulan: Kotrimoxazol paling tinggi diresepkan dalam terapi diare di Puskesmas Kalisat Kabupaten Jember dan menunjukkan persentase 60,13 persen dalam segmen DU 90 persen, sehingga perlu adanya evaluasi terkait ketepatan penggunaan sebagai upaya untuk mengendalikan jumlah peresepan antibiotik tersebut guna mencegah resiko resistensi  antibiotik.
Tórus mandibular como enxerto ósseo autógeno para instalação de implantes osseointegrados: uma revisão sistemática
Authors: CRISTINA CIPRIANO DE CARVALHO LARA , SOUSA MARIA EDUARDA BELCHIOR DE , SOUSA ISABELA ALENCAR DE , BRAZ RAYSSA DE SOUSA , SILVA ANA KAROLINE DOS SANTOS , FIALHO ANA CRISTINA VASCONCELOS
Published: April 2024

Introdução: A perda de elementos dentários leva a alterações alveolares por meio de um processo progressivo e crônico de reabsorção óssea, afetando a instalação de implantes osseointegrados e consequentemente seu sucesso funcional e estético, necessitando muitas vezes da realização de enxerto ósseo nessas áreas atróficas. A utilização de tórus mandibular como enxerto autógeno, apresenta excelente prognóstico devido às suas propriedades que são compatíveis com a área receptora, além de ter um menor tempo clínico e menor custo. Objetivo: Analisar a literatura sobre a utilização de enxerto ósseo derivado de tórus mandibular como fonte doadora para reconstrução de área atrófica visando a instalação de implantes osseointegrados. Metodologia: Realizou-se uma revisão sistemática a fim de analisar a literatura sobre a utilização de enxerto ósseo derivado de tórus mandibular como fonte doadora para reconstrução de área atrófica, visando a instalação de implantes osseointegrados. Foram pesquisados artigos científicos sem restrições de idioma em três bases de dados eletrônicas: PubMed, Google Scholar e BVS, utilizando os descritores ‘‘Dental Implant’’, ‘‘Bone Graft’’, ‘‘Exostoses’’, ‘‘Alveolar Ridge Augmentation’’, pesquisados a partir do operador booleano “AND’’. Resultados: Um total de 13 artigos foram incluídos na análise final. Vinte e quatro pacientes foram submetidos a remoção do tórus mandibular e seu uso como enxerto autógeno para aumento do rebordo alveolar. Nenhum paciente apresentou complicação operatória ou rejeição imunológica. Vinte e dois pacientes foram acompanhados para confirmar a neoformação óssea, por meio de exames de imagem e análise histológica, havendo formação óssea de características histológicas e densidade semelhantes ao osso nativo. Por fim, um total de nove implantes foram instalados na região do enxerto ósseo, sem apresentarem falhas na osseointegração ou reabsorção óssea patológica. Conclusão: O uso do tórus mandibular como autoenxerto é viável para aumento do rebordo alveolar, sendo uma alternativa segura e eficaz. A neoformação e densidade óssea após a enxertia, apresentou características semelhantes ao osso nativo, contribuindo para futura reabilitação com implantes osseointegrados.
Pengembangan Sistem Kelas Cerdas Berbasis Internet of Things (IoT) untuk Proses Pembelajaran Tingkat SMP di Kota Surakarta
Authors: Ekowati Maria Atik Sunarti , Nindyatama Zefanya Permata , Wening Sri , Dananti Kristyana
Published: April 2024

Artikel jurnal ini berfokus pada pengembangan sistem kelas cerdas berbasis Internet of Things (IoT) untuk proses pembelajaran di tingkat SMP di Kota Surakarta. Tujuan utama dari penelitian ini adalah untuk meningkatkan efektivitas dan efisiensi pembelajaran dengan menggunakan teknologi terbaru dan inovatif, yaitu IoT. Metode penelitian yang digunakan adalah Research and Development (R&D) dengan tahapan analisis kebutuhan, perancangan sistem, pengembangan sistem, uji coba, dan evaluasi. Sistem kelas cerdas ini memiliki fitur-fitur seperti pemantauan suhu dan kelembaban ruangan, pengaturan intensitas cahaya, serta sistem peringatan ketika siswa tidak hadir di kelas. Pengujian dilakukan dengan melibatkan siswa SMP di Kota Surakarta dan hasil evaluasi menunjukkan bahwa sistem kelas cerdas berbasis IoT ini dapat meningkatkan efektivitas dan efisiensi pembelajaran. Artikel ini diharapkan dapat memberikan kontribusi pada pengembangan teknologi dalam dunia pendidikan, khususnya di Kota Surakarta dan menjadi rujukan bagi peneliti yang tertarik pada pengembangan sistem kelas cerdas berbasis IoT.
Perancangan Aplikasi Penjualan Menggunakan Metode Customer Relationship Managemen (CRM) Berbasis Web pada “CV Yosua Mandiri Grup” di Boyolali
Authors: Manurung Yohana Katharina , Wulandari Fera Tri , Sanjaya Wisnu
Published: April 2024

In selling products the services provided are less effective because the services are obtained for customers who come to the location directly. Manual sales entrust and offer in several stores and pharmacies, and printing of monthly stock reports and sales reports are recorded in books and transferred to word documents. Services that are not strategic in meeting the needs of enthusiasts are due to the lack of two-way interaction, so the company cannot carry out sales activities and special services provided because of its limited range and lack of information media. Therefore it is necessary to build a website to facilitate sales, printing and apply the Customer Relationship Management (CRM) method as a strategy in business in approaching customer problems in improving service. The purpose of the website is to help online sales, so that it has a broad reach and can manage product and order data. Then the website as information liaison CRM with Whatsapp Business, as a form of strategy in improving services. In developing the system using the waterfall model, and computer language using PHP and MySQL database.

The results obtained from this research are the website as a sales activity, and the CRM liaison by utilizing WhatsApp is done for personal interaction. Whapsapp is used as communication, for customers to talk to the company about their needs, complaints and asking questions. Then the benefit for the company is that it can find out customer needs, so that it can meet demand, in meeting needs a relationship can be formed. With WhatsApp, companies can offer special services to attract new customers and retain existing customers.
Designing Sanctuary
Authors: Su Rick
Published: April 2024

In recent decades, a growing number of cities in the United States have adopted “sanctuary policies” that limit local participation in federal immigration enforcement. Existing scholarship has focused on their legality and effect, especially with respect to our nation’s immigration laws. Largely overlooked, however, is the local process through which sanctuary policies are designed and the reasons why cities choose to adopt them through city ordinances, mayoral orders, or employee handbooks. This Article argues that municipal sanctuary policies are far from uniform, and their variation reflects the different local interests and institutional actors behind their adoption and implementation. More specifically, municipal sanctuary policies can be broadly categorized into three models: administrative sanctuary, political sanctuary, and silent sanctuary. Each of these models reflects a specific approach in how cities choose to balance their political relationship with residents, their administrative relationship with employees, and their intergovernmental relations with the state and federal government. Moreover, these three models correspond with different eras in sanctuary’s development and anti-sanctuary responses at the state and federal level. This typology highlights the structural and institutional forces that have contributed to the diversity of sanctuary policies in the United States. In addition, it calls into question many of the assumptions in the sanctuary literature about the assessment of sanctuary policies, the goals of anti-sanctuary efforts, and the effect of all of this on local policymaking.
Exploring Iranian pre-service teachers' conceptual understanding of chemical equilibrium
Authors: Golestaneh Mahshid , Mousavi Seyed Mohsen
Published: April 2024

This study aimed to develop a two-tier test to identify misconceptions of pre-service teachers about chemical equilibrium. The sample was made up of 135 pre-service chemistry teachers at Farhangian University in Iran (70 female and 65 male) who were spending the final semester of the eighth semester of the teacher training programme. After analysing the distribution pattern of the participants' answers in the first and second tiers, fifteen misconceptions were identified.  A new misconception was identified for the first time, which we called the common ion effect which was held by about 50% of participants. Gender was a significant factor in the rate of misconceptions, with male pre-service teachers having fewer rate misconceptions compared with females. The results showed that when the first tier or the second tier was considered alone, female participants performed better, but when both tiers were combined, the performance of males was better. However, males had a weaker performance in three questions related to the approach to equilibrium in this situation.  These findings will help educators plan their instruction by knowing pre-service teachers' preconceptions about chemical equilibrium.
Socio-scientific Issues (SSI) research trends: A systematic literature review of publications 2011 – 2022
Authors: Miftakhul Falah Muhammad , Hartono Hartono , Eko Nugroho Sunyoto , Ridlo Saiful
Published: April 2024

This study aimed to investigate research trends related to socio-scientific issues (SSI). The SSI articles analysed were from highest-rating five science education journals with the highest impact ratings, published between 2011 and 2022, including Science Education [SE], Journal of Research in Science Teaching [JRST], Science and Education [S&E], International Journal of Science Education [IJSE], and Research in Science Education [RSE]. A total of 87 selected relevant SSI articles were analysed to determine research types, research topics, research sample groups, research sites, and authors with the most citations. According to the research findings, IJSE articles are the most widely published articles compared to other articles of similar journals. It is revealed that the most discussed issues in those articles of IJSE are argumentation and decision-making, followed by the nature of science. Pupils in middle and high schools constitute the largest sample groups. The continent that has been widely selected as research sites is European continent. Meanwhile, the country with the most research sites is the United States. The data collection tool most frequently used in the research is interview. S&E's Nature of Science, Scientific Inquiry, and Socio-Scientific Issues Arising from Genetics: A Pathway to Developing a Scientifically Literate Citizenry articles are the most cited articles. Challenges such as addressing efficacy, emotion, and attitude remain noticeably unexplored in SSI studies. Furthermore, exploratory studies on SSI for early childhood education.
Effect of science process skills and entry grades on academic scores of student teachers
Authors: Koomson Anthony , Kwaah Christopher Yaw , Adu-Yeboah Christine
Published: April 2024

The development and acquisition of science process skills (SPS) in science education are closely linked to the development of 21st-century skills and improvements in academic performance. To help facilitate the development of SPS in learners, teachers should acquire and exhibit SPS. This study assesses the SPS acquired by final-year students in a college of education who are pursuing a bachelor’s degree in education, using regression correlation to find relationships between their acquired SPS, entry qualifications and academic performance. A parametric achievement test was used to assess the SPS acquired by the student teachers and extant data were used to construct their entry qualifications and academic performance. The data for the study were collected from 236 student teachers in four science colleges affiliated with the University of Cape Coast in Ghana. The results indicated that SPS contributed more to better academic performance than did students’ entry qualifications. However, the nature of assessment of academic performance was such that basic SPS was a better influencer of academic performance than integrated SPS. It is recommended that, aside from entry qualifications, SPS acquired by candidates aspiring to pursue science programmes in tertiary institutions should be considered for admissions, and academic assessment instruments should be improved to encourage acquisition and development of integrated SPS.
The impact of emerging technology in physics over the past three decades
Authors: Prahani Binar Kurnia , Saphira Hanandita Veda , Jatmiko Budi , Suryanti Suryanti , Amelia Tan
Published: April 2024

As humanity reaches the 5.0 industrial revolution, education plays a critical role in boosting the quality of human resources. This paper reports bibliometric research on emerging TiP during 1993-2022 in the educational field to analyse its development on any level of education during the last three decades. This study employed a Scopus database. The findings are that the trend of TiP publication in educational fields has tended to increase every year during the past three decades and conference paper became the most published document type, the USA is the country which produces the most publications; ‘Students’ being the most occurrences keyword and total link strength. The publication of the TiP is ranked to the Quartile 1, which implies that a publication with the cited performance is a publication with credibility because the publisher has a good reputation. Researchers can find the topics most relevant to other metadata sources such as Web of Science, Publish, and Perish.
Potenciando el aprendizaje de programación en estudiantes de educación básica: explorando aplicaciones innovadoras
Authors: Inda Figueroa Paulina , Miranda Silva Daniela , Rangel Meza Yahely , Peraza Polanco Gustavo
Published: April 2024

This documentary research aims to analyze and discuss the literature published from 2018 to 2022 and commercial applications found in the Android and iOS virtual stores, released from 2013 to 2021, aimed at developing learning programming for basic education students. A qualitative approach, exploratory level, and documentary method were used. The main result is a classification of the selected applications, with the application's name, developer, and purpose. In addition to a table with application development reports, publication titles, country, and year. After analyzing the selected publications and applications, it is concluded that programming learning in basic education is stimulated by interactive tools that solve problems oriented to programming logic.
THE PRESERVATION OF TRADITIONAL WIND INSTRUMENTS.
THE ROMANIAN ALPHORN
Authors:   Faculty of Letters of the University from Craiova, str. A.I. Cuza Nr. 13, 200585, SANDU Ancuța Simona
Published: April 2024

This study aims to clarify the organological aspects of the alphorn and to shed some light on aspects related to the history, evolution and construction particularities of this old, popular instrument, which is an important part of Romania᾿s folk culture as regards instrumental music. One of the main objectives of all musicians, performers and researchers who stimulate the collection and preservation of the spiritual productions of Romanians is to increase the value of folklore. With few exceptions, the alphorn has gone out of everyday use, that's why its study is more and more difficult but all the more necessary. As it is connected to the life of shepherds and with shepherding in general, the destiny and evolution of the alphorn has been decisively influenced throughout history not only by the expansion or regression of this ancient activity, by the geographical space in which it was practiced, but also by the progress of civilization and human knowledge.
PHARMACOLOGICAL AND BIOLOGICAL EVALUATION OF METHANOL EXTRACTS OF SELECTED CHOLISTANI PLANTS
Authors: Sadiq F , Habib H , Shehzad M.I. , Fatima K , Saeed H , Shafique M , Ajmal S , Noor T , Mustafa M , Ashraf H , Saeed I , Hameed S , Abdullah M
Published: April 2024

Cholistani plants are a rich source of bioactive compounds that are helpful in treating various ailments. The objective of the current investigation was to elucidate the pharmacological importance of four Cholistani plants including L. indicum, E. granulata, C. prostratus, and H. crispum. Methanolic extracts of these plants were subjected to antibacterial, antibiofilm, antioxidant, antidiabetic, and antiviral analysis. Disc diffusion assay was used for antibacterial activity and the MIC of active extracts was also calculated. In vitro antibiofilm assay was conducted against drug-resistant and drug-sensitive bacterial strains and % inhibition was calculated. DPPH assay was used for the evaluation of antioxidant potential. The antidiabetic potential was tested by α-glucosidase inhibitory assay. The Haemagglutination (HA) test was performed to assess the antiviral properties of these plants against the Avian Influenza Virus (H9N2). It was found that E. granulata prevailed in antibacterial potential with max ZoI against selected bacterial strains (16.5 mm versus E. coli. C. prostratus) surpassed all other plant extracts in terms of biofilm inhibition with up to 90% inhibition against P. aeruginosa. Considerable antioxidant potential was revealed by all examined plants in the order of E. granulata> C. prostratus > L. indicum > H. crispum. A substantial α-glucosidase inhibitory potential was detected in all the studied plants. All of the examined plants displayed significant (titer 0) antiviral activity. This study reveals that all of these plants have the potential to be employed as antibacterial, antioxidant, and antiviral agents. In vitro suppression of the α-glucosidase enzyme indicated that these plants are potent sources of antidiabetic compounds. In conclusion, all of the examined Cholistani plants are rich sources of pharmacological compounds and should be further researched for drug development.
Key words: E. granulata, C. prostratus, L. indicum, H. crispum, antibacterial, antioxidant, antibiofilm, antiviral
EXPRESSION OF NITROGEN TRANSPORTER GENES IN LEAVES OF WHEAT (Triticum aestivum L.) AND FIELD PERFORMANCES UNDER ORGANIC CONDITIONS
Authors: Bayhan M , Ozkan R , Yildirim M , Inal B
Published: April 2024

This study aimed to investigate the expression patterns of nitrogen transporter genes in wheat (Triticum aestivum L.) grown in organic farming systems. Expression profiling of these genes will provide valuable insights into the molecular mechanisms involved in nitrogen uptake and transport in wheat plants. In addition, the agronomic responses of the wheat genotypes were evaluated under organic conditions. This will help in the creation of genotypes that support effective nitrogen use in organic farming systems. The study showed that the nitrate transporter gene family member TaNRT2.1 exhibited the highest expression level. The Alada cultivar performed well in terms of yield under field conditions and showed the highest expression levels of TaNRT2.1, NRT2.1, and TaGS1. The 6DZT-03-01 genotype had the highest expression levels of NPF6.3 and AMT2.1. Alada, YE-4, and YE-31 were identified as the most suitable genotypes for organic farming. Several genes, including TaNRT2.1, were more highly expressed in the high-yielding genotype, Alada, than in the other genotypes. This suggested that nitrate and ammonium transporters play an important role in determining how different genotypes of wheat take in nitrogen. Further research is needed to understand the complex mechanisms that contribute to genotypic variation in nitrogen uptake in wheat. To fully understand the genetic basis of nitrogen uptake in wheat and to develop ways to improve nutrient management in organic farming systems, the expression levels of other genes involved in nitrogen metabolism should also be examined.
Keywords: Bread wheat, Yield, Gene expression, Nitrogen transporter genes, qRT-PCR