bluuebunny/crossref_metadata_2025 huggingface dataset:
“Hemodynamic Changes Between Endotracheal Intubation And Laryngeal Mask Airway Insertion”
Authors: Uddin Md. Belal , Talukder Monowar Hossain , Ahmed Mainuddin , Hossainn Khondaker Shahee , Ahmed Faruk
Published: April 2022

Introduction: Haemodynamic stability is an important aspect to the anaesthesiologist for the benefit of the patients especially during intubations, laryngeal mask insertion. Laryngoscopy and endotracheal intubation can cause striking changes in Haemodynamics as result of intense stimulation of sympathetic nervous system. Airway management is a crucial skill for the clinical anesthesiologist. Objective: To evaluate the hemodynamic changes between endotracheal intubation and laryngeal mask airway insertion. Material and Methods: This was prospective observational study conducted in Dept. Of Anesthesiology, 250 Bedded Shaheed Shaikh Abu Naser Specialized Hospital, Khulna, Bangladesh from July to December 2020. This was a prospective observational study on 52 patients of ASA I-II status divided into 2 groups of 26 each. In the ETT (Endotracheal tube) group endotracheal intubation was done using Macintosh laryngoscope by using portex cuffed endotracheal while in LMA (Laryngeal mask airway) group laryngeal mask airway was inserted according to the standard recommendation. Heart rate, Systolic, Diastolic and Mean arterial pressure and dysrhythmias were monitored. Results: The two groups were comparable in terms of demographic data as there were no significant differences between the 2 groups in terms of age, sex, duration of surgery, ASA grades and MPC classification. Heart rate (HR), Systolic blood pressure (SBP), Diastolic blood pressure (DBP), Mean arterial pressure (MAP) remains on higher side in ETT group than LMA group which was statistically significant. P<0.05. Dysrhythmias were noted in 2 patients of ETT group while LMA group did not notice any dysrhythmias. Conclusion: In conclusion the demonstrated that there is a haemodynamic response consisting of an increase in Heart rate, SBP, DBP and MAP that comes with ETT insertion as well as with LMA insertion. However, the response caused by ETT insertion is significantly greater than that caused by LMA insertion.
University Students’ E-Assessment in the Era of COVID-19 through the Eyes of Undergraduates: A Qualitative Research
Authors: Stravakou Pelagia Ant. , Lozgka Evangelia Ch.
Published: April 2022

Amidst the corona-virus pandemic, universities around the globe had to switch the provision mode of higher-level education and students’ assessment from face-to-face to online ones, without adequate preparation. Given this new educational reality, this study set out to explore undergraduate Greek students’ points of view regarding the computer-based assessment that was implemented at their university Department under the covid-19 circumstances. Twenty-nine learners were purposefully and voluntarily recruited to participate in the research. Data were collected using as a research tool the spontaneous texts written by the students, while qualitative content analysis was used for the data analysis. Overall, findings indicated that most of the participated students were in disfavor with the computer-based assessment, stating mainly the disadvantages that this process entailed. As the most cited drawbacks, these were found to be the technical problems that used to arise, followed by the inadequate time assessees had for their assessment as well as the students’ concerns about academic integrity. Still, most students found their experience with the computer-based assessment conducted unique and weird. While these findings do not support previous research, they are fully discussed in terms of their implications in the article.
Retroplacental Hematoma at the Souissi Maternity Hospital in Rabat (About 60 Cases)
Authors: Zahra Louzali Fatima , S Mouimen , S Badsi , N Benaouicha , N1 Zraidi , A Lakhdar , A Baydada
Published: April 2022

Retroplacental hematoma constitutes a major medical-obstetrical emergency, of unpredictable occurrence, putting at risk the vital and functional fetomaternal prognosis. Our work is a retrospective study of 60 cases of retroplacental hematoma that occurred at the Souissi Maternity Hospital in Rabat. These cases were identified from a total of 16864 deliveries, which represents a frequency of 0.35%. The main reason for admission was metrorrhagia. Among the etiological factors found, arterial hypertension dominated with a frequency of 40%. The average age of the patients was 28.31 years and 50% were primiparous. In 60% of the pregnancies, RPH occurred between 32 and 36 weeks of age. The diagnosis was made before birth in 65% of the cases, while in 36.66% of the cases the diagnosis was made only after the delivery examination. The classic form was found in 15% of cases. Therapeutic management was based on reanimation measures and uterine evacuation, taking into account the obstetrical and evolutionary circumstances of the retroplacental hematoma. Finally, the fetal prognosis was dominated by perinatal mortality, whereas the maternal prognosis was quite good overall, with no deaths. The improvement of the fetomaternal prognosis requires a better prenatal follow-up, an early diagnosis, and a rapid evacuation of the uterus without delay.
Gayet-Wernicke Encephalopathy Complicating a Pregnancy of 17 Weeks of Amenorrhea: A Case Report
Authors: Nisrine Dr. Benaouicha , Z Dr. Mouiman F. , Z Dr Louzali F. , Zeraidi Pr , lakhdar Pr , A Pr Kharbach , A Pr Baydada
Published: April 2022

Gayet-Wernicke encephalopathy is a neuropsychiatric emergency due to thiamine (vitamin B1) deficiency, secondary to several factors, it is a disorder characterized by confusion of acute onset, nystagmus, partial ophthalmoplegia and ataxia. The diagnosis is mainly clinical. The disorder may resolve with treatment, persist, or degenerate into Korsakoff's psychosis. We report a case of Gayet-Wernicke encephalopathy in a 39 year old non-ethylic patient, pregnant at 17 weeks of age who presented with consciousness disorders with paresthesia of the 4 limbs and dyspnea. Clinical and magnetic resonance imaging (MRI) have an important place, especially in the diagnosis of non-alcoholic Wernicke's encephalopathy.
Lessons Learned from Mena’s Biggest Exit the Case of Talabat and Formation of Entrepreneurial Model to Spot the Barrier to Growth and out of Valley of Death
Authors: Ottesen Andri , Toglaw Sam , Safi Mirna , Nissi Yamen
Published: April 2022

Successful entrepreneurial start-ups follow somewhat similar pathways towards an entrepreneurial/corporate development and eventually an exit, where investors as well as founders are handsomely rewarded for their contribution by investors who purchase the company or float it in an Initial Public Offering at the financial markets. In this paper, we will explore and combine three different pathways for entrepreneurial companies towards corporation growth: 12 steps in value creation and corporate development, 6 steps in financing and 4 stages in knowledge creation. An attempt is made to combine and simplify the existing models with the purpose of identifying entrepreneurial barriers to growth and suggesting solutions. Furthermore, these models are tested and validated by so called “deep” qualitative interviews of 6 Kuwaiti entrepreneurs who are operating their own startups in Kuwait. The result is a Kuwaiti model for entrepreneurial pathways, pinpointing barriers to growth and ways out of the “Valley of Death” towards rapid corporate growth and entrepreneurial succession.
Individual Uniqueness of Cheiloscopy among Ikwerre Indigenes of Rivers State
Authors: Ibeachu Ibeachu , C P. , Amasiatu Amasiatu , C V.
Published: April 2022

Background: Personal identification remains the primary goal of every forensic investigation. In the present study, lip print was considered as a tool in personal identification as well as establishing ethnic differences. Materials and Methods: The study involved 300 randomly selected subjects (72 males and 78 females) from the Ikwerre ethnic group in Rivers State Nigeria. A 500 watts Solar powered HPG 3110 Photo scanner was used to capture the lip print of the subjects. The lip was divided into four (4) quadrants and five (5) lip types were identified in each quadrant (Type I, I’, II, III, IV and V). Descriptive statistics (frequency) was done to determine the distribution of the lip print patterns, while chi-square test was done to determine the association between sex and cheiloscopy. Results and Discussion: In the upper left quadrant; Type I [53 (35.33%)] was the most occurring pattern, followed by II [28 (18.67%)], Type I’ [27 (18.00%)], Type IV [22 (14.67%)] and Type III [20 (13.33%)]. In the upper right quadrant; Type III [44 (29.33%)] was the most occurring pattern, followed by Type II [33 (22.00%)], Type I’ [24 (16.00%)], Type IV [20 (13.33%)], Type I [17 (11.33%)] and Type V [12 (8.00%)]. For the lower left quadrant; Type IV [42 (28.00%)] was predominant, followed by Type I’ [35 (23.33%)], Type II [28 (18.67%)], Type III [24 (16.00%)], Type I [16 (10.67%)] and Type V [5 (3.33%)]. While in the lower right quadrant; Type I [36 (24.00%)] occurred most, followed by Type IV [33 (22.00%)], Type III [30 (20.00%)], Type II [23 (15.33%)], Type I’ [22 (14.67%)] and Type V [6 (4.00%)]. Except in the lower right quadrant, sexual dimorphism was observed in all quadrants; upper right quadrant (X2 = 21.75; P-value = 0.001), upper left quadrant (X2 = 22.60; P = <0.01) and lower left quadrant (X2 = 20.15; P-value = 0.001). The most occurring pattern for the population was type I [122 (20.3%)], followed by III [118 (19.7%)], while the least was type V [23 (3.8%)]. Type III [Male (M) = 64 (22.2%); Female (F) = 54 (17.3%)] and V [M = 13 (4.5%); F = 10 (3.2%)] were predominant in male subjects. While Type I [M = 54 (18.8%); F = 68 (21.8%)], I’ [M = 50 (17.4%); F = 58 (18.6%)], II [M = 51 (17.7%); F = 61 (19.6%)], and IV [M = 56 (19.4%); F = 61 (19.6%)] were predominant in female subjects. Differences in the distribution of various types between male and female subjects were not statistically significant at p < 0.05. Conclusion: Lip print was observed to be unique among individuals and also sexually dimorphic when considered according to quadrants. This finding will serve as a useful tool in forensic investigations.
Diagnosis of Thyroid Malignancy Using Chemical Elements of Nodular Tissue Determined by Neutron Activation Analysis
Authors: Zaichick Vladimir
Published: April 2022

Thyroid benign (TBN) and malignant (TMN) nodules are a common thyroid lesion. The differentiation of TMN often remains a clinical challenge and further improvements of TMN diagnostic accuracy are warranted. The aim of present study was to evaluate possibilities of using differences in chemical elements (ChEs) contents in nodular tissue for diagnosis of thyroid malignancy. Contents of ChEs such as calcium (Ca), chlorine (Cl), iodine (I), potassium (K), magnesium (Mg), manganese (Mn), and sodium (Na) were prospectively evaluated in “normal” thyroid (NT) of 105 individuals as well as in nodular tissue of thyroids with TBN (79 patients) and to TMN (41 patients). Measurements were performed using non-destructive instrumental neutron activation analysis. It was observed that in TMN tissue the mean mass fraction of I was lower while the mean mass fractions of K and Mg were higher than in NT and TBN tissue. It was demonstrated that I content is nodular tissue is the most informative parameter for the diagnosis of thyroid malignancy. It was found that “Sensitivity”, “Specificity” and “Accuracy” of TMN identification using the I level in the needle biopsy of affected thyroid tissue was significantly higher than that using US examination and cytological test of fine needle aspiration biopsy. It was concluded that determination of the I level in a needle biopsy of TNs using non-destructive instrumental analytical method is a fast, reliable, and very informative diagnostic tool that can be successfully used as an additional test of thyroid malignancy identification.
The Effects of Farmer/Herder Conflict on Socioeconomic Development of Nigeria
Authors: Obasanmi Obasanmi , Omokugbo Jude , Anthony Prof. Enoma
Published: April 2022

The paper examined the herder and farmer conflict on social economic development of Nigeria. The study presented the structural theory and the Frustration-Anger-Aggression Hypothesis to provide possible explanations for the crisis. The causes of farmers/herders clashes in recent times were identified to be a function of several factors not only limited to climate change resulting in drought and desertification soil degradation; growing population size, global terrorism, crime (rural banditry and cattle rustling) amongst others. Previous and present government responses to this crisis have been most disappointing with no clear cut and sustainable policy both by the federal and state government. This crisis has resulted in displacement of people from their communities, women and girls vulnerability to sexual and economic predation, huge economic burden on the government leading to loss of revenues, dwindling food supply and rising cost, increasing division among the Federating states and threat to National Security amongst others. The study recommends that the crisis should be addressed quickly to avert impeding food crisis, government should strengthen the mechanism for conflict resolutions, and above all herdsmen should know that the imperatives of a modern economy require that pastoralism should be laid to rest, while embracing improved modern methods of animal husbandry with improved high yields and disease resistant species (cattle). When this is done a win-win situation would be achieved for all stakeholders.
Domestic versus Foreign Islamic Banks: Do they have the same Profitability Determinants?
Authors: Rahman Nora Azureen Abdul , Nordin Norhafiza
Published: April 2022

The liberalisation of the Islamic banking industry in Malaysia has given rise to the emergence of many foreign Islamic banks in the country, raising a major concern regarding its impact. This study investigates the impact of bank-specific and macroeconomic factors on bank profitability from 2005 to 2017. Unbalanced panel data of eleven domestic and six foreign Islamic banks have been employed to achieve the study's objective. The findings show that different factors influence the profitability of domestic Islamic banks and foreign Islamic banks. While internal factors significantly affect the profitability of domestic Islamic banks, the profitability of the foreign Islamic banks is more stable and less affected by internal and external factors. The findings provide insights to domestic Islamic banks to improve their operations, profitability, and competitiveness. These banks' better operational efficiency and performance will consequently improve the overall Islamic banking industry.
Analysis Implementation of Activity-Based Budget for Planning and Control of Direct Labor Costs on the Inpatient Department (Case Study at XYZ Hospital)
Authors: Wanto Damar , Nengzih Nengzih
Published: April 2022

The research began with a request from the board of directors where researchers working at the hospital asked to prepare a budget based on activities. In addition, the competitive conditions in the hospital industry triggered by various factors require a complete change in the application of management principles in each hospital. Changes in organizational structure, for example, aim to allow flexibility, create a cross-functional team that focuses on patient satisfaction. Changes in human resource management have resulted in performance-based management replacing the function-based management that executives knew and used in the past. This activity-based management requires hospital managers to change the method they use for budgeting, from functional-based budgeting to activity-based budgeting.
Financial Performance of Islamic Commercial Banks in Indonesia
Authors: Lukman Lukman , Sujianto Agus Eko , Sugiartono Endro , Andini Dessy Putri , Budiono Budiono
Published: April 2022

Assessment of the financial performance of banks is very important to be carried out by internal organizations and as a basis for corporate planning in the future. The financial performance in question is related to CAR, NPF, BOPO and FDR which theoretically and empirically affect bank profitability, namely ROA. The objectives of this study are: (1) to examine the effect of CAR on ROA; (2) examine the effect of NPF on ROA; (3) examine the effect of BOPO on ROA and (4) examine the effect of FDR on ROA. The Islamic Commercial Banks that are the locus of this research are BRI Syariah and BNI Syariah which represent Bank Syariah Indonesia before the merger in 2021. The research data is taken from the documentation of the two banks published by the Financial Services Authority of the Republic of Indonesia, from 2015 to 2020 in the form of data quarterly. The results of testing the research hypotheses can be stated: (1) CAR has a significant effect on ROA; (2) NPF has no significant effect on ROA; (3) BOPO has a significant effect on ROA and (4) FDR has a significant effect on ROA.
Legal Protection for Trade Secret Holders under the Laws of the Republic of Indonesia Number 30 of 2000 on Trade Secrets
Authors: Aspan Henry , Hasibuan Syaiful Asmi , Prabowo Ari
Published: April 2022

Intellectual Property Rights (IPRs) are property rights that originate or are born as a result of human intellectual capabilities. With the emergence of use values and economic rewards, a thinking or conception regarding the need of legal protection for human outcomes or intellectual works develops. The term "law of confidence" refers to the legislation that evolved as a framework for protecting secret information (confidence). Trade secret violations occur when someone deliberately divulges trade secrets, breaches agreements, or violates written or unwritten responsibilities to maintain trade secrets. Owners of economically valuable technology or company knowledge are more likely to register their rights as trade secrets than patents or copyright protection. Article 5 paragraph (1), letter d of the Trade Secrets Law expressly provides for the protection of trade secrets based on an agreement.
The Role of Civil Society Organizations in Combating Religious based Radicalism in Indonesia: A Critical Analysis from the Perspective of Collaboration Governance
Authors: Mukhlis Maulana , Mustofa Imam , Syarifudin Ahmad
Published: April 2022

The Indonesian government's deradicalization program, which was developed and implemented using both a complex and a gentle approach, was not optimal. The government requires mass organizations such as Nahdlatul Ulama and Muhammadiyah's involvement in overcoming radicalism through collaborative governance. The purpose of this study is to define the roles of Nahdlatul Ulama and Muhammadiyah and to analyze their positions from the perspective of collective governance. This qualitative research drew on two distinct types of data sources: primary and secondary. By collecting these types of data, we became the primary instruments in this study. The data were then analyzed using content analysis techniques to arrive at the following conclusion: 1) As members of civil society, Nahdlatul Ulama and Muhammadiyah are critical in preventing radicalism because they comprehend Ahlussunnah wal Jama'ah, the code of conduct that all of Islam's adherents adhere to in order to demonstrate Islam's peaceful face. Nahdlatul Ulama and Muhammadiyah also use their organizational structure, movement, and responsiveness to various issues to combat radicalism. Additionally, the educational network of Islamic boarding schools, regular schools, madrasas, and universities under two has developed into a breeding ground for the moderate Islamic generation; 2) Although Nahdlatul Ulama and Muhammadiyah have participated in various government-sponsored programs, this has not yet been classified as government collaboration.
Outcomes of Major Neonatal Gastrointestinal Emergency: A Study in a Tertiary Care Hospital in Bangladesh
Authors: Mahmud Dr. S.M. Khalid , Laizu Dr. Jahanara , Islam Dr. Rakibul , Rashid Prof. Aminur , Ferdous Dr. Nurul , Mahmud Dr. S. M.
Published: April 2022

Background: In a gastrointestinal emergency, neonatal surgery is a very challenging and difficult task causing high morbidity and mortality. In Bangladesh, the frequencies of such emergency management are not very available. For this reason, we do have not enough research-based information regarding the outcomes and effectiveness of major neonatal gastrointestinal emergency management. Aim of the study: The aim of this study was to assess the outcomes and effectiveness of major neonatal gastrointestinal emergency management. Methods: This prospective observational study was conducted in Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh during the period from January 2018 to December 2018. In total 35 neonates with gastrointestinal emergency treated in the mentioned hospital were included as the study subjects for this study. A predesigned questionnaire was used in data collection. All data were processed and analyzed and disseminated by using MS Office and SPSS version 23 programs as per need. Results: In this study, as palliative procedures, Sigmoid colostomy, Transverse colostomy, Gastrostomy, Ileostomy were applied in 26%, 17%, 14%, and 6% of participants respectively. Besides these, as definitive surgical procedures Perforation repair and Exploratory lap with release of the band were applied in 20% and 14% of patients respectively which were noticeable. In outcome analysis, we observed, as the incidences of postoperative complication sepsis, wound infection, anopia, and anal stenosis occurred in 14%, 11%, 6%, and 3% respectively. Finally, in this intervention occurrence of death was found at 26%. Conclusion: Now a day, pediatrics surgery has evolved as a specialty within the province of general surgery. But till now, the management of neonatal gastrointestinal emergencies is a very complex and difficult task for any physician or a team of physicians in any part of the world. Prompt patient transportation, earlier primary diagnosis and the arrangement of modern treatment facilities, and arranging high-tech medical equipment can save a lot of babies from such health issues as gastrointestinal emergencies.
Online Consultation as A Rescue Measure for Children with Neurological and Neurodevelopmental Disorders in the COVID-19 Era
Authors: Sarker Dr. Shaoli , Mahbub Mustafa
Published: April 2022

Background: A covid-19 pandemic is an unprecedented event, which has a profound impact on the lives of children with neurological and neurodevelopmental disorders besides other people. In Bangladesh, the effects of the Covid-19 pandemic on children with neurological and neurodevelopmental disorders have not been adequately studied. Aim of the study: The aim of this study was to assess the diseases status of children with neurological and neurodevelopmental disorders during the Covid-19 pandemic. Methods: This voluntary prospective observational study was conducted during the period from June 2020 to August 2020 with an attachment of the department Paediatric Neuroscience, Bangladesh Shishu Hospital & Institute, Dhaka, Bangladesh, and Neurogen Health Care, Dhaka, Bangladesh. A total of 78 children with at least one symptom of neurological and/or neurodevelopmental disorders were included as the study subjects of this study. Both previously diagnosed and newly recruited patients were accumulated as the study subjects. Both physical and online (With telephonic communication) consultation and follow-up were arranged for all the patients during the study period. All data were collected, processed, and analyzed by using MS Office and SPSS version 23 programs as per need. Results: In this study, the mean (±SD) age of the participants was 9.87±2.59 years. The male-female ratio was 1.4:1. The majority of the participants were from rural areas (55) and only 2 were from Covid-19 affected. About half of the participants (49%) were with epilepsy. Besides this, ‘impairment in social interaction, communication and behavior problem’, CP with global developmental delay, syndromic child, and ‘hyperactivity and inattention were found in 22%, 13%, 10%, and 6% participants respectively. The majority of the patients (53%) of this study were under antiepileptic therapies. Besides this, 9%, 13%, 5%, 14%, and 6% of participants were taking Immunosuppressive therapies, physical or occupational therapies, psychotherapy, combination therapy, and some other therapies respectively. Conclusion: Epilepsy is the most common disorder among children with neurological and neurodevelopmental disorders who saught for online consultation. Online consultation followed by subsequent physical consultation may be considered as an effective approach in managing patients with neurological and neurodevelopmental disorders during any pandemic situation like Covid-19.
Gastrointestinal Stromal Tumor of the Proximal Small Intestine Revealed by Hemorrhagic Shock: About 02 Cases and Review of the Literature
Authors: Bahja Sarra , Abid Hakima , Lahmidani Nada , Yousfi Mounia El , Benajah Dafr Allah , Ibrahimi Sidi Adil , Abkari Mohammed El , Mekkaoui Amine EL
Published: April 2022

Gastrointestinal stromal tumors are mesenchymal tumors that represent 0.1% to 0.3% of all malignant tumors. Their clinical presentation is nonspecific but presentation by massive hemorrhage with hemodynamic instability is rare. We report the cases of 02 young patients who presented a fulminant digestive hemorrhage with hemodynamic instability and whose endoscopic exploration did not reveal any obvious etiology. That’s why we involved interventional radiology and surgical team in order to localize and confirm the diagnosis of a hemorrhagic jejunal GIST and then to ensure the hemostasis by small bowel resection taking away the jejunal tumor.
Review on Socio Economic and Ecological Role of Non Timber Forest Products in South Western Ethiopia
Authors: Moloro Habitamu Bekele , Abebe Teramaje Tesfaye
Published: April 2022

This review paper focuses mainly on the socio-economic and ecological role of NTFPs contributes to the rural household economy and the types NTFPs. NTFPs are defined to encompass all biological material that may be extracted from natural ecosystems, managed plantations, wood lands, etc., and be utilized within the household, be marketed, or have social, cultural or religious significance. NTFPs Ethiopia covers wide range of products namely wild coffee, honey, gum and resin, spice and wild food, fodder, fuel wood, medicinal plants, construction materials, farm implements, handcrafts, household equipment, and among others. Most NTFPs covered in the review are found to be plant origin except honey and represent an important element in the livelihood of the rural people. These NTFPs are used either for subsistence to be consumed at household level or sold to generate income or both. Based on the existing literature NTFPs are essential components of livelihood activities for the rural people living in and around the forest. In quantitative terms, the level of input the NTFPs contribute to rural people is comparable with the other major livelihood activities like livestock and crop production. On top of this its share to the poor category is found to be major and highest than the richer and this shows the product is more important for the poor. This has an implication that the role NTFPs plays in a rural poor is an immense (broad). The importance of NTFPs is not limited to the improvement of livelihood of the rural people. But goes beyond the economy and it has environmental implication (forest development). Through commercialization of some selected NTFPs such as wild coffee and honey it is possible to protect and sustainably manage the forests. Commercializing these products increases the incomes the rural people generate from the forest without causing adverse effect and in turn contribute to Forest management.
Transverse Colon Volvulus: A Case Report and Review of the Literature
Authors: Youssef El Fellah , Shell F. , Oshoa S. , Chambon M. , Parmentier H.
Published: April 2022

Background: Transverse colon volvulus is an uncommon cause of bowel obstruction. The total number of cases reported in the literature is 100. It constitutes a surgical emergency since it can lead to bowel infarction, peritonitis, and death if not diagnosed at once. It seemed appropriate to report this case that was treated at the Department of Visceral Surgery A, Lucien Hussel Hospital in Vienne, France Case presentation: We report a rare case of transverse colon volvulus in a 42-year-old Arabic man, with no particular history, who presented to our emergency department with a 5-day history of constipation, progressive abdominal pain, nausea, and vomiting. His last bowel movement had been 3 days ago. Abdominal radiography showed a large bowel obstruction with a “U-shaped” loop in the left upper abdomen. Abdominal computed tomography was not performed because of impaired renal function. He was operated on urgently after conditioning and the diagnosis of a transverse colon volvulus was done intraoperatively. Rotated in a 360° clockwise direction on its mesentery, the bowel was intact without signs of ischemia. An extended right hemicolectomy was carried out with end-to-side ileocolic anastomosis. Through this case, we will try to discuss its physiopathology, etiologies, diagnosis, and management in emergencies. Conclusion: This case is unusual because no etiological factor has been found. Its diagnosis can be difficult and management effectiveness remains controversial. It is important to highlight this case and those of the literature, as many surgeons may have never seen a case of transverse colon volvulus. Volvulus of the transverse colon may therefore not be considered in the differential diagnosis of recurrent intermittent abdominal pain or acute intestinal obstruction. Prompt recognition with emergency intervention constitutes the key to a successful outcome.
The Effect of Low Birth Weight Incidence toward Stunting and Developmental Disorders of Toddlers
Authors: Aprilia Devi , Sulistijono Eko , Indrawan I Wayan Agung
Published: April 2022

Background: Low birth weight (LBW) is a condition in babies, which occurs when the bodyweight is < 2500 grams. Furthermore, it poses more threat to toddlers under the age of 2 years where it causes several developmental and growth disorders, such as stunting. Their condition continues to worsen up to the age of 5 when their immune system is not improved. Stunting is characterized by shortness and can be diagnosed based on the anthropometric index of the body length for age (PB/U) or height for age (TB/U) with a limit (z-score) below the standard deviation (< -2 SD). Method: The data used for this study consists of primary and secondary data. The primary data were collected using an interview approach by filling a questionnaire, while the secondary data were obtained with a KMS (Card towards Health) book for toddlers with a total of 107 samples. Result: The results showed that LBW has a significant effect on stunting, but it has no effect on developmental disorders. It also has a significant effect through stunting on developmental disorders, but it has no effect on stunting through developmental disorders.
School-Type and Gender Influence on the Efficacy of Cognitive Behaviour Therapy on Reducing Bullying Among Secondary School Students in Rivers State
Authors: Ichechi Dr. Olatunbosun,
Published: April 2022

The study determined school-type and gender influence on the efficacy of Cognitive Behaviour Therapy (CBT) on reducing bullying among students in senior secondary schools in Ikwerre Local Government Area in Rivers State, Nigeria. Bullying was the dependent variable while CBT was the independent variable. School-type and gender were the moderator variables. Two research questions and two hypotheses guided the study. A sample of 45 students identified as bullies from a population of 2,368 SS2 students in Ikwerre Local Government Area using a non-probability purposive sampling technique was used. Olweus Bullying Questionnaire (OBQ) was the instrument used for the study. OBQ had its content validity estimated by the total item cumulative variance of 75.25% while its construct validity was estimated by factor loading matrixes that ranged between .45 and .88. The reliability of OBQ was established using Cronbach alpha at r=.80, p<.05 level of significance. Data collected were analyzed using independent t-test. Results of the study indicated that school-type had no influence on the efficacy of CBT on reducing bullying. This is due to the fact that the mean reduction difference of public and private school students on their bullying reduction level was not significant at 0.05 alpha level of significance, when tested with independence t-test. Gender had no influence on the efficacy of CBT on the reduction of bullying. This is due to the fact that the mean reduction difference of male and female students on their bullying reduction level was not significant when tested with independent t-test statistics. Based on the findings of the study, it was recommended that counsellors and psychotherapists should make use of Cognitive Behaviour Therapy in reducing students’ bullying behaviour without the fear of these variables interfering with the treatment.
Assessment of Wound Healing Potential of Cleome viscosa Seeds Extracts
Authors: Tamkeen Zubariya , Chaubey Neelesh , Pandey Harish
Published: April 2022

In a natural way, wound healing is slow phenomenon and sometimes may become long lasting with a long clinical course there by causing constant liberation of inflammatory modulators that cause pain and redness. Wound healing begins at the time of injury and can vary in length depending on the severity of the wound. The wound healing process can be divided into three stages: the inflammatory stage, the growth stage, and finally the remodeling stage, which determines the strength and appearance of the healed tissue. In the present work an attempt had been made to evaluate wound healing potential of Simple ointment base B.P was applied on control group rats. Cipladine (Povidone-Iodine IP 5% w/w, Batch no. UZ300) ointment was applied on standard group rats. Ointments with different extracts concentrations i.e. 0.5% (w/w), 1% (w/w) and 2% (w/w) assimilated in simple ointment base were applied on test group rats, in each model.
Breeding Objectives and Trait Preferences of Farmers for Sheep in Ethiopia
Authors: Japaro Adane Mota
Published: April 2022

Ethiopian farmers perform breeding by putting different objectives to satisfy the need and to fulfill trait such as body size, body conformation, mothering ability, lambing interval, age at puberty and fertility. Farmers put different selection criteria for both sexs. For example, selection criteria for are rams body size, coat color and tail type and for ewes body size, coat colour and mothering ability are best for selection criteria. There are different sheep breed in Ethiopia and their geographical distribution insured throughout the countries. Breeding practices confirmed by natural mating method and sheep are served randomly by any intact male in the flock. For effective utilization of existing sheep resource the production system determine its effectiveness according to its geographical distribution production and there are different production systems such as sheep-barley or sheep production system, mixed crop-livestock system and Pastoral production system. Ethiopia has large livestock population in Africa but the uses of the resource not proportional and the reason for this linked with different constraint. As we know the major constraints to sheep Production in Ethiopia are disease, feed shortage, market, water, and lack of trained personnel and absence of recording. So due this the current objective of the paper is to review breeding objectives and trait preferences of farmers for sheep in Ethiopia. To use existing sheep resources the farmer should use appropriate breeding strategies and this can used for many trait.
PEMANFAATAN MASYARAKAT TONTONAN SEBAGAI AKTOR DALAM STRATEGI PROMOSI GRATIS DI DUNIA PARIWISATA
Authors: Syafuddin Khairul
Published: April 2022

Pemanfaatan Instagram sebagai media promosi wisata cukup penting dilakukan. Terutama ketika Covid-19 mulai masuk di Indonesia dan memengaruhi perekonomian pada sektor pariwisata. Promosi di Instagram dapat menjadi alat untuk menarik kembali minat wisatawan agar mengunjungi lokasi wisata daerah. Penelitian ini bertujuan untuk melihat strategi yang dilakukan akun Instagram @eksotika_jogja untuk meraih keuntungan dalam mempromosikan wisata di Yogyakarta. Selain itu juga untuk mengetahui strategi dari @eksotika_jogja untuk merangkul para wisatawan muda. Penelitian ini menggunakan teori masyarakat tontonan dari Guy Debord. Metode yang digunakan adalah analisis wacana multimodal. Hasil penelitian ini menemukan bahwa akun @eksotika_jogja memanfaatkan fasilitas tagar dan tag untuk mendapatkan konten gratis dari para followers. Hal ini dilakukan dengan memanfaatkan keinginan mereka untuk meraih popularitas di media sosial. Dengan memanfaatkan hal itu, akun @eksotika_jogja mendapatkan bahan promosi gratis untuk mempromosikan destinasi sekaligus jasa wisatanya. Hal yang dilakukan oleh akun @eksotika_jogja diketahui tidak melanggar hak cipta, sehingga dia dapat memanfaatkan konten tersebut untuk kepentingan komersiil.
TIPOLOGI FASAD KAWASAN PARIWISATA UJONG BLANG
Authors: Yamesa Andrit , Hassan Soraya Masthura , Andriani Dela
Published: April 2022

Pariwisata merupakan salah satu sektor yang memberikan peranan penting dalam perekonomian suatu wilayah. Pariwisata juga mendorong sektor-sektor lain seperti jasa, hunian, tenaga kerja untuk ikut berkembang bersama. Kawasatan pariwisata Ujong blang merupakan kawasan pariwisata unggulan yang ada di Kota Lhokseumawe. Secara praktis pantai Ujong blang merupakan salah satu destinasi yang paling diminati masyarakat. Oleh karena itu kajian Tipologi terhadap Fasad kawasan tersebut perlu untuk dilakukan sebagai usaha pengembangan dan pelestarian kawasan tersebut sebagai kawasan pariwisata unggulan di Kota Lhokseumawe. Varibel yang dipakai untuk menggali fasad kawasan pariwisata Ujong blang adalah delapan elemen perancangan kota. Data yang didapatkan dari identifikasi elemen perancangan kota tersebut akan dianalisa dengan menggunakan analisa SWOT untuk merumuskan strategi yang mutakhir dalam usaha pengembangan dan pelestarian kawasan tersebut. Metode penelitian yang dipakai adalah Deskriptif Kuaitatif Eksplorasi. Diharapkan penelitian ini bisa menjadi rujukan bagi pemerintah dalam pengembangan kawasan pariwisata Ujong blang sebagai kawasan pariwisata unggulan yang ada di Kota Lhokseumawe.
KOMUNIKASI PARIWISATA DALAM PENGEMBANGAN DESTINASI WISATA DI “NEPAL VAN JAVA” DUSUN BUTUH, KABUPATEN MAGELANG
Authors: Setyaningrum Lintang Zeny , Rahmanto Andre N. , Suparno Basuki Agus
Published: April 2022

Pariwisata merupakan industri yang berkembang pesat secara global dan saat ini menjadi sumber pekerjaan dan mata pencaharian bagi banyak orang. Pembangunan pariwisata di daerah sebagai salah satu sektor pembangunan tidak dapat dilepaskan dari pembangunan masyarakat lokal dan pembangunan fasilitas pendukungnya. Salah satu faktor keberhasilan pengembangan sebuah destinasi wisata adalah komunikasi. Melalui komunikasi peluang keterkenalan suatu destinasi wisata akan terbuka semakin lebar dikenal oleh masyarakat luas. Penelitian ini bertujuan untuk menguraikan komunikasi pariwisata dalam pengembangan destinasi wisata dan menjelaskan partisipasi masyarakat dan memahami model perencanaan komunikasi pariwisata dalam pengembangan destinasi wisata di Dusun Butuh, Kecamatan Kaliangkrik, Kabupaten Magelang. Penelitian ini menggunakan metode kualitatif. Hasil penelitian menunjukkan bahwa komunikasi pariwisata pemerintah Kabupaten Magelang dalam mengembangkan destinasi wisata adalah dengan membentuk beberapa desa wisata, membina Pokdarwis, dan mengembangkan partisipasi masyarakat pada daerah destinasi wisata yang melibatkan stakeholder pemerintah dan akademisi melalui pengabdian  masyarakat. Simpulan penelitian menunjukkan bahwa Komunikasi pariwisata dalam pengembangan  destinasi wisata Nepal Van Java di Kabupaten Magelang dilakukan dengan cara membina dan memberdayakan Pokdarwis, melibatkan partisipasi masyarakat sekitar destinasi wisata, dan melakukan beberapa event, serta membuat paket Wisata Agro-Cultural. Adapun saran nya adalah untuk Pengurus Pokdawis harus melihat peran sosial media yang mampu menjadi platform pariwisata sehingga pengelolaan media sosialnya pun harus juga harus terencana dan terarah.
ANALISIS MINAT BELI SATE MARANGGI WISATAWAN YANG BERKUNJUNG KE KABUPATEN PURWAKARTA
Authors: Amelia Dyanda , Sukaesih Uuh , Miswan Miswan
Published: April 2022

Tujuan dari penelitian ini yaitu untuk mengetahui karakteristik wisatawan yang membeli Sate Maranggi di Kabupaten Purwakarta, dan untuk mengetahui minat berkunjung wisatawan pada wisata kuliner Sate Maranggi di Kabupaten Purwakarta.  Jenis data  yang digunakan adalah data primer  yang diperoleh langsung dari responden sebagai wisatawan yang berupa data tentang karakteristik wisatawan dan minat beli Sate Maranggi. Metode penlitian ini dilakukan dengan cara memberikan kuesioner kepada wisatawan yang membeli Sate Maranggi sebanyak 100 orang.  Hasil penelitian dari penelitian yaitu berdasarkan Karakteriktik  wisatawan yang membeli Sate Maranggi di Kabupaten Purwakarta,paling banyak perempuan, dengan dominan wisatawan yang berusia 31 sampai 40 tahun, sedangkan untuk rentan pembelian paling banyak lebih dari 1 kali kunjungan, yaitu dengan menggunakan mobil pribadi, Sedangkan untuk rata-rata minat membeli = 3,73 (nilai tertinggi 5) termasuk kategori berminat.
PENERAPAN STRATEGI BUSINESS MODEL CANVAS DALAM UPAYA PENGEMBANGAN BISNIS UMKM COCINERO DI SITUASI SETELAH PANDEMI COVID-19
Authors: Tiffany Elysa , Yulyanti Lidya Chandra Wulan , Vincent Vincent , Malinda Maya
Published: April 2022

Tim Peneliti melakukan penelitian dengan judul “Penerapan Strategi Business Model Canvas dalam Upaya Pengembangan Bisnis UMKM Cocinero di Masa Depan”. Bisnis Cocinero merupakan bisnis yang bergerak dalam bidang kuliner, khususnya Kue. Dengan adanya pandemi Covid-19 menjadikan usaha menghadapi tantangan yang berat dalam menjalankan bisnis, maka dari itu Cocinero menerapkan Business Model Canvas untuk dapat meningkatkan strategi serta mampu bertahan dalam situasi pandemi. Tujuan penelitian untuk memperdalam model bisnis Cocinero menggunakan metode penelitian Business Model Canvas yang memiliki 9 blok. Selanjutnya dari penelitian ini akan memperoleh Business Model Canvas yang lebih baik dari hasil mengembangan kemudian dapat menjadi cara alternatif untuk penerapan bisnis di situasi setelah pandemi. Hasilnya Cocinero dapat menjadi bisnis yang  lebih terstruktur dan mengutamakan kepuasan pelanggan.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUASAN PELANGGAN COFFEE SHOP
Authors: Pratomo Gurit Hendra , Levyda Levyda
Published: April 2022

Pertumbuhan coffee shop yang pesat menyebabkan persaingan antar coffee shop semakin kompetitif. Penelitian ini bertujuan untuk menguji pengaruh kualitas pelyanan, harga dan lokasi pada kepuasan pengunjung Kopi Jawa Bogor. Jumlah sampel penelitian ini adalah 35 pengunjung yang diambil dengan menggunakan purposive sampling. Dari hasil penelitian ini kepuasan pengunjung coffee shop dipengaruhi oleh kualitas pelayanan dan lokasi coffe shop. Harga tidak berpenguh pada kepuasan pengunjung. Untuk meningkatkan kepuasan, pengelola coffee shop fokus pada peningkatan kualitas pelayanan dan lokasi.
ANALISIS MODEL BISNIS PADA TOKO BIONDI MENGGUNAKAN BUSINESS MODEL CANVAS
Authors: Suyanto Chaterine , Limbong Lisnawati , Cantika Niluh Devinda Putri , Dewi Shierly Valencia , Apriliana Tarisya , Suwarno Henky Lisan
Published: April 2022

Bisnis toko kelontong pada umumnya banyak ditemukan di tempat umum, namun bisnis tersebut harus bersaing dengan toko yang lebih modern dan sudah berbasis teknologi yang canggih, dimana seperti yang diketahui sebagian besar toko kelontong di Indonesia masih mempraktikkan bisnisnya secara tradisional. Mempertahankan dan mengembangkan bisnis toko kelontong dapat dilakukan dengan pendekatan terbaru yang dapat membantu mengidentifikasi apa yang harus dilakukan dengan bantuan Model Bisnis Kanvas. Analisis SWOT yaitu salah satu cara yang dapat digunakan dalam menganalisis faktor-faktor perubahan yang terjadi secara internal maupun eksternal sehingga dapat menentukan strategi bisnis ke depan.
PENGARUH HARGA DAN KUALITAS PELAYANAN TERHADAP KEPUASAN KONSUMEN CAFE COFFITE JAKARTA SELATAN
Authors: Santosa Nosa Andal , Ratnasari Kania
Published: April 2022

Usaha intusri kuliner di Jakarta merupakan peluang usaha yang besar. Hal tersebut menjadikan banyaknya kuliner-kuliner yang bermunculan. Cafe Coffite Jakarta Selatan merupakan salah satu cafe di Jakarta yang mampu bersaing dalam industri kuliner di Jakarta. Tujuan dari penelitian ini adalah untuk mengetahui harga di Cafe Coffite, kualitas pelayanan di Cafe Coffite, kepuasan konsumen di Cafe Coffite, untuk mengetahui harga dan kualitas pelayanan terhadap kepuasan konsumen secara parsial, dan untuk mengetahui harga dan kualitas pelayanan terhadap kepuasan konsumen di Cafe Coffite secara simultan. Teknik pengumpulan data yang digunakan dengan menyebarkan kuesioner ke konsumen Cafe Coffite. Metode analisis yang digunakan analisis deskriptif kuantitatif, analisis regresi linear berganda. Untuk mengetahui signifikan variabel harga dan kualitas pelayanan secara parsial dan secara simultan berpengaruh terhadap variabel kepuasan konsumen dilakukan uji T dan uji F. Hasil perhitungan dengan menggunakan SPSS ver 25, untuk hasil uji T nilai harga dan kualitas pelayanan yaitu sebesar 0,013 dan 0,000 maka Ha diterima, berarti terdapat pengaruh antara harga dan kualitas pelayanan terhadap kepuasan konsumen secara parsial. Hasil uji F di dapatkan dengan nilai sebesar 0,000, maka Ha diterima, yang berarti terdapat pengaruh secara simultan. Selanjutnya agar tingkat kepuasan konsumen terhadap Cafe Coffite meningkat, maka manajemen Cafe Coffite harus meningkatkan kualitas pelayanan dan
PEMANFAATAN TEKNOLOGI FOTHOVOLTAIC SURYA PADA KAWASAN AGRO-WISATA-HALAL (STUDI KASUS: MULYAHARJA & RANCAMAYA, BOGOR)
Authors: Maharani MDD , Febrina Laila
Published: April 2022

Dampak perang Rusia dan Ukraina mencakup di bidang energi, karena Rusia terkena sanksi sebagai penghasil minyak dan gas dalam jumlah besar. Transisi ke Energi Baru Terbaru pun digaungkan oleh sejumlah negara untuk mengurangi ketergantungan pada produk hidrokarbon Rusia. Untuk memanfaatkan potensi energi terbarukan energi surya tersebut, dikenal 2 (dua) macam teknologi yaitu: (i) Teknologi energi surya photovoltaic, dan (ii) Teknologi energi surya termal. Di sisi lain, permintaan energipunmeningkat terjadi di kawasan wisata terutama pada daerah-daerah dengan kondisi iradiasi matahari yang tinggi. Oleh sebab itu kombinasi energi berbahan bakar fosil dan panas surya menjadi alternatif strategi bagi Pengelola Wisata. Namun demikian, kebutuhan energi yang dibantu tenaga surya belum banyak digunakan di kawasan wisata, karena banyak hambatan antara lain tingginya biaya investasi teknologi surya. Tujuan penelitian: (i) Menginventarisasi komponen-komponen penting dan dibutuhkan dalampemanfaatan teknologi photovoltaic; (ii) Membuat desain dan merekomendasikan Pusat Listrik Tenaga Surya untuk konsumsi daya skala kecil dengan teknologi photovoltaic pada kawasan agro-wisata-halal. Penelitian dilakukan dengan tiga tahapan, tahap-1 mengiventarisasi data menghitung Kebutuhan Daya Listrik dan Kebutuhan Panel Surya. Tahap-2 menentukan Penggunaan dan Kapasitas Baterai. Tahap-3 menentukan Inverter dan Solar Charge Controler (SCC). Analisis yang digunakan perhitungan matematik. Desain PLTS konsumsi daya skala kecil dengan teknologi photovoltaic pada kawasan Agro Wisata dengan beban 3.500 Watt di lokasi agro-wisata, diperlukan peralatan sebagai berikut: (i) Panel surya sebanyak 30 buah (Wp = 35 Wp); (ii) Baterai sebanyak 74 pcs; (iii) Inventer sebesar 700 watt, serta (iv) SCC sebanyak 30 buah (10 A).