bluuebunny/crossref_metadata_2025 huggingface dataset:
First laparoscopically-assisted vaginal hysterectomy in a tertiary health facility in Abeokuta, Nigeria: A case report
Authors: Jimoh O.S. , Ogunfunmilayo T.A. , Waheed S.A. , Lemboye-Bello R.T. , Taiwo N.A. , Oladosu-Aderolu A.O. , Igbo A.M. , Odunola A.A.
Published: August 2023

Background: Laparoscopic surgery as a form of minimal access operation has been performed for decades in the developed world, but is  now gaining popularity in the developing countries including Nigeria. The recent rise in minimal access surgery in low-resource  settings may be attributed to increasing expertise, growing awareness among patients and relatively reducing cost.

Case report: Although laparoscopically-assisted vaginal hysterectomy (LAVH) has been documented from some centres in Nigeria, we  are reporting the first case of this highly-technical surgery in our centre. Mrs. GJ was admitted with second degree uterine prolapse and  had LAVH with a smooth post-operative recovery. She had reduced hospital stay as she was discharged on the first post-operative day  and was satisfied with her choice of surgery as well as the outcome. There were no immediate or late post-operative complications.  

Conclusion: The success of this procedure further emphasize the feasibility of minimal access surgery in resource-poor settings.
Postnatal home visit: An effective strategy to a successful postnatal care
Authors: Akinbowale B.T. , Ademuyiwa O. , Akinyele A.A. , Akinwale O.D.
Published: August 2023

Home visiting is a crucial aspect of postnatal care services as recommended by the WHO, but it appears to be the most neglected service.  This is due to various challenges like a shortage of manpower, inadequately skilled or trained health care workers, the non-availability of  assessment tools and resources, and a lack of community awareness of the importance of postnatal care. However, it's the responsibility  of health care workers, especially the midwives, to carry out postnatal home care visits to ensure the well-being of both the mother and  the neonates, as well as the assessment of the environment where the newborn will be nurtured. Therefore, to ensure effective postnatal  home care visits, there should be availability of adequate tools and resources for the services, training of health care personnel, allocation  of experienced health care workers, and community awareness of the importance of postnatal home care visits. This review  thus explained the concept of postnatal home care visits, the timing of visits, who should conduct postnatal home visits, what to look out  for in mothers, babies, and environments.
Kidney dysfunction and mortality risk in hospitalized Covid-19 patients: A large Covid-19 centre experience
Authors: Mamven H.M. , Kwaghe G.V. , Habib G.Z. , Galadima S.U.
Published: August 2023

Objective: Kidney dysfunction is common in patients infected with the coronavirus (COVID-19). The study's objective was to determine  the relationship between glomerular filtration rate and mortality in COVID-19 patients.

Methods: This is a retrospective cohort study of patients admitted into the COVID-19 isolation center from March 2020 through  December 2021. The serum creatinine at admission was used to estimate the glomerular filtration rate (eGFR) using the CKD equation  method. The patients were categorized into 2 groups based on the eGFR (≥ or < 60ml/minute). The outcome was in-hospital mortality.  Kaplan Meier survival plots and cox proportional modelling were employed in the data analysis.

Results: Atotal of 623 patients were analysed. The mean age was 53.4±15.3 years, and 58.6% were male. An eGFR of < 60 ml/min was  observed in 196 (31%) patients. A significantly higher number of deaths occurred among patients with eGFR <60ml/min (32% vs 10.5%  (P<0.001). After adjusting for age, sex, disease severity, haemoglobin, ICU admission, and dialysis, the patients with reduced eGFR of (<60ml/min) were twice more likely to die than patients with eGFR ≥60mls/min(AHR 1.95, 95% CI 1.26- 3.04, P= 0.003).

Conclusion: eGFR of < 60mls/min is associated with an increased risk of mortality in COVID-19 patients. This stresses the need for better  recognition of renal dysfunction as a high-risk for mortality in COVID-19 infections.
Leadership competencies of primary healthcare managers: a cross-sectional quantitative study of high, medium and low performing district councils in Tanzania
Authors: Kingu U.A. , Ismail J.I. , Kibusi S.M.
Published: August 2023

Objectives: This research article examined the leadership competency of primary healthcare facility managers in the selected high,  medium and low performing District Councils in Tanzania.

Methods: The study was conducted in the selected high, medium and low performing District Councils in Tanzania. This research used  cross sectional quantitative research design. A complete enumeration sampling strategy was employed to inquire data from 102 primary  healthcare facility managers. Similarly, the Statistical Package for Social Sciences (SPSS version 25) was used to analyse the data. Ethically,  the permission was granted by the University of Dodoma.

Findings: Results revealed that, (72.55%), (66.45%) and (80.39%) of primary healthcare manager were competent and (27.45%), (33.55%),  and (19.61%) were less than competent in leading people and teams, leading organisation, and leader quality respectively.

Conclusions:  The study concludes that primary healthcare managers exhibited competent and less than competent levels of leadership competency in  all investigated constructs.
Common facts and fictions about HIV transmission, prevention and treatment among PLWHA attending a tertiary healthcare centre in North-Western Nigeria
Authors: Amoko A. , MacLeod E.T. , Koforade A.Y.
Published: August 2023

Objectives:The transmission, prevention, and treatment of the human immunodeficiency virus (HIV) are greatly influenced by human  behavioral practices. This makes knowledge of some truths (facts) and lies (fictions) about the disease extremely important in its  prevention and control. Several studies on the assessment of knowledge about HIV infection have been undertaken among the general  population, but only a few have involved people living with HIV/AIDS (PLWHA). This study was conducted to assess the level of knowledge  and understanding on transmission, prevention, and treatment of HIV infection among PLWHA attending an adult anti- retroviral therapy (ART) clinic at Federal Medical Centre, Birnin Kebbi, North-western Nigeria.

Method: The study was conducted as a hospital-based descriptive cross-sectional study using interviewer-administered questionnaires  among 62 patients, selected by convenience sampling technique, attending adult ART-clinic over a period of 8 weeks. The data was  analyzed using SPSS-16.

Result: More than 70% of the respondents scored above 75% in the questions on modes of transmission of HIV infection. However, 73.4%  of the respondents believed HIV infection was curable, and 40.6% believed there is commercially available vaccination against HIV  infection. There were statistically significant associations between high mean scores (75% and above) in questions on modes of transmission and prevention of HIV, and being of Hausa ethnicity (p-value=0.013), having a senior secondary or higher level of education  (p-value=0.014) and being a resident in an urban setting (pvalue=0.003)

Conclusion: There is a fairly good basic knowledge about HIV transmission, prevention and treatment among the respondents; however,  there is need for improvement in knowledge on certain lies/fictions regarding the disease.
Magnitude of limb loss attributable to diabetes mellitus in a tertiary institution in Nigeria
Authors: Yusuf A.O. , Adedire A. , Ala A.O. , Olanrewaju S.
Published: August 2023

Background: Diabetes mellitus (DM) and its complications, continues to pose enormous challenge to health and financial stability.  Diabetes has remained a source of national and global economic burden. It has been observed lately that incidence of diabetic foot ulcer  (DFU); one of the complications of DM, is on the increase and it is contributing hugely to financial loss, morbidity and mortality among  diabetic patients. This is taking a great toll on affected individuals in terms of cost of treatment, deformities sustained, number of  working/productive days lost while on admission and its attendant economic implications, and ultimately mortalities recorded. The aim  was to determine the magnitude of limb loss or lower extremity amputation attributable to DM over a period of 12 months in tertiary  institution and to assess the clinical profile of the patients.

Method: This is a retrospective study of the records of all patients that were  consecutively booked for lower limb amputation and operated upon in the last 12 months at UNIOSUN Teaching Hospital, Osogbo, South-Western Nigeria. Out of these total, cases of DFU were extracted to form another study group and then studied in detail.

Results:  Atotal of 38 patients had lower limb amputation from July 2021 to May 2022. Twenty three of the total number of amputations had DFU  with a huge proportion of 60.5%, followed by road traffic accident with 28.9% (n=11) Of the 23 diabetic cases , females were 15 with M:F  ratio of 1:1.9. Mean age was 63±11.18 years. Mean duration of DM was 8.06±5.64 years. 78.3% had no foot care education and Doppler  USS confirmed atherosclerosis in 100% of the patients. The commonest bacteria isolated was Proteus 34.8%. Length of hospital stay  ranged between 6 weeks to 16 weeks. Outcome of admission was largely successful with 95.7% discharged and 4.3% mortality.  

Conclusion: DFU contributes markedly to morbidity and mortality. Long duration of DM, presence of PAD and DPN as well as  advancement in age and wound infection with proteus bacterial are observed to be risk factors associated with gangrenous DFU.  However, larger studies are needed to establish these factors as predictors of amputation in patient with DFU. Outcome was majorly  good as majority of the patients were discharged.
COVID-19 vaccination acceptability among type 2 diabetes mellitus patients in a tertiary hospital in Southwest Nigeria: a cross-sectional study
Authors: Enikuomehin A.C. , Junaid O.A. , Adejumo O.A. , Ogundele O.A. , Lawal O.M. , Akinbodewa A.A. , Fakhraddeen Y.M.
Published: August 2023

Background: The mortality from COVID-19 is higher in diabetes mellitus (DM) patients compared to the general population, hence it is  highly desirable that DM patients are vaccinated against COVID-19 infection. The aim was to determine the willingness of type 2 DM  patients to accept COVID-19 vaccine and associated factors.

Methods: This was a cross-sectional descriptive study that involved DM patients. Multivariable logistic regression was used to assess  factors ssociated with willingness to be vaccinated.

Results: A total of 302 DM patients participated in the study. About 90% of the respondents perceived COVID-19 to be a serious disease;  however, 33.5% of the patients considered themselves to be at risk of contracting COVID-19 despite having DM. About 70.0% of the DM  patients were willing to receive the vaccine. Factors associated with willingness to be vaccinated were perception of COVID-19 as a severe disease (Adjusted odds ratio (AOR), 6.09; 95% CI, 4.96- 12.27), previous vaccination (AOR, 1.58; 95% CI, 1.04- 2.98), and higher education  (AOR, 2.36; 95% CI, 1.04- 6.86).

Conclusion: About a third of the study participants were not willing to receive COVID-19 vaccination. There  is need to educate the at-risk population about the importance of COVID-19 vaccination.
The Study of BRCA1 and BRCA2 Gene Mutations in Benign and Malignant Lesions of the Breast
Authors: Olukayode Ekundina Victor , Olohigbe Unuigbokhai Ayomide , Princess Wilson Serbia
Published: August 2023

No Abstract
Female Fertility through the Lens of the Thyroid Gland: A Review
Authors: Osunbor J.O. , Ogundele A.A.
Published: August 2023

No Abstract
Antigenic Expression of Duffy Blood Group amongst the People of Zaakpon in Ogoni, Rivers State, Nigeria
Authors: Serekara Gideon Christian , Baridi Goodness Nkor
Published: August 2023

No Abstract
Use of Hot Brine Solution as a Sitz Bath in the Treatment of Haemorrhoids- ACase Study
Authors: Akpan S.S. , Okoh J.T.
Published: August 2023

No Abstract
Co-infection of Wuchereria bancrofti and Escherichia coli in Semen: ACase Report of Male Secondary Infertility
Authors: Gamde Solomon M. , Garba Aminu , Etim Ibanga I. , Sa'adu Ibrahim , Obeagu Emmanuel I. , Mamman Ambi I. , Oladapo Babatunde D.
Published: August 2023

No Abstract.
Assessment of the Knowledge of Biosafety Amongst Medical Laboratory Personnel: A Case Study of Federal Medical Centre, Katsina Nigeria
Authors: Babangida Anas , Bala Aliyu , Bako Hauwa , Abdullahi Mujahid , Bello Ahmad Mohammad , Yandutse Mahmud Inusa
Published: August 2023

No Abstract
Seroprevalence of Rhesus antigens, genotype distribution and its relations with ABO groups among Pregnant Women in University of Calabar, Calabar, Nigeria
Authors: Okpokam Dorathy C. , Naomi Ernest A. , Akpan Patience A. , Etura Joyce A. , Okoroiwu Henshaw , Emeribe Anthony O.
Published: August 2023

No Abstract
Appraising Onchocerciasis Community Directed Treatment with Ivermectin: Problems, Progress and Prospects
Authors: Osue H.O.
Published: August 2023

No Abstract
Identifying Predictors of Safe Food Handling Practices among Canadian Households with Children Under Eighteen Years
Authors:   University of Guelph, Obande David
Published: August 2023

Poor food handling practices at home are a common cause of foodborne illness. Children are more susceptible to foodborne illness than adults. Because children’s food safety depends on the safe food handling practices of parents and caregivers, this study aims to identify determinants of safe food handling practices among Canadian families with children under 18 years. Data for Canadian households with children (n = 294) were extracted from a larger telephone survey conducted across all Canadian provinces and territories between 2014 and 2015. Four food safety practice outcomes and six demographic variables were examined using multivariable logistics regression. Most survey participants were females (56%) who had less than a bachelor’s degree (67%) and were caring for one child (55%). Approximately 90% of caregivers reported proper hand hygiene, and 79% refrigerated leftovers within 2 h of cooking. Only 33% of caregivers reported preventing cross-contamination, and fewer reported using food thermometers for poultry cuts (13%) and hamburgers (11%). Those in the higher income and education categories were less likely to follow safe food handling practices such as hand hygiene and safe refrigeration of leftovers. This research highlights the need for food safety interventions that target Canadian families with children within certain demographic groups.
How to think about the reach of constitutional identity
Authors: Jacobsohn Gary Jeffrey
Published: August 2023

Should the concept of constitutional identity be applied sparingly and only in instances where the norms of constitutionalism can plausibly be said to have been met? This article defends a capacious understanding of constitutional identity that can prove its worth both as a descriptive analytical tool and as a politically useful construct for countering the disturbing conceptual misappropriation of the concept that has found favour in some of the recent efforts to undermine liberal constitutionalism. It argues that limiting the reach of constitutional identity to those orders that have achieved recognition as exemplars of the genus liberal constitutionalism, thereby withholding it from what may have been their illiberal antecedent, risks obscuring the dynamic process by which democratic transitions might occur. Using examples from a broad spectrum of regime types, the article questions the reasoning according to which constitutional identity is applicable only to those constitutional orders that are in compliance with the norms of liberal constitutionalism. It argues that this constrained application rests too heavily on a flawed understanding of the concept that implicitly accepts the meaning ascribed to it by its abusers in the political realm. A shared static conceptual understanding, according to which identity is discovered in text or history and then largely regarded as unalterable, has led some who invoke it to advance illiberal and exclusivist constitutional agendas, and others who are repelled by the practice to find in its underlying assumptions a basis for their disenchantment with the concept. Neither side sufficiently accounts for the fluidity of the concept, specifically the disharmonic dynamic that is fundamental to constitutional identity rightly understood.
PENGENDALIAN DAN PEMANTAUAN PEMAKAIAN ENERGI LISTRIK MENGGUNAKAN TEKNOLOGI BLUETOOTH
Authors: Faizah Fiqqih , Suwito Suwito , Moonlight Lady Silk , Primadi Revayanto Eka
Published: August 2023

Pemakaian energi listrik konsumen dapat diketahui dari KWH meter. Pada pemasangan KWH meter biasanya disertai pula dengan pemasangan alat proteksi berupa MCB dan sekering. MCB berfungsi untuk memutus aliran listrik jika terjadi gangguan hubung singkat atau beban lebih pada instalasi, sedangkan sekering berfungsi sebagai pengaman dan akan putus apabila MCB tidak bekerja dengan baik. Penyambungan arus kembali dan pemantauan daya konsumsi energi listrik dapat dilakukan mendatangi lokasi dan bersentuhan langsung dengan perangkatnya. Oleh karena itu, penelitian ini dilakukan untuk membuat desain alat yang dapat melakukan pengendalian dan pemantauan terhadap pemakaian energi listrik dengan memanfaatkan teknologi Bluetooth. Teknologi Bluetooth dipilih sebagai antisipasi keterbatasan jaringan komunikasi pada lokasi. Desain alat menggunakan mikrokontroler Arduino Mega 2560 sebagai pengontrol sistem. Pembacaan arus dan tegangan dilakukan oleh sensor ACS712 dan sensor tegangan ZMPT101B. Apabila arus yang melewati relai melebihi nilai yang telah ditentukan, maka relai untuk memutuskan aliran listrik. Nilai konsumsi beban dapat dipantau dari Android yang sekaligus dapat digunakan untuk mengatur arus referensi proteksi yang diinginkan. Pengendalian relai secara manual juga dapat dilakukan menggunakan perangkat yang sama. Tampilan antar muka pada android dibuat menggunakan aplikasi MIT APP Inventor.
PENGUKURAN KECEPATAN KENDARAAN BERBASIS MIKROKONTROLER GUNA MENUNJANG KESELAMATAN DALAM BERKENDARAN
Authors: Gede Indra Perdana I , Wibowo Helmi , Ridwan Asep
Published: August 2023

Tingkat kecelakaan di Indonesia masih tergolong sangat tinggi sampai saat ini, Berdasarkan sumber dari Kepolisian tingkat kecelakaan lalu lintas dari tahun 2018 sampai 2019 paling banyak disebabkan oleh faktor kendaraan terkait dengan pemenuhan persyaratan teknis dan laik jalan hingga mencapai 61%. Setelah dilakukan analisa untuk kendaraan yang beroperasi di jalan ternyata banyak terdapat kegagalan atau malfungsi pada skala speedometer yang terdapat di kendaraan. Metode analisis yang digunakan pada penelitian yaitu teknik analisis t-tes deskriptif. Peneltian ini juga menggunakan 3 (tiga) kendaraan sampel dengan masing-masing kendaraan di uji putaran roda dan propeller shaft dengan kecepatan konstan 10 km/jam. Berdasarkan penelitian ini diketahui bahwa  Alat Uji Speedometer ini menggunakan bahan-bahan seperti infrared sensor, LCD, baterai 9 V, jumper serta mikrokontroler kemudian dikemas ke dalam bentuk akrilik yang sudah dibuat agar lebih menarik, Dari 6 percobaan yang dilakukann, didpatkan hasil bahwa alat uji pengukur kecepatan belum bekerja secara optimal kelebihan dari alat ini yaitu Bahan-bahan yang digunakan untuk pembuatan Rancang Bangun Alat Uji Speedometer ini tergolong murah serta Alat ini bisa digunakan untuk pengujian speedometer di UPT PKB dan untuk kelemahannya sendiri yaitu Sensor infrared  yang digunakan pada alat uji speedometer ini sangat rentan terhadap cahaya, sehingga mempengaruhi hasil pembacaan putaran, Diameter roda maupun propeller shaft sangat berpengaruh pada hasil kecepatan serta Posisi letak penanda untuk pembacaan sensor juga mempengaruhi kecepatan yang dihasilkan.
EVALUATING ENGLISH TEXTBOOK CURRENTLY IN USE AT “ENGLISH BITES” (ENGLISH EXTRACURRICULAR PROGRAM EXISTED IN CIVIL AVIATION POLYTECHNIC OF SURABAYA)
Authors: Dewi Kusumayati Lusiana
Published: August 2023

Facing global competition in aviation Industry, the cadets of Politeknik Penerbangan Surabaya (Aviation Polytechnic of Surabaya) are suggested to take English extracurricular program held by POLTEKBANG language unit. It is in line with the institution’s policy for the cadets to pass TOEIC test as one of requirements before graduating from the college. The textbook used at the course is one of the key elements for the success of the program. Considering its importance, textbook should be carefully evaluated and selected before being used. Textbook evaluation helps the teaching staff to identify the strengths and weaknesses of a particular textbook that is already in use. This research seeks to evaluate the suitability of the book, “New Headway”, towards students’ needs. For this purpose, 25 students and 1 instructor were selected and data were gathered by using questionnaire. An additional component of the study consisted of a student’s “needs analysis”. After analyzing data, it was shown that although the textbook had some drawbacks, it had met the students’ need.
RENCANA OPERASI PENERBANGAN SEAPLANE DI TELUK PANG – PANG BANYUWANGI DAN DAMPAKNYA TERHADAP LINGKUNGAN
Authors: Wahyu Agung , Setyo Wiyono Demmy , Mardhika Argavirga , Parjan Parjan
Published: August 2023

Operasional penerbangan seaplane yang direncanakan di teluk pang – pang Banyuwangi memiliki dampak terhadap lingkungan yang perlu diperhatikan dan diteliti. Dampak lingkungan yang kemungkinan dapat terjadi dari operasional seaplane tersebut adalah terkait kebisingan (Noise), dampak terhadap kehidupan liar serta dampak karena tumpahan oli (oil spillage) serta kemungkinan dampat terhadap aktivitas nelayan yang bekerja di teluk pang-pang.  Metode penelitian Kualitatif menjadi pilihan dalam penelitian ini dengan menggunakan studi literatur serta membandingkan dengan data yang diambil oleh peneliti baik dengan wawancara maupun dengan mekanisme lainnya.  Pesawat yang akan digunakan untuk penerbangan seaplane di teluk pang – pang adalah Cessna 172 SP “Skyhawk”. Pada artikel ini akan menyajikan data-data aktifitas nelayan, data terkait kebisingan, dan kehidupan liar di teluk pang – pang yang merupakan Kawasan Ekosistem Esensial (KEE) untuk mengetahui bentuk operasi seaplane yang dapat dilaksanakan di kawasan tersebut.
PSIKOSOSIAL TARUNA SEKOLAH KEDINASAN
Authors: Peter Simanjuntak Rossi , Diriyanti Novalina Susi
Published: August 2023

Sekolah kedinasan yang identic dengan sekolah berasrama merupakan model sekolah yang memiliki tuntutan lebih tinggi dalam hal pembangunan karakter, pengembangan kepribadian, dan penanaman nilai-nilai hidup jika dibanding dengan sekolah reguler. Tuntutan-tuntutan tersebut dapat memberikan dampak positif maupun negatif bagi kehidupan peserta didik sehingga memunculkan respon psikososial. Penelitian ini bertujuan untuk mengetahui gambaran respond an kondisi  psikososial taruna diPoliteknik Penerbangan Medan yang merupakan sekolah kedinasan dibawah naungan Kementerian Perhubungan. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan populasi seluruh taruna asrama yang berjumlah 310 orang. Pengambilan sampel dalam penelitian ini menggunakan teknik proportionate stratified random sampling dan didapatkan jumlah responden 120 orang. Instrumen yang digunakan adalah Psychometric Properties of The Depression Anxiety Stress Scale 42 (DASS) yang dikembangkan oleh Lovibond & Lovibond (1995). Analisis data yang digunakan adalah univariat dengan rumus distribusi frekuensi. Hasil penelitian menunjukkan presentase respon psikososial pada taruna asrama hampir seluruhnya (61,5%) atau 74 orang tidak mengalami stres, hampir setengahnya (46,3%) atau 56 orang mengalami kecemasan tingkat sedang, dan hampir seluruhnya (92,1%) atau 111        orang tidak mengalami depresi. Kesimpulan dari penelitian ini menunjukkan respon psikososial terbesar yang dialami oleh taruna sekolah kedinasan Politeknik Penerbagan Medan adalah kecemasan tingkat sedang. Saran, pihak kampus diharapkan meningkatkan pelayanan terutama layanan konsultasi atau bimbingan konseling bagi taruna.
Loneliness among Elderly
Authors: Sanjeed T. Nazma , Manjuvani E.
Published: August 2023

Ageing is a series of processes that begins with life and continues throughout the life cycle. Beyond the biological changes, life transitions such as retirement, relocation and urbanization influence the lives of elderly people and put them at risk for loneliness. The feeling of loneliness has many deleterious consequences. Hence the present study aims to assess loneliness among elderly people. The sample of the study is 400 elderly people living in the randomly selected wards of Tirupati. The perceived loneliness scale developed by Jha (1997) was used to assess the loneliness among elderly. Results revealed that 17% of the elderly had a high level of loneliness, most of the elderly (67%) had a moderate level of loneliness and 16 % had a low level of loneliness. Female elderly, elderly with lower education levels, who are suffering from chronic illness, had obtained significantly higher mean scores on loneliness.
PENGARUH FEE AUDIT, INDEPENDENSI DAN UKURAN KAP TERHADAP KUALITAS AUDIT PADA KANTOR AKUNTAN PUBLIK DI WILAYAH JAKARTA SELATAN
Authors: Stanley Nathania Jennifer , Pangaribuan Leonard
Published: August 2023

Audit quality is all possibilities where when auditing the client's financial statements can find violations that occur in the client's accounting system. An auditor is required to produce high quality and good work, because the auditor has a great responsibility to various parties with an interest in the financial statements of a company, including the public. This study aims to provide empirical evidence of the effect of audit fees, independence and KAP size on audit quality. Based on the Public Accountant Professional Standards (SPAP) the audit carried out by the auditor is said to be of good quality, if it meets general standards, fieldwork standards and reporting standards. Data analysis methods in this study consisted of descriptive statistical analysis, data quality testing, classical assumption testing, and hypothesis testing. After conducting the test, the research results obtained from the t statistical test for audit fees which have a significance value of 0.031 (<0.05), independence has a significance value of 0.0005 (<0.05) and KAP size with a significance value of 0.3455 (>0.05). Based on these results, the researcher draws the conclusion that audit fees have a negative effect on audit quality, independence has a positive effect on audit quality and KAP size has no effect on audit quality.
ANALISIS HUKUM PERLINDUNGAN KONSUMEN TERHADAP PEREDARAN MAKANAN DAN MINUMAN YANG TIDAK BERLABEL HALAL BERDASARKAN UNDANG-UNDANG NOMOR 8 TAHUN 1999
Authors: Br Sinaga Sara Octavia , Attallah A Rafli , Lumban Gaol Siska Widya Br , Ramadhana Widodo , Nisa Ardina Khoirun
Published: August 2023

Progres ekonomi yang begitu tinggi  saat ini mendorong juga progres daya beli masyarakat pula. Data menyebutkan bahwa per tahun 2022 daya beli masyarakat Indonesia meningkat. Beberapa tahun ini usaha di bidang makanan banyak diincar oleh pelaku usaha, meliputi makanan jadi maupun bahan dasar membuat makanan. Beredar luasnya produk tersebut harus di terapkan pengawasan yang ketat dari pemerintah agar menjamin produk tersebut ketika sampai di masyarakat harus telah melewati syarat dan prasyarat yang ditetapkan sebagai produk yang layak dijual kepada masyarakat. Metode kualitatif merupakan metode yang dipilih dalam riset ini yang beranjak dari data lalu menganalisis serta menerima pendapat yang berbentuk narasi untuk mendapatkan sebuah pengertian dalam mengkaji peristiwa yang ada dan melaksanakan penelitian dan wawancara. Pada pasal 2 UU Perlindungan konsumen menyebutkan bahwa “ Proteksi terhadap konsumen di dasarkan pada prisip kegunaan yang baik, adil, aman, dan keselamatan pelanggan maupun kepastian hukum”. Hal ini mengartikan bahwasanya seluruh pembeli yang ada di negeri ini dijamin kepastian hukum nya oleh negara. Regulasi perlindungan konsumen menyatakan bahwa entitas komersial yang melakukan kegiatan produksoi lalu menawarkan hasil produksi nya ke pasar tanpa mematuhi ketetapan syarat dan prasyarat tentang produk halal sebagimana pernyataan “Halal” yang dicantumkan dalam label, dapat dikenakan hukuman pidana penjara paling lama  5 (lima) tahun atau ancaman denda maksimal 2 milyar rupiah. Selain diwajibkan memiliki sertifikasi halal, pengusaha juga saat ini diwajibkan memiliki sistem jaminan halal, yaitu suatu sistem yang diciptakan agar pemerintah dapat melakukan pengaturan atau pemeriksaan bahan produk, meliputi mulai pembuatan dan juga tenaga kerja yang dipakai dalam kegiatan produksi tersebut, hal ini dilakukan agar dapat lolos dalam kualifikasi produk halal yang telah ditetapkan oleh Majelis Ulama Indonesia (MUI).
Tamoxifen as an effective treatment for refractory mania: a case report
Authors: Moya-Sánchez Deldhy Nicolas , Escamilla-Diaz Daniel , Gutierrez-Gonzalez José Antonio , Ochoa-Madrigal Marta Georgina , Meneses-Luna Oscar , Moya-Sánchez Alexia , Lugo-Gálvez Orlando , Cruz-Aviña Francisco Javier , Salazar-Rodríguez Alejandro , Nuñez-Pichardo Sharon Venecia , Chavez-Martinez Emmanuel Alejandro
Published: August 2023

Tamoxifen is a medication that acts as a selective estrogen receptor modulator (SERM) by inhibiting protein kinase C (PKC). It has various effects on different tissues in the body, depending on whether the tissue expresses estrogen receptors. For instance, it can reduce inflammation and neuronal excitability. Several studies have shown that tamoxifen could be effective in treating refractory mania, a type of mania that has shown resistance to mood stabilizers and other treatments. The rationale for its use could be explained by the fact that PKC is an enzyme that seemingly plays a significant role in the genesis of mania. We present the case of a 43-year-old female patient with bipolar disorder, who has had 43 previous hospitalizations and has undergone multiple treatments. Management with tamoxifen was initiated to control the manic episode.
Costos de distribución y su efecto en la variación de ventas de la Empresa Cujilema, Santo Domingo
Authors: Reino Amanda Elizabeth Gómez , Cimarrón Anderson David Añapa , Guamán César Augusto Valladares , Morán Alexandra Elizabeth Vaca , Mendoza Erema Liliana Arteaga
Published: August 2023

El análisis de los costos de distribución y la variación de ventas en los procesos logísticos de una empresa son importantes para que se puede garantizar el éxito de la misma, además de conocer el nivel de crecimiento de las ventas mediante el número de distribución que este realice y la información disponible en cualquier momento sobre la variación existente en cada periodo, así como enfocar los esfuerzos a la mejora continua. La presente investigación fue de tipo mixto, descriptivo y correlacional para determinar información en tiempo real sobre un punto dado. El procedimiento consistió en analizar la situación actual de las variables de estudio mediante herramientas de observación, focus group y un estudio del análisis de los indicadores para tener información respecto a las variables, mediante el cual se estipula que el costo de distribución más alto fue en el mes de mayo con $138,09 y en ese contexto la variación de ventas fue de 2,09. Se procedió aplicar la matriz de indicadores de las que se extrajo el coeficiente de correlación de Pearson, la cual se determinó durante un periodo de 5 meses y mediante el cálculo de los costos y su respectiva variación se obtuvo un resultado de 0,270136462, esto implica una relación directa y débil. También se desarrolló una propuesta basada en el plan logístico de canales de distribución con lineamientos importantes para su implementación, basándose en una proyección de los costos y la variación de las ventas que se van a generar con el nuevo canal. Está información aportará en la inducción de parámetros de retroalimentación y optimización de costos en la Empresa Cujilema.
Formas de penetración del capital en el agro pampeano: pooles de siembra, fondos comunes de inversión agrícola y fideicomisos agropecuarios
Authors: Lombardo Patricia , Marra Rita , Cavagnaro Guillermo , Hanickel Guillermo
Published: August 2023

Las transformaciones económicas, productivas y sociales, que se produjeron principalmente durante la década de los '90, afectaron la estructura agraria pampeana. En este contexto, surgieron nuevas formas de articulación y penetración del capital en el agro a partir de la constitución de los pooles de siembra. Estas formas y su correlato de concentración emergieron como consecuencia la implementación y consolidación del Plan de Convertibilidad. Los pooles de siembra, que se generan por el interés de diversos actores en invertir en la actividad agropecuaria, hacen referencia a una modalidad de organizar la producción que consiste en una inversión de capital circulante limitada en el tiempo, que opera sobre una superficie de tierra y que externaliza las labores. Estos emprendimientos mediante la diversificación geográfica y productiva tratan de reducir el riesgo. La denominación de pool no hace referencia a una forma jurídica ni a un tipo de relación contractual específica, sino que engloba diversos tipos de acuerdos, que captan capital proveniente de diferentes inversores tratando de optimizar el uso de los recursos. El objetivo general de este trabajo es caracterizar una modalidad organizativa (pool de siembra) que puede adoptar el capital financiero en el agro pampeano y las estrategias productivas, de gestión y comerciales desarrolladas. Para la consecución del objetivo propuesto, se propone un abordaje metodológico, de tipo cualitativo, basado en el análisis comparativo de dos estudios de casos. La principal técnica de producción de datos utilizada reside en la realización de entrevistas semiestructuradas a los actores sociales involucrados en los emprendimientos.
Clinical case: radiological
Authors: Vaccaro Manuel Alvarez , Zambrano Cristobal Arroyo , Jara Alejandro Alvarez
Published: August 2023

Craniosynostosis is a congenital defect of unknown cause in which one or more sutures of the baby's head close partially or totally earlier than normal, it has an incidence of 1 in 1,000 to 3,000 live births, with higher prevalence in males. The evolution of this disease is different in each case and can be mild or severe. They present symptoms such as: irritability or inconsolable crying and very little activity. As your skull grows, it can become more and more deformed and give different neurological symptoms. It may be due to certain genetic syndromes such as Apert, Pfieffer or Croizon syndrome affecting the development of the baby's skull. We present a case of a newborn with this rare pathology.
Bahan Ajar Digital Berbasis Microsoft Sway pada Mata Pelajaran PPKn
Authors: Untari Aya Dwi , Asmawi Muhammad , Enjelita Pungky
Published: August 2023

Abstract 

This study aims to determine how the process of developing Microsoft Swaybased digital teaching materials in student learning process in Civics subjects in class XI IPA MA Al-Khairiyah Pipitan. This study is used research and development methods. The development model in this study is used the ADDIE method (these are analysis, design, development, implementation, evaluation). Data collection techniques are used observation, interviews, documentation and questionnaires. The results of this study are digital teaching materials based on Microsoft Sway which are very feasible to use. Feasibility obtained from material expert validation, media expert validation and learning expert validation stated that it was very feasible with an average percentage of 93.31% of material expert assessment, 91.96% average percentage of media expert assessment, average percentage 98.21% learning expert assessment. The teacher's response as a user has an average percentage of 96.42% assessment and student responses to the developed teaching materials have an average percentage of 94.06% assessment. So it can be concluded that digital teaching materials based on Microsoft Sway in strengthening the unity and integrity of the nation within the Unitary State of the Republic of Indonesia are very suitable to be used as teaching materials in the learning process.
IMPLEMENTASI GERAKAN LITERASI SEKOLAH (GLS) DI LINGKUNGAN SMA PEWARIS PERADABAN PLUS
Authors: Setiawati Setiawati , Utami Ichwani Siti , Robian Abi
Published: August 2023

Abstract  

The School Literacy Movement (GLS) is a massive and structured movement to foster the habits and abilities of students to be able to access, understand, and use something intelligently through various activities, including reading, seeing, listening, writing, speaking and being able to utilize and implement what they know in everyday life. The School Literacy Movement (GLS) is considered effective if students master six basic literacy, namely (1) language literacy, (2) numeracy literacy, (3) scientific literacy, (4) digital literacy, (5) financial literacy, and (6) cultural and civic literacy. The title of the study is "Implementation of the School Literacy Movement (GLS) in the High School Environment of the Heir of Civilization Plus Ciseeng, Ciseeng District, Bogor Regency". This study aims to determine how effective the implementation of the School Literacy Movement Program at SMA Pewaris Civilization Plus Ciseeng; and what positive and negative aspects are contained in the School Literacy Movement Program at SMA Pewaris Civilization Plus Ciseeng. This research is an empirical normative research with a qualitative descriptive analysis approach. The results of the study showed that the implementation of the school literacy movement (GLS) in the Pewaris High School plus Ciseeng Civilization environment was almost entirely going well, although there were still some derivative programs that were not optimal, namely related to financial literacy..
DEVELOPMENT OF MOTORCYCLE SERVICE APPLICATION USING DESIGN THINKING APPROACH AND USER PERSONA
Authors:   Faculty of Engineering and Informatics, Information Systems, Bina Sarana Informatika UniversityJl. Kramat Raya No.98, RT.2/RW.9, Kwitang, Kec. Senen, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10450, . Andriansah
Published: August 2023

A motorcycle workshop, where regular maintenance and spare part replacements are carried out manually, currently lacks an application. The utilization of a manual system sometimes leads to operational challenges within the workshop, encompassing difficulties in spare part inventory tracking, transaction handling, and report generation. As a response, the author endeavors to develop an application for the motorcycle workshop. The chosen approach involves Design Thinking and user personas, with the aim of identifying core issues and user preferences. This process encompasses five stages: empathize, define, ideate, prototype, and test. The initiative commences with a user persona approach to gain insights into the potential users of the application. The achieved outcomes result in an information system design that can assist the company in addressing issues, such as service data management and service reports that are highly valuable for business development.
FLEXURAL STRENGTH CHARACTERISTICS OF PAWPAW LEAF ASH AND BAMBOO LEAF ASH BLENDED CEMENT CONCRETE
Authors:   Department of Building, School of Environment Technology, Federal University of Technology Akure, Nigeria, Akure,Ondo State Nigeria, Olaniyi Alake , Mayowa Akinwande Franklin ,   Department of Building, School of Environment Technology, Federal University of Technology Akure, Nigeria, Akure,Ondo State Nigeria
Published: August 2023

This research focuses on flexural strength characteristics of pawpaw leaf ash and bamboo leaf ash blended cement concrete. Several tests were carried out, according to BS and ASTM requirements to determine the physical and mechanical properties of pawpaw leaf ash and bamboo leaf ash blended cement concrete, investigate the effects of curing age on flexural strength characteristics of pawpaw leaf ash and bamboo leaf ash blended cement concrete and examine the effects of percentage replacement of cement with pawpaw leaf ash and bamboo leaf ash blended cement concrete on flexural strength characteristics. A total of 60 cubes were cast, cured in water for 7, 14, 21 and 28days. Test results showed that the flexural strength of the concrete cubes increases with an increase in the curing age and decreases with increasing percentage replacement of cement with pawpaw leaf ash and bamboo leaf ash. The optimum replacement level of pawpaw leaf ash and bamboo leaf ash was obtained to be 5%. The study concluded that concrete containing the cement blends of cement and Pawpaw leaf ash and bamboo leaf ash at a replacement level of 5% is only recommendable for use in light concrete works construction.
ANALYSIS OF THE CHOICE OF COMMUTER LINE ELECTRIC RAIL TRAIN (KRL) MODES AND TRANSJAKARTA BUSES FOR THE BEKASI CITY - EAST JAKARTA ROUTE
Authors:   Department of Civil Engineering, Universitas Mercu Buana, Jakarta, Indonesia, Rachmadina Yola , Isradi Muhammad ,   Department of Civil Engineering, Universitas Mercu Buana, Jakarta, Indonesia, Prasetijo Joewono ,   Faculty of Engineering Technology, Tun Hussein Onn University Malaysia, Malaysia, Negara Dalimunte Aditia Kesuma ,   Department of Civil Engineering, Universitas Mercu Buana, Jakarta, Indonesia, Mufhidin Amar ,   Faculty of Technology and Vocational Education, Indonesia University of Education, Bandung
Published: August 2023

Transportation is one of the problems that becomes a measure of the success of a city. Bekasi City, as the gateway and buffer for the capital city of Jakarta, has high mobility due to the density of the city of Jakarta. This study aims to determine the characteristics and factors that influence mode selection, mode selection models that can explain probabilities, as well as people's preferences in choosing the Commuter Line Electric Train (KRL) and Transjakarta Bus transportation modes used by the people of Bekasi City to East Jakarta. Data was collected using a questionnaire survey using the Stated Preference method, distributed offline and online. Furthermore, the data from the survey were processed using regression analysis to evaluate the relationship between the response variable, namely the choice of travelers on a numerical scale (Y), with changes in the analyzed attributes, namely the difference in travel costs (X1), travel time (X2), and the departure time of each mode (X3). The results of the linear regression analysis using the SPSS version 28 program obtained the mode selection model, namely (UMRT – UTJ) = 0.662 + 0.044.X1 - 0.014.X2 + 0.025.X3. The conclusion obtained from the results of this study is that the KRL Commuter Line is the preferred mode of transportation compared to the Transjakarta Bus with the Bekasi - East Jakarta route, and the travel cost attribute is the most influential in the transportation mode selection model.
Principal's Academic Supervision Management in Improving Teacher's Pedagogical Competence
Authors:   Student of Master’s Program in Islamic Education Management, State Islamic Institute of Ponorogo, Damayanti Shofina Eka , Hariyanto Wahid ,   State Islamic Institute of Ponorogo, Yusuf S. Maryam ,   State Islamic Institute of Ponorogo, Arsita Devi ,   Bachelor of English Language Teaching, State Islamic Institute of Ponorogo
Published: August 2023

The objective of this study is to find the principal's academic supervision management model and its implications for teacher academic improvement, also factors that influence the improvement of teacher pedagogical competence. This is important to study because teachers are still found imperfections in carrying out the learning process such as lack of mastery of classroom management and learning material. This research used qualitative approach with a case study type. Data collection techniques used observation, interviews and documentation. Data analysis used the stages of data condensation, data display, and conclusion drawing. From the analysis, it is known that the principal's academic supervision management model is carried out through four main stages, that consist planning, implementation, evaluation and follow-up supervision. So that, academic supervision management has positive implications for the teachers, that is teacher performance is getting better, which is characterized by teachers being more skilled in preparing learning tools, creative and innovative in implementing learning and evaluation, and better able to understand the character of the students. The factors that influence the improvement of teachers' pedagogical competence are education level, intelligence level, teaching experience, training experience, facilities and infrastructure, motivation, and principal supervision.
Effects of artificial light at night on the mobility of the sea urchin Paracentrotus lividus
Authors: Di Bari Davide
Published: August 2023

Light pollution poses a significant global threat to biodiversity, driven by the increasing coastal urbanization and the resulting growth of artificial light at night (ALAN). However, to date, the scientific community has focused mainly on studying its ecological effects within the terrestrial environment. It is only recently that attention has turned to coastal marine systems which are crucial due to their essential contribution at the ecosystem level. These environments, characterized by their high productivity, also play a crucial role in protecting coasts against erosion. The aim of this case study was to investigate the possible effects of ALAN on the sea urchin species Paracentrotus lividus in four areas of an Italian rocky coast, selected according to a gradient of light intensity (0, 0.4, 3 and 25 lux), from April 2022 to February 2023. Effects of ALAN were examined by measuring the density and size of sea urchins and also their reactivity to a stress condition through an innovative technique of overturning sea urchins to study their physiological response in the presence or absence of artificial light. In addition, the permanence of sea urchins in the four areas was evaluated through an efficient tagging test. Results show how these organisms, typically nocturnal, suffer negative effects of ALAN in terms of minor density and mobility, expressed as the speed of response to an adverse event, compared to a dark area.
Jornadas del Comité de Nefropatía de la Sociedad Argentina de Diabetes Alteraciones electrolíticas y del metabolismo en pacientes con diabetes mellitus y enfermedad renal crónica. Parte 1
Authors: Elbert Alicia , Aranguren María Florencia , Arinovich Bárbara , Bensusan Teresa , Dávila Fabiana , De ́Marziani Guillermo , Dieuzeide Guillermo , Lueje Natalia , Medek Gabriela , Menéndez Estrella , Nader Emilio , Obregon Liliana Miriam , Soutelo Jimena , Vázquez Fabiana , Volta Mariela , Castaño Yanina
Published: August 2023

En el paciente con diabetes mellitus (DM) y enfermedad renal crónica (ERC), las alteraciones electrolíticas y metabólicas constituyen un verdadero desafío. En noviembre de 2021, el Comité de Nefropatía de la Sociedad Argentina de Diabetes realizó una jornada científica con el objetivo de actualizar las alteraciones hidroelectrolíticas y del metabolismo óseo mineral, y las consideraciones dietarias en ERC y DM.