bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of furosemide combined with continuous renal replacement therapy on cardiorenal function and inflammatory response in patients with chronic renal and heart failure after hemodialysis
Authors: Pan Yuxiang , Yang Shanshan , Li Jinguo
Published: March 2024

Purpose: To determine the effect of furosemide combined with continuous renal replacement therapy (CRRT) on cardiorenal function and inflammatory response in patients with chronic renal failure (CRF) and heart failure after hemodialysis.

Methods: 130 patients with both CRF and heart failure, who underwent hemodialysis at the Second Hospital Affiliated to Hainan Medical College, China, from October 2020 to October 2022 were recruited as study subjects. They were randomly divided into two groups, with control group administered the Continuous Renal Replacement Therapy (CRRT) while study group received furosemide in addition. The study assessed the clinical outcomes, cardiorenal function and inflammatory factors before and after treatment. Additionally, adverse reactions during treatment were documented for both groups.

Results: Study group exhibited a significantly higher (p < 0.001) total response rate compared to control group. Post-treatment, both groups displayed significant increases (p < 0.05) in left ventricular ejection fraction, cardiac output and stroke volume, with study group showing significantly superior results (p < 0.05). Furthermore, post-treatment, both groups experienced significant reductions (p < 0.05) in serum creatinine, blood urea nitrogen, and 24-hour urinary protein levels, with study group displaying significantly lower levels (p < 0.05). Additionally, the interleukin-6, interleukin-1β and tumor necrosis factor-α levels decreased significantly in both groups post-treatment, with study group exhibiting significantly lower levels (p < 0.05). There was no significant difference in adverse reaction incidence between the two groups.

Conclusion: Furosemide combined with CRRT significantly improves cardiorenal function and reduces inflammatory response in patients with CRF and heart failure after hemodialysis. Future research could optimize dosage and administration protocols, explore long-term effects and assess applicability in diverse patient populations.
Trends and types of dietary supplement usage amongst people visiting fitness centers in the Northern Border Region of Saudi Arabia
Authors: Suhail Nida , Agarwal Anshoo , Abu Alsel Baraah Tomah , Aftab Tehreem
Published: March 2024

Purpose: To determine the trends in dietary supplement (DS) usage and its socio-demographic determinants amongst fitness centre users in Arar, Saudi Arabia.

Methods: This cross-sectional survey was conducted among people visiting different fitness centers in Arar, Saudi Arabia, between December 2022 and March 2023. The sample comprised 150 people (male and female) aged ≥ 18 years, who completed a self-administered questionnaire.

Results: More than half (63.3 %) of the gym users regularly used DS, while the rest used DS occasionally. Young age (p < 0.001), female gender (p = 0.04), higher educational level (p = 0.006), single status (p = 0.001) and schooling (p < 0.001) had significant positive correlations with regular DS use, relative to occasional use. The most important reason for using DS was recommendation by physician (30.7 %), while the most common supplements used were multivitamins (alone or in combination with other drugs; 39.3 %). The participants were well-versed in the supportive role of DS, as well as the risks and adverse effects related to DS overuse.

Conclusion: The prevalence of DS usage is high among Saudi fitness center attendees, and it was significantly associated with socio-demographic and lifestyle variables. Furthermore, there are high levels of awareness among participants regarding the benefits and negative effects of DS.
Short-term efficacy of oxaliplatin as interventional therapy for liver cancer, and its effect on serum CD163 and AFU
Authors: Zhao Sen , Wang Liang , Xia Jiadong , Liu Lin
Published: March 2024

Purpose: To investigate the short-term effectiveness of oxaliplatin in the interventional treatment of liver cancer, and its effect on serum CD163 and α-L-glucosidase (AFU).

Methods: Eighty liver carcinoma patients treated in The Affiliated Hospital of Shaoxing University, Shaoxing, China from January 2022 to January 2023 were allotted to 2 cohorts (each with 40 patients). Subjects in control group were treated with hepatic Transarterial Chemoembolization (TACE), while study group was treated with combination of hepatic TACE and oxaliplatin. Efficacy, serological indicators, health status and cancer-related fatigue were determined and compared between both cohorts.

Results: DCR was significantly higher in study group than in the control. There were significantly reduced post-treatment amounts of CYFRA21-1, CA125 and VGEF in the study cohort, relative to pre-treatment and control levels (p < 0.05). Post-treatment values of CD4+/CD8+ and CD4+ were significantly low, relative to levels before treatment, while CD8+ in both groups were significantly increased after treatment (p < 0.05). However, post-treatment T lymphocyte level was comparable in both groups. There was significantly higher post-treatment KPS score in study cohort than pre-treatment and control scores, but RPFS score was significantly reduced, relative to the corresponding pre-treatment and control scores. Post-treatment serum amounts of CD163 and AFU were significantly down-regulated in both cohorts, with lower levels in the study cohort.

Conclusion: The combined use of liver TACE and oxaliplatin produces good clinical outcome in the treatment of liver cancer. It is beneficial in reducing serum levels of CD163 and AFU, inhibits proliferation of tumor cells, reduces tumor volume, and improves cancer prognosis in patients.
A clinical study on the risk and safety profiles of NSAIDs used for osteoporotic fractures in Chinese patients with rheumatoid arthritis
Authors: Zhu Jianxiang , Xia Zengbing , Min Jikang , Hu Wenlin , Li Heng , Mei Chao
Published: March 2024

Purpose: To investigate the risk and safety profile of non-steroidal anti-inflammatory drugs (NSAIDs) for osteoporotic fractures in patients with rheumatoid arthritis (RA).

Methods: 298 RA patients admitted to The First People's Hospital of Huzhou, Huzhou, China from August 2020 to September 2022, were investigated. Patients were assigned to groups based on drugs used viz: control group received anti-rheumatic drugs other than NSAIDs; corticosteroid group received dexamethasone, disease-modifying anti-rheumatic drugs (DMARDs) groups received sulfasalazine, NSAID group received either diclofenac or ibuprofen etc. Each group of patients received the respective treatment frequently for at least 3 years. The primary outcome in this study was the incidence of osteoporotic fracture resulting from fragile bone and deterioration of bone mass.

Results: The incidence of osteoporotic fracture was highest in NSAID group (11.58 %) when compared to 5.44, 4.96, and 2.36 % in the corticosteroid, DMARD and control groups, respectively (p < 0.05). This shows that users of NSAIDs had a 5-fold higher risk of osteoporotic fracture than patients in control group (OR = 1.26 (95 % CI: 1.22 - 1.81)) and 2-fold possibility of osteoporotic fracture when compared to corticosteroid users ((OR = 1.46 (95 % CI: 1.57 - 2.32)) and DMARD users (1.83 (95 % CI: 1.26 - 1.67)).

Conclusion: Rheumatoid arthritis patients on NSAIDs such as celecoxib, diclofenac, ibuprofen, indomethacin, and oxaprozin are at risk of developing osteoporotic fracture. Therefore, NSAIDs must be used with proper counseling in RA patients to minimize the risk of osteoporotic fracture. In future, the study duration will need to be extended to determine the long-term effects and potential changes in bone properties.
Effect of Mingmu nourishing cream on asthenopia
Authors: Lei Wenting , Ge Huiling
Published: March 2024

Purpose: To assess the therapeutic efficacy and safety of Mingmu nourishing cream in asthenopia.

Methods: This study retrospectively analyzed data from 124 patients who were treated for asthenopia in the Affiliated Hospital of Shanxi University of Traditional Chinese Medicine, China from January 2015 to January 2018. Patients were divided into control group (n = 63; received conventional eye drops) and study group (n = 61; received Mingmu nourishing cream in addition to control group treatment). The ocular symptom scores and tear secretion test (Schirmer's I test (SIT)) were compared between the two groups before and after treatment. Furthermore, the clinical efficacy of Mingmu nourishing cream in the treatment of asthenopia was evaluated.

Results: The differences in SIT, conjunctival congestion classification and ocular symptoms between the two groups after treatment were statistically significant (p < 0.05). Moreover, the rate of total therapeutic efficacy in the study group was 86.9 % (53/61), which was significantly higher than the control group (p < 0.05).

Conclusion: Mingmu nourishing cream significantly improves symptoms and exhibits favourable tolerability profile. Multi-center large sample study is needed for further verifications of the findings of this study.
Growth performance and condition factor of Oreochromis niloticus (Linneaus, 1758) after exposure to chemically dispersed Bonny Light crude oil
Authors: Lelei K. E. , Sikoki F. D. , Onyeche V. O.
Published: March 2024

Dispersants are employed in oil spill situations to emulsify the oil into the water column thereby, facilitating weathering; this is without consideration for aquatic life and productivity. A renewal static bioassay was used to assess the recovery of Oreochromis niloticus after exposure to water accommodated fraction of dispersed Bonny Light crude oil (WAFDCO) and water accommodated fraction of Bonny Light crude oil (WAFCO) at sub-lethal concentrations of 0.2, 0.4, 0.8 and 1.6ml/l, based on the growth performance and condition factor after 49-days exposure and 54-days grow-out phases. The results showed that, the physicochemical parameters of the test media were affected by the concentrations of WAFDCO and WAFCO. The mean weight gain of O. niloticus increased with time in the exposure regimes/concentrations. Growth performance was concentration dependent, the highest mean weight of fish (15.67±0.78g) was from 1.6ml/l concentration of the WAFCO, which was higher than the control. The mean relative growth rate was higher (10.40±0.69%) in the fish from WAFCO while the highest mean specific growth rate (0.85±0.05%) was from WAFDCO. The highest value (3.42) of condition factor (K), was obtained in the 1.6ml/l of the WAFDCO. The K values of the fish from the WAFDCO were slightly higher than those from the WAFCO, which were lower than the control. Condition factor was greater than three which implied that, the fish were in good state, thus, their recovery was good after removal from the contaminated environment; hence, all mitigative actions should be prompt during and after oil spills.
Nzipụta Mmekọrịta Mmadụ na Ekerechi n’Abụ Ederede Igbo a Họọrọ
Authors: Nnyigide Nkoli
Published: March 2024

This study examines selected Igbo written poems so as to observe the extent to which the poets have represented various natural phenomena such as trees, sun, moon, rain, among others and the relationship between man and his environment in their poems. It is obvious that some Igbo poets like the Western poets represent some natural phenomena in their creative works. Their major concern is to project these natural phenomena and enhance the relationship between humans and these phenomena through their literary works. In spite of the efforts of many Igbo poets in representing different natural phenomena in their poems, previous studies have shown that some Igbo literary scholars, critics, teachers and students show more interest in studying other issues represented in Igbo written poetry like issues that border on the society, politics, leadership, gender, religion, culture, economy, among others. This shows that they do not have interest in the natural phenomena and the purpose for their representation in written Igbo poetry. It is against this backdrop that this study examines the natural phenomena prominent in the selected Igbo written poems so as to identify the nature of relationship between these natural phenomena and man as projected by the poets. The study adopted the ecocritical literary theory in analysing the selected poems and the data were presented descriptively. From the analysis, this study reveal that the selected poems represented the importance of some natural phenomena to man especially the economic values. This study also observed that there is good relationship between the natural phenomena projected in the selected poems, among other findings. It is hoped that this study would help to project and enhance the relationship between man his environment.
A discursive reading of ideology, dominance and resistance in political texts
Authors: Lukanga Kelvin Mathayo
Published: March 2024

The North (or the West) considers itself superior to the South and has thus arrogated to itself the right to ‘guide’ it in many a sphere, something that has gone down badly with some countries in the South, so much so that some of them resist this domination. It is against this background that this paper analyses four texts from the two contending geo-political zones to untangle discursive strategies of positive self-presentation and negative other presentation. Using Teun van Dijk’s (2006) ideological square, the paper analyses the texts concerning aspects of ideology, dominance and resistance. It has been found that Donald Trump and the European Parliament (representing the North), as well as John Pombe Joseph Magufuli and Nicolas Maduro (representing the South), deployed semantic macrostructures, macro-speech acts, the active voice and lexical resources, among others, to do positive self-presentation and negative other-presentation. The paper contends that the two sides deployed the strategies because the North wants to continue dominating and exploiting the South and the South wants to liberate itself from the chain the former placed around its neck centuries ago. About the South’s goal, the paper shows how the South could go it alone, with a bias towards Africa.
Derecho de las personas al acceso seguro a alimentos sanos en su fase primaria
Authors: Anchundia Parrales Jaime Rolando
Published: March 2024

Este artículo tiene como objetivo analizar la eficacia del derecho de las personas al acceso seguro a alimentos sanos en su fase primaria, en el marco de las políticas públicas de soberanía alimentaria en el sistema constitucional ecuatoriano. La investigación es de tipo documental con alcance descriptivo, el método utilizado es el analítico, las fuentes usadas son de tipo secundarias de doctrina y normativa relacionadas con el tema. Entre los resultados se encuentra que, dentro de la Constitución del Ecuador (2008), se crea la obligación objetiva que el Estado debe proporcionar alimentos sanos, de calidad y dentro del respeto por la cultura a la población. De acuerdo a las investigaciones realizadas es conducente concluir que, la soberanía alimentaria, funciona como medio a través del cual es posible cumplir con la satisfacción de las necesidades alimenticias, nutricionales y culturales de los ecuatorianos, todo ello implicó que se desarrollara, en la carta magna, una obligación del Estado para con los ciudadanos, diseminada a través de varios artículos constitucionales de obligatorio cumplimiento.
Disciplina, honor, transgresión y castigo en el estamento armado venezolano. El caso del Tribunal Militar Judicial de Mérida 1988-2022
Authors: Suárez Prieto Dennis A. , Vidovic López Jorge F.
Published: March 2024

En la presente obra se estudia el funcionamiento del sistema disciplinario en la Fuerza Armada Venezolana, como el conjunto de normas disciplinarias que rigen su actuación y su decoro, los sistemas de seguimiento y evaluación de la conducta de los efectivos, los procedimientos para determinar las transgresiones, las sanciones, la administración de justicia, los entes sancionadores y las consecuencias derivadas de las actuaciones ilícitas.
On the issue of converting the seismic intensity of the Japan Meteorological Agency (JMA) scale into the MSK macroseismic scale
Authors: Заалишвили В.Б. , Мельков Д.А. , Фидарова М.И. , Харебов К.С.
Published: March 2024

Актуальность работы. Адекватная оценка проявления тех или иных сильных землетрясений представляет собой одну из главных задач инженерной сейсмологии. В то же время, несмотря на имеющиеся достижения в этой области, отдельные аспекты указанной задачи все еще остаются неясными. Использование мировых баз данных сильных движений, содержащих инструментальные записи землетрясений, включает унификацию не только данных о землетрясениях, таких как магнитуда, но и макросейсмический эффект или проявленный сейсмический эффект, соответствующий записи, на той или иной конкретной площадке. Одними из самых всеобъемлющих баз данных являются японские базы данных K-NET и KiK-net. Целью работы являлось установление соотношения для пересчета интенсивностей по JMA (Япония) в - MSK(Россия). Методы. Сопоставление и анализ реальных данных, приведенных в литературных источниках и их интерполяция. Результаты. Выполнен анализ известных способов получения соотношений между различными сейсмическими шкалами мира. Установлены неравномерности указанных шкал, обусловленные особенностями реакции объектов-индикаторов. Выявлены наиболее обоснованные соотношения для пересчета величин интенсивностей, полученных в различных диапазонах сейсмической шкалы JMA, в величины сейсмической шкалы MSK или MMI (США, Европа).

Relevance. Adequate assessment of the effect of certain strong earthquakes is one of the main tasks of engineering seismology. At the same time, despite the achievements in this area, certain aspects of this task still remain unclear. The use of global strong motion databases containing instrumental records of earthquakes involves the unification of not only earthquake data, such as magnitude, but also the macroseismic effect, or the seismic effect corresponding to the record, at a particular site. Some of the most comprehensive databases are the Japanese K-NET and KiK-net databases. The aim of the paper was to establish a relationship for converting intensities from JMA (Japan) to MSK (Russia) scale. Methods. Comparison and analysis of real data given in literature sources and their interpolation. Results. An analysis of known methods for obtaining relationships between various seismic scales of the world was performed. The unevenness of these scales was established, due to the peculiarities of the reaction of indicator objects. The most reasonable relationships have been identified for converting intensity values obtained in various ranges of the JMA seismic scale into values of the MSK or MMI seismic scale (USA, Europe).
DO HOME-BASED FOOD BUSINESS ENTREPRENEURS AWARE ABOUT FOOD SAFETY? A CHOICE EXPERIMENT DURING SHOCK PERIOD IN INDONESIA
Authors:   Universitas Brawijaya, FITRIA DINA RIANA , TOIBA HERY ,   Universitas Brawijaya, ASMARA ROSIHAN ,   Universitas Brawijaya, PUSPO NUGROHO CONDRO ,   Universitas Brawijaya, AZIZAH DEVI FARAH ,   Universitas Brawijaya, MAULANA NOOR ARIF YUSTIAN ,   Universitas Brawijaya, SHADIQUR RAHMAN MOH ,   Universitas Brawijaya
Published: March 2024

This study aims to assess the practices of Home-based Food Businesses (HBFB) concerning food safety standards and their preference for food sanitation and hygiene certification in Indonesia. This study employed an online choice experiment approach to discover whether home-based food business owners preferred hygienic certification. This study involved 322 participants recruited through social media as respondents. Descriptive statistics and a conditional logistic model were applied to analyse the data. The results indicate that most respondents emphasise the need for appropriate personal hygiene, handling and food cross-contamination prevention, but fall short in terms of preventing delivery contamination. In addition, respondents preferred sanitation hygiene certification for food entrepreneurs with online registration and inspection. These findings provide the first attempt at providing empirical insights into HBFB food safety practices in Indonesia during the COVID-19 pandemic and suggest a novel policy for the food delivery standard process.
SOIL EROSION RISK IN RELATION TO RAINFALL EROSIVITY IN GUNUNG ALAB AND INOBONG OF CROCKER RANGE PARK IN SABAH, MALAYSIA
Authors:   Universiti Malaysia Sabah, BAKAR ATIKA , BIDIN KAWI ,   Universiti Malaysia Sabah, RUSLI HAMJAH ,   Universiti Teknologi MARA, UNI KAMLUN KAMLISA ,   Universiti Malaysia Sabah, KOICHIRO KURAJI ,   The University of Tokyo Forests, MAHALI MAZNAH ,   Universiti Malaysia Sabah, NAINAR ANAND ,   Universiti Malaysia Sabah
Published: March 2024

The rainfall ability to erode and detach soil particles, resulting in soil erosion, is referred to as rainfall erosivity (R). This research aims to estimate the risk of soil erosion from rainfall intensity in Gunung Alab and Inobong of Crocker Range Park, Sabah. Daily rainfall data from 2017 and 2020 where an observed mild La Nina were extracted. The 30-minute Maximum Rainfall Intensity (I30) and Rainfall Kinetic Energy (E) were determined for estimating the R Factor. ROSE Index was then referred to in classifying the soil erosion risk. The estimated monthly R Factor in Gunung Alab ranged from 15282.2 to 32029.2 MJ.mm (ha.h)-1 in 2017 and from 16069.5 to 35401.6 MJ.mm (ha.h)-1 in 2020. Gunung Alab was rated as having an “extremely high” and “critical” risk of soil erosion 80% of the time in 2017 and 50% in 2020. At the Inobong substation, the monthly R Factor in 2017 (16069.5 to 58348.0 MJ.mm (ha.h)-1) and 2020 (16863.6 to 36246.4 MJ.mm (ha.h)-1) translates to an erosion risk (extremely high-critical) throughout 67% and 92% of the time, respectively. Given the possibility of landslides, rainfall erosivity is useful information in assessing soil erosion risk and could be used in soil and land management
Pengelolaan Informasi dan Dokumentasi Sebagai Basis Pemenuhan Keterbukaan Informasi Publik
Authors: Diah Arum Halimatusa , Maring Prudensius
Published: March 2024

Achieving transparent public information access services requires good information management and documentation. For this reason, it is necessary to study the role of information and documentation management officials in supporting the realization of public information openness. This research uses a qualitative approach by applying interview, observation and documentation methods. The results of this research show that to realize openness of public information, information and documentation management officials at UINJ carry out the role of coordinating, documenting information, verifying information, testing consequences, updating information, and providing information to the public. To support the achievement of these roles, PPID UINJ refers to standard operating procedures and implementation of evaluations. However, the results of this research also show that the implementation of public information has not been optimal due to barriers to mindset regarding openness of public information and technical obstacles. Theoretically, the results of this research show that success in realizing public information openness is not only through fulfilling the indicators of the role of officials but also through changing the mindset of stakeholders and supporting work units in the work environment as a whole
Modelo de Madurez Digital para mejora continúa
Authors: Pérez Vladimir Damián Fernández , Gómez Tomás Fernández , Sánchez Francisco Javier Miranda , Pérez Mitzy E. Fernández
Published: March 2024

El presente trabajo de investigación presenta un el desarrollo e implementación de un Modelo de Maduración Digital (MMD) diseñado y adaptado al Instituto de Educación Superior, Establecer el grado de Madurez Digital presente en el Instituto de Educación Superior ubicado en Orizaba, mediante el desarrollo y aplicación de un Modelo de Madurez Digital. Trazando una planificación estratégica orientada al análisis necesario para generar propuestas de mejora mediante el uso de tecnologías digitales aumentando eficiencia y competitividad mejorando el servicio ofertado. La presente investigación tomara una metodología cuantitativa mediante un estudio longitudinal con la intención de obtener un antes y un después, a través de un enfoque cuantificable, obteniendo la evaluación del Indice de Madurez Digital y la detección de áreas de oportunidad para la propuesta de mejoras.
Penerapan Algoritma Punctured Elias Code pada Aplikasi Kamus Besar Bahasa Indonesia (KBBI) Berbasis Android
Authors: Zulkhairia Zulkhairia
Published: March 2024

The large Indonesian dictionary has a large size because the quality of the resulting dictionary is better, so the file size needed for it is getting bigger. And the compression process is needed to reduce the file capacity to be smaller in order to save on the use of storage space. With a relatively large data size, during the data transfer process it can fail because the storage media does not have enough space. By performing the compression process on the large Indonesian dictionary, a process can be carried out to reduce the size of the data by reducing the bits in the large Indonesian dictionary, making it easier to carry out a data transfer process effectively. The procedure for compressing the large Indonesian dictionary (KBBI) starts from selecting the large Indonesian dictionary to be compressed, then the book will be compressed with the punctured Elias code algorithm so as to produce a compressed book that has a smaller size.2. The implementation of the punctured Elias code algorithm for compression of the Big Indonesian Dictionary (KBBI) is done by reading the hexadecimal value from a Big Indonesian Dictionary (KBBI), then changing the hex value into a new bit value in the form of a binary number, then rearranging the binary value into new character. Where the compression results are based on the ratio of 32% based on 80 bit data samples with 25 Bit compression results
Sistem Pendukung Keputusan Pemilihan Supplier Terbaik Pada PT. Madjin Crumb Rubber Factory Menggunakan Metode Waspas
Authors: Amir Faisal , Utomo Dito Putro
Published: March 2024

Madjin Crumb Rubber Factory is a company in the field of rubber processing with a number of clients and a high level of rubber processing production, the existence of suppliers is very important, therefore the selection of suppliers is very influential on the results and quality of the rubber processed. PT. Madjin Crumb Rubber Factory does not produce it themselves but has to look for other suppliers or suppliers who have stock of goods in accordance with the company's request. The first step in selecting the best supplier is choosing a supplier by doing a selection first. PT. Madjin Crumb Rubber Factory has a manual system and is assessed subjectively. The purpose of the subjective here is more to the situation where the company chooses suppliers based on proximity alone or in other words the selection of suppliers at this time is still random or there is no reference, so that the results obtained by clients and management are sometimes unsatisfactory, therefore a support system is designed. decisions to make the selection more effective and accurate. The decision support system is made by applying the WASPAS method. The system created will provide recommendations for selecting the best supplier at PT. Madjin Crumb Rubber Factory, involving five criteria, namely price, production, quality, service and delivery time, then there are eight alternatives given by PT. Madjin Crumb Rubber Factory. By using Microsoft Visual Studio 2008 for the design of a decision support system and Microsoft Access 2010 as a database. This research can provide convenience to the PT. Madjin Crumb Rubber Factory in making decisions on choosing the best supplier and providing objective and accurate results in making the best supplier selection decision.
Sistem Pendukung Keputusan Staf Karyawan Terbaik Pada Rumah Sakit Dengan Menggunakan Metode Waspas Dan Pembobotan Roc
Authors: Simbolon Yohana Melisa
Published: March 2024

This research is motivated by the problems faced by Estomih Hospital, Medan City, which is a container strategy in forming a way to process data or news for elements of a decision support system in handling or evaluating about how to service a job for the best employee at the Estomihi Hospital, Medan City and how to apply the method (WASPAS) in the sense of the word Weighted Aggregated Sum Product Assessment for making decisions to assess the best employee performance. To overcome the problem of evaluating employee performance processes at Estomihi Hospital, Medan City, it can be solved using the WASPAS method. Research was conducted to identify the best employees. This can be an accurate data in the selection of the best employees because it is categorized as one of the right ways for government agencies to evaluate employee performance. So as to produce a more stable and stronger value, therefore it is also necessary to update a system or designer in order to determine the maximum value of criteria and weight, the advantage of this method is that it is very easy and fast to overcome therefore this stage can be carried out so that it is easy to compare the criteria for very good employees or Top Telelent in such a way that employees who are rewarded attract the interest of managers. The calculation results show that the recipient of the award is ranked 1 by A5 on behalf of Bawardi Nimas with a score of 843,750. The advantage of the results of this study is the application of the best employee performance design because research uses the stages of designing a system which is said to be the WASPAS method, therefore the results provide an effective and efficient evaluation and facilitate management in evaluating employee performance, and exceeding expectations from. Indeed, employee performance appraisal can increase employee motivation to improve the quality of their performance.
APPLICATION OF THE ROLE PLAYING METHOD TO IMPROVE SPEAKING SKILLS IN CLASS V STUDENTS OF UPT SPF SD NEGERI BADDOKA KECAMATAN BIRINGKANAYA KOTA MAKASSAR
Authors: Assagaf S. Risma Purnamayanti
Published: March 2024

The problem in this research is the low learning outcomes of students in learning speaking skills. The formulation of the problem in this research is how to apply the Role-Playing method to improve speaking skills in class V students at UPT SPF SD Negeri Baddoka, Kecamatan Biringkanaya, Kota Makassar. Based on the problem formulation, the researcher carried out a follow-up with classroom action research consisting of 4 patterns, including: planning, implementation, observation, and reflection using the Role-Playing method. The type of research used is classroom action research (PTK) and the approach used in this research is a qualitative approach. The focus of this research is the application of the Role-Playing method and students' speaking skills. The subjects of this research were 1 teacher and 34 students. Data collection is carried out through observation, tests and documentation. In this research, learning refers to learning steps using the Role-Playing method, namely starting from the learning preparation stage, the learning implementation stage, and the final learning stage. The data analysis technique used in this research is descriptive qualitative. Data from observations of teacher teaching activities and student learning activities experienced an increase, which in cycle I was in the sufficient category and in cycle II it increased to the good category. The research results of students' speaking skills in cycle I were in the sufficient category and in cycle II they increased to good category. Thus, it can be concluded that the application of the Role Playing method can improve speaking skills in class V students at UPT SPF SD Negeri Baddoka, Kecamatan Biringkanaya, Kota Makassar
INCREASING STUDENTS’ READING SKILL BY USING WATTPAD APPLICATION IN EIGHTH-GRADE STUDENTS OF SMPN 3 WATAMPONE
Authors: Adnan Almira , Hamid Restu Januarty , Sahib Nurfaizah
Published: March 2024

This research aims to know the impacts of using Wattpad Application in order to increase students’ reading skill in Eighth-grade at SMPN 3 Watampone. And this research focused on pre-experimental method with one group in pre-test and post-test. The treatment was conducted after the pre-test and before post-test. The population in this research were students of Eight-Grade at SMPN 3 Watampone in 2022/2023 academic year. The writer took 176 students as the population with random sampling technique was used to take one class as the research sample, totaling 23 students. Data obtained from reading test in form of multiple-chooses. The results of this study revealed that there is increasing students reading skill using Wattpad Application based on students’ scores between the pre-test and post-test. The mean score of the students’ reading skill increase from 54,34 in the pre-test to 78,47 in the post-test. Meanwhile the analysis of students’ increasing score from both test (pre-test, post-test) was 30%. So, based on that analysis, it can be concluded that the using Wattpad Application can greatly increase students’ reading skill.
MANEJO INTEGRAL DE RESIDUOS HOSPITALARIOS PELIGROSOS –“CASO DE ESTUDIO Padre Alberto Bufonni, ECUADOR”.
Authors: Heredia Sandra , Gavilanes Alex , Heredia Fernanda
Published: March 2024

Se elaboró una propuesta para el manejo de desechos generados en el Hospital Padre Alberto Bonilla. Para ello se dividió al hospital en 7 áreas y se identificó las actividades generadoras de desechos. Para cada área se cuantificó los residuos, obteniéndose así sus pesos, volúmenes y densidades. Posteriormente se evaluaron los impactos ambientales ocasionados por la mala disposición de desechos mediante una matriz causa-efecto. Finalmente se estructuró la propuesta técnica que  permita dar solución a los impactos negativos identificados. Como resultados, se determinó que el  hospital genera 69,07 kg/día de desechos, siendo las áreas de mayor incidencia la de hospitalización con una producción de 25 kg/día de desechos, seguida por la cocina con una producción de 19 kg/día. El volumen total diario y la densidad de los desechos fueron de 0,83 m3 y 70,8 kg/m3 respectivamente, y en cuanto a la composición; esta depende del área. Conforme a la matriz causa efecto, las áreas de hospitalización, emergencia y laboratorio son las de mayor impacto en cuanto a la problemática de los desechos peligrosos.

Se recomienda la implementación de la propuesta técnica para el manejo de los desechos, la cual contribuirá al desarrollo sostenible de la institución de salud.
APLICACIÓN DEL CÁLCULO FRACCIONAL A UNA SERIE DE TEMPERATURAS DE LA ZONA ANDINA
Authors: Ramos Araujo Cristina , Guerrero Hidalgo Hitler
Published: March 2024

Una aproximación para entender  los fenómenos con dinámica compleja es el análisis de datos. El escalado multidimensional permite visualizar el comportamiento de los sistemas y capturar su evolución espaciotemporal. Mientras que el cálculo fraccional, aplicado mediante Fractional State Space Portrait permite identificar clústeres en grupos de datos, incluyendo variables meteorológicas como la temperatura. Para ello se ha utilizado la información mutua multivariante para encontrar el orden de derivada óptima que ha dado como resultado una visualización mejorada del sistema dinámico de temperaturas en 11 estaciones meteorológicas de la provincia de Chimborazo durante el año 2015. En el mapa del Fractional State Space Potrait se ha logrado identificar dos grandes clústeres que representan las dos estaciones típicas de un clima tropical ecuatorial. Tales clústeres se encuentran fuertemente influenciados por los diversos microclimas presentes en un territorio heterogéneo.
APLICACIONES DE NUEVAS METODOLOGÍAS PARA EL MONITOREO MULTIVARIADO DEL RENDIMIENTO ESTUDIANTIL UTILIZANDO GRÁFICOS DE CONTROL Y SISTEMAS UMBRAL
Authors: Saltos Segura Guido , Flores Sánchez Miguel , Horna Huaraca Luis , Morales Quinga Katherine
Published: March 2024

Este trabajo usa el concepto de profundidad de datos, así como la carta de control no paramétrica r desarrollada por Regina Liu, para monitorear el desempeño estudiantil en un grupo de materias en una institución educativa en un período determinado de tiempo. La metodología usa un conjunto de referencia obtenido de los resultados mismos en lugar de estándares ideales. Este conjunto de referencia sirve para calibrar la carta de control y así monitorear datos subsecuentes. El concepto de profundidad de datos permite crear un índice univariado a partir, en este caso de dos variables, para generar un ordenamiento de “adentro” hacia “afuera” de la nube de puntos, siendo el punto más central el de mayor profundidad. El posterior cálculo del rango a partir de las profundidades es la base de la carta r.
Fingertip Reconstruction Techniques: An Update
Authors:   Hospital Regional de Alta Especialidad ISSSTE Veracruz, i Venegas Sarahi Hazour , Neri Pérez Mariana Gutiérrez ,   Hospital Regional de Alta Especialidad del Bajío, Herrera Alarcón Lizbeth Paloma ,   Escuela de Medicina Intermedica, González Julio César González ,   Hospital General Regional #220 IMSS, Toluca., Gonzalez Soto Jose Roberto ,   Hospital General Regional #66 IMSS Cd Juarez, Chihuahua, Mendoza Argáez Jairo Isaih ,   Hospital General “Dr. Fernando Quiroz Gutiérrez”, ISSSTE, CDMX., Gutierrez Christopher Junnoel Dominguez ,   Hospital Regional de Alta Especialidad ISSSTE Veracruz, González Garcia Carlos Mario ,   Clínica Hospital ISSSTE Tuxtepec, l Cruz Cruz Adair Axe ,   Hospital General de Tuxtepec Oaxaca
Published: March 2024

The hand portion that sustains injuries most frequently is the fingertip. For a practical and aesthetically acceptable result, flap repair can be required if replantation of a fingertip amputation is not feasible. This work examines frequently used reconstruction methods, emphasizing technical nuances and potential issues and how to prevent them.
Extremely low birth weight (ELBW) neonates for emergency surgery- A challenge for the Anesthesiologist: A case series
Authors: Varshney Preeti Goyal , Sinharay Madhurima , Gupta Anshu , Pandey Maitree
Published: March 2024

Background: Extremely Low Birth Weight (ELBW) newborns, defined as those with a birth weight of 1000 grams or less, present challenging anesthetic scenarios. Emergency surgeries in these infants elevate their vulnerability to various complications.
Case Presentation: We present a case series involving 5 ELBW neonates who underwent emergency surgery. Three of them were at a post-conceptual age (PCA) of ≥ 33 weeks and underwent procedures for congenital birth defects, including esophageal atresia, ileal atresia, and gastroschisis. The remaining two neonates, with a PCA of 29-30 weeks, underwent surgery for necrotizing enterocolitis (NEC).
Conclusion: The compromised physiology resulting from distinct disease processes and the underdeveloped systems of ELBW preterm neonates necessitate focused care and strategic anesthesia. This approach is crucial to mitigate morbidity and mortality risks in such vulnerable patients.
Epidemiological, Clinical and Etiological Aspects of Urinary Sphincter Disorders of Neurological Origin at Conakry University Hospital
Authors:   Department of Neurology, CHU de Conakry, Guinea, M A Bangoura , M L Toure ,   Department of Neurology, CHU de Conakry, Guinea, B D B Camara ,   Department of Neurology, CHU de Conakry, Guinea, M Traore ,   Pr Cissé Amara Neurological Institute, Guinea, I A Camara ,   Department of Neurology, CHU de Conakry, Guinea
Published: March 2024

Introduction: Most neurological disorders in our context have a high frequency of urinary sphincter disorders, which makes it necessary to investigate the etiologies and analyze the epidemio-clinical features.
Modelagem e simulação computacional em uma linha de produção de uma empresa do segmento de confecção localizada em Telêmaco Borba-PR
Authors: Sousa Vitor Gabriel Santos , Barreto Gustavo Szmoski , Santos Filho Vitor Hugo dos
Published: March 2024

O objetivo deste estudo é modelar e simular uma linha de produção de uma empresa de confecção localizada na cidade de Telêmaco Borba – PR, visando propor melhorias para a capacidade produtiva. O método de pesquisa passa pelas etapas de concepção, com a criação do modelo conceitual, etapa de implementação, com a criação de cenários e etapa de análise. O cenário 1 propôs a remoção da distribuição e do retorno a empresa e contratação de um colaborador, o cenário 2 a remoção da distribuição e retorno a empresa e contratação de dois operadores podendo operar as três máquinas ao mesmo tempo, o terceiro e último cenário também propôs a remoção dos processos de distribuição e retorno a empresa além da contratação de 3 funcionários, podendo assim, operar as três máquinas simultaneamente e adicionar uma máquina ao processo de costura e acabamento. Com a análise dos dados obtidos das simulações, concluiu-se que o melhor cenário para a empresa é o cenário 3, pois, apresentou 8,67% de aumento para a capacidade produtiva.
The Risks associated with treating S.M.A.R.T syndrome using Blood Thinners for pediatric patients who received Cranial/Spinal irradiation. A case study.
Authors: Chivukula Rushikesh , Buddhavarapu Siddartha , Chivukula Ramakrishna
Published: March 2024

S.M.A.R.T Syndrome (Stroke-like Migraine Attacks after Radiation Therapy) is a late complication after cranial radiation, along with seizures, and white matter lesions. SMART syndrome is diagnosed in patients who previously received craniospinal irradiation presenting with unexplained headaches, seizures and hemiparesis (weakness on one side of the body which is revirsable) few years after irradiation. M.R.I (Magnetic resonance imaging) is usually helpful in diagnosis. In such cases, blood thinners such as Aspirin are prescribed as a medication to decrease the potential risks associated with radiation induced brain infarction/necrosis to avoid further deterioration. However blood thinners such as Aspirin have been linked to sudden hematoma occurring in the brain. The case reported was observed in a patient with vasculopathy/S.M.A.R.T syndrome who previously underwent high dose chemotherapy, and craniospinal irradiation (CSI) and was prescribed baby aspirin which may have contributed to epidural hematoma/hemorrhage.
Herramientas web para la difusión turística en El Churo, Ecuador
Authors: Carriel Alcívar Nery , Pastrán Calles Félix
Published: March 2024

La presente investigación tiene el objetivo de Aplicar las herramientas web para establecer la difusión de las potencialidades turísticas en la comunidad El Churo con el propósito de materializar la difusión turística para incentivar la promoción a través de acciones online y offline. La metodología usada en esta investigación es bajo el paradigma positivista con el enfoque cuantitativo con el uso del método inductivo y es una investigación de tipo descriptiva, que se apoya en la observación. Este procedimiento dado que facilita el uso de técnicas como la encuesta y entrevista. La población de estudio corresponde a la Asociación de Producción Pesquera Artesanal El Churo (ASOPROPECHU) con 64 socios, los cuales son participes en el proyecto de investigación Turismo Natural y Cultural en el Cantón Pedernales de la ULEAM-Ext. Pedernales, por lo que se implementó el muestreo no Probabilístico, de tipo ocasional u opinático, siendo realizada a 30 socios. Como resultado la comunidad presenta potencial turístico como consecuencia de los recursos físico-natural, como lo es la posición estratégica y su cercanía al mar, lo que lo beneficia por el estuario del río Cojimíes, donde se desarrolla la pesca y se puede transformar hacia la pesca deportiva, la observación de aves, el recorrido por el manglar, así como, desde las actividades terrestres, el ciclo paseo, la ejecución de juegos tradicionales y otras actividades para sostener la cultura. En conclusión, El Churo se presenta como una oportunidad de ampliar la oferta en el Cantón por sus recursos turísticos.
Implementación de un sistema de seguridad de la información en empresa del sector salud
Authors: Llanos Cardona Jorge Andrés , López Fabián Albeiro , Mejía-Lobo Mauricio
Published: March 2024

El presente proyecto de investigación se basó en el diseño de un conjunto de procesos para gestionar eficientemente la confidencialidad, integridad y disponibilidad de los activos de información de una entidad prestadora de servicios de salud, buscando proteger y controlar la información y asegurar por medio de la minimización de los riesgos que la entidad pueda afrontar. Para lograr el diseño, se trabajó bajo la norma ISO/IEC 27001, Alexander (2007) especifica los requisitos necesarios para establecer, implantar, mantener y mejorar un Sistema de Gestión de la Seguridad de la Información (SGSI) según el conocido “Ciclo de Deming”: PDCA – acrónimo de Plan, Do, Check, Act (Planificar, Hacer, Verificar, Actuar), siendo éste un enfoque de mejora continua. Según el decreto 1008 de 2018, la entidades oficiales en Colombia deben establecer los lineamientos generales de la política de gobierno digital y dentro de estos lineamientos, se encuentra el uso del Modelo de Seguridad y Privacidad de la Información -MSPI; el cual parte de un análisis de riesgos y la definición del Plan de Tratamiento de Riesgos que busca mitigar los riesgos identificados, evitando aquellas situaciones que impidan el logro de los objetivos de la entidad prestadora de servicios de salud y del Ministerio Tecnologías de la Información y las Comunicaciones (MINTIC). Mediante la creación y aplicación de este sistema, se logró, proteger y salvaguardar la información de la entidad, salvaguardando los atributos de disponibilidad, integridad y disponibilidad en cumplimiento de a ley y de los datos personales de los usuarios.
Conciencia ambiental y actitudes ecológicas en los estudiantes de educación superior
Authors: Portocarrero Gutiérrez César Augusto , Zavaleta Llanos Nila Yusey
Published: March 2024

La presente investigación, tiene un diseño transeccional – descriptivo, tuvo como objetivo central determinar la relación entre conciencia ambiental y las actitudes ecológicas de los estudiantes de II ciclo de las carreras de Educación Inicial y Educación Secundaria en el Instituto de Educación Superior Pedagógico Publico Gregorio Mendel – Chuquibambilla, Apurímac - Perú. Para ello, se elaboró un cuestionario para medir los niveles de conciencia ambiental y actitudes ecológicas, que fue validado mediante una encuesta piloto y se determinó su confiabilidad mediante coeficiente alfa de Cronbach. Posteriormente se aplicó el instrumento a 95 estudiantes del Instituto de Educación Superior Pedagógico Gregorio Mendel de Chuquibambilla matriculados en el semestre 2019- II. Los resultados en función a las variable conciencia ambiental y actitudes ecológicas se ha llegado la conclusión que existe relación directa, muy alta y significativa entre la conciencia ambiental y las actitudes ecológicas, al registrar rs = 0.932 con p = 1,1945E-42. También se ha podido determinar que, en la conciencia ambiental, los estudiantes de Educación inicial y secundaria, registran el nivel regular al registrar una media de 68.9 puntos en la escala de 0 – 126 puntos. Con referencia a las dimensiones cognitiva, afectiva, conativa y activa, los estudiantes de la muestra seleccionada han registrado el nivel regular al haber obtenido medias de 15.1 puntos, 16.1 puntos, 27.5 puntos y 10.2 puntos respectivamente.