bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN ANTARA KEPUASAN KERJA TERHADAP KINERJA KARYAWAN YANG DIMEDIASI OLEH KOMITMEN ORGANISASIONAL
Authors: Putra Briyan Cadalora , Nitawati Elly Yuniar , Sari Rr. Indah Permata
Published: May 2024

Tujuan Penelitian ini adalah untuk menguji hubungan antara kepuasan kerja terhadap kinerja karyawan yang dimediasi oleh komitmen organisasional. Populasi dalam penelitian ini adalah 50 karyawan hotel ashofa sidoarjo. Penelitian adalah penelitian kuantitatif. Populasi penelitian ini merupakan karyawan hotel ashofa Sidoarjo Jawa Timur, responden yang terdiri dari karyawan marketing, karyawan manajemen, karyawan engineering, karyawan housekeeping, karyawan kitchen dan pekerja harian. Keseluruhan responden dalam penelitian ini sebanyak 50 responden menggunakan teknik sampling Jenuh yang merupakan teknik penentuan sampel apabila keseluruhan anggota populasi digunakan menjadi sampel. Teknik analisis data penelitian ini menggunakan pendekatan SEM-PLS yang menggunakan bantuan software Smart-PLS 4.0, analisis inferensial setiap variabel serta SPSS 20 bertujuan untuk menganalisis statistik karakteristik responden dan analisis deskriptif variabel dalam penelitian. Hasil penelitian menjelaskan bahwa kepuasan kerja berpengaruh positif terhadap kinerja karyawan, kepuasan kerja berpengaruh positif terhadap komitmen organisasional, komitmen organisasi berpengaruh positif terhadap kinerja karyawan, dan kepuasan kerja terhadap kinerja karyawan yang dimediasi komitmen organisasional berpengaruh positif.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI MANAJEMEN LABA PADA PERUSAHAAN PERBANKAN YANG TERDAFTAR DI BEI PERIODE 2016-2020
Authors: Yulanda Ayu , Ng Martha , Indrastuti Sri
Published: May 2024

ABSTRAK Penelitian ini bertujuan untuk mengetahui pengaruh Kepemilikan Institusional, Kepemilikan Manajerial, Dewan Komisaris dan Komite Audit terhadap Manajemen Laba. Penelitian ini berfokus pada perusahaan sektor perbankan yang terdaftar di Bursa Efek Indonesia (BEI) Teknik sampling yang digunakan adalah purposive sampling. Jumlah sampel yang diperoleh adalah 41 perusahaan. Data yang digunakan dalam penelitian ini merupakan data panel dengan uji asumsi, uji hipotesis dan analisis regresi linear berganda. Hasil penelitian ini menemukan bahwa dalam good corporate governance terbukti Kepemilikan Institusional, Kepemilikan Manajerial, Dewan Komisaris dan Komite Audit tidak berpengaruh signifikan terhadap Manajemen Laba. Penelitian ini membuktikan semakin banyak proporsi kepemilikan manajerial, kepemilikan institusional, dan komite audit dapat mengakibatkan semakin banyak kemungkinan terjadinya praktik manajemen laba perusahaan. Selain itu, penelitian ini juga membuktikan bahwa semakin banyak dewan komisaris akan menurunkan kemungkinan terjadinya praktik manajemen laba yang dapat dilakukan perusahaan.
STRATEGI PENINGKATAN KINERJA KARYAWAN: STUDI TENTANG BEBAN KERJA, TANGGUNG JAWAB, FASILITAS KERJA, DAN INSENTIF DI PT. JNE PEKANBARU
Authors: Purwati Astri Ayu , Lim Nicholas , Hamzah Zulfadli
Published: May 2024

Perkembangan pesat dalam dunia bisnis telah menyebabkan peningkatan jumlah unit usaha baru yang dirintis oleh masyarakat, baik itu dalam skala kecil, menengah, maupun besar. Penelitian ini bertujuan untuk menginvestigasi dampak dari beban kerja, tanggung jawab, fasilitas kerja, dan insentif terhadap kinerja karyawan. PT. Jalinan Nusantara Express (Kantor Cabang) dipilih sebagai objek penelitian, dengan jumlah populasi responden sebanyak 119 orang. Teknik pengambilan sampel yang digunakan adalah teknik sampling jenuh atau sensus, dan analisis data dilakukan menggunakan perangkat lunak SPSS. Hasil penelitian menunjukkan bahwa beban kerja, tanggung jawab, dan fasilitas kerja memiliki pengaruh positif dan signifikan terhadap kinerja karyawan, sementara insentif tidak memiliki pengaruh signifikan.
PENDAMPINGAN TEKNIS PEMBUATAN CETAKAN KAPAL FIBERGLASS DINAS PERIKANAN KOTA DUMAI
Authors: Romadhoni Romadhoni
Published: May 2024

Dalam upaya meningkatkan usahanya para pelaku usaha perikanan selalu mencari celah pemanfaatan kemajuan teknologi, untuk itu mereka akan secara cepat melakukan transfer atau adopsi teknologi baik itu alat tangkap maupun kapalnya bila itu di nilai menguntungkan. Pendampingan pembuatan cetakan ini merupakan salah satu cara transfer ilmu kepada instansi terkait. pengabdian tentang pendampingan pembuatan cetaka kapal fiberglass sangat perlu dalam rangka mendukung program Dinas Perikanan Kota Dumai. Ukuran cetakan kapal perikanan kota dumai adalah Panjang (LoA) 8,5 meter, Lebar (B) 1,6 meter, Tingi (H) 0,75 meter, Sarat (T) 0,45 meter, daya yang dibutuhkan adalah 16 HP. Diharapkan setelah pengabdian ini terjadi jalinan kerjasama yang berkesinambungan antara Politeknik Negeri Bengkalis dengan Dinas Perikanan Kota Dumai.
Penerapan Limbah FABA Non B3 pada Renovasi Tempat Area Produksi UMKM Kue Bakpia Celsy
Authors: Febriani Oni , Enda Dedi , Enda Dedi , Lisya Mutia , Lisya Mutia
Published: May 2024

Pertumbuhan usaha mikro, kecil dan menengah saat ini sangat berkembang dengan pesat. Politeknik Negeri Bengkalis sebagai Perguruan Tinggi yang berada di Kabupaten Bengkalis juga ikut berperan aktif dalam pembinaan UMKM tersebut. Kondisi saat ini, area produksi UMKM Bakpia Celsy banyak mengalami kerusakan yang menyebabkan kurangnya tingkat kenyamanan bagi karyawan yang bekerja pada unit produksi sehingga menyebabkan penurunan jumlah produksi produk yang dihasilkan, sehingga diperlukan suatu usaha untuk memperbaiki kondisi tersebut, maka melalui Program Pengabdian Masyarakat Sumber Dana PNBP ini, dilakukan renovasi terutama elemen lantai sehingga akan memberikan dampak pada kenyamanan dan meningkatkan kinerja rumah produksi dengan memanfaatkan limbah FABA non B3 pada kegiatan renovasi tempat area produksi UMKM.Kata Kunci : Limbah, FABA, Renovasi
Pembuatan Oven Fire Tube Sebagai Pengering Ikan Lomek di BUMDES Desa Kuala Alam menggunakan bahan bakar alternatif
Authors: Pardi Pardi
Published: May 2024

Program pengabdian ini merupakan program yang dilakukan untuk membantu usaha masyarakat Badan Usaha Milik Desa (BUMDES) Kuala Alam kabupaten Bengkalis dalam upaya pengolahan ikan lomek agar memiliki nilai jual yang lebih baik untuk memenuhi kebutuhan hidup mereka sehari-hari. Usaha yang dikembangkan adalah pengeringan ikan lomek agar mampu bertahan lama dalam masa penjualan. Alat pengering ini sangat diperlukan ketika musim ikan lomek terjadi pada musim hujan yang susah untuk melakukan pengeringan dengan cahaya matahari. Alat ini mampu mengeringkan ikan dengan kapasitas sekitar 40-50 kg ikan basah dan dapat dikeringkan dengan waktu 2-3 jam dengan temperatur bisa mencapai 115ᴼC. Berdasarkan hasil pengujian kualitas ikan kering yang dihasilkan lebih bagus dengan menggunakan temperatur pengeringan sekitar 80ᴼC. Sedangkan untuk memperkecil biaya operasional oven pengering ini menggunakan bahan bakar yang berasal dari berbagai limbah nabati (kayu kering, sabut kepala atau yang lainnya) selain itu juga dapat menggunakan bahan bakar minyak atau gas. Dengan adanya alat ini diharapkan ikan lomek hasil tangkapan nelayan dapat tetap diolah untuk menaikkan nilai jual dari ikan tersebut.
The Effect of a Proposed Training Program on Some Elements of Physical Fitness among Students of the Athletics Training Course at Yarmouk University
Authors: Maqableh Mohammad Adel , Mahmoud Ismaiel Ghassab , Maqapleh Moath Adel
Published: May 2024

The study aimed to identify the effect of a proposed training program on some elements of physical fitness among students of the athletics training course at Yarmouk University. The researchers used the experimental approach, and the study sample consisted of twenty (N= 20) students at Yarmouk University during the first semester of the academic year 2019-2020, who were purposively chosen. The samples were divided into two equal groups: experimental and control groups, with (10) students in each group. To analyze the results, means, standard deviation, Pearson correlation coefficient, paired samples t Test for double samples, and independent samples t Test were used. The results showed statistically significant differences related to the effect of the training program in relation to all study variables between the pre- and post- measurements of the two groups, in favor of the post measurement. The results further showed statistically significant differences among the post measurements in relation to all the study variables between the experimental and control groups in favor of the experimental group. The researchers recommended that the training program should be generalized to the athletics coaches in the Jordanian universities.
A method development for sertraline detection in the blood
Authors: Zhuravleva Anastasiya S. , Gritsyuk Evgeniya A. , Vikman Polina S. , Strelova Olga Yu. , Chuvina Nataliya A.
Published: May 2024

Aim – to develop a method for isolation and determination of sertraline in biological fluids.
Material and methods. For the study we used "Zoloft" drug ("Pfizer", USA). The study equipment and substances: liquid chromatograph Shimadzu LC-20 Prominence (Japan) with detector SPD-M20A, gas chromatograph Agilent Technologies (USA) 7890 A / 5977 MSD, (program MassHunter GC-MS ), waters vacuum unit and cartridges for solid-phase extraction Oasis HLB; papain enzymes (MedFloran, Russia); trypsin, chymotrypsin, hyaluronidase (Lidaza) (Samson-Med LLC, Russia); test strips from different manufacturers under trade names: "Be sure", "NarcoCHEC", "FACTOR-MED". Urine samples were obtained after administration of the drug to laboratory animals – guinea pigs. The base of sertraline from a solution of its salt was isolated by liquid-liquid extraction (LLE) with organic solvents and their mixtures at pH = 10, 11 and 12 (pKa sertraline 9.48). Obtaining data on the effectiveness of blood sample preparation methods (liquid-liquid extraction, solid-phase extraction and enzymatic hydrolysis) for sertraline was carried out on enriched model samples of donor blood according to the method proposed by Cheger.
Results. Cross-positive urine test results were obtained with immunochromatographic test strips for derivatives of e 1,4-benzodiazepine and synthetic cannabimimetics ("spice"). The study with 1 mg/ml solution of sertraline gave a negative result. Desmethylsertraline, a major metabolite, was detected in the urine, a peak with a retention time of about 12.75 min, the peak of the original substance during the synthesis of sertraline – sertralinimine and the peak of the native sertraline with a retention time of about 12.65 min. A method for detecting sertraline by HPLC has been developed.
Conclusion. The use of the enzymatic blood hydrolysis with trypsin allows for increasing the degree of extraction by 1.5 times when compared with liquid-liquid extraction with chloroform, and by 2 times when compared with solid-phase extraction.
Gambaran Kadar Albumin pada Penderita Diabetes Melitus Tipe II di RSUD H. A. Sulthan Daeng Radja Kabupaten Bulukumba
Authors: Putri Jusnita , Ridwan Asriyani , Asdinar Asdinar
Published: May 2024

Latar Belakang: Diabetes melitus tipe II adalah suatu gangguan metabolisme yang ditandai dengan adanya resistensi insulin. Dimana keadaan diabetes ini mempengaruhi metabolisme protein plasma di dalam tubuh salah satunya yaitu albumin. Terjadinya penurunan atau peningktana pada kadar albumin sangat dipengaruhi oleh beberapa hal diantaranya yaitu asupan protein, alcohol, tekanan osmotic, hormon dan faktor fisiologis.  Tujuan: untuk diketahuinya gambaran kadar albumin pada penderita diabetes melitus tipe II di RSUD H. A. Sulthan Daeng Radja Kab. Bulukumba. Metode: ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Hasil: Menunjukkan bahwa dari 28 pasien, terdapat sebanyak 7 orang dengan kadar albumin rendah dan 21 orang dengan kadar albumin normal. Potensi antioksidan albumin menunjukkan yang terkait dengan diabetes melitus. Secara teoritis, pasien diabetes melitus yang tidak terkontrol memiliki kadar albumin yang rendah Berdasarkan jenis kelamin, responden yang berjenis kelamin laki-laki dengan kadar albumin rendah sebanyak 3 orang (43%) dan berjenis kelamin perempuan sebanyak 4 orang (57%). Berdasarkan usia dimana persentase pada kisaran umur 30-50 tahun sebanyak 13 orang (46%), untuk usia 51-65 tahun sebanyak 12 orang (43%), dan usia 66-75 tahun sebanyak 3 orang (11%). Kesimpulan: Didapatkan pada kadar albumin yang rendah pada penderita diabetes melitus tipe II yang berjenis kelamin perempuan yaitu sebanyak 4 orang (57%) dan jenis kelamin laki-laki sebanyak 3 orang (43%).
Kata Kunci : Diabetes melitus, hipoalbuminemia, kadar albumin serum.
ANALISIS SPESIFIKASI PERANGKAT LUNAK BLOG BERBASIS WEB
Authors: Handayani Hanny Hikmayanti
Published: May 2024

Penelitian ini membahas mengenai analisis spesifikasi kebutuhan perangkat lunak blog berbasis web dengan tujuan untuk mengetahui tahapan-tahan di dalam analisis dan desain pembuatan perangkat lunak. Metode yang digunakan adalah Incremental model dan Diagram UML untuk membuat desainnya. Penelitian ini menghasilkan suatu dokumen analisis perangkat lunak untuk pembuatan Blog berbasis webÂ Kata Kunci: uml, use case, analisis
APLIKASI PENGENALAN HURUF HIJAIYAH DENGAN MENGGUNAKAN ADOBE FLASH CS3
Authors: Alfitri Yopie , . Oktaviani
Published: May 2024

Aplikasi ini dibuat untuk mempermudah anak-anak khususnya usia 3 sampai 4 tahun untuk belajar huruf hijaiyah yang berisi pembelajaran interaktif informasi mengenai Huruf Hijaiyah dengan sebuah metode melalui media digital yang akan menarik anak-anak untuk ingin lebih mengetahui tentang Huruf Hijaiyah dengan bimbingan orang. Dengan animasi huruf hijaiyah yang menarik anak-anak akan tertarik untuk belajar huruf hijaiyah berikut cara pengucapannya. Dilengkapi dengan kuis dan permainan, sehingga mempermudah anak-anak untuk mengingat huruf hijaiyah.Kata kunci :Â  Hijaiyah, multimedia, aplikasi.
Państwa postradzieckie wobec rosyjskiej emigracji 2022 roku – aspekt ekonomiczny
Authors: Kosowska Katarzyna
Published: May 2024

W 2022 roku Federację Rosyjską dotknęły dwie fale migracji. Pierwsza z nich nastąpiła po inwazji na Ukrainę 22 lutego i nałożeniu na Rosję zachodnich sankcji, zaś druga wywołana została ogłoszeniem częściowej mobilizacji we wrześniu tego samego roku. Spośród państw postradzieckich największa liczba migrantów rosyjski napłynęła do Gruzji, Kazachstanu oraz Armenii. Niektórzy migrujący Rosjanie zamierzają pozostać w kraju przyjmującym na dłużej, dla innych jest to jedynie etap przejściowy przed dalszą emigracją. Niniejszy artykuł analizuje ekonomiczne aspekty rosyjskiej emigracji: przepływ ludzi, kapitału oraz biznesu na nowe rynki, ich wpływ na sektory bankowe oraz wskaźniki makroekonomiczne Gruzji, Kazachstanu i Armenii.
System odpowiedzialności mediów jako element systemu społecznego oraz dziennikarskiej kultury
Authors: Urbaniak Paweł
Published: May 2024

Systemy odpowiedzialności mediów to wszelkie środki pozarządowe, które są stosowane w celu czynienia mediów bardziej odpowiedzialnymi wobec odbiorców. Są one elementami szerszego systemu społecznego, a także kultury dziennikarskiej. Od ich uwarunkowań i specyfiki w znacznym stopniu zależy poziom ich efektywności, czyli rzeczywistego wywierania wpływu na zachowania dziennikarzy. Artykuł stanowi próbę przedstawienia uwarunkowań skuteczności tak całego systemu odpowiedzialności mediów w systemie medialnym, jak i poszczególnych jego elementów poprzez osadzenie rozważań w dwóch koncepcjach teoretycznych: w modelu homo agens-institutionalist oraz ekonomicznej teorii dziennikarstwa. W kontekście pierwszej z nich autor tekstu dochodzi do konkluzji, że proces kształtowania systemów odpowiedzialności mediów wymaga czasu i znacznie bardziej efektywne są systemy w krajach o długiej tradycji samoregulacji mediów, w których poszczególne ich elementy uległy zarówno instytucjonalizacji, jak i internalizacji, a tym samym względnie powszechnej akceptacji przez środowisko dziennikarskie. W kontekście drugiej z koncepcji natomiast autor dowodzi, że największą skutecznością charakteryzują się te elementy systemu odpowiedzialności mediów, które mają siłę oddziaływania na indywidualny interes dziennikarza, ten bowiem kieruje się w swoich zawodowych działaniach wysokim poziomem zarówno racjonalności, jak i troski o własne korzyści.
The Lived Experiences of the Special Program in the Arts Learners in their Online Performance Tasks
Authors: Escorial Rotsen V. , Escorial Irish S.
Published: May 2024

With the pandemic caused by COVID-19, many people worldwide have been compelled to the new ways of education. This study explored the experiences of Special Program in the Arts learners in their online performance tasks in the different specializations in new normal education. The study was conducted in Kapatagan National High School, Division of Lanao del Norte. The study utilized the qualitative approach using the phenomenological research design. The study included twenty-one participants identified through purposive sampling. An Interview Guide question was used for in-depth interviews. The researcher employed the seven steps of Colaizzi's method of data analysis Results revealed the following themes: Lacking of Learning Resources in Online Performance Tasks; Adjusting to Shifting of the Learning Process; Deficiency in Understanding Concepts; and Difficulty in Doing Online Performance Activities. Results showed that SPA learners experienced a lot of challenges and difficulties in their online performance tasks. In their online skills demonstration, learners were unable to comprehend and follow specific instructions. Learners prefer classroom learning over virtual because it is convenient and they can learn better. Teachers could resort to social media or any other online platforms to connect with the students and assist them in their lessons as they were doing self-learning at home. Teachers may provide digital instructional materials such as videos or link to give learners with a coherent learning experience.
Analysis of the Relationship Between Academic Supervision and the Transformational Leadership Model of School Principals in the Elementary School Pelabuhanratu Sukabumi on Teacher Performance
Authors: Yulianti Yuya , Suroyo Suroyo , Rosita Tita
Published: May 2024

The purpose of this study was to determine how academic supervision and the principal's transformational leadership model affect teacher performance in Elementary School Pelabuhanratu Sukabumi. This study used a correlational quantitative method, associative type. This study involved all teachers in the Elementary School Pelabuhanratu sub-district, consisting of 435 teachers. The sample was 79 teachers, with an additional 10% to anticipate dropouts, totaling 87 teachers. This study used questionnaires and observation. According to the findings of this study, it was found that (1) It is known that the Sig. (2-tailed) between academic supervision and teacher performance is 0.005<0.05, indicating that there is a significant correlation between the variables of academic supervision and teacher performance; (2) It is known that the Sig. (2-tailed) between academic supervision and teacher performance is 0.005<0.05, and (3) it is known that the result of the R Square value is 0.849 or equal to 84.9%, which means that the academic supervision variable (X1) and the transformational leadership variable (X2) simultaneously (together) affect the teacher performance variable (Y) by 84.9%. In comparison, the rest (100% - 84.9% = 15.1%) is influenced by other variables outside the regression equation or variables not studied
Application of the Project Based Learning Model in the Implementation of Pancasila Values in History Learning in Phase E of High Schools in Salatiga
Authors: Dosmarohaa Angelique Yulica , Sunardi Sunardi
Published: May 2024

At the same time as the implementation of Pancasila principles places an emphasis on intellectual comprehension, it also places an emphasis on the application of these values in the students' actual acts in their day-to-day lives. As a result, there is a need for a learning strategy that may aid the comprehension and implementation of Pancasila ideals in a holistic and contextual manner. Within the context of the application of Pancasila Phase E values at one of the State High Schools in Salatiga, the purpose of this study is to investigate the many ways in which the Project-Based Learning Model is used. Methods of descriptive qualitative research are used in this study. Observation, interviews, questionnaires, and documentation are the approaches that are used in the process of data collection and extraction. The findings of this study indicate that the use of the Project-Based Learning model in the process of incorporating Pancasila principles into the learning of history in phase E at one of the State High Schools in Salatiga has the potential to be an efficient learning strategy for incorporating Pancasila principles into daily life. a student. This is shown by the fact that students are able to develop high-quality projects in the form of creative movies, which are subsequently shared on social media. Additionally, students are able to provide satisfactory responses to research questionnaires, which are based on the principles of equality and social justice that are promoted by Pancasila.
Optimalisasi Pendampingan Literasi Fikih Perempuan di Desa Bambang
Authors: Mahfudloh Qoriatul , Roihanah Roihanah
Published: May 2024

Literasi fikih perempuan merupakan komunitas pendidikan nonformal yang dibangun dan diciptakan untuk memperkuat pemahaman dan pengetahaun-pengetahuan fikih sehari-hari yang berhubungan dengan tubuh perempuan. Literasi ini dibangun secara khusus di Desa Bambang Kecamatan Wajak, Malang yang diinisiasi oleh tim dari perguruan tinggi Universitas Al-Qolam. Program-program dalam komunitas ini meliputi pemahaman mendalam berupa diskusi studi kasus tentang sistem reproduksi yang ditinjau dari fikih Madzhab Syafi’i. Tujuan umum dari pendirian komunitas ini adalah mengoptimalisasi dan merevitalisasi program-program pemberdayaan yang fokus pada perempuan yang pernah diinisiasi oleh tim pemberdayaan masyarakat sebelum-sebelumnya.
The Frozen Conflict in Western Sahara and the Forgotten Question of Sahrawi
Authors: Marsili Marco
Published: May 2024

Western Sahara’s “frozen conflict” is one of the major and forgotten issues that, so far, the international community could not settle. This article aims to shed light on the historical events and the political responsibilities that led to a protracted stalemate over the Sahrawi question. The paper retraces the historical roots of the claims over the disputed territory by the Polisario Front, as the representative of the Sahrawi people, over the disputed territory, and analyzes their foundations under the light of international law.
SUBCUTANEOUS FAT SUTURE IN CESAREAN SECTIONS AND WOUND DISRUPTION
Authors: Hamodi Nahla Hatam
Published: May 2024

Background: Cesarean sections, which are performed either elective or as an emergency, have become a common procedure in obstetrics.
Although there are many advantages of this procedure for the baby as well as for the mother in apt situations, there are many risks associated with it.
Wound infection, or disruption is a common complication following caesarean section. The factors inuencing the risk of these complications are
many but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basic
recommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence the
complications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption are
reviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence to
prove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of the
authors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm
ESTIMATION OF RADIATION DOSE TO THYROID GLAND FROM HEAD COMPUTED TOMOGRAPHY: A PILOT STUDY
Authors: Sharma Ramesh Chand , Jain Mukesh , Joan Mary , Chougule Arun
Published: May 2024

Computed Tomography (CT) scans are invaluable tools in medical diagnostics, offering detailed imaging of various anatomical regions. However,
concerns regarding radiation exposure, particularly to radiosensitive organs like the thyroid, have prompted to estimate and evaluate the radiation
dose to thyroid gland from head CT scans. The amount of radiation exposure varies depending on several factors including the specic type of CT
scan, the settings used during the scan, and the individual's size and age. The results were compared with studies reporting thyroid doses from head
CT scans, including dose measurements, dose estimation methods, and dose-reduction techniques. The estimated average thyroid dose from the
OSLD measurements in the present study was 0.939+- 0.072 mGy. Though ndings of the study is similar to the reported thyroid doses from head
CTscans, it is observed that there is a wide variability inuenced by scanner technology, scanning protocols, patient characteristics, and anatomical
considerations. Understanding thyroid doses from head CT scans is essential for optimizing imaging protocols and minimizing radiation risks
without compromising diagnostic efcacy. Establishing local/ regional and national diagnostic reference levels (DRL) is a recommended way
forward. Efforts to further minimize radiation exposures especially in pediatric, women and sensitive populations are highly needed. Further large
scale multi-centric studies in the region are highly recommended so that the cumulative population radiation dose may be reduced by rening dose
estimation techniques, implementing dose-reduction strategies, and assessing long-term health outcomes to ensure safe and effective CT imaging
practices.
HYPOADIPONECTINEMIA IS ASSOCIATED INSULIN RESISTANCE AND DYSLIPIDEMIA AND HENCE INCREASES CARDIOVASCULAR RISK IN TYPE 2 DIABETES MELLITUS
Authors: Kanakasabai G. , Saravanan N. , Hariprasath G.
Published: May 2024

Background: Cardiovascular disease remains the most common cause of morbidity and mortality in Type 2 Diabetes Mellitus. Insulin Resistance
and Dyslipidemia are the important factors contributing to cardiovascular risk in Diabetes. Adiponectin is an adipocytokine involved in the
regulation of glucose and lipid metabolism. In the present study we studied the association of Plasma Adiponectin with Insulin Resistance and
Lipid prole parameters in Type 2 Diabetes.Materials and Methods: The study included 100 Type 2 Diabetic Subjects and 100 age-matched
healthy individuals with no history of Diabetes. The Anthropometric measurements, Fasting and Post prandial plasma glucose, Fasting insulin,
Plasma Adiponectin and Lipid prole were measured in these subjects. HOMA- IR formula was used to calculate Insulin Resistance. Results:
Fasting and Post prandial plasma glucose, Insulin and HOMA-IR were increased in Type 2 Diabetic Subjects when compared to controls. Plasma
Adiponectin was signicantly reduced in Type 2 Diabetic Subjects compared to controls. In Type 2 Diabetic Subjects, Plasma Adiponectin was
found signicantly inversely correlated with insulin resistance (r=-0.58, p<0.01), Total cholesterol (r=-0.51, p<0.01), Triglycerides (r=-0.44,
p<0.01) and LDL-C levels (r=-0.56, p<0.01). Asignicant Positive correlation was also observed between Plasma Adiponectin and HDL-C level
(r=0.37, p<0.01) in Type 2 Diabetic Subjects. Conclusion:Hypoadiponectinemia in Type 2 Diabetes is associated with Insulin Resistance and
Dyslipidemia and plays a key role in the development of cardiovascular risk.
BACTERIOLOGICAL PROFILE AND ANTIBIOGRAM OF INDWELLING CATHETER TIPS IN POST OPERATIVE CARDIAC SURGICAL PATIENTS ADMITTED AT A MEDICAL COLLEGE IN KOLKATA
Authors: Pal Ananya , Bhattacharya Aritra , Dutta Gupta Sampa , Adhikari Sujit
Published: May 2024

Microbial testing and antibiotic sensitivity from central venous, arterial line and urinary catheter tips have a paramount importance in reduction of
infection in post operative patients. Objectives were to nd out the incidence of culture positive tips of central venous catheter, arterial line catheter
and urinary catheter, and to identify the microorganisms along with their antibiotic sensitivity. Male participants were the majority with 21 to 40
years age group to be maximum affected and CABG to be the most common procedure involved. Samples were plated on blood agar and
MacConkey agar, followed by performing gram stain and biochemical tests for microbial identication. Incidence of causative bacteria isolated
from different catheter tips revealed gram negative bacilli to be more than gram positive organisms. Escherichia coli and Acinetobacter baumannii
complex showed maximum sensitivity to Minocycline and partial sensitivity to aminoglycosides with other antibiotics to be predominantly
resistant. Klebsiella pneumoniae showed maximum sensitivity to cotrimoxazole and partial sensitivity to aminoglycosides. Pseudomonas
aeruginosa was pan resistant. MRSA was sensitive to linezolid, gentamicin, enterococcus faecium to vancomycin and staphylococcus
saprophyticus to cotrimoxazole and linezolid. Antibiogram is thus an important tool in choosing selected antibiotics in order to prevent emergent
bacterial resistance.
COMPARISON OF NEBULIZED KETAMINE VERSUS NEBULIZED MAGNESIUM SULFATE FOR PREVENTION OF POST OPERATIVE SORE THROAT IN PATIENTS UNDERGOING GENERALANESTHESIA REQUIRING ENDOTRACHEAL INTUBATION: A DOUBLE BLIND RANDOMIZED CONTROL TRIAL
Authors: Shakeet Jayesh , Lata Sandhya , Kumar Ankit
Published: May 2024

Postoperative sore throat (POST) is a common undesirable outcome of
tracheal intubation, with prevalence ranging from 21% to 65%. This is
inuenced by factors such as mechanical trauma during intubation,
tracheal tube cuff pressure causing mucosal erosion, inammation,
and dehydration [1,2]. Prolonged intubation can lead to serious
consequences, while even a short tracheal intubation period of one
hour can cause extensive damage to the tracheal and laryngeal
epithelium. Although POST is usually a self-limiting condition that
resolves within 12-24 hours, its prevention is important to reduce
[3] hospital stay and improve patient satisfaction.
A RARE AND LIFE-THREATENING CASE OF A TEENAGER WITH TYPE 1 DIABETES AND HYPOTHYROIDISM PRESENTING WITH CELIAC CRISIS ALONG WITH BEHAVIORAL DISTURBANCES.
Authors: Mandapalli Ramya
Published: May 2024

I report a case of celiac disease which progressed to celiac crisis in a 18 year old boy with type 1 diabetes, hypothyroidism, autism, schizophrenia
along with behavioral disturbances. Coeliac crisis is a serious and life-threatening complication with ndings of ECG changes due to electrolyte
imbalance, diarrhea, weight loss, severe dehydration, neurological symptoms, raised creatinine, metabolic acidosis, hypoalbuminemia. Higher
incidence of coeliac disease associated with human leucocyte antigen HLA-DQ2 and HLA-DQ8. Celiac disease was conrmed with the help of
duodenal biopsy and patent started with TPN and advised gluten and lactose free diet. Patent condition improved slowly and was discharged after
he achieved his baseline status.
CLINICOPATHOLOGICAL FACTORS AND THEIR PROGNOSTIC IMPORTANCE IN EWING SARCOMA: AN INSTITUTIONAL STUDY
Authors: Vissa Shanthi , Vulava Siva Kumar , Nandyala Rukmangadha , Mounika Burla Rama , Rao Guthi Visweswara
Published: May 2024

Background: Ewing sarcoma family of tumors are aggressive tumors with small round cell morphology constituting 6% to 8% of primary bone
tumors occuring in children and young adults. Aims: Study aims to identify the differences in the clinicopathological features and their prognostic
importance in patients with skeletal and extraskeletal Ewing sarcoma Methodology: A retrospective hospital based study was carried out in the
department of pathology from January 2015 to June 2023 after getting approval from institutional committee. Clinic pathological data of Ewing
sarcoma cases were collected from hospital records and analyzed. Results: our study included 37 cases of Ewings sarcoma. Out of which
maximum were skeletal and showed male predominance. Skeletal Ewings were seen more in at bones and extraskeletal in thigh. Maximum
number of tumors were seen in the age group below 20years and were of size more than 5cms. Metastasis was seen in maximum number of
extraskeletal ewings, with tumor size larger than 5cms and in patients with age group less than 20 years. Conclusion: Extra skeletal Ewing
sarcoma, male sex, age less than 20 years, size more than 5cms were associated with worse prognosis.
PREVALENCE OF MUSCULOSKELETAL DYSFUNCTION DUE TO BACKPACKS IN STUDENTS WITH UPPER CROSS SYNDROME
Authors: N Shaikh Bushra , Shah Drashti , Kumar Arvind
Published: May 2024

Background: Increasing rate of musculoskeletal dysfunction due to backpack is matter of concern. Prevalence varies regionally as it depends on
many variables. Heavy backpack is one of the important underlying causes. Adolescent spine is in the critical stage of development in the age group
of 07-15 years. This study was carried out to decide regional cutoffs of heavy relative weights of backpacks in male and female children.
Methodology: For this survey, a sample of students from Ahmedabad's New Education School was used. Every student who satises the inclusion
requirements is welcome to take part in the research. Through the semi-structured questionnaire, the data were collected. The length of the trip, the
type of vehicle, and the distance traveled, the posture taken while traveling, and the level of pain were all mentioned in the questionnaires. Every
outcome that was measured was obtained at baseline. NDI, SPADI & NPRS. In present study we found th Result: at from total 60 students 34
students shows highest upper cross syndrome and students with upper cross syndrome were having mean pain score of NPRS 4.52±2.18 and
disability as per NDI & SPADI as 50.79 &51.28.overall prevalence of musculoskeletal dysfunction is 55.66%. Majority of the Conclusions:
School going students are exposed to the risk of adopting poor postures which can lead to musculoskeletal dysfunction. The results of this study
suggesting the importance of postural awareness among school going students.
Beneficial AGI: Care and Collaboration Are All You Need
Authors: Goertzel Zarathustra Amadeus
Published: May 2024

This position paper conjectures that for beneficial AGI, it is necessary
and sufficient for AGI systems to care about people and to employ goals
whose success is collaboratively determined by the others involved in
the situation. Moreover, I posit that any goal whose success can be
determined without the consensual feedback of those concerned is likely
to lead to the manifestation of dark factor traits. Integrating care
reduces the risk that an AGI will be incentivized to seek harmful
shortcuts to obtaining satisfactory feedback. Employing collaborative
goals reduces the risk that an AGI will optimize for superficial
features of success and proxy goals. Together, these ideas propose a
fundamental shift away from the traditional control-centric AI Safety
strategies. This paradigm not only promotes more beneficial outcomes but
also enables AGIs to learn from and adapt to complex moral landscapes,
thus continuously improving their capacity to contribute positively to
the wellbeing of humans and other sentient beings.
Intracranial Aneurysm Revealing a Primary Open-Angle Glaucoma in Progression: A Case Report from the Albert ROYER National Children's Hospital
Authors: Primael Aloumba Gilius Bertla , Bijou Mitéwu Mbombo , Habsa Kane , Thierry Katendé , Hadj BA El , Marèbe Diatéwa Bénédicte , Josalhène Elongo Tania
Published: May 2024

Glaucoma is the world's second leading cause of blindness. Steadily increasing, the population of those affected is estimated to reach 76 million; its aggravating factors are well known. Being able to be isolated or associated with other pathologies, the discovery of an intracranial aneurysm would not be impossible.
Could Sudden Unilateral Sensorineural Hearing Loss be the Only Manifestation of COVID-19: Case Report
Authors: Belhaj Najoua , Bencheikh Razika , Benbouzid Mohammed Anass , Houssaini Leila Essakalli
Published: May 2024

Auditory neuritis associated with cochleitis has already been described in viral damage; Several mechanisms are mentioned; either indirectly by an antibody response that cross-reacts with an inner ear antigen, or directly by an invasion of the cochlear nerve or anterior labyrinth. Non-specific symptoms such as SSNHL might be the only sign to recognize COVID-19 cases. The aim of this article is to report case of 35 year old man; who presented sudden unilateral deafness as the only symptom of SARS covid 19.
A Rare Case of an Isolated Intra-Thoracic Meningocele: Case Report and Review of the Literature
Authors: Loukili H. , Outaghyame S. , Ahmanna C. , Zouita B. , Basraoui D. , Jalal H.
Published: May 2024

A spinal meningocele is a saccular protrusion of the meninges through a dilated intervertebral foramen or a bony defect of the vertebral column. Intrathoracic meningocele is a rare condition. Only a few cases were related in the literature. It is usually associated with neurofibromatosis type 1. Isolated intrathoracic meningoceles without neurofibromatosis is a very rare entity few cases have been reported in the medical literature. Regardless of the treatment plan cross-sectional imaging techniques such as CT and MRI are essential not only for the diagnosis but also to determine the relationship to the surrounding structures and the exclusion of other neuromas and any skeletal deformities. Surgical excision is the treatment of choice in symptomatic patients.
Simple Lateral Elbow Dislocation: A Case Report
Authors: Omar Aguenaou , Baidriss Yahya , MR Fekhaoui , RA Bassir , M Boufettal , J Mekaoui , M Kharmaz , MO Lamrani , MS Berrada
Published: May 2024

Elbow dislocations, particularly posterior dislocations, are common injuries, while simple lateral dislocations are rare but can present with significant neurovascular complications, posing challenges to closed reduction. We present a case of a 52-year-old man with a lateral elbow dislocation following a fall, successfully managed with a nonoperative reduction technique and early physiotherapy to prevent joint stiffness. Initial examination revealed characteristic findings, confirmed by radiographs. Closed reduction under sedation was achieved using fluoroscopy guidance, with subsequent stability testing revealing ligamentous injuries. Immobilization and progressive physiotherapy led to satisfactory outcomes, with restored range of motion and resolution of symptoms. Literature review highlights the rarity of lateral elbow dislocations and the importance of prompt intervention and rehabilitation for optimal recovery, emphasizing the need for further understanding and management strategies in such cases.
Palliative Care at the University Hospital Center Mohammed VI of Marrakech: Activity Report
Authors: Ghita Hadraoui , Rokkaya Iharti , Mohamed Berkaoui , Oumayma Bounid , Tarik Igarramen , Berkich S. , Oumghar N. , Darfaoui M. , Omrani A. El , Khouchani M.
Published: May 2024

Palliative care is an active, continuous, evolving care, coordinated and practiced by a multidisciplinary team. Palliative care is aimed at people suffering from serious, progressive, life-threatening illnesses whose progression to the advanced and terminal stages exceeds current therapeutic resources. This study is an activity report of the palliative care department at the University Hospital Center Mohammed VI, its aim is to prepare the inventory, raise the main constraints and suggestions for management. They are multiple, varied and located at several levels of the supported. They mainly relate to the human and material resources made available to the service and organizational order. These constraints constitute real opportunities for improvement which must call on all those responsible involved or concerned by cancerous pathology in order to to improve service performance.
Stercoral Peritonitis Revealing Abdominal Tuberculosis in an Infant: A Case Report
Authors: Kirami S. , Hebbezni A. , Dahman H. , Ahmanna H. Ch. , Zouita B. , Basraoui D. , Jalal H.
Published: May 2024

While relatively uncommon in children, abdominal tuberculosis should be considered in the presence of an insidious symptomatology marked by prolonged fever and gastrointestinal disturbances. Ultrasound or CT imaging can assist in guiding diagnosis and prelevements. histopathological confirmation is usually required to establish a definitive diagnosis.
Immature Ovarian Teratoma: A Case Report
Authors: Labdellaoui S. , Sidki S. , Kaddouri H. , Bourhafour M. , Belhouari M. , Hatim G. , Chekrine T. , Bouchbika Z. , Benchakroun N. , Jouhadi H. , Tawfiq N. , Sehraoui S.
Published: May 2024

We report the case of a 21-year-old single woman who presented with a high-grade immature teratoma revealed by a progressive increase in abdominal circumference, operated on immediately, and in whom we opted for active surveillance instead of adjuvant chemotherapy, Through this observation and the review of the literature, we will be able to discuss and discover what an immature teratoma is and mainly see the indications for adjuvant chemotherapy in high-grade cases, the type of chemotherapy and the modalities of active surveillance.
Renal Laceration Management: A Case Report
Authors: Ali Rizvan , Anjum Muhammad Umair
Published: May 2024

Renal lacerations are infrequent but significant injuries that necessitate immediate and proper treatment to avoid complications including bleeding and renal failure. We report a case of a male patient, aged 15, who experienced a kidney laceration due to forceful abdominal trauma. The patient was successfully treated using a combination of conservative methods and surgery, leading to a successful outcome. This example underscores the significance of prompt identification, suitable imaging studies, and quick action in treating kidney lacerations.
Role of Osteopontin and NGAL in Differential Diagnosis of Acute Exacerbations of COPD and Pneumonia
Authors: Günaydın Selda , Özlü Tevfik , Özsu Savaş Sedat , Örem Asım
Published: May 2024

Objective: Chronic Obstructive Pulmonary Diesase (COPD) is an inflammatory lung disease that progresses with attacks. Pneumonia is an infectious lung disease that progresses with lung infiltrations. Osteopontin (OP) is a cytokine which participates in inflammation. Neutrophil Gelatinase Associated Lipocalin (NGAL) is an antimicrobial peptide with neutrophil activation and antibacterial properties. In this study, serum OP and NGAL levels were assayed in COPD exacerbation, stabile COPD and pneumonia. The aim of our study is to assess the importance of NGAL and OP levels as biomarkers in the differential diagnosis of COPD and pneumonia.
Material and Methods: One hundred twenty consecutive patients who were admitted to our department between May 2011 and August 2013 were included in the study. Serum OP and NGAL levels were measured with ELISA method within 24 hours following the determination of diagnosis. COPD acute exacerbation (AE-COPD) group was comprised of 95 patients (87 male and mean age 69.0±10.6), and the pneumonia group was comprised of 25 patients (16 male and mean age 57.5±22.9). Serum OP and NGAL levels of the patients in the AE-COPD group were re-measured within 30-45 days following acute exacerbation in stabile period.
Results: Serum OP levels were higher in the pneumonia group compared to the AE-COPD group (93.47 ng/ml vs 53.10 ng/ml; p<0.001). Multivariate regression analyses indicated that OP levels to be >84 ng/ml is an independent predictor that increases risk for pneumonia more than 8-fold (95% CI, 2.43-26.59). Sensitivity and specificity of OP in the differentiation of pneumonias from AE-COPD were determined to 80% and 92%, respectively. Serum NGAL levels also increased as COPD severity increased and was found to be statistically significant (p: 0.032).
Conclusion: It has been indicated that serum osteopontin level can be an independent predictor in differentiating COPD exacerbation from pneumonia. Additionally, as COPD severity (stage) increases, serum NGAL levels also increase, which may be helpful in assessing the severity of COPD.
Latest Pharmaceutical Development of Imeglimin Electrospinning Nanofibers for Diabetic Treatment
Authors: Bando Hiroshi , Ogawa Hiroko , Bando Masahiro
Published: May 2024

Among oral hypoglycemic agents (OHAs), imeglimin (Twymeeg) has been evaluated in clinical practice with Trials of Imeglimin for Efficacy and Safety (TIMES) 1-3 international studies. However, its gastrointestinal adverse effect (GIAE) would be an actual problem. Recently, imeglimin electrospinning nanofibers have been reported as a potential buccal antidiabetic therapeutic approach, which shows absorption not via the gastrointestinal (GI) tract. Imeglimin nanofibers have a diameter of 361 ± 54 nm and a drug-loading (DL) of 23.5 ± 0.2 μg/mg of fibers. The solid nanofibers disintegration takes only 2 ± 1 seconds. This novel medicine is expected to lead to optimal therapeutic outcomes with better patient compliance.
Developing Research for Five Subtypes of Diabetes with Specific Characteristics
Authors: Bando Hiroshi
Published: May 2024

Recently, sub-classifications for adult-onset diabetes have been presented based on cluster analysis. There are 5 exclusive subtypes, with clusters ranging from 1 to 5: severe autoimmune diabetes (SAID), severe insulin-deficient diabetes (SIDD), severe insulin-resistant diabetes (SIRD), mild obesity-related diabetes (MOD), and mild age-related diabetes (MARD), respectively. The related variables known include GAD antibody, age at diagnosis, BMI, HbA1c, and HOMA2-B and HOMA2-IR. From the Outcome Reduction with an Initial Glargine Intervention (ORIGIN) trial, the numerical numbers of the 5 subtypes are 241-1594-914-1595-2673, respectively. The prevalence percentages for the 5 subtypes in 3 countries are as follows: Japan: 5.4-19.0-7.2-28.9-39.5, Germany: 22.0-3.0-11.0-29.0-35.0, and Finland: 9.9-8.9-11.2-22.8-47.3, respectively.
Latest Standard Guideline of Physical Activity and Exercise Guide for Health Promotion
Authors: Bando Hiroshi
Published: May 2024

The latest “Physical Activity and Exercise Guide for Health Promotion 2023” was published in January 2024 by the Ministry of Health, Labor, and Welfare (MHLW) in Japan. Adequate comments were found for some groups, which include age-related differences, various diseases, and working people. The elderly are recommended to have 15 METs of exercise per week, 6,000 walking steps a day, and multi-element exercise >3 days/week such as strength training (ST), balance, and flexibility. Furthermore, this guideline presented key points for safety in three steps: precautions before exercise, understanding symptoms and risk classification, and evaluation of physical activity status.
PlGF Levels and Blood Pressure in Pregnant Women with Hypertension
Authors: Simanjuntak Veronica , Runjati Runjati , Suharsono Suharsono , Arwani Arwani
Published: May 2024

Hypertension in pregnancy is one of the causes of morbidity and mortality in mothers and babies. PlGF has been shown to be associated with the diagnosis of hypertensive disorders in pregnancy. Pregnant women with hypertension are characterized by reduced circulating PlGF levels, even before clinical signs and symptoms. A decrease in the amount of PlGF is positively correlated with the severity of disease progression This study aimed to analyze the relationship between PlGF levels and blood pressure in pregnant women with hypertension. Observational analytic with cross sectional study design.  Sampling was total sampling. The number of subject were 34 peoples. The results showed that there was no significant correlation between PlGF levels and blood pressure in pregnant women with hypertension. PlGF levels have no relationship with blood pressure.