bluuebunny/crossref_metadata_2025 huggingface dataset:
MODEL PENGUKURAN AGRESI MAHASISWA DI BANDUNG
Authors: Hadiana Hidayat Yudi , Ummi Saadah , Fadillah Yasmin , Rismayanti Silvia , Joehary Akbar Ilmi , Sofa Sibrina Syahla , Niti Rahayu Tiara
Published: December 2023

Penelitian ini bertujuan untuk membuat alat ukur Agresi pada mahasiswa sebagai salah satu bentuk respon atas maraknya berbagai kasus kekerasan fisik dan lainnya. Konsep agresi yang digunakan berasal dari Buss dan Perry (1992), perilaku agresif adalah perilaku atau kecenderungan perilaku yang berniat untuk menyakiti orang lain, baik secara fisik maupun psikologis untuk mengekspresikan perasaan negatifnya sehingga dapat mencapai tujuan yang diinginkan. Pendekatan alat ukur yang digunakan adalah pendekatan modifikasi. Jumlah sampel dalam penelitian ini berjumlah 212 subjek yang dipilih menggunakan purposive sampling. Analisis dan uji validasi menggunakan Partial Least Square (PLS) dengan metode outer dan inner model. Dari 34 aitem yang diukur, terdapat lima aitem yang gugur dalam pengujian, yakni dimensi meaning. Empat dimensi lainya, sehingga tersisa 29 item yang valid dan reliabel berdasarkan uji Partial Least Square (PLS) dan cronbach alpha. Alat ukur yang dikembangkan ini dapat digunakan kembali untuk penelitian selanjutnya
Kajian Literatur: Dampak Pembelajaran Daring Terhadap Kemandirian Belajar Pada Pelajaran Matematika di Masa Pandemi COVID-19
Authors: Faddlliyah Faddlliyah , Gusti Utari Akhir
Published: December 2023

Pendidikan merupakan hak yang harus didapatkan oleh semua orang. Namun, tantangan utama yang dihadapi dunia pendidikan saai ini adalah sejauh mana dapat mengenali dan mengatasi berbagai macam kebutuhan seluruh populasi peserta didik, tidak terkecuali bagi mereka yang berkebutuhan khusus. Peserta didik yang tergolong berkebutuhan khusus memperoleh hak yang sama dengan setiap warga negara lainnya. Maka dari itu, pemerintah menginisasi program Pendidikan Inklusif sebagai solusi terhadap kecemasan tentang suatu kelompok ini sehingga menjadi upaya yang difokuskan untuk mengatasi hambatan untuk belajar dan berpartisipasi. Pendekatan yang digunakan sekolah dengan Kurikulum Alam di Kabupaten Bogor terdiri dari pendekatan dari Kepala Sekolah, Pendidik dan terutama orang tua. Ketiganya memiliki pengaruh yang kuat terhadap perkembangan anak ABK. Dunia pendidikan diharapkan tidak hanya fokus pada pendidikan biasa, juga seharusnya pada inisiatif terhadap kurikulum yang relevan dengan kebutuhan masyarakat dan menawarkan kesempatan yang lebih luas.
MEMBANGUN MASA DEPAN PENDIDIKAN INDONESIA : PROSPEK KURIKULUM MERDEKA
Authors: Nurholiyah Isye Legita , Indri Herliani Eneng , Rifki Muhamad , Mulkiyah Mulkiyah , Jasmine Maulana Mutiara , Azzahra Salwa , Ratna Sonya Endah
Published: December 2023

Indonesia telah menerapkan Kurikulum Merdeka, kerangka kurikuler baru yang dirancang untuk memulihkan kehilangan pembelajaran akibat pandemi COVID-19 dan meningkatkan standar pendidikan. Kurikulum dibuat dengan struktur yang lebih fleksibel yang menekankan pada pengembangan karakter dan mata pelajaran yang diperlukan. Tiga kategori kegiatan pembelajaran yang termasuk dalam Kurikulum Merdeka: pembelajaran ekstrakurikuler, intrakurikuler, dan pengabdian masyarakat. Desain penelitian kualitatif jenis library research digunakan dalam penelitian ini. Desain penelitian kualitatif jenis library research adalah penelitian yang dilaksanakan dengan cara menggunakan studi kepustakaan (literature) yaitu meliputi jurnal penelitian ilmiah, buku, catatan maupun laporan hasil penelitian yang telah dilakukan oleh peneliti terdahulu. Pandemi Covid-19 di Indonesia telah menyebabkan perubahan signifikan di beberapa sektor, sektor pendidikan yang paling terkena dampaknya, Melihat situasi saat ini, Kemendikbudristek bersedia melakukan kelanjutan program pendidikan. Salah satu langkah yang dilakukan untuk mengatasi permasalahan tersebut adalah dengan mengganti nama kurikulum menjadi “Kurikulum Merdeka”. Kurikulum Merdeka merupakan kurikulum yang mencakup berbagai macam kegiatan pembelajaran intrakurikuler. Adapun implementasi kurikulum merdeka. Dalam Implementasi kurikulum Merdeka tentunya tidak serta merta langsung diterapkan secara langsung. Awal mula dicanangkannya kurikulum Merdeka yaitu sesuai kebijakan yang dikeluarkan oleh Permendikbud No 3 Tahun 2020 tentang Standar Pendidikan nasional Pendidikan Tinggi. Kurikulum merdeka belajar adalah kurikulum yang memberikan kebebasan kepada guru dalam menetukan perangkat ajar yang sesuai dengan dengan kebutuhan dan minta belajar siswa. Implementasi dari kurikulum merdeka tidak terlepas dari berbagai macam tantangan diantara nya yang sudah dijelaskan yaitu, tantangan kesiapan sumber daya tenaga pengajar atau guru dan juga, tantangan kesiapan instansi pendidik, tantangan dalam menguatkan jaringan komunikasi, dan juga tantangan dalan menjalankan fungsi asesmen pembelajaran
PENERAPAN MODEL PEMBELAJARAN INKUIRY PADA SISWA DALAM MENINGKATAN KEAKTIFAN BELAJAR SISWA DI KELAS IV SDN 90 SELUMA
Authors: Adning Muhammad , Aristi Silpiana , Ajmal Ch Muhammad
Published: December 2023

Selection of the right learning model can create a learning atmosphere that is in accordance with the learning objectives. Inquiry-based learning is a process in which students engage in their learning, formulate questions, investigate extensively and then construct new understandings, meanings and knowledge. Classroom Action Research Method (CAR) conducted in two cycles. The results of cycle I PTK showed that the average value of pre-cycle student learning activeness in the active criteria of 12.5% ​​increased to 37.5%. The results of Cycle II CAR showed that the average value increased rapidly after Cycle II, which was 62.50%. This proves that there is an increase in the value of student learning outcomes and student learning activeness. The average value of pre-cycle student learning outcomes by 50% increased to 70%. The average value of pre-cycle student activity was 63.33%, increasing to 72.5%. Based on the results of the pre-cycle and cycle 1 comparisons, it was concluded that the value of cycle I still did not meet the KKM value, so the researchers conducted cycle II PTK.
The Effect of setting up an Irish boarding school on the rights of Adolescence
Authors: Asror Khozinatul , Subandi Subandi , Jaenullah Jaenullah , Bahri Moh Syaiful
Published: December 2023

Islamic boarding school institutions grow entirely based on religious motivation. Then, it was further developed to make efforts to broadcast and practice spiritual teachings more effective. The influence and role of Islamic boarding schools on community life are very large, including in developing youth in the community. The community hopes that the Islamic boarding school environment can influence the morals of its teenagers so that Muslim teenagers can be created morally glorious, so the role of cottage boarding school is very important to make it happen. Objective This research was conducted to describe and analyse understanding, habituation and the impact of fostering the Islamic boarding school environment on the moral behaviour of youth in SB 6 Seputih Banyak District, Lampung Regency Middle. Study This is a study field (field research) done in SB 6 Seputih Banyak Subdistrict, Central Lampung Regency is related to the impact of fostering the Islamic boarding school environment on youth morals. Researchers, in collecting the data needed as a source of information, use technique observation, interview and documentation. The data obtained, then collected and processed so that can withdraw something conclusion. Based on the results study, it can conclude that Cottage the Darul Ulum Seputih Banyak Islamic Boarding School has played a major role in developing the morals of the youth of SB 6, Seputih Banyak District, Central Lampung Regency. Activities that have been carried out regularly have been able to shape morals. The child of SB 6 Seputih has gone through much habituation. These activities also have a big impact on the development and formation of moral youth.
Efforts to improve tajwid learning using the An-Nahdliyah method in Diniyah students
Authors: Mubarok M. Zahid , Subandi Mispani , Yusuf Muhammad , Darmayanti Rani
Published: December 2023

The essential ability to read the Koran is critical for children, especially students. The information that the researchers obtained was that most of the students still had difficulty applying knowledge recitation, which he studied at the ustadz at the Darul Ulum Islamic Boarding School in Seputih Banyak. Matter the caused Lots factor Which influences include a lack of motivation to be able to read the Al-Qur'an fluently using correct recitation. In addition, para Students do not believe self And are Afraid of Wrong when they practice recitation in reading Al-Qur'an. The purpose of this research is to describe and analyse efforts to improve PAI learning on the main subject of Tajwid science using the An-Nahdliyah method in class V Ibtidaiyah Islamic boarding school students at the Darul Ulum Islamic Boarding School in Seputih Banyak, Central Lampung. This research is field research conducted on class V Ibtidaiyah Islamic boarding school students at the Darul Ulum Islamic Boarding School in Seputih Banyak, Central Lampung, in connection with efforts to improve PAI learning on the main subject of Tajwid using the An-Nahdliyah method. Researchers collect the data needed as a source of information using technique observation, interview, And documentation from data obtained, Then collected and processed so that a conclusion can be drawn. Based on the research results, it can be concluded that the method is fast responsive An-Nahdliyah, Which is applied in Madrasah Diniyah method An-Nahdliyah for the moment. This can overcome the difficulties of students and able to improve their ability to use the science of recitation, especially students of class V Madrasah Diniyah. Even though some students still experience difficulties applying the knowledge of recitation, the teachers continue to guide the children until they are fluent. The An-Nahdliyah method is an alternative method for dealing with children who have difficulty applying the science of tajwid by listening to and explaining to the child the mistakes they have experienced and correcting the reading.
Student learning outcomes will "improve" when using counting box media. How significant is the impact of this media?
Authors: Darmayanti Rani , Fikri Miftahul , Rahman Md Anisur
Published: December 2023

The challenges of 21st-century education require students to be proficient in learning, digitally literate and have a strong character. As the learning process is still teacher-centered, with the lecture method predominating, students require additional motivation. When delivering educational content, students must demonstrate zeal and pose more questions. Counting box media is anticipated to be a substitute for instilling character through problems that students must be able to solve when learning mathematics counting. The author attempted to implement counting box media to enhance the mathematics learning outcomes of MI students because it aids and facilitates counting. The counting box learning media is a box made of thick cardboard with essential tools and materials added to it. This study utilized the experimental design method with a Pretest-Posttest Control design and Cluster Random Sampling technique. The data collection method utilized in this study is learning outcomes exams. For processing data with SPSS 16. Tests hypotheses using the Paired Samples Test. This investigation yielded exciting findings. In addition to influencing student learning outcomes, counting box media can also help instill character in madrasa students. The characteristics and characteristics of these characters will be discussed in this article.
Islamic content-based learning: Kindergarten illustrated narrative song "Lulu and Tom"
Authors: Suharsiwi Suharsiwi , Lestari Juwita Tri , Karim Samuel
Published: December 2023

Music education during early life is crucial and has beneficial impacts on the development and maturation of children during this formative period. Music profoundly impacts young children as it fosters their cognitive capacities, language proficiency, motor skills, and imaginative thinking. Teachers must cultivate kids' gross motor abilities by providing opportunities for them to engage in movement activities and songs. This will enable children to experience movement and directly enhance their overall movement proficiency. This research aims to create songs inspired by Islamic illustrated stories that have been demonstrated to be valid and practical. The utilized development model is 4D, incorporating a Tessmer formative evaluation approach that encompasses needs analysis, product design, and assessment stages. The evaluation stages involve self-evaluation, expert review, one-to-one evaluation, and small-group evaluation. The data analysis technique employs walkthroughs, observations, and checklists. The research findings indicate that the average product and media validity is very valid. Three children were assessed individually during the one-to-one evaluation stage, whereas nine children were assessed together during the small group evaluation stage. The averages for the convenient category were derived from both stages. A practical method to cultivate a joyful ambiance during recreational pursuits is to engage in the auditory experience of music and singing. Songs can enhance children's language development, making the learning process easier. Thus, developing songs based on Islamic illustrated stories is pronounced valid, practical, and fit for use.
How applicable are the KuMo and FiC as teaching tools for mathematics content?
Authors: Fikri Miftahul , Darmayanti Rani , Hussain Nazar
Published: December 2023

The module operation still seems essential, and not all students are motivated to learn it. In this case, the teaching materials and the learning model are the benchmark for student success in learning. The Plomp development model is used to build mathematics modules. This module is inspired by teaching materials that can be more diverse and interesting. The aim of developing a mathematics module based on comparative fiqh comic material using the Kumon model is to determine the development process and effectiveness of use based on feasibility test requirements, as well as student responses to the development of a mathematics comic module for comparative learning for junior high school students at YALC Pasuruan. The research results on the development of the mathematics comic module show that the module development process consisting of a preliminary research stage, a prototyping search stage, and an evaluation stage of its application to learning comparative material is feasible and valid for use—student responses showing excellence. However, the Kumon module media based on fiqh comics has yet to maximize students’ understanding of concepts as measured by their mathematical abilities.
Sternal Wound Complications of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries
Authors: Manapat Adrian , Bautista Eduardo , Concejero Allan Danta
Published: December 2023

The use of bilateral internal mammary arteries (BIMA) in coronary artery bypass grafting (CABG) confers greater freedom from myocardial infarction, angina recurrence, repeat intervention and survival benefit. The main disadvantage of BIMA use is the risk of sternal dehiscence and deep sternal infection from ischemia. This has been challenged over the years. The objectives of this descriptive study were: to determine the frequency of patients who developed sternal wound complications, and describe the sternal complications seen, their treatment and duration. A secondary objective of this study was to determine factors associated with increased risk of sternal wound morbidity. Methods: Forty-five (45) patients who underwent CABG using BIMA as performed by the authors in 3 medical centers from January 2007 until May 2012 were included. The preoperative and postoperative characteristics and outcome were recorded. Results: The mean age was 53.2 years (range: 37-71). All except one patient were males. No patient developed sternal dehiscence or deep sternal infection – 0/45. Eight patients (17.8%) developed minor sternal wound morbidities. These morbidities included skin dehiscence, superficial sternal wound infection and foreign body granuloma. All the sternal wound morbidities were treated as outpatients and majority resolved within the first postoperative month. Multiple logistic regression analysis showed that diabetes mellitus was a risk factor for minor sternal wound morbidity with an adjusted odds ratio of 11.4 (95% CI: 1.4 – 96.1). Conclusion: The use of BIMA during CABG was not associated with sternal wound dehiscence or mediastinitis. Diabetes mellitus was a risk factor for minor sternal wound morbidity Key words: Coronary artery bypass, internal mammary – coronary, anastomosis, complication, surgical wound infection, diabetes
Langerhans Cell Histiocystosis Presenting As A Scalp Abscess: A Case Report
Authors: Gannaban Rocelyn Ann , Calimag Placido , Zapanta Zara
Published: December 2023

Langerhans cell histiocytosis is a proliferative histiocytic disorder of unknown cause originating from dendritic cells. Its diagnosis requires a high index of suspicion, tissue sampling, and special staining. The authors report a case of Langerhans’ cell histiocytosis in a 2-year-old girl, presenting as a scalp abscess and diffuse dermatitis. Further evaluation revealed osteolytic changes of the cranium with biopsy showing malignant cells. Wide excision of the scalp mass was done and reconstructed with a scalp flap. She was managed postoperatively with systemic chemotherapy and is presently without any symptoms. Due to the diverse manifestations and the possibility of multisystem involvement, a thorough evaluation of a diagnosed patient is necessary for appropriate treatment. Key words: Langerhans cell histiocytosis, scalp
Local Versus Spinal Anesthesia in Lichtenstein Mesh Technique for Inguinal Hernia Repair in Ambulatory Patients: A Randomized Controlled Trial
Authors: Delos Reyes Louis Anthony , Elises Axel , Albaño Daniel , Espiritu-Quiza Fidelis
Published: December 2023

Objective: This study aimed to determine whether Lichtenstein mesh Technique under local anesthesia results in better patient outcomes when compared with repair under spinal anesthesia. Methods: Patients > 18 years old, with primary, unilateral inguinal hernia handled between January 2008 to July 2010, and who fulfilled the specific inclusion criteria were enrolled. They were randomly assigned to either local anesthesia (LA), or, the spinal anesthesia (SA) groups. Outcome variables monitored included: total operative time, postoperative pain from days 1-7, complications, number of analgesic doses, and, time interval from surgery to resumption of routine occupational and sexual activities. Results: There were 101 patients (98 males and 3 female) LA group included 54 patients (52.5%) while the SA group, 48 patients (47.5%). Patients in LA group are younger in age but this is of no statistical significance (P=0.07). Significant differences between the two groups included: presence of urinary retention and more postoperative analgesia required within the first 24 hours among SA patients. Overall, LA group had less postoperative pain, fewer complications, and faster recovery with early resumption of occupational and sexual activities. Conclusion: This study offers significant evidence to prove that local anesthesia is a safe, cost-effective and practical alternative to spinal anesthesia for fast-track ambulatory inguinal hernia repair. Key words: inguinal hernia, lichtenstein mesh repair, local anesthesia, spinal anesthesia
A Randomized Controlled Clinical Trial Comparing the Outcomes of Circumferential Subcuticular Wound Approximation (CSWA) with Conventional Wound Closure After Stoma Reversal: An Interim Report
Authors: Melendres Mark Francis , Lopez Marc Paul , Roxas Manuel Francisco , Monroy Hermogenes , Crisostomo Armando
Published: December 2023

The creation of a stoma is commonplace in colorectal surgery. Circumferential subcuticular wound approximation (CSWA) is a method of wound closure following stoma reversal proposed by Milanchi, et al. It has been reported to result in decreased wound infection rates and more desirable aesthetic outcomes. The authors aimed to determine the effectiveness of the CSWA method, in terms decreasing wound infection, and cosmesis by comparing the technique with the conventional method of wound closure. Methods: All adult patients who presented for stoma reversal at the outpatient clinic of the Division of Colorectal Surgery at the University of the Philippines-Philippine General Hospital (UP-PGH) were randomized into two groups, CSWA and conventional, and their stomas cloud accordingly. Patients were followed up for one month, with photographic documentation of wound appearance and estimation of wound infections and complications. Patients were asked to complete a satisfaction survey at the end of the follow-up period. Results: Sixty-two patients have been recruited since the start of the study, representing more than one-third of the computed sample size. Fifty-six patients were able to complete the one-month follow-up. No wound infection was documented for the CSWA arm, while 3 (11.11%) patients had a wound infection in the conventional arm (P=0.1055). Patients in the CSWA group had a higher overall satisfaction score (25.3 vs 23.6), but this did not carry statistical significance (P = 0.0749). Conclusion: Performing the CSWA method resulted in a lower wound infection rate as compared to the conventional method of wound closure after stoma reversal. Patients who underwent CSWA were found to be more satisfied with the appearance of their wound. These initial results show that the CSWA method remains a viable option in wound closure after stoma reversal. Conclusions: The level of awareness about the PCS Thyroid Guidelines needs to be improved. The dissemination process needs to be reviewed and ensure that all stakeholders will be reached. Key words: wound infection, ileostomy closure, colostomy closure, circumferential subcuticular wound approximation
Locally Produced Microbial Cellulose Dressing from Acetobacter xylinum Compared with Silver Sulfadiazine Cream for Patients with Acute Superficial Partial Thickness Burn Wounds: A Randomized Controlled Trial
Authors: Lizardo Jesus , Cruz Jose Joven
Published: December 2023

Objective: To compare the efficacy and safety of microbial cellulose (MCD) dressing from Acetobacter xylinum in promoting healing of superficial partial thickness burn wounds to standard dressing using silver sulfadiazine (SSD) cream and gauze in terms of the following: time to healing, pain score, scarring and infection rate. Population: Subjects included patients seen at the ATR Burn Center UP-PGH from February 2008 to December 2010. Patients were 18- 50 years of age with<40% TBSA, acutely injured (≤ 48 hours) and with no uncontrolled medical condition. Pregnant patients were excluded. Methods: Each subject served as his own control, wherein burn wounds were randomized into 2 types of wound dressing. Wounds were assessed by a lone plastic surgeon blinded to all treatments. Results: Forty-five patients who fulfilled the inclusion criteria were seen and treated at the ATR Burn Center of the UP-PGH. Wounds dressed with MCD healed more rapidly compared to those dressed with SSD. The mean healing days were 8.51 and 12.07 for MC and SSD (P<0.05). Only 29 subjects were able to return on the 30th post burn day for assessment of scarring. Conclusion: Locally produced MCD is more efficacious compared to SSD in the treatment of SPT burns in terms faster healing and lower VAS scores. Key words: superficial partial thickness burn, Acetobacter xylinum
A Prospective Study on the Quality of Life After Palliative Surgery for Patients with Advanced Breast or Gastrointestinal Malignancies
Authors: Tagab Herbert , Siguan Stephen Sixto , Baking-Fernandez Saleshe Tracy Anne
Published: December 2023

Objective: To evaluate the quality of life (QoL) after palliative surgery of patients with advanced breast or gastrointestinal malignancies Methods: Quality of Life (QoL) of 32 patients with advanced breast or gastrointestinal cancer (Stage IIIB up to Stage IV) was evaluated before surgery (baseline), then 7 and 30 days after surgery using the Medical Outcomes Study Short form (SF-36v2™ Questionnaire). Statistical significance of the difference in outcomes was tested using the two-tailed T-test at 95% CI. Results: Preoperatively, the patients scored poorly (scores below the average mean of 50) in all 8 subscales of the SF-36v2™. Seven days after a palliative surgery, patients showed significant improvement in all subscales except Vitality and Social Functioning. The patients experienced statistically significant changes in quality of life subscale scores on Physical Functioning, Role-Physical, Bodily Pain, General Health, Role Emotional, and Mental Health after surgery. A significant change in all subscales occurred 30 days after surgery compared to the baseline and 7 days post-op. Conclusions: While patients with advanced malignancy experienced problems with quality of life preoperatively, they improved postoperatively but not to the level of a normal person. Key words: quality of life, advanced breast cancer, advanced gastrointestinal malignancy
A Five -Year Retrospective Study of the Demographic Distribution, Clinical Profile and Treatment of Patients with Foreign Body Injections to the Breast Seen By the Division of Plastic Surgery at the Philippine General Hospital
Authors: Baluyut-Angeles Kathrina Victoria , Arcilla Eric Perpetuo
Published: December 2023

Objectives: To describe the demographic distribution of patients who had foreign body injections to the breast who were seen by the Division of Plastic Surgery in the past 5 years. To determine the number of cases of patients with foreign body injection to the breast seen by the Division of Plastic Surgery from January 2004- August 2009. To determine the demographic distribution of patients who have had foreign body injections to the breast with regard to age, occupation, and socioeconomic status. To describe the clinical profile of cases. To review the present management procedures for the treatment of foreign body injections to the breast. Methods: This is a retrospective study on patients seen by the Division of Plastic Surgery of the Philippine General Hospital from January 2004 to August 2009 who were seen for complications from foreign body injections to the breast. Cases were identified by querying the electronic patient registry of the Department of Surgery (ISIS). A review of the records was done. The following information was retrieved from each case: age, occupation, socioeconomic status, clinical presentation and treatment done in these patients. Results: Thirty-six female patients both private and charity were seen by the Division of Plastic Surgery of the Philippine General Hospital from January 2004 to August 2009. The incidence of foreign body injections to the breast was most common in young females 25-35, who were entertainers (72.2%). Forty-four breasts presented with changes that were classified under Type II of the Ueno classification (firm induration with or without pain) seen between 6-15 years from the time of injection (58.3%). Majority of the patients (27 patients, 75%) did not know the volume that was injected. Only 25% of the women had knowledge of the volume injected, 6 patients (16.7%) received injections ranging from 160-300cc, 2 patients (5.6%) received more than 300cc. Twenty-four patients were seen and treated as private cases and 12 patients were seen and treated as charity cases. Seventy-two breasts were treated mostly with subcutaneous mastectomy with implant or flap reconstruction. Conclusion: Based on the data gathered, most susceptible were young women with occupations wherein an attractive physical appearance would give them an edge or an advantage in their particular career. This is regardless of financial capability. With this, it is important to have a concerted, cooperative effort to stop the practice through public education that can be directed at this population. This will also be a jumpstart point to make large volume foreign body injections to the breast illegal and less accessible in the Philippines. Knowledge of the clinical profile may guide other surgeons to early detection and appropriate treatment. Key words: siliconoma, subcutaneous mastectomy
Validation of the Surgical APGAR Score Among Patients Undergoing Major Surgery at the Chinese General Hospital
Authors: Santos Stewart , Salvador Noruel Gerard , Torillo Maila Rose , Yu Blas Anthony , Kadatuan Yemen
Published: December 2023

Surgery does not have a routine reliable objective evaluation of patient condition after surgery to determine postoperative prognostication and to guide clinical practice. Surgical APGAR score is a 10-point score based on a patient’s intraoperative estimated blood loss, lowest heart rate and lowest mean arterial pressure that can predict major complications 30 days after surgery. Objective: This study sought to validate Surgical APGAR Score in predicting major postoperative complications 30 days after surgery in our hospital setting. Methods: All patients undergoing major general surgery in Chinese General Hospital and Medical Center from March to October 2009 were enrolled. Three intraoperative variables were measured: estimated blood loss (EBL), lowest mean arterial pressure (LMAP) and lowest heart rate (LHR). Based on these 3 variables, Surgical APGAR Scores were obtained. Resulting data were analyzed and the relationship between the scores and the incidence of major complications evaluated. Results: Eighty patients were enrolled in this study. There was a significant association of incidence of major complications and decreasing surgical APGAR score (Fisher’s exact test, P=0.030). With increasing scores, the incidence of major complications decreased monotonically. The optimum cutoff point for Surgical scores was ≤6. At this cutoff point, sensitivity was 80%, specificity was 78.57%, positive predictive value was low at 34.8%, while negative predictive value was high at 96.5%. Conclusion: Results showed that a simple surgical score can be derived from intraoperative data alone that are readily available. It validated that this 10-point scoring system based on estimated blood loss (EBL), lowest mean arterial pressure (LAMP) and lowest heart rate (LHR) can predict group of patients at higher risk of major complications within 30 days of surgery. This system can be a significant tool for prognostication and clinical guide for early intervention of postoperative care in surgery. Key words: estimated blood loss, lowest mean arterial pressure
A Retrospective Study on Common Practices in Post-operative Pain Assessment and Control Among Adult Patients Who Underwent Major/Medium Surgeries at the Cebu Velez General Hospital, January to June 2014
Authors: Kotake Rina , Siguan Stephen Sixto
Published: December 2023

Objective: To describe common practices in pain assessment and control of surgery patients at Cebu Velez General Hospital (CVGH). Methods: Records of adult patients admitted to the Department of Surgery within January to June 2014 were reviewed. Data collected were method of pain monitoring, pain scores and analgesics given on admission, operation done, pain within and beyond 24 hours postoperatively, analgesics given 24 hours post-operatively, and upon discharge. Results: A total of 176 operations were included in this survey. Fifty one percent of the operations were under general surgery. Pain monitoring was done by the surgical clerks. Not one chart had pain monitoring documented in the vital signs monitoring sheets. Thirty two percent had no pain assessment on admission. Among those with pain assessment on admission, 60.5% suffered from significant pain. Tramadol was the most frequent parenteral analgesics given at 80% on admission as well as postoperatively and upon discharge. Tramadol+paracetamol combination was the most prescribed oral analgesics post-operatively. Within 24 hours after surgery, 40.9% of patients had no recorded pain assessments. Half of those patients assessed suffered from significant pain while still in the hospital. Beyond 24 hours post-op, 47.7% had no documented pain assessment. Almost a third of the patients assessed for pain had significant pain. Conclusion: Postoperative pain assessment and control have been poorly addressed among surgical patients from admission to discharge. Tramadol was the most commonly utilized analgesic whether parenteral, oral, monotherapy or in combination with a nonopioid analgesic. Key words: Postoperative pain, pain assessment, tramadol
Appendiceal Duplication
Authors: Nodad Jefferson
Published: December 2023

A case of a 23-year-old male, presenting with signs and symptoms of acute appendicitis is presented. Intra-operative findings consisted of two appendices, both in acute appendicitis, attached to the single cecum. Key words: Vermiform appendix, appendiceal duplication
A Case Report on Ovarian Vein Syndrome
Authors: Lobo Rolley Rey , Sorongon Herman , Quezada Glinard , Caballero Katrina Jo
Published: December 2023

Ovarian vein syndrome is a rare condition of ureteral obstruction secondary to the normal overlying of the ovarian vein. The syndrome’s existence is controversial and only a few cases worldwide had been reported. There are no documented cases in the Philippines. This is a case of a 23-year-old female with ovarian vein syndrome. Presenting with hematuria associated with left flank pain, a dilated collecting system and proximal ureter on the left, with a vessel crossing over the point of obstruction, was documented on computed tomography. Ureterolysis and ligation of the offending ovarian vein were done via a laparoscopic approach. The postoperative course was unremarkable and on four-month out-patient follow-up, patient was symptom free and had a complete resolution of his hydronephrosis. Key words: ovarian vein syndrome
The Strategy of Growing the Rubber Processing Industry Subsector as a Competitive Agro Industry Commodity for the Regional Economy of Jambi Province
Authors: Erfit  , Jaya Kusuma Edy  , Achmad Erni
Published: December 2023

The growth of the processing industrial sector in Jambi province shows a decline, where the contribution of the industrial sector is quite worrying considering that the industrial sector is expected to play a role in encouraging economic growth, alleviating poverty, and creating jobs to reduce the high level of unemployment. Regional industrial development efforts mean that each region has superior commodities that illustrate the region's potential or ability to produce products, create added value, utilize resources, provide employment opportunities, generate income for the community and local government, and have prospects for increasing productivity and investment. The decline in contribution and the relatively small growth of industry must receive special attention from the government to encourage the industry again and prevent deindustrialization Jambi Province is the fourth largest rubber-producing region in the country, after South Sumatra, North Sumatra, and Riau. In 2021, land use in Jambi Province will still be dominated by plantation commodities with a contribution of 21.3 percent. Rubber production in Jambi will be 310 thousand tons in 2021. In 2021, the number of rubber farmers in Jambi Province will be 154,834 people, (National Leading Plantation Statistics, 2019-2021) this research aims to analyze the determinants of growth and development of the rubber processing industry subsector as a competitive agro-industry commodity for the regional economy of Jambi Province and to analyze the competitiveness of the rubber processing industry sub-sector as an agro-industry commodity for the regional economy of Jambi Province and its growth strategy. The analytical tools used to analyze the determinants of growth and development of the rubber processing industry subsector in the Jambi area are the Simultaneous Equation Model, Simple Regression, Revealed Comparative Advantage (RCA), and the Analytical Network Process (ANP) Method
Perceived Academic Stress among TESL Students in Kolej Poly-Tech MARA Ipoh
Authors: Ilias Nurulhayati , Abdul Rahim Nazirul Azwan , Mohd Nawi Siti Noor Azilah , Sairuni Nurul Aini , Mukhtar Ily Athirah , Hassan Basri Nasrah , Ramli Mohamad Shafiq
Published: December 2023

The upcoming generation of leaders, represented by students, plays a crucial role in governing the country. However, their tertiary education life is significantly influenced by academic and social pressures, which can lead to stress. This stress may manifest in severe consequences such as suicidal thoughts, drug addiction, and dropping out of college. Academic stress, arising from factors like lecturers, assignments, and peer interactions, is a key contributor to more profound issues like depression and anxiety. This paper aims to assess the level of academic stress among 421 future holders of a Diploma in TESL Kolej Poly-Tech MARA Ipoh. Survey results were analyzed to gauge stress levels associated with different stressors. The findings indicate that students predominantly experience heightened academic stress linked to outcomes, tests, peer interactions, and self-imposed pressure. These results offer insights for students, educators, and universities to identify and address academic stress issues, with implications for future research.
The Effect of Control on The Prevention of Online Examination Fraud.
Authors: Jamil Azhar Sheikh Muhammad Faris , Azemi Azwanis , Rossli Muhammad Asyraf Haziq , Nadzri Muhammad Syazwan
Published: December 2023

The purpose of this study is to identify the effect of controls and heavy punishment on theprevention of online examination fraud for professional students at one of the universities in Malaysia. The study has listed five potential key factors as follows: (1) identity verification, (2) monitoring, (3) toilet visit procedures, (4) punishment, and (5) embarrassment. The students were given the questionnaire. Correlation and multiple regression analyses were performed on the data collected from the respondent. The results of the analyses have shown that certain controls, such as monitoring and punishment, have a positive impact on the prevention of online examination fraud in the university. Whereas the other controls, which are identity verification, toilet visit procedures, and embarrassment, do not significantly have a positive impact on the prevention of online examination fraud at the university. This study contributes to higher education by providing additional beneficial information that could strengthen their control and also enhance their punishment in preventing the occurrence of online examination fraud. This, in turn, will improve the quality of their graduates and eventually the image of the university.
The Impact of Artificial Intelligence Militarization on South Asian Deterrence Dynamics
Authors: Khurshid Tayyaba
Published: December 2023

The rapid advancement of artificial intelligence in recent years has significantly altered the strategic landscape and character of warfare. Military institutions are extensively exploring various aspects to fortify security, recognizing AI as a pivotal technology reshaping the nature of confrontations. Within the Indian defense sector, there's been proactive involvement in assimilating artificial intelligence. This strategic incorporation of AI within India's military framework will distinctly influence Pakistan's assessment of potential threats thereby impacting deterrence dynamics at both conventional and nuclear level. The paper applies the Deterrence Theory. This theory posits that the possession of superior military capabilities can dissuade adversaries from initiating conflict. In the context of AI integration, the paper aims to explore  how advancements in AI bolster India's deterrence posture vis-à-vis Pakistan and militarization of AI by India will impact the deterrence equation and stability dynamics in the region. Moreover, this also might disturb the equilibrium enhancing the likelihood of conflict between two states. By exploring the possible impact of militarization of AI by Indian defense sector, the paper founds that AI militarization can alter the balance of power dynamics impacting the strategic stability and stability-instability paradox between India and Pakistan. Qualitative research methodology has been used for comprehensive analysis of existing literature on AI's role in modern warfare, coupled with an examination of research work on militarization of AI in South Asia. The aim is to delineate the repercussions of Indian AI militarization on the power dynamics of South Asia and deterrence equation. Thus, by examining the key domains of Indian AI militarization, this paper suggests that to keep pace with India’s technological advancement, Pakistan should undertake the policy of quid-pro-quo since it cannot afford to delay the integration of AI in its defense sector contemplating it as a national security concern for Pakistan.
Ethnoveterinary Medicine for Gastrointestinal Parasitism in Goats
Authors: Shrivastava Snigdha , Dixit Alok Kumar , Dixit Pooja , Jha Amit Kumar
Published: December 2023

Small ruminants are the backbone of rural communities as it serves as a source of food and income. The major challenge to smallholder farmers is the high prevalence of parasitic diseases since they are mainly reared in an extensive system. Ethnoveterinary medicine (EVM) deals with the application of traditional beliefs, knowledge, and practices to veterinary medicine, which is often associated with conventional wisdom, skills, methods, and practices that are transferred from generation to generation. Globally, the use of indigenous knowledge in conjunction with modern veterinary medicine as a remedy for parasitic diseases is well acknowledged by most farmers. In various countries, for the treatment of nematode parasite infections such as Strongylus, Parascaris, and Ascaris spp., leaves, dried flowers, and oil of certain plants are used like Nicotiana tabacum, Azadirachta indica, Annona squamosa, and Aloe latifolia, etc. The anthelmintic properties in these plants are due to certain substances that principally have activity against parasites whereas in some plants it is due to their secondary products like saponins, alkaloids, non-protein amino acids, tannins, and other polyphenols, lignins, glycosides. The exploration in the field of EVM is of major significance, as most of the farmers are unaware of vaccination and deworming of the animals and are inexperienced with systemic therapy. EVM has emerged as low-cost alternatives to allopathic drugs, so they are more likely to be used by peasant farmers to cure their livestock. Hence, the practice of EVM for the control of parasites is an important intervention for improving animal productivity.
नई शिक्षा नीति 2020 और शिक्षक
Authors: डॉ. लोहंस कुमार कल्याणी
Published: December 2023

राष्ट्रीय शिक्षा नीति 2020 (NEP-2020) को कुल चार भागों क्रमशः स्कूल शिक्षा, उच्चतर शिक्षा, अन्य केन्द्रीय विचारणीय मुद्दे एवं क्रियान्वयन की रणनीति में विभक्त किया गया है। राष्ट्रीय शिक्षा नीति-2020 के पी.डी.एफ. प्रारूप में हिन्दी पाठ कुल 107 पृष्ठों में जबकि अंग्रेजी पाठ कुल 65 पृष्ठों में समाहित है । स्कूल शिक्षा सम्बन्धी प्रावधानों को कुल आठ अध्यायों के 143 बिन्दुओं में, उच्चतर शिक्षा सम्बन्धी प्रावधानों को कुल ग्यारह अध्यायों के 99 बिन्दुओं में, अन्य केन्द्रीय विचारणीय मुद्दे सम्बन्धी प्रावधानों को कुल पाँच अध्यायों के 54 बिन्दुओं में एवं क्रियान्वयन की रणनीति को कुल तीन अध्यायों के 12 बिन्दुओं में प्रस्तुत किया गया है ।
निश्चय ही इस शिक्षा नीति का उद्देश्य ऐसे उत्पादक नागरिकों को तैयार करना है जो भारतीय संविधान द्वारा संकल्पित न्यायसंगत समावेशी व बहुलतावादी समाज के निर्माण में बेहतर तरीके से योगदान कर सकें । इस क्रम में यह कहना उचित व आवश्यक होगा कि जिस शिक्षण संस्था में प्रत्येक छात्र का स्वागत किया जाता है व उनकी उचित देखभाल की जाती है, जहाँ एक सुरक्षित व प्रेरणादायक शिक्षण वातावरण होता है, जहाँ छात्रों को सीखने के विविध प्रकार के अनुभव प्रदान किये जाते हैं एवं जहाँ अधिगम हेतु बुनियादी ढाँचा व उपयुक्त संसाधन उपलब्ध होते हैं, उसे ही एक अच्छी शैक्षणिक संस्था माना जा सकता है । अतः सभी संस्थाओं का लक्ष्य इन सुविधाओं को जुटाना एवं विभिन्न संस्थानों के साथ जुड़ाव व समन्वय बनाना होना चाहिए । शिक्षा व्यवस्था में लाये जाने वाले बदलावों के केन्द्र में शिक्षक समुदाय को रखना न केवल आवश्यक वरन अपरिहार्य होता है । वस्तुतः शिक्षा के क्षेत्र के सभी परिवर्तन बदलाव या नवोन्मेश प्रत्यक्ष अथवा परोक्षतः किसी न किसी रूप में शिक्षकों से सदर्भित रहते है । इसलिए शिक्षकों की मान-मर्यादा, सम्मान, आत्मनिर्भरता, स्वायत्तता व सक्षमता को भी सुनिश्चित करना जरूरी है ।
Who are the homeless and what kind of problems do they have? A review of the literature
Authors: Romaszko Jerzy , Giergielewicz-Januszko Beata
Published: December 2023

Introduction

The publications about homeless persons and homelessness are very popular among scientists. Entering the keyword ‘homeless’ returns about 17 thousand hits in the PubMed search engine. What is so interesting about homelessness that so many researchers devote their time and resources to this topic?

Aim

Our paper is an attempt to answer the question about that, and partially about the genesis of homelessness.

Material and methods

The PubMed and Scopus databases have been researched. We selected the articles related to the most common pathologies among the homeless.

Results and discussion

The background of the phenomenon of homelessness is described in the context of the most commonly reported shared elements i.e. poverty, social exclusion, high mortality rates, male predominance, alcohol and drug dependence, intellectual deficits, depressive disorders and suicides. We described the differences resulting from geographical location and environmental factors. We are trying to elucidate the reasons for the discrepancies between individual investigators studying similar problems at different places and at different times.

Conclusions

Homeless people are not a different species. They are a derivate of societies on the margins of which these people live. They are therefore different in the geographical sense, but in a given area they change with time similarly to the local population.
Analysis of motivating factors on the labour market of nurses and midwifes in the context of generational diversity
Authors: Lemska Magdalena Ewa , Kretowicz Katarzyna , Ładna Izabela
Published: December 2023

Wprowadzenie

W ochronie zdrowia występują braki kadrowe na stanowiskach pielęgniarek i położnych. Organizacja w systemie ochrony zdrowia wymaga zmian, które zachęcą młodych ludzi do podejmowania pracy w charakterze pielęgniarki i położnej. Obecnie na rynku pracy spotykamy się z różnorodnością pokoleniową, co stanowi ciekawe wyzwanie dla osób zarządzających. Pracodawca musi znaleźć odpowiedź na pytanie, co ma robić, aby w okresie deficytów kadrowych pielęgniarek i położnych zainteresować pracownika i zatrzymać go w organizacji.

Cel

Celem pracy była analiza czynników motywujących i demotywujących na rynku pracy pielęgniarek i położnych w kontekście różnorodności pokoleniowej.

Materiał i metody

W pracy wykorzystano technikę ankietową z zastosowaniem kwestionariusza, który powstał w Okręgowej Izbie Pielęgniarek i Położnych w Gdańsku dla potrzeb prowadzonych tam badań. Badanie prowadzone było od lipca do listopada 2022 r. Badaniem objętych zostało 200 pielęgniarek i położnych z całej Polski.

Wyniki i ich omówienie

Badanie nie wykazało wpływu stażu pracy, wykonywanego zawodu i wykształcenia na zainteresowanie motywatorami materialnymi, motywatorami pozafinansowymi materialnymi, motywatorami pozafinansowymi związanymi z rozwojem, motywatorami pozafinansowymi związanymi z warunkami pracy oraz czynnikami demotywującymi. Dalsza analiza wykazała, iż istotnie statystycznie częściej generacja reprezentowana przez badanych miała wpływ na zainteresowanie motywatorami pozafinansowymi materialnymi i pozafinansowymi związanymi z rozwojem. Osoby urodzone po roku 1995 wykazywały istotnie statystycznie większe zainteresowanie motywatorami pozafinansowymi materialnymi i pozafinansowymi związanymi z rozwojem niż starsze wiekiem generacje.

Wnioski

Różnorodność pokoleniowa ma wpływ na czynniki motywujące i demotywujące na rynku pracy pielęgniarek i położnych.