bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementasi Audit Sistem Informasi Akademik Menggunakan Framework Cobit 5.0
Authors: Siti Mutoharoh Permata Ayunda  , M. Rizki Auliansyah Ginting  , Rafli Pramudia
Published: August 2024

Universities that provide educational services, then siakad has a fairly important function in supporting the processing and monitoring of academic data of educational institution. In SIAKAD STMIK XYZ consists of scheduling, filling KRS, studen grades and others. Irrelevantly organized pruning of the academic information system has the potential to cause problems that can jeopardize service affordability, while a reduced level of user satisfaction has the capacity to affect the level of trust from stakeholders. Measurement is needed to evaluate and make the audit result as input to improve the management of the siakad. In this study, data collection was carried out using a survey in the form of a questionnaire. The domains used in this study are DSS AND MEA. The results of the questionnaire were collected and carried out the data analysis stage using the capability level, and gap analysis. The results found the data analysis stage using the capability level with a magnitude of 2.67 which means it is still at level 2. Thus there is a difference of 1.33 to reach the expected level 4. The results of the implementation of the STMIK XYZ academic information system with the cobit 5 framework can be a reference for knowing the weaknesses tat exist in the academic information system so that its performance becomes more optimal.
Perancangan Sistem Informasi Penjualan Berbasis Java Pada Toko Rumbur Exotic Pet
Authors: Muhammad Tri Habibie
Published: August 2024

As a beginner in the business of exotic animals provider, Rumbur Exotic Pet run the business activities manually and do not utilise advanced technology, so it’s performance is less effective and efficient. Therefore, adequate technological support is needed to improve business performance and productivity through designing a Java-based sales information system. This research use the Waterfall model as one of the SDLC (System Development Life Cycle) software development methods. The system design tools that used are Data Flow Diagrams (DFD) and Entity Relationship Diagrams (ERD). The results of designing a Java-based sales information system can increase work effectiveness and efficiency, facilitate data collection and storage of sales information, produce detailed and accurate reports, and encourage productivity and profitability.
Analisa Peta Kontrol pada Kecacatan Kopi Robusta pada Industri Kopi Wilis Van Java dengan P-Chart
Authors: Ahmad Hari Setiawan  , Vivin Afriyani  , Ristanti Ayu Wulandari  , Aloysius Tommy Hendrawan
Published: August 2024

Control chalrts alre one of the most widely used quallity interpretaltion tools to determine whether al process is within control limits or whether the calpalbility of al process is within the expected limits alnd criterial. In every production process problems alre often found such als product rejects alnd product defects. Control chalrts caln be used to monitor current alnd ongoing production processes. Observaltions were malde alt the Wilis Valn Jalval coffee industry localted in Kalre District, Maldiun Regency with robustal coffee types. The method used in this observaltion is descriptive with al qualntitaltive alpproalch through observaltion, interviews alnd documentaltion. The technique used in daltal alnallysis is using al P-chalrt. The alnallysis results show thalt coffee defects alccount for 1l0l% of the totall ralw malterialls used. To alchieve optimall production levels, compalnies must paly alttention to detalils thalt caluse production defects to optimize revenue alnd reduce loss falctors.
Analisis Penerapan Forecasting Penjualan Untuk Menentukan Jumlah Tenaga Kerja Efektif Produksi Tepung Mocaf Pada UMKM XYZ
Authors: Wahyu Hadi Sutiyono  , Widya Setiafindari
Published: August 2024

Sales forecasting is a technique that companies use to predict future sales volumes based on previous sales data. This research aims to help UMKM  XYZ determine the optimal production amount to maximize profits, by using forecasting methods in planning mocaf flour production. The methods used include the Time Series model with Moving Average, Exponential Smoothing, and Trend Analysis, which are calculated using POM QM Windows software. The analysis results show that the Trend Analysis method is the most accurate for forecasting, with the smallest error value, namely MAD of 76.997, MSE of 8161.672, and MAPE of 6.02%. The smaller the error value, the more accurate the forecasting results. Therefore, the Trend Analysis method is recommended for forecasting mocaf flour sales in XYZ UMKM in 2024, with the production of 15,100 kg to avoid excess stock and dead stock in meeting consumer demand.
Rancang Bangun Sistem Monitoring dan Notifikasi Pupuk Pada Truckloader Menggunakan Teknik Counter Bebrbasis Internet of Things
Authors: Misbach Misbach  , Pressa Perdana Surya Saputra
Published: August 2024

Truckloader (TL) is a tool that functions to move Fertilizer from the weigher (where the weighing and bagging process is) to the place of the pallet or to the place of the truck bed. Broadly speaking, this tool is in the Bagging 1B unit area. This truckloader has a digital counter, namely a counter which has the function of calculating fertilizer from the weigher to the truckloader. From this counter, this will later be used as a reference or comparison. In order to find out the amount of fertilizer on the pallet or entering the truck body, on the other hand it is also use it for the technician team as a reference for preventive maintenance and replacement of spare parts. So far, counter checking is done manually by visiting the field and seeing it in person. For this, the Internet of Things is needed so that work is more effective and easier for the monitoring process. By using Senesore infrared proximity as input to the Arduino Uno as an electronic circuit controller and running programs, 16x2 LCD as a display of instructions from Arduino, NodeMCU as a liaison between the microcontroller and Ubidots and to display digital data from Arduino. This counter tool will later be used to monitor the amount of fertilizer passing through truckloader via the Ubidots web. This system can display data on Arduino that can be viewed via the Ubidots web that has been made.
Implementasi Metode Monte Carlo dalam Menentukan Jumlah Penumpang Kereta Api Pada Rentan Tahun 2020 – 2023
Authors: Wafiq Azizah  , Ayu Wulandari  , Soffiana Agustin
Published: August 2024

Penelitian ini adalah untuk meningkatkan efisiensi layanan transportasi kereta api di Jabodetabek dengan melakukan prediksi jumlah penumpang menggunakan metode Monte Carlo. Dengan menggunakan simulasi ini, data dari tahun 2019-2023 telah dianalisis untuk memprediksi tren pertambahan jumlah penumpang. Prediksi yang telah dibuat akan dimanfaatkan dalam perencanaan kapasitas serta peningkatan kualitas layanan. Maka diharapkan bahwa studi ini akan berkontribusi positif terhadap peningkatan kualitas transportasi kereta api dan efisiensi ekonomi negara. Tujuan khususnya yaitu untuk menyiapkan basis data yang solid untuk merencanakan operasional kereta api, mengenali kecenderungan penggunaan, dan memaksimalkan pemanfaatan sumber daya yang tersedia. Dengan metode ini, pengelola transportasi dapat membuat keputusan yang lebih cerdas dan proaktif untuk mengatasi kenaikan jumlah penumpang di masa depan, sambil meningkatkan tingkat kenyamanan dan kepuasan pengguna layanan kereta api di wilayah Jabodetabek.
Analisis Downtime Mesin Cetak Offset PT. Krisanthium Offset Printing
Authors: Ahmad Tristanto  , Putu Eka Dewi Karunia Wati
Published: August 2024

Krisanthium Offset Printing was founded in 1972, Jalan Rungkut Industri III / 19 Surabaya, East Java – Indonesia as a leading commercial printing company. This writing aims to find out the causes of downtime in each offset printing machine production process. In this study we used the DMAIC Pareto method and Fishbone diagrams. Knowledge of downtime analysis. The biggest cause of downtime for the CD6-3 printing machine is blanket washing. There are several other causes of downtime, such as other maintenance, washing rolls, replacing blangkets, tustle blangkets, and color adjustments. From the method factor, it is best to schedule machine / machine part maintenance to avoid maintenance during the production process.
Redesign Mesin Guna Meningkatkan Produktivitas Menggunakan Metode Zero-One
Authors: Happy Lailatul Fitriana  , Ilfan Feriantono  , Sofriyah Izzatul Laily  , Ribangun Bamban Jakaria
Published: August 2024

In a company increasing productivity is very important. This increase can be done by improving technological innovation. The technology that was redesigned was the roaster machine. The aim of this research is to make machine use and maintenance easier with new designs that may be more user-friendly and more sophisticated control technology or more durable materials that can improve machine performance and longevity. The method used in this research is the Zero One method. The Zero-One method is a decision development method that aims to determine alternatives (criteria). The results of the analysis from this research are to create a machine that can be made in accordance with ergonomic standards for workers, thereby reducing downtime and reducing production cycle times, thereby allowing for increased output without increasing working hours.
Pengukuran Beban Kerja Mental dan Tingkat Kelelahan pada Pegawai Daily Check (DC) PT Kereta Api Indonesia (Persero) Depo Lokomotif Tanjungkarang Menggunakan Metode Draws dan Metode Sofi
Authors: Delvya Icha Sriningru
Published: August 2024

Employee performance is the quality and quantity of work results achieved by an employee in carrying out it in accordance with the responsibilities given. Efforts to improve employee performance include paying attention to the level of workload experienced by employees. Is there a relationship between the mental workload between age and the length of time working for Daily Check employees and is there a relationship between the level of fatigue between age and the length of time working for Daily Check employees? What management efforts can be made to reduce the mental workload and fatigue levels of DC employees? This research aims to determine the mental workload and fatigue levels of daily inspection employees using the DRAWS Method and SOFI Method. The research also wanted to find out whether there was a relationship between mental workload, age and length of service for daily check employees. The results obtained by the research show that the mental workload of daily check employees is included in the overload category. The level of physical fatigue of employees is at a moderate level. There is a strong negative relationship between work mental load and age and length of service. Recommendations for reducing the mental workload of daily check employees are to provide training, time management, stress management skills, recognition, appreciation and regular evaluation.
Rancang Bangun Media Pembelajaran Mobile Interaktif Menggunakan Smart App Creator pada Mata Pelajaran Dasar-Dasar Teknik Elektronika Kelas X SMK Negeri 2 Solok
Authors: Rara Cantika  , Agariadne Dwinggo Samala  , Dedy Irfan  , Ika Parma Dewi
Published: August 2024

The aim of this research is to produce learning media mobile interactive on the Basics of Electronics Engineering subject which is valid and practical for class X students at SMK Negeri 2 Solok. The method used in this research is method Research and Development (R&D) with a 4D development model consisting of 4 stages, namely Define (Definition), Design (Planning), Develop (Development), and Disseminate (Dissemination). This research uses an instrument in the form of a questionnaire. This questionnaire will be filled out by material experts and media experts in the validity test and filled in by students in the practicality test. Based on data acquisition and processing, this research obtained the following results. First, the results of material validation by material experts are in the "Valid" category with a total validity value by the three material validators of 0.967 and the results of media validation by media experts are in the "Valid" category with a total validity value by the three media validators of 0.967. Second, at the practicality test stage by students involving 15 students obtained a practicality percentage of 95.67% which was categorized as "Very Practical". Based on the results of this research, it can be concluded that interactive mobile learning media using Smart App Creator is suitable for use as interactive learning media in learning because it has been proven to be valid and practical.
How Our Way of Thinking Influences the Outcome of Our Intentions
Authors: Kuman Maria
Published: August 2024

Dr. R. Dram, specialist in electron microscopy, and L. Visneski, specialist in microbiology, found that the intention has molecular expression and stimulates the synthesis of receptors. The work was published in 1990 in the Journal of the American Association for Holistic Medicine [1]. Peter Nopfler found that in all cells that have receptors and memory, the intention sends vibrations, which stimulate the receptors [2]. R. Jan and B. Dann, in 1996 published in the Journal of Scientific Exploration [3] the results of their research demonstrating that high forms of the human conscious influence the material world. R. Jan and B. Dann [3] intuited that just as the particles are particles and waves at the same time, the Conscious seem to also have two natures - of wave and particle. Let me explain precisely what is what.
Lessons Learnt from a Study of Children with Duchenne Muscular Dystrophy: Approach to the Molecular Diagnosis and its Importance in Emerging Therapies and Preventive Measures
Authors: Mallakmir Snehal
Published: August 2024

Background and objective- Currently, there is no curative therapy for Duchenne muscular dystrophy (DMD), but several clinical trials are in progress. It is important to confirm diagnosis using molecular biology techniques. We discuss the molecular approach to diagnosis, limitations of various diagnostic methods and relevance in light of various emerging therapies. Methods: We retrospectively studied 35 children, age ranging from 3 to 18 years, with clinical phenotype of DMD and study of the dystrophin gene. Results: 34 of the 35 children had a confirmed genetic diagnosis. One patient with negative genetic analysis had undergone muscle biopsy and immunohistochemistry for confirmation. Interpretation and Conclusion - New emerging therapies and clinical trials in this field demand an accurate diagnosis, especially when therapy is targeted towards specific mutations. In cases with no specific mutations, final diagnosis needs to be confirmed as well as other dystrophies ruled out in order to guide prognosis, preventive strategies, and family counselling.
Morbidity and Mortality Profile of Renal Trauma in a Tertiary Trauma Care Center: A Prospective Observational Study
Authors: Dhakre Vijay Waman
Published: August 2024

Renal tissue is highly important for homeostasis, and with current medical knowledge and practices we can restore it. Renal injury accounts for ∼50% of all genitourinary cases, affecting the working-class population, which is aged around 30 years. With increasing motor vehicle usage, falls, sports activity, train-related accidents, and assaults, renal tissue is at high risk of injury especially from rapid deceleration or penetrating injury. Conservative or nonoperative management is now becoming the back bone of renal trauma management. Here we have addressed renal trauma and its management in a tertiary trauma care center. Patients and methods: This study was carried out prospectively using data from the Department of General Surgery on patients who were hospitalized for renal injury due to blunt/penetrating abdominal trauma over a period of 6 months. Patient characteristics, clinical presentation, management strategy, and outcome were evaluated. Results: Thirty patients were hospitalized and had a mean age of 26.5 years. The majority of patients had suffered a blunt trauma, with falls and road traffic accidents being the common causes. A grade of renal injury of 1, 2, or 3 was the most common. Twelve patients required some form of operative intervention, whereas 18 patients required nonoperative management. Pain was the most common postoperative complication. Six of 30 patients required nephrectomy. The mortality rate was 3.34%. Conclusion: Most of the renal injuries are low grade and managed nonoperatively. However, we need to assess the patient carefully as many of these patients have polytrauma and may require other modalities of treatment. Overall nephron preserving approach is the treatment of choice. Computerized tomography, which has superior sensitivity and specificity for abdominal trauma, is the imaging of choice towards the assessment of renal and other abdominal injuries. This can also help in conserving penetrating and high-grade renal trauma. Use of computerized tomography has reduced the rate of nephrectomy drastically. Hence, nonoperative management can be a rediscovered modality of management and can take center-stage position in the protocol of managing renal trauma.
Situation of COVID-19 Wave II and Challenges of Nepal
Authors: Chalise Hom Nath
Published: August 2024

With South Asia becoming the center of the Corona Pandemic in recent times, Nepal has reached a position where the daily positivity is very high not only in this region but also in the world. Past experience and inability to learn from the rest of the world is biggest weakness and mistake of Nepal. The pandemic situation is behind the control of Nepal government. Nepal and Nepali people needs immediate international support, love and prayer to get rid from this pandemic.
Multiple Endocrine Neoplasia 1(Men1) Guidelines and Surveillance: Advantages, Trials and Tribulations
Authors: Reddy Sai Rohit
Published: August 2024

Multiple Endocrine Neoplasia 1 or MEN1 is a rare hereditary endocrine cancer syndrome characterized primarily by tumors of the parathyroid glands (95% of cases), endocrine gastroenteropancreatic tract (30-80% of cases), and anterior pituitary (15-90% of cases). Other endocrine and non-endocrine neoplasms including adrenocortical and thyroid tumors, visceral and cutaneous lipomas, meningiomas, facial angiofibromas and collagenomas, and thymic, gastric, and bronchial carcinoids also occur. MEN1 should be suspected in patients with an endocrinopathy of two of the three characteristic affected organs, or with an endocrinopathy of one of these organs plus a first-degree relative affected by MEN1 syndrome. We describe a case of a 34 year old man who was referred to the Endocrinology clinic for hypercalcemia with a family history of primary hyperparathyroidism requiring parathyroidectomy and intestinal perforation with peptic ulcer disease in his mother. Suspecting MEN1 syndrome, genetic testing was performed with Invitae that revealed a heterozygous pathogenic variant of MEN1, c.1546dup (p.Arg516Profs*15) on Exon 10. This finding led to improved surveillance for our patient and genetic counseling for his other family members. This case highlights the importance of performing genetic testing for MEN syndrome in patients presenting with hypercalcemia at young age with family history of multiple Endocrine disorders. We review current guidelines regarding work up, genetic counseling and surveillance for these patients for avoiding morbidity and mortality.
Giant lymph node hyperplasia (Castleman's disease) in the retroperitoneal area
Authors: Erkut Bilgehan
Published: August 2024

Castleman’s disease is a rare lymphoproliferative disease known as angiofollicular lymphoid hyperplasia. Castleman’s disease, which can be single or multi-center, is frequently detected randomly in asymptomatic cases, but may cause complaints according to the localization it originates from. Surgical excision is often curative in these cases that can only be diagnosed pathologically after detection. A 32-year-old female patient was admitted to the hospital with abdominal pain for 1 year, and computed tomography revealed a mass in the left lower abdomen at the level of the iliac arteries in the retroperitoneal area. The mass excision was performed in the patient who underwent laparotomy and a diagnosis of Hyaline-vascular type Castleman’s disease was made histopathologically. The possibility of Castleman’s disease should not be forgotten in masses detected in any part of the body, especially in patients with asymptomatic or vague symptoms.
Impact of Ketogenic Diet Versus Regular Diet on Voice Quality of Patients with Multiple Sclerosis
Authors: Fidan Vural
Published: August 2024

Purpose: Diets which have influence on wellness could alter in their structure. Apart from weight control, different diets are used in the treatment of many diseases. Ketogenic diet(KD) has been ventured to remedy of neurological diseases and obesity. Multiple sclerosis(MS) is a complex progressive disease of the central nervous system and it has an influence on quality of voice. Voice Handicap Index (VHI) is an assay that presents data to clinical and physiological appraisal about voice. We measured the effect of KD and RD on voice quality(VQ). Methods: Sixty-eight subjects with MS who narrated a voice disorder associated to their disease were indiscriminately distributed to the KD or regula diet(RD) groups. We studied the VHI alter of patients before and 3 months after diet. Results: Sixty-five MS subjects accomplished the study. Baseline VHI rates did not diverge seriously between groups. In the KD group, statistically improvement was seen in all VHI parameters 3 months after diet (p˂ 0.001).
Prevalence of Brucellosis in Dairy Cattle in Singur – Hooghly, West Bengal Using on Spot Testing Techniques
Authors: S Bhattacharyya
Published: August 2024

Brucellosis is one of the important common zoonotic diseases that occurs globally especially in both developed and developing countries. Although in some countries control and eradication measures were taken but still happens to exist in huge numbers because of its wide host range. Human transmission is mostly from animal reservoirs and daily cattle is the common source. The study region Singur in Hooghly, West Bengal is one of the major contributors of milk among the state. Samples were collected from the lactating cows of the region and Milk Ring test was conducted using Abortus Bang Ring Test colored antigen. In this study out of 62 animals testes 16.92% were positive for Brucellosis Milk ring test. Early diagnosis is necessary in prevention of any disease. Milk Ring test is an easy, convenient spot test for early diagnosis of Bovine Brucellosis among the dairy cattle population. This study aims in detecting the prevalence of bovine brucellosis among the study region.
The Paradigm Of Educational Neuroscience And The Learning Of The Written Language: Sixty Years After
Authors: Bravo Luis
Published: August 2024

The aim of this article is to present the author's experience regarding the contributions of neurosciences and cognitive psychology to research on the learning of written language from the perspective of the model of scientific paradigms, advanced by the philosopher Thomas Kuhn for the study of the history of science. The article describes the research and the progress made over the last 60 years in the field of cognitive psychology and educational neuroscience with respect to the learning of written language. The knowledge derived from educational neuroscience, based on neuroimaging, reveals a close connection between cognitive processes in the brain and the educational psychology of school learning.
Youth vs Industrialization in Two Geographies: A Sociological Appraisal
Authors: Sheykhi Mohammad Taghi
Published: August 2024

Industrialization has brought about increasing changes in various sectors of young people's lives in almost all societies. The most important development in this field is in the field of youth literacy and education. This process has led them to find jobs that are different from those of their parents. Similarly, the education and expertise of the youth have guided them in various sectors of industry, production, art and many more. Industrialization has revolutionized the social stratification system as far as the youth are concerned. Under such circumstances, the youth do not follow the patterns, norms and values of their past generations. Youth in developed geographies of the world have changed more than those in developing geographies. As modern values are rapidly transmitting the developing world, through science and technology through different forms of social media and the like, youth's lifestyles are changing too in less developed geographies as well. However, youth culture including the material culture such as technology, and the immaterial culture such as beliefs, values, language and the like are exposed to changes.
Imaging features with clinical correlation of COVID 19, A literature Review.
Authors: Hakami Abdulrahman
Published: August 2024

To date COVID-19 pandemic remains treatment challenge worldwide. Chest CT is an important tool in evaluation of COVID-19 and according to the literature, it has a high diagnostic sensitivity in diagnosis of COVID 19. The Typical imaging findings seen in PCR positive patients, Ground glass opacity and Consolidation. Mostly appeared in multiple lobes, particularly the basal part of lung. The atypical imaging findings such as pneumothorax, fibrosis, mediastinal lymphadenopathy, cavitation lesion and nodules, also seen in few cases. Here we review comprehensively the correlated imaging finding, CT Chest and Chest X-ray with clinical picture in COVID 19 patients.
Our first experience with a Cochlear Osia®OSI200 implant in Spain.
Authors: Clarós Pedro
Published: August 2024

Various devices for hearing rehabilitation after bilateral conductive deafness due to ear malformation are available on the market. Cochlear companies developed new types of implantable devices with more efficacy and comfort for patients. Cochlear Osia® implant is a recent device with a new technology which offers both acoustic and aesthetic advantages. In this paper, we share our first experience with this new device in Spain in a 44-year-old patient. He suffered from a bilateral conductive hearing loss due to a bilateral middle and outer ear congenital malformation. Details on surgical procedure are given as well as outcomes in the patient.
The Management of Acute Coronary Syndrome, Cardio-Metabolic Risk, Geriatric Syndrome, Inflammasome, Genetics, Challenges of Heart Failure And Cardiomyopathies In The Time Of Covid 19: Experience Of Lo
Authors: Longo-Mbenza Benjamin
Published: August 2024

Objective: To describe the scientific management of acute coronary syndrome, cardio-metabolic risk, geriatric syndrome, inflammasome, genetics, challenges of heart failure and cardiomyopathies in the time of COVID-19. Methods The review of the literature provided evidence relating to the place of COVID-19, the origin of the immune storm, atherosclerosis, hepatic-vasculo-respiratory renal attacks and insulin resistance on the cardiovascular system. Lomo University of Research evaluated structural markers, bio-markers of coinfection, oxidative stress, anxiety-depressive syndrome, inflammation, blood groups, sickle cell disease, metabolic syndrome, geriatric syndrome, and immunities on the myocardium and coronary circulation. Discriminant analysis and generalized exploratory analysis were used. Results Among the 400 patients admitted between March and June 2020, 50% (n = 200) developed the disease COVID-19. Age advancement, metabolic autoimmunity syndrome, elevated triglyceride, gamma GT, waist circumference, IL6, increased IGE, oxidized LDL, ferritin, mast cell, D-dimer, CD8 and platelet but the decrease in albuminemia, lymphocyte, CD4, HDL, FGR and vitamin D have discriminated against the stages of COVID-19. The constellation of hepatitis C, insulin resistance, carotid thickening, sickle cell disease, blood group B, high blood pressure, abdominal obesity, G6PD deficiency, oxidative stress, anxiety, hemolytic microangiopathy, immune storm, polish glass pneumonia, hypercoagulability, stroke, type 2 diabetes mellitus, myocardial infarction characterized severe COVID-19. In contrast, dilated cardiomyopathy without atherosclerosis characterized moderate COVID-19. The supplement of vitamin D, vitamin C, herbal tea made from avocado, vitamin E and specific treatment for the comorbidity were administered. Conclusion COVID-19 defines comorbidity based on genetics, inflammation, geriatric syndrome, dysimmunity and cardio-metabolic risk
Outpatient Care and Short Hospitalization for The Elderly Patient with Inguinal Hernia.
Authors: Rodrìguez Pedro Rolando Lòpez
Published: August 2024

Introduction: The surgery of hernial disease of abdominal wall and especially of the inguinofemoral hernia has increase but in fact its prevalence is unknown. The objective of present study was to assess the result of surgical treatment of the inguinofemoral region hernia in third-age patients seen in the "Dr. Enrique Cabrera" Teaching General Hospital. Methods: A study was conducted in 2186 third-age patients operated on of inguinofemoral hernia from January, 2000 to December, 2020 in the above mentioned hospital. In all cases patients had the alternative to be operated on in ambulatory way or with a short hospital stay. Also, were included the patients operated on as an urgency. From the patients operated on in an elective way were excluded those suffering of associated, cardiopulmonary or thromboembolic ASA-III type diseases (classification of the American Society of Anesthesiology). Results: The great incidence of the inguinal hernia was found in ages from 60-69 years (59,3%). The indirect right inguinal hernia was the more frequent. The Desarda's anatomical surgical technique was the more applied one in the inguinal hernia and theLichtenstein's prosthetic technique with the 32% was the following in frequency. There were 20 relapses (0,9%). Local anesthesia was applied in the 75,4% of patients, in ambulatory way in the 76,4%. The total of complications was of 78 (7,1%). Conclusions: The surgical treatment of inguinofemoral hernias, ambulatory or with a short hospital stay is a suitable procedure in third-age patients since to increase the comfort of patients, to decrease the hospital infection risk, to reduce the waiting lists and the hospital costs.
Evaluation of Chest Pain and Copeptin + Troponin T As A Biomarker Of Exclusion In Acute Ischemic Coronary Syndrome Of The Ami Type Without St-Segment Elevation (Ami Sesst) / Unstable Angina
Authors: Tene Ricardo Gabriel Ascencio
Published: August 2024

Introduction: The diagnosis of acute myocardial infarction (AMI) in patients who have chest pain is difficult at times. Serum markers play an important role in the diagnosis of AMI when other indicators could be negative or questionable. The markers used in the diagnosis of infarction are creatine kinase (CK), MB isoenzyme of creatine kinase (CK-MB), myoglobin and troponin T and troponin I. Copeptin: is the C-terminal pro - vasopressin, a glycopeptide of 39 amino acids and a novel marker for rapid and reliable exclusion of AMI. Objective: To evaluate the patient with chest pain in the adults emergency department triage and determine levels of Copeptin + Troponin at initial presentation to make better decisions based on reliable and accurate exclusion in patients with Ischemic Acute Coronary Syndrome (SICA) without ST-segment elevation / Unstable Angina (SE-SST / AI) in the Old Civil Hospital of Guadalajara "Fray Antonio Alcalde". Methods: Study Design: Observational, analytical, prospective cohort study Results: The point lower cutoff of 10 pmol / l copeptin has diagnostic performance with a sensitivity 23.7% (95% CI 10-37), specificity of 100%, a positive predictive value of 29% (95% CI 15-43), a negative predictive value of 100% a positive likelihood ratio of 1.31 (95% CI 1.1-1.56) and a negative likelihood ratio of 0. If we modify cutoff to 13 pmol / l sensitivity decreased to 91.7% with a specificity of 52.6%. Conclusions: In the study population, the cutoff levels of copeptin that achieved the best negative predictive value for SICA (SE-SST / AI) was 10 (VPN 100%, specificity of 100% and a negative LR of 0). Unlike the cutoff point was considered to 6.6 pmol / l. The importance of this biomarker lies in the ability to rule SICA (SE-SST / AI). The cutoff was 10 pmol / l for our population here was achieved discriminate the best diagnostic performance. Further studies with a larger order to confirm these results shows are required.
Revolution of psoriasis
Authors: pemgirikar Vijaya vilas
Published: August 2024

Psoriasis is a skin disease that causes red itchy, scaly patches. They usually appear on elbows, knees, lower back ans scalp. It tends to go through cycles, flaring for a few weeks or months than subsiding for a while or going in to remission.
Prosthetic Valve Endocarditis Due to Candida Parapsilosis: A Rare Disease with High Mortality– A Case Report
Authors: Mandal Amit
Published: August 2024

Fungal endocarditis is a comparatively rare form of endocarditis, accounting for only 1.3% to 6% of all cases of infectious endocarditis [1]. It carries a high mortality rate, as high as 50% [2]. Recommended treatment for fungal Endocarditis is combination of antifungal drugs and surgery.
Spontaneous Pneumopericardium in a young Patient with Acute Febrile Illness
Authors: Bagrodia Vansh
Published: August 2024

We present a case of a male patient in his late thirties who was admitted with high-grade fever, dyspnea, and chest pain. Clinical examination indicated shock, and a chest X-ray revealed pneumopericardium. Despite initial interventions, the patient deteriorated rapidly. While the primary cause remained uncertain, pneumopericardium is typically characterized by air-fluid levels in the pericardial sac. It can arise from various causes and often resolves spontaneously. This case underscores a notable and classical appearance of pneumopericardium on chest X-ray.
The Functioning of the Heart is Conditioned by the Soliton Wave and The Electromagnetic Field
Authors: Adamski Adam
Published: August 2024

Existing for over 100 years, the biochemical model is insufficient to explain the phenomenon of life. Translating everything into the criteria of classical chemistry or electrochemistry feels like going backwards. In addition to the traditional, well-known chemical reactions, a new reality is opening up based on the bioelectronic model of life. In this model, the human body is understood as an electronic integrated circuit made of piezoelectric, pyroelectric and semiconductor elements, with a biochemical, bioelectronic, information and biocybernetic structure, which is responsible for modeling the structure and function of biological, optical and quantum biocomputers, managed by quantum processes in an electronic manner surrounded by electrostasis, filled with bioplasma emitting a biological field to the outside (Sedlak 1984, p.183). (Adamski 2021).
The Role of AI in Neurosurgery
Authors: Khan Muhammad Mohsin
Published: August 2024

Background: The utilization of artificial intelligence (AI) and machine learning (ML) algorithms is experiencing a significant surge in their integration within the realm of neurosurgery. These AI and ML algorithms stand apart from other technological advancements due to their capacity to enable computers to acquire learning abilities, engage in reasoning, and employ problem-solving skills akin to those inherent in humans. This review provides an overview of the current application of AI in neurosurgery, highlights the challenges that require attention, and offers insights into what lies ahead in this field. Methods: We conducted a comprehensive literature review focusing on the utilization of AI in neurosurgery and its prospective impact on neurosurgical research. Results: The online literature pertaining to AI's use in neurosurgery reveals a broad spectrum of topics encompassing both current applications and future implications. Predominantly, research is concentrated in the areas of diagnostics, outcome prediction, and treatment models. Conclusion: The potential of AI in the field of medicine and neurosurgery is indeed remarkable; however, numerous challenges must be addressed before its widespread integration in neurosurgery becomes a reality. These challenges encompass issues such as patient privacy, access to high-quality data, and the risk of excessive dependence on AI by surgeons. The future of AI in neurosurgery is envisioned to revolve around a patient-centered approach, supporting clinical tasks, and aiding in patient diagnosis and preoperative assessment.
A research study using CKPT on what kind of changes were brought about in the development process of the frontal lobe due to the national system change given to elementary school students (6-12 years
Authors: Shimura Takaki
Published: August 2024

In August 1945, Japan's national system changed from an imperial system to democracy. We investigated the influence of Japanese people who faced this change during their elementary school years (6-12 years old), which is an important period in the growth process of frontal lobe function. The study was conducted using the CKPT (Japanese version of CWPT: Color Words Pick-out Test), which measures frontal lobe function, and examined whether the values of index 1 of the CKPT were normally distributed. Among males, the generation that faced the change showed a normal distribution similar to other generations, so it was assumed that the effect of the change during elementary school was not significant. On the other hand, among female, there was a generation that did not exhibit normality, not only among those who faced change during their elementary school days, but also among those who faced change before and after that time. Furthermore, it was found that the generations that did not show normality were related to the examined age group. This study shows that when people are faced with the most significant stimulus, the state system changing, during the growth process of their frontal lobe functions, it affects female more than male.
Epidemiological Patterns of Pharyngeal Malignancies in Tanzania: A Descriptive Cross-Sectional Study
Authors: Kimario Olivia Michael
Published: August 2024

This manuscript presents a descriptive cross-sectional study conducted at Muhimbili National Hospital in Tanzania, aiming to explore the prevalence, demographic distribution, histological types, and clinical characteristics of pharyngeal malignancies in the region. The study spans from April to December 2015 and includes 438 patients diagnosed with head and neck malignancies, with a specific focus on 114 cases of pharyngeal malignancies. The results provide valuable insights into the age, gender, site, and histological distribution of these malignancies. Conclusion: The finding of this study shows the prevalence of pharyngeal malignancies among head and neck malignancies was 26% with the leading histological type been Squamous cell carcinoma been the predominant in both sexes.
Increasing Tourist Satisfaction Through Service Quality: The Mediating Role of Memorable Tourism Experience
Authors: Eviana Nova
Published: August 2024

In the tourism sector, tourist satisfaction is the primary determinant for assessing the effectiveness of managing tourism destinations and the long-term viability of tourism enterprises. Tourist satisfaction becomes crucial to discern the influential factors that impact the tourist's satisfaction. This research seeks to elucidate the direct effect of service quality on tourist satisfaction and its indirect effect mediated through memorable travel experiences. This study employed a quantitative research design, utilizing cross-sectional surveys with questionnaire instruments. The validity and reliability of the questionnaire instrument were assessed through a sample of 30 respondents. A total of 204 tourists, selected using an accidental sampling technique, participated in research conducted in Jakarta Old Town. The collected data was subjected to Structural Equation Modeling (SEM PLS). The findings from the tests reveal that service quality exerts a direct and significantly positive impact on tourist satisfaction, and it also exerts an indirect influence mediated through the creation of memorable travel experiences. Hence, it is imperative for the management of Jakarta Old Town to consistently enhance the quality of services to cultivate memorable tourism experiences. These remarkable travel experiences foster an emotional bond that can instigate the development of contentment and other favorable behaviors.
Transforming Organizational Culture in a State-Owned Construction Firm: Insights from the Competing Values Framework
Authors: Kismono Gugup , Gunawan Stephen
Published: August 2024

This study investigated the type of organizational culture in a state-owned construction firm using the Competing Values Framework. Diagnosing the organizational culture is essential to identifying the gap between the current and preferred cultures, and guiding the development of transformation programs. Data was collected from 58 participants using validated and reliable instruments applicable across various industries and countries. Descriptive analysis categorized the organizational culture, revealing a gap between the current and preferred types. The current culture was evenly spread across clan, adhocracy, market, and hierarchy types, whereas the preferred culture leaned towards market culture. To bridge this gap, a transformation program emphasizing transformational leadership and human resources functioning as business partners is necessary. The study faced limitations, including a relatively low response rate, although managerial responses were robust. The use of an ipsative rating scale precluded causal statistical analysis, suggesting future research might benefit from a Likert-type scale for more sophisticated analyses, including individual comparisons. This research provides a practical case of organizational culture transformation, emphasizing the shift towards a market culture in response to industry developments and business competition. Leaders are encouraged to consider individual characteristics, offer personal attention, develop a visionary approach, and communicate purposes with humility. Human resource functions should align HR practices with the company’s strategy and leverage unique employee capabilities. The study highlights the need for an ambidextrous culture and suggests that effective cultural shifts can be achieved through vertical and horizontal alignment.
Exploring Accountability and Transparency in Government Agency Management: A Literature Review
Authors: Irawati Syati , Hayat Atma , Juniar Asrid , Handayani Sri Astuti
Published: August 2024

Public bureaucratic practices are frequently criticized for being impolite, unfriendly, discriminatory, and for having service systems that are non-transparent, complicated, and do not guarantee certainty in terms of time and costs. These issues arise from a lack of transparency and accountability in public service implementation. Transparency involves the freedom to access information, while accountability ensures that activities are carried out responsibly and answerable to the public. This research explores the relationship between accountability and transparency in government agency management through a literature review. The study analyzes 30 journals from state and private universities, published between 2018 and 2023, to understand their impact on government performance. Data was collected from Google Scholar using the keywords "accountability and transparency." Strict criteria and limitations were applied to ensure the relevance and suitability of the data for this research. The findings emphasize the importance of accountability and transparency in improving the performance of government entities at various levels, including regional, city, and village governments, as well as organizations. These concepts are crucial for addressing issues related to performance, finance, and budget management. The study highlights the need for further research to explore these relationships in depth and to develop frameworks for better public service delivery. By integrating accountability and transparency into government operations, public trust can be restored, and the efficiency and effectiveness of public services can be significantly enhanced. This literature review serves as a reference for future studies and practical applications aimed at improving the management and performance of government agencies and organizations.
BUMDes Management Strategy in Improving Community Economic Welfare
Authors: Luis Muhammad , Yafiz Muhammad , Jannah Nurul
Published: August 2024

This research aims to find BUMDes management strategies to improve the economy of village communities. The method used is a qualitative method by conducting field interviews, then the results are analyzed using the SWOT method. The results show that in the SWOT analysis BUMDes has not carried out its management optimally, and has not been able to improve the economic welfare of the village community, thus the impact of the establishment of BUMDes has not been felt by the community in Suka Damai Timur Village. The results of the SWOT matrix analysis, namely strategies (S-O), (W-O), (S-T), (W-T), found that BUMDes must implement several strategies to improve the economy of village communities, namely by conducting strategic business partnerships, Diversifying Products and Services, Carrying out Integrated Livestock Development, Opening Livestock and Technology Training Centers, Improving Marketing and Distribution Networks, Utilizing technology as a means of promotion, Improving facilities and infrastructure, Increasing Funding and Facilities, Technology Training on Social Media, Proposing Pilot Projects to Government and Investors, Minimizing Competition, Utilizing Strategic Locations to Attract More Customers, Developing Sustainability and Risk Management Programs, Improving Services and Community Involvement, Training    and Increasing Capacity, Diversifying Revenue Sources, Increasing Transparency and Accountability. By implementing these strategies, it is hoped that BUMDes will be able to drive the economy of Sukadamai Timur village, so that BUMDes can contribute to improving the economy of the people in the village. So that BUMDes can achieve its goals that have been regulated by the government in accordance with the function of creating the BUMDes.
Enhancing SME Business Savings through HR Practices and Financial Literacy
Authors: Sumastuti Efriyani Sumastuti
Published: August 2024

This study explores how human resource (HR) practices influence business savings in small and medium enterprises (SMEs) through the mediation of financial literacy and savings motives. The primary objective is to determine the extent to which HR practices enhance business savings by improving employees' financial literacy and motivating savings behavior. Addressing the gap in integrating HR strategies with financial education, this research employs a quantitative approach using structural equation modeling (SEM) via Smart PLS 3. Data were collected from 241 SME employees through structured questionnaires. The results indicate that HR practices significantly boost business savings, primarily by enhancing financial literacy among employees. Although HR practices positively impact savings motives, these motives alone do not significantly mediate the relationship with business savings. The study concludes that incorporating financial literacy into HR practices is essential for fostering better financial decision-making and achieving substantial business savings. Consequently, SMEs should prioritize financial education within their HR strategies to improve their financial outcomes.