bluuebunny/crossref_metadata_2025 huggingface dataset:
An Exploratory Study Of Customer Services Focusing On Customer Engagement - An Irish Perspective
Authors:   ,   Cork Institute of Technology, Ryan William
Published: August 2024

"This research study is an exploratory examination of customer services, which traces its developments to the modern day, evaluates its impact on corporate strategy, and analyses its effect on organisations performance. This study also investigates customer engagement to ascertain if technological changes has impacted on it, causing it to evolve, and the effect if any, these changes have had on customer services. The research explores the loyalty status of a customer, the availability of best practice models to aid organisation employing these concepts, and to evaluate if components are transferrable from large organisations to small to medium enterprises. A qualitative research approach was undertaken in this study using semi-structured interview methods to capture the experiences, beliefs, and opinions of senior people working in executive or consultative roles within customer services. A ‘grounded theory’ of qualitative analysis was utilized to identify patterns, trends, and facts which enabled the researcher to produce the findings that this research is based on. This research is exploratory, and inductive, and was aided by the diverse nature, and skill-set of the interviewees which allowed for a real-time, and practical overview of the concepts. The main findings from this study are that customer services is having a significant impact on the corporate strategies of companies in today’s business environment, and can be the difference between an organisation been successful or having a bleak future. Customer engagement has been impacted in a positive way with technological changes resulting in the concept evolving to the point where it is now ‘the tool’ to facilitate organisations getting closer to their customers. This research has identified a direct correlation between the success of a customer services strategy, and the implementation of an effective customer engagement program. A significant finding has been the absence of a holistic customer engagement best practice model to assist organisations in implementing a customer engagement strategy. This study has subsequently developed a model to fill this gap in academic literature, and provide organisations with a model that is built in stages, allowing them to progress to ‘best in class’ status. Other notable findings include the identification of transferrable components to small to medium enterprises, and recommendations for future research."
Development And Validation Of Gas Chromatographic Methods For Free Fatty Acid Determination In Dairy Products
Authors:   ,   Cork Institute of Technology, Mannion David
Published: August 2024

Quantification of free fatty acids (FFA) in dairy products by gas chromatography flame ionization detection is an important requirement for quality, research, nutritional, authenticity and legislative purposes. Common procedures are typically variants of either the fatty acid methyl esterification (FAME) or direct on-column injection methods developed more than two decades ago. This study involved the development of an alternative novel derivatization method using butylation, incorporating automation, reducing solvent usage that is applicable for a wide range of dairy products. The accuracy, precision, linearity, limits of detection and limits of quantification of all three methods were assessed for the quantification of FFA in seventeen dairy products. Significant limitations were evident with both the direct on-column and FAME methods. The direct on-column method experienced accumulative column phase deterioration and irreversible FFA absorption due to the acidic nature of the injected extract. The FAME method experienced issues with co-elution of the injection solvent peak with butyric acid that impacted on its quantification, loss of polyunsaturated free fatty acids and the interference from artefact peaks. Quantification of all FFA was achieved across all samples with the novel derivatization method. The novel butylated derivatization step was automated, reducing solvent usage and increasing sample throughput and accuracy. Limits of quantification and detection were comparable to the other methods and the method has significant potential for research and industrial applications.
Activating Social Entrepreneurship Opportunities In The Youth Sector
Authors:   ,   Institute of Technology Tralee, Fahey Oliver
Published: August 2024

"This study is an action research that has been conducted with the collaboration of the Kerry Diocesan Youth Service. Its primary objective has been to examine the influencing elements that encourage or impede the activation of social entrepreneurship in the youth sector in Ireland. Also, how through participation in social entrepreneurship activity young people can be linked with further education, training or attachment to the labour market. Using a mixed method data gathering approach by means of a quantitative online national survey and qualitative semi-structured interviews, this research has garnered an understanding of how practitioners and key stakeholders conceptualise the process and role of Activating Social Entrepreneurship Opportunities in the Youth Sector (ASEOYS). Key findings of this study have indicated that there is a prodigious agreement among stakeholders that participation in social entrepreneurship plays a pivotal role in youth work practice and the positive development of young people. Further findings indicated however that funding model issues may be responsible for inhibiting the process of ASEOYS. The Department of Children and Youth Affairs National Youth Strategy 2015-2020 policy document, emphasises that '‘the aim of the National Youth Strategy is to enable young people to realise their maximum potential, by respecting their rights and hearing their voices, while protecting and supporting them as they transition from childhood to adulthood”. The fifth outcome area of the document specifies that young people should be: “connected, respected and contributing to their world”. Social entrepreneurship education, and the provision of opportunities for young people to engage in active citizenship through youth organisations is deemed integral to this strategy (Department of Children and Youth Affairs, 2015: 1 and 33). Key UK research evidence measuring social return on youth sector initiatives indicates that youth social entrepreneurship initiatives have more than doubled the return on investment (NCSR, 2013)."
Atm Services : Transforming The Customer Value Proposition
Authors:   ,   Cork Institute of Technology, McKiernan Colm
Published: August 2024

"Managing risk has always been to the fore, in the CIT (Cash-in-Transit) industry. An accelerated rate of change and increasing market risks, now face the sector. ATM (automated teller machine) servicing is an important market segment for CIT firms. Despite turbulence in the banking industry since the recent financial crisis, the ATM market has remained resilient. The desire for new levels of bank branch automation has been driving technology development in the ATM industry. The author undertook qualitative research to determine how the customer value proposition for ATM services could evolve. ATMs are an important component of the overall cash supply chain. By reviewing existing literature, a greater appreciation of the cash supply chain was developed. The method of cash delivery to ATMs was recommended for future research by academics, one of many gaps in existing literature. The primary research involved interviews from thirteen international experts, who have experience in the ATM market from a customer or supplier perspective. The key findings from this study reveal that banks experience different conditions in the ATM market, in comparison with IADs (independent ATM deployers). Notably, this study has found that extensive opportunities exist for CIT firms to reduce the cost of cash for their customers. Holding a unique position in the cash supply chain, CIT firms can exploit their logistical capability to enhance the value proposition in the provision of ATM services. Furthermore, this study has identified an alternative and more comprehensive approach to measure the efficiency of the cash supply chain. It is also evident from this study that in order to meet changing customer needs, CIT suppliers must significantly alter their current business model. The findings from this primary research will add to the existing body of knowledge in relation to cash supply chain optimisation in general. A greater understanding of CIT operations, especially during the provision of ATM services are also accomplished with this research. "
Exploration And Implementation Of Innovative Efficiencies/devices In Beet Processing For Energy Production
Authors:   ,   Institute of Technology Tralee, McInerney Patrick
Published: August 2024

"The imminent depletion of fossil fuels, as well as concerns for energy security and the obligation to respond to climate change has led to expanding worldwide popularity of Anaerobic Digestion (AD) of energy crops. Sugar beet is a popular AD feedstock due to its favourable characteristics; however it can be quite labour intensive requiring a range of specialist equipment to process the crop prior to undergoing AD. A crucial stage of this process involves the size reduction of beet by a mechanical chopper unit; this pretreatment breaks open the cellulose structure of the crop and increases the surface area available for attack by the microorganisms. This is reported to he highly beneficial in terms of increasing the biogas extraction rate. At present this process is typically conducted by chopper technologies which were primarily designed to coarsely chop beet for animal feed. The process also requires an operator to remain with the machine throughout the chopping operation. To thoroughly exploit the benefits associated with this mechanical pretreatment process, further development in this area is compelling. This thesis, through collaboration with biogas machinery manufacturer Cross Agricultural Engineering LTD, explores ways of increasing efficiencies in the processing of beet feedstock. Developing upon current process methods, the research studies design possibilities for a new automated mechanical pretreatment unit capable of further reducing the beet chop size beyond conventional levels. Integral to the study, a lab scale experiment was conducted to determine biogas production rates from a range of chopped beet sizes. Tests were also conducted on beet processing machinery providing insight into the current energy balance in terms of direct input energy’ required to process beet feedstock and the resulting biogas energy yield. Analysis of the test results indicate that the current energy demand required for mechanical pretreatment of beet feedstock is less than that gained by the biogas energy yielded. These positive results gave confidence for development of new chopper prototypes which have potential to further harness beets energy’ potential. Each designs chopping ability’ was analysed and several modifications to the existing chopper concept are suggested, these new design features are expected to significantly enhance the biogas extraction rate from beet feedstock. Finally, a ladder logic program was also devised to facilitate automation of the machine concept proposed in this study. These valuable findings have the potential to aid biogas machinery manufacturers towards developing more efficient processing machinery."
Biometric Characteristics of Transverse Pericarp Cells in Winter Wheat Varieties of Saratov Breeding
Authors: Харитонова М.В. , Прохорова Т.М.
Published: August 2024

В связи с расширением посевов озимой пшеницы в России, включая Саратовскую область, необходимо большее внимание уделить вопросам биологии данной культуры. За последние годы в НИИСХ Юго-Востока (ныне «Федеральный аграрный научный центр Юго-Востока») был создан ряд новых сортов озимой пшеницы, существенно отличающихся от ранее районированного сорта, Мироновской 808. В литературе отмечается особая роль поперечных клеток перикарпия в генерации кислорода в ходе реакций фотосинтеза. Экспериментально показано, что поступающий из хлорофиллоносных (поперечных) клеток перикарпа кислород необходим в ходе эмбриогенеза зерновки. Несмотря на значимость уникального процесса в плодовой оболочке зерновки и его вклад в урожай зерна пшеницы, встречаются единичные данные о размерах и структуре поперечных клеток перикарпия. Научных исследований в области морфологии и физиологии новых сортов озимой пшеницы ранее не проводилось. Целью исследований стало установление морфологических и биометрических особенностей развития поперечных клеток перикарпия зерновок у некоторых сортов озимой мягкой пшеницы саратовской селекции. Выявлены сортоспецифичные особенности в динамике роста и развития поперечных клеток и количества хлоропластов. Установлено, что поперечные клетки различаются по размерам в различных частях зерновки, однако наименьшим варьированием различаются в области спинки, рост клеток вдоль продольной оси с сохранением межсортовых различий устойчиво сохраняется. Максимальные значения как по длине, так и по ширине поперечных клеток перикарпия выявлены у зерновок сорта озимой мягкой пшеницы Калач 60, минимальные – у сорта Виктория 95. Сорт Калач 60 на территории Саратовской области является продуктивным и урожайным сортом.
Educação geográfica e formação de professores no Brasil e Portugal: trajetórias e atualidades
Authors: Alves Teles Glauciana , Falcão Sobrinho José , Claudino Sérgio
Published: August 2024

Este livro é fruto de reflexões sobre a Educação Geográfica e a Formação de Professores de Geografia no Brasil e em Portugal, sendo uma produção bibliográfica do II Seminário Nacional sobre Educação Geográfica, Formação de Professores e Metodologias de Ensino. Este evento foi realizado em abril de 2023, com apoio do Programa de Pós-Graduação em Geografia (Propgeo), e com a organização do Laboratório de Pesquisa e Ensino de Geografia (Lapegeo) da Universidade Estadual Vale do Acaraú (UVA), tendo como coordenadora geral a Profa. Dra. Glauciana Alves Teles. Cabe mencionar o importante apoio ao evento do Programa de Apoio a eventos no País (Paep), da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), edital 06/2022, que tornou possível a presença de professores de instituições de ensino superior do Brasil, como dos estados do Ceará, Paraíba e Espírito Santo, e estrangeira, como de Lisboa, Portugal.
The Effect of Two Different Nasal Interfaces Used in Post-Extubation Non-Invasive Respiratory Support on Extubation Success in Newborns
Authors: Deveci Mehmet Fatih , Gökçe İsmail Kürşad
Published: August 2024

Background: Non-invasive ventilation support is frequently used in newborns after extubation. The efficiency of non-invasive ventilation support is associated to type of nasal interface used. We aimed to investigate the effect of nasal interface type in our study on extubation success.
Materials and Methods: We retrospectively evaluated a total of 105 term and preterm patients who were extubated to non-invasive ventilation. We divided the patients into two groups according to nasal interface type: RAM cannula or short binasal prongs (SBPs). We examined extubation failure between the two groups.
Results: While 63 of the patients were in RAM cannula group, 42 of them were in SBPs group, and the demographic characteristics of the patients were similar. There was no statistically significant differen-ce in the extubation failure rates between the groups (RAM; %44.4 vs SBPs; %38.1, p=0.518). The Ram cannula group had a higher beginning median positive end-expiratory pressure value (7.0 vs 6.5 cmH2O, p=0.038; respectively) and a lower median respiratory rate (60 vs 62/minute, p=0.032; res-pectively) than the SBPs group.
Conclusions: We believe that the easy-to-use RAM cannula can be used in selected patients, especially by setting the PEEP value approximately 1 cmH2O higher.
Entrevista com Marcelo Souza Nery
Authors: Nery Marcelo Souza , Brescia Amanda Tolomelli
Published: August 2024

“Na verdade, tudo o que está aqui, que tem nessas histórias que estão contidas como meu currículo, não é um trabalho solitário. Nossa equipe é muito integrada, são os mesmos professores desde o início, é um sonho de todos trabalhar e desenvolver um curso como o de Jogos Digitais. Então, acho que essa paixão toda faz com que cheguemos nesses patamares. Atualmente nós somos considerados pela empresa Unity o quarto melhor curso do mundo a utilizar seu software para o ensino”, relatou Nery antes de iniciarmos esta entrevista.
Educação, cibercultura e espaços formativos abertos no Ensino Superior
Authors: Bruno Adriana Rocha , Tarquínio Marcos Vinícius , Heredia Kênia Aulízia
Published: August 2024

Adriana Rocha Bruno é pós-doutora em educação pelo Instituto de Educação da Universidade de Lisboa, doutora e mestre em educação pela Pontifícia Universidade Católica de São Paulo e licenciada em pedagogia. É professora adjunta do Departamento de Educação da Universidade Federal de Juiz de Fora (UFJF) e dos programas de pós-graduação em Educação e em Gestão e Avaliação da Educação Pública — ambos da UFJF. É coordenadora do curso de especialização Mídias na Educação (FACED/UFJF) e vice-coordenadora do curso de Pedagogia da UFJF. É líder do Grupo de Pesquisa Aprendizagem em Rede — GRUPAR e membro de duas redes internacionais de pesquisa: REGIET (Red Internacional de Grupos de Investigación en Educación y Tecnología, UPM) e COLEARN (Collaborative Open Learning, The Open University). Experiente na área de educação, ela pesquisa, principalmente, os seguintes temas: formação de professores, docência no ensino superior, educação online e cibercultura, didática, aprendizagem de adultos, neurociência e neuropsicologia, linguagem emocional e educação, mídias e tecnologias. Em agosto de 2017, a professora Adriana Rocha Bruno participou do debate: “Quem quer ser professor?”, no I Encontro de Licenciaturas, promovido pela Diretoria de Inovação e Metodologias de Ensino — Giz —, da Pró-reitoria de Graduação da UFMG. No mês de novembro desse ano, a professora Adriana gentilmente concordou em nos responder algumas perguntas por e-mail, resultando nesta entrevista.
Entrevista com a professora Juliane Corrêa sobre a história do Giz
Authors: Corrêa Juliane , Flores Maria José Batista Pinto , Campos Paulo Mariano Eulálio
Published: August 2024

A professora Juliane Corrêa, da Faculdade de Educação (FaE) da Universidade Federal de Minas Gerais (UFMG), foi quem esteve à frente da implementação do Giz na UFMG, desde seu estabelecimento em 2008. Vinculado à Pró-Reitoria de Graduação da UFMG, o Giz é uma Diretoria de Inovação e Metodologias de Ensino, espaço no qual a professora Juliane atuou como diretora nos seis primeiros anos, construindo as condições materiais e pedagógicas de sua proposta no âmbito da UFMG. Posteriormente, tornou-se diretora da FaE (2014-2018). Considerando que no ano de 2018 o Giz completa 10 anos de experiência no cenário da UFMG e que a implementação desse espaço ins tucional se deu sob sua coordenação, a professora Juliane nos concedeu esta entrevista tratando dessa história.
A utilização do Arco de Maguerez como ferramenta metodológica em educação na saúde
Authors: Moreira Luana Araújo , Silva Júnior José Antonio da , Fernandes Thales Allyrio Araújo de Medeiros , Paulino Joao Lucas de Paiva , Nascimento Ellany Gurgel Cosme do
Published: August 2024

A temática deste trabalho é a educação na saúde, que aqui entende-se por: formação inicial, educação permanente e educação continuada na saúde. Na educação na saúde, métodos ativos podem ser eficazes para desenvolver a reflexividade e o engajamento em situações cotidianas. Dentre eles, destaca-se o Arco de Maguerez, que insere os estudantes em uma ativa busca por conhecimento. Este artigo trata-se de uma revisão de escopo, baseada nas diretrizes do JBI Institute, conforme as informações do Manual do Preferred Reporting Items for Systematic and Meta-Analyses – Extension for Scoping Reviews (PRISMA-SrC). Dentre os resultados, ressalta-se que desafios foram encontrados, destacando-se a pouca adesão, a reduzida percepção do educador sobre o seu papel educativo e as dificuldades na realização das etapas do Arco de Maguerez. Quanto à contribuição do método na aprendizagem, destaca-se o pensamento crítico, a busca por mudanças e por soluções de problemas, e a amplificação de competências do discente. Espera-se que a metodologia problematizadora possa se concretizar no processo de educação na saúde. Assim, o objetivo desta revisão foi mapear, na literatura nacional e internacional, a aplicação do Arco de Maguerez e suas contribuições como ferramenta para a metodologia da problematização no processo de educação na saúde. À luz dessas considerações, reafirma-se a relevância da temática como uma forma de entender sobre a metodologia da problematização, aplicada por meio do Arco de Maguerez, no processo de educação na saúde, além de esse trabalho servir também como ferramenta para avaliar as maneiras de utilização do Arco nesse processo.
Professora universitária negra e trans
Authors: Chaveiro Maylla Monnik Rodrigues de Sousa , Cassilhas Feibriss Henrique Meneghelli , Couto Bruna Lopes
Published: August 2024

Este texto é resultado da entrevista com a professora Feibriss Henrique Meneghelli Casillas, da Universidade Federal da Bahia, e tem como objetivo compreender sua trajetória e mapear estratégias de resistência que permitiram adentrar o espaço da universidade enquanto docente, rompendo os sistemas de opressão colonial. A entrevista foi feita com um roteiro semiestruturado, tendo por base a perspectiva teórico-metodológica da interseccionalidade. A partir desse diálogo, refletiu-se acerca de questões como: desafios em ser professora negra e trans na universidade; estratégias de enfrentamento ao racismo estrutural a partir da docência; importância do aquilombamento enquanto estratégia política de fortalecimento de intelectuais negras na academia; reconstrução de uma democracia na sociedade brasileira por meio da ruptura com a supremacia branca cis-heteropatriarcal que embasa a construção da ciência moderna. Destarte, o encontro com Feibriss traz à tona o entendimento e a força de sua trajetória enquanto pessoa trans feminina, negra e professora universitária, de modo a auxiliar outras pessoas negras, as quais pretendem seguir pelo caminho acadêmico. Por fim, a entrevista também visa contribuir com a área de estudos de gênero, sexualidade, raça e etnia.
Os Jovens e suas Práticas de Lazer
Authors: Diniz Anna Luiza Souza , Couto Ana Cláudia Porfírio
Published: August 2024

O vírus da Covid-19 afetou de diversas formas a população mundial e, com isso, surgiu a necessidade da implementação de medidas sanitárias para evitar sua propagação. Em Belo Horizonte, essas medidas vieram por meio de decretos municipais, que proibiram o funcionamento de serviços considerados não essenciais. A partir desse momento, os jovens acostumados a frequentar bares, festas, shoppings – lugares que geram intensa aglomeração – se depararam com uma situação inusitada, sendo obrigados a adaptarem suas práticas à rotina do lar. Com o intuito de compreender melhor essas mudanças, realizamos um estudo que analisa os impactos da pandemia nas práticas de lazer desses jovens. Por meio de um questionário aplicado em diversos pontos de lazer da cidade, conseguimos observar como as práticas de lazer dos jovens foram afetadas pela pandemia. Esses resultados enfatizam a importância da adaptabilidade e resiliência dos jovens diante novos desafios.
enquadramento da extensão universitária climática
Authors: Brose Markus Erwin
Published: August 2024

Embora os acordos internacionais e as estratégias nacionais sejam indispensáveis no enfrentamento das mudanças climáticas, cada esfera subnacional requer respostas específicas. A adaptação climática constitui nova adversidade para os gestores nas esferas municipal e estadual, que nos últimos anos enfrentaram ausência de dados, de vontade política e de recursos do governo federal. Se torna urgente ampliar a capacidade para adequar conhecimento, extensão e divulgação científica que sejam convertidas em ações locais por gestores públicos e privados. Esse ensaio visa debater o enquadramento para a extensão universitária em adaptação climática no interior do Rio Grande do Sul, face ao obstáculo que representa o uso indiscriminado do termo “mudança climática”. Utiliza elementos da Teoria da Perspectiva por Kahneman e Tversky para enfatizar o desafio para o enquadramento de um enfoque interdisciplinar frente à departamentalização universitária. A partir da experiência de iniciativas de extensão pela Universidade de Santa Cruz do Sul, busca refletir quanto aos contratempos na assessoria a gestores públicos e privados, debate as opções para o enquadramento dessas iniciativas, concluindo pela aparente inadequação dos conceitos usuais, mas que no seu conjunto estas constituem esboço para um plano regional de adaptação climática.
A Extensão que queremos
Authors: De Oliveira Valter Vander
Published: August 2024

Para entender melhor o que é a extensão temos que também conversar sobre que tipo de extensão queremos para o IFSC? Por consequência, estaremos, na realidade, discutindo que instituição queremos e como podemos chegar lá? Sem esquecer que a interação com a comunidade, com os estudantes, com os  professores e técnico-administrativos é requisito fundamental  para respondermos essas questões. Refletindo sobre esse tema, podemos afirmar que nossa história está repleta de conquistas e exemplos de muito sucesso. Formamos muitos estudantes e acredito que tenhamos impactado suas vidas e de muitas famílias. Digo isso por frequentemente ouvir relatos e elogios à nossa instituição. Mesmo assim, em alguns momentos, converso com pessoas que ainda não conhecem o IFSC e, pior, sentem-se despreparadas ou até desacreditadas de que este ambiente possa fazer parte de sua realidade.Quantas pessoas ainda olham para nossa instituição como algo inalcançável, um lugar que não lhes pertence? Quais ações estamos realizando para nos aproximar dessas pessoas?
ANALYSIS OF THE RESISTANCE TO THE ADVANCE OF THE HULL OF A BOAT IN WATERS OF THE SINU RIVER
Authors: Sánchez Jairo Eulises Torres , Álvarez Demóstenes José Durango , Corrales Daniel Espinosa
Published: August 2024

The aim of this article is to determine the resistance to the advance of a boat in the waters of the Sinu River, using principles of fluid mechanics, with the help of computational tools such as Maxsurf and Ansys Fluent, validating the results with a scale model. The method consists of establishing dimensional relationships of the hull by creating 9 models with the help of Maxsurf Modeler with which the geometries are created and Maxsurf Resistance to determine the resistance to the advance. With the help of ANSYS Fluent the drag is determined using the selected model with Maxsurf Modeler. Finally, a scale model is built and tested in a test channel, thus validating the hull design to minimise the drag. For the resistance analysis it is concluded that the most influential relationship is the length to beam, with speeds between 0.5 and 1.5 m/s, the results obtained by the three methods are consistent, however, at speeds higher than 2.2 m/s, a significant divergence between the results is observed. This phenomenon highlights the importance of considering the specific speed range when assessing the boat’s drag in moving water such as a river.
KEYAKINAN DAN KESEDIAAN MICRO MERCHANT MEMBAYAR SETTLEMENT EXPENSE DAN MERCHANT DISCOUNT RATE PENGGUNAAN QRIS UNTUK MENINGKATKAN SUSTAINABILITY REPORTING PADA COFFEE SHOP DI KARAWANG
Authors: Endayani Aulia Nur , Lukita Carolyn , Arimurti Trias
Published: August 2024

Tujuan penelitian ini untuk mengetahui seberapa yakin dan bersedia UMKM membayar biaya settlement dan MDR penggunaan QRIS pada micro merchant coffee shop Karawang untuk meningkatkan laporan keberlanjutan bisnisnya. Penelitian ini diteliti dengan metode kualitatif deskriptif dan naratif dengan menggunakan metode pengumpulan data interview, observasi dan dokumentasi. Scope penelitian berfokus pada micro merchant bidang FnB Coffee Shop, locus penelitian di Karawang, dengan jumlah coffee shop yang diambil 4. Hasil dari penelitian ini menjelaskan bahwa micro merchant coffee shop di Karawang yakin dan bersedia untuk membayar biaya settlement dan merchant discount rate yang ditetapkan oleh Bank Indonesia. Saat ini minim penelitian yang mengangkat tema kayakinan dan kesediaan micro merchant membayar biaya settlement dan MDR pada QRIS untuk meningkatkan laporan keberlanjutan bisnis, peneliti harap adanya penelitian ini dapat menjadi bahan literatur riset bagi para UMKM yang sudah menerapkan QRIS pada bisnisnya, dan bagi Bank Indonesia adanya penelitian ini bisa menjadi pertimbangan dalam menentukan biaya settlement dan MDR secara absolut dan adil, baik untuk merchant maupun untuk pelangga bisnis mereka.
PENGARUH PROFITABILITAS, LEVERAGE DAN KEBIJAKAN DIVIDEN TERHADAP HARGA SAHAM DI BURSA EFEK INDONESIA
Authors: Indriani Made , Harnida Muthia , Nurhayati Netty
Published: August 2024

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh profitabilitas, leverage dan kebijakan dividen terhadap harga saham baik secara parsial dan simultan pada Perusahaan Makanan dan Minuman yang terdaftar di Bursa Efek Indonesia. Sampel yang digunakan dalam penelitian ini adalah 40 data perusahaan yang berasal dari 8 perusahaan makanan dan minuman yang terdaftar di Bursa Efek Indonesia untuk periode 2018 s/d 2022. Teknik analisis  data  yang digunakan adalah analisis  regresi  linier  berganda. Data dianalisis dengan  menggunakan  SPSS IBM versi 26. Hasil penelitian membuktikan bahwa secara parsial  profitabilitas (ROA) berpengaruh positif tidak signifikan terhadap harga saham perusahaan, leverage (DER) berpengaruh negatif signifikan terhadap harga saham dan kebijakan dividen (DPR) berpengaruh negatif signifikan terhadap harga saham perusahaan. Sedangkan secara simultan profitabilitas, leverage dan kebijakan dividen berpengaruh signifikan terhadap harga saham dengan pembagian proporsi pengaruh sebesar 45%.
Ketamine combined with dexmedetomidine reduces neutrophil lymphocyte ratio (NLR) in critically ill COVID-19 patients; a pre-experimental study
Authors: Fatoni Arie Zainul , Asmoro Aswoco Andyk , Saputra Bayu Mahardi , Siswagama Taufiq Agus
Published: August 2024

Background & objective: About 20% of patients with COVID-19 admitted to the intensive care unit (ICU) need ventilatory support under sedation using dexmedetomidine and ketamine. Ketamine has an anti-inflammatory effect and is expected to suppress immune cells. A high neutrophil-lymphocyte ratio (NLR) is associated with a severe stage of the disease. We compared NLR between COVID-19 patients under sedation with dexmedetomidine alone or with dexmedetomidine combined with ketamine.
Methodology: This pre-experimental study involved a control group of patients receiving dexmedetomidine (n = 10) and the intervention group receiving dexmedetomidine and ketamine (n = 10) for sedation. NLR was evaluated before and after 24 h of sedation with the study drugs.
Result: The patients' NLR increased significantly at 24 h after sedation using sole dexmedetomidine from 9.01 to 15.62 (P > 0.05). The combination of dexmedetomidine and ketamine significantly reduced NLR from 11.22 to 8.61 (P = 0.026). Both groups experienced a decrease in neutrophil count (P > 0.05). The lymphocyte count increased significantly in the intervention group (P = 0.025) and decreased in the control group.
Conclusion: There is a significant NLR difference between a patient receiving dexmedetomidine sedation compared dexmedetomidine combined with ketamine. A combination of dexmedetomidine and ketamine reduces NLR compared to sole dexmedetomidine in critically ill COVID-19 patients.
Keywords: COVID-19, dexmedetomidine, ICU, ketamine, neutrophil lymphocyte ratio, NLR
Citation: Fatoni AZ, Asmoro AA, Saputra BM, Siswagama TA. Dexmedetomidine combined with ketamine reduces neutrophil lymphocyte ratio (NLR) in critically ill COVID-19 patients; a pre-experimental study. Anaesth. pain intensive care 2024;28(4):737−743; DOI: 10.35975/apic.v28i4.2365
Received: December 19, 2023; Reviewed: February 07, 2024; Accepted: June 26, 2024
Combined nefopam-fentanyl use in PCA for postoperative analgesia in spinal surgery patients: a randomized, controlled, single-blind trial
Authors: Le Xuan Duong , Nguyen Minh Ly , Nguyen Duy Thang , Do Thanh Hoa , Nguyen Hai Ghi
Published: August 2024

Background & objective: The use of fentanyl to manage postoperative pain in spinal surgery patients is common, although there have been concerns about potential of drug abuse and dependence. We investigated the effects of the combined administration of nefopam and fentanyl through intravenous (IV) patient-controlled analgesia (PCA) on early postoperative pain and possible side effects in patients undergoing spinal surgeries.
Methodology: In this randomized, controlled study, 70 patients were allocated to receive either fentanyl 10 µg/mL (Group F) or fentanyl 10 µg/mL with nefopam 1.2 mg/mL (Group FN), with a total PCA volume of 100 mL per infusion bag. Patients received a background dose of 0.25 µg/kg/h and bolus dose of 0.5 mL SOS (fentanyl 5 µg). The lockout interval was set at 10 min and upper limit was set at 15 mL/4 h. The PCA parameters were set according to the body weight of each patient.
Results: The cumulative postoperative fentanyl consumptions after 48 h for Group F and Group NF were reported as 744.6 ± 94.2 µg and 631 ± 62.5 µg (P < 0.05) respectively. The average number of bolus doses requested by the patients in Group F and FN were 20.8 ± 11.0, and NF 11.4± 7.6). The A/D ratio of both groups for the bolus doses were 70%. Group NF consistently scored a lower VAS and VAS-D score during the 48-hour postoperative period. However, the VAS scores significantly differ statistically between groups at 1, 6, 9, and 12 hours. Within group differences, the VAS score differed significantly statistically during the 0-1, 1-2, and 2-3 hours for Group F, while 24-36 hours for Group NF.
Conclusion: The inclusion of nefopam in patient-controlled analgesia for spine surgery patients significantly reduced total use of fentanyl within the 48 hours postoperatively after the surgery. Patients receiving fentanyl with nefopam consistently had lower VAS scores at different time points.
Abbreviations:  PCA - patient-controlled analgesia; VAS - Visual Analogue Scale
Keywords: postoperative pain, fentanyl, nefopam, patient-controlled analgesia
Citation: Le XD, Nguyen ML, Nguyen DT, Do TH, Nguyen HG. Combined nefopam-fentanyl use in PCA for postoperative analgesia in spinal surgery patients: a randomized, controlled, single-blind trial. Anaesth. pain intensive care 2024;28(4):687−691; DOI: 10.35975/apic.v28i4.2370
Received: January 06, 2024; Reviewed: April 14, 2024; Accepted: April 14, 2024
The effect of early neuromuscular electrical stimulation in intensive care unit-acquired weakness
Authors: Yustiawan Arief , Semedi Bambang Pujo , Arfianti Lydia , Hidayati Hanik Badriyah , Maulydia Maulydia , Edwar Pesta Parulian Maurid , Airlangga Prananda Surya , Santoso Kohar Hari , Andriana Meisy
Published: August 2024

Background & objective: Intensive Care Unit-Acquired Weakness (ICU-AW) is a weakness found in critically ill patients, and this weakness can persist even after discharge from the Intensive Care Unit (ICU). Various rehabilitation medicine procedures have been shown to be effective in prevention as well as managing the established weakness in this cohort of the patients. We analyzed the effect of Neuromuscular Electrical Stimulation (NMES) therapy on the global muscle strength, quadriceps femoris muscle, and creatine kinase examination in patients known to have ICU-AW.
Methodology: The type of study used a pre-experimental one-group pre-posttest, and the study population consisted of 23 patients who experienced ICU-AW. Patients were given NMES therapy at the beginning of treatment in the ICU and then evaluated using the Medical Research Council Scale for Muscle Strength  (MRC-SS), Manual Muscle Test (MMT), and creatine kinase levels.
Results: NMES therapy provides significant results on increasing muscle strength on the fifth day with MRC-SS 42.78 (24-60) and MMT 3.57 (2-5) (P < 0.001), as well as a significant decrease in creatine kinase levels given therapy at the beginning of ICU admission.
Conclusion: NMES therapy increases global muscle strength and quadriceps femoris muscle and decreases creatine kinase levels.
Abbreviations: ICU-AW - Intensive Care Unit-Acquired Weakness, NMES - Neuromuscular Electrical Stimulation, ICU - Intensive care unit, MRC-SS - Medical Research Council Scale for Muscle Strength, MMT - Manual Muscle Testing, CK-MM - Creatine kinase muscle specific
Key Words: Neuromuscular electrical stimulation; Intensive Care Unit-Acquired Weakness, Creatine kinase
Citation: Yustiawan A, Semedi BP, Arfianti L, Maulydia, Edwar PPM, Airlangga PS, Santoso KH, Andriana M. The effect of early neuromuscular electrical stimulation in intensive care unit-acquired weakness. Anaesth. pain intensive care 2024;28(4):706−711; DOI: 10.35975/apic.v28i4.2405
Received: March 04, 2024; Reviewed: April 29, 2024; Accepted: May 10, 2024
Evaluation of vascular endothelial growth factor and interleukin-1 receptor antagonists of synovial fluid cytokines in patients with anterior cruciate ligament injury, meniscal tear and cartilage damage
Authors: Abd Ali Ahmed J. , Alzaniily Ajile A. , AL-Ardi Iskandar
Published: August 2024

Background & objective: Knee pain, related to osteoarthritis (OA) of the knees is a disease of middle to old age. The males are the predominant victims. It has been suggested that knee diseases may be related to inflammatory biomarkers such as vascular endothelial growth factor (VEGF-A) and interleukin-1 (IL-1Ra) receptor antagonists of synovial fluis cytokines. These biomarkers might provide diagnostic and prognostic information to the clinicians. We investigated the levels of VEGF-A and IL-1Ra in patients known to suffer from suffered from anterior cruciate ligament (ACL) injuries, meniscal tears, and cartilage damage.
Materials and methods: A total of 76 Iraqi participants were diagnosed to be suffering from anterior cruciate ligament (ACL) injuries, meniscal tears, and/or cartilage damage during the period from November 2022 to May 2023. They were admitted to the Al-Furat Al-Awsat Private Hospital in the Al-Qadisiyah Governorate, Iraq. The patients were divided into three groups according to the duration of the disease:  Group I included patients with injuries for less than 6 months, Group II with  6-12 months and Group III had patients with injuries for more than one year. The enzyme-linked immunosorbent assay (ELISA) technique was used to detect inflammatory markers VEGF-A and and IL-1Ra. Data were summarized, and Microsoft Office Excel 2013 and GraphPad Prism 9.2.0 were used to present the statistical analysis.
Results: Patients in Group I showed a significantly elevated level of VEGF-A (372.2 ± 68.95 pg/mL) as compared to Group II (273.5 ± 53.47 pg/mL) and Group III (232.2 ± 28.22 pg/mL) (P < 0.0001). While the concentration of IL-1Ra declined in patients with Group III (162.1 ± 7.036 pg/mL), as compared with  both Group II (173.1 ± 9.351 pg/mL) and Group I ( 200 ± 34.53 pg/mL) with significant differences (P < 0.0001).
Conclusion: The current study identified two synovial fluid biomarkers, vascular endothelial growth factor (VEGF-A) and interleukin-1 (IL-1), receptor antagonists of synovial fluis cytokines, whose concentrations after anterior cruciate ligament injury differ depending on the duration of the injury.
Abbreviations: ACL - anterior cruciate ligament; OA - osteoarthritis; IL-1Ra - interleukin-1 receptor antagonists; VEGF-A - vascular endothelial growth factor
Keywords: Vascular Endothelial Growth Factor; interleukin-1 Receptor Antagonists; Anterior Cruciate Ligament
Citation: Abd Ali AJ, Alzaniily AA, AL-Ardi I. Evaluation of vascular endothelial growth factor and interleukin-1 receptor antagonists of synovial fluid cytokines in patients with anterior cruciate ligament injury, meniscal tear and cartilage damage. Anaesth. pain intensive care 2024;28(4):616−619; DOI: 10.35975/apic.v28i4.2501
Received: December 16, 2023; Reviewed: April 13, 2024; Accepted: April 24, 2024
A comparative study of adductor canal block with infiltration of the interspace between popliteal artery and the capsule of posterior knee or with periarticular infiltration after total knee arthroplasty
Authors: Hassan Tawfik Hussein Abdelnaser , Mohamed El-zahaby Hany Mohamed , Abdelrahman Elagamy Ashraf Elsayed , Mohamed Rashed Mohamed Mohsen , Hussein Khalil Mostafa Mansour
Published: August 2024

Background & objective: Appropriate perioperative pain management, with multimodal analgesia regimens combining regional anesthesia and systemic analgesics, is crucial for optimum results in individuals undergoing total knee arthroplasty (TKA). We evaluated the efficacy of combined Adductor Canal Block (ACB) and infiltration in the interspace between the popliteal artery and capsule of the knee (IPACK) supplementing against ACB and Periarticular Infiltration (PAI) on postoperative pain scores, use of opioids, and early physical therapy in patients subjected to TKA under spinal anesthesia (SA).
Methodology: In the current prospective, randomized, comparative clinical trial, 40 individuals undergoing TKA were arbitrarily distributed in two groups. Group A comprised of patients undergoing ultrasound-guided ACB plus IPACK block; Group B comprised of patients undergoing ACB plus PAI block at the beginning of the surgical procedure.
Results: The ACB + IPACK group exhibited notably lower VAS scores (P < 0.05) compared to the ACB plus PAI group. Group A consumed 67.5 ± 21.6 mg of pethidine over the first 48 h, while Group B consumed 87.5 ± 33.9 mg of pethidine. The range of movement of the knee and walking distance also revealed that the values were considerably higher in Group A compared to Group B.
Conclusion: The utilization of both adductor canal block and the interspace between the popliteal artery and the knee capsule provides improved analgesia than adductor canal block and periarticular injection, while preserving the knee joint motor power in the postoperative period.
Keywords: Adductor canal block; IPACK; Local anesthetic; Multimodal analgesia; Pain, Postoperative; Arthroplasty
Citation: Hassan HA, Elzahaby HM, Elagamy AE, Rashed MM, Hussein MM. A comparative study of adductor canal block with infiltration of the interspace between popliteal artery and the capsule of posterior knee or with periarticular infiltration after total knee arthroplasty. Anaesth. pain intensive care 2024;28(4):620−625; DOI: 10.35975/apic.v28i4.2503
Received: February 10, 2024; Reviewed: March 13, 2024; Accepted: March 18, 2024
Spontaneous pneumothorax in critically ill patients with COVID-19
Authors: Heppekcan Deniz , Hazar Egemen Ümit
Published: August 2024

Background & Objective: Coronavirus disease 2019 (COVID-19) claimed thousands of the lives during a limited period of time, but also enriched our scientific knowledge, especially regarding the respiratory pathogenesis and intensive care dynamics. This study was carried out to bridge the gap in the literature regarding the incidence, clinical features, and outcomes of spontaneous pneumothorax (SP) that develops during the course of COVID-19.
Methodology: The population of this single-center retrospective study consisted of all critically ill adult patients who tested positive for COVID-19, developed SP, and were admitted to the intensive care units (ICUs) of Acibadem University School of Medicine, Training and Research Hospital, between March 21, 2020 and May 31, 2021. Detailed medical records, clinical findings, chest computed tomography (CT) scans, and X-ray images of critically ill COVID-19 patients complicated by SP were obtained and analyzed.
Results: Of the 753 patients admitted to the ICUs during the study period, 600 tested positive for COVID-19 viral pneumonia. Of these patients, 549 met the diagnostic criteria for acute respiratory distress syndrome (ARDS), of whom 472 were treated with invasive mechanical ventilation (IMV) and 77 were treated without IMV. SP developed in a total of five (0.8%) patients, 4 (0.9%) of whom were on IMV support and 1 (1.2%) of whom was breathing spontaneously. Of these patients who developed SP, one patient on IMV support was female, and the remaining four were male. The median age of these five patients was 42 (33-64) years. Two (40%) of the five patients died in ICU.
Conclusion: The actual incidence of COVID-19-related spontaneous pneumothorax is yet to be elucidated and may require a large scale, multi-center study. COVID-19-related spontaneous pneumothorax is similar to ARDS-related spontaneous pneumothorax without COVID-19 in terms of clinical features and outcomes, its risk of occurrence is higher.
Abbreviations: COVID-19 - Coronavirus disease 2019; CT - computed tomography; IMV - invasive mechanical ventilation; SP - spontaneous pneumothorax
Keywords: SARS-Cov-2; COVID-19; Spontaneous Pneumothorax
Citation: Heppekcan D, Hazar EU. Spontaneous pneumothorax in critically ill patients with COVID-19. Anaesth. pain intensive care 2024;28(4):646−651; DOI: 10.35975/apic.v28i4.2506
Received: May 15, 2024; Reviewed: June 01, 2024; Accepted: June 22, 2024
Dexmedetomidine versus labetalol for induced hypotension during functional endoscopic sinus surgery: a randomized, double-blind study
Authors: Gupta Savita , Yadav Isha , Saxena Anupriya , Bagla Rahul Kumar , Nazir Nazia
Published: August 2024

Background & Objective: Functional endoscopic sinus surgery (FESS) is a surgical procedure for treating sinus diseases. Bleeding is a common concern during FESS, so maintaining hemodynamic stability and ensuring quality surgical field visibility is crucial for achieving the best outcomes. The present study compared the time taken to achieve target mean arterial pressure (MAP) when using dexmedetomidine or labetalol during FESS and assessed the quality of the surgical field to establish the better choice of the two.
Methodology: The study was conducted as a prospective, randomized, double-blinded clinical study. Sixty patients classified as American Society of Anesthesiologists grade I or II, undergoing FESS under general anesthesia, were divided into two groups, each with 30 patients. Group D patients received dexmedetomidine and Group L received labetalol. The study aimed to maintain the mean arterial pressure (MAP) between 60-70 mmHg. The operative field visibility was assessed using the Fromme and Boezaart scoring system. Emergence time and postoperative first analgesic request time were also recorded.
Results: The time taken to achieve target MAP (60-70 mmHg) was less in Group D (15.1 ± 0.2 min) than in Group L (18.2 ± 0.5 min), and it was statistically significant (P < 0.05). Although insignificant, lower MAP were observed in the Group D than Group L. A significantly lower heart rate was observed at defined intervals in Group D than in Group L. The visibility of the surgical field in both groups has comparable results. The first analgesic request time was considerably longer in Group D (52.2 ± 1.9) compared to Group L (10.2 ± 2.1) (P < 0.05).   
Conclusion: Dexmedetomidine provided better hemodynamic stability and operative field visibility than Labetalol during FESS.
Abbreviations: FESS - Functional endoscopic sinus surgery; MAP - Mean arterial pressure; EtCO2 - end-tidal carbon dioxide
Keywords: Dexmedetomidine; Labetalol; Controlled Hypotension; Mean Arterial Pressure
Citation: Gupta S, Yadav I, Saxena A, Bagla RK, Nazir N. Dexmedetomidine versus labetalol for induced hypotension during functional endoscopic sinus surgery: a randomized, double-blind study. Anaesth. pain intensive care 2024;28(4):652−657; DOI: 10.35975/apic.v28i4.2507
Received: May 19, 2024; Reviewed: June 08, 2024; Accepted: June 08, 2024