bluuebunny/crossref_metadata_2025 huggingface dataset:
KLİNİK YÖNETİŞİM İKLİMİNİN HASTA GÜVENLİĞİ KÜLTÜRÜ İLE İLİŞKİSİNİN YAPISAL EŞİTLİK MODELLEMESİYLE İNCELENMESİ
Authors: Eraslan Nuran , Hayran Osman , Yüksel Serhat
Published: October 2022

Bu araştırmanın amacı, farklı statülerdeki hastanelerde klinik yönetişim ikliminin hasta güvenliği kültürü ile ilişkisinin incelenmesidir. Kesitsel nitelikteki bu araştırma; Haziran 2020-Nisan 2021 tarihleri arasında İstanbul’da farklı statüdeki 9 hastanede görev yapan, çok aşamalı örnekleme yöntemiyle seçilen ve araştırmaya katılmaya gönüllü olan, 2.055 hekim ve hemşire ile gerçekleştirilmiştir. Araştırma verileri, kişisel bilgi formu, klinik yönetişim iklim ölçeği ve hasta güvenliği kültürü ölçeği kullanılarak toplanmıştır. Toplanan veriler, Yapısal Eşitlik Modeli (YEM) ile değerlendirilmiş, verilerin analizinde SPSS 24,0 ve AMOS 24,0 programları kullanılmıştır. Ölçüm modelinin doğrulayıcı faktör analizi sonucu, standart faktör yüklerinin 0,516-0,90 aralığında olduğu, 6 alt boyuttan oluşan klinik yönetişim iklimi ve 12 alt boyuttan oluşan hasta güvenliği kültürü ölçeklerinin boyut yapısının korunduğu tespit edilmiştir. YEM analizi sonuçlarına göre; klinik yönetişim ikliminin hasta güvenliği kültürüne etkisinin (β=0,690; p<0,05) pozitif yönde ve istatistiksel olarak anlamlı olduğu ayrıca, klinik yönetişim iklimi (KYİ) değişkeninin, hasta güvenliği kültürü (HGK) değişkenini %39,8 oranında açıkladığı (R2=0,398) belirlenmiştir. Hastanelerde klinik yönetişim iklimi değişkenleri ile hasta güvenliği kültürü değişkenleri arasında pozitif yönde önemli ilişki olduğu, hasta güvenliği kültürünün gelişmesi için klinik yönetişimin güçlendirilmesinin önemli olduğu anlaşılmaktadır. Bu çalışmada elde edilen bulguların, sağlık politikacılarına strateji oluşturmada yol gösterebileceği ayrıca sağlık hizmetlerinin daha kaliteli ve güvenli sunulmasına katkı sağlayacağı düşünülmektedir.
Pengembangan Karakter Sosial Bagi Siswa Sekolah Dasar
Authors: Dwiyanti Sherina , Imam Tabroni
Published: October 2022

Tujuan dari penelitian ini adalah untuk menemukan sebuah cara atau model Pendidikan karater yang baik dan sesuai dengan pembangunan sebuah karakter anak. Penelitian ini pun di latar belakangi oleh menurunnya sikap baik dan sopan anak terhadap orang lain terutama kepada orang yang lebih tua. Mungkin di sebabkan karena oleh beberapa factor seperti factor keluarga, factor pertemanan dan factor masyarakat. Maka dari itu anak sangat membutuhkan wadah atau jembatan untuk menghadapi perubahan karakter melalui pengembangan sosisal Pendidikan karakter ini. Penelitian ini merupakan penelitian Research and Development (R&D), menggunakan analisis Mixed Method atau penggabungan antara kualitatif dan kuantitatif, tetapi lebih dominan kearah kualitatif.
Memperbaiki akhlak santri di pondok pesantren al asy’ariyah
Authors: Anissa  , Siti Nurfazriah  , Imam Tabroni
Published: October 2022

Penelitian ini dilatarbelakangi oleh fenomena yang terjadi di Pondok Pesantren yaitu: (1) Santri dan Santriwati yang kurang memiliki akhlak yang baik terhadap guru, (2) Kebiasaan yang kurang baik saat melaksanakan kegiatan di Pondok Pesantren, (3) Kurangnya pengetahuan dalam melaksakan pendidikan budi pekerti yang di terapkan. Metode penelitian yang digunakan adalah metode Deskriptif dengan pendekatan Kualitatif untuk lebih menggali inti dalam permasalahan penelitian dengan Teknik pengumpulan data menggunakan Wawancara dan mengamati. Teori yang menjadi rujukan dalam penelitian ini diantaranya teori pengelolaan Lembaga pondok pesantren, dan konsep Pendidikan di luar sekolah. Hasil penelitian adalah (1) dari 50% santri, 51% santri memiliki kejujuran yang baik, 52% memiliki tingkat kedisplinan yang tinggi, 31% santri yang memiliki kemandirian, 48% Kesopanan, 45% tanggung jawab. (2) upaya pondok pesantren dalam menciptakan system pembelajaran dalam membentuk akhlak dan kebiasaan. (3) faktor penghambat dalam proses Pendidikan akhlak diantaranya ola asuh yang diajarkan rumahnya dengan pola asuh yang di terapkan di pondok pesantren belum Singkron sehingga perlu penyamaan persepsi anatara orang tua dan pengajar di pondok pesantren.
Relationship of Knowledge and Attitude with Mother's Actions on Stunting Incidents in Wali Ate Village
Authors: Rato Karolus Wulla
Published: October 2022

Stunting is a child's growth and development disorder caused by lack of nutrition, infection, or inadequate stimulation. This study aims to examine the relationship between mother's knowledge and attitudes and mother's actions with the incidence of stunting in Wali Ate Village. research was carried out on20 june to 3 july 2022.Objective: To determine the relationship between knowledge and attitudes with mother's actions on the incidence of stunting in Wali Ate Village. Methods: Analytical research with a cross sectional approach. The population in this study amounted to 887 mothers. The number of samples was 96 mothers. The sampling technique used Accidental Sampling. Data collection by using a questionnaire. Results: Most of the respondents have sufficient knowledge aboutstunting42 people (43.8%). A number of respondents have a supportive attitude towards preventionstunting70 people (72.2%). Mother's actions on preventionstuntingwere in moderate action as many as 48 people (50.0%). The test results obtained a probability value for the relationship of knowledge with the mother's actions in the eventstuntingof 0.617 (p>0.05), while the relationship between attitudes and maternal actions in preventing DHF was 0.66 (p>0.05).
Efficacy of Hydrotherapy Soak Feet in Lowering Blood Pressure of Hypertension Sufferers in Dauhwaru Village, Jembrana
Authors: I Putu Sudiartawan  , I Made Dwi Mertha Adnyana
Published: October 2022

Hypertension fluctuates significantly every year, especially in Jembrana Regency. Long-term consumption of the drug may result in complications. This study aims to analyze the efficacy of foot soak hydrotherapy in lowering the blood pressure of hypertension sufferers in Dauhwaru Village, Jembrana. Experimental research design with one group pretest-posttest design without any control group. In 37 respondents with hypertension, the treatment consisted of 20 minutes of hydrotherapy in which the feet were immersed in 25-centimeter-deep water. The data was analyzed using a Paired T-Test and descriptive tests. The results showed that respondents aged 31–40 years (51.4%), male (54.1%), independent entrepreneurial work (40.5%), senior high school graduate education (35.1%), a daily work duration of > 12 hours/day, and respondents who had used anti-hypertensive medications for 6–8 years (37.8%) dominated the age characteristics. Hence, the results obtained from the T-test obtained a probability value (2-tailed) of 0,000 < 0.01. Hence, there is a very noticeable difference in blood pressure before and after being given foot-soak hydrotherapeutic treatment in hypertension patients in Dauhwaru Village, with a lowering in systolic blood pressure of 124.3 mmHg and diastolic blood pressure of 0.62.2 mmHg. Therefore, hydrotherapy soak feet is effective in lowering blood pressure.
Análisis de Costos de cuidados en salud para pacientes con cáncer al final de la vida: Hospital versus domicilio con cuidados paliativos, en el tercer nivel de atención
Authors: Amado-Tineo José Percy , Che-Hidalgo Elizabeth , Apolaya-Segura Moisés , Castillo-Cáceres Diana , Vásquez-Alva Rolando , Huari-Pastrana Roberto , Taype-Huamaní Waldo , Oscanoa-Espinoza Teodoro
Published: October 2022

Introducción: La etapa final de pacientes oncológicos genera elevados costos, sobretodo en hospitales. Objetivos: Determinar la diferencia de costos de atención al final de la vida de pacientes oncológicos en el hospital versus el domicilio. Material y métodos: Estudio retrospectivo de análisis de costos en pacientes fallecidos por cáncer en estadio clínico IV de un hospital terciario de la seguridad social, marzo 2018. Se comparó un grupo domiciliario (GD) de un programa paliativo con un grupo hospitalario (GH) admitido por emergencia. Se estimaron costos directos de servicios profesionales, hospitalización, procedimientos, exámenes auxiliares y medicamentos. Para el análisis estadístico se utilizó Chi cuadrado y T de Student, considerando un valor p<0,05 y utilizando SPSS 24.0. Resultados: Se incluyeron 81 pacientes en GD y 22 en GH, edad entre 36 y 96 años, con una mediana de 72 años en GD y 77 en GH (p=0,97), sexo femenino 59 y 73% respectivamente (p=0,25), predominando cáncer de origen digestivo y genitourinario. El costo promedio por paciente en GD fue 497 dólares americanos y en el GH 1908 (p<0,01), con un promedio diario por pacientes de 17 vs 447 respectivamente. En el GH predominaron los costos de hospitalización, exámenes auxiliares (tomografía, resonancia, análisis de gases arteriales, proteína C reactiva) y antibióticos (ertapenem y colistina), mientras que en GD el mayor costo fue en servicio médicos y medicamentos. Conclusión: Los costos médicos en la etapa final de vida de pacientes con cáncer avanzado son 3,8 veces mayor cuando fallece en el hospital que en el domicilio.
Insuficiencia respiratoria y hemoptisis en paciente con dengue: Hemorragia alveolar difusa como presentación inusual de dengue grave
Authors: Hurtado-Alegre Jorge , Carrasco-Lozano Luis Enrique , Zavala-Portugal Juliana , Quispe-Pari Jhosef Franck , Matos-Prado Eduardo Demetrio
Published: October 2022

Introducción: La infección por el virus del dengue es una enfermedad endémica en ciertas regiones del Perú. La mayoría de estos casos se clasifican como dengue sin signos de alarma y la mortalidad reportada es menor de 1%. Sin embargo, existen ciertas condiciones asociadas a la enfermedad que podrían incrementar la mortalidad. Reporte de caso: Se presenta el caso de una paciente mujer de 48 años procedente de área endémica de esta infección con cuadro clínico y hallazgos laboratoriales compatibles con enfermedad por dengue con signos de alarma. Durante la hospitalización, cursa con hemoptisis e insuficiencia respiratoria produciendo su posterior fallecimiento. Conclusión: Es importante reconocer la hemorragia alveolar difusa como parte del compromiso respiratorio por dengue y diferenciarlo de otras posibilidades infecciosas y no infecciosas para poder brindar el manejo adecuado de forma temprana.
Acromegalia por macroadenoma hipofisiario en paciente con síndrome de McCune-Albright. Reporte de caso y revisión de la literatura
Authors: Alcalde-Loyola Carlos , Ramos-Yataco Anthony , Ildefonso-Najarro Sofía , Gallardo-Rojas Wilson , Concepción-Urteaga Luis , Concepción-Zavaleta Marcio , Rios-Rojas Jeniffer
Published: October 2022

Introducción: El síndrome de McCune-Albright (SMA) es una enfermedad rara caracterizada por la triada: manchas cutáneas de color café con leche, displasia fibrosa poliostótica y pubertad precoz. Puede afectar a diversos ejes hormonales, entre ellos el de la hormona de crecimiento (GH), pudiendo asociarse a acromegalia. Reporte de caso: describimos el caso de una mujer de 44 años, con pubertad precoz periférica, hemorragia uterina anormal, crecimiento de manos y pies, prognatismo, prominencia frontal, manchas café con leche y tumoraciones pétreas en cara y antebrazos. Resultados: Apoyados con exámenes laboratoriales y de imágenes, se llegaron a los diagnósticos de acromegalia, hipogonadismo hipogonadotropo y síndrome de McCune-Albright. La paciente fue sometida a tratamiento quirúrgico con persistencia de enfermedad clínica y laboratorial. Conclusión: El diagnóstico y tratamiento oportunos de la acromegalia y sus complicaciones brindará un mejor pronóstico a los pacientes con SMA.
Covid 19, mortalidad en adulto mayor y factores asociados
Authors: Navarrete-Mejía Pedro , Parodi José F. , Runzer-Colmenares Fernando M. , Velasco-Guerrero Juan Carlos , Sullcahuamán-Valdiglesias Edith
Published: October 2022

Objetivo: Determinar las variables asociadas a la mortalidad por COVID 19 en población adulta mayor. El estudio: estudio observacional, 521 pacientes de 60 a más años con diagnóstico clínico/laboratorial de COVID -19; incluyó variables edad, sexo, prioridad de atención, procedencia, comorbilidades, estancia, frecuencia respiratoria y cardiaca, SO2, temperatura y signos/síntomas. Hallazgos: fallecidos, mayor frecuencia en julio (50.7%), 91,9% prioridad I/II, edad 70.1 ± 7.5 años, masculinos (71,0%), FC 103,7 ± 18,1 lat./min, FR 29,4 ± 6,4 resp./min (p<0,001), SO2 75,1% ± 14,35 y estancia 6,9 días ± 5,7; tos (68,3%), fiebre (38,0%) y cefalea (23,3%) signos/síntomas más frecuentes. El asma se asoció a la mortalidad (p=0,049). Conclusiones: El adulto mayor es una prioridad para los sistemas de salud pública; a mayor edad, masculino, que presente fiebre, tos y asma tendría mal pronóstico frente a la COVID-19.
Drenaje pleural neonatal artesanal para neumotórax
Authors: Custodio-Marroquín Jesús Alonso
Published: October 2022

Carta al Editor (sin resumen)
La altitud como factor de riesgo para preeclampsia
Authors: Rapri-Nieto Ednory Ines , Calderón-Girón Elisa , Condor-Callupe Jimmy , Suarez-Tolentino Gabriela , Condor-Rojas Yudy C.
Published: October 2022

Carta al Editor (Sin resumen)
Reinfecciones por SARS-CoV-2 durante la segunda ola pandémica en Iquitos, Perú
Authors: Pampa-Espinoza Luis Fernando , Padilla-Rojas Carlos , Jiménez-Vásquez Víctor , Silva Iris , Díaz-Soria Fabiola , Villa-Galarce Zaira Hellen
Published: October 2022

Carta al Editor (sin resumen)
Altitude minimization of a group of unmanned low-flying vehicles without use of a priori information about the physical fields of the Earth
Authors: Knyazhsky Alexander , Nebylov Alexander
Published: October 2022

The article proposes a method for minimizing the altitued of a group of unmanned low-flying vehicles formed mainly over the lowest parts of the terrain. The input information is point slant ranges, the current parameters of the motion of the unmanned aerial vehicle and the specified end point of the route. As a result of the work, by means of computer simulation of Unmanned Arial Vehicle (UAV) motion in mountainous areas, the effectiveness of the proposed method for minimizing the altitude was evaluated. Computer simulation has shown that depending on the location of the start and end points of the trajectory, the terrain, the size of the permitted motion sector and the characteristics of the UAV, the average altitude of the trajectories of a group of low-flying vehicles decreases by approximately 150–540 m, which allows motion significantly below the tops of the terrain.
The Appearance of Economic, Social, Financial and Environmental Sustainability Aspects in the Practices of the National Bank of Hungary
Authors: Matolcsy György
Published: October 2022

Sustainability is at the heart of the challenges in the 21st century. Economic, social, financial and environmental sustainability also fundamentally determine the functioning of the economic system, which means that the convergence process, guided by new visions, can only be organised around the idea of sustainability. The revolution in thinking on sustainability has also reached the community of central banks, and the National Bank of Hungary was one of the first central banks to take meaningful steps to integrate environmental sustainability considerations into the regulatory framework of the banking system, reserve management, monetary policy, collateral management and data disclosure. In its strategy documents, the Bank has defined its mission to be an active participant in the transition to a low-carbon economy.
A pénzügyi szereplők éghajlatváltozással kapcsolatos attitűdjének és a realizálódó kockázatoknak lehetséges reálgazdasági következményei
Authors: Málits Péter , El-Meouch Nedim Márton , Drabancz Áron
Published: October 2022

Az éghajlatváltozás reálgazdaságot érintő hatásai a pénzügyi rendszerben is megjelennek. A tanulmányban a tématerület szakirodalmára alapozva azt vizsgáljuk, milyen attitűd jellemzi a pénzügyi rendszer meghatározó szereplőit (a központi és kereskedelmi bankokat) az éghajlatváltozás pénzügyi vonatkozású kockázatait tekintve. A pénzügyi rendszer meghatározó szereplőit, a vállalati szféra klímaváltozás-specifikus kapcsolatait és az őket összekapcsoló fő csatornákat egy vállalati projektértékelési modell segítségével szemléltetjük, részben felmérve, hogy mely változókat, illetve kockázatokat érdemes mérlegelnie egy vállalatnak a befektetéséről való döntéshozatalban. Eredményeink alapján számtalan módon hathat a klímaváltozás a pénzügyi intézmények teljesítményére, azonban ezek a kockázatok a magyarországi kamatfelárakban egyelőre egyértelműen nem azonosíthatók.
Meningkatkan Keterampilan Menulis Narasi Melalui Model Pembelajaran Think Talk Write (TTW)
Authors: Purwaty Ratna , Marlina Marlina , Fitrianti Hariani
Published: October 2022

Kesalahan struktur kalimat, ketidak sesuaian antara judul dengan tema, ketidak jelasan alur cerita dan perwatakan tokoh yang tidak sesuai, ketidak koherensian paragraf, penggunaan tanda baca, serta memerlukan waktu penulisan yang sangat lama dalam pembuatan karangan merupakan masalah yang dihadapi pada anak Sekolah Dasar. Tujuan penelitian ini adalah untuk meningkatkan keterampilan menulis narasi melalui model pembelajaran Think Talk Write pada siswa kelas IV SDN 2 Merauke. Penelitian Tindakan Kelas ini dilaksanakan dalam dua siklus dengan menggunakan model Kemmis dan Mc. Taggart yang terdiri dari tahap perencanaan, pelaksanaan, observasi dan refleksi. Data dikumpulkan melalui observasi dan tes. Analisis data menggunakan data kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa aktivitas guru dalam kegiatan pembelajaran yaitu pada siklus I pertemuan 1 yaitu 21, pertemuan kedua yaitu 23 dan pada Siklus II pertemuan 1 yaitu 25, pertemuan kedua yaitu 88. Persentase aktivitas klasikal siswa pada Siklus I pertemuan 1 mencapai 61,5%, pertemuan 2 mencapai 69,3% dan pada siklus II pertemuan 1 mencapai 76,9%, pertemuan 2 mencapai 88,5%. Ketuntasan hasil belajar siswa siklus I mencapai 64,5% dan meningkat pada siklus II mencapai 92,3%. Hasil penelitian ini menunjukkan bahwa penggunaan model pembelajaran Think Talk Write dapat meningkatkan keterampilan menulis narasi siswa yang dilihat dari hasil belajar siswa kelas IV SDN 2 Merauke. Untuk meningkatakan kemampuan keterampilan menulis narasi bagi anak Dekolah Dasar dapat menggunakan model pembelajaran Think Talk Write.
Responsibility for the dissemination of personal data as a way to counteract offenses in the field of information and communication technologies
Authors: Ryazanova Ekaterina
Published: October 2022

This article examines the problem of personal data theft committed both directly in the virtual space and using information and communication technologies. Virtual or cyberspace has become not only a place of work for most citizens, but also a means of organizing leisure and entertainment, as well as a way to realize household needs (buying food and everyday goods, receiving services).

During the commission of such actions, personal data is entered on various sites, which may entail their disclosure and possession by third parties. Currently, there is an intensive implementation of IT solutions in the social spheres of society: online banking and other services provided by financial and credit organizations; applications for the provision of public services; electronic diaries for students; various applications of online stores, etc. All this will create opportunities for personal data leakage.

Accordingly, in addition to improving the IT sphere, the sphere of personal data protection is also developing, which deserves special attention in the future.

The purpose of the work is to study problematic issues of personal data protection.

The author uses the following research methods: statistical, comparative legal, analysis, formal logic.

As the results of the study, the factors contributing to the growth of personal data theft, as well as recommendations for the prevention of abuse in this area, are highlighted.

Scientific novelty is expressed in the study of the process of legal protection of information in changing conditions.

The practical significance of the work lies in the development of proposals for the introduction of norms providing for liability for illegal distribution and improper storage of personal data.

It is important to note that the methods of personal data theft are most often associated with the negligence of their storage and transfer, therefore, awareness of citizens about the possibilities of their safety is an important component of their financial security.
Problems of training scientific and scientific-pedagogical personnel in graduate school (adjuncture) in conditions of transition to federal government requirements
Authors: Bavsun Maksim , Mironkina Oksana , Sidorova Irina
Published: October 2022

The process of training highly qualified scientific and pedagogical personnel at the present stage is going through another transitional period. The rejection of federal state educational standards and the return to federal state requirements, despite its positive direction, nevertheless, is accompanied by a significant number of new problems. The inevitability of such is not discussed. The most acute issue is their timely detection and adequate response, as a guarantee of success for everyone, from adjuncts (graduate students) to all Russian science. As always, in an era of change, the most affected is a specific person, a group of people. In our case, these are young scientists who are just starting to take their first steps in this field. Being a product of the old educational system, their perception of the new rules so far looks extremely painful. However, the final result of the entire reform, the essence of which boils down to the reincarnation of the scientific component, will largely depend on the change in their approach to what is happening. In turn, its actual implementation is yet to be, depending on many components, including the position of educational institutions, supervisors, heads (heads) of departments and other specialists involved in the process of preparing adjuncts.
The effects of using a smartphone application to learn English sentences on industrial college students.
Authors:   The English Teathers Association in Korea, Kim Hyang-Sook
Published: October 2022

This study examines the effects of using a smartphone application(App) for English learning on industrial college students. It focuses on the learning of English sentences by participants who are lacking practical communication skills. 42 participants used the App to learn sentences taught in an English elective course over a semester. They took the conversation class first and learned key sentences from the class using the App every week during the semester. When the course was finished, this study conducted a post-semester survey to examine the effects of using the App. As a result, first, this study found that participants had the attitudes of being repetitive and steady, self-directed, and willing to use spare time for learning English. Second, this study found that the App helped to improve participants’ motivation, confidence, and interests. The results also showed that the App helped students with their English reading, listening, vocabulary and expressions, understanding of sentences, and English conversation skills well. Overall, this study confirms that using an App satisfies the needs of industrial college students who want to improve their practical communication skills. Finally, this study provides some suggestions on how to improve English communication skills for industrial college students.
Model of involvement in import substitution: A marketing approach
Authors: Enina E. S.
Published: October 2022

Aim. The presented study aims to develop a marketing model for involving major participants of the Russian domestic market in the process of import substitution based on the concept of ‘import footprint’.

Tasks. The authors identify major approaches to investigating import substitution based on the analysis of publicly available articles; analyze the role and purpose of import substitution in the modern Russian economy; substantiate the need for widespread acceptance of the ideas of import substitution in Russia; describe the ‘import footprint’ indicator as a marketing tool to facilitate involvement; identify the stages of the accelerated involvement of manufacturing enterprises in import substitution; propose an original model for involving major participants of the national market in import substitution.

Methods. This study uses general scientific methods of cognition and information from open sources.

Results. Based on the analysis of publications from open sources, three main approaches to investigating import substitution are identified: from the perspective of public administration and national economic regulation, in terms of production management, in different sectors of the national economy. An economic branch has been developed in the hierarchy of formation of full national sovereignty, making it possible to understand the role and purpose of import substitution in the modern Russian economy. The ‘import footprint’ indicator is introduced for goods produced in Russia, reflecting the percentage of the cost price that accounts for imported raw materials, components, and equipment. Eleven stages composing the authors’ vision of the process of accelerated involvement of manufacturing enterprises in import substitution are formulated. A model for involving major participants of the national market in import substitution by promoting the idea of ‘import footprint’ is proposed.

Conclusions. In modern Russian society, there is no universal acceptance of import substitution proclaimed by the government. The proposed marketing model of mass involvement of major participants of the national market in the examined process would make it possible to rapidly make domestic products popular and demanded within the country, which, together with a system of incentive measures, would facilitate the widespread voluntary participation of Russian businesses in import substitution and the achievement of Russia’s scientific, technological, and economic sovereignty.
The content of the civil-patriotic orientation program in teaching English at the level of basic general education
Authors: Bazhenova E. I.
Published: October 2022

This article examines the signiﬁcance of the implementation of the civil-patriotic education program at the level of basic general education in English lessons, which will ensure the formation of patriotism and citizenship among students.
Teaching a foreign language using critical thinking technologies
Authors: Nalyotova N. I.
Published: October 2022

The article is devoted to linguodidactics issues, namely to the issue of using the critical thinking technology in teaching a foreign language. This technology makes it possible to create an atmosphere of openness and cooperation in class, increases the speed and efﬁciency of information perception, evokes interest both in the material being studied and in the learning process itself, and enhances learners’ responsibility and independence while learning. The article describes methods and techniques to implement the critical thinking technology at foreign language lessons at a university.
ANALISIS PENYEBAB CACAT PADA PRODUKSI SKUN DENGAN BARREL PLATING
Authors: Nurlaili Nurlaili , Hernadewita Hernadewita , Hendra Hendra
Published: October 2022

Proses electroplating dengan metode barrel plating mempunyai banyak keuntungan dibandingkan dengan metode plating lainnya, selain dapat menghasilkan produk dengan volume produksi lebih banyak sekaligus, selain itu barrel bisa digunakan untuk berbagai jenis material dengan peralatan yang sama. Namun, saat proses produksi massal ditemukan banyak produk cacat seperti perubahan warna menjadi kekuning-kuningan, produk bercampur, lapisan terkelupas, ketebalan lapisan yang tidak sesuai dan cacat lainnya. Cacat terbanyak adalah yellowish yaitu sebesar 40,15% dari keseluruhan kasus.  Dengan  focuss group discussion (FGD) dilakukan analisis penyebab cacat yang terjadi pada proses produksi  skun dengan barrel plating. Analisis cacat dilakukan dari awal proses sebelum pelapisan, proses pelapisan sampai proses setelah pelapisan. Dari hasil focus group discussion ditemukan cacat yellowish berasal dari larutan elektrolit yang tidak bereaksi, adanya kontaminasi di dalam larutan elektrolit, air pembilasan kotor, lapisan plating terbakar karena overheat, produk masih lembab, adanya pengotor pada permukaan produk, waktu dan temperatur oven tidak sesuai dengan standar dan adanya pengotor yang berasal dari udara sekitar. Setelah ditemukan penyebab cacat dilakukan perbaikan dengan 4W1H, setelah semua tindakan dilakukan, cacat yellowish dapat turun menjadi 24,66% atau turun sekitar 15,49%.
IDENTIFICATION OF ORAL HEALTH OF PREGNANT WOMEN IN TRIMESTER I IN KUPANG CITY HEALTH CENTER
Authors: Obi Applonia Leu , Eluama Merniwati S.
Published: October 2022

The oral cavity of pregnant women is prone to inflammation due to hormonal changes, causing the gingiva to become sensitive if oral health is not maintained properly. This study aims to determine the identification of the oral health of pregnant women in the first trimester at the Health Center Oesapa Kupang City. The design of this research is descriptive research with cross sectional design. The sampling technique was purposive sampling, as many as 31 pregnant women with inclusion criteria: First trimester pregnant women and willing to be respondents. Exclusion criteria: Patient refused for examination. The independent research variables were education level and socioeconomic status, while the dependent variable was the identification of the oral health of pregnant women in the first trimester (gingival status). Data was collected by interview and clinical examination of the oral cavity of pregnant women in the first trimester at the KIA Poly Health Center Oesapa Kupang City. Data analysis using Spearmen correlation test. The results of the Spearmen correlation test showed that there was a significant relationship between education level and gingival status p=0.034 (p<0.05), correlation coefficient 0.332 (positive) meaning that the higher the level of education, the lighter the inflammation or the lower the education the more severe the inflammation. There was no significant correlation between socioeconomic status and gingival status (p>0.05). Conclusion: There is a significant relationship between education level and gingival status as well as socioeconomic status. There is no correlation between socioeconomic status and gingival status on dental and oral health of pregnant women. Suggestion: Midwives need to work together with dental health workers so that pregnant women can have their teeth checked after a pregnancy check in order to prevent dental disease during pregnancy.
Bioética y los bienes humanos
Authors: Ordóñez Torres Karina
Published: October 2022

Reseña
PREVALENCE AND ANTIMICROBIAL SUSCEPTIBILITY OF URINARY TRACT INFECTION CASES AND FINDING OF ESBL AND AMPC β-LACTAMASES PRODUCING ESCHERICHIA COLI AND KLEBSIELLA PNEUMONIAE IN A TERTIARY CARE HOSPITAL MIZORAM
Authors: Lalhmangaihzuali F Elizabeth , Khiangte Zonuntluangi , Chhakchhuak Lalrintluangi , Roy S
Published: October 2022

Introduction: Resistance to broad spectrum -lactams mediated by extended spectrum -lactamases
(ESBL) and AmpC -lactamases enzymes is a growing threat worldwide.Aim: The aim of the study was to
detect the prevalence and antimicrobial susceptibility of ESBL and AmpC -lactamase producing Escherichia coli and
Klebsiellapneumoniae isolated from Urinary Tract infection Materials and Methods: A total of 288 isolates comprising of 180
Escherichia coli and 108 Klebsiellapneumoniaeisolated from various clinical samples were included. ESBL was detected by
Phenotypic Conrmatory Disc Diffusion Test (PCDDT) and Double Disk Synergy Test (DDST). AmpC detection was done by
AmpC disk test. Results: Out of 180 Escherichia coli, and 108 Klebsiellapneumoniaeisolates 91(50.5%) and 63(58.3%) were
conrmed to be ESBL producers by PCDDT and 81(45%) and 57(52.7%) by DDST respectively. AmpC was detected in 35(19.4%)
of Escherichia coli and 33(30.5%) of Klebsiellapneumoniae isolates. Co-production of ESBL and AmpC was detected in 6(3.3%)
Escherichia coli and 11(10.18%) of Klebsiellapneumonia isolates. Majority of ESBL producers were from blood in both
organisms. Multi drug resistance (MDR) was seen in 79.1% of ESBLEscherichiacoli and 63.5% of ESBLKlebsiellapneumoniae
isolates. MDR was seen in 28(96.5%) of AmpC producing Escherichia coli and all AmpC producing Klebsiellapneumoniae
isolates. Conclusion: It is essential to report ESBL and AmpC beta lactamase production along with routine susceptibility
which will aid the clinicians in prescribing antibiotics.Strict adherence to the hospital antibiotic policy and good infection
control practices would go a long way in curtailing the menace of drug resistance.
A STUDY ON EMPLOYEES PERCEPTION ON ORGANIZATIONAL HR PRACTICES AT DCW LIMITED, SAHUPURAM, TUTICORIN, TAMIL NADU.
Authors: Shani G. Jerlin , Renu R. Sam
Published: October 2022

The abstract entitled “A Study on Employees Perception on Organizational HR Practices at DCW Limited,
Sahupuram, Tuticorin.” was undertaken to study the perception level of employees at DCW Limited,
Sahupuram, Tuticorin. The need of the study is to analyses various dimensions of employees perception of HR practices and its
impact on job satisfaction of employees working in DCW Limited. This study is to nd out whether employees in the organization
are positive or negative about organizational HR practices. The objective of the study is to nd out the employees perception on
organizational HR practices in DCW Limited, To nd out the level of satisfaction based on their perception and To nd out the
factor inuencing employee perception. This study is a descriptive one. Primary data collected with the help of structured
questionnaire administrated to employees and few management personnel of DCW Limited, Sahupuram, Tuticorin. One fty
samples were collected based on simple random sampling. The data is collected from the top medium and base level
employees of DCW Limited, Sahupuram, Tuticorin and the collected data were analyzed by using relevant statistical
techniques like Percentage Analysis, Chi-squared test Weighted Average method and ANOVA. The study shows that most of the
employees feel happy and satisfactory with the HR policies. The perception of the employees towards organizational policies is
positive. But there is need to maintaining certain same policies and little improvements can be done.
COMPARISON OF 6% AND 8% SEVOFLURANE FOR INHALATIONAL INDUCTION IN ADULTS
Authors: Kumar S. A. Senthil , Meennakshi B.S. , Vanajarani A.C.
Published: October 2022

Inhaled anaesthetics are the widely used drugs for the
induction and maintenance of general anaesthesia. The
evolution of volatile anaesthetics began with the introduction
of Diethyl ether46, Nitrous oxide to the modern inhaled
anaesthetics like Desurane and Sevourane(1). These
modern inhaled anaesthetics form the important tool for
altering the central nervous system functions in patient
undergoing general anaesthesia. In 1950, all halogenated
anaesthetics with an exception of Nitrous oxide were
ammable and potentially toxic to the liver. Replacing the
hydrogen atom with a uorine atom led to introduction of
newer anaesthetics which are non-inammable and are
resistant to metabolism(2).
EFFECTIVENESS OF NURSE LED DISCHARGE INSTRUCTIONS ON KNOWLEDGE REGARDING HOME CARE MANAGEMENT AMONG PARENTS OF CHILDREN BEING DISCHARGED AFTER SURGERY
Authors: Maneesh Maneesh , Sharma Mukesh Chandra , Mohan Remiya , Sinha Arvind
Published: October 2022

Introduction: Children are regularly receiving surgical repair for congenital disorder's and other
problems which cannot be treated by the medical management. For the parents of those children
undergone corrective surgery, more in-depth educational sessions are required to enable them to recognize and anticipate the
complications so as to manage their child effectively at home. Methodology - A Quasi experimental research design was used
among 60 parents of children by purposive sampling technique. A Structured knowledge questionnaire was used to assess
knowledge of parents regarding home care management. Analysis was performed in SPSS version 16 using frequency and
percentage; mean, SD, an unpaired t-test, chi-square test, and Fisher exact test. Result – The study ndings revealed that there
is signicant improvement in knowledge of subjects (-9.343, p<0.05) which proves that the nurse led discharge instructions was
effective in improving the knowledge of parents regarding home care management. The study ndings also reveal that there
was no signicant association of post-test knowledge with selective socio-demographical variables Conclusion- The present
study point out the nurse led discharge instructions on knowledge regarding home care management being discharged after
surgery was effective in increasing knowledge of parents
A DESCRIPTIVE STUDY TO ASSESS THE KNOWLEDGE AND ATTITUDE OF STAFF NURSES REGARDING PREVENTION OF HEPATITIS –B
Authors: Kumari Anjula , Shakuntala Shakuntala , Jha Prakash
Published: October 2022

Aim: The aim of this study was to assess the knowledge and attitude of staff nurses regarding prevention
of hepatitis B. Background: Hepatitis B is a virus that causes inammation of the liver. Chronic Hepatitis
B can cause liver cell damage which can lead to cirrhosis and cancer. The world health organization recommends the
integration of the HB vaccine into the national immunization program in all countries. Design: The research approach
adopted for study was quantitative research approach using descriptive survey design. Methods: Quantitative research
approach was used with descriptive survey research design. Total 100 Staff nurses have considered by using convenient
sampling techniques. The tool used for data collection was structured knowledge questionnaire and attitude scales. The data
was analyzed by using descriptive statistics. Result: The mean knowledge score of staff nurses is 11.68 ± 2.78 and the mean
score of attitude of staff nurses is 79.53±7.36 regarding the prevention of Hepatitis-B. There was no co-relation between
knowledge and attitude of staff nurses regarding the prevention of Hepatitis-B. There no signicant association of knowledge
and attitude with sample characteristics at 0.05. Conclusion: The acute Hepatitis-B virus (HBV) infection may be mild, selflimiting or it can cause fatal culminant or sum culminant Hepatic failure in a small percentage of infected person. It is a major
cause of morbidity. Therefore, it is suggested that there is necessary to have knowledge regarding prevention of Hepatitis-B.
EFFICACY OF OROMOTOR STIMULATION ON DROOLING AMONG ORAL CANCER PATIENTS.
Authors: Pukale Vinita , Kadam Namrata
Published: October 2022

OBJECTIVES: 1. To nd out the percentage of drooling before Oromotor Stimulation among Oral cancer
patients.
2. To nd out the percentage of drooling after Oromotor Stimulation Among Oral Cancer patients.
METHOD: An Interventional study was carried out between February 2022 to April 2022 at Krishna Institute of Medical Sciences,
Karad. 30 subjects who had Oral Cancer with drooling were taken into this study after the informed consent was obtained. The
pre and post Assessment was done using Manual Muscle testing, Drooling Quotient, Thomas-Stonell and Greenberg's 1998
classication of drooling, Visual Analogue Scale, and Range of Motion and statistically analyzed. RESULTS: The severity of
drooling during the pre-treatment protocol was mean of 27 and SD 12.07 and the post-treatment protocol was a mean of 15.55
and SD 4.973. Similarly, the frequency of drooling pre-intervention was mean of 6.1 SD 0.9, and post-intervention was 2.03 SD
0.13. After the intervention, we found that there was a much decrease in the percentage of drooling, an increase in ROM, a
decrease in pain, and an increase in sensitivity. CONCLUSION: Oromotor Stimulation was found to be effective in a decrease in
drooling among oral cancer patients.
ASSOCIATION BETWEEN NUTRITIONAL STATUS, VITAMIN D AND INFLAMMATION ON VASCULAR CALCIFICATION IN NON-DIALYSIS CHRONIC KIDNEY DISEASE PATIENTS
Authors: Ramadani Sumi , Nasution Syafrizal , Nasution Alwi Thamrin
Published: October 2022

Introduction: Cardiovascular disease is the most important complication in CKD patients which
contributes to high morbidity and mortality rates. Vitamin D is known to have a biphasic effect in terms of
arteriocalcication and appears to have a protective role. Inammatory markers such as hsCRP are also known to increase
chronic inammatory conditions, namely CKD and have implications for vascular calcication. Malnutrition, especially
decreased albumin and body mass index.Patients with CKD were also found to be risk factors for vascular calcication, but the
mechanism was unknown. Methods: This study is a cross sectional study using a correlative analytic design, which was
conducted at the Haji Adam Malik Hospital (RSHAM). The research subjects were all patients with chronic kidney disease
stages 3, 4, and 5 above or equal to 18 years old who had never undergone hemodialysis and were treated at RSHAM either
inpatient or outpatient patients. hsCRP, albumin, vitamin D and calcium, phosphorus, and serum LDL levels were examined by
taking blood sample from the cubital fossa area. Abdominal aortic calcication was assessed by examination of the lateral
abdominal radiograph by a radiologist. Results: From 30 samples, 7 patients had vascular calcication and 23 patients had no
vascular calcication. This study found that BMI showed a signicant association with arterial calcication whereas patients
with arterial calcication had a lower BMI value (p value < 0.029). None of the other risk factors included in this study showed a
signicant outcome for vascular calcication. Conclusion: BMI was signicantly associated with arterial calcication in nondialysis CKD patients in this study. There was no signicant relationship between hsCRP and vitamin D levels with the
formation of vascular calcications in non-dialysis CKD patients.
A CASE REPORT ON ORAL CONTRACEPTIVE PILL INDUCED CEREBRAL VENOUS SINUS THROMBOSIS IN A YOUNG FEMALE IN A TERTIARY CARE HOSPITAL
Authors: T Marwah Sanket , S Shah Krunal , A Desai Ishan
Published: October 2022

Cerebrovascular Accidents Are The One Of The Most
Common Causes Of Morbidity And Mortality Around The
World. They Can Be Classified Into Ischemic Or Hemorrhagic
In Origin. Amongst Ischemic Events, Arterial Infarctions Are
More Prevalent. The Incidence Of Cerebral Venous
Thrombosis Is A Relatively Uncommon Entity With An
Estimated Incidence Of <2.5/100000 Adults Annually.
A STUDY ON WORKING CAPITAL MANAGEMENT IN PAZHAVOOR PRIMARY AGRICULTURE COOPERATIVE CREDIT SOCIETY LTD, PAZHAVOOR, TIRUNELVELI, TAMIL NADU.
Authors: Divya R. , Renu R. Sam
Published: October 2022

The title of the research article is “A Study on Working Capital Management in Pazhavoor Primary Agriculture Cooperative Credit Society Ltd., Pazhavoor, Tirunelveli, Tamil Nadu.” Working capital management involves the
relationship between a company's short-term assets and its short-term liabilities. The goal of working capital
management is to ensure that a company is able to continue its operation and that it has sufficient ability to satisfy both
maturing short-term debt and upcoming operational expenses. The management of working capital involves managing
inventories, accounts receivable and payable and cash management. Further the study is based on last five years annual
reports of Pazhavoor Primary Co-operative Society. The objective of the study is to analyze the working capital position in
Pazhavoor Primary Co-operative Society and to analyze the profitability and solvency position of the Pazhavoor Primary
Co-operative Society. The study of working capital is based on tools like Ratio analysis, statement of changes in working
capital, comparative balance sheet and trend analysis. By analyzing the topic of working capital management in
Pazhavoor Primary Co-operative Bank Ltd. It concludes that the bank is having less working capital in the year 2019 but in
the year 2020 the working capital is increasing, So the bank maintains the constant working capital which helps perform
the day-to-day business by increasing the current asset
USE OF PROXIMAL FEMORAL NAIL IN PATIENTS WITH UNSTABLE EXTRACAPSULAR PROXIMAL FEMORAL FRACTURES: A CLINICAL OUTCOME STUDY
Authors: Verma Amit Kumar , Dhiman Priyanka
Published: October 2022

Introduction: Unstable trochanteric and subtrochanteric fractures are biomechanically unfavorable fractures and often
associated with complications such as cut-out, excessive sliding or varus.The reoperation rate is approximately 10%.
The forces that tend to displace the fracture must be neutralized by the implant. The proximal femoral nail is an
intramedullary implant and associated with less blood loss and lower infection rate,and allows direct full weight bearing
because of its favorable biomechanical properties. In the present study we have observed the functional outcome in
unstable extra capsular proximal femoral fractures managed by proximal femoral nail using by ICF (International
Classification of Functioning, Disability and Health) questionnaire. Material & Method: It was a clinical outcome
observation study carried out in eighty patients of unstable extracapsular proximal femoral fractures presented in the
department of Orthopaedics DR. RPGMCH, Tanda over a period of one year from 1st April 2013 to 31st March 2014.
Patients were assessed functionally by ICF (International Classification of Functioning, Disability and Health)
questionnaire on one and half month, three month and sixth month of surgery. Results: There was female
preponderance with female/male ratio being 46/34. Postoperative health assessment was done by using ICF method
where we did the assessment of general, mental and emotional health. After 6 months of the surgery, a total of 66.6%
patients rated their health as good to very good and 79 patients had mild to moderate impairment because of pain. In
terms of functional assessment,sixty eight percent (68.52%) patients had no to mild impairment in the performance and
the capacity and 31.48% patients had moderate impairment in performance and capacity for washing oneself.None of
the patients observed with severe to very severe limitation after the surgery.Seventy percent (70.0%) patients had mild
to moderate impairment in the performance and the capacity and 29.37% patients had severe impairment in
performance and capacity for toileting and dressing. Conclusion: It is concluded that a significant change was seen in
quality of life of patients postoperatively as evidenced by ICF questionnaire used in present study.
Il Mediterraneo, tra unità, frammentazione e oblio
Authors: Bicchi Federica
Published: October 2022

In academic and/or cultural debate, the word «Mediterranean» elicits mixed reactions and is revealing of normative considerations and the role of politics. This chapter explores two different perspectives that emerge from the extensive literature on this subject, and suggests a third, inspired by the contemporary trend of the debate (or rather, its absence). First, the chapter examines conceptions of the Mediterranean as a unitary entity or political actor in and of itself. The Mediterranean as a «cradle of civilization», originally described by Braudel, has been taken up more recently by Horden and Purcell, who emphasized the central role of connectivity between local communities, and by the Italian school of geo-philosophy headed by Bassano, for whom the Mediterranean is a specific value system to be respected. A second perspective emphasizes instead the Mediterranean as an area of conflict, characterized by deep fault lines. Huntington's position, captured by the expression «clash of civilizations», has been taken up and reworked by the post-colonial perspective, which sees the Mediterranean as an area characterized by permanent tensions. The chapter suggests a third option, however, noting that the word «Mediterranean» is disappearing from political vocabularies.