bluuebunny/crossref_metadata_2025 huggingface dataset:
Toxic granules in neutrophils in sepsis patients: Does it really helpful?
Authors: Chander Subhash , Sharma Reetika , Sharma Anuradha , Verma Priyanka
Published: July 2023

Introduction:

Timely diagnosis of bacteremia/sepsis is essential for the initiation of antimicrobial therapy and further reducing morbidity and mortality.

Aims and Objective:

This study is undertaken to find out the importance of toxic granulations in neutrophils in the diagnosis of sepsis.

Materials and Methods:

This was a cross-sectional type of study which was carried out for 1 year (August 2020 to August 2021). A total of 100 cases were included in the study. The smears were studied to assess the differential leukocyte count and neutrophils toxic granules.

Observations and Results:

The age of the patients ranged from 11 to 92 years, with M:F ratio 1:1. Total leukocyte count (TLC) ranged from 1.6 to 37.3 × 109/l with a mean of 14.7 × 109/l. Absolute neutrophil count (ANC) varied from 1.31 × 109/l × to 32.4 × 109/l with a mean of 10.4 × 109/l. On peripheral smear examination, 31% of cases showed no granules in the neutrophils, 35% of cases showed scattered darkly stained granules in the cytoplasm of neutrophils (1+), 29% showed an increase in the number of granules and increase in intensity (2+), and only 5% cases showed numerous granules with increase blue–black stain. However, none of the cases showed numerous coarse granules crowing the cytoplasm (4+).

Conclusion:

In this study, we found that none of the single parameters, for example, the TLC and ANC, toxic granulations, and left shift are diagnostic of sepsis but all these are complementary to each other in predicting the diagnosis of sepsis.
Alarm fatigue: Can Indian intensive care unit nurses keep up with the noise and maintain their edge?
Authors: Charan Gopal Singh
Published: July 2023

Alarm fatigue has become a significant concern for intensive care unit (ICU) nurses. The incessant flood of alarms can result in desensitization, negatively affecting both nurses and consequently, patient care. This article delves into the struggles ICU nurses encounter due to alarm fatigue, its repercussions, and potential strategies to tackle the problem. By comprehending and addressing alarm fatigue, healthcare professionals can foster a safer and more efficient work environment for ICU nurses.
Giant gastric bezoar: A case report and the review of literature
Authors: Anees Afzal , Fatima Shereen , Hassan Yaqoob
Published: July 2023

A bezoar is a packed collection of undigested or partially digested food found in the gastrointestinal (GI) tract. The stomach is the most common site of bezoars and bezoars are most commonly found in the stomach and can affect people of any age or gender. Patients with behavioral disorders, abnormal gastric emptying, altered GI motility as in diabetes disorders are predisposed to the formation of gastric bezoars. The majority of gastric bezoars are asymptomatic, whereas others require treatment in the form of endoscopic or surgical removal. Gastric bezoar can occasionally result in serious complications such as gastric outlet obstruction, bleeding, and perforation. As a result, early detection and treatment are critical to avoid potentially serious complications. We report an extremely rare case of giant gastric trichobezoar in a young female that was timely and successfully managed surgically. A 25-year-old female presented with symptoms of repetitive nausea and vomiting, especially postmeals, early satiety, intermittent abdominal pain, weight loss, and abdominal lump. An abdomen examination revealed a mass in the epigastric region extending to the right hypochondrium of 20 cm × 14 cm, firm to hard in consistency with a palpable inferior margin. Ultrasonography and contrast-enhanced tomography scan abdomen confirmed the diagnosis of gastric bezoar. The patient was prepared and Elective OT was done with the removal of a large gastric trichobezoar measuring 24 cm × 16 cm and weighing 1865 g. Gastrostomy closure was done in two layers and the postoperative period was uneventful. The patient is doing well and is on regular follow-up.
Identification of the factors that affect clinical teaching and potential strategies to overcome them: A narrative review
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh
Published: July 2023

Clinical teaching does not limit to teaching alone, rather it actually deals with the process wherein students are supported in their learning process while interacting with real patients during clinical settings. The purpose of the current review was to explore the factors that impact clinical teaching and then propose the potential recommendations to overcome them. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and 39 articles were selected based on their suitability with the current review objectives and analyzed. Keywords used in the search include clinical teaching, patient, student, and teacher in the title alone only. Clinical teaching is affected by a wide range of teacher-related, student-related, and patient-related factors, and as medical educators, we are aware of these factors so that we can minimize their impact to enhance the effectiveness of clinical teaching, thereby augmenting learning among medical students. Most of the identified factors that can influence clinical teaching can be taken care of in one or another way, if we strengthen the domain of the faculty development program. The shortage of patients, this concern can be managed by either adoption of standardized patients or by ensuring clinical teaching in outpatient department settings. To conclude, clinical teaching is an important aspect of the making of a competent medical graduate. However, the effectiveness of such sessions depends immensely on the stakeholders that are involved in the process. It is the need of the hour to identify the prevailing factors and then plan for corrective measures to neutralize the impact of such factors and also simultaneously enhance learning among students.
The old Commonwealth model of constitutionalism
Authors: Dyzenhaus David , Poole Thomas
Published: July 2023

Comparative constitutional law is prone to two types of error. ‘Thin’ or overly formal accounts overlook important substantive dimensions of law and constitutions. ‘Thicker’ accounts often subsume the legal within politics or culture. Both types of error share a tendency towards presentism which stems, we argue, from insufficient consideration of the ‘jurisprudential perspective’ – the basic framework of legality which structures constitutional order and the ‘internal point of view’ that accompanies it, whereby actors within a legal order understand their association in terms of rights and duties. We turn to an older school of inquiry to see what such inquiry might entail. ‘Commonwealth comparative constitutional law’ explored questions of legality and sovereignty in the context of a collapsing British Empire. We assess the contribution of R.T.E. Latham, D.V. Cowen, Edward McWhinney and Geoffrey Marshall in the context of the Voters Rights legislation and litigation in 1950s South Africa in particular, and conclude by reflecting on the potential of this style of scholarship in our own era, where questions of sovereignty, exclusion and faux legality resurface in new and troubling forms.
Historiography and comparative constitutional scholarship
Authors: Partlett William
Published: July 2023

History is central to comparative constitutional scholarship. But the methods and approaches of professional history (historiography) are not. This is a problem. Historiography – the critical study of how history is written and applied – provides important historical literacy for comparative constitutional researchers. This article will begin the process of unpacking its implications for CCS. First, historiography helps to counter the use of incorrect, incomplete, or simplified historical accounts. Second, it helps to show both the limitations and possibilities of applying history to contemporary constitutional questions. These historiographical methods can improve the use of history in comparative constitutional scholarship.
Programa LUDOCREO para mejorar habilidades sociales en estudiantes de quinto de primaria en Chimbote-Ancash – 2022
Authors: Vargas Delgado Lupe Maribel , Villanueva Campos Maritza Isabel
Published: July 2023

La intención fundamental de la investigación de LUDOCREO en las habilidades sociales estudiantiles en quinto de primaria en Chimbote-Ancash – 2022, establecer el impacto de la propuesta en las destrezas sociales en la entidad educacional. La investigación fue de tipo cuantitativo, con un diseño preexperimental con una muestra de 30 estudiantes de quinto deprimaria en el que se ejecutaron 12 sesiones de aprendizaje usando el programa LUDOCREO como variable independiente, la prueba de normalidad arrojó que hay distribución normal en la contrastación de las hipótesis se usó la t de Student para muestras relacionadas. Los resultados en el pretest arrojaron un promedio de 190.0 puntos que corresponde al nivelmedio; después de aplicarse Ludocreo, se registró un promedio de 247 puntos en la escala 60 – 300 puntos que corresponde al nivel alto, existiendo una diferencia a favor del post test de 51.8 puntos o su equivalente a 17.3%. En el contraste de la hipótesis general se ha registrado tc = 22.153 frente a tt = 1.697 con p = 1.01E-19, por lo que se acepta la hipótesis alterna.
Síndrome de burnout: un análisis desde el ámbito organizacional
Authors: Alfaro Flores Adelaida Milushka , Castillo Revilla Sarita Elizabeth
Published: July 2023

El presente trabajo de revisión bibliográfica tuvo como principal objetivo explorar la naturaleza del burnout, así como sus bases teóricas, dimensiones, síntomas y consecuencias; para ello se realizó una búsqueda en base de datos indexadas tales como Scielo, Pubmed, Dialnet, Redalyc, Doaj y Scopus; filtrando y considerando a través de un check list, solo los artículos con antigüedad menor a 7 años, obteniendo las siguientes conclusiones: el síndrome de burnout es un estrés crónico dado en el ámbito laboral por un desequilibrio entre la carga/demanda laboral y las estrategias/preparación profesional del trabajador; teniendo como principal postulado teórico, el propuesto por Maslach -que incluso fue adherido en el CIE-11, además el síndrome de burnout posee 3 dimensiones: el agotamiento emocional; la despersonalización y la falta de realización personal. Como principales síntomas del burnout, se puede mencionar síntomas físicos, síntomas emocionales y síntomas comportamentales, trayendo consigo consecuencias a nivel conductual, emocional, somático, cognitivo y organizacional.
Modelo de gestión integral para estándares de acreditación en indicadores financieros
Authors: Zamora Carranza Maribel Mercedes
Published: July 2023

El presente estudio tuvo como objetivo general diseñar el modelo de gestión integral de la Escuela de Posgrado de la Universidad Nacional de Trujillo, para contribuir al logro de los estándares de acreditación pertinentes a los indicadores financieros, utilizando el balanced scorecard. Es de tipo de investigación aplicada, enfoque cuantitativo, diseño preexperimental. Se tomaron como población y muestra de estudio 30 colaboradores de posgrado, utilizando como instrumento el cuestionario, como técnicas de recolección de datos, aplicando un pre test y un post test. Para evaluar la confiabilidad de las variables se aplicó el Alfa de Cronbach, obteniendo 0,986 y 0,981 respectivamente para cada una de las variables, encontrándose dentro del rango de excelente confiabilidad, así mismo para validar la hipótesis se aplicó la prueba estadística Chi Cuadrado, obteniéndose un nivel de significancia asintótica (bilateral) es 0.001, menor al coeficiente de confianza permitido (0.05), considerando que la hipótesis alternativa propuesta en esta investigación, es aceptada. Podemos concluir que en dicho modelo se desarrolló las cinco etapas del balanced scorecard, planteando objetivos concretos a cada una de las perspectivas con sus respectivos indicadores haciendo un comparativo entre al año 2019 y 2020, por otro lado con el reporte de progreso se ha utilizado el método del semáforo en función a la meta planificada para el año 2021, considerando los dos semestres, en relación al cumplimiento de sus objetivos propuestos, teniendo en cuenta los estándares de acreditación pertinentes a los indicadores financieros, obteniendo los siguientes resultados, un 77% de objetivos logrados, 13% de objetivos en proceso y 10% en objetivos en inicio respectivamente. Finalmente se complementa que dicho modelo, permite a los directivos lograr mejores resultados en su gestión, mayor crecimiento financiero, así como usuarios satisfechos y colaboradores motivados.
Sezaryen Hastalarının Cerrahi Korku Düzeyini Etkileyen Faktörler
Authors: CAN Emine , BEYDAĞ Kerime Derya
Published: July 2023

Amaç: Araştırmada, sezaryen olacak gebelerin cerrahi korku düzeyini ve etkileyen faktörleri belirlemek amaçlanmıştır.

Gereç ve Yöntem: Tanımlayıcı tipteki araştırma, Şubat-Haziran 2022 tarihleri arasında sezaryen planlanan 164 gebe ile gerçekleştirilmiştir. Araştırma verileri, “Veri Toplama Formu”, “Cerrahi Korku Ölçeği” ile elde edilmiştir.

Bulgular: “Gebelerin Cerrahi Korku Ölçeği toplam puan ortalaması 51.14 ± 8.88 olarak; kısa vadeli cerrahi korku düzeyi 26.14 ± 4.45 ve uzun vadeli cerrahi korku düzeyi 25.00 ± 5.04 olarak bulunmuştur. Gebelerin yaşı, gelir durumu, daha önce ameliyat olma durumu, gebelik ve doğum sayısı, ikiz gebelik olma durumu, gebelikte kaç kez kontrole gidildiği ve tedavi sonucu gebe olma durumu ile ölçek alt boyut ve toplam puanları arasında istatistiksel olarak anlamlı farklılık saptanmıştır. Ayrıca, daha önce sezaryen olma durumu, sezaryen olma nedeni, daha önce sezaryen olmuş kişilerden sezaryen ile ilgili olumsuz/ kötü anlatımlar duyma durumu ve anestezi sırasında uygulanan anestezi tipinin cerrahi korku düzeyini etkilediği belirlenmiştir.

Sonuç: Sezaryen öncesi gebelerde korkuya neden olan durumlar belirlenerek, korku düzeylerini azaltmaya yönelik girişimlerin hemşirelik süreçlerine dahil edilmesi önerilmektedir.
Elektroterapi Uygulamalı Seminerinin Elektroterapi Dersinin Öğrenme Çıktıları ve Ders Başarısı Üzerine Etkisi
Authors: YILMAZ Fatma Nur , KAYA MUTLU Ebru , OZEN Melike Sumeyye , KESKİN Esra , KEÇELİOĞLU Şule , DEMİR Canan
Published: July 2023

Amaç: Fizyoterapi ve rehabilitasyon bölümü lisans eğitiminde verilen teorik ve uygulama içeren Elektroterapi (I ve II) dersini uzaktan eğitim ile almış öğrencilere yönelik planlanan uygulamalı eğitim seminerinin ders başarısı ve öğrenme çıktıları üzerine etkilerini saptamak amaçlandı.

Gereç ve Yöntem: Çalışmaya Elektroterapi (I ve II) dersini 2.sınıfta iken almış ve başarılı olmuş 4. sınıfta okumakta olan 53 fizyoterapi ve rehabilitasyon bölümü öğrencisi dahil edildi. “Kişisel Bilgi Toplama Formu”, “Ders Başarısı Değerlendirme Formu” ve “Dersin Öğrenim Çıktılarına Yönelik Bilgi Toplama Formu” uygulamalı eğitim semineri öncesi, seminerden hemen sonra ve seminerden altı ay sonra katılımcılar tarafından dolduruldu.

Bulgular: Öğrencilerin seminer öncesi ortalama ders başarı puanı 100 üzerinden 30.48 iken seminerden hemen sonra 56.53 puan ve 6 ay sonra 31.12 puan olarak hesaplandı. Öğrencilerin %27.4’ü öğrenim çıktılarının tüm maddelerine seminer öncesi kesinlikle katılıyorum ve katılıyorum yanıtını verirken, bu oran seminerden hemen sonra %90.2, seminerden 6 ay sonra ise %81.4 olarak belirlendi (p
Emzirmeyi Desteklemede Teknoloji Kullanımı: Sanal Gerçeklik
Authors: CİRBAN EKREM Ebru , DAŞIKAN Zeynep
Published: July 2023

Emzirmenin anne ve bebek için sayısız yararı vardır. Bu nedeniyle ulusal ve uluslararası kuruluşlar anne sütüyle beslenme oranlarını artırmak için emzirmeyi önermektedir. Emzirmenin teşviki, doğum öncesi ve doğum sonrası dönemde emzirme eğitimleri ile sağlanmalıdır. Küreselleşme ve teknolojinin getirdiği yenilikler, yüz yüze emzirme desteğine erişim ve kaynakların sınırlı olması emzirme desteğinin bilgi ve iletişim teknolojileri aracılığıyla sunulmasına olanak sağlar. Ebeveynlerin eğitiminde ve emzirmenin teşvik edilmesinde kısa mesaj, web tabanlı uygulamalar, online eğitim programları, mobil aplikasyonlar, simülasyonlar ve mobil oyunlardan yararlanılmaktadır. Dünya Sağlık Örgütü ve güncel araştırmalar ebeveynlerin emzirme sürecine bütüncül bir bakış sağlayan ve süreci deneyimleyebileceği teknoloji tabanlı çözümlerin getirilmesini önermektedir. Son yıllarda yaygınlaşan sanal gerçeklik uygulaması, kullanıcıların kendilerini üç boyutlu bilgisayar tarafından oluşturulan bir dünyanın içindeymiş gibi hissetmelerine olanak tanıyan bir teknolojidir. Sanal gerçeklik gözlüğü sağlık alanında çeşitli araştırmalarda kullanılmıştır. Fakat literatürde sanal gerçeklik gözlüğünün emzirme eğitiminin verilmesi amacıyla kullanıldığı araştırmalar çok sınırlıdır. Bu derlemede emzirme desteği ve teşvikini sağlamakta teknoloji ve sanal gerçeklik kullanımını irdelemek amaçlanmıştır.
Üniversite Öğrencilerinde COVID-19 Aşı Okuryazarlığı ve Aşı Karşıtlığı
Authors: SÖNMEZ SARI Ebru , KIRBAŞ Zila Özlem
Published: July 2023

Amaç: Bu araştırma üniversite öğrencilerinde COVID-19 aşı okuryazarlığı düzeyi ve aşı karşıtlığı durumlarını belirlemeyi amaçlamaktadır. Gereç ve Yöntem: Tanımlayıcı-ilişki arayıcı tipte yapılan araştırmanın örneklemini sağlık programlarında öğrenim gören üniversite öğrencileri (n=422) oluşturmuştur. Veri; Kişisel Bilgi Formu, COVID-19 Aşı Okuryazarlığı Ölçeği ve Aşı Karşıtlığı Ölçeği-Kısa Form kullanılarak çevrimiçi toplanmıştır. Veri analizinde bağımsız örneklem t testi, tek yönlü varyans analizi (ANOVA) ve Pearson korelasyon testi kullanılmıştır. İstatistiksel anlamlılık düzeyi p
İlaca Bağlı Rabdomiyoliz: Statin
Authors: ERDİL Fahriye Naz , ÖZDEMİR Serdar , EROĞLU Serkan Emre
Published: July 2023

Statinler hiperlipidemi tedavisinde ilk basamakta tercih edilen
ilaçlardandır. Statin tedavisinin iyi bilinen bir yan etkisi olabilen rabdomiyoliz kas hücrelerinde nekroz ve hücre içeriğinin
intravenöz alana salınması ile oluşan bir sendromdur. Hastalar
miyalji kas güçsüzlüğü koyu renkli idrar yapma şikâyetleri ile
başvururlar. İleri yaş, diyabet, hipotiroidizm, polifarmasi ve
böbrek yetmezliğinin statin ilişkili rabdomiyoliz riskini arttırdığı bilinmektedir. Tedaviye başlarken ek hastalıkları ve çoklu ilaç kullanımı olan hastalarda statinlerin ilaç etkileşimleri göz
önünde bulundurulmalıdır. Bu olgu sunumunda atorvastatin,
ketiapin ve alprazolam kullanım öyküsü olan olgu üzerinden,
statinin indüklediği rabdomiyoliz ve bu yan etkinin görülmesindeki olası tetikleyicilere dikkat çekmek amaçlanmıştır.
Patologi Birokrasi dalam Penyelenggaraan Pelayanan Publik Tingkat Kecamatan di Takalar
Authors: Ammas Sitti , Hasran Hasran , Hasran Bachtiar , Fitriani A.
Published: July 2023

This study aims to identify and analyze the forms of bureaucratic pathology and public service at the sub-district office in Takalar Regency and to identify and analyze efforts to overcome the pathology of bureaucracy and public services at the sub-district level of Takalar Regency. In this study using a qualitative descriptive research type, while collecting data using observation techniques, in-depth interviews, and literature study. The research results show that in general the performance of the bureaucracy in carrying out public services at the sub-district level in Takalar Regency is considered not optimal. There is even an information gap in the form of the public not knowing the procedures and procedures for service, as well as the responsiveness of the apparatus to various complaints experienced by service users.
Proposed Marketing Strategy to Increase Parents’ Enrollment for Inclusive School (Case Study: Alfa Centauri Primary School)
Authors:   School of Business and Management, Institut Teknologi Bandung, Indonesia, Ramadita Reyhan Adiva , Belgiawan Prawira Fajarindra ,   School of Business and Management, Institut Teknologi Bandung, Indonesia
Published: July 2023

Education is essential for all human beings with noble goals individually, namely to increase the standard and quality of life, and collectively, to contribute socially to a more prosperous society. An important role is held by formal educational institutions with a set of facilities that they have for the quality of educational services provided to all their students. Elementary schools which are the first and main level of education need to ensure that the quality of services they provide from all aspects can contribute significantly to all students. The concept of inclusiveness which is a friendly service concept for all people is a trend and a special attraction in the world of education today. Educational institutions (including inclusive primary schools) that require financial stability require good business execution to survive facing competition in the market. Alfa Centauri Primary School, which is one of the players in the industry, feels the intense competition within it. For the last six years, Alfa Centauri Primary School has not been able to meet the quota of students they receive, so it can be said that their performance is still not optimal. It is necessary to improve, evaluate and form a good marketing strategy to be able to get consumers, where the actual consumers are parents of students. This study uses qualitative and quantitative approaches in data collection and processing. The analysis boils down to two perspectives, internal analysis using marketing mix analysis, STP, and VRIO; as well as external analysis using competitor analysis, Porter’s Five Forces, PESTLE, and customer analysis. There are findings in the customer analysis that the school environment and school accessibility are two things that influence parents’ enrollment intentions in sending their children to inclusive private elementary schools. Optimizing social media, strategic collaboration, providing shuttle services, optimizing personalization-based learning, creating a comfortable learning environment, and utilizing activities outside the classroom are marketing strategies formulated in this study to increase the number of registrants from Alfa Centauri Primary School.
A Clinico- Etiological Evaluation of Vocal Cord Paralysis
Authors:   Resident, Department of ENT, R.D Gardi Medical College, Ujjain, M.P., Patel Priyanka , Mishra Sameeksha ,   Resident, Department of ENT, R.D Gardi Medical College, Ujjain, M.P., Bhargava Puneet ,   Professor, Department of ENT, R.D Gardi Medical College, Ujjain, M.P., Vaidya Sudhakar ,   Professor and Head, Department of ENT, R.D Gardi Medical College, Ujjain, M.P.
Published: July 2023

Introduction: This is a case study of 61 cases admitted in our hospital to study the various etiologies of vocal cord immobility (including both paralysis and paresis of vocal cord) and to study the incidence of vocal cord immobility.Vocal cord paralysis is a common symptom of the disease which can be originated from laryngeal nerve paralysis following laryngeal carcinoma, oesophageal carcinoma, bronchogenic cancers, thyroid neoplasms, surgical procedures in neck and thorax, post anaesthesia complication,or neurologic diseases. Materials and methods: The present study includes all the cases having vocal cord paralysis presenting in out-patient department of Otorhinolaryngology, examination of larynx externally,by indirect laryngoscopy and direct laryngoscopy was done.All the routine and systemic examination were done. Results: In our study, left vocal cord was the most commonly involved and was observed in 40(65.5%) patients, with neoplasm being the most common cause in 19(31.1%) patients. Right vocal cord involvement was found in 20(32.8%) patients, with neoplasm being the most common cause in 13 (21.3%) patients. The ratio of left side and right side involvement of vocal cord was 2:1 in our study. The longer course of the Left Recurrent Laryngeal Nerve might account for the difference. Conclusion: In our study the etiology which was found to be more common was neoplasms then that of idiopathic causes. The reason behind this could be advanced investigation procedures which allows us to do a thorough work upon any case, but even after that we have found some of Idiopathic causes as well.
Prevalence and Risk Factors for Recurrence of Basal Cell Carcinoma Following Surgical Excision in a 5-Year Follow-Up Period
Authors:   Plastic and Reconstructive Surgery Service, La Raza National Medical Center., De Fuentes Hugo Eduardo Morales , Rojas Aguilar Francisco Vladimir ,   Plastic and Reconstructive Surgery Service, La Raza National Medical Center.
Published: July 2023

Material And Methods: Observational, descriptive, retrospective study in patients with clinical and histopathological diagnosis of basal cell carcinoma, attended at CMN La Raza in a period of 5 years, to determine the postoperative recurrence of CBC. Clinical and histological variables were included, which were analyzed with descriptive statistics and for the comparison of variables was used chi-square or exact test of Fisher and U of Mann Whitney, subsequently, multiple logistic regression was performed to determine the independent risk factors, with the use of the statistical package SPSS v25. The study was approved by the ethics and research committee of CMN La Raza. Results: We included 280 patients with CBC, with a median age of 72 years. The majority were 211 women (75.4%). CBC recurrence was observed in 115 (41.1%) patients. In the univariate analysis, age, sex, smoking, history of sunburn, facial area, CBC subtype, perineural and vascular involvement were found to be statistically significant (p<0.05). In the regression model, the independent risk factors associated with postoperative recurrence of CBC were age, male sex, and smoking. Conclusions: The clinical-pathological characteristics were similar to those reported in the literature. In our population, it was observed as independent risk factors for recurrence, adjusted to those already mentioned in the literature, were male sex, age and smoking, so it is important to closely monitor these patients to take measures regarding surgical treatment.
Learning Strategies of Memorizing the Qur'an Based on Brain Development for Early Childhood (Multi-Site Study At PAUD IT Al Firdaus and PAUD IT Permata Jannati Banjarmasin)
Authors:   Master of Early Childhood Education, Lambung Mangkurat University, Indonesia, Nurdina Indri Septia , Aslamiah Aslamiah ,   Master of Early Childhood Education, Lambung Mangkurat University, Indonesia, Suriansyah Ahmad ,   Master of Early Childhood Education, Lambung Mangkurat University, Indonesia
Published: July 2023

This research focuses on strategies carried out to guide children in memorizing the Qur'an through the role of teachers, partnerships in learning tahfizh Qur'an, infrastructure facilities in learning to memorize the Qur'an and the principal's policy in memorizing the Qur'an program. The research design used is a descriptive qualitative approach multi-site design with data collection through interviews, observation and documentation. The data analysis phase through site data analysis and cross-site data analysis with research was carried out at PAUD IT Al-Firdaus and PAUD IT Permata Jannati Banjarmasin. The results of the research obtained are the role of teachers in learning to memorize the Qur'an; partnership in learning to memorize the Qur'an by cooperating involving parties such as parents, community and community leaders, as well as professional organizations; Facilities and infrastructure in learning to memorize the Qur'an are available to support learning to memorize the Qur'an; the principal's policy in learning to memorize the Qur'an is carried out by working meetings, curriculum planning, and Qur'an memorization programs.
Improvement of Craft Business: Business Learning and Market Orientation
Authors:   Faculty of Economic and Business, Universitas Budi Luhur Jakarta Indonesia, Jl. Raya Ciledug, Petukangan Kebayoran Lama Jakarta Selatan, 12260, Mudjijah Slamet
Published: July 2023

Objectives - This study aims to test and prove empirically about: First, does business learning have a direct effect on market orientation? Second, whether business learning and market orientation have a direct effect on business performance. Third, does business learning have an indirect effect on business performance through market orientation Design / methodology / approach - The population of this study is the population in this study are all handicraft industries in the Special Region of Yogyakarta. The research sample was 61 respondents who were taken by nonprobability sampling method using a purposive sampling technique. Data analysis in this study used PLS-SEM (Partial Least Square - Structural Equation Modeling). Findings - The results of the study show that: business learning affects market orientation. Market orientation affects business performance. Business learning has no direct effect on business performance; however, it indirectly affects business performance through market orientation. Research limitations/implications - This study found no direct contribution of business learning to business performance. Suggestions for future researchers who will take models and concepts of small and medium business performance must pay attention to business sustainability factors in performance measurement. Meanwhile, due to research limitations, this study cannot explain other variables such as innovation. Innovation is considered to strengthen the impact of business learning on business performance. Originality - This research empirically examines the mediating role of market orientation in the model. The findings show that SMEs must strengthen market orientation to improve business performance.
The Association Between Changes in Key Audit Matters and Earnings Management Behavior in Companies
Authors: Ting Chan-Chuan
Published: July 2023

Abstract

Auditing Standards No. 58 “Communication on Critical Audit Issues in Auditing Report” in April 12, 2016. These new standards effect and regulate public listed companies to keep step with international auditing standards starting from Year 2016. The purpose of this study is to explore the relationship between the changes in key audit matters and earnings management, and to understand the relationship between the changes in key audits and the degree of corporate earnings management. The results of the study show that after controlling the endogenous nature of earnings management variables through the two-stage method of instrumental variables, the degree of earnings management is significantly negatively correlated with the change in the number of accounting items disclosed in the key audits of the auditor's audit report. That is to say, when the degree of management of earnings management is higher, the possibility that the number of items of key check items increases is lower, When the degree of management of earnings management is higher, the probability of the number of items for key check items is reduced. and the tendency is not to change the disclosure items of key check items.

Keywords: Key audit matters, Endogeneity, Earnings management.
Australian Red Cross psychosocial approach to disaster preparedness
Authors: Richardson John , Kelly Leanne , Mackay Antonia
Published: July 2023

Emergency and disaster preparedness is often centred on preparing the physical environment. Moving the emphasis from the physical to the personal, people can be physically and mentally better prepared to face and recover from these events. This paper examines the approach by Australian Red Cross to improve psychosocial preparedness. It outlines how theories of psychosocial support, adaptive capacity and behaviour change are operationalised as well as the evaluation methods used to assess effectiveness.
પંચમહાલ જિલ્લાના હાલોલ તાલુકામાં માનવ વિકાસના સંદર્ભમાં શિક્ષણ અંગેની પરિસ્થિતિનો અભ્યાસ
Authors: અગ્રવાલ હરીગોપાલ , ગોહિલ કિશોર
Published: July 2023

શિક્ષણને માનવીના માનવ તરીકેના અસ્તિત્વની સાથે સાંકળવામાં આવ્યું છે. શિક્ષણ વિના માનવી સંભવી જ ન શકે એવી એની દૈહિક રચના રચાયેલી છે. જન્મથી જ માનવીને પ્રાપ્ત થતી શારીરિક સંપત્તિ, એનાં અંગ-ઉપાંગો, એનું મગજ, એની જ્ઞાનેન્દ્રિયો વગેરે એને જીવનભર ટકી રહેવા, વિકસવા, સફળ નીવડવા અને તેમ કરીને એના જીવનની સાર્થકતાનો અનુભવ કરી, તેમાંથી મહત્તમ આનંદ અને સંતોષ મેળવવા જાણે કે એને નિરંતર શીખતા રહેવાની સામગ્રી પૂરી પાડે છે. એ માટે એને અભિપ્રેરણા આપે છે અને એમ કરીને દુનિયાના અન્ય પ્રાણી જાતથી એને એક આગવી ઓળખ આપે છે. આથી જ માનવીને ‘એક શીખતા પ્રાણી’ તરીકે ઓળખવામાં આવ્યો છે. જેમ માનવીની દૈહિક સંપત્તિ એને સદા શીખતું રહેતું વ્યક્તિત્વ બક્ષે છે, એમ એની અનેકવિધ માનસિક શક્તિઓ, જેવી કે બુદ્ધિ, તર્ક, કલ્પના, સ્મૃતિ, અર્થગ્રહણ, તુલના, નિષ્કર્ષ, કુતૂહલ વગેરે એને પ્રચંડ ક્ષમતાભંડાર બક્ષે છે; જે એને શીખવા અને સતત શીખતા રહેવા એક અંતર્ગત બળ પૂરું પાડે છે. કુદરતે એને વાચા આપીને તો જાણે શીખવા-શીખવવાની અનેકાનેક સંભાવનાઓનાં દ્વાર ખુલ્લાં મૂકી દીધાં ! પરિણામે, આદિ કાળથી લઈને આજ લગી માનવીએ અતિરોમાંચક, અતિસાહસભરી અને અકલ્પ્ય પરિણામો ધરાવતી જ્ઞાનયાત્રા ખેડ્યાં કરી છે. આજે એ 21મી સદીના આરંભે શરૂ થયેલા જ્ઞાનયુગનો તે એક કાબેલ યાત્રી, નિર્માતા અને વ્યવસ્થાપનકાર બની શક્યો છે એ તેના વિકાસનું ઇતિહાસનું એક અભૂતપૂર્વ પ્રકરણ બનવા પામ્યું છે.
Civil Protection and Protection of Critical Infrastructure in Ukraine During the Conditions of the Martial State
Authors: Vhpiliarevych Viktoriia , Tocicka Julia W. , Szafrańska Karina
Published: July 2023

The article studies the legal basis for providing civil protection and protection of critical infrastructure in Ukraine under martial law. In particular, the authors draw attention to the fact that, as of today, the issue of providing civil protection and protection of critical infrastructure in Ukraine is crucial due to the Russian Federation’s encroachment on its territorial integrity and inviolability, starting in 2014. This problem has gained particular urgency since the open military full-scale invasion of the Russian Federation on the territory of Ukraine, which took place on February 24, 2022. Summarizing the conclusions of the conducted scientific research, based on the analysis of the levels of formation and implementation of the state policy of Ukraine in the field of civil protection and protection of critical infrastructure, in the system of its subject composition, the author considers it appropriate to single out: subjects of the policy of civil defense and protection of critical infrastructure at the national level; issues of the policy of civil security and safety of critical infrastructure at the industry (sectoral) level; civil protection and essential infrastructure protection policy subjects at the local level; issues of the policy of civil security and safety of critical infrastructure at the object level (at the enterprise, institution, organization).
What do We Owe to Romans? The Roman Shift of the Paradigm of Thinking About Law in the Context European Legal Culture
Authors: Kondek Jędrzej Maksymilian
Published: July 2023

This study shall present the consequences of the paradigm shift in thinking about law that took place in Ancient Rome (primarily, but not exclusively, in the early republic). It will present what distinguished the Roman concept of law from the concept of law present in other ancient laws, and what is still a living heritage of Roman thought, even if we do not realize it on a daily basis. Roman law will be compared with other laws of the European cultural circle, and therefore, apart from ancient Greece, the so-called Eastern despotias and the state (states) of the Jews. However, it is more about ideas than specific solutions. Therefore, in the comparative material will be also included the Muslim law, although it was created after the promulgation of the Justinian Code, considered the final stage in the formation of ancient Roman law. The Muslim law is however - in a sense - an heir of Middle Eastern legislation and expresses an alternative to Roman way of thinking about law. The aim is to show not only what distinguishes Roman law from the laws that precede it or its contemporaries, but what distinguishes Roman law from other possible ways of looking at laws in general. As a research hypothesis is presented the statement that the fundamental for the development of European legal culture were not so much specific Roman normative solutions, but a change in the paradigm of thinking about law: its secularization, understood as a break with divine origin or the sanctioning of law, and its professionalization, understood as the development of a specific category professional people dealing with the analysis and interpretation of law. At the end it is presented an open question why the secularization of the law happened only in Rome and why it ever happened there although in all other analyzed legal systems the connection between law and religion was never surpassed which this did not prevent the formation of a precise and sublime law, as was the case of the Islamic world.
Pendekatan Pembelajaran PKN MIS Fajar Shiddiq
Authors: Nasution Abdulgani Jamora , Lubis Rodiatul Hasanah , Lubis Annisa Rahimah , Munawwaroh Siti , Syaukani Farhan
Published: July 2023

Citizenship Education (PKn) in elementary schools has an important meaning for students in the formation of private citizens who understand and are able to exercise their rights and obligations to become intelligent, skilled and characterized Indonesian citizens mandated in Pancasila and the 1945 Constitution. Learning is a process that is carried out by providing education and training to students to achieve learning outcomes. By using several approaches such as (1). Student-oriented or student-centered learning approach (student centered approach) and (2). Teacher-oriented or teacher-centered learning approach (teacher centered approach). Based on the explanation above, the title "PKN MIS Fajar Shiddiq Learning Approach" can be raised. Based on the title, background and formulation of the problem to be studied, the authors use descriptive qualitative research methods. From the results of observations and research interviews, problems were found regarding the learning approach at MIS Fajar Shiddiq regarding the PKN learning approach used by teachers at the school.

Keywords : Learning approaches, PKN subject
Implementasi Strategi Pembelajaran Inkuiri Dalam Pembelajaran Al-Qur’an dan Hadis
Authors: Arlina Arlina , Ramadhan M. Rayhan , Khairon Fitra , Hasanah Nur , Simanungkalit Khoirunnisa
Published: July 2023

Learning strategies are very important for an educator to use when teaching. The use of learning strategies should be a part that must get the attention of educators / facilitators in every learning activity. Therefore, educators need to learn and even develop how to set learning strategies in order to effectively achieve learning objectives in the teaching and learning process in the classroom, one of which is the application of appropriate learning strategies.This study uses a qualitative method in the form of descriptive. Data collection methods include interview, observation and documentation methods. Researchers acting as participants and informants of this study were the Head of Curriculum, Al-Quran Hadith teacher, and several seventh grade students. For the sample technique using purposive sampling.The validity of the data is done by triangulation of sources. For data analysis using data reduction, data presentation, conclusion drawing/verification. Based on the results of interviews and observations that have been made by the researcher, it was found data stating that the application of the inquiry learning strategy includes lesson planning, implementation of learning strategies consisting of observation, formulating problems, analyzing hypotheses, analyzing data, and drawing conclusions. The last stage is the closing and evaluation stage. In addition, it was also found that there was a process of compiling problems using the question and answer method and when delivering conclusions using the lecture method.

Keywords: Inquiry Learning Strategy, Quranic Learning Hadith
Metode Doa dalam Pembelajaran
Authors: Mukri Rusdiono , Mujahidin Endin
Published: July 2023

This study aims to determine the implementation of the prayer method in learning and its impact or influence on student learning achievement. The research used descriptive qualitative method which was carried out by collecting data obtained from documentation, observation and interviews, and supported by literature studies, both from books and journals. The results showed that the prayer method is very necessary in learning. However, in its implementation, the prayer method cannot stand alone. The prayer method in learning must be combined or integrated with other methods such as lecture methods, discussions, question and answer, storytelling, exercises (drills), sociodrama, and other methods. The prayer method is proven to make students peace of mind and are motivated to improve their learning achievements. Therefore, this method must be introduced and implemented in learning, both for educational institutions, especially Islamic educational institutions, as well as public schools. In addition, the teacher must plan every lesson, regardless of the method used in learning, both in class and outside the classroom, to guide students to pray, both before the lesson begins and before the lesson ends.

Keywords: prayer method; motivation; peace of soul
Behavioral Skill Training sebagai Solusi dari Adiksi Gadget pada Anak
Authors: Mazaya Nur Widad , Juwita Dinda Helmi Kayana , Ekaningrum Ifada Retno , Pratomo Sigit Adi
Published: July 2023

Gadget addiction causes children to be less physically active and less skilled in interacting socially. To overcome the impact of this training, this research provides a solution in the form of a behavioral skill technique in the psychology of behaviorism called Behavioral Skill Training (BST). This study uses the method of literature study. The findings in this paper show that BST is effective in dealing with gadget addiction in children based on techniques in BST which include Instruction, Modeling, Rehearsal, and Feedback steps. The BST program can help develop social, emotional, interpersonal, and problem solving skills in children so that they can reduce the level of gadget addiction and improve the quality of life for children as a whole. Support from parents and schools, as well as regular and systematic evaluations need to be considered in the implementation of the BST program.
Penerapan Model Pembelajaran Problem Based Learning (PBL) dengan Pendekatan Teaching at the Right Level (TaRL) dalam Meningkatkan Hasil Belajar kognitif Siswa kelas X pada Materi Inovasi Teknologi Biologi SMA
Authors: As"ad Muhammad Cholil , Sulistyarsi Ani , Sukirmawati Juli
Published: July 2023

This study aims to increase student activity and learning outcomes in Biology learning through the Problem Based Learning model with a Teaching at the Right Level (TaRL) Approach in class X E SMAN 6 Madiun in the even semester of the 2022/2023 school year. Methods of data collection using Observation, Cognitive Tests, Learning Outcomes Documents. Having final performance indicators 83% (30 out of 36 students) who get the complete category, with details of pre-cycle learning outcomes get 22% (8 out of 36 students) get the complete category, cycle I assessment of learning outcomes get 58% (21 out of 36 students ) get the complete category, the second cycle of assessment of learning outcomes get 83% (30 of 36 students) get the complete category. Learning outcomes have met the KKM score and achieved performance indicators of success ≥ 83%. It can be concluded from this study that the application of the Problem Based Learning model with the Teaching at the Right Level (TaRL) approach can improve student learning activities and student biology learning outcomes.

Keywords: Learning Activities, Cognitive Learning Outcomes, PBL Models, TaRL
Pengaruh Pendidikan Tinggi terhadap Tantangan Dunia Kerja
Authors: Adlini Miza Nina , Pasaribu Putri Apriani , Adisti Yuda , Ritonga Eka Wahyu Putri M. , Holila Nur , Nasution Rusdiah Murni
Published: July 2023

This research is about higher education and the challenges of the world of work. The research method used is qualitative with a literal study with qualitative data collection by finding and compiling data obtained from several sources or systematically arranged research. From the observations that have been obtained that it takes the cooperation of various parties. Skills or skills are still being developed so that after graduation they have no difficulty in finding work rather than just relying on the cognitive (knowledge) aspect.

Keywords: Higher Education, Job Challenges, Unemployment
Analisis Penerapan Enterprise Resource Planning Berbasis SAP Dalam Meningkatkan Kualitas Sistem Informasi Akuntansi Pada PT ABC
Authors: SATRIA MUHAMMAD , Fatmawati Ade Pipit
Published: July 2023

Penelitian ini bertujuan untuk menganalisis penerapan sistem Enterprise Resource Planning (ERP) berbasis SAP dalam meningkatkan kualitas sistem informasi akuntansi pada PT ABC. Sistem ERP SAP telah diimplementasikan sebagai solusi terintegrasi untuk mengelola berbagai aspek bisnis perusahaan, termasuk akuntansi. Metode penelitian yang digunakan adalah studi kasus, dengan pengumpulan data melalui observasi, wawancara, dan analisis dokumen. Penelitian ini fokus pada pengujian efektivitas penerapan ERP SAP dalam meningkatkan kualitas sistem informasi akuntansi, yang meliputi aspek keandalan, akurasi, ketersediaan, dan kecepatan akses informasi. Hasil penelitian menunjukkan bahwa penerapan ERP berbasis SAP telah memberikan dampak positif terhadap kualitas sistem informasi akuntansi di PT ABC. Keandalan sistem informasi meningkat karena data akuntansi disimpan secara terpusat dan dapat diakses dengan cepat. Akurasi informasi juga meningkat karena proses otomatisasi dalam sistem ERP mengurangi kesalahan manusia. Sistem ini juga meningkatkan ketersediaan informasi, di mana pengguna dapat mengakses data akuntansi secara real-time. Selain itu, kecepatan akses informasi juga meningkat karena integrasi antara modul SAP yang berbeda.
ANALISIS EFISIENSI BIAYA OPERASIONAL MENGGUNAKAN PENDEKATAN FORECASTING (STUDI KASUS PT POS INDONESIA KANTOR CABANG GARUT)
Authors: Rohyana Cahyat , Wulandari Cica
Published: July 2023

Penjualan jasa logistik dan keuangan. Dalam menjalankan aktivitas perusahaan sebagai jasa logistic dan keuangan PT Pos Indonesia Kantor Cabang Garut membagi beberapa bagian divisi agar proses aktivitas berjalan dengan lancar dan teratur. Seluruh kegiatan aktivitas akan berjalan dengan baik jika didukung dengan biaya – biaya yang dikeluarkan salah satunya adalah biaya operasional. Biaya opersional terdiri dari biaya penjualan dan biaya administrasi umum. Untuk menjaga kestabilan keuangan antara biaya yang dikeluarkan dengan aktivitas perusahaan yang dilakukan dibutuhkan adanya efisiensi biaya. Penelitian ini bertujuan untuk mengetahui efisiensi biaya operasional perusahaan. Teknik pengumpulan data yang digunakan berdasarkan studi lapangan yaitu observasi dan dokumentasi dengan sumber data sekunder. Data yang diperoleh diolah menggunakan metode statistik deskriptif dengan pendekatan forecasting untuk mengetahui apakah biaya yang dikeluarkan saat ini sudah efisien atau belum dengan perbandingan data yang digunakan adalah semester 1 ditahun 2021 dan semester 1 ditahun 2022. Setelah melewati perhitungan analisis tingkat efisiensi biaya hasil menunjukkan bahwa biaya operasional yang dikeluarkan oleh PT Pos Indonesia Kantor Cabang Garut pada semester 1 tahun 2022 semuanya tidak efisien.