bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of the OWASP V4.2 Method in Hospital Information System Security Testing
Authors: Widyaningrum Bajeng Nurul , Maya Rani Destri , Kurnia Ramadhani Lingga
Published: January 2025

This research aims to identify and mitigate security vulnerabilities in the Hospital Information System (SIMRS) using the OWASP Web Security Testing Guide (WSTG) v4.2 based testing method. With the help of the OWASP ZAP tool, various vulnerabilities were identified, such as SQL Injection, weaknesses in session management, lack of security attributes in cookies, and disclosure of sensitive information through URLs or code comments. SQL Injection was identified as the highest risk vulnerability, as it potentially allows attackers to access, manipulate, or delete sensitive data in the database. In addition, weaknesses in cookie attributes, such as HttpOnly and SameSite, and the absence of an anti-CSRF mechanism, indicate potential threats in the form of Cross-Site Scripting (XSS) and Cross-Site Request Forgery (CSRF). The implementation of a solution based on WSTG v4.2 involves steps such as the implementation of HTTPS encryption, the use of prepared statements for database interaction, the application of security headers such as Content-Security-Policy (CSP), and input validation to reduce the risk of XSS. In addition, code audits were conducted to remove sensitive comments, while hidden files or unnecessary backups were removed to minimize the potential for information leakage. Test results after the implementation of the solution showed a significant improvement in the security level of the application. This research proves that the WSTG v4.2-based approach can provide comprehensive and systematic guidance in web application security testing. With these results, organizations, particularly in the healthcare sector, can ensure better protection of patient data and comply with applicable information security standards.
Preparation of an Operational Curriculum Based on Local Wisdom for Students in PAUD
Authors: Sumarni Sumarni , Rusmayadi Rusmayadi , Musi Muhammad Akil , Halik Abdul
Published: January 2025

Local wisdom as a cultural heritage owned by a community, including traditions, values, customs, and local knowledge that has been passed down from generation to generation. Within the scope of PAUD, local wisdom has great potential to become an integral part of the learning process, enrich children's learning experiences, and strengthen their cultural identity. This research aims to find out the preparation of an operational curriculum based on local wisdom and to find out the challenges faced in the preparation of an operational curriculum based on local wisdom in PAUD. The research method used is descriptive qualitative research with a descriptive approach. The results of the study show that the process of preparing the curriculum through systematic stages involves analyzing needs, formulating goals, determining the content and structure of the program, and developing learning strategies that integrate elements of local wisdom. Collaboration between the school, community leaders, and parents of students is the key in identifying and integrating relevant local wisdom in the curriculum. Conclusions and suggestions in this study are periodic training to improve teachers' understanding and skills in integrating local wisdom into learning. The Education Office should provide guidance and training for schools in developing an operational curriculum based on local wisdom.
Omnipresent History
Authors: Nußberger Angelika , Rhein-Fischer Paula
Published: January 2025

Present-time politics are, to an unprecedented extent, shaped by struggles over how to remember the past: Putin’s war of aggression against Ukraine is led in the name of history; Germany’s wrestling with the war in Gaza is largely determined by its memory of the Holocaust, to give just two examples. However, historical narratives have not only swept into politics, but also into law.
معهد السيد محمد بن علي السنوسي وأثره في ترسيخ المذهب المالكي
Authors: عبد الرازق صدام حسين
Published: January 2025

هذا البحث يتحدث عن أهم المؤسسات التعليمية الليبية، ألا وهو معهد السيد محمد ابن علي السنوسي الذي ارتقى إلى مصاف المؤسسات المناظرة له في تلك الحقبة وأسهم بشكل كبير في خدمة التعليم، والقضية العلمية الليبية الوليدة، وأسهم أيضاً في إعادة ترسيخ المذهب المالكي، ورسم الهوية الدينية الليبية الوسطية، وكذلك يتحدث هذا البحث عن المعهد وتكوينه، وأثره في ترسيخ المذهب المالكي، وتمكن الأهمية في تسليط الضوء البحثي على المعهد، نشأته ،أقسامه ،فروعه، وأثره في الحياة الفكرية والمذهب الفقهي السائد في البلاد الليبية، مما نتج عنه الاهتمام الواضح للدولة بهذه المؤسسة تلك الحقبة وظهور أجيال لهم تكوين علمي ونتاج فكري شكلوا الهوية الدينية الوسطية ،علاوة عن دوره في ترسيخ المذهب المالكي.
الجذور التاريخية للطريقة السنوسية الصوفية من خلال الوثائق التاريخية 1843-1912م
Authors: عيسى عفاف البشير المبروك
Published: January 2025

يتناول هذا البحث إحدى الحركات الدينية الصوفية وهي السنوسية حركة إصلاحية دينية فعالة تدعو إلى صفاء الإسلام وإحياء صالح الأعمال، وإلى البساطة في الحية والاعتماد على النفس، وابتعاد الإنسان عن الشوائب والسكونية والابتذال ، يتعرض البحث إلى نشأتها وجذور بدايتها وتطورها ووصولها إلى الحكم والسياسة؛ من خلال تتبع هذه الحركة ومؤسسها ونشأتها وتطورها وتنظيمها وشيوخها وأحوالها استناداً إلى الوثائق التاريخية التي وثقت لهذه الحركة، وتهدف هذه الدراسة إلى الكشف على العوامل الداخلية التي كان لها الدور الفعّال في جذور نشأة الحركة السنوسية وآلية تأسيس الزوايا السنوسية ودورها في نشر الطريقة وتعاليمها وأفعالها داخل المجتمع، وتكمن أهمية الدراسة من خلال الكشف عن حقبة مهمة من التاريخ العربي الليبي الحديث، يمكن من خلالها اكتشاف الأسس والركائز التي استندت إليها الطريقة السنوسية قيامها وانتشارها وعلاقاتها بأمور الدولة والدين وتأثيرها في المجتمع المحلي الليبي. ومن أهم النتائج التي توصلت إليها الدراسة إن الحركة السنوسية لم تكن حركة دينية فحسب بل هي حركة اجتماعية وسياسية كان لها الأثر في تنظيم المجتمع المحلي الليبي خلال النصف الأول من القرن العشرين ، وإلى جانب دورها الفعّال في نشر الإسلام من خلال تأمين الزوايا السنوسية كان لها دوراً إيجابياً في تنظيم المجتمع تنظيماً روحياً .
الطب عند الليبيين القدماء
Authors: الشيخي فاطمة علي عمر
Published: January 2025

تصف المصادر التاريخية غالبًا المجتمع الليبي بأنه خالٍ من الأمراض، يموت أما بالشيخوخة أو بحد السيف. إلا أن هذا لم يمنع من أنهم اهتموا بالطرق العلاجية المتعلقة بالنساء والأطفال.  وتوضح هذه الدراسة مدى أهمية المياه في العلاجات الطبية، كما تركز على الجانب الديني في الطرق العلاجية، تهدف هذه الدراسة معرفة العلاقة بين الوسائل العلاجية والمؤلهات الطبية، النتائج: تستكشف الدراسة الدور الاجتماعي للآلهة الشافية داخل الثقافة الليبية القديمة
القبيلة الليبية والسلطة في القرن التاسع عشر من التمرد إلى الاحتواء
Authors: قدارة فاتح رجب
Published: January 2025

ظلت القبيلة الليبية محورا للحياة الاجتماعية والاقتصادية في ليبيا عبر العصور التاريخية، وتطور دورها السياسي تطورا طرديا تبعا لمكانة وقوة وشرعية السلطة الحاكمة، لاسيما في الحقبة العثمانية 1551-1911م، التي عرفت فيها ليبيا أشكالا من العلاقات المضطربة، والتوافقية بين السلطات العثمانية على مختلف مسمياتها، والقبيلة الليبية، وظلت هذه العلاقة دائما في حالة مد وجزر بحسب علاقة السلطة بالقبيلة، وتهدف هذه الدراسة الوثائقية رصد مكانة ودور القبيلة في سيرورة الحدث التاريخي الليبي، انطلاقا من أن موضوع القبيلة الليبية وعلاقتها بالسلطة موضوع بكر للبحث والدراسة المصدرية والوثائقية المتوفرة حولها لاسيما في القرن التاسع عشر، الذي عرف تحولات جذرية في حياة السلطة والمجتمع الليبي، وكان للقبيلة حضورا واضحا ومؤثرا في صنع أحداثها، ومن ثم التحول التدريجي من قوة معادية للسلطة، إلى أداء من أدوات أو الآليات التي تعتمد عليها السلطة في إدارة شؤون الأقاليم والمناطق الليبية، ويرجع ذلك في تقديرنا إلى الآثار المباشرة لسريان التحديثات الإدارية العثمانية في ولاية طرابلس الغرب .
THE STUDY OF THE PEDAGOGICAL ASSESSMENT INDICATORS OF READING DIFFICULTY IN 6-11-YEAR-OLD STUDENTS WITH DYSLEXIA
Authors: Shashviashvili Maia , Melikishvili Manana , Kitiashvili Zakaria
Published: January 2025

The study presented in the paper was motivated by the fact that there was no checklist available in the Georgian educational space for assessing reading difficulties (dyslexia) that would allow for the early identification of this problem. As part of the study, we reviewed 11 forms (checklists) of dyslexia assessment indicators used in the educational systems of various countries. These checklists are intended for teachers, parents, school psychologists, and students, and serve the identification of reading difficulties. Since the purpose was to develop a checklist of indicators for assessing reading difficulties (dyslexia) specifically for teachers,we selected relevant questions designed for educators and based our analysis on them to create an assessment tool.
The study was conducted at Tbilisi Public School # 173, the “International Academy Logos,” and “Tbilisi Free School.” Additionally, with the support of the “Association of Special Educators”, the form for assessing reading difficulties (dyslexia) indicators was completed by special educators working in schools in Tbilisi and the regions. Various school teachers participated in the study via social media. Furthermore, 305 students participated in the study, of which 98 have dyslexia. Data processing was carried out using SPSS 23. It was confirmed that with the use of our checklist of 49 dyslexia assessment indicators, it is possible to identify the 6-11-yearold students (from the first to the fifth grade) who have dyslexia or reading difficulties.
THE TEACHERS’ PERCEPTION OF SELF-EFFICACY AND THE ATTITUDE TOWARDS INCLUSIVE EDUCATION
Authors: Antauri Sopiko , Tevdoradze Sopio
Published: January 2025

This article concerns teachers’ sense of personal self-efficacy and the attitude to inclusive education. The purpose of the study is the assessment of teachers’ general and professional self-efficacy, identification of the attitude to inclusive education, and the examination of the relationship between the above variables. The process of the introduction and implementation of inclusive education in Georgia has been in place for about 20 years and, as evidenced by reports and studies, it is still a major challenge for the educational sector. Teachers play a crucial role in the successful implementation of inclusive education. The study of the problem of self-efficacy is timely and relevant as long as the qualification of teachers, enabling them to accurately evaluate the outcomes of their actions in the context of professional activities and form a realistic picture of their opportunities has currently acquired especial importance. The study was conducted throughout Georgia and covered 102 teachers in general education: 45 in elementary school and 57 in basic education. The data were processed using basic and multidimensional methods. SPSS-23 software package was employed for the statistical analysis. The data analysis showed that compared to the previous years, teachers now have a better understanding of the importance of inclusion. It also showed that the teachers’ professional efficacy (teaching related tasks, engagement of students in the educational process and class management) is associated with the sense of general self-efficacy. Our hypothesis about the impact of teachers’ self-efficacy level on the relationship between the factors of their attitude to the readiness for inclusive education has been partially confirmed.
NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, MÔ BỆNH HỌC VÀ ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT RÒ LUÂN NHĨ
Authors: Lê Thanh Huyền , Nguyễn Công Hoàng , Nguyễn Trọng Tuấn
Published: January 2025

Rò luân nhĩ là một dị tật bẩm sinh tương đối phổ biến trong bệnh lý tai mũi họng. Rò luân nhĩ thường không được quan tâm, chỉ khi có biến chứng người bệnh mới đi khám và điều trị. Do đó việc điều trị gặp rất nhiều khó khăn, tình trạng tái phát cao. Việc nắm được đặc điểm lâm sàng, mô bệnh học và đánh giá được kết quả điều trị rò luân nhĩ giúp điều trị sớm, tránh biến chứng và góp phần tiên lượng bệnh. Mục tiêu: Mô tả đặc điểm lâm sàng, mô bệnh học và đánh giá kết quả phẫu thuật rò luân nhĩ. Đối tượng và phương pháp: phương pháp nghiên cứu là mô tả loạt trường hợp can thiệp lâm sàng tự đối chứng trước sau, thu thập số liệu hồi cứu kết hợp với tiến cứu. Đối trượng gồm 37 bệnh nhân chẩn đoán rò luân nhĩ được phẫu thuật tại khoa Tai Mũi Họng Bệnh viện Sản Nhi Phú Thọ và bệnh viện Trung Ương Thái Nguyên. Kết quả: Nhóm tuổi 6-15 chiếm tỷ lệ cao nhất 48.6%. Tỷ lệ nam/nữ xấp xỉ 1.5/1. Tỷ lệ bệnh nhân có tiền sử gia đình chiếm 54.1%. Bệnh nhân gặp biến chứng abscess 27%, viêm tấy đường rò 35.1%. Vị trí miệng lỗ rò thường gặp là trước gờ luân nhĩ 82.2%.Đặc điểm mô bệnh học thường gặp biểu mô lát tầng sừng hóa 65.6%. Thời gian nằm viện của nhóm 8-14 ngày chiếm tỷ lệ nhiều nhất 51.4%. Biến chứng trong phẫu thuật: chảy máu 6.7%, đứt đường rò 4.4%. Biến chứng sau phẫu thuật: tụ máu vết mổ 4.4%, nhiễm trùng 2.2%. Kết quả sau phẫu thuật 3 tháng: tốt 91.1%, trung bình 6.7%, xấu 2.2%. Kết luận: Rò luân nhĩ được phát hiện và điều trị chủ yếu ở lứa tuổi trẻ em, nam nhiều hơn nữ, có vai trò của yếu tố gia đình. Vị trí miệng lỗ rò hay gặp ở trước gờ luân nhĩ. Mô bệnh học thường gặp là biểu mô lát tầng sừng hóa. Biến chứng trong và sau mổ ít gặp. Đa số bệnh nhân kết quả điều trị sau 3 tháng tốt.
TỔNG QUAN LUẬN ĐIỂM VỀ PHẪU THUẬT CHỈNH HÌNH XƯƠNG CON TRONG VIÊM TAI GIỮA MẠN TÍNH
Authors: Phùng Duy Anh , Đào Trung Dũng
Published: January 2025

Mục tiêu: Tổng quan luận điểm về phẫu thuật chỉnh hình xương con trong viêm tai giữa mạn tính. Đối tượng và phương pháp: Tìm kiếm các bài báo trên cơ sở dữ liệu điện tử Pubmed bằng từ khoá thích hợp trong khoảng thời gian từ tháng 01/2000 đến tháng 12/2023. Kết quả: 373 bài báo được tìm thấy, 14 bài đáp ứng tiêu chuẩn lựa chọn và loại trừ được lựa chọn. Hai loại trụ dẫn được sử dụng là trụ dẫn thay thế xương con bán phần (PORP) và trụ dẫn thay thế xương con toàn phần (TORP), 60% chỉnh hình trong cùng một thì và 40% ở thì hai. Ba loại vật liệu nhân tạo, tự thân và đồng chủng được sử dụng, trong đó vật liệu nhân tạo chiếm 78,3%, đặc biệt là titanium (43,5%) và hydroxyapatite (17,4%); tiếp theo là xương và sụn tự thân (17,4%). Tỷ lệ ABG sau mổ < 20 dB dao động từ 33,3% đến 73,8%; mức độ cải thiện ABG của nhóm trụ dẫn thay thế xương con bán phần từ 2,4 dB đến 22,1 dB, của nhóm trụ dẫn thay thế xương con toàn phần từ 2,2 dB đến 22,9 dB. Kết luận: Chỉnh hình xương con mang lại kết quả hồi phục thính lực tốt đối với viêm tai giữa mạn tính có và không có cholesteatoma, xu hướng tiến hành trong cùng một thì phẫu thuật, với trụ dẫn từ vật liệu nhân tạo.
NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, KẾT QUẢ ĐIỆN CƠ Ở BỆNH NHÂN LIỆT MẶT BELL TẠI BỆNH VIỆN CHÂM CỨU TRUNG ƯƠNG
Authors: Nguyễn Bích Ngọc , Nguyễn Thị Tố Uyên
Published: January 2025

Đặt vấn đề: Bên cạnh đánh giá mức độ liệt mặt theo thang điểm House – Brackmann thì điện cơ được sử dụng để đánh giá mức độ nghiêm trọng của tổn thương trong liệt dây thần kinh mặt ngoại biên cấp tính góp phần đánh giá khả năng phục hồi. Mục tiêu: 1. Mô tả đặc điểm lâm sàng của bệnh nhân liệt mặt Bell; 2. Mô tả kết quả điện cơ và đối chiếu với phân độ House – Brackmann. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả loạt ca bệnh được chẩn đoán liệt mặt Bell đến khám, điều trị và được đo điện cơ tại Bệnh viện Châm cứu Trung ương từ tháng 7 năm 2023 đến tháng 8 năm 2024. Kết quả: Trong số 35 bệnh nhân liệt mặt Bell được đánh giá theo thang điểm House-Brackmann nhận thấy lúc vào viện bệnh nhân chủ yếu độ IV với 54,3%, tiếp theo là độ III (25,7%) và độ V (20,0%). Sau điều trị 2 tuần người bệnh chủ yếu phân loại độ II với 42,9%, độ I (34,3%), độ III (22,8%). Sau điều trị 6 tuần chủ yếu là phân độ I (77,1%), độ II (22,9%). Có sự cải thiện theo phân độ lúc vào viện và sau điều trị. Dấu hiệu bất thường trên điện cơ thường gặp hình ảnh giảm kết tập và hình ảnh giao thoa không hoàn toàn. Kết quả điện cơ sau điều trị có sự cải thiện: hình ảnh kết tập bình thường tăng 34,2%, hình ảnh giao thoa hoàn toàn tăng 34,2%. Sự khác biệt giữa phân độ House-Brackmann và hình ảnh điện cơ ở 2 nhóm có ý nghĩa thống kê (p<0,05). Kết luận: Đánh giá mức độ liệt theo thang điểm House-Brackmann lúc vào viện và sau điều trị (2 tuần, 6 tuần) thấy sự cải thiện, lúc vào viện chủ yếu là độ IV tiếp đến là độ III và độ V và sau điều trị chủ yếu là độ I, độ II. Nhóm bệnh nhân nghiên cứu được làm điện cơ sau 2 lần  cho thấy có sự cải thiện triệu chứng lâm sàng tương đồng với điện cơ.
Litiasis biliar primaria recurrente
Authors: Carrión Lorena , Sivira Pedro , Folkmanas William , Naddaf Rubén
Published: January 2025

La litiasis coledociana o litiasis de la vía biliar principal se define como la presencia de cálculos en el colédoco, como resultado de su migración desde la vesícula (litiasis coledociana secundaria) o de su formación in situ en la vía biliar (litiasis coledociana primaria). El objetivo del trabajo es presentar un caso de ictericia obstructiva biliar primaria recurrente de paciente colecistectomizada hace 3 años. Se trata de paciente femenino de 62 años, con antecedente de Colangiopancreatografía retrógrada endoscópica (CPRE) extra institucional por coledocolitiasis y colecistectomía convencional en 2021 y CPRE en 2023 en nuestra institución, quien refiere inicio de enfermedad actual el día 06/06/2024 caracterizado por presentar dolor abdominal de aparición insidiosa, localizado en epigastrio, que se irradia a hipocondrio derecho e izquierdo, de tipo cólico, de moderada intensidad, concomitante nauseas, 24 horas después se asocia ictericia generalizada y fiebre de 38.5°C que cede a la administración de dipirona IV, por lo que acude a nuestro centro donde es evaluada, se realiza ultrasonido abdominal, evidenciando colédoco dilatado en su porción media y distal (10 mm), exámenes de laboratorio que reportan leucocitos en 23.300, neutrófilos 93.1%, AST: 142 U/L, ALT:132 U/L, ALP: 422 U/L, BT: 10.20 mg/dl, BD: 9.42 mg/dl. Se realiza CPRE con evolución clínica y bioquímica favorable por lo que se egresa. En el caso reportado, es importante el antecedente de colecistectomía; en general, la presencia de cálculos dentro del conducto biliar después de la colecistectomía generalmente se considera "retenida" dentro de los 2 años posteriores a la colecistectomía o "recurrente" después de este período.ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues
Pileflebitis como complicación de colangitis y colecistitis aguda
Authors: Maldonado Mariant , De Andrade Yuraima Patricia , Díaz Marisela , De Sousa Urdaneta Katherine
Published: January 2025

La pileflebitis es definida como trombosis infecciosa de la vena porta o sus ramas siendo esta una entidad poco frecuente que se genera como consecuencia de cualquier infección intraabdominal o pélvica en áreas drenadas por la circulación venosa portal o contiguas a esta. Las causas más frecuentes son apendicitis aguda y diverticulitis aguda, afectando a pacientes en un amplio rango de edad desde los 20 días hasta los 77 años con una edad promedio de 42 años. Caso clínico: paciente masculino de 77 años, quien ingresa con clínica de dolor abdominal en hipocondrio derecho, alzas térmicas e ictericia; se solicitan paraclínicos con hallazgos de leucocitosis y alteración del perfil hepatobiliar sugestivo de patología biliar obstructiva. Se realiza ultrasonido abdominal evidenciando vesícula biliar de paredes engrosadas con presencia de barro biliar, dilatación de vía biliar principal, coledocolitiasis y vena porta extrahepática dilatada con presencia de material ecogénico en el interior de su rama derecha con poca captación al doppler color. Se realiza ultrasonido doppler del eje espleno-portal y tomografía de abdomen y pelvis con doble contraste que confirman hallazgos de dilatación de vía biliar principal secundario a coledocolitiasis y trombosis de la vena porta derecha concluyendo diagnóstico clínico de pileflebitis secundario a colangitis aguda y colecistitis aguda. Discusión: la colangitis y la colecistitis aguda se han descrito como causas poco frecuentes de pileflebitis debido a infección contigua al sistema venoso portal. Conclusión: la pileflebitis es una entidad poco frecuente que se desarrolla como consecuencia de infecciones intrabdominales o pélvicas.ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues
Analysis of Implementing Core Moral Values on Employee Work Motivation in the Main Directorate PT. Pupuk Sriwidjaja Palembang
Authors: Rahman Raden , Fauzan Azhmy Muhammad , Syahyunan Syahyunan
Published: January 2025

This study aims to analyze the implementation of moral core values in employee work motivation at the Main Directorate of PT PSP. The research method used is qualitative with a descriptive approach. Data were obtained through observation, in-depth interviews, and document analysis. The results showed that implementing AKHLAK core values is important in increasing employee work motivation. Employees who internalize moral core values tend to be more dedicated, have integrity, and collaborate. The practical implication of this research is the need for companies to strengthen the implementation of AKHLAK core values in organizational culture to improve employee performance.
Analysis of the Influence of Dental and Oral Health Services on BPJS Patient Satisfaction at Kaliwungu Kendal Health Center
Authors: Budhi Kismiaryani Erna , Fauzan Azhmy Muhammad , Pasaribu Fajar
Published: January 2025

The Kaliwungu Kendal Community Health Center provides comprehensive dental services with competent dental professionals. However, the service is still not optimal due to several patient complaints, such as waiting to see the dentist, waiting even after the dentist has arrived, not receiving immediate attention, a limited number of visits, etc. Creating quality services will undoubtedly lead to satisfaction among health service users. This study aims to determine the quality of service toward the satisfaction of BPJS patients at the Kaliwungu Kendal Community Health Center. The method used in this research is a quantitative analytical survey method with a cross-sectional study design. Data was collected with a sample size of 80 BPJS patients selected through sampling. The variables used in this study include the independent variable, service quality (X), and patient satisfaction (Y) as the dependent variable. The statistical analysis used in this study included a chi-square test and logistic regression. The results of the study show that all variables in the quality of dental and oral health service, including physical appearance, reliability, responsiveness, assurance, and empathy, have a positive and significant effect on patient satisfaction at the Dental Polyclinic of the Kaliwungu Kendal Community Health Center, with a p-value < 0.05. The tangible dimension has the most dominant effect, with a significant influence (exp(B)OR 18.259), followed by empathy (exp(B)OR 11.102), reliability (exp(B)OR 7.627), and assurance (exp(B)OR 5.091). However, responsiveness obtained the lowest satisfaction percentage compared to the other dimensions, with a value of (exp (B) OR 4.474).
Stakeholder Collaboration through the Pentahelix Model in the Tetebatu Nature Fest 2024 Event
Authors: Walid Sugandi Yogi Birrul , Junaidi Muhammad
Published: January 2025

The Tetebatu Nature Fest 2024 is the inaugural event aimed at branding Tetebatu Village, East Lombok, as an international nature tourism destination. This study seeks to analyze the role of the pentahelix model, which involves the government, academia, businesses, communities, and media in the implementation of this event. Additionally, it aims to identify challenges and strategic solutions to enhance stakeholder collaboration effectiveness. A qualitative approach was employed, utilizing interviews, observations, and document analysis. The findings indicate that the pentahelix collaboration positively contributes to tourism promotion, local community empowerment, and cultural preservation. However, challenges such as lack of stakeholder coordination and resource limitations need to be addressed. This study concludes that strengthening coordination, fostering active community involvement, and diversifying promotional strategies are essential. The research provides significant contributions to the development of collaborative-based tourism to establish a sustainable tourism destination
The Effectivity of 15% TCA Superficial Chemical Peeling to Treat Comedos and Papulo-Pustules Acne Vulgaris
Authors:   Dermatoveneorologist, Samarinda East Kalimantan, Indonesia, Nurjanti Lely
Published: January 2025

Background: Acne vulgaris was very common self limitting disease, affected approximately 85% of adolesence, that was defined as a chronic inflammation of pilosebaceous units. It was characterized by the formation of comedones (as primarily acne lession), erythemathous papules and pustules, less frequently nodules and pseudocyst, and was accompanied by scarring in some cases that caused psychosocial problems.

TCA 15% was superficial chemical peeling, involved an application of exfoliating agents to the skin, resulting in controlling wound and destructing the portion of the epidermis with subsequent regeneration and reepithelialization within 3-5 days.TCA was the first line therapy for acne scar and skin rejuvenation.

Objective/Aim Study: To know the effectivity of 15% TCA superficial chemical peeling to treat comedos and papulepustules in acne vulgaris.

Research Design & Statistical Analysis: Cohort experimental Study - Wilcoxon Sign Rank Sum Test statistical analysis methods.

Material & Methods: One layer of 15% TCA superficial chemical peelings was applied. Clinical improvements were judged by counting acne lessions and classified the acne severity according to Global Acne grading System before and after treatment.

Result: There was statistically significant difference in clinical improvement of all type acne lessions before after therapy with 15% of TCA chemical peeling. The mean of difference of papulepustules before-after peelings was 5,14 (81,66%), comedos was 83,92 (85,23%) and the total acne lessions was 77,07 (86,79%). The mean of difference of GAGS acne score before-after peeling was 13,07 (74,75%).

Discussion: This research proved that one layer of 15% TCA superficial chemical peeling was statistically and clinically effective and good to treat all type of acne vulgaris. It was the best comedolytic activity and good to treat inflammatory/papulepustules acne lession. The goal therapy of acne vulgaris: removed plugging of the pilar drainage, reduced sebum production, treated bacterial and fungal colonization, and prevented from scarring could be solved by 15% TCA superficial chemical peeling.

It improved the depth contour and caused softening associated scars by their action on collagen remodelling and stimulation of new collagen activity, reepithelialization, regenerated compact epidermis that improved light reflection, eliminated dermal melanin and prevented transfer melanin to keratinocytes that improved skin textural and fine line, glowed, rejuvenated, lightened and minimized PIH. It decreased skin pH and TEWL and improved skin barrier permeability.

15% TCA superficial chemical peeling was good and well tolerated methods for acne therapy, now considered as the single main acne therapy or could be combined with other therapy to treat acne chronicity and solved resistance problems to antibiotics and antifungi.
East German–Hungarian Cultural Relations 1949-1973
Authors: Tóth Ágnes
Published: January 2025

After World War II, European countries’ freedom to maneuver and make decisions was largely shaped by the tension between the two major military-political blocs and the obligations arising from the bipolar world order. Although this international status quo, rooted in the intense rivalry between the two sides, remained in place until the early 1990s, by the late 1950s, the arms race stalemate had made it clear to both the Soviet Union and the United States, as well as to the blocs they controlled, that they were mutually dependent and needed to cooperate. The response of Western powers to events like the 1956 uprising in Poznań and the Hungarian Revolution also showed that the United States had abandoned direct support for the East-Central European countries. “Essentially, it was from this point that the so-called softening-up, applied until the late 1980s, began. Its goal was to ‘soften’ the East European regimes by using Western economic aid, concessions, loans, and cultural, and diplomatic relations to pressure these governments into adopting more liberal domestic policies and pursuing a foreign policy less dependent on the Soviet Union. All this, however, occurred not only based on the de facto but also, from the mid-1970s, the de jure recognition of the European status quo” (Békés 2019: 147).
From the perspective of school leaders: expectations and requirements for further education trainers
Authors: Krein Ulrike
Published: January 2025

Further education trainers are not only of great importance regarding the (professional) development of teachers, but also for the professionalization of school leaders. In this context, school leadership trainers face demands and challenges in the professionalization of school leaders, which, however, have hardly been empirically investigated. Therefore, this article addresses the expectations and requirements that school leaders have of their trainers. To this end, the results of an empirical-qualitative research project are presented, as part of which expert interviews and shadowing with school leaders were conducted. The results indicate demanding, diverse and contradictory expectations and requirements for further education trainers. The associated challenges that this entails are presented and discussed. The article concludes with a critical review of the results and the presentation of implications for future research, school leadership trainers and their own professionalization.
Pratiques de communication dans la cérémonie du mariage coutumier chez les Bambagani Babindji du Kasaï Central, R.D. Congo
Authors:   UNIVERSITE PEDAGOGIQUE NATIONALE, KAMAMBA wa KAMAMBA Robert
Published: January 2025

Résumé

A l’instant des autres peuples, les Bambagani connus sous l’appellation des « Babindji » de Kazumba, communiquent lors de la cérémonie du mariage coutumier. Cet aspect de la communication culturelle nous a attiré au plus haut point.

Apres analyse, nos hypothèses s’en trouvent librement confirmées.

Mots clés : communication, cérémonie, mariage
Modelo de gestión de vigilancia y control del Aedes aegypti vector del dengue, Santa Anita – Perú
Authors: Oriundo Vergara Willy José
Published: January 2025

El objetivo del presente estudio fue establecer un modelo de gestión para mejorar la vigilancia y control del vector del dengue en el distrito de Santa Anita; ejecutando una metodología de investigación cuantitativa, nivel aplicativa y alcance descriptivo- explicativo, en un universo de 66 913 viviendas, aplicando la estadística descriptiva y la prueba t de Student; ejecutando métodos de reporte como inspección domiciliaria, detección de criaderos, análisis de factores de riesgo, control y evaluación de las fichas de ovitrampas, fichas de inspección domiciliaria y reporte consolidado, identificación de zonas de riesgo a través del SIG, y aplicando de estrategias de intervención para su posterior evaluación de impacto. Los resultados arrojaron que la cobertura del Aedes aegypti, para la acción de control fue de 87% y 88% para vigilancia, donde las localidades con mayor riesgo de dispersión fueron Centro de Salud Cooperativa universal, Centro Materno Infantil Santa Anita y el Centro de Salud Chancas de Andahuaylas, implementando las estrategias de control larvario, control del mosquito adulto y la participación comunitaria con un número de habitantes elevado cada mes pero con una baja disponibilidad en la reducción del Aedes aegypti. El modelo de gestión para mejorar la Vigilancia y Control del Aedes aegypti, comprende la Cobertura de vigilancia y control, los métodos de reporte, identificación de zonas de riesgo a través del SIG, aplicando estrategias de intervención local con la participación comunitaria y evaluando el impacto del modelo, durante el lapso de 18 meses consecutivos.
Isquemia mesentérica masiva postquirúrgica
Authors: Zenteno-Guichard Gustavo , Cruz-Monzón Emmanuel Ernesto , Bahena-Aponte Jesús Alberto , González Jorge , Campuzano-González Itzel Ariana , Mejía-Arcadia Sari Narsil Angélica , Mosso Mónica de Jesús , Ordaz-Calvo Víctor , Colex-Machuca Alfredo , Larumbe-Hernández Cindy Belén , Vázquez-Rodríguez Gerardo , Núñez-Bacarreza Juan José , Mata-Martínez José Antonio , González-Contreras Quintín Héctor
Published: January 2025

La trombosis mesentérica es una patología poco común, sin embargo, a pesar de ello el médico está expuesto a tratar a pacientes con esta enfermedad. La complejidad de esta patología recae en el difícil diagnóstico ya que las manifestaciones clínicas son insipientes.
Sin embargo, se han presentado casos de trombosis mesentérica en el postquirúrgico tardío en donde el diagnóstico es aún más complejo y las complicaciones más severas. Aunque los dos padecimientos se desarrollen en etapas diferentes ambas patologías presentan una alta mortalidad secundario al riesgo de peritonitis, así como resecciones amplias de intestino delgado. El diagnóstico temprano a partir de la TAC abdominal contrastada nos permitirá determinar la pauta a seguir, las cuales están basadas en manejo médico o quirúrgico.
Objetivos. Difundir el principal método diagnóstico de la trombosis mesentérica, con base en estudios de laboratorio y gabinete, así como dar a conocer alternativas en el manejo de primera elección y posibles causas para desarrollar esta patología durante el postquirúrgico.
Financial Inclusion and the Sustainability of Family Businesses: Impacts on Household Livelihoods
Authors: Osabohien Romanus , Mabinuori Oladotun , Uche Emmanuel , Obiekwe Chinelo Jenevive , Badmu Dauda Adeyinka , Adekunle Kikelomo Julianah , Okere Wisdom , Al-Farya Mamdouh Abdulaziz Saleh , Adeleke Oluwayemis Kadijat
Published: January 2025

In the context of the empirical literature, the potential of a family business and financial inclusion to drive household livelihood has been a subject of exclusion. Against this backdrop, this study empirically examines how family business and financial inclusion contribute to household livelihood in Saudi Arabia. This study is the first to empirically examine how family business and financial inclusion drive household livelihood using the instrumental variable probit model.  The study engaged the probit regression. However, to control for the issues of endogeneity, the study applied the instrumental variable probit regression with data sourced from the World Bank Global Financial Index 2021. Three indicators of financial inclusion were used, which are ownership of a financial account, debit card and online transactions. The results show that family business and financial inclusion are positively and significantly associated with household livelihood. This implies that the ownership of a family business is likely to improve household livelihood by 0.3. On the other hand, an increase in ownership of a financial account, ownership and usage of a debit card and online transactions is associated with the probability of a household being in the fourth and richest 20% income quantile by 0.4.
Inheriting Digital Assets – A Glimpse Into the Future
Authors:   University of Miskolc, Faculty of Law, Institute of Private Law, Department of Civil Law, Hungary, Juhász Ágnes
Published: January 2025

The valuation of digital assets is one of the most important, and increasingly unavoidable issues in contemporary private law. Most of the digitalisation challenges, questions, and problems that have arisen in all areas of private law cannot be addressed or solved entirely without properly positioning the adjudication on digital assets. In this paper, we aim to outline the main questions in the field of private law, for which it is essential to establish an appropriate doctrinal basis for the emergence of digital assets. Handling such assets is a preliminary issue in determining the possible solutions for the latest problems in private law subfields. We review the main findings of recent research in contemporary private law on digital assets, then summarise and synthesise them to form our conclusions. Although the study mainly focuses on European trends, regulatory models and judicial practices of other countries are also examined.
Extraterritorial Effects of Administrative Paacts in the Slovak Republic with Application to the International Driving Licence
Authors:   Department of Constitutional Law and Administrative Law, Faculty of Law, Pavol Jozef Šafárik University in Košice, Slovak RepublicDepartment of Constitutional Law and Administrative Law, Faculty of Law, Pavol Jozef Šafárik University in Košice, Slovak Republic, Seman Tibor , Francová Miroslava ,   Department of Constitutional Law and Administrative Law, Faculty of Law, Pavol Jozef Šafárik University in Košice, Slovak Republic,
Published: January 2025

This article deals with two different features of administrative acts. Specifically, these are extraterritorial effects and nullity. This combination of properties of administrative acts is specific but not rare. In the European legal area, but also outside it, this situation occurs
regularly between Member States/non-Member States. It is a common but undesirable phenomenon. In the article, the authors point out the essence of both characteristics, the shortcomings in the legal order of the Slovak Republic and demonstrate the knowledge of legal science on a specific administrative act – the international driving licence. The article mainly uses scientific methods of analysis and description. The aim of the article is the analysis of the legal institutions of nullity and extraterritoriality and their interconnection. It points out the necessity of the existence of legal regulation of nullity.
European Union Legal Framework of State Aid in Cultural Tourism and the Use of Notified Aid by Member States
Authors:   Institute of Management, University of Ss. Cyril and Methodius in Trnava, Slovakia, Malatinec Tomáš
Published: January 2025

This article explores the legal framework of state aid in the European Union, focusing on aid for cultural tourism. Grounded in Article 107 of the Treaty on the Functioning of the European Union, which generally prohibits state aid to prevent market distortions, the study highlights the exceptions for cultural, heritage support and audiovisual works. Employing a comprehensive analysis of notified state aid measures from 2010 to September 2024,it examines usage trends among EU member states, noting significant shifts in response to regulatory changes, such as the 2014 General Block Exemption Regulation, and the COVID-19 pandemic. The findings indicate that France and Spain are major users of notified aid, while Luxembourg and Portugal did not utilize such aid. A decline in notified measures between 2013 and 2015, followed by a rise during the pandemic years and a subsequent decrease, is observed. The study emphasizes that while the frequency of notified aid measures is analysed, the financial volume of these aids is not covered, which could further elucidate the scale of support provided.
Speed reading
Authors: Razumnaya E.V.
Published: January 2025

The author examines the development of speed reading from a historical perspective. The stages of work on improving reading speed are listed, as well as the methods used in training. The article may be useful for teachers, educators, and teachers of additional education.
Activity Metabolomics and Mass Spectrometry 2024 Edition
Authors: Siuzdak Gary
Published: January 2025

Mass spectrometry has a special intrigue that comes from its interdisciplinary nature, as it freely crosses the borders of physics, chemistry, and biology. Its history goes back to the early 1900’s, and its development has reached a pinnacle in recent years. Metabolomics and the study of metabolism has also had an equally interesting trajectory encompassing many different technologies; however it is safe to say that mass spectrometry has been a key technology in its evolution. Especially in the realm of Activity Metabolomics and the discovery of biologically active metabolites. AMMS 2025 continues to develop this topic with two new chapters and improvements throughout the entire book.
Hubungan Tingkat Pengetahuan dan Dukungan Keluarga Dengan Kepatuhan Diet Pasien Hipertensi di Rumah Sakit Jakarta
Authors: Cahyani Hia Widia
Published: January 2025

Latar belakang: hipertensi menjadi penyebab utama dan paling umum pada kejadian sindrom koroner akut seperti “serangan jantung”. Patuh menjalankan diet hipertensi merupakan hal yang penting dilakukan untuk menjaga tekanan darah tetap stabil. Tujuan: penelitian untuk mengetahui hubungan antara tingkat pengetahuan tentang hipertensi dan dukungan keluarga dengan kepatuhan diet pasien hipertensi di RS Jakarta. Metode: penelitian kuantitatif dengan desain deskriptif korelasional menggunakan pendekatan studi cross sectional. Sampel sebanyak 169 pasien, menggunakan teknik sampling purposive. Penelitian ini mengunakan analisa data univariat dan bivariat. Hasil : didapatkan karakteristik responden mayoritas berusia >60 tahun (64%), berjenis kelamin laki-laki (54%), pengetahuan baik (47%), dukungan keluarga kurang (41%), dan responden yang patuh terhadap diet (63%). Analisa bivariat dengan uji kendal’s tau C ada hubungan signifikan antara pengetahuan tentang hipertensi dan dukungan keluarga dengan kepatuhan diet pasien hipertensi masing- masing p-value 0,000. Responden dengan pengetahuan baik mayoritas patuh terhadap diet (72%), dan responden dengan dukungan keluarga baik mayoritas patuh terhadap diet (60%). Kesimpulan: Semakin baik pengetahuan pasien dan dukungan keluarga, maka semakin baik kepatuhan pasien menjalankan diet hipertensi.
Hubungan Tingkat Pengetahuan Dengan Kecemasan Penderita Kanker Terhadap Paparan Virus COVID-19 Di RSKD Jakarta
Authors: Muharani Indah
Published: January 2025

Latar Belakang: Penyakit COVID-19 yang disebabkan oleh virus SARS-CoV-2 telah ditetapkan sebagai pandemik secara global oleh WHO. Sekalipun banyak negara yang sudah mengkategorikan kondisi pandemic ini menjadi endemic, namun kekhawatiran terpapar virus ini tetap membuat individu menjadi cemas terutama bagi individu yang menderita penyakit kronis seperti kanker. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan dengan tingkat kecemasan penderita kanker terhadap paparan virus COVID-19 di RS Kanker Dharmais Jakarta pada tahun 2021. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain deskriptif korelasi dan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 86 pasien kanker dengan minimal usia 20 tahun yang dipilih menggunakan teknik purposive sampling. Kuesioner pengetahuan dan kecemasan yang sudah baku terkait Covid-19 disebarkan pada responden. Hasil: Hasil univariat menunjukan bahwa mayoritas responden berusia >40 tahun sebanyak 76.7% dan tingkat pendidikan perguruan tinggi sebanyak 47.7% dengan tingkat pengetahuan baik sebanyak 74.4% dan tingkat kecemasan rendah sebanyak 51.2%. Analisis bivariate menggunakan uji Chi-square dengan α = 0.05 menunjukkan tidak terdapat hubungan yang signifikan antara tingkat pegetahuan dengan kecemasan (p-value 0.192). Kesimpulan: COVID-19 dapat mempengaruhi tingkat kecemasan seseorang. Saran peneliti   Diharapkan pasien kanker mendapatkan edukasi kesehatan dan mencari sumber informasi terkait Covid-19.
Optimalisasi Praktik Perawat Dalam Pencegahan Cedera Jarum Suntik
Authors: Wibowo Nurhadi
Published: January 2025

Perawat sebagai penanggung jawab asuhan keperawatan wajib menjamin perilaku yang aman saat bekerja, salah satunya dari terjadinya cedera jarum suntik. Tujuan penulisan ini untuk mengidentifikasi dampak optimalisasi praktik perawat dalam pencegahan cedera jarum suntik. Penulis melakukan observasi perilaku perawat dengan menggunakan Standar Prosedur Operasional (SPO) memberikan obat melalui intravena. Optimalisasi praktik perawat melalui diskusi interaktif pencegahan cedera jarum suntik saat pre-conference. Hasil dari optimalisasi praktik perawat dalam memberikan obat melalui intravena lengkap sesuai SPO. Direkomendasikan optimalisasi praktik perawat penting dilakukan untuk mencegah cedera jarum suntik.
Hubungan Adiksi Smartphone dengan Mental Emosional pada Remaja di SMPN 1 Jawilan Kabupaten Serang
Authors: Haerani Beti
Published: January 2025

Adiksi smartphone merupakan ketergantungan pemakaian smartphone akibat pemakaian lebih dari 7 jam per hari sehingga berdampak pada perkembangan anak terutama gangguan mental emosional. Tujuan penelitian: untuk mengidentifikasi hubungan adiksi smartphone dengan mental emosional pada remaja di SMPN 1 Jawilan. Metode penelitian: deskriptif analitik dengan pendekatan cross sectional. Populasi: 852 siswa, Sampel: 98 responden klalas IX berusia 14-16 tahun. Instrument: kuesioner Smartphone Addiction Scale dan kuesioner Self Reporting Quisionaire-20. Uji statistik menggunakan chi square. Hasil: menunjukan bahwa responden dalam kriteria terbanyak adalah kriteria umur 14 tahun sebanyak 55 responden (56.1%), Kriteria jenis kelamin perempuan sebanyak 51 responden (52.0%), Tingkat adiksi tinggi pada smartphone sebanyak 86 responden (87.8%), Terindikasi mental emosional 74 responden (75.5%). Hasil uji statistik Chi Square dengan p value = 0,035 atau kurang dari (<0,05). Kesimpulan: menunjukan adanya hubungan Adiksi Smartphone dengan Mental Emosional pada Remaja di SMPN 1 Jawilan. Saran: perlu dilakukan pengawasan terhadap penggunaan smartphone pada remaja.
Analysis of anthropogenic transformation of the hydrographic network in the northern part of Lviv according to cartographic sources
Authors: Іvanov Yevhen , Pylypovych Olha
Published: January 2025

The emergence of new and densification of existing urban spaces in Lviv leads to anthropogenic transformation of the hydrographic network. The purpose of the study was to analyse the degree of transformation of water objects in the northern part of the city based on cartographic sources. The study covered the northern part of Lviv, the town of Dublyany, the villages of Malekhiv, Velyki Hrybovychi, Zbyranka and Murovane. The study of water bodies was carried out with topographic maps of the scale range from 1:25,000 to 1:100,000, which made it possible to cover a time period of more than 240 years. Clear trends to decrease the length of open channels, the number of tributaries and the water content of the Holoskivskyy, Zboivskyy and Malekhivskyy streams, which is due to both natural and anthropogenic factors had been marked. The length of the natural channel of the Holoskivskyy stream decreased from 4.7 to 0.9 km, the Zboivskyy stream ‒ from 5.2 to 3.2 km, and the Malekhivskyy stream ‒ from 7.9 to 5.3 km. The largest number of ponds (15 units; 10.3 hectares) on streams was found in the second half of the 18th century. Subsequently, a decrease in both the number and area of ponds was observed. The lowest figures fall on the interwar Polish period, when only four ponds with a total area of 2.5 hectares were recorded. During the Soviet period, the number and area of ponds increased slightly (9 units; 4.6 hectares) and reached the level that existed in the second half of the 19th century. There were 14 water mills operating on most of the ponds of that time located in the villages of Holosko Velyke, Zamarstyniv, Zboyishcha and Malekhiv. After that, the number of mills steadily decreased: at the beginning of the 19th century ‒ nine; in the second half of the 19th century ‒ seven; in the interwar period – five. After the World War II, the operation of all water mills was stopped. The conducted analysis of the degree of transformation of the hydrographic network is aimed at correcting the development plan of the northern part of the city and implementing the environmental management system