bluuebunny/crossref_metadata_2025 huggingface dataset:
Independence of Preschool Children in Tenjolaya District Bogor Regency
Authors: Hasanah Tita , Lestari Hana , Huda Samsul , Rusdiono Rusdiono , Rusdi Lina Najwatur , Habibah Habibah
Published: August 2024

Independence in preschool children is the child's ability to regulate their thoughts and feelings so that they can do things themselves without help from others according to their stage of development. A child must grow in his independent abilities so that he can complete his developmental tasks to be able to move on to the stages of adolescence and adulthood. The aim of this research is to provide a systematic description of the independence of preschool-age children in Tenjolaya District, Bogor Regency. This research is quantitative research with research subjects of 80 mothers who have kindergarten children in group B. The data collection technique in this research uses a questionnaire with an instrument in the form of an independence scale with a Cronbach Alpha value of 0.797. This research uses descriptive analysis techniques with the help of SPSS 25.0 for Windows. Based on the results obtained, the children's independence score was in the low category as much as 18.75% (15 children), 65% (52 children) in the medium category, and another 16.25% (13 children) were in the high independence category. These results show that better efforts are needed to increase children's independence through various appropriate stimulation, whether carried out by teachers at school or by parents at home.
A Perspective: Interaction of the “Leading – Lagging” Continuum of Non-financial and Financial Variables in Creating Economic Value Added for The Company
Authors: Raharjo Dwi Sihono , Marhalinda Marhalinda , Trisnawati Nana , Ruwaida Ruwaida , Rinaldi Rinaldi , Kuswanti Kuswanti
Published: August 2024

Basically, there are two main goals that the company wants to achieve simultaneously, namely maximizing profits for the welfare of shareholders on the one hand and employee satisfaction on the other hand. However, the facts show that management has long placed non-financial factors in a disproportionate manner compared to the treatment of financial factors. The aim of this research is to present a perspective through analysis of the interaction of a continuum of non-financial and financial variables in creating an economic value added for the company. The population is the largest national construction companies listed on the Indonesia Stock Exchange (IDX) in 2015 - 2019. Using the purposive sampling method, more than 50 percent of the companies became the research sample. Data analysis based on panel data and processed using Eviews, as well as classic statistical tests (t test and F test). The results provide a perspective regarding the influence of training & development, and cost control on revenue, cost of goods sold, and profitability ultimately on EVA. In terms of the coefficient of determination, it suggests a solid impact from both training and development as well as cost control on the bottom line., R2 = 93 percent influence on Gross Profit, R2 = 82 percent on Net Profit, R2 = 91 percent on NOPAT, there is a significant influence of Gross Profit, Net Profit and NOPAT on EVA respectively with t test < 0.05 and F statistic > 1.96. From the interaction process of the continuum of research variables, with some luck, a combination of results obtained through measures and those based on performance indicators will emerge, starting from non-financial elements to financial elements. This finding is the result of an original approach in modeling the relationship between non-financial variables and financial variables. This research is limited to the construction companies and the research variables only select proxies for human capital elements that are linked to financial performance data.
Analysis of User Satisfaction Index of Clean Water Providers by PDAM in Bireuen Regency
Authors: Alghifari Muhammad , Oktaviani Cut Zukhrina , Fatimah Eldina
Published: August 2024

PDAM Tirta Krueng Peusangan is a Regional Drinking Water Company located in Bireuen Regency which has duties and obligations in the process of organizing, processing, providing, and providing clean water services which are required to always be able to make improvements in the field of service as an effort to provide satisfaction to its customers. Based on the 2021 BUMD performance report, it was found that PDAM Krueng Peusangan was in the healthy category, but the 2014 RISPAM stated that there were still many water leaks. Therefore the purpose of this study was to analyze the level of customer satisfaction with the provision of clean water provided by PDAM Tirta Krueng Peusangan. The research was conducted by distributing questionnaires to respondents who are customers of PDAM Tirta Krueng Peusangan, Bireuen Regency. Customer satisfaction was assessed using the Importance Performance Analysis (IPA) method. The results obtained are that customers are very satisfied with the services provided with a percentage of 93%.
Optimizing Coziness and Productivity: An All-Encompassing Ergonomic Investigation on Diners and Restaurant Operators in Dense Urban Living Environments
Authors: Sujatini Siti , Dewi Euis Puspita , Suryani Fitri , Dinariana Dwi , Nugraha N. Hari , Suprapto Gambiro , Henni Henni , Trikariastoto Trikariastoto , Wijaya Ari
Published: August 2024

This research aims to determine and optimize the welfare of visitors and food stall owners in dense urban environments, especially in the context of dense residential areas in big cities. As ergonomics research, its main focus is to assess the physical and psychological conditions of visitors and food stall owners operating in dense urban environments. This research method involves a detailed analysis of ergonomic aspects, including room layout, furniture design, lighting and acoustics, taking into account the unique demands of dense housing. In addition, in-depth interviews with food stall owners and observations of visitor behavior were conducted to understand the non-physical aspects that influence their well-being.  The research location is in the Paseban area, Central Jakarta. The results of this research provide an in-depth understanding of how environmental conditions can influence comfort and productivity in food stalls, both from the perspective of visitors and owners. The practical implications of these findings can serve as a guide for architects, designers and policy makers in improving the design of public spaces in dense urban environments, with the ultimate goal of improving the welfare of local communities. This study makes a significant contribution to our understanding of how ergonomics can be applied effectively to improve the quality of life amidst the challenges of dense housing in large cities.
Hardiness as a Mediator of the Relationship Between Revenge Motivation of Forgiveness and Depression Among Emerging Adults
Authors: Sundari Arie Rihardini , Susilarini Tanti , Herdajani Febi , Wibawanti Inayah , Tatiyani Tatiyani , Bayani Irma
Published: August 2024

Depression, like other psychological disorders, is dynamic. To achieve complete level of healing is a challenge in itself for survivors. Guilty feeling, emotional exhaustion, unfinished conflict or problems with other people, and or even stressful events, can turn into depression. The aim of this research is to examine the role of hardiness as a mediator in the relationship between revenge motivation of forgiveness and depression in depth, in order to be able to overcome the problems that arise when an event threatens to occur. The participants in this research were 140 college students from campus X, the majority of whom were female. The sampling technique in this research uses incidental sampling. Hardiness and Forgiveness are variables that contribute to a person's level of depression. In this study, depression is the dependent variable, forgiveness is independent variable, and hardiness is intervening variable. The research measuring tools in this study used the Beck Depression Inventory test, the Resilience scale, and the Transgression-Related Interpersonal Motivations Inventory (TRIM R) scale. The data analysis techniques used in this research are Multiple Linear Regression and Path Analysis techniques. Based on the analysis data, hardiness plays a role in helping revenge motivation of forgiveness reduce depression, where the direct and indirect effect are significant. Amounting to 37.9 % contribution of the mediation model in this study to depression.
Robust Design Liquid Black Garlic Supplement Production System By Considering Hazard Analysis And Critical Control Points
Authors: Wahyuono Bonny Agung , Suef Mokh. , Karningsih Putu Dana , Marwanta Edy , Fikri Nidaru Ainul
Published: August 2024

Black Garlic granules serve to help prevent and treat diabetes and cardiovascular disease. In this study, a BG-based liquid supplement production system was designed which is expected to become a BG-based liquid supplement production standard that pays attention to product safety, product quality and production efficiency. This research will design BG's production process to meet quality specifications and food safety standards along with the production system. The research will be conducted by conducting Taguchi experiments and then continued with Hazard Analysis and Critical Control Points (HACCP). At the experimental stage, several important BG quality attributes were selected in response. The factors that affect quality are determined through Focus Group Discussions involving company stakeholders. Experiments were conducted using laboratory scales. The results of Taguchi's experiments that have been carried out, it is concluded that using the optimal level settings chosen can reduce SAC levels, namely A1 = Cleaning and Weighing Equipment (Using a Washing Bucket), B1 = BG Formulation Temperature (30oC), C1 = BG Formulation Time (60 minutes), D2 = Cooling Process (Accelerated), E1 = Storage Packaging (Aluminum Sachet), F1 = Storage Temperature (28oC), G1 = BG Treatment (Peel).
Persuasive Communication: Strategy by Office of Religious Affairs to Prevent Divorce
Authors: Yusnita Titien , Mardliyah Aenatul , Nirwana Testa Pradia , Muslikhah Febri Palupi , Ernawati Erna , Quddus Faruq Abdul
Published: August 2024

The Ministry of Religion took anticipatory steps to prevent high divorce rates through the SUSCATIN program (Prospective Bride Course). This marriage counselling program is carried out at the District Religious Affairs Office (KUA). KUA officers carry out persuasive communication to influence and change the beliefs, attitudes, and behavior of prospective brides and grooms. The marriage counselling program has been running well and smoothly. However, statistical data shows that the divorce rate in Regency is the highest in West Java. This research aims to determine the role of persuasive communication used by KUA officers in influencing the knowledge, attitudes, and behavior of prospective brides and grooms. This research uses a qualitative approach with phenomenological methods. The research results show that KUA officers can carry out counselling effectively. They can set goals, are careful in conveying messages about the importance of maintaining the integrity of marriage, and can implement persuasive communication strategies. However, the efforts of KUA officers have not been optimal. This can be seen from the still high divorce rate in Regency. The limitation of this research is changes in a person's behavior to prevent divorce in the household. The original value of this research is the ability of KUA officers representing the government to deliver development programs through divorce prevention programs using persuasive communication. In the case of community outreach, officers often use one-way (linear) and command-based (top-down) communication.
علاقات السيد مرتضى مع حکومة البویهیین
Authors: علی نخعی پور  , د.محمد زرقانی
Published: August 2024

قام علماء و فقهاء الشيعة الكبار مثل الشيخ مفيد و الشيخ صدوق و السيد مرتضى في أنشطتهم مثل التدريس و التعليم. في هذا المقال، تم التحقيق في علاقة أحد أعظم علماء الدين و الفقهاء الشيعة، سيد مرتضى، بحكام البویهيين. تظهر هذه الدراسة أنّ سيد مرتضى، من جهة، كعالم شيعي بارز، حاول تعزيز ديناميات الفقه واللاهوت الشيعي من خلال عقد مناقشات و مناظرات و تحرير العديد من الكتب و تدريب الطلاب. من ناحية أخرى، و بحسب ظروف ذلك الوقت، كان يتواصل و يتفاعل مع حكام ذلك الوقت من ذوي الميول الشيعية. كما كانت المواجهة مع الأديان الأخرى من أفكاره. الغرض من هذا المقال هو دراسة هذه العلاقات مع رجال دولة البویهیین و تداعياتها على الجانبين. وبما أنّ حكومة البویهیین كانت تعتبر حكومة شيعية، فقد احتاجت بطبيعة الحال إلى تفاعل و تعاون علماء الشيعة المعاصرين لترسيخ سلطتها و إضفاء الشرعية عليها. من ناحية أخرى، و وفقًا للجو الفكري السائد في ذلك الوقت، كان العلماء الشيعة بحاجة أيضًا إلى مساحة سياسية مفتوحة و دعم حكومي؛ لذلك، فإنّ التعاون و العلاقات بين الجانبين كانت مفيدة للطرفين. الآن المشكلة هي هذه؛ و هل علاقة المرحوم السيد مرتضى بحكام البویهیین تنحصر في القضايا السياسية أم أنها تشمل علاقات فكرية و اجتماعية وعلمية ودينية وثقافية؟ منهج هذا البحث تاريخي تحليلي يعتمد على جمع المعلومات والبرامج المكتبية. وفقًا لنتائج هذا البحث، تفاعل العديد من حكام البویهیین مع سيد مرتضى (رضي الله عنه) في بعض المجالات، و أدى إقامة العلاقات بين الطرفين إلى آثار و عواقب لكليهما.
التحليل الشمولي لتباين قيم الارتفاع الجهدي عند امتداد ومركز المرتفع السيبيري فوق العراق وأثره في درجات الحرارة والرطوبة النسبية
Authors: م.م. علي نجم حسين  , أ.د علي غليس ناهي السعيدي
Published: August 2024

اوضحت الدراسة ان قيم الارتفاع الجهدي لمراكز وامتداد المرتفع السيبيري تتزايد مكانياَ من جنوب العراق إلى شماله بسبب طبيعة الوضع الطوبوغرافي، فضلاَ عن وجود مركز او خلية مقطوعة من المرتفع السيبيري القريبة جغرافياَ من العراق والتي تتشكل على بحر قزوين او هضبة الاناضول ليكون لها دور في زيادة سيطرته وتزايد مقادير ارتفاعه الجهدي، ويفرض سيطرته في الغالب خلال الفصل البارد، لذا يتبين ان الارتفاع الجهدي لامتداد المرتفع في مناطق العراق الثلاثة (الشمالية والوسطى والجنوبية) خلال مدة الدراسة (2010ـ 2021) سجلت معدل عالٍ بلغ (175.8م، 163.8م، 147.3م) عند الرصدة(00)GMT وعلى التوالي، فيما سجلت رصدة(12)GMT معدل لقيم الارتفاع الجهدي بمقدار (154.1م، 142.1م، 136.5م) وبنفس الترتيب، اما مركز المرتفع فأخذ بالتزايد التدريجي وتضخم كتلة المرتفع فكان أعلى ارتفاع له من الامتداد للمدة المذكورة سابقاَ خلال الرصدتين المذكورتين بقيم ضغطية بلغت (221.3م، 181.6م) و(189.9م، 165.6م) و(182.2م، 165.4م) للمناطق الثلاث المذكورة وبحسب التتابع، في حين سجل امتداد المرتفع المرافق عند المستوى (850)هكتوباسكال للرصدتين المذكورتين بمقدار (1555.3م، 1165.5م) وبمركز (1174.7م، 1171.2م) للمنطقة الشمالية وبلغ (1551.6م، 1161م) وبمركز مرافق (1167.3م، 1164.6م) للمنطقة الوسطى، اما المنطقة الجنوبية فسجلت معدل امتداد (1542.8م، 1158.8م) وبمركز (1164.3م، 1161.8م) للمستوى المشار اليه وبنفس التسلسل
الواحد والكثرة في براغماتية وليم جيمس
Authors: م.م. منتظر محمد مرد  , م.م. احمد جاسم محان
Published: August 2024

تعد مساله الواحد والكثرة من اكثر المسائل الفلسفية التي شغلت فكر الفلاسفة على مر العصور باعتبار ان مسألة اصل الوجود وكيفية صدور الكثرة عن الواحد كانت موضع اهتمام ومحل اجتهاد في الدرس والمقال الفلسفي ،  اذ كان الهدف من وراء تلك المسألة بيان العلاقة التي تربط الوحدة بالكثرة ،  وهل ان الواحد هو الاصل في هذا الوجود؟ وما الطريقة التي صدرت بها الكثرة عن ذلك الواحد؟ وهل ان صدور الكثرة عن الواحد كان بشكل مباشر ام ان هنالك وسائط كانت واقعه بين الوجود المتكثر و بين الوجود الواحد؟  وبذلك اختلفت الاجابات في مضمون تلك التساؤلات باختلاف المسالك المتبعة في تفسير تلك العلاقة ، لذا نسعى من وراء هذه الدراسة الى بيان مضامين تلك المسألة التي عدة في مراحل متقدمة الطريقة المثلى في تفسير صدور العالم عن عن الواحد ، وكيف ان الواحد من شانه ان يقبل الكثرة بوسيط دونما يقبلها بشكل مباشر ، تلك ستكن الركائز الاساسية التي ستقوم عليها هذه الدراسة ، مستهدفة احد اهم الفلاسفة المعاصرين الذين تنالوا شكل العلاقة بين الواحد والكثرة
الترغيب في الأخلاق الإسلامية وأثرها في تربية الجوارح
Authors: مروة محمد عرد  , د. محمد كاظم رحمان ستايش
Published: August 2024

لقد اهتم الاسلام بالأخلاق السامية التي يجب ان يتحلى بها المسلم وأولى لها العناية الخاصة , فحث عليها وجعل لها مكانة خاصة , فجاءت آيات القرآن الكريم ترغب فيها , فقد وصف الله سبحانه وتعالى نبينا محمد (صلى الله عليه وآله وسلم) بأنه صاحب الخلق العظيم , قال تعالى : " وَإِنَّكَ لَعَلَى خُلُقٍ عَظِيمٍ " ( القلم, 4). وقد ذكر رسول الله إنّ أحد أهداف بعثته هو إتمام مكارم الأخلاق , قال رسول الله (صلى الله عليه وآله وسلم) : " إنما بعثت لأُتمم مكارم الأخلاق " (المجلسي, 1983 ,68/382).
فتمسك الإنسان بالأخلاق الإسلامية السامية يوصله الى التكامل الذي هو الهدف من خلق الإنسان , والطريق الموصل الى الكمال إنما هو بالعبادة والأخلاق , فهما يسيران معاً لا يفترقان؛ لأن جميع العبادات التي يؤديها المسلم سواء أكانت صلاة أم زكاة أم حجّ أم صوم أم أمر بالمعروف ونهي عن المنكر, جميعها تحقق للإنسان حصانة ضد الرذائل .
التباين المكاني لواقع القوى العاملة الذكورية في محافظة صلاح الدين لعام 2023
Authors: أ.م.د. عادل طه شلال
Published: August 2024

يسعى هذا البحث الى معرفة التباين المكاني لواقع القوى العاملة الذكورية في محافظة صلاح الدين بعامة ووحداتها الإدارية بشكل خاص، وذلك من خلال نظرة تحليلية وموضوعية عن طبيعة توزيعها العددي والنسبي والبيئي لعام 2023 وفقاً لمستوى تأثيرها المكاني على حجم واتجاه النشاط الاقتصادي ومقدار الإنتاج والطاقة المستثمرة لعمالة الذكور من النشيطين اقتصادياً ومشاركتها الفاعلة في سوق العمل لتلبية متطلبات الفئتين المعالتين صغار السن (0 – 14) سنة وكبار السن (٦٥) سنة فأكثر، وصولاً الى رفع معدلات النمو الاقتصادي للقوى المذكورة وتحقيق أهداف التنمية الاقتصادية في المحافظة، على الرغم من المشاكل والمعوقات التي تواجه مسار القوى الذكورية فيها، المشار اليها متن البحث ، هذا وعلى ضوء ما ترتب من نتائج فقد جاءت مقترحات البحث منسجمة في مضمونها وهدفها المرسوم بأتجاه تعزيز الجانب التنموي للقوى العاملة الذكورية في المحافظة وتطوير أمكانياتها العملية ومستوى كفاءتها المتوفرة وظيفياً، فضلاً عن معالجة معوقاتها ومحددات عملها الحالية والمستقبلية .
Different Sides of Fairness - Evaluations of Fairness of Nextdoor’s Content Moderation System
Authors: Katsaros Matthew , Nobo Caroline , Tyler Tom
Published: August 2024

Online platforms are increasingly investing significant resources into the systems used to report and remove unwanted content on the platforms. However, building these systems in ways that strengthen trust and are seen as fair by those who are engaging directly with them - either as a reporter of content or as an individual having content removed - still remains a challenge for many platforms. Using two surveys - one sent to individuals who have recently reported content and an identical survey to those who had content removed from the platform - paired with logged platform data in the six months before and three months following the surveys, we explore the associations between people's perception of the fairness of Nextdoor's moderation system and later behaviors on the platform including content removals, future reporting, and future visitations to the platform. We find that those who felt their moderation experience was relatively more fair are more likely to report content to the platform again and choose to visit the platform more frequently in the months that follow. These findings demonstrate the connection between fair moderation systems and engagement on the platform more broadly, pointing towards opportunities for platforms to build trust and legitimacy through better design of the systems used for reporting and removal.
A Review of Split Learning and Federated Learning: Challenges and Synergies
Authors: Obi Nneka
Published: August 2024

Split Learning and Federated Learning have emerged as key techniques in the domain of privacy-preserving distributed machine learning. This paper reviews the recent developments in both paradigms, discussing their respective advantages, limitations, and the potential for their integration. We provide an analysis of current research trends, explore challenges in implementation, and suggest future directions for improving these approaches. The review serves as a resource for researchers and practitioners interested in the evolving landscape of distributed machine learning.
Learning expectations shape cognitive control allocation
Authors: Masis Javier Alejandro , Musslick Sebastian , Cohen Jonathan D.
Published: August 2024

Current models frame the allocation of cognitive control as a process of expected utility maximization. The benefits of a candidate control signal are weighed against its costs (e.g., opportunity costs). Recent theorizing has found that, despite promoting the counterintuitive behavior of longer deliberation, which is less rewarding in the short term, it is nevertheless normative to account for the value of learning when determining control allocation. Here, we sought to test this proposal by examining whether people were willing to allocate greater control and thereby expend greater effort (e.g., deliberate for longer) when they perceived a task to be learnable compared to when they did not. We found that participants' proficiency and learning rate in the first block of a simple perceptual dot-motion task were able to predict their willingness to deliberate in a second block. These findings support the hypothesis that agents consider learnability when allocating cognitive control, and comply with a formal model of control allocation that considers the future discounted value of learning on reward.
AI as financial infrastructure?
Authors: Paraná Edemilson
Published: August 2024

From an ‘infrastructural gaze,’ this chapter examines the penetration of artificial intelligence in capital markets as a blend of continuity and change in finance. The growing infrastructural dimension of AI stems firstly from the evolution of algorithmic trading and governance, and secondly from its rise as a ‘general-purpose technology’ within the financial domain. The text discusses the consequences of this ‘infrastructuralisation’ of financial AI, considering the micro-macro tension typical of capital accumulation and crisis dynamics. Challenging the commonly held notion of AI as a stabilising force, the analysis underscores its connections with volatile, crisis-prone financialised dynamics. It concludes by outlining potential consequences (unpredictability, operational inefficiency, complexity, further concentration) and (systemic) risks arising from the emergence of AI as a ‘new’ financial infrastructure, particularly those related to biases in data and data commodification, lack of transparency in underlying models, algorithmic collusion, and network effects. The text asserts that a thorough understanding of these hazards can be achieved by adopting a perspective that considers the macro-meso-micro connections inherent in infrastructures.
BAGAIMANA BERBAGI INFORMASI MEMEDIASI PENGARUH KUALITAS INFORMASI TERHADAP KINERJA MANAJEMEN RANTAI PASOKAN
Authors: Aji Ridho Pramana Aji , Silfi Alfiati , Nur DP Emrinaldi , Hilmi Hilmi
Published: August 2024

This study aims to examine the factors that influence supply chain management performance, focusing on information sharing as a mediating factor. The population of this study was 13,540 MSMEs in Pekanbaru City, with sample selection using convenience sampling. A 5-point scale was used, and considering the social scale of this study, 36 statements were multiplied by 5, resulting in a sample size of 180 respondents. The statistical method used was Partial Least Square (PLS) implemented through SmartPLS. Data analysis revealed that information quality has a significant impact on supply chain management performance, information quality affects information sharing. In addition, information quality affects supply chain management performance through information exchange. This study highlights the importance for MSMEs to understand the role of information quality in improving supply chain performance and the role of information sharing in improving supply chain efficiency.
Angiographic Profile of Coronary Artery Disease in Patients of Heart Failure Attending in BPKIHS, Nepal
Authors: Pandey Brijesh , Karki Prahlad , Pandey Naveen Kumar , Gyawali Achyut , Pandey Shikha , Pandey Manjesh , Shrestha Sanjay , Thapa Rajan , Chaurasia Pawan , Shrestha Maiya , Pandey Siddhartha , Pandey Kshipra
Published: August 2024

INTRODUCTION Coronary Angiography in heart failure is one of the diagnostic modalities that acts as complementary tool in the management. Very few studies are conducted in Nepal regarding prevalence of CAD in HF. CAD has been one of the etiologies in 18% patients of Heart failure.1 On categorizing heart failure patients into ischemic and non-ischemic groups and knowing any anomalous anatomy would be feasible to intervene as essential and decrease in recurrent hospital admissions and improve quality of life. Our current study aimed to evaluate various characteristics and profiles of Coronary Arteries in the heart failure subjects after Coronary Angiography.
METHODS It was a single center hospital based descriptive cross-sectional study conducted at BPKIHS from October 2022 to October 2023 in heart failure patients who underwent CAG. Heart failure patients were selected based on Framingham criteria.
RESULTS Out of total 78 patients 64.15 were males and mean age was 62.4±13.69 years. There were 47.4% patients with HFrEF, 28.2% with HFmrEF and 24.4% were having HFpEF. Significant CAD was found in 70.5%, normal Coronary artery was present in 2.8%, 2.5% had anomalous coronary artery, minor CAD was found in 2.6% while 5.1% had moderate CAD. Prevalence of significant CAD was found in 70.3% patients with HFrEF, 68.2% in HFmrEF whereas HFpEF had significant CAD in 73.7% subjects. Significant CAD in males and females were 48.7% and 70.5% respectively. Smoking was the most common risk factor present in our study population. Most common presentation were Basal Lung Crepitations, Raised JVP, Hepatomegaly and Leg Swelling.
CONCLUSION Our result suggests higher prevalence of CAD in HFpEF (73.7%) followed by HFrEF (70.3%) and HFmrEF (68.2%). Coronary anomaly was seen in 2.5% while angiographic profile revealed abnormal coronary artery to be more frequent in HF subjects which was quite comparable to other similar studies of Heart failure.
Study of Hyponatremia in Acute CNS Infections in A Tertiary Center
Authors: Bhattarai Prabin , Karn Ragesh , Ojha Rajeev
Published: August 2024

INTRODUCTION Hyponatremia significantly contributes to morbidity and mortality in CNS infections. Accurate diagnosis and timely intervention of hyponatremia is necessary as it can exacerbate the symptoms and may cause delay in management.
METHODS This cross-sectional study was done in 146 consenting adults diagnosed with acute CNS infections at Tribhuvan University Teaching Hospital (TUTH) over one year. All participants underwent clinical assessments, including cerebrospinal fluid (CSF) analysis, blood tests, and imaging. Prevalence and severity of hyponatremia was studied. Data was entered into MS Excel and subsequently transformed into IBM SPSS Software version 25 for statistical assessment.
RESULTS Hyponatremia was prevalent in 34.25% of cases; of which 56% were moderate in severity. Altered mental state, fever, and headache were common clinical features. In terms of etiology, viral infections (45.8%), followed by CNS TB (30.8%) were common.
CONCLUSION Our study identified that hyponatremia was prevalent in more than one third of patients having CNS infections, encephalitis being the most common clinical syndrome. In terms of etiology, viral infections constituted the majority, followed by tubercular, bacterial, fungal, and parasitic infections.
Quality Indicators of Colonoscopy: Are we meeting the standards in Nepal?
Authors: Thapa Suresh , Thapa Jiwan
Published: August 2024

BACKGROUND Colonoscopy is an important tool for management of colorectal disorders. Performance of quality colonoscopy requires a trained endoscopist, adequate resources, preparation and evaluation parameters for good outcomes. We conducted this study to emphasize the importance of quality practice in colonoscopy in our country as there is lack of standardization.
METHODS This is a retrospective observational study done at a referral center in Western Nepal. All the colonoscopies were done without sedation with two sachets of peglec powder 137.15 grams, each containing polyethylene glycol (118grams) dissolved in 2 liters of clean water each. Data of 1052 colonoscopies done during three years were retrieved from colonoscopy record section and analysed for important quality measures in use. Data entry and analysis was done in Microsoft Excel.
RESULTS A total of 1052 colonoscopies were included in this study. Pain abdomen (70.6%) was the commonest indication for colonoscopy and majority were male patients (53.4%). Good bowel preparation was achieved by split dosing of commercially available polyethylene glycol. Cecal and ileal intubation was achieved in 98% and 96% colonoscopies respectively, meeting the current recommendations set by the gastroenterology societies. No major complications occurred during the procedure.
CONCLUSION Important quality indicators could be achieved with colonoscopy done without sedation in resource limited settings also. Screening colonoscopy should be promoted for early detection and management of colorectal cancers in low-income countries like Nepal. Quality should be standardized and practiced in routine colonoscopy examination taking into consideration of patient comfort.
Impact of Poverty Alleviation Fund’s Revolving Fund for Income Generation Programme in Lalbandi, Sarlahi
Authors: Timilsina Umesh , Dhakal Anju
Published: August 2024

This study has been conducted to evaluate the management, efficiency, and effect of the Poverty Alleviation Fund’s revolving fund for Income Generating Program in Lalbandi Sarlahi. It aimed at eradicating absolute poverty and reducing relative poverty in community organizations at Lalbandi Municipality. The study employed research methods such as field observations, surveys, and group discussions. Although the program is faced with challenges including uneven income distribution among members of the organization and climate change resilience, this does not deter it from supporting 15 community-based organizations which received NPR 32,553,675.50 as of the fiscal year 2075/76. Nevertheless, the program’s banking transactions are impeded by financial audits beginning in 2073 due to the COVID-19 pandemic. Despite playing a significant role in local development, an emphasis on financial management and regulation is necessary for increased policy effectiveness in ensuring long-term poverty reduction strategies.
Paradigm Shift in Mathematics Education
Authors: Gnawali Yagya Prasad
Published: August 2024

The purpose of this study is to investigate how learning theories and philosophical thought have changed from pre-modern to post-modern thought. A paradigm change is always essential to the development of a curriculum, education as well as nation. I used document analysis method to comprehensively analyze various philosophical and learning theories about mathematics, revealing the emergence of a new paradigm derived from mathematics education. It is critically investigated that the reform movement of the last century shared a common perspective on mathematics learning and knowledge. The postmodern paradigm has replaced the modern paradigm, and philosophy and theology will eventually evolve to reflect this shift. Social science as well as the humanities, management, literature, mathematics, and philosophy have all been influenced by postmodern ideas. The paradigm shift in mathematics education is a transition from passive memorization to critical thinking, problem-solving techniques, and active participation. In order to improve relevance and motivation, it entails embracing technology as a tool for inquiry and discovery, cultivating collaborative learning settings, and incorporating real-world applications. This change is a reflection of a wider understanding of the need to give followers the adaptable abilities they need to prosper in a world that is changing quickly due to complexity and innovation.
Constructing the Epiphany: Joycean Approach to Selected Stories from Dubliners
Authors: Paudel Shiv Raj , Dahal Babu Ram
Published: August 2024

By using the Joycean lens in the construction of epiphany in some selected stories from Dubliners, James Joyce tries to uncover how tactfully he examines inner lives of his characters and their socio-cultural environment. By emphasizing on simple ordinary events Joyce finds extraordinary within the mundane offering deep insights into the characters of the stories in Dubliners. With regard to use of epiphany in the selected stories of the book Dubliners, the present study tries to investigate how James Joyce adopted the literary device of "epiphany" in Dubliners. It is argued that Joycean style of developing the epiphanic moment is accomplished through the mode of character transformation, especially among his protagonists. Through the potent use of symbolic characters, Joyce conveys a realistic reflection of Dubliners as a "Living dead" against the backdrop of the contemporary impact of modern developments in Irish society and their consequent implications of cultural, spiritual, and moral paralysis. The main characters in the chosen stories experience a psychological transformation from the private to the public, egoistic to social, ideal to real, childhood to adolescent, and ignorance to knowledge, which causes them to lose faith in the true nature of the universe they live in. Joycean epiphanies are more spiritual than those that result from outside forces. The concept of a Bildungsroman will be used in the study as a theoretical technique that focuses on the development and coming-of-age experiences of the main characters. It will also be used to analyze the conclusions that the psychological change of the characters is what drives Joyce's building of epiphany.
प्राज्ञिक लेखनको सैद्धान्तिक अवधारणा {Theoretical concepts of Academic Writing}
Authors: भुसाल Bhusal केशव Keshav
Published: August 2024

प्रस्तुत लेख प्राज्ञिक लेखनमा आधारित रहेको छ । यस लेखमा प्राज्ञिक लेखन र यस सम्बन्धी बहुविध क्षेत्रको सैद्धान्तिक चर्चा गरिएको छ । प्राज्ञिक लेखनको परिचय दिनु, प्राज्ञिक लेखनका सिद्धान्त प्रस्तुत गर्नु र प्राज्ञिक लेखनको भाषाशैली उल्लेख गर्नु यस अध्ययनका उद्देश्य रहेका छन् । प्रस्तुत अध्ययन मूलतः गुणात्मक अनुसन्धान विधिमा आधारित रहेको छ । यस अध्ययनमा मूलतः द्वितीयक स्रोतका सामग्रीहरूको प्रयोग गरिएको छ । यस क्रममा पुस्तकालयीय कार्यका माध्यमबाट आवश्यक सामग्रीहरूको सङ्कलन गरिएको छ । यस अध्ययनमा अङ्ग्रेजी सैद्धान्तिक सामग्रीहरूको अधिक उपयोग गरिएको छ । यस अध्ययनबाट प्राज्ञिक व्यक्तित्वले सम्बन्धित संस्थाको नियममा रही निर्धारित मापदण्ड अनुरूप तयार पार्ने नोट, लेखरचना, प्रतिवेदन, शोधपत्र वा शोधप्रबन्धमा आधारित लेखनलाई प्राज्ञिक लेखन भनिने, यसमा प्रयोजनकेन्द्रित, पाठकककेन्द्रित, स्पष्ट दृष्टिकोणमा आधारित, विषयमा आधारित, सङ्गठनात्मक, प्रामाणिक, स्पष्ट वर्णनमा आधारित, अनुसन्धानकेन्द्रित, निश्चित शैलीमा आधारित, मौलिकलगायतका सिद्धान्तको उपयोग गरिने, प्राज्ञिक लेखनको भाषाशैली वस्तुपरक, आग्रहरहित, अनलङ्कारिक, भावहरणहीन, अतिसामान्यीकरणविहीन, अनावृत्त, सङ्गतियुक्त, संसक्ति र संयुक्तियुक्त, साक्षात्मक आदि गुणले युक्त हुनुपर्नेलगायतका निष्कर्ष निकालिएको छ । प्रस्तुत अध्ययन विश्वविद्यालय तहमा अध्ययनरत विद्यार्थी, अनुसन्धानरत  शोधार्थी र प्राज्ञिक लेखनका क्षेत्रमा रुचि राख्ने जो कोहीका लागि पनि उपयोगी हुने अपेक्षा गरिएको छ ।
‘हंस’ उपन्यासको पर्यावरणीय समालोचना {Environmental Criticism of the Novel 'Hamsha'}
Authors: खतिवडा Khatiwada जानुका Januka
Published: August 2024

प्रस्तुत अनुसन्धानात्मक लेखमा सञ्जीव उप्रेतीको ‘हंस’ उपन्यासलाई पाठका रूपमा लिई त्यसमा प्रयुक्त पर्यावरणीय समालोचनाका विभिन्न आयामहरूको विश्लेषण र मूल्याङ्कन गरेर उक्त उपन्यासको विवेचना गरिएको छ । ‘हंस’ उपन्यासका आधारमा पर्यावरण र यसलाई सन्तुलित तुल्याउने प्राणी, जीव र वनस्पतिबिचको अन्योन्याश्रित सम्बन्धलाई उद्घाटन गर्नु नै प्रस्तुत अध्ययनको मुख्य उद्देश्य रहेको छ । यस लेखमा उपन्यास विश्लेषणका निम्ति पर्यावरणीय समालोचनाले अघि सारेका मान्यतालाई आधार बनाएर प्राकृतिक सौन्दर्यको चित्रण, वातावरणीय नैतिक आचरणको प्रतिबिम्बन, वैज्ञानिक खोजको सम्भावना तथा पर्यावरण अनुकूल भाषिक प्रयोगका आधारमा ‘हंस’ उपन्यासलाई विश्लेषण गरिएको छ । यस लेखमा गुणात्मक अनुसन्धान विधिअन्तर्गत पर्यावरणीय सिद्धान्तलाई अवलम्बन गरी व्याख्याविश्लेषण गरिएको छ । पुस्तकालयीय अध्ययनमा आधारित यो लेखलाई उपन्यासभित्रको पर्यावरणीय पक्षको विश्लेषणका क्रममा साक्ष्यका माध्यमबाट समीक्षात्मक तर्कसहित पुष्टि गरिएको छ । यसमा पर्यावरणका विविध पक्षको कलात्मक प्रयोग भएका कारण यो एक उत्कृष्ट पर्यावरणीय उपन्यास हो भन्ने निष्कर्ष निकालिएको छ ।
A quality improvement initiative to augment success rate of labour analgesia: interrupted time series analysis
Authors: Panta SB , Bhattarai PR , Sharma A , Basnet U , Khadka R , Pradhan K
Published: August 2024

BACKGROUND Standard operating procedures (SOP) for abour analgesia for parturients in Nepal are lacking. Labour analgesia programme was being conducted without a SOP in our institution. We identified that the success rate of epidural labour analgesia (ELA) was low. We developed standard operating procedures for labour analgesia services with the combined effort of the department of anesthesia and pain management with the department of obstetrics and gynaecology in Nepal Mediciti in 2019 January. SOP and troubleshooting protocol was implemented in 2019 February and this study was conducted to investigate the impact of programmed protocol for labour analgesia.
METHODS An interrupted time-series analysis was performed as a process improvement project for all cases who demanded labour analgesia from November 2017 to December 2019 with retrospective data collection. The success of epidural labour analgesia was defined as vaginal delivery with Numerical Rating Scale for labour pain of 3 or less. The time series analysis intended to identify the change in the level of success rate (increase or decrease) and change in the slope of success rate over time.
RESULTS The major problems identified by the team included lack of patient counselling, inadequate followup after the first dose of epidural, delay in attending call for labour analgesia by the anesthesiologist and undefined clinical pathways for the usage of drugs and troubleshooting. After implementation of the protocol, the interrupted time series showed a 24.77% relative increase in success rate with p value <0.001.
CONCLUSION Interdepartmental group discussions, interviews with the patients and development of a team that worked on formulating SOP was done after problem identification. Patient counselling after 28 weeks of gestation gave patients time for psychological preparation and have realistic expectations regarding ELA than labouring parturients. Clear protocol regarding drug dosing and troubleshooting disposed interpersonal variation among the anesthesiologists. Continuous patient follow-up by the nurse-led team helped to identify any additional problems and address it and add on to the protocol. In conclusion, standard operating procedures guided epidural labour analgesia programme enhanced the success rate of epidural labour analgesia.
Artificial Intelligence and Psychoanalysis: A New Concept of Research Methodology
Authors: Singh Om Prakash
Published: August 2024

The recent high performance of ChatGPT on several standardized academic tests has thrust the topic of artificial intelligence (AI) into the mainstream conversation about the future of education. As deep learning is poised to shift the teaching paradigm, it is essential to have a clear understanding of its effects on the current education system to ensure sustainable development and deployment of AI-driven technologies at schools and universities. Hence, AI behavior cannot be fully understood without human and social sciences. After the imaginary and symbolic registers, AI is the third register of identification. Therefore, AI extends the movement that is at work in the Lacanian interpretation of the mirror stage and Oedipus complex and which Latour’s reading helps us to clarify. From this point of view, I describe an AI system as a set of three contrasting forces: the human desire for identification, logic, and machinery. In the “Miscomputation and information” section, I show how this interpretative model improves our understanding of AI. Systematic research on psychoanalytic treatments has been limited by several factors, including a belief that clinical experience can demonstrate the effectiveness of psychoanalysis, rendering systematic research unnecessary, the view that psychoanalytic research would be difficult or impossible to accomplish, and a concern that research would distort the treatment being delivered.
Pedagogical Dimensions of Traditional and Modern Art
Authors: Prof. Abhi Subedi
Published: August 2024

Pedagogical and interart features of Nepali art are themes of discussions. Pedagogy is a very important aspect of Nepali paintings, so is the interart subject. Pedagogic practice of art has always remained the most important form of activity. But the traditional art has its own legacy and strength. The method of apprenticeship of art comes from both family and school. But to understand the strength of the pedagogy of paintings we should also look at the interart dimension of art studies. Nepal also provides ample examples of such concepts and practices through times. Art pedagogy has two clear sides. One is temporal and the other is spatial. The temporal meaning is that Nepali art learning or teaching happened with the call and needs of the times. The spatial meaning is that the teaching and learning of art in general has happened as part of the heritage. The paintings and, even more than that, the sculptural and architectonic forms abound with examples. Nepali artists' stories of going out for learning art and returning with training and degree and contributing to the pedagogy and other practice have their own histories.
Anne Sexton's "The Starry Night": A Poetic Response to Van Gogh's Masterpiece
Authors: Jitendra Man Rajbhandari
Published: August 2024

Ekphrastic poetry is a poetic reinterpretation of a visual artwork. There are numerous poems, songs, and lyrics written with inspiration from paintings, sculptures, or photographs. An ekphrastic poem can immortalize a work of art adding a new perspective to it. This paper looks at the tradition of Ekphrastic poetry as a genre and explores Vincent van Gogh’s famous painting The Starry Night through the light of Anne Sexton’s popular ekphrastic poem “The Starry Night”. It observes how Sexton’s poem artfully attempts to capture the spirit of Van Gogh’s painting through words. It also suggests how combining poetry with visual art can enrich both art and literature.
Efisiensi Turbin Kincir Air Akrilik Undershot 8 Sudu 15o
Authors: Tampubolon Rizky , Hermawan Indra , Idris Muhammad
Published: August 2024

Electricity is one of the vital energy sources that is highly demanded by society. However, there is still an imbalance in the availability of electricity in Indonesia, especially in remote or isolated areas that are difficult to reach by the national power grid (PLN). To address this issue, one of the solutions that can be employed is Micro Hydro Power Plant (PLTMH), which is a renewable power generation system. In PLTMH, water turbines are utilized as a medium to generate rotation through the force exerted by the flowing water from a certain height. The water head plays a significant role in the performance of the water turbine, where a higher waterfall and impact on the turbine blades result in faster rotation and greater energy production. This study presents the experimental results of an Undershot Water Turbine made of Acrylic material with 8 blades and a blade angle of 15°. The experiment employed a water volume of 58 liters and a water gate opening of 3 cm. The results showed that the water turbine generated a power of 0.41584 watts, while the power produced by the flowing water was 1.23186 watts. The efficiency of the water turbine in this experiment reached 33%. Based on this research, it can be concluded that the proper utilization of an Undershot Water Turbine made of Acrylic material with an appropriate number and angle of blades can yield significant power output. Moreover, the achieved efficiency level of 33% demonstrates that the water turbine can serve as an efficient alternative for renewable electricity generation.
Pengaruh Penerapan Zahir Accounting Versi 6 Terhadap Efisiensi Laporan Keuangan PT. Media Aguna Kreasi
Authors: Rahmawati Mari , Supriyatna Adi , Suminten Suminten , Agustina Teni , Saridawati Saridawati , Indarti Wahyu
Published: August 2024

Dalam hal ini ada batasan penulisan diantaranya pencatatan laporan keuangan yang sebelumnya dilakukan secara manual diawali dengan (saldo awal akun, jurnal umum, buku besar, neraca saldo, laporan penyesuaian, neraca lajur, laporan laba rugi, laporan perubahan modal dan neraca) sehingga akan diaplikasikan pada Zahir Accounting versi 6 dimulai dari setup awal untuk membuat database perusahaan, data nama (customer, vendor, dan employee), input data rekening, daftar hutang maupun piutang, saldo awal, transaksi dan menjadi laporan keuangan. Metode yang dilakukan dalam penulisan dengan observasi, wawancara, dan studi pustaka. Data yang dibutuhkan dalam penulisan diantaranya bukti transaksi, data karyawan, konsumen, pemasok, dan dokumen lainnya. Implementasi zahir untuk pencatatan laporan keuangan mengasilkan output berupa laporan keuangan. PT Media Aguna Kreasi masih menggunakan sistem manual dalam pencatatan sehingga penulis melakukan implementasi zahir accounting versi 6 terhadap laporan keuangannya. Karena teknologi yang semakin canggih ini, dunia binsis membutuhkan suatu proses  akuntansi dengan hasil yang maskimal tetapi dengan pencatatan laporan keuangan dengan sistem manual sudah tidak efektif lagi. Untuk mengetahui suatu kondisi dan kinerja perusahaan sangat dibutuhkan laporan keuangan yang akurat. Namun masih banyak perusahaan yang menggunakan sistem manual dalam pencatatan   , karena kurangnya pengetahuan dan harus membutuhkan budget yang tidak sedikit.
Pelayanan Prima dengan Tingkat Kepuasan Pasien di Ruang Rawat Inap Interna RSUD Dr. Hasri Ainun Habibie Provinsi Gorontalo
Authors: Umar Arifin , Yunus Pipin , Blongkod Sartika
Published: August 2024

Pelayanan prima ialah suatu usaha untuk melayani kebutuhan orang lain dengan memberikan yang terbaik. Penelitian ini bertujuan untuk mengetahui hubungan pelayanan prima dengan tingkat kepuasan pasien. Metode penelitian ini yaitu deskriptif dengan rancangan cross sectional. Pengambilan sampel menggunakan non probability sampling. Hasil penelitian ini adalah responden yang menilai pelayanan prima kategori prima sebanyak (45,5%) responden, kategori cukup prima sebanyak (54,5%) responden. Kepuasan pasien kategori puas (45,5%) responden  dan kategori cukup puas sebanyak (54,5%) responden. Hasil menunjukan ada hubungan antara pelayanan prima dengan tingkat kepuasan pasien di ruang rawat inap interna RSUD dr. Hasri Ainun Habibie Provinsi Gorontalo
Pengaruh Kualitas Interaksi Atasan-Bawahan, Moral Karyawan, dan Persepsi Good Leadership terhadap Organizational Citizenship Behavior Pada Karyawan PT Telkom Akses Witel Yogyakarta
Authors: Widya Laksita Kirana  , Fitri Susilowati
Published: August 2024

Tujuan: Penelitian ini bertujuan untuk (1) Untuk mengetahui pengaruh Kualitas Interaksi Atasan-Bawahan terhadap Organizational Citizenship Behavior pada karyawan PT. Telkom Akses Witel Yogyakarta, (2) Untuk mengetahui pengaruh Moral Karyawan terhadap Organizational Citizenship Behavior pada karyawan PT. Telkom Akses Witel Yogyakarta, (3) Untuk mengetahui Persepsi Good Leadership terhadap Organizational Citizenship Behavior pada karyawan PT. Telkom Akses Witel Yogyakarta.
Metodologi: Populasi dalam penelitian ini adalah dua ratus karyawan PT Telkom Akses Witel Yogyakarta. Sampel penelitian menggunakan sampel jenuh, yaitu dua ratus karyawan dengan status jabatan sebagai staff dan teknisi. Teknik pengumpulan data dilakukan dengan memberikan kuesioner penelitian kepada responden. Sebelum digunakan sebagai instrument penelitian, item kuesioner telah melalui tahap uji validitas dan reliabilitas untuk meningkatkan keakuratan dan konsistensi. Pengujian terhadap hipotesis dilakukan dengan uji regresi linear berganda, yaitu uji t.
Temuan: Hasil penelitian menunjukkan bahwa secara parsial kualitas interaksi atasan-bawahan dan moral karyawan berpengaruh positif dan signifikan terhadap Organizational Citizenship Behavior (OCB). Sementara, persepsi Good Leadership tidak berpengaruh terhadap Organizational Citizenship Behavior (OCB).