bluuebunny/crossref_metadata_2025 huggingface dataset:
Digital pain interventions: a promising new paradigm for pain control
Authors: Nasir Amara , Mahmood Saiyid S. , Mahmood Syed
Published: October 2024

Background & Objective: A digitally enabled care environment offers a more holistic approach in managing pain in our patients and have the potential to fight the opioid crisis. Accordingly, several digital pain technologies have recently been introduced in our healthcare lexicon and are quickly transforming the healthcare industry. To our knowledge, no one has catalogued the use of these digital health technologies in the chronic pain patient population. The objective of this review article is to identify and classify the medical knowledge, concepts and properties of digital interventions that can be used to treat pain, and describe the most prominent trends in literature to guide future research.
Methodology: PubMed NCBI and EMBASE databases, Google Scholar and Google were searched for information on digital technology for pain management, individual devices, and to review studies describing each individual device. Manuscripts that explored the terminology, development or application of digital pain intervention technologies were selected. Eligible devices and manuscripts were assessed for quality features of relevancy in today’s healthcare environment, relative promise of the technology, and maturity of products and/or approval status, and inclusion in current practice or guidelines.
Results: Several novel digital pain therapeutics were reviewed including their mode of action, specific role in pain management, clinical trials, FDA regulatory status, relevance and advancements compared to their predecessors.
Conclusions: Digital health interventions are poised to become an accessible means of alleviating pain. Improving our knowledge about these novel digital patient-centric approaches to treating patients' pain has the potential to transform our health system. 
Key words: Pain; Digital Intervention; Food & Drug Administration; Wearables
Citation: Nasir A, Mahmood S, Mahmood S. Digital pain interventions: a promising new paradigm for pain control. Anaesth. pain intensive care 2022;27(2):256−265; DOI: 10.35975/apic.v27i2.2175
Received: December 23, 2022; Reviewed: January 14, 2023; Accepted: February 10, 2023
Bronchoscope-assisted nasogastric tube insertion using ureteric stent wire as a guide.
Authors: Chaudhry Shirjeel , Danha Ratidzo
Published: October 2024

Insertion of nasogastric tube (NGT) can be very difficult in patients with minimal or no mouth opening under anesthesia. We describe a novel technique for NGT insertion using a flexible Fiber-Optic Bronchoscope (FOB) and a ureteric stent wire.
We encountered a patient with minimal mouth opening, who had to undergo a maxillofacial surgery which would result in temporary inability to eat because of free flap surgery. A blind attempt at NGT insertion failed. We used FOB to insert a ureteric stent wire under direct vision and then threaded NGT over it into the stomach.
So far, we have inserted 10 NGTs uneventfully using bronchoscope and a ureteric stent wire as a guide. It is safe, cheap and a quick way of inserting NGT in patients with difficult anatomy, intubated patients, those at a high risk for bleeding, base of skull fracture and previous ear nose and throat or neurosurgery.
Keywords: Endotracheal tube; Fiber-optic bronchoscope; Laryngoscope; Nasogastric tube; Ureteric stent wire
Citation: Chaudhry S, Danha R. Bronchoscope-assisted nasogastric tube insertion using ureteric stent wire as a guide. Anaesth. pain intensive care 2023;27(2):269−271; DOI: 10.35975/apic.v27i2.2176
Received: October 10, 2022; Reviewed: February 23, 2023; Accepted: February 25, 2023
Bilateral superficial cervical plexus block improves pain control after thyroidectomy under general anesthesia: a randomized, double-blind, clinical trial
Authors: Pham Minh Quang , Nguyen Anh Xuan , Tran Thi Thu Phuong
Published: October 2024

Background: Thyroidectomy is a surgical procedure that causes mild to moderate pain after surgery, which needs adequate management. Various pain control regimens have been used for this purpose including narcotic analgesics, non-steroidal anti-inflammatory drugs (NSAIDs) and regional techniques. We studied the efficacy of bilateral superficial cervical plexus blocks (SCPB) under ultrasound guidance on post-operative pain after thyroidectomy under general anesthesia.
Methodology: This randomized double-blind clinical controlled trial was conducted on sixty patients, who were randomly allocated to either Group I, to receive bilateral ultrasound guided SCPB with 8 ml of ropivacaine 0.5%, or to Group II (control group) to receive injection of normal saline. Rescue analgesics were used if VAS was ≥ 4. For the primary evaluation of first 24 h after surgery, the criteria included VAS score at rest, at neck movements, at swallowing and vocalization; and analgesic-related variables such as time to first rescue analgesia, the number of patients requiring analgesics rescue, the incidence of PONV and the rate of complications. To obtain the long-term outcome, the enrolled patients were monitored to observe the rate of chronic pain after three months of thyroidectomy based on the Douleur Neuropathique 4 questions (DN4) score.
Results: Within 24 h after surgery, the postoperative VAS score in the Group I was lower than in the control group. Moreover, the Group I patients could tolerate the pain longer than those of Group II, and required the first dose of analgesic later. They also required a lower dose of ketorolac and had reduced the incidence of postoperative nausea or vomiting (PONV). In addition, after 3 months, the frequency of chronic pain in the Group I was lower compared to the control group.
Conclusions: The results of our study confirm that bilateral superficial cervical plexus blocks under ultrasound guidance method as a part of multi-modal analgesia have a great potential in managing pain after thyroid surgery. The side effects and complications were observed to be statistically non-significant.
Abbreviations: NSAIDs - non-steroidal anti-inflammatory drugs; PONV - postoperative nausea or vomiting; SCPB - superficial cervical plexus block; VAS - Visual analogue scale;
Key words: Analgesic; Superficial cervical plexus block; Thyroidectomy; Regional anesthesia.
Citation: Pham MQ, Nguyen AX, Tran TTP. Bilateral superficial cervical plexus block improves pain control after thyroidectomy under general anesthesia: a randomized, double-blind, clinical trial. Anaesth. pain intensive care 2023;27(2):214−219; DOI: 10.35975/apic.v27i2.2185
Received: March 31, 2022; Reviewed: January 15, 2023; Accepted: February 10, 2023
Fluid management using cardiometry versus simplified ‘Fluid and Catheter Treatment Trial’ protocol in acute respiratory distress syndrome
Authors: Shaheen Mostafa Mohamed , Elgebaly Ahmed Said , Elbaradey Ghada Fouad , Elkeblawy Amira Mahfouz
Published: October 2024

Background & Objective: Fluid management is a complicated subject and an important part of medical care. Fluid balance has been shown to improve respiratory physiology in patients  with acute respiratory distress syndrome (ARDS). We compared fluid management in ARDS guided by electrical cardiometry (EC) versus guided with conservative fluid protocol, simplified Fluid and Catheter Treatment Trial (‘FACTT Lite’). 
Methodology: This prospective randomized study was conducted on 70 patients, who were 18 y or older and who fulfilled the Berlin definition of ARDS. Enrolled patients were randomly allocated into two equal groups; Group A: fluid management was guided by ‘FACTT Lite’ and Group B, in which fluid management was guided by EC.
Results: Mortality at 28th day was lower in Group B than in Group A; the hazardous ratio of mortality in Group A was 2.55 times than Group B. Duration of survival was higher in Group B than in Group A. Intensive care unit (ICU) stay and duration of mechanical ventilation (MV) were significantly lower in Group B than in Group A. Weaning was better in Group B than Group A. Lung Injury Score (LIS) was significantly decreased in Group B than Group A at 4, 5, 6, 7 and 14 days. Intravenous fluid intake and urine output were significantly decreased in Group B than Group A at all time measurements.
Conclusions: Electrical cardiometry was superior to ‘FACTT Lite’ in the fluid management in ARDS in terms of decreased 28-day mortality, Lung Injury Score, fluid intake, duration of mechanical ventilation and ICU stay.
Abbreviations: ARDS - acute respiratory distress syndrome; EC - electrical cardiometry; ‘FACTT Lite’- Simplified conservative fluid protocol, Fluid and Catheter Treatment Trial; MV - mechanical ventilation
Key words: Electrical Cardiometry; FACTT Lite; Fluid management; Mechanical ventilation; Acute Respiratory Distress Syndrome.
Citation: Shaheen MM, Elgebaly AS, Ghada Fouad Elbaradey GF, Elkeblawy AM. Fluid management using cardiometry versus simplified ‘Fluid and Catheter Treatment Trial’ protocol in acute respiratory distress syndrome. Anaesth. pain intensive care 2023;27(2):204−213.
DOI: 10.35975/apic.v27i2.2186
Received: September 06, 202; Reviewed: July 18, 2022; Accepted:  July 26, 2022
Pulmonary hypertension following severe COVID–19: a case report
Authors: Karmakar Chandra Shekhar , Abdul Hannan Mohammad , Shafiqul Islam Md , Bhowmik Dilip Kumar , AKM Akhtaruzzaman
Published: October 2024

Persistence of symptoms or development of new symptoms, late in the course of COVID–19 puts a constant burden on our healthcare facilities. In its severe form, COVID–19 patient may present as acute respiratory distress syndrome (ARDS), shock, and multiorgan failure and other immunological disharmony. With extensive parenchymal and vascular endothelial damage to lung vasculature, some patient may develop extensive fibrosis and pulmonary hypertension. Our patient a 60–year–old male, slightly overweight (BMI = 28.3) with history of IGT suddenly developed fever, sore throat and anosmia with myalgia.  At 7th day of symptom his saturation fell down and patient was admitted in Bangabandhu Sheikh Mujib Medical University (BSMMU) for advance management. Initially patient was treated in COVID–19 ward, latter he was shifted to ICU as oxygen saturation was not maintained by HFNC. After a long battle of 56 days in ICU and 19 days stay in post COVID ward patient was discharged home with intermittent oxygen therapy only to develop pulmonary hypertension as a sequelae of post COVID syndrome. A holistic approach to management of post COVID syndrome is needed for such multisystem involvement of severe COVID patients.
Key words: COVID–19; Pulmonary hypertension; Post–COVID syndrome; CTEX CPAP; HFNC
Citation: Karmakar CS, Hannan MA, Islam MS, Bhowmik DK, Akhtaruzzaman AKM. Pulmonary hypertension following severe COVID–19:  a case report. Anaesth. pain intensive care 2021;25(4):539–543.  
DOI 10.35975/apicare.v25i4.1554
Received: May 29, 2021, Reviewed: June 10, 2021, Accepted: June 21, 2021
GAMBARAN PROSES IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI UNIT RAWAT JALAN DENGAN METODE HOT-FIT DI RUMAH SAKIT UMUM ARI CANTI
Authors: Juliantari Ni Ketut , Adiningsih Luh Yulia , Putri Putu Chrisdayanti Suada , Putra Gede Wirabuana , Pradnyani Putu Erma
Published: October 2024

Rekam medis elektronik sangat penting untuk mengatasi berbagai masalah yang sering terjadDi di rumah sakit seperti hilangnya rekam medis, tempat penyimpanan yang besar, dan PERMENKES Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis, Pasal 45 menyatakan bahwa seluruh fasilitas pelayanan kesehatan menyelenggarakan rekam medis elektronik sesuai dengan ketentuan dalam peraturan menteri ini paling lambat pada 31 Desember 2023. Di Rumah Sakit Umum Ari Canti tidak adanya keluhan terkait pelayanan, namun Rumah Sakit Umum Ari Canti masih semi rekam medis. Rekam medis elektronik adalah versi dari rekam medis kertas yang dibuat menjadi elektronik.  Hambatan penerapan rekam medis elektronik di rumah sakit meliputi 4 aspek antara lain sumber daya manusia (SDM), kebijakan dan regulasi, infrastruktur dan biaya, Penelitian ini bertujuan untuk menggambarkan proses implementasi rekam medis elektronik dengan model Hot-Fit. Model ini menempatkan  komponen  penting  dalam  sistem  informasi  yakni  Manusia  (Human), Organisasi (Organization) dan Teknologi (Technology) dan Net-benefit. Hasil dari penelitian ini adalah terdapat hubungan yang signifikan terhadap komponen human, organization, dan technology terhadap net-benefit.
EVALUASI SISTEM INFORMASI KESEHATAN E-PUSKESMAS DI PUSKESMAS SUKAWATI II MENGGUNAKAN METODE EUCS
Authors: Suci Putu Jyothi Eka Suci , Laksmini Putu Ayu , Wirajaya Made Karma Maha , Sudiari Ni Made
Published: October 2024

Evaluasi sistem informasi kesehatan atau yang dikenal SIK E –Puskemas di Puskemas Sukawati II dengan metode end user computing satisfaction (EUCS). Tujuan Penelitian adalah mengevaluasi sistem informasi kesehatan  di Puskesmas Sukawati II dengan metode end user computing satisfaction (EUCS). Penelitian ini berbentuk kuantitatif dan bersifat cross-sectional yang dilaksanakan pada bulan April-Juni 2022 yang dilakukan di Puskemas Sukawati II. Jumlah sampel yang diambil yaitu sebanyak 12 responden. Metode pengumpulan data yaitu dengan melakukan observasi dan wawancara dan dibantu dengna instrument berupa kuesioner. Hasil penelitian ini menyatakan bahwa evaluasi penerapan SIK E-Puskemas dengan metode EUCS mendapatkan hasil yang baik dengan nilai rata-rata jawaban responden memilih pernyataan yang baik terhadap format, accuracy, timeliness, dan ease of use. Namun untuk bagian content,  responden menyatakan bahwa content sering tidak sesuai. Dari hasil penelitian disimpulkan bahwa hasil jawaban responden terhadap SIK E-Puskesmas memiliki hasil yang baik atau positif ditinjau dari evaluasi menggunakan EUCS.
Kata Kunci : Sistem Informasi Kesehatan; E-Puskemas; End User Computing Satisfaction (EUCS)
العلاقة والعوامل المؤثرة ما بين الأحزاب السياسية والديمقراطية
Authors: دخيل محمد , رشيد احمد
Published: October 2024

إن تشكيل المؤسسات السياسية إحدى أهم الأعمدة الأساسية التي يقوم عليها بناء الدولة الحديثة، ويشكل حق الانتخاب العمود الفقري للبناء الديمقراطي، فضلاً عن المبادئ الأخرى التي تستمد أهميتها أساساً من مبدأ الانتخاب، فهي، حقوق الانسان، كحق الترشيح وحق الانتخاب والاستفتاء الشعبي والتصويت العلني ، وتعدد المرشحين وحكم الأغلبية واحترام حقوق الأقليات وحقوق المرأة وحقوق الطفل، المواطنة وحكم القانون والحكم الصالح وعلوية الدستور وسموّه التعددية الحزبية، استقلال القضاء والفصل بين السلطات، والتعاون بين السلطات، والتوزيع العادل للسلطة.
إن بناء ثقافة سياسية وطنية مشاركة قائمة على الديمقراطية واحترام حقوق الانسان ودمج العناصر السكانية، في بوتقة واحدة دون التأثير على الأسس الجوهرية للثقافات الفرعية واحترام حقوق تلك الثقافات وهويتها يُعد مؤشراً أساسياً لتحقيق الوحدة الوطنية وإرساء دعائم حقوق الانسان.
أثر السياق في إيضاح معاني المفردات في تفسير الأمثل
Authors: الفتلاوي محمد , شبلاوي مظفر
Published: October 2024

المعجمات اللغوية هي الملجأ الذي يهرع إليه الدارس لأي لفظة وهو يشكل عليه معناها, وكلمات المعجم لفظة صامتة ثابتة التعريف أهل البينة اللغوية, ويستعان بالمعجم لمعرفة معنى ذلك اللفظ أو السِّياق, ولا نكفي أنّ نعول على المعجم في تعريف الدلالة اللفظية, فهو يمدنا بقرينة لا تغني عن القرينة المقامية, إضافة إلى ذلك ما يسمى بالترادف الكامل بين الألفاظ الترادف التام وغيره من العلاقات الدلالية , ويهدف البحث الى معرفة أثر السياق في إيضاح معاني المفردات في تفسير الأمثل في كتاب الله المنزل , وتأتي أهمية البحث من تأثير السياق في توضيح المعاني للمفردات في تفسير الامثل , وتأتي أيضا من تعطي الكلمات  من المعاني والدلالات بقدر ما يتاح لها من الاستعمالات وكثرة الاستعمال تؤدي إلى خلق كلمات ودلالات جديدة, ويبقى المنبه الذي يبرز أثره في الكشف عن المعنى المراد هو السَّياق .وتكمن مشكلة البحث في السؤال التالي ما هو أثر السياق في إيضاح معاني المفردات في تفسير الأمثل؟ وتوصل البحث الى العديد من النتائج تم تدوينها في نهاية البحث.
التعليــم الحكومي في مدينة النجـــف الأشرف بين 1946 – 1958م
Authors: الابراهيمي حيدر , عبد بنين
Published: October 2024

يعد التعليم من الجوانب الاساسية والمهمة الدالة على تطور ورقي المجتمع في اي بلد كان، تناولت بعض الدراسات الاكاديمية التعليم الحكومي في عموم العراق، وفي بعض مدنه لأهمية الموضوع كونه ركيزة مهمة تدل على مدى بناء اسس صحيحة لمجتمع متطور ومتحضر وواعي ينتج اجيال ذو قدرات عقلية عالية تسهم في تطور المجتمع وبنائه.
وفي دراستنا حاولنا ان نضع صور تفصيلية للواقع التعليمي لمدينة النجف الاشرف خلال المدة (1946-1958).
التطور التاريخي لمطار النجف الأشرف الدولي وعناصر النقل الجوي
Authors: عنوز احمد , حسين اصيل
Published: October 2024

تعد التنمية واحدة من أهم التحديات في المجتمع الحديث التي استحوذت على اهتمام الحكومات والمثقفين والمتخصصين على حد سواء، والتي من خلالها يحاولون الهروب من دائرة التخلف التي يمرون بها، وخاصة في دول العالم الثالث، من أجل الحصول على مستقبل أفضل وتحقيق تطلعاتهم من خلال التخطيط المنظم الذي يستخدم الموارد المادية والبشرية المتوفرة على قدر المستطاع. اذ يمكن إحداث تحول مخطط في طرق العمل والتفكير وإنتاج الأشياء على جميع مستويات المجتمع، بما في ذلك المستوى الدولي والمحلي، من خلال تشجيع التعاون والمشاركة. وتحدثت دراستنا (مطار النجف الاشرف الدولي واثرة في تحقيق التنمية الاجتماعية في مدينة النجف الأشرف للمدة (٢٠١١-٢٠٢١) لتركز على مدى تأثير مطار النجف الاشرف الدولي اقتصادياً واجتماعياً على مدينة النجف الاشرف الدولي وسكانها على الصعيد الخاص.
Campaign Finance Reform and the Social Inequality Paradox
Authors: Dotan Yoav
Published: October 2024

The recent landmark decision by the Supreme Court in McConnell v. FEC opens the way for new and more decisive regulation of the vast amounts of private and corporate money poured into the political system. However, the theoretical grounds for campaign finance regulation - as reflected in the Court's opinion - remain highly perplexing. The purpose of the current article is to tie together the evolving constitutional principle of equality in election with modern process theory and to apply them to the field of campaign finance. The inherent tension between the stringent requirement for political equality on the one hand and the reality of market inequalities on the other is a central characteristic of liberal democracy. I argue that this tension can best be explained and resolved by the idea of democratic partnership. That is, by the idea that while in liberal democracy the existence of economic inequality is justified on grounds of efficiency, such justification holds only if economic inequalities are subject to the continuing possibility of correction through redistribution of wealth, which should take place as part of the political process under conditions of equality. This analysis reveals that there is a certain paradox in the current campaign finance doctrine. While, according to the fundamental principles of liberal democracy market inequalities should be corrected through the functioning of the political distributive process-under conditions of equality according to the current doctrine of the Supreme Court, these same market inequalities are allowed to interfere and distort this very process of correction. I call this paradox the social inequality paradox. Because it is the role of the judiciary in liberal democracy to ensure the viability and competitiveness of the democratic process, I argue that it is also the role of the courts to intervene and resolve the social inequality paradox in the field of campaign finance.
Foster Care Placement: Reducing the Risk of Sibling Incest
Authors: Herring David
Published: October 2024

The Westermarck theory maintains that incest avoidance arises from the physical proximity of siblings during a critical period of early childhood. This proximity gives rise to an inhibiting effect on post childhood sexual interest. Two recent studies of sibling relationships have verified and refined the Westermarck theory, indicating that the critical period extends through the first four years of childhood. The theory and the studies have implications for child welfare laws, policies and practices surrounding the placement of siblings in foster care. Namely, the findings provide powerful reasons for placing siblings together during the critical period in order to minimize the risk of post childhood sibling incest. Although public child welfare systems currently recognize the value and benefits of placing siblings together, these systems fail miserably in this area because of a lack of resources. By focusing on children in the critical period of development, resource-poor public systems can marshal their will and target their resources to actually place this discrete group of siblings together, avoid increasing the risk of post childhood sibling incest, and realize all the benefits of maintaining sibling relationships.
A Whole New Game: Recognizing the Changing Complexion of Indian Gaming by Removing the "Governor's Veto" for Gaming on "After-Acquired Lands"
Authors: McClatchey Brian
Published: October 2024

The recent explosive growth of the Indian gaming industry and judicial decisions analyzing a portion of the governing statute point to an inherent flaw in the mechanism provided by the Indian Gaming Regulatory Act (IGRA) for the establishment of off-reservation gaming enterprises. This Note argues for a reform of the so-called "after-acquired lands" provision of IGRA, which would remove the governor's concurrence requirement and place the decision to allow Indian gaming off-reservation into the negotiating process between states and tribes, as another term to be negotiated between sovereigns. Such a reform would allow states and tribes alike to extract their best possible respective deals, while at the same time ensuring maximum respect for state and tribal sovereignty. The Note concludes by proposing statutory language to accomplish this task.
Analisis Ketepatan Resep Obat Berdasarkan Formularium Nasional pada Pasien Rawat Jalan Rumah Sakit Umum Pelaihari
Authors: Rahmah Aulia , Pratiwi Desy , Putri Indah Pebriani , Mulia Radha Eka , Sari Okta Muthia , Rahmatullah Satrio Wibowo , Setiawan Deni , Apriyanti Anna
Published: October 2024

Formularium Nasional berfungsi sebagai alat pengendalian kualitas penggunaan obat di fasilitas kesehatan. Sesuai dengan Indikator Mutu Nasional Pelayanan Rumah Sakit, peresepan obat harus berpedoman pada Formularium Nasional, yang terus diperbarui, termasuk terbitnya edisi tahun 2020. Penelitian ini bertujuan untuk menghitung persentase ketepatan resep obat berdasarkan restriksi dalam Formularium Nasional 2020 pada pasien rawat jalan. Penelitian ini menggunakan metode retrospektif yang dilakukan di Rumah Sakit Umum Pelaihari. Populasi penelitian mencakup semua resep obat rawat jalan yang dikeluarkan selama bulan Oktober 2022 dan memenuhi kriteria inklusi. Analisis ketepatan resep dilakukan dengan mengacu pada Formularium Nasional 2020. Hasil penelitian menunjukkan bahwa 80,91% resep obat yang diresepkan telah sesuai dengan Formularium Nasional 2020. Tingkat ketepatan peresepan obat berdasarkan restriksi Formularium Nasional 2020 rata-rata sebesar 99,79%, dengan ketepatan restriksi indikasi sebesar 99,84%, dan ketepatan berdasarkan kewenangan dokter yang meresepkan sebesar 99,75%.
Formulasi Dan Uji Mutu Fisik Dari Granul Effervescent Ekstrak Daun Salam (Syzyginum Polyanthum)
Authors: Dewi Ni Luh Samila , Suradnyana I Gede Made , Juliadi Debby
Published: October 2024

Daun salam merupakan salah satu tanaman yang memiliki manfaat sebagai obat tradisional, berperan sebagai antioksidan dengan kandungan flavonoid. Pengolahannya yang masih sangat sederhana berdampak pada singkatnya daya simpan ramuan tersebut. Salah satu alternatif untuk mencegah hal tersebut yaitu memformulasikan ekstrak daun salam menjadi sediaan granul effervescent, yang memberikan rasa lebih nyaman dengan kosentrasi zat aktif dengan jumlah yang besar. Penelitian ini bertujuan untuk mengetahui perbedaan mutu fisik sediaan granul effervescent dengan variasi garam effervescent dan untuk mengetahui konsentrasi asam dan basa yang menghasilkan granul effervescent ekstrak daun salam dengan mutu fisik yang baik. Dalam 3 formula sediaan granul effervescent variasi konsentrasi asam dan basa (asam sitrat, asam tartrat, dan natrium bikarbonat) beturut-turut adalah F1 sebesar 9,4%; 18,7%; 27%, F2 sebesar 8,6%; 17,2%; 29%, dan F3 sebesar 7,9%;15,8%;31%. Evaluasi mutu fisik sediaan granul effervescent meliputi organoleptis, kecepatan alir, sudut diam, waktu disperse, pH, dan kadar air. Data kuantitatif dianalisis dengan uji One Way Anova untuk mengetahui perbedaan mutu fisik terhadap ketiga formula sediaan granul effervescent. Berdasarkan hasil uji mutu fisik diperoleh ketiga formula granul berwarna putih kehijauan, bau khas ekstrak daun salam, dan bentuk granul dengan kecepatan alir 10 g/detik, sudut diam pada rentang 31 -35°, waktu dispersi < 5 menit, pH pada rentang 5 -6, dan kadar air < 5 menit. Hasil pengujian One Way Anova didapatkan ketiga formula dengan variasi garam effervescent memiliki mutu fisik berbeda, dan konsentrasi asam basa yang menghasilkan mutu fisik yang baik yaitu F1 dan F3.
Fort Davis National Historic Site: Geologic resources inventory report
Authors: Harrington Matthew , Harrington Matthew
Published: October 2024

Geologic Resources Inventory reports provide information and resources to help park managers make decisions for visitor safety, planning and protection of infrastructure, and preservation of natural and cultural resources. Information in GRI reports may also be useful for interpretation. This report synthesizes discussions from a scoping meeting held in 2008 and a follow-up conference call in 2023. Chapters of this report discuss the geologic heritage, geologic history, geologic features and processes, and geologic resource management issues of Fort Davis National Historic Site. Guidance for resource management and information about the previously completed GRI GIS data and poster (separate products) are also provided.
SMART LIVING AND QUALITY OF LIFE: DOMAINS AND INDICATORS
Authors: KAY SMITH Melanie , CHANG Songling , MICHALKÓ Gábor
Published: October 2024

It has been suggested that smart living is the most important domain of a smart city and many studies propose that it is synonymous with resident quality of life. The main aims of this research were to understand better residents’ perceptions of quality of life issues and priorities in smart cities. The study (re)defines smart living using domains and indicators that were carefully selected from a systematic literature review, close analysis of previous studies and their methodologies, and a pilot test of a questionnaire in Budapest, Hungary. The research is considered timely because of Budapest’s relatively low performance in quality of life rankings in Europe and the lack of data on the needs of citizens. The main domains of smart living and their relevant indicators include housing, health, safety, education, environment, social cohesion, leisure, culture and tourism. Overall, the research aims to assist urban researchers and city agencies in the development of indicators of smart living when measuring resident quality of life. The results could be applicable to other post-socialist cities which have followed similar trajectories to Budapest, but the results are useful for almost any city that hopes to enhance quality of life by prioritising smart living.
UNDERSTANDING THE MULTI-DIMENSIONAL NATURE OF CULTURAL IDENTITY IN HISTORIC URBAN LANDSCAPES: A STUDY OF JIAXIULOU IN GUIYANG, CHINA
Authors: LINFEN Shi , WANYI Yang , UJANG Norsidah
Published: October 2024

The conservation and sustainable development of historic urban landscapes (HUL) are imperative in the face of rapid urbanization. This study, based on Jiaxiulou in Guiyang City, China, examines the dimensions of cultural identity (CI) in HUL. Using a mixed qualitative and quantitative approach, a three-dimensional model of CI is validated, comprising cognitive, emotional, and behavioral aspects. Results show that while cognitive understanding of HUL is essential, it alone does not directly influence residents' emotions and behaviors. Pride in cultural heritage emerge as significant drivers of CI, impacting residents' perceptions and behaviors. Conversation behavior is identified as a primary expression of CI. Recommendations are proposed to integrate local values into urban planning, enhance public participation, and provide diverse cultural activities for residents, highlighting the importance of social engagement in shaping CI. This study contributes to understanding the complexity of CI and its role in HUL conservation and sustainable development.
ROMA GHETTOIZED URBAN STRUCTURES: A BIBLIOMETRIC ANALYSIS
Authors: ILIEVA Nadezhda , VARADZHAKOVA Desislava
Published: October 2024

Roma is the largest minority in Europe and the problems considering its segregation have to be investigated. The main goal of the present paper is to realize a bibliometric analysis which is going to find the primary authors who contributed to the topic of Roma segregation and the ghettoized urban structures, their interactions with one another based on factors such as their affiliation with the research organization, country, the most cited publications, etc. The bibliometric analysis is based on Scopus database. 265 selected documents published between January 1999 and December 2023 are analysed. The papers of researchers from United Kingdom, Hungary and Romania are most cited. The results of the co-occurrence analysis show that logically the word “Roma” is the keyword with the greatest total link strength. The results of the analyses also give an insight into the collaboration between the main researchers, scientific organizations, and countries.
Faktor-Faktor yang Berhubungan dengan Pengetahuan Ibu Tentang Kejadian ISPA pada Balita
Authors: Anggraini Nofa , Setiawan Agus
Published: October 2024

Berdasarkan prevalensi ISPA tahun 2016 di Indonesia telah mencapai 25% dengan rentang kejadian yaitu sekitar 17,5%-41,4% dengan 16 provinsi diantaranya mempunyai prevalensi diatas angka nasional. Untuk mengetahui faktor-faktor yang berhubungan Dengan pengetahuan ibu tentang kejadian ispa pada balita di Puskesmas Malaka Jaya Tahun 2018. Penelitian ini bersifat analitik dengan pedekatan bersifat cross sectional yaitu, dengan model pendekatan atau pengukuran variabel pada saat yang sama dan pengumpulan serta pengambilan data dilakukan hanya sekali, dengan variabel dependennya adalah pengetahuan dan variabel independennya meliputi pendidikan, sosial ekonomi, dan sumber informasi. Berdasarkan hasil penelitian menunjukan bahwa adanya hubungan pendidikan terhadap pengetahuan ibu tentang kejadian ispa pada balita dengan nilai p value 0,029 ( p < 0,05 ), adanya hubungan sosial ekonomi dengan pengetahuan ibu tentang kejadian ispa pada balita dengan nilai p value 0,030 ( p < 0,05 ), dan adanya hubungan sumber informasi dengan pengetahuan ibu tentang kejadian ispa pada balita dengan nilai p value 0,031 ( p < 0,05 ). Berdasarkan hasil penelitian tentang “faktor-faktor yang berhubungan Dengan pengetahuan ibu tentang kejadian ispa pada balita maka diperoleh kesimpulan bahwa ada hubungan antara pengetahuan ibu tentang kejadian ispa pada balita di Puskesmas Malaka Jaya. Disarankan bagi pelayanan kesehatan Puskesmas Malaka Jaya untuk mengingatkan kembali kepada orang tua khususnya yang membawa balita ke Puskesmas untuk melengkapi imunisasi dasar guna mencegah terjadinya penyakit ISPA.
On the stability of rotation in an environment with resistance of a free system of two rigid bodies connected by an elastic Hook joint
Authors: Kononov Yuriy
Published: October 2024

Based on the known equations of P.V. Kharlamov on the motion of a system of connected rigid bodies obtained the equation of rotation in a medium with the resistance of a free system of two Lagrangian gyroscopes connected by an elastic Hook hinge. The characteristic equation of the fourth order with one zero root is written. On the basis of the Lennard-Schypar criterion in the innor form, the necessary conditions for the asymptotic stability of uniform rotation of Lagrangian gyroscopes in the form of a system of two inequalities are obtained. Analytical studies of them have been carried out. It is shown that the necessary conditions of asymptotic stability will always be fulfilled when the coefficient of elasticity of the hinge or the angular speed of rotation increases. A comparison of the influence of the elastic spherical joint and Hooke's joint on stability conditions was carried out. The impossibility of modeling Hooke's elastic joint with an elastic spherical joint is shown.
On the stability of rotation in an environment with resistance of a suspended Lagrange gyroscope taking into account the elasticity of spherical joints
Authors: Kononov Yuriy , Nesmelova Olga , Svyatenko Yaroslav
Published: October 2024

Based on the known equations of P.V. Kharlamov, the problem of stability of uniform rotations in a medium with resistance of a Lagrangian gyroscope on a suspension is considered, taking into account the elasticity of spherical joints, mass and inertial characteristics of the suspension and constant moments in inertial and non-inertial reference systems. The conditions of asymptotic stability of uniform rotations were obtained and analytical studies of the influence of the elasticity of hinges, mass and inertial characteristics of the suspension on the conditions of stability were carried out. The cases of the absence of one or the second constant moment and the case of the revival of the suspension in the string are considered. In the absence of a constant moment in the inertial frame of reference, it is shown that as the elasticity in the joints increases, asymptotic stability will always be possible at any angular velocity and at any parameters of the mechanical system. The obtained conditions are compared with stability conditions in the absence of dissipation.
Evolution of motions in a resistive medium of a body with a movable mass
Authors: Leshchenko Dmytro , Rachinskaya Alla
Published: October 2024

The problem of a rigid body motion about a fixed point is one of the classical problems of mechanics. The interest in the problem of the rigid body dynamics has increased in the second half of the XX century in connection with the development or rocket and space technologies. The study of the motion of a satellite about center of mass is important for creating systems of orientation control, stabilization of motion and for solving the practical problems of astronautics. The paper develops an approximate solution by means of an averaging method for the motion in a resistive medium of a nearly dynamically spherical rigid body containing a viscoelastic element. The numerical integration of the averaged system of equations is conducted for the body motion. The graphical presentations of the solutions are represented and discussed. We received the system of motion equations in standard form, which refined in square approximation by small parameter. The asymptotic approach permits to obtain some qualitative results and to describe evolution of rigid body motion using simplified averaged equations and numerical solution. The paper can be considered as mainstreaming of previous works for the problem of rigid body motion under the action of small torques (cavity filled with a fluid of high viscosity, moving mass, constant body-fixed torques). The advantage of this work is in receiving the original asymptotic and numerical calculations, as well as solutions that describe the evolution of rigid body motion with a moving mass in a resistive medium over an infinite time interval with an asymptotically small error. The paper presents a contribution in the problems of spacecraft motion, and the activities of crew members about the vehicles. The importance of the results is in the moving mass control, and the motions of spinning projectiles.
Challenges in the Management of Pulmonary Contusion with Multiple Rib Fractures and Associated Injuries: A Case Report
Authors: Kahar Liliriawati Ananta
Published: October 2024

Background: Pulmonary contusion, a common consequence of chest trauma, presents significant management challenges, especially when associated with multiple rib fractures and other injuries. These cases often require intensive care due to the high risk of complications and mortality. This report presents a case of a patient with pulmonary contusion, multiple rib fractures, and cerebral contusion to illustrate the complexities involved in managing such cases.
Case Presentation: A 44-year-old male was admitted to the intensive care unit (ICU) following a motor vehicle accident. He presented with decreased consciousness, multiple rib fractures, severe lung contusion, and cerebral edema. The patient's condition was further complicated by the development of respiratory distress and hemodynamic instability.
Conclusions: The management of pulmonary contusion with multiple rib fractures and associated injuries requires a multidisciplinary approach with careful attention to respiratory support, hemodynamic management, pain control, and early intervention for complications.
Design of a Virtual Laboratory for Secondary Schools
Authors: Nkwande Maganga John , Mwisomba Candida , Karawa Cuthbert , Salawa Joseph Sospeter
Published: October 2024

This Virtual physics laboratory is an important instrument used in science, engineering, and technology courses to improve learning and understanding of many theoretical topics. This study proposes the introduction of a Virtual lab and need for a Virtual lab as an alternate tool in place of the physical lab for learning and understanding. The report examined developed virtual labs, compared the physical lab to the virtual lab, and justified the need for virtual lab adoption. Virtual labs are interactive simulators that use frontend and backend technology. Through the development of a virtual laboratory, this initiative seeks to transform the teaching of physics in secondary schools. The virtual laboratory gives students an immersive environment to conduct experiments, illustrate concepts, and investigate physical phenomena by getting over resource constraints and safety concerns. The lab provides lifelike simulations of mechanics, electricity, magnetism, and optics by utilizing technologies like virtual reality and simulation software. Features like adjustable parameters and instant feedback enhance student engagement and learning. Through user testing and feedback iterations, the laboratory is refined to align with educational objectives. Evaluation metrics assess its effectiveness in improving student understanding, retention, and overall learning outcomes. By democratizing physics education, this project empowers students worldwide to explore the wonders of the physical world in a dynamic digital environment, transforming physics instruction along the way
Identifying COVID-19 Fake News on Social Networks Using Deep Learning: You will not know what happens next!
Authors: Kar Pushpendu , Wang Zhongyi
Published: October 2024

Fake News has long been an influential source of information on social media, misleading people and causing unpredictable consequences, especially in the COVID-19 era when the spread of Fake News has been amplified. There is a need to develop a platform that can detect Fake News on social platforms. With the development of Natural Language Processing (NLP) and Deep Learning, the detection of misleading information is becoming a reality. In this paper, we propose a feasible optimization scheme that combines and optimizes NLP and Deep Learning to improve the accuracy of Fake News detection. Our model achieves a hit rate of up to 95.3% compared to state-of-the-art techniques. In the proposed system, a GUI-based interface is also designed and developed to facilitate news detection.
PENGELOLAAN KEUANGAN DAN DAMPAKNYA TERHADAP KEBERLANJUTAN USAHA MIKRO, KECIL, DAN MENENGAH DI KABUPATEN SEMARANG (Studi Kasus pada Toko Wahana Parfum Karangjati)
Authors: Zai Miryam Menila , Widagdo Chrisostomus Susmono
Published: October 2024

The purpose of this research is to examine the complexities of financial management and their impact on the survival of micro, small, and medium-sized enterprises (UMKM) in Semarang district, with special emphasis on Wahana Parfum Shop in Karangjati. Although UMKM continues to flourish in Semarang district, many are facing obstacles in managing their finances effectively, as only a small fraction are active and skilled to manage their financial affairs. Conversations with business owners have found that the main challenge lies in their lack of understanding of the benefits of financial statements and incomplete financial controls. Besides, perfume entrepreneurs show a lack of confidence when comparing financial plans to real life circumstances. It underscores the need to overcome gaps in financial literacy and financial management to improve the performance and resilience of SMEs in the region. Recommendations include offering training and education to enhance understanding of financial management, maximize the use of business control, and cultivate a deeper understanding of the principles of finance management.
ANALISIS KEPUASAN TAMU: Kualitas Pelayanan Dan Fasilitas Pada D’Senopati Malioboro Grand Hotel Yogyakarta
Authors: Nurlaili Septi , Wijoyo Tuwuh Adhistyo
Published: October 2024

This study intends to look at how the D'Senopati Malioboro Grand Hotel Yogyakarta's amenities and level of service affect visitors' happiness. Using a sample of 92 respondents, multiple linear regression analysis was used in the research methodology. Guest satisfaction is positively and significantly impacted by the quality of the facilities and services, according to the analysis's findings. It's interesting to note that the degree of client pleasure is more influenced by service quality than by facilities. This discovery could lead to talks about investments and resource allocation in the hotel sector, with a focus on raising service quality. The investigation also emphasizes the significance of favorable reactions to facilities and the difficulties associated with correct information provided by staff members. The research's practical implications offer a strong basis for hotel management to develop a comprehensive plan aimed at maximizing visitor satisfaction through improved amenities and service standards.
ANALISIS KELAYAKAN HARGA JUAL DALAM PERSAINGAN PASAR PRODUK SYNTHETIC THICKENER
Authors: Putri Dyah Puspitasari Sunaryo , Dewanti Rully Nur
Published: October 2024

This study aims to analyze the feasibility of the selling price of synthetic thickener products in tight market competition based on financial aspects of Net Present Value (NPV), Benefit Cost Ratio (BCR), and Profitability Index (PI) with three price levels from the price range requested by customers. The research was conducted using a qualitative research method with five stages, namely 1) defining the problem, 2) identifying each alternative, 3) analyzing the feasibility of the selling price with a three-level price scenario, 4) conducting a comparative analysis and 5) recommending the decision given. The results of the research with the NPV, PI and BCR methods are not feasible for price as well as level 1 and feasible for selling prices 2 and 3.
MODEL OPTIMALISASI CUSTOMER RELATIONSHIP MANAGEMENT DALAM MENINGKATKAN UNIT ENTRY
Authors: Avia Muhammad Dusthin Putra , Raharja Sam’un Jaja , Muftiadi R. Anang
Published: October 2024

This project aims to increase the number of unit entries at OtoXpert Karawang operated by Auto2000 through the optimization of the Customer Relationship Management (CRM) model. The method used in this project is applied research with a qualitative and quantitative approach. Data were collected through interviews, observations, and analysis of relevant documents. The project results show that the implementation of the optimized CRM model can increase the number of inquiries, boost the number of customers making bookings, and optimize the digital marketing process. Strategies such as the use of digital advertising (Meta Ads), optimization of social media content, and the implementation of Flow Charts and SOPs for booking conversion and post-service follow-up, have significantly increased the number of unit entries at OtoXpert Karawang. The conclusion of this project is that the optimization of the CRM model implemented at OtoXpert Karawang successfully enhances the performance of customer relations contributions to unit entry. Recommendations are provided to continuously improve and develop CRM strategies to achieve more optimal results in the future.
TINJAUAN LITERATUR: Pendidikan Entrepreneur Mahasiswa
Authors: Praditya Alvin , Pamungkas Ibrahim Bali , Rodiyana Nanda
Published: October 2024

The purpose of this research is to identify and direct efforts needed to enhance the role of higher education institutions in entrepreneurship education. The method for searching data sources for articles was conducted through the GARUDA database (2019-2023) to retrieve relevant articles published in Bahasa Indonesia. Terms and key phrases related to student entrepreneurs were reviewed through abstracts or texts of research journals before being included in the review according to criteria. Based on the analysis of the literature review, there were 59 relevant journals found. The review results indicate that by implementing relevant curriculum provision steps, business incubators and startup accelerators, entrepreneurship skills training, collaboration with industries, funding support, entrepreneurship mindset development, and coaching and mentoring programs, universities are expected to play a more effective role in preparing students to become successful entrepreneurs. This, in turn, will contribute to economic growth, job creation, and achieving Indonesia's vision as a developed country by 2045.
PENGARUH REWARD AND PUNISHMENT TERHADAP KINERJA KARYAWAN ALFAMIDI KABUPATEN TANA TORAJA
Authors: Pasilong Seprianto Ebsan Arruan , Pagiu Chrismesi , Pundissing Rati
Published: October 2024

The purpose of this research is to analyze the influence of Reward and Punishment on the performance of employees at Alfamidi in Tana Toraja Regency both partially and simultaneously. The data collection procedures in this study are observation, questionnaires, and documentation. The method used in this research is a Quantitative Method utilizing Multiple Linear Regression analysis processed using SPSS 21. This research was conducted in three branches of Alfamidi located in Tana Toraja Regency, namely Alfamidi Pongtiku, Alfamidi Tritura, and Alfamidi Rukka A. Lolo, with a total population of 33 and a sample of 33 respondents. The sampling technique used by the researcher is purposive sampling. The results of the t-test calculations on the Reward variable showed t count > t table with a value of (4.457) > (2.042) and on the Punishment variable, t count > t table with a value of (4.657) > (2.042). The conclusion of this study is that Reward and Punishment have an influence on Employee Performance at Alfamidi in Tana Toraja Regency both partially and simultaneously.