bluuebunny/crossref_metadata_2025 huggingface dataset:
The risk factors of the functional status, quality of life, and family psychological status in children with postintensive care syndrome
Authors: Yuliarto Saptadi , Kadafi Kurniawan Taufik , Fauziah Sri , Khalasha Takhta , Susanto William Prayogo
Published: September 2022

Background:

Intensive care treatment has a side effect of several impairments after hospital discharge, known as postintensive care syndrome (PICS). PICS in children must be well evaluated because PICS can affect their global development and quality of life. Our specific aims are to determine the impact of intensive care treatment and the risk factors which contribute to PICS.

Methods:

In this observational cohort study, we identified critically ill children treated in intensive care units (ICUs) for more than 24 h and survived. We evaluated the internal and external risk factors of the patients in the intensive care. We interviewed their parents to define the functional status and quality of life of the patients in 7 days before ICU admission and the psychological status of the family at the time of intensive care admission. The interview was repeated in 3 months after the intensive care discharge.

Results:

There was a significant decrease in functional status and quality of life after intensive care treatment (P < 0.001). However, none of the internal risk factors were significantly associated with PICS. Neurologic involvement in the disease was associated with the significantly reduced functional status of patients, while the severity of the disease was significantly associated with both functional status and quality of life. Our study also showed a significant psychological disorder of the family in the intensive care.

Conclusion:

The occurrence of PICS in children was associated with the severity of the disease, decreased the functional status and quality of life, and contributed to psychological disorders for the family.
Malignant transformation of chronic osteomyelitis of mandible: A rare presentation
Authors: Khan Saba , Dhakad Pooja S. , Agwani Khalid M. , Saradhara Dhyey K.
Published: September 2022

Chronic osteomyelitis is a bone disease that is characterized by inflammatory processes, including necrosis of mineralized and marrow tissues, suppuration, resorption, sclerosis, and hyperplasia. The primary cause of chronic osteomyelitis is usually microbiologic, and it results from an odontogenic infection, postextraction complication, inadequate removal of necrotic bone, early termination of antibiotic therapy, inappropriate selection of antibiotics, diagnostic failure, trauma, inadequate treatment for a fracture, or irradiation to the mandible. The incidence of malignant transformation of chronic osteomyelitis in the head and neck region is very low and rare in developed countries. This is the first case report on the malignant transformation of chronic osteomyelitis of the mandible which discusses its etiopathogenesis and radiographic imaging.
Awareness and Utilization of Unani Medicine Among the Adult Population from East Delhi
Authors: Khan Asim Ali , Janardhanan Rajiv , Kishore Jugal , Awasthi Aanchal Anant , Parveen Shagufta , Saeed Shazina , Shannawaz Mohammad , Selvamurthy William
Published: September 2022

Objectives:

To assess the awareness, practice, and utilization pattern of Unani medicine among the general population of Trilokpuri, East Delhi.

Materials and Methods:

A cross-sectional, observational descriptive survey was conducted in New Delhi using pretested, predesigned, and structured questionnaire to assess the awareness and utilization pattern of Unani medicine on a sample size of 100 subjects.

Result:

Out of 100 subjects, 60% were males and 40% were females with mean age 38.96 ± 9.12 years, ranged between 18 and 65 years. The awareness about Unani medicine was found in 67% of adopted population, while 57% population among them preferred Unani system of medicine as a mode of treatment. Unani is preferred because of minimal side effects associated as reported by 47% users. On the other hand, among nonuser (n = 29), 48% population do not prefer Unani medicine because of its slow action. Very few (2.6%) users adopted Unani medicine exclusively, while most of them preferred Unani as an adjuvant with allopathic. Unani medicine is preferred mainly for the management of musculoskeletal disorders (35%), followed by GIT disorders (19%) and their related disorders.

Conclusion:

The awareness level regarding Unani medicine is good rather utilization of is relatively lower as compared to modern system of medicine. There is a need and scope for promotion of health education as well as improvement in the people's attitude towards Unani system of medicine.
A Guide to Direct (Peri)ocular Injuries Caused by Snakes: Systematic Review and Treatment Advice
Authors: Jalink Maarten B. , Wisse Robert P. L.
Published: September 2022

Ocular injuries caused by snakes are very rare, but damage can be severe. There is little evidence on the effective treatment of these injuries. The aim of this systematic review is to discuss all available literature and summarize existing experiences in a treatment advice. In January 2022, a search was performed in the PubMed database. Penetrative trauma by venomous snakebites constitute the most severe cases, and can require the evisceration of the eye. Nonvenomous snakes, mostly boas and pythons held in captivity, are also able to perforate the eye, though with a more favorable disease course. Chemical trauma by inoculation of venom occurs as well, and copious irrigation is advised in these cases. Detailed suggestions for ophthalmologic treatment are presented.
Estimation of the Minimal Rift Valley Fever Virus Protective Neutralizing Antibody Titer in Human Volunteers Immunized with MP-12 Vaccine Based on Protection in a Mouse Model of Disease
Authors: Watts Douglas M. , Westover Jonna L.B. , Palermo Pedro M. , Bailey Kevin W. , Morrill John C. , Bettinger George E. , Monath Thomas P. , Smith Darci R. , Peters Clarence J. , Pittman Phillip R. , Orbegozo Jeanette , Gowen Brian B.
Published: September 2022

The Rift Valley fever virus (RVFV) MP-12 vaccine is a promising human and veterinary vaccine. Although the vaccine elicited neutralizing antibody (nAb) in human volunteers, the minimal antibody titer that is needed to afford protection is unknown. Therefore, this study was conducted to determine the minimal nAb titer elicited by the RVFV MP-12 vaccine in human volunteers that protected mice against lethal RVFV challenge as a surrogate assessment of the protective efficacy of the vaccine. Among volunteers who were vaccinated with the MP-12 vaccine during a phase II trial, sera with antibody titers of 1:20 collected 5 years post-vaccination (PV), 1:40 titer collected 2 years PV, and 1:80 titer collected 1 year PV was passively transferred to groups of BALB/c mice. Blood samples were obtained 1 day after passive transfer to determine the RVFV neutralizing nAb titer before challenge with pathogenic RVFV (strain ZH501). Our results indicated that 1 day after passive transfer of the immune sera, an approximate 4-fold reduction in circulating nAb titers was detected in the mice. The presence of RVFV nAb titers in the range of 1:5 to 1:20 were generally protective (75–100% survival). These results suggested that circulating titers of 1:5 or higher offer a high degree of protection by MP-12-elicited antibody in human volunteers. Also, the findings highlighted the value of using the BALB/c mouse RVFV challenge model as a surrogate for evaluating the protective nAb responses elicited by MP-12 and possible use for evaluating the efficacy of other RVFV vaccine candidates.
The Theory of Universal Graphs for Infinite Duration Games
Authors: Colcombet Thomas , Fijalkow Nathanaël , Gawrychowski Paweł , Ohlmann Pierre
Published: September 2022

We introduce the notion of universal graphs as a tool for constructing
algorithms solving games of infinite duration such as parity games and mean
payoff games. In the first part we develop the theory of universal graphs, with
two goals: showing an equivalence and normalisation result between different
recently introduced related models, and constructing generic value iteration
algorithms for any positionally determined objective. In the second part we
give four applications: to parity games, to mean payoff games, to a disjunction
between a parity and a mean payoff objective, and to disjunctions of several
mean payoff objectives. For each of these four cases we construct algorithms
achieving or improving over the best known time and space complexity.
Distributed Asynchronous Games With Causal Memory are Undecidable
Authors: Gimbert Hugo
Published: September 2022

We show the undecidability of the distributed control problem when the plant
is an asynchronous automaton, the controllers use causal memory and the goal of
the controllers is to put each process in a local accepting state.
Minimality Notions via Factorization Systems and Examples
Authors: Wißmann Thorsten
Published: September 2022

For the minimization of state-based systems (i.e. the reduction of the number
of states while retaining the system's semantics), there are two obvious
aspects: removing unnecessary states of the system and merging redundant states
in the system. In the present article, we relate the two minimization aspects
on coalgebras by defining an abstract notion of minimality.
The abstract notions minimality and minimization live in a general category
with a factorization system. We will find criteria on the category that ensure
uniqueness, existence, and functoriality of the minimization aspects. The
proofs of these results instantiate to those for reachability and observability
minimization in the standard coalgebra literature. Finally, we will see how the
two aspects of minimization interact and under which criteria they can be
sequenced in any order, like in automata minimization.
An Effective Load Management for Grid Connected Hybrid Energy Sources
Authors: Laxmi Ch. , Kumar Narendra , Khadanga Rajendra Kumar
Published: September 2022

This paper introduces to control a standalone hybrid renewable system, involving PV cell and wind turbines as the primary energy sources along with fuel cell and battery energy source as an emotionally supportive system. While trying to work on the solidness and security of the hybrid renewable system sustainable framework, a battery bank, is incorporated as supporting units, due to the discontinuous and fluctuation in primary energy sources commitment. In this paper we model an independent sustainable source micro grid with various sources, which are wind energy with PMSG, PV panel, Fuel cell and battery storage system. Analysis of each source is done under variation conditions and variation of source parameters, such as wind speed of wind turbine, illumination, temperature of PV cell and state of charge of the battery. If main power sources of PV panel and wind turbines is not available, the battery storage device act as backup supply for load. This storage source (battery) can be charged when abundance power is produced from the PV panel and wind generation system. Investigation on each sources with dynamic changes of boundaries are studied with siumulation results analysis is studied by utilizing MATLAB/ SIMULINK software.
A phased, chromosome-scale genome of ‘Honeycrisp’ apple (Malus domestica)
Authors: Khan Awais , Carey Sarah B. , Serrano Alicia , Zhang Huiting , Hargarten Heidi , Hale Haley , Harkess Alex , Honaas Loren
Published: September 2022

The apple cultivar ‘Honeycrisp’ has superior fruit quality traits, cold hardiness, and disease resistance, making it a popular breeding parent. However, it suffers from several physiological disorders, production, and postharvest issues. Despite several available apple genome sequences, understanding of the genetic mechanisms underlying cultivar-specific traits remains lacking. Here, we present a highly contiguous, fully phased, chromosome-level genome of ‘Honeycrisp’ apples, using PacBio HiFi, Omni-C, and Illumina sequencing platforms, with two assembled haplomes of 674 Mbp and 660 Mbp, and contig N50 values of 32.8 Mbp and 31.6 Mbp, respectively. Overall, 47,563 and 48,655 protein-coding genes were annotated from each haplome, capturing 96.8–97.4% complete BUSCOs in the eudicot database. Gene family analysis reveals most ‘Honeycrisp’ genes are assigned into orthogroups shared with other genomes, with 121 ‘Honeycrisp’-specific orthogroups. This resource is valuable for understanding the genetic basis of important traits in apples and related Rosaceae species to enhance breeding efforts.
Career and continuing professional development opportunities for global pharmacists as educators
Authors: Bleidt Barry A. , Doshi Mansi , Abourashed Ehab A. , Azzopardi Lilian M. , Upmanyu Neeraj
Published: September 2022

The educator and career development team of the academic section of the International Pharmaceutical Federation (FIP) is working on one of the five goals of the strategic plan. The team are initiating a needs assessment to determine how many pharmacists have a desire to expand their careers into the academic setting. Additionally, the team want to discover what types of training they feel would be useful in entering this field. This article describes the process used to develop the instrument to gather this important information.
Steps forward for the International Pharmaceutical Federation (FIP) Academic Pharmacy Section: President’s message
Authors: Tofade Toyin , Arakawa Naoko
Published: September 2022

Academic Pharmacy Section (AcPS) of the International Pharmaceutical Federation (FIP) has a strong strategic implementation plan already in place. The Executive Committee (ExCo) determined ways forward by reviewing some key documents and conducting an environmental scan on higher education and the future of Pharmacy. In a retreat in April 2022, using a World Café method, the ExCo received valuable input regarding the identity of the organisation, who the members are, what has been accomplished in the section and an assessment of the sections strengths, weaknesses, and opportunities. This has culminated in the evolution of the section's mission, vision, and strategic implementation plan to incorporate additional and restructured objectives and goals. This manuscript presents novel direction to this section and an opportunity to reflect on the vision of the ExCo from the 2022 retreat.
Impact of collaborative health education and leadership programme on pharmacy education in Zimbabwe
Authors: Manyau Maudy , Tagwireyi Dexter , Mangezi Walter , Matyanga Celia MJ , Dzingirai Blessing , Monera-Penduka Tsitsi G
Published: September 2022

To ameliorate the impact of brain drain on quality of education at the University of Zimbabwe, the Health Education Advanced Leadership in Zimbabwe (HEALZ) programme was implemented in 2012. The authors present a retrospective narrative review of the pharmacy educators’ activities under the programme, and the impact on pharmacy education. Five pharmacy educators were enrolled into the one-year programme between 2016 and 2020. The programme consisted of three intensive one-week face-to-face sessions focused on health professions education. In between the sessions, the educators conducted needs’ assessments to establish gaps in pharmacy training and developed curricula in the areas of herbal medicine, snakebites, drug-herb interactions, oncology, and health economics. Thereafter, they delivered seven conference abstracts and nine continuing professional development training sessions. The pharmacy educators are now working on transferring the HEALZ programme to the two new pharmacy training institutions, to strengthen the pharmacy education workforce across the country.
Secure Distress Alarm System for Radiation Facility
Authors: Ghosh Ronie Adhiraaj
Published: September 2022

In the world of today Security has become an element of prime importance. From banks to shopping centers, from dockyards to scientific laboratories, from schools to religious places, it is very important to maintain security. Real world threats of all kind are constantly in look out to gain access to places of prime importance to carry out their nefarious purpose. Different threats with different agenda viz. saboteurs, rioters, thieves, terrorists, mob etc. are becoming news events all over the world. But we do have a shield called security. Radiation and Nuclear facilities are of prime importance for 24x7 protections. Let it be guards, patrol parties, quick reaction forces or sentries, they do need a machine supported system to stand by with them in case of need. One of the most required systems is the Secure Distress Alarm System that has to be a rugged, foolproof, always available and fail proof. One such system has been developed and discussed in this paper.
Tras las huellas del marxismo occidental (2022)
Authors: Prestifilippo Agustín Lucas
Published: September 2022

Reseña de Santiago M. Roggerone, Tras las huellas del marxismo occidental, Buenos Aires, Ediciones IPS, 2022, 140 pgs.
PENGARUH PANDEMI COVID-19 TERHADAP TINGKAT AKTIVITAS FISIK PADA MASYARAKAT KOMPLEK PRATAMA, KELURAHAN MEDAN TEMBUNG
Authors: Nurhadi Jihan , Fatahillah
Published: September 2022

Saat ini dunia sedang mengalami tantangan yang luar biasa yang mengubah kehidupan karena pandemi covid-19. Covid-19 merupakan suatu penyakit baru yang berasa dari wuhan, provinsi hubei, cina pada akhir 2019 yang disebabkan oleh virus corona baru bernama Severe Acute Respiratory Syndrome Corona Virus 2 (SARSCOV-2). Virus ini dapat menular sangat cepat dan sampai saat ini belum juga ditemukannya vaksin sehingga diberlakukannya pembatasan aktivitas di luar ruangan. Hal ini menyebabkan menurunnya aktivitas fisik seseorang. Aktivitas fisik yang rendah merupakan faktor  resiko berbagai penyakit penyerta seperti obesitas, diabetes, hipertensi, dan kondisi jantung serius yang membuat kita lebih rentan terhadap penyakit COVID-19 yang parah. Studi ini bertujuan untuk menilai gambaran tingkat aktivitas fisik selama masa pandemic covid-19 melalui literatur review dan melakuka survey pada masyarakat sekitar.
PENGARUH HIPNOSIS LIMA JARI TERHADAP TINGKAT KECEMASAN PASIEN PRE OPERASI DI RUANG PERAWATAN BEDAH RSUD PAKUHAJI
Authors: Suhadi  , Ayu Pratiwi
Published: September 2022

Lebih dari dua pertiga pasien yang menunggu operasi mengalami kecemasan. Kecemasan pre operasi yang berlebihan dapat menimbulkan respon patofisiologis yang meliputi takikardia, hipertensi, aritmia, dan nyeri hebat dapat menetap hingga periode post operasi. Salah satu cara mengatasi kecemasan yaitu dengan cara tehnik relaksasi nafas dalam dan hipnotis lima jari. Tujuan: untuk mengetahui pengaruh hipnosis lima jari terhadap tingkat kecemasan pasien pre operasi di ruang perawatan bedah RSUD Pakuhaji. Desain penelitian: quasi experiment menggunakan rancangan One Group Pretest – Posttest. Populasi dalam penelitian ini adalah seluruh pasien pre operasi di RSUD Pakuhaji Kabupaten Tangerang tahun 2020 sebanyak 220 orang. Sampel diambil dengan menggunakan rumus Slovin dengan jumlah sampel sebanyak 114 responden. Pengambilan sampel menggunakan tehnik accidental sampling. Penelitian ini menggunakan analisis univariat dan bivariat dengan uji Wilcoxon. Hasil: berdasarkan analisis univariat dari 142 orang, pada pasien pre operasi yang belum diberikan terapi hipnosis lima jari mayoritas mengalami cemas berat sebanyak 58 orang (40,8%) dan pada pasien pre operasi yang sudah diberikan terapi hipnosis lima jari mayoritas mengalami cemas ringan sebanyak 58 orang (40,8%). Berdasarkan hasil uji Wilcoxon diketahuii bahwa p value 0,000 yang berarti terdapat perbedaan kecemasan antara kelompok pre test dan post test. Kesimpulan : pasien pre operasi yang mengalami kecemasan setelah diberikan hipnosis lima jari mengalami penurunan tingkat kecemasan. Saran: bagi tenaga medis khususnya dokter dan perawat di ruang perawatan bedah RSUD Pakuhaji Kabupaten Tangerang perlu dilakukan pelatihan terapi hipnosis lima jari, terutama pada pasien yang menghadapi operasi dengan tingkat kecemasan yang berat dan panik, melalui pelatihan – pelatihan khusus, semina.
Terapi Mandiri Kecemasan Klien dengan Penyakit Jantung
Authors: Nurhaeni Heni , Rosmiatin Mira , Susanto Agus , Rianti Eska
Published: September 2022

Penyakit jantung adalah sekelompok kondisi yang mencakup penyakit jantung koroner, aritmia, gagal jantung dan penyakit katup. Penyakit jantung adalah penyebab utama masalah kesehatan dan kematian dan 6,3% pasien yang dirawat dari ruang isolasi Covid-19 ternyata mempunyai komorbid. Namun pada situasi Covid-19, angka kematian meningkat 22-23% dengan kondisi gangguan hemodamik. Banyak jenis penyakit jantung dapat dicegah atau diobati dengan pilihan gaya hidup sehat, obat-obatan atau operasi. Klien dengan masalah gangguan Penyakit Jantung Koroner (PJK) sering mengalami kecemasan akan memperburuk kondisi kesehatan jantungnya secara signifikan. Stres adalah respons fisiologis terhadap stresor yang mengancam keadaan fisiologis internal atau kesejahteraan psikologis individu. Gangguan kecemasan berhubungan dengan onset dan perkembangan penyakit jantung, dan dalam banyak kasus telah dikaitkan dengan gangguan kardiovaskular, termasuk kejadian kematian. Baik fisiologis (disfungsi otonom, inflamasi, disfungsi endotel, perubahan agregasi platelet) dan mekanisme perilaku kesehatan dapat menjelaskan hubungan antara gangguan kecemasan dan penyakit Jantung Koroner. Asosiasi antara gangguan kecemasan dan kesehatan jantung yang buruk, tepat waktu dan akurat identifikasi dan pengobatan kondisi ini adalah yang paling penting. Dengan demikian Klien dengan PJK memerlukan rehabilitasi mandiri guna menekan masalah tersebut. Alternatif penangannya melalui rehabilitasi klien penyakit jantung koroner yang merupakan bagian penting dalam manajemen tatalaksana klien penyakit jantung koroner, yang bertujuan mencegah efek samping dari pengobatan, kekambuhan dan mempertahankan dan meningkatkan produktifitas serta kualitas hidup. Selain itu, perawatan yang efektif tersedia untuk gangguan kecemasan pada kondisi gangguan kardiovaskuler. Studi lebih lanjut diperlukan untuk menentukan apakah intervensi untuk mengobati gangguan kecemasan pada akhirnya berdampak pada kesehatan jiwa dan kardiovaskular. Adapun tujuan penelitian ini adalah menerapkan kemandirian terapi pada Klien dengan penyakit Jantung di Komunitas. Melalui Media Edukasi Terapi Mandiri Kecemasan Klien Penyakit Jantung Koroner (MD-TEMANKU). Ditemui hasil dengan P Value 0,0001 terhadap penurunan kecemasan Klien PJK di Komunitas. Oleh karenanya media edukasi temanku dapat menjadi salah satu alternatif intervensi mandiri kondisi Klien penyakit Jantung
BULGARİSTAN EMÂRETİ (PRENSLİĞİ) ANAYASASI: 1879 TIRNOVA ANAYASASI
Authors: CEYLAN Ayhan
Published: September 2022

Şark Meselesi kapsamında düvel-i muazzama arasında süren nüfuz mücadelesine bir denge sağlamak üzere 1878’de Berlin Antlaşması imzalanmıştır. Bu Antlaşma’nın sonuçlarından biri de Osmanlı Devleti’ne bağlı özerk nitelikte Bulgaristan Prensliği’nin kurulmasıdır. Antlaşma, Prensliğin teşkilatını belirlemek üzere bir anayasa yapılmasını öngörmüştür. Antlaşma ayrıca, Anayasanın yapılışına, yürürlük zamanına, Prens’in seçimine ve temel hak ve özgürlüklere ilişkin düzenlemeler de içermektedir. Böylece Berlin Antlaşması, Prenslik Anayasası’nın hem dayanağını oluşturmakta hem de belli ölçüde onun genel çerçevesini belirlemektedir. Bulgaristan Prensliği’nin Osmanlı Devletine bağlı olduğuna ilişkin Berlin Antlaşması’nda yer alan düzenleme, Tasarı metninden çıkarılarak Anayasa’da yer almamıştır. 28 Nisan 1879’da Tırnova’da toplanan kurucu meclis tarafından kabul edilen Anayasa, 22 bölüm halinde 169 maddeden oluşmaktadır. Yasama , yürütme ve yargı organına yer veren Anayasa, eksik olmakla birlikte temel hak ve özgürlükler listesi içermektedir. Prens’e sistemde üstün bir konum sağlayan Anayasa, yasama gücüne sahip olsa da yürütmeyi denetleme yetkisi sınırlı bir parlamento öngörmektedir. Anayasa, Bulgaristan’ın 1908’de bağımsızlığı ve Krallığı ilan etmesine kadar Prenslik Anayasası olma niteliğini sürdürmüşür. Tırnova Anayasası, Prenslik sonrası gelen Krallık ve Komünizm Dönemlerinde varlığını koruyarak 1947 yılına kadar yürürlükte kalmıştır.
Growth and Development of Islamic Banking: A Global Review
Authors: Ali Muhammad Aqib
Published: September 2022

The paper appraises the growth and development of Islamic banking sector internationally in various parts of the world covering several countries from across the globe, including Saudi Arabia, Iran, Bahrain, Kuwait, UAE, Qatar, Jordan, Egypt, Oman, Turkey, Malaysia, Pakistan, Bangladesh, Indonesia, Singapore, Philippines, Sudan, Nigeria, Algeria, and Kenya. Islamic banking domains in the western and European regions were also part of the discussion involving the following countries: Australia, UK, Luxembourg, Germany, Italy, France, USA and Canada. The paper employs qualitative research approach in evaluating the progress of Islamic banking initiative throughout various countries of the globe by fetching data from the central banking as well as from the financial regulatory bodies of different countries. Islamic banking initiative considerably developed in the Middle East region, spreading to global scale from this region to other Asian and European countries. The growth of Islamic banking setup in non-Muslims countries reflects the power and potential of Islamic banking as a global financial force. The paper provides key facts along with vital information offering a comprehensive review of global growth of Islamic banking initiative in major regions of the world including Middle East, Asia, Africa, Europe, Australia and North America.
Yönetim Araştırmasında Teori-Pratik Kopukluğunu Gidermeye Yönelik Araştırma: Problem Temelli Metodoloji ve Bir Uygulama/ Theory-Practice Gap in Management Research: Problem Based Methodology and an Application
Authors: DERİNDERE Mehmet Selim
Published: September 2022

Yönetim araştırmalarının, yönetim uygulaması üzerindeki etkisi ve sağladığı fayda sınırlı kalmaktadır. Üretilen bilginin tabiatı, araştırma problemlerinin uygulama problemlerinden farklı olması ve araştırma bulgularının sunumu gibi farklı sebeplerden kaynaklanan bu durum, teori ile pratik arasındaki kopukluğun artmasına sebep olmaktadır. Aynı anda hem yönetim literatürüne katkı sağlayan hem de yöneticilere problem çözmede yardımcı olacak araştırmalar yapmak, uygulama problemlerini araştırmanın merkezine almakla sağlanabilir. Problem Temelli Metodoloji, araştırmanın problemini yöneticilerin pratik problemleri ile eşgüdümlü hale getirmek, kullanılan çözümlerin etkililiğini tespit etmek, bu çözümleri kritiğe tabi tutmak ve buradan edinilen bilgilerle yeni çözümler geliştirme yoluyla yöneticilere yardımcı olurken aynı zamanda mevcut bilgi birikimine katkıda bulunur. Böylelikle bir yandan yöneticilerin mevcut gerçekliği daha iyi anlaşılırken diğer yandan daha istendik gerçeklikler üretilmesine araştırma sürecinde katkıda bulunulabilir. Bu çalışmada, çalışmaya katılan yöneticinin, çözmekte zorlandığı bir problemi çözmede etkisiz kalmasının sebepleri araştırılırken aynı zamanda, araştırma sürecinde problemin çözümüne yönelik yardım sunulmuştur.
The Investigation of Artificial Wetland Systems for the Improvement of Agricultural Drainage Water
Authors: GÜLMÜŞ İremnaz , ÖZKARAOVA Emre Burcu
Published: September 2022

Harmful substances in the wastewater negatively affect the ecological balance by reducing the dissolved oxygen concentration. High phosphorus and nitrogen compounds discharged into surface water resources may cause to eutrophication, due to increased algal growth. In this study, Elodea densa (Egeria), Lemna minor (Duckweed), Micranthemum micranthemoides (Micra), Pistia (Water Lettuce), Ceratophyllum demersum (Foxtail) plants were investigated for the removal of nitrate and ammonium from rice field drainage water. Synthetic drainage water was prepared to rely on the literature and real rice field drainage water composition from the Samsun Bafra region. Artificial wetland studies were carried out as individual systems in order to understand the treatment ability of each plant and as a combined system in batch and continuous flow mode. pH, electrical conductivity, dissolved oxygen, nitrate, and ammonium values were measured periodically. Results of the individual plant wetland system represented that the wetland plant Elodea densa revealed the highest nitrate removal efficiency (77%) at the end of 1 day, followed by Pistia (76%). It was observed that the treatment efficiency increased with increasing hydraulic retention time. In the combined system, the nitrate removal efficiency was 40%, while the ammonium removal efficiency was 51% at the end of the first day. It was concluded that the wetland plants successfully reduced the ammonium and nitrate content of the drainage water and showed resistance to the drainage water with high salinity. In the wetland experiments carried out under continuous flow mode, ammonium was reduced from 0.80 mg/L to 0.10 mg/L, while nitrate was reduced from 1.90 mg/L to 1.40 mg/L, yielding approximately 90% and 30% at the end of the 16th day. Studies have in general revealed the importance of plant type as well as residence time.
WHAT DO UNDERGRADUATE STUDENT NURSES THINK ABOUT THE CHILD PATIENT IN THE TERMINAL PERIOD? FOCUS GROUP STUDY
Authors: AKCAY Nurdan , UZŞEN Hatice , ZENGİN Dilek , DOĞAN Satı , ÇEVİK ÖZDEMİR Hamide Nur
Published: September 2022

Aim: Nursing students face many patients who require palliative care in the terminal period. This study aims to determine the student nurses' experiences with the palliative care provided to children in the terminal period.
Method: The study was conducted using focus group interviews, which are qualitative research methods. The sample was constituted of 12 intern student nurses who were working in the pediatric hospital of the university in 2017 in Turkey. The research inclusion criteria for students were that they must have provided palliative care or seen death. The focus group interview was held in the meeting room at the Nursing School on the day and hour when the nurses were available with four researchers. Data were analyzed together by using conventional content analysis.
Results: Three main themes were determined (Preparing for death, self-care, and meeting the demands of the child and the family). It was found that nursing students providing care to pediatric patients in the terminal period experience many feelings including fear, nervousness, helplessness, shock, emotional deterioration, etc. and they do not know how to deal with these emotions. These students believe that symptom management and self-care requirements should be managed in the best way and that emotional support should be provided. The students pointed out the families' information needs and emotional support needs. They also emphasized the emotional effects associated with themself.
Conclusions and Suggestions: Educational programs related to care for the child in the terminal period and preparation for death should be added to the nursing education and training process. Organize individual and group meetings to provide nursing students opportunities to express their feelings regarding the care and death of the child in the terminal period.
EĞİTİM VE PROGRESİF GEVŞEME EGZERSİZLERİ TEMELLİ BİR UYGULAMANIN ZİHİNSEL ENGELLİ BİREYLERİN BAKIM VERİCİLERİNİN YAŞAM KALİTESİ, ALGILADIKLARI STRES VE BAŞA ÇIKMA YOLLARI ÜZERİNE ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA PROTOKOLÜ
Authors: GÖKÇAY Gönül , ÇEVİRME Ayşe
Published: September 2022

Amaç: Dinamik, çok boyutlu ve çeşitli bir halk sağlığı sorunudur. Doğuştan veya akut bir hastalık ve yaralanma kaynaklı meydana gelen geçici/kalıcı bir sorun olarak ortaya çıkıp bireyleri engelli yakınına bakmak durumunda bırakabilir. Bakım vericiler fiziksel ve psikolojik sağlık sorunları yaşama açısından yüksek oranda risk taşırlar. Nitekim bakım vericiler sağlıklı çocuk bakımı sağlayanlardan daha yüksek bakım yükü, stress ve daha düşük yaşam kalitesi bildirmişlerdir. Bakım vericilerin etkili ve güvenli bakım verme stratejileri hakkındaki bilgilerini geliştiren uygulamalar, stres kaynaklı sorunlarını azaltabilir/önleyebilir ve yaşam kalitelerini iyileştirebilir. Roy'un Adaptasyon modeli, yaşam kalitesini arttırma ve stresi azaltmada, çeşitli sorunlarla başa çıkmada en yaygın kullanılan hemşirelik modellerinden biridir. Araştırma, eğitim ve progresif gevşeme egzersizleri temelli bir uygulamanın zihinsel engelli bireylerin bakım vericilerinin yaşam kalitesi, algıladıkları stres ve başa çıkma yolları üzerine etkisini belirlemek amacıyla planlanmıştır.
Yöntem: Araştırmada; randomize kontrollü, 3 deney, 1 kontrol gruplu, ön test-son test deneysel tasarım kullanılacaktır. Araştırma örneklemini 10 rehabilitasyon merkezinden 4’ü küme randomizasyon yöntemi kullanılarak seçilecek ve rehabilite edilen zihinsel engelli birey bakım vericileri (her grup 39 birey) oluşturacaktır. Araştırmada 1. Deney Grubu’na 4 hafta model temelli yüzyüze eğitim ve gevşeme egzersizi uygulamaları, ve 4 hafta egzersiz danışmanlığı uygulanacaktır. 2.Deney Grubu’na model temelli eğitim ve gevşeme egzersizlerinin yer aldığı mobil uygulama tasarlanarak 8 hafta erişimleri sağlanacaktır. 3. Deney Grubu’na yüzyüze 4 haftalık eğitim ve 4 haftalık mobil uygulamadan erişimleri sağlanacaktır. Kontrol Grubu’na müdehale yapılmayacaktır. Veriler Kişisel Bilgi Formu, Yetişkin Bakıcı Yaşam Kalitesi Anketi, Algılanan Stres Ölçeği, Stresle Başa Çıkma Yolları Anketi kullanılarak elde edilecektir. Veriler SPSS 22 paket programıyla değerlendirilecek ve istatistiksel anlamlılık p
Effectiveness of Structured Teaching Programme on Knowledge Regarding Early Puberty among Girls
Authors:   Professor, Nootan College Of Nursing, Sankalchand Patel University Visnagar, Gujrat-384315, Sivasubramanian N.
Published: September 2022

Introduction: While The Onset Of Puberty Is A Natural Process, It Indeed Is A Very Unsettling Phase In A Girl’s Life. Sadly, This Is An Alarming Trend In Urban Areas – Some Girls From Rural Areas Are Still Getting Their Periods At 15-16 Years But Girls From Urban Areas Are Getting Their Periods Earlier Than 8! Early Puberty (Also Known As Precocious Puberty) Means Having Signs Of Puberty Such As Development Of Breasts, Pubic And Underarm Hair And Menstrual Bleeding Early Than Usual. Girls Who Begin Their Puberty Early Before Their Peers Are Usually Quite Alarmed. This Puts Them At Risk Of Depression. Parents Have Got A Very Vital Role To Play. If Necessary, Psychological Counselling May Be Sought For The Girl As Well As The Parents. As Parents, It’s Important To Make Sure That The Child Maintains A Healthy Weight Is Another Way To Avert Early Puberty.” In That Results Showed That Majority Of Pre-Adolescent Girls And Boys (75%), (74%) Had Below Average Knowledge Regarding Pubertal Changes Followed By 25 % Girls And 24%Boys Had Average Level Of Knowledge And In Levels Of Attitude, Majority Of Pre- Adolescent Girls And Boys (95.19%), (90%) Had Moderately Favourable Attitude Regarding Pubertal Changes Followed By 3.84% Girls And 10%Boys Had Unfavourable Level Of Attitude. Design: Experimental One Group Pre-Test, Post-Test Research Design Was Used To Conduct The Study At Visnagar City. Sample Size: The Sample Size Was 60. Technique: In This Study Using The Purposive Sampling Technique. The Data Collection Was Done With Prior Permission From Authorities The Principal, D.D Kanya Vidhyalay Visnagar. Tool: The Purpose Of The Study Was Explained To The Students And Written 20 Questions Informed Consent Was Obtained The Demographic Data Was Collected By Using Questionnaire. After The Pre-Test, The Investigator Use Flash Card & Seminar To The Students. On The 7 Day The Post-Test Level Of Knowledge On Early Puberty Was Assessed By Using Structured Knowledge Questionnaire. The Data Was Analysed Using Descriptive And Inferential Statistics. Chi-Square Was Used To Associate The Pre-Test And Post-Test Level Of Knowledge Regarding Early Puberty With The Selected Demographic Variables. Results: The Mean Pre-Test Observation Score Was 11.5% And The Mean Post Test Score Was The 44.38%, And The Standard Deviation Was 2.50% In Pre-Test And 26.42% In Post Test Score, Also The Calculated “T” Value Was 11.38%.
Indonesian Wedding Organizer’s Ecosystem Business Mapping
Authors:   Bandung Institute of Technology, Ganesa Street no.10, Bandung City, West Java 40132, Indonesia, Nadiyah Tsamarah
Published: September 2022

Business growth in the wedding industry has begun to grow and spread in Indonesia, seen from the variety of types of this industry, one of which is wedding organizer (WO). WO is an organizer with many networks involved in its business ecosystem. It can’t stand alone without relations and interactions with its stakeholders (vendors) such as wedding decor, catering, entertainment, make-up artist, and others. In this research, a conducive network model in the industry can be optimized by mapping the WO business ecosystem to expand and create a complete and sustainable business. The method used is qualitative, with data collection through interviews, observations, and literature studies. James F. Moore’s business ecosystem will be used in data analysis as a mapping reference for WO business network model. The results found that several networks were classified into three scopes of the business ecosystem. It considers the relationship of each stakeholder to the WO and vice versa. The relationship between stakeholders resulted in two-way and one-way relationships and activities. It was also found that stakeholders may decrease or increase over time the development of creativity, technology, references, and processions that will be carried out at the wedding. For relationships with the highest interaction urgency, they can continue to occupy their permanent positions in the WO business ecosystem. The form of the WO business ecosystem as a whole cannot be determined by a single model and will continue to evolve according to the procession.
The US withdrawal from Afghanistan and its impacts on the Pak-Afghan relationship
Authors: Faheem Farrukh , Hussain Sajjad , Qmar Muhammad Tariq Rasheed
Published: September 2022

How to fix Afghanistan's challenges is one of the most talked-about issues of the 21st century. With its incredible nature and immense scale of being a safe haven for terrorists, the Afghanistan conundrum warrants all the thought it gets. The US hasty attack and abrupt withdrawal from Afghanistan affected the neighbouring states somehow and others. Pakistan is the most affected among these countries because of its chaotic past relationship. In the latest situation since the US retreat from Afghanistan, bordering countries have been trying to pull Afghanistan out of its misery. To achieve this goal, Pakistan had been trying to peacefully give passage to the US to leave and help the Taliban to assume control of Kabul. This is an uphill task because other regional and global powers have agendas to reshape Afghanistan’s future. On the other hand, for Afghanistan, common players, for instance, Pakistan, India, China, and Russia, have consistently been reconsidering their ways of meeting their national points of interest or terminations. This study investigates the Afghan harmony procedure and regional and global players waiting for the US withdrawal procedure and how it would affect Pakistan's future relationship with Afghanistan.
Analisis Mutu Kinerja di SMA Negeri 1 Cilamaya
Authors: Suryana Agus , Qowaid Qowaid , Fauziyah Vina
Published: September 2022

This study aims to describe the quality of teacher performance at SMA Negeri Cilamaya. Performance analysis using SWOT technique. From the SWOT analysis activities at SMA Negeri 1 Cilamaya, it can be concluded that the formulation of strategic management at SMA Negeri 1 Cilamaya is in the good category. This can be seen in the results of the analysis, although it shows that SMA Negeri 1 Cilamaya is in quadrant II. This position signifies a strong organization but faces great challenges. The strategic recommendation given is Strategy Diversification, meaning that the organization is in a stable condition but faces a number of severe challenges, so it is estimated that the wheels of the organization will have difficulty continuing to spin if it only relies on the previous strategy. Therefore, organizations are advised to immediately increase their variety of tactical strategies.

Keywords: quality, SWOT, Teacher performance
Upaya Meningkatkan Kemampuan Mengenal Lambang Bilangan Melalui Kegiatan Bermain Kartu Angka pada Anak Kelompok A di SPS Dahlia Jatisampurna Bekasi
Authors: Paramansyah Arman , Zamakhsari Ahmad , Ernawati Ernawati
Published: September 2022

This study aims to improve the ability to recognize number symbols in Anak Kelompok A  at SPS Dahlia Jatisampurna Bekasi through playing number cards. The ability of number symbols studied included making a sequence of numbers 1-10 with objects, pointing and writing symbols for numbers 1-10, pairing number symbols with objects 1 to 10. Early childhood is a unique individual who has a pattern of growth and physical development, cognitive, socio-emotional, creativity, language and communication specifically in accordance with the stages that are being passed by the child. The research used qualitative research with a descriptive approach. In the process of collecting data, researchers used the methods of observation, interviews, and documentation. The validity of the data in this study includes the test of credibility (internal validity), transferability (external validity), dependability (reliability), and confirmability (objectivity). The results showed that there was an increase in the ability to recognize number symbols after learning through number card playing activities. As for what the teacher does before carrying out number card learning, namely: Choosing a theme to be achieved, planning or preparing teaching materials to be delivered, dividing children into several groups, explaining how to play number cards, providing opportunities for children to play number cards, repeating material from the last number card learning activity is to carry out an evaluation.

Keywords: ability to recognize number symbols, playing number cards, early childhood
FACTORS AFFECTING THE UTILIZATION OF INFORMATION & COMMUNICATION TECHNOLOGY (ICT): A CASE OF BADULLA & NUWARA ELIYA POTATO FARMING COMMUNITY, SRI LANKAFACTORS AFFECTING THE UTILIZATION OF INFORMATION & COMMUNICATION TECHNOLOGY (ICT): A CASE OF BADULLA & NUWARA ELIYA POTATO FARMING COMMUNITY, SRI LANKA
Authors: Kuruppu I.V. , Chathuranga J.V.
Published: September 2022

ICT upgrades farmer knowledge thus, enhancing overall production and marketing aspects in agricultural systems. However, transferring traditional farmers into new technologies in developing countries is a significant challenge. At present, there have been many ICT tools introduced to farmers in Sri Lanka. Thus, the central question is whether the agro-community is constructively utilizing these different ICT tools. Therefore, the objective of this study is to explore the factors which affect the overall usage of ICT tools of potato farmers in Sri Lanka and their perception of future use of ICT. Primary data was collected from 241 farmers randomly in Badulla and Nuwara Eliya Districts using a pre-tested questionnaire. Correlation analysis was deployed to elicit the relationship between selected socio-economic factors of the farmer and the number of ICTs those farmers have utilized. Results revealed education level (p<0.05, r = 0.659), average monthly farm income (p<0.1, r = 0.352) and number of crops cultivated (p<0.05, r = 0.851) by farmer were positive and significant with the number of ICT appliances used by the potato farmer. Age (p<0.05, r = -0.7432) and years of experience engaged in agricultural activities (p<0.05, r = -0.254) were negative and significant with the number of ICT appliances used by the potato farmer. Further, 60% of farmers have used the internet once a week to gather agriculture-related information. Another, 13% have used GPS and only 1% have used e-mail. Even though there have been numerous ICT tools, still ICT literacy of local farmers was still not up to a satisfactory level. This implied Sri Lankan agriculture sector is not fully utilizing ICT in agriculture. Perhaps changing the way or mode of delivering ICT tools may cause a positive influence in agriculture. Rather than focusing on advanced ICT appliances and tools, it is recommended to exploit the full potential of current ICT appliances and tools to disseminate vital information. Consideration of farmer accessibility of different ICT appliances and tools is much important to decide the next step of agriculture modernization in Sri Lanka.
AN ONLINE SURVEY OF THE IMPACT OF EXAMINATION CANCELLATIONS AMID THE COVID-19 PANDEMIC: A PERSPECTIVE
Authors: Jain Akansha , Choudhary Rekha
Published: September 2022

The scrapping of board exams by the Indian government is a watershed moment in the country’s educational history. An online survey was performed to determine the impact of the decision on students’ lives. COVID-19 has caused mayhem in the world’s educational institutions, affecting over 1.6 billion pupils in over 200 nations. School, institutional, and other learning facility closures have impacted more than 94 percent of the world’s student population. As a result, substantial changes have occurred in every aspect of our lives. Social alienation and movement restrictions have wreaked havoc on traditional teaching practices. To discover more about the effects of the epidemic on students’ lives, we surveyed 130 students aged 15 to 18, their teachers, and their parents from several educational establishments in Rajasthan, India. In addition, the study looked at how students of all ages used social networking platforms. Government officials should take all necessary steps, according to the findings, to improve the educational experience by reducing the harmful effects of the COVID-19 outbreak. Through the survey, we learned about the actual conflict and uncertainty that exists among individuals regarding the cancellation of the examination, where some believe it was a good decision taken by the government while others believe it would have an impact on the future education system. According to our findings, people genuinely need this exam to be done with sufficient protection and vaccinations for students, so that kids can have equitable and fair possibilities for their futures and the nation can find better human resources for quicker GDP growth. There are concerns that the academic year of 2021, as well as the succeeding years, may be lost. Alternative educational systems and assessment methodologies must be created and deployed as soon as possible. The outbreak of COVID-19 has provided us with an opportunity to create the foundation for digital learning. The goal of this study is to provide a detailed analysis of the influence of the COVID-19 epidemic on exam cancellations.
ROAD CONNECTIVITY AND PREVENTIVE HEALTHCARE IN INDIAN VILLAGES: FUZZY REGRESSION DISCONTINUITY ESTIMATION OF THE IMPACT OF NEW RURAL ROADS
Authors: Lakshmanasamy T.
Published: September 2022

The Pradhan Mantri Gram Sadak Yojana (PMGSY) programme of India provides new road connectivity for unconnected habitations with a population of at least 500. This paper evaluates the causal effect of the new road connectivity on the healthcare benefits accrued to the previously unconnected village households, specifically the pregnancy care and contraceptive use, awareness and hygiene, and social interaction. The nonparametric fuzzy regression discontinuity design (FRDD) is applied to the data derived from the 2007-2008 District Level Household Survey (DLHS-3) an d the Socioeconomic High-Resolution Rural-Urban Geographic Platform for India (SHRUG) data. The FRDD estimates show that in the treatment villages, more women seek antenatal care, have delivery conducted in hospitals and use modern contraceptive methods. In the villages newly connected with roads, awareness of government health care programmes like prevention of sex selection and female foeticide, treat water and take health insurance coverage has increased. The provision of all-weather roads to unconnected villages is also more likely to impact social interaction and more participation in women self-help groups, and village assembly takes important decisions on preventive healthcare.