bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pelanggan Shopee Express (Studi Kasus Pada Mahasiswa Universitas Advent Indonesia)
Authors: Lorenzi Nova , Lorina Siregar Sudjiman
Published: September 2023

Penelitian ini bertujuan untuk mengetahui Pengaruh Kualitas Pelayanan terhadap Kepuasan Pelanggan Shopee Express baik secara parsial maupun secara simultan. Populasi dalam penelitian ini menggunakan studi kasus pada mahasiswa Universitas Advent Indonesia sebanyak 120 responden. Teknik dilakukan dalam penelitian ini yaitu pengumpulan data primer melalui kuesioner online yang disebarkan menggunakan google form dan pengolahan data ini menggunakan SPSS 25. Analisis yang dilakukan dalam penelitian ini adalah analisis Statistik Deskriptif, Uji Validitas dan Reliabilitas, ,Uji T dan Uji F, dan Uji Koefisien Determinasi. Hasil penelitian yang dilakukan menunjukkan bahwa hasil dari uji t dan uji f yang secara parsial dan simultan menunjukkan variabel Kualitas Pelayanan berpengaruh signifikan terhadap Kepuasan Pelanggan Shopee Express.
The Analysis of Influence of Work Discipline and Organizational Culture on the Performance of State Civil Apparatus
Authors: Purwati Sri , Ana Fitriyatul Bilgies  , Ghalib Suprianto  , Mariani  , Muhammad Amsal Nasution
Published: September 2023

This study intends to identify and investigate how organizational culture and work ethics affect the effectiveness of the civil apparatus (PNS). 65 government workers participated in this study utilizing the saturated sample methodology as the sample size. The SPSS 17.0 program was used to collect data through the distribution of questionnaires and library data, which was then analyzed using multiple linear regression analysis methods. According to the analysis that has been done, the findings of this study show that organizational culture and work discipline have a significant impact on the performance of civil servants (PNS), both partially and simultaneously. In fact, 47% of employee performance can be attributed to organizational culture and work discipline.
The Analysis of Relationship Between Work Life Quality and Work Motivation of Non-Medical Employees in Regional General Hospital
Authors: Fatkhuri Fatkhuri , Qurnia Fitriyatinur  , Asep Suherman  , Hartanto  , Roy Setiawan
Published: September 2023

The purpose of this study is to identify the aspects of non-medical workers' work motivation that are related to their quality of work life. This study is quantitative and cross-sectional in nature. 74 non-medical staff made up the study's sample. Random proportional sampling was used for sampling. According to the findings of the research, there are 20 non-medical employees with low work motivation (27.0%), and there are 54 employees with high work motivation (73.0%). The availability of facilities, communication, career advancement, problem-solving skills, a sense of job stability, pride in one's workplace, job restructuring, and the environment all contribute to one's ability to stay motivated at work.
The Role of Training and Development, Work Achievement and Educational Background on Career Development of Employees at PT Pos Persero
Authors: Kardini Ni Luh , Suparman  , Robiansyah  , Roy Setiawan  , Erni Yuningsih
Published: September 2023

This study's goal is to recognize and assess how employee career growth is impacted by work performance, education, training, and experience. 87 employees who participated in the study and received questionnaires received primary data collection. Both the convenience sampling approach and the non-probability sampling method were used for the sampling. The study of this paper employs a number of linear regression tests. The results of the study show that job performance and work experience have a significant impact on an employee's career development partially or concurrently, whereas education and training only have a simultaneous impact. These results demonstrate that the dependent variable, with a coefficient of determination of 0.648, has a value of 64.8% in explaining employee career progression when the components of job performance, education and training, and work experience are combined.
The Role of Customer Satisfaction and Brand Image on Customer Loyalty of Cellular Telecommunication Operator Company
Authors: Adelia Sherry , Miranti Pradipta Utami  , Sarwo Eddy Wibowo  , Ratnawita  , Sudianto
Published: September 2023

This study intends to examine the impact of brand image and customer satisfaction variables on Telkomsel Sim Card customers' customer loyalty (Y). Analysis is conducted using multiple linear regression. 60 participants made up the sample for this study, who were chosen from Telkomsel SIM Card users using a purposive sampling technique. The findings of this study suggest that brand image and customer satisfaction variables have an impact on customer loyalty at the same time. The findings of this study also demonstrate that customer happiness and brand image have a limited impact on customer loyalty. According to the adjusted R square analysis, brand image and customer happiness account for 60.1% of the relationship between customer loyalty and explanations, with other factors not included in the research model accounting for the remaining 39.9%.
The Effect Of Customer Experience On Repurchase Intention With Customer Engagement As An Intervening Variable
Authors: Lia Novita Sari  , Sri Padmantyo
Published: September 2023

In this era, the business world is increasingly competitive, making companies look for creative ideas and breakthroughs so that consumers remain loyal and have a repurchase intention on the products offered. Several variables, including customer experience and customer engagement, are influential factors in the occurrence of repurchase intention. This research aims to analyze the impact of customer experience to repurchase intention, with customer engagement as an intervening variable. This type of research is explanatory and intends to describe and test the causality between the variables studied. The data sample used 223 skincare user respondents with a nonprobability sampling method. For research testing, two sub-models were carried out, namely the outer and inner models, then data was analyzed using the Structural Equation Model Partial Least Square (SEM-PLS) method. This study’s results indicate a significant effect of customer experience on repurchase intention, with customer engagement as an intervening variable. Based on these results, to achieve optimal outcomes, the company needs to ensure that customers are actively involved in interactions with the company, whether through customer service, social media, or other communication channels. By increasing customer engagement, companies can strengthen the effect of customer experience to repurchase intention, thereby improving business performance and increasing customer loyalty
The Effect of Return Expectation, Motivation, Perceived Value of Risk and Technological Progress on Investment Decision in Sharia Peer to Peer Lending
Authors: Manap Abdul , Yusmita Hawari  , Andriani Lubis  , Eddy Sukandar  , Arko Pujadi
Published: September 2023

The purpose of this research is to test and analyze the effect of perceived risk on investment decisions in Islamic peer to peer lending, test and analyze the effect of expected returns on investment decisions in Islamic peer to peer lending, test and analyze behavioral motivation on investment decisions in peer to peer sharia lending, examines and analyzes the effect of technological advances on investment decisions in sharia peer to peer lending and analyzes the simultaneous influence of perceived risk, expected return, behavioral motivation and technological advances on investment decisions in sharia peer to peer lending. This study was concluded that the higher the risk received, the greater the investment decision. This is because the sample of respondents in this study already has sufficient knowledge about investment, where to obtain high returns must be accompanied by high risks as well. In addition, the behavioral motivation variable also influences the investment decision variable significantly. The reason for this could be that the respondents in this study felt more confident if they knew that their company's reputation was good and would have more confidence in the information and recommendations provided by other parties as a basis for making investment decisions.
Elettròlisi aut / vel elettrolìsi?
Authors: Sgroi Salvatore Claudio
Published: September 2023

Tre lettori di Roma, Bologna e Alatri pongono a proposito del termine elettrolisi, il quesito sulla “corretta pronuncia”, se sdrucciolo (elettròlisi) o piano (elettrolìsi), con argomentazioni diverse.
Stationary Problem of Rotation of a Circular Porous Plate in an Electrically Conductive Fluid for Large Values of the Suction Velocity with Heat Transfer with Respect to a Weak Magnetic Field and Joule Heat
Authors:   Georgian Technical University, Jikidze Levan , Tsutskiridze Varden ,   Georgian Technical University, Elerdashvili Eka ,   Georgian Technical University
Published: September 2023

The stationary problem of rotation of a circular porous plate in an electrically conductive fluid is studied by the sequential approximation method (Green's function and small parameter method) for large values of the suction velocity with heat transfer, taking into account a weak magnetic field. The problem considers the case when the influence of dissipative members on heat transfer is very small, the energy equation takes into account the influence of Joule's heat on heat transfer, and it is assumed that the temperature along with the radius of the plate changes according to the square law. For solving the problem, the Navier-Stokes and energy partial differential equations of fluid motion in a magnetic field are reduced to ordinary nonlinear differential equations using generalized Karman embeddings, the solutions of which are sought in the form of infinite series for small values of the suction parameter. The solution of the problem by the means of Green's function is reduced to the solution of integral-differential equations. Recurrence formulas have been obtained, by the means of which it is possible to calculate the solution with any approximation. The first two approximations are clearly calculated. All kinematic characteristics of fluid flow are calculated. Images for heat transfer and pressure distribution on a circular plate are obtained. The moment of resistance to rotation of the plate and the heat transfer coefficient are also calculated.
About Teaching Creative Thinking at the Georgian Technical University
Authors:   Georgian Technical University, Gvinepadze Gela
Published: September 2023

Rapidly developing processes around the world require prompt response to them in order to avoid the negative consequences of these events. This becomes especially relevant for such states like Georgia, due to some factors. First of all, it is much easier for little countries in terms of territory and population to respond to new challenges. Secondly, not long ago, the economic structure of Georgia has changed. Since the education quality is generally recognized as one of the factors influencing country’s progress, it is necessary to make fundamental corrections in the field of education in the first place. According to the opinions expressed in the article, innovations should be based on trans-, multi-, interdisciplinary approaches and on the use of modern computer technologies.
A COMPARATIVE STUDY ON HEMODYNAMIC STRESS RESPONSE BETWEEN 1 mg/kg AND 1.5 mg/kg OF ESMOLOL BOLUS AMONG THE PATIENTS UNDERGOING ENDOTRACHEAL INTUBATION
Authors: Ul Basheer Umair , N G Kavyashree , M Kavya , D Raghavendra
Published: September 2023

Background: When giving general anaesthesia, direct laryngoscopy is followed by endotracheal intubation which often
precipitate the pressor response. Esmolol is a cardio-selective drug, which alleviates the pressor response during direct
laryngoscopy and endotracheal intubation. It achieves peak effect on heart rate within one minute, and on blood pressure within two minutes of
intravenous injection. These properties make esmolol suitable for administration by bolus injection. Our study aimed to compare the
hemodynamic stress response between 1 mg/kg and 1.5 mg/kg of esmolol bolus among the patients undergoing endotracheal intubation.
Methods: Our study was conducted on 60 patients scheduled for elective surgery under general anesthesia. After random allocation, about 30
patients in Group A received injection Esmolol 1 mg/kg as a bolus dose, while remaining 30 patients in Group B received 1.5 mg/kg as bolus, both
over 30 seconds and endotracheal intubation after 3 minutes. All the vital parameters recorded at baseline followed by 2 minutes, 1 minute before
direct laryngoscopy and then at 1 minute interval post endotracheal intubation for next 5 minutes, and nal reading at 10 minutes; were compared
with respect to different doses of Esmolol. In our study, the mean ages of the Results: subjects were 42.75 ± 8.96 years and 44.17 ± 9.31 years in
Groups A and B respectively. Majority were males, and belonged to ASA Grade II, in both the groups. On analysis, Esmolol 1.5 mg/kg
signicantly attenuated hemodynamic stress response better than Esmolol 1 mg/kg, both in terms of HR and MAP. Although side effects like
bradycardia and hypotension were evident comparatively more with Esmolol 1.5 mg/kg IV, the proportion was very minimal. Conclusion:
Esmolol 1.5mg/kg was observed to be better than that of 1mg/kg, in attenuating hemodynamic stress response among the patients undergoing
endotracheal intubation
MORTALITY AND MORBIDITY PROFILE OF NICU AT A RURAL TERTIARY CARE HOSPITAL IN SOUTH WEST BIHAR,
Authors: Srivastava Sandesh , Raj Piush , P. Singh O. , Singh Anupama , Singh Jamuhar Babban , Naaz Iram
Published: September 2023

Introduction: Neonatal period is a very crucial & vulnerable period in human life. In depth knowledge of the prole of
neonatal diseases helps in proper management of common neonatal problems & leads to better survival rates along with
improved quality of life among survivors. A hospital based retrospective study was conduc Method: ted after approval from the hospital ethical
committee during the period of Jan 2021 to Dec 2023. A total of 868 newborns were admitted to NICU during this period The morbidity Result:
pattern i.e. cause of hospital admissions was perinatal asphyxia – 202 (23.2%), neonatal hyperbilirubinemia requiring phototherapy or
exchange transfusion was 129 (14.8%) , sepsis – 110 (12.6%), pneumonia -79 (9%), TTN – 70(8%), meningitis-66(7.6%), RDS- 65(7.4%),
MAS -70(8%), bilirubin encephalopathy 24(2.7%), CHD- 21(2.4%), congenital anomalies- 13 (1.4%) Neonatal; hypoglycemia – 11(1.23%),
Pneumothorax- 8(0.95%) The overall mortality was 102(12.1%). The major causes of mortality in this study were perinatal asphyxia 41(4.8%) ,
sepsis- 27(3.2%), RDS- 15(1.7%),MAS- 6(0.7%), Meningitis- 5(0.5%), CHD- 4 (0.46%), Pneumonia – 2 (0.24%), bilirubin encephalopathy
1(0.12%), 103(12.29%) babies were taken away against medical advice. This study identies Conclusion: perinatal asphyxia being the most
important cause of morbidity and mortality. Improving the antenatal care, maternal health and timely intervention by referral to tertiary centers
may go a long way in improving neonatal period This study was carried out at a te Aims and objective rtiary care centre in the department of
Pediatrics at NMCH, Jamuhar, Rohtas ,Bihar . The aim of this study was to carry out a retrospective analysis of NICU morbidity, and mortality
prole and compare it to gures and data available in respect to India and the world. The aim was also to analyze the reasons of the same and
understand the implications. The study was carried out during the period of Jan 2021 to Dec 2022. A total of 868 newborns were admitted during
this period in the NICU of Narayan Medical College & Hospital, Jamuhar, Rohtas,Bihar and were enrolled for the study.
A STUDY OF CLINICAL PRESENTATION AND CORRELATIVE HISTOPATHOLOGICAL PATTERNS IN GLOMERULAR DISEASES IN A TERTIARY CARE CENTRE IN NORTHEAST INDIA.
Authors: Pegu Miranda , Das Tonmoy , Bora Mitul , Choudhury Dhruvajyoti
Published: September 2023

Background : The prevalence of biopsy-proven renal disease varies with geographical regions as well as within the
same country and and with demographic factors such as age, gender, race, socioeconomic status and indications for renal
biopsy. Thus, there is a great variation in the presentation of Glomerular disease across the globe and the disease spectrum has also been changing
over the last few decades. 1) To determine the spectrum and clinical prol Objectives: e of different glomerular diseases. 2) To look for
correlation between clinical features to nal histopathological diagnosis. Methodology: This was single center cross sectional prospective
observational study done over 1 year period. Clinical presentation and histopathological correlation of 125 kidney biopsies for adult glomerular
diseases were analysed. The average age of patients was 39.27±15.43 years. 55.2% of t Results: hem belong to the age group 31-60 years.
Females predominate and comprises 56% of cases. Most common clinical syndrome observed was nephrotic syndrome (31.2%) followed by
rapidly progressing renal failure (20%), nephrotic nephritic syndrome (13.6%), acute nephritic syndrome (12.8%), acute kidney injury (8.8%),
asymptomatic urinary abnormalities (8%) and chronic kidney disease (5.6%). Lupus nephritis (24%) was the most common histological
diagnosis followed by crescentic GN (15.2%), IgAN (13.6%), minimal change disease (8.8%) and FSGS (8.8%). Lupus nephritis was also the
most common biopsy diagnosis in the age group of 18 to 30 years, while crescentic GN was the most common histological diagnosis in the
elderly group >60 years. 30 cases (24%) required dialysis, at the time of biopsy, 60% of them belong to RPRF group with average serum
creatinine of 8.51 mg/dl. Primary GD was seen in 53.6% cases and the most common primary GD was IgAN (25.4%). Secondary GD was seen in
46.4% of the cases and lupus nephritis (51.7%) was the most common cause. IgAN, MCD, MN, FSGS were seen more in males while lupus
nephritis, crescentic GN and brillary GN were more common in females. Most common glomerular disease presenting as nephrotic syndrome
was MCD (28.2%) followed by FSGS (17.9%). Most common biopsy diagnosis in RPRF category was crescentic GN (60%) followed by IgAN
(12%) and in the nephrotic nephritic syndrome and AUA group lupus nephritis contributed the most. 20 cases (16%) were diabetic and the most
common biopsy diagnosis in them was diabetic nephropathy followed by IgAN. Lupus class IV was the commonest lesion observed followed by
class IV+V in lupus nephritis patients.
HOW TO DIAGNOSE POSTPARTUM DEPRESSION?
Authors: Roy Payel , Behera Priyamadhaba
Published: September 2023

Post-partum depression is one of the neglected domains of mental health. But it can affect not only the mother but also the
new-born child. Depression in the mother can result in increased suicidality of the mother, mother-child bonding
impairment, and improper cognitive, language and socio-behavioural development of the child. American Congress of Obstetricians and
Gynaecologists Committee on Obstetric Practice (ACOG) recommends the clinicians to screen women at least once during the perinatal period to
assess for the development of mental health disorders. The “United States Preventive Services Task Force (USPSTF)” and “The American
Academic of Paediatrics” also recommend the early screening and diagnosis of post-partum mental health disorders of the mother. Different
screening tools are available to detect post-partum depression within a short period like – EPDS, BDI I & II, PHQ 9, CES-D, PDSS etc. Trained
clinicians and psychologists can conrm the diagnosis of depression with the help of various diagnostic tools like – ICD 1O & 11, DSM-V. Hence
there is a need to understand the details of different scales – their advantages, administration time, sensitivity, specicity & other properties. This
article summarises various tools used to detect post-partum depression.
EFFECT OF EMPAGLIFLOZIN ON LIPID PROFILE IN TYPE 2 DIABETES MELLITUS PATIENTS IN A TERTIARY CARE HOSPITAL: AN OBSERVATIONAL STUDY.
Authors: V Mani Sravani C , Bhuvaneshwari G. , Mary Rohini P.
Published: September 2023

Background: The use of Sodium Glucose Cotransporter-2 (SGLT-2) inhibitors in Type 2 Diabetes Mellitus (T2DM)
patients leads to reduction in body weight as well as a reduction in blood pressure7. Empagliozin was the rst OAD to
show signicant reductions in the rates of CV deaths and hospitalization in high-risk CV patients with T2DM9.
Aims & Objectives:
1) To determine the effect of empagliozin on lipid prole parameters in T2DM over a 2-month study period.
2) To determine the additional benecial effect of empagliozin on T2DM over a 2-month study period.
3) To evaluate the potential lowering of atherogenic risk by empagliozin T2DM in a tertiary care hospital.
Materials & Methods: A prospective, observational study was conducted over a period of 2 months from August 2022 to October 2022. Data
was collected from T2DM patients, high-risk for cardiovascular disease, prescribed empagliozin along with other OADs by the treating
physician and other T2DM patients'(similar criteria but not on empagliozin) at the start of the study period (0 weeks). Follow up was done after
8 weeks of study. Data of 60 out-patients having T2DM was collected and analyz Results: ed. The present study reports statistically signicant
reduction in FBS, PPBS, HbA1c between the two groups (p value <0.015). On comparison between the two groups, the change from baseline
Serum TGs, LDL-C, HDL-C, VLDL-C is found to be statistically signicant except TC where it is found to be statistically not signicant.
Conclusion: From the present study, we observe the effect of the drug other than improved glycemic control- it shifts the patients towards a
favourable lipid prole lowering the risk of potential cardiovascular events giving a better insight for the treating physicians on pharmacological
management of T2DM patients with dyslipidemia.
FUNCTIONAL OUTCOME OF BICONDYLAR TIBIAL PLATEAU FRACTURE TREATED BY DUAL INCISION WITH MEDIAL AND LATERAL PLATE
Authors: K. Verma A. , Shriram Shriram , Kumar Anand , Sahani Ravi
Published: September 2023

The knee joint is an important weight-bearing joint, that plays a vital role in walking function. Trauma to the knee joint
especially condylar fractures are challenging to orthopaedic surgeons because of the variety, complexity, different
concepts of management, and injuries associated with it. Tibial plateau fractures have a complicated intra-articular fracture pattern, representing
approximately 1.2% of all fractures. In this paper, it will be shown that high energy tibial plateau fractures open reduction and internal xation with
dual plates using 2 incisions lead to excellent to good functional outcomes without many soft tissue complications. It will also be suggested that
this approach should be used wherever possible, which helps prevent soft tissue complications, and thus early wound healing and the full range of
movements.
WHICH BACTERIA ARE CAUSING LRTI NOW? – A POST-COVID ERA STUDY AT A TERTIARY CARE HOSPITAL IN SOUTH GUJARAT.
Authors: Arora Anshika , Jain Mannu , Patel Paresh , Kedia Manali
Published: September 2023

We are presenting an original research article, depicting the specimen prole and prevalent bacterial prole of suspected
Lower respiratory tract infection presenting in tertiary care hospital in south Gujarat. A retrospective study was conducted
for sputum samples collected at Surat Municipal Institute of Medical Education and Research, Surat, Gujarat during a span of 12 months, with a
total of 729 samples collected. The specimen which showed maximum culture positivity was endotracheal tip. followed by sputum and pleural
uid. Among the organisms isolated, gram negative organisms were prominently dominant, among which most common organism was Klebsiella
pneumoniae followed by Pseudomonas aeruginosa, Acinetobacter spp. and Escherichia coli. Among the gram-positive organisms,
Staphylococcus aureus was most common followed by Streptococcus pneumoniae
Aims
Ÿ To isolate most common bacterial pathogen causing Lower respiratory tract infections in our region
Ÿ To study the specimens and culture positivity with each specimen collected for suspected LRTI
АНАЛІЗ МЕТОДІВ І АЛГОРИТМІВ ДОСЛІДЖЕННЯ РЕЖИМНОЇ НАДІЙНОСТІ ЕНЕРГОСИСТЕМ В УМОВАХ КАСКАДНОГО РОЗВИТКУ ВІДМОВ
Authors: Бардик Є. І. , Бондаренко О. Л. , Заклюка І. В.
Published: September 2023

Проаналізовано причини виникнення і механізми ескалації найбільш відомих системних аварій і каскадних відмов, що відбулися в різних країнах світу в останні десятиліття. Виділено три градації можливих змін станів в електроенергетичних системах (ЕЕС) з точки зору ризику виникнення аварії. За результатами аналізу послідовностей подій в умовах розвитку системних аварій сформований узагальнений сценарій каскадного процесу розвитку аварії. Запропоновано комплексний імовірнісно-статистичний підхід і алгоритм для дослідження режимної надійності ЕЕС при відмовах електрообладнання і каскадного розвитку відмов, який ґрунтується на використанні ризику в якості показника надійності, що дає можливість визначити ресурс працездатності та імовірність відмови обладнання на інтервалі часу спостереження, оцінювати ризик розвитку каскадної аварії та рівень важкості кінцевих станів системи в умовах невизнаності інформації.
Increased Organizational Commitment Influenced by Employee Engagement and Compensation
Authors: Hanjani Fadilla Putri Sofia , Triatmanto Boge , Setyadi Sina
Published: September 2023

Employee involvement is one of the essential things to achieve success in the organization because employee involvement can create strategies for good work culture, increase work productivity, improve relationships between organizations and better customers, reduce the number of absent employees, reduce accident rates, work, reducing the rate of work errors and being able to reduce the number of employee turnover (Soedarto & Hardi, 2023). This study aimed to determine the effect of Employee Engagement and compensation on organizational commitment. The population in this study were all employees of the Kediri City Islamic Boarding School District Health Center, with a PNS status of 128 employees. Data were collected through questionnaires analyzed with Multiple Linear Regression on SPSS 25. This study's results indicate a positive and significant effect of Employee Engagement and compensation on organizational commitment. Based on these conclusions, some suggestions for the leadership of the public health center from this research can be used as a reference to achieve higher employee organizational commitment. Therefore, efforts to increase employee organizational commitment can be achieved through increased compensation and employee Engagement. For further researchers, they can develop the variables in this study to become new mediating variables, which have yet to be found in this study.
D-Dimer as a Predictive Biomarker of Severity and Mortality in COVID-19 Patients
Authors: Hussein Firas
Published: September 2023

Background: Since December 2019, Coronavirus has been spreading widely becoming a fatal global pandemic. We need to understand the pathophysiological mechanisms of the disease in order to determine early and effective predictive biomarkers for severity and mortality, therefore finding better treatment approaches. Object: We aim to investigate the predictive value of d-dimer in COVID-19 in order to determine the severity, mortality and the risk of developing thrombotic events. Methods: We enrolled patients with confirmed COVID-19 who referred to the COVID department at Tishreen University Hospital (Latakia, Syria) from May 2020 to March 2021. We retrospectively documented demographic characteristics, clinical data, laboratory parameters and chest computed tomography staging. We followed up the patients' clinical progress during hospitalization, as well as their need for supportive oxygen (invasive and non-invasive mechanical ventilation) and the occurrence of thrombotic complications during hospitalization. Finally, we listed the cases of recovery and death. Results: We included 284 patients (68.3% males and 31.7% females). The mean age was 65 years, ranging from 27 to 92. D-dimer was only obtained for 193 patients, which included 28 mild to moderate, 115 severe and 50 critically ill patients. D-dimer was elevated (≥ 500 ng/mL) in 110 patients. On admission, D-dimer level was associated with an increased clinical severity. It was higher in critically ill compared to moderate cases ([3397.5±3296.7]ng/mL vs [1066.1± 1963.2] ng/ml, P = 0.0001) as well as for radiographic severity ([626.5±1047.1] ng/mL vs [2262.6± 2751.2] ng/ml, P= 0.007), respectively. All of those who did not survive had increased D-dimer level upon admission. When compared between patients who survived and who died during hospitalization, a significantly higher D-dimer level was detected in non-survivors versus survivors ([3099.9±2808.2] ng/mL vs [1308.9± 2249.3] ng/ml, P= 0.0001). ...........
Determinants of Grain Crops Commercialization among Smallholder Farmers in Central Ethiopia
Authors: Getahun Addisu , Muleta Gadisa
Published: September 2023

This study aims to identify the factors affecting grain crops’ commercialization among smallholder farmers in Central Ethiopia. Descriptive statistical analysis and econometric models were used. The analysis result of the sample respondent shows that more than five-grain crops are cultivated in more than 65 percent of farm households in the study areas. Out of these tef, chickpea, and wheat takes the largest share of cultivated areas of 1.27, 0.53, and 0.49 hectares, respectively. As to the production, tef, wheat, and chickpea takes the largest share of the mean quantity produced 1325.9, 539.87, and 454.9 in kilograms, respectively. The average commercialization rate of grain crops in the study area was 43.3% in terms of the gross value of its grain crops sold. The result of the Tobit regression model shows that education level, number of oxen, total land, and non/ off-farm income had positive and statistically significant effects, while the age of the household head was found to have a negative and significant effect on grain crop commercialization. Thus, the effort of stakeholders is crucial to improving the resource base and human capital of the smallholders to enable smallholders profitable from grain crops production and marketing.
Impact of Perceived Leadership Style on Job Satisfaction and Self Efficacy among School Teachers
Authors: Humaira Ayesha , Mahmood Sara
Published: September 2023

The study was conducted to explore the impact of perceived leadership style on job satisfaction and self efficacy among school teacher for the accomplish of the task a sample consisted of N = (350) was ranging from 25 – 35 years was selected through convenient sampling technique instrument used leadership style rater form Bruce Avolio and Bass 1995. Teacher Job-Satisfaction Laster 1984. Bandura Self-efficacy (2006) statistical analysis was done through statistical analysis SPSS in which mainly T-TEST and descriptive statistics were use the result also indicate Impact of perceived leadership style will correlate positively with the level of job satisfaction and self- efficacy among school teachers. The teacher job satisfaction and self- efficacy both were significant, but level of self -efficacy is high and job satisfaction is low. The finding also explored that Higher the scores achieved on multifactor leadership questionnaire rater form greater will be the levels of job satisfaction and self-efficacy among school teachers Female teachers have higher self-efficacy and higher job satisfaction better than male. There will be prominent impact of demographic variables such as age, gender, income level job experience and qualification upon job satisfaction and self-efficacy among school teachers. In this research gender and Qualification score is high Female teachers have higher self-efficacy and higher job satisfaction better than male. M.phil.
Anesthetic Management of Large Hydatid Cyst Removal: A Case Report
Authors: kumar Nidhi , Sri S. Sreya
Published: September 2023

Anesthetic management approach to achieve optimal outcome in hydatid cyst removal surgery is essential to prevent the dreaded intraoperative complication the anaphylaxis. Hydatid cysts are parasitic infections caused by Echinococcus granulosus. Laparoscopic large hydatid Cyst removal surgeries offer enhanced post-surgery benefits. Anesthesia plays a crucial role in ensuring optimal patient outcomes. This case report discusses the essential aspects of anesthetic management for such procedures.
Epidemiological and Evolutionary Aspects of Diabetes Mellitus in Children and Adolescents in Pointe Noire
Authors: Bongo Charley Loumade Elenga- , Batchy Aladin Atandi , Wollo Ehissa Fredy Kibouilou , Boumba Luc Magloire Anicet , RL Mayanda Ohouana , Mandilou Steve Vassili Missambou , Moussavou Chancel Yidika , Dorel Ben
Published: September 2023

Diabetes in children and adolescents is considered rare in Africa due to a lack of data. We conducted a retrospective analytical study for 12 years, based on patient records between 2010 and 2022, and analyzed the epidemiological and evolutionary aspects of patients. A total of 236 patients were enrolled, including 121 (51.48%) men and 114 (48.51%) women. The average age at the discovery of the disease was 16.29±5.39 years, ranging from 1 year to 19 years. The most represented age group was 10-20 years. The incidence rate was 2.43/10,000 inhabitants/year. The prevalence of childhood diabetes mellitus in Pointe-Noire was 0.20%. We observed 98.29% cases of T1D, 0.85% of secondary diabetes, 0.42% of T2D, and 0.42% cases of MODY. Diabetic ketoacidosis was the most common cause of hospitalization (51.89%). Follow-up was regular for 43.82% of patients but marked by patients lost to follow-up (14.46%) and a significant number of deaths (18.72%). Better biological monitoring of our patients will prevent complications and improve care.
Reading Comprehension Skills through Scaffolding Strategies of Grade 7 Students
Authors: Dorigo Jessa P.
Published: September 2023

Reading is basic to all learning, both in learning in general and in acquisition of languages. This one-group quasi-experimental action research determined the effects of Scaffolding Strategies in the level of reading comprehension skills of Grade 7 Students of a national high school in Zambales, Philippines. The study involved a total of forty-four students. A pretest/posttest served as the main instrument used to measure the students’ reading comprehension skills in terms of making predictions, getting the meaning through context clues, determining text importance, making inferences, and making connections. Results revealed that the level of reading comprehension skills of Grade 7 students before the application of Scaffolding Strategies is Approaching Proficiency. Students belong to Approaching Proficiency level in making predictions while they are developing in terms of making inferences, making connections, determining text importance, and getting the meaning through context clues. The level of reading comprehension skills of the students after their exposure in the Scaffolding Strategies is still Approaching Proficiency level but with higher mean score. The students are Approaching Proficiency in terms of making predictions, making inferences and getting the meaning through context clues. The study concludes that there is a significant difference in the reading comprehension skills of the students before and after their exposure on the Scaffolding Strategies. Based on the findings, it is recommended that teachers may continue to innovate and customize different scaffolding strategies to keep abreast with the emerging trends in English teaching towards better reading comprehension among the students.
Factors Influencing Adherence to Pulmonary Tuberculosis Treatment among Adult Patients at St Francis’ Hospital-Katete, Zambia
Authors: Chisumpa Loveness M. , Clayson Mwaka
Published: September 2023

Background: Pulmonary tuberculosis (PTB) is a contagious bacterial infection of the lungs caused by mycobacterium tuberculosis, also known as tubercle bacilli. The symptoms of PTB can appear gradually and vary in severity. Malnutrition, Human Immunodeficiency Virus (HIV) infection/Acquired Immunodeficiency Syndrome (AIDs), age (young and old), diabetes mellitus, substance abuse, low socioeconomic status, malignancies, and or overcrowding are some of the common risk factors for PTB. According to the Zambia Demographic Health Survey (ZDHS, 2021), Zambia’s prevalence rate of PTB stood at 455 cases per 100,000 population. The World Health Organization (WHO) has recommended Direct Observation of Treatment (DOT) by a trained supervisor (WHO, 2019). However, implementing DOT in Zambia is challenging for both the patient and healthcare provider as it has been observed that a daily visit to a health facility for the first two months by PTB patients was very difficult for a range of reasons which included severe illness at the initiation of treatment, distance too far for walking, and high transportation costs. Objective: The study aimed at determining Factors Influencing Adherence to Pulmonary Tuberculosis Treatment among Adult PTB Patients at St Francis’ Hospital-Katete, Zambia. Methods and materials: Data was collected using a questionnaire and the study sample was one hundred (100) Adult PTB patients, who were selected by simple random sampling method. A quantitative descriptive cross-sectional study design was used. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 21. Chi-square test was used to determine the relationship between independent and dependent variables. Conclusion: The study revealed a significant association between ‘level of information and knowledge, individual motivational support, behavioural skill’ and ‘Adult PTB patients’ adherence to PTB treatment’. Level of Information and knowledge (p-value 0.001), Individual .........
Occupational Risk Factors of Work Stress and Family Life of on Site Workers amidst COVID 19 Pandemic: Basis for Psychological Counseling and Intervention Program
Authors: Santos Leilani R.
Published: September 2023

This study is intended is to identify the occupational risk factors of work stress and family life of onsite workers amidst Covid -9 Pandemic. Work stress is linked between the employee and the employer since the employee's performance is impacted by his or her stress level, which in turn impacts the company's performance. The majority of respondents were between the ages of 18 and 25, and the majority of them were female. There is not a significant relationship between the respondents' degree of occupational stress and their profile. Regardless of the potential for enormous growth, on-site workers continue to suffer from a high level of whittling down caused by factors such as high levels of stress and a lack of opportunities for advancement. The examination of the study's findings allows the researcher to provide a few critical recommendations that the onsite workers in the Philippines should evaluate and adopt to lessen workplace stressors. Performance awards are linked to the appropriate amount of supervision and training. Both of these factors are required for positive job behavior and the smooth operation of an organization. Despite the fact that there were more variables that could be considered as indicators of onsite workers' workplace stressor based on external and internal factors, the present study was only able to work on three of them because the literature supported these factors more extensively.
Intersexuality: What Public Health Personnel Should Know and Do to Protect and Preserve Persons Born with Intersex Variations’ Human Rights and Citizenship Rights in Tanzania
Authors: Kamazima Switbert Rwechungura
Published: September 2023

Intersexuality includes a variety of conditions in which individuals are born with, or develop later in life, ambiguous external genitalia and or a combination of chromosomes, gonads, external genitalia, and hormones that do not align as typical male or typical female. Persons born with intersex variations, therefore, are real and exist in all countries around the globe. What is missing in most countries like Tanzania is the comprehensive understanding of who persons born with intersex variations are; their (health) needs; the parents/guardians’, families’, communities’ experiences and governments’ roles in recognizing and protecting human rights and citizenship rights this group is entitled to. Low awareness and understanding of persons born with intersex variations among the general public, policy makers and the (public) health professionals; lack of empirical research on this group and intersex-LGBTQ confusion explain, in part, why there is paucity of data on this population in Tanzania and other countries mainly where LGBTQ is illegal. Data presented in this paper come from desk research I conducted on intersexuality in Tanzania and beyond. I conclude public health experts in this country stand a better chance to bridge gaps identified in existing intersexuality research to enable Tanzania realize demands and calls made by The African Intersex Movement, 2017. I recommend public health intersexuality research to move towards a psycho-social framework which accepts persons born with intersex variations, because the problem is not with this population; it is, rather, with the society expecting them to conform to their socially constructed architypes.
Formulation and In vitro Cytotoxicity Studies of Avastin Nanoparticle Mediated Targeted Nose to Brain Drug Delivery System
Authors: Potdar Mrugendra B. , Jain Neetesh K.
Published: September 2023

Nanoparticles (NPs) occupy a superior place among the recent approaches experimented to deliver drugs into brain by circumventing the BBB such as chemical modifications. The Emulsification PEG-PLGA nanoparticles carrying drug were made using the solvent evaporation method. In summary, PEG-PLGA was dissolved in acetone (50 mL) and PLGA was dissolved in PEG-PLGA (50:50, 7-11 mg/mL). The Chitosan-Avastin conjugates were created in the lab in accordance with the procedures and guidelines outlined in Chitosan (3.25 m mol) was hydrated in 1 N HCl, then the appropriate amount of distilled water was added. After adding NaOH (5N) to the reaction mixture to get the pH down to 5, Avastin (6.48 mmol) was added while the mixture was continuously stirred. In-vitro studies the basic aim is to check the effect of various drugs on various cancer cell lines. For testing purpose a large number of human cancer cell lines have been screened. Cells are cultivated in 96-well culture plates, and the rate of cell multiplication, which determines the rate of cell growth, is indirectly measured by the dye's color intensity, which is directly inversely proportional to the number of cells present. Using doses between 10 and 100 g/mL, the MTT test was performed to examine the cytotoxicity various polymer ratios and formulations on human lung cancer lines-A549. For the determination of the percentage of viability of various samples, the cancer cells without receiving therapy were utilized as the control.
INTELIGENCIA COMPETITIVA, EMPRENDIMIENTO Y PEQUEÑA EMPRESA: UNA REVISIÓN BIBLIOGRÁFICA
Authors: Mary Carmen Mozo Uscamayta  , Taiane Ritta Coelho
Published: September 2023

Los estudios de Inteligencia competitiva (IC) en los últimos años desenvuelve conceptos y aplicabilidad en grandes empresas y/o gobiernos; mientras que estudios de emprendimientos y/o pequeñas empresas son poco a profundados y de menor cantidad; aún más escasos son estudios que relacionan los conceptos de inteligencia competitiva, emprendimiento, pequeña empresa. Esta investigación tiene como objetivo demostrar la existencia de una laguna de conocimiento que envuelve los temas antes mencionados. La metodología utilizada es de revisión bibliográfica; para la colecta de datos se definió 3 términos clave, en inglés, para aplicarlos en 3 bases de datos; el análisis y visualización de la relación entre las palabras claves a través de mapas bibliométricos bidimensionales se realizó mediante el software VOSviewer. Los resultados obtenidos muestran un total de 170 artículos producto de las diversas conjunciones de las palabras clave, 84 en Scopus, 80 en Web Of Science y 6 en Scielo, sin excluir los artículos replicados; en cuanto a la relación de las palabras claven en em mapa bibliométrico, muestra que el termino de IC se relacione con muchos otros temas, ya sean en español, como en inglés. Finalmente, se concluyó que no existe ninguna investigación entre los años 2011-2021 en las 3 bases de datos seleccionadas que relacione a la inteligencia competitiva, emprendimientos y pequeñas empresas; difiere en 33 artículos las investigaciones con los tópicos de IC y emprendimientos, con los de tópicos sobre IC y micro empresas; por lo tanto, claramente puede ser visto la existencia de laguna de conocimiento de nuestros temas clave.
ANALISIS IMPLEMENTASI GAME EDUKASI “THE HERO DIPONEGORO” GUNA MENINGKATKAN HASIL BELAJAR SISWA DI MTS. ATTAROQIE MALANG
Authors: Agustina Rini , Chandra Ade
Published: September 2023

The development of today's technology is impacting on the learning process in schools and also affect the learning material as well as the delivery of a material in the process of teaching and learning activities. Learning is now more attractively designed to encourage and increase student achievement.         Learning the Game is one of the new methods are now starting to demand of students, the theme of the lesson give a fresh new look for students to love a subject of study. Curriculum 2013 is a competency-based curriculum.         Inside was formulated in an integrated manner the attitude of competence, knowledge and skills that must be mastered learners. Also formulated learning and assessment process required learners to achieve their competencies (Minister of Education and Culture: 2014).         Application educational game about the war Diponegoro intended to foster a sense of nationalism to Indonesia country. Where this educational game will be made in accordance with the times and useful as educational deployment solution that can be done anytime and anywhere. Keywords: Educational Games, MTs Attaroqie Malang, PHP CodeIgniter, web base
Analysis and Detection of Power System Network Faults with Wavelet Transform
Authors: Dangi Reena , Kandel Saroj , Sen Varsha , Parajuli Vision , Kumar Jha Rahul
Published: September 2023

Fault detection technique is important for enhancing protection, stability, reliability and continuity of supply. There are many fault detection techniques implemented in power system such as Fourier transform, wavelet transform, neural networks, etc. This research presents the fault identification and analysis using wavelet transform method as well as estimation of circuit breaker rating. The discrete wavelet transform is implemented for the fault identification in five bus system. Various types of line and ground faults have been considered and studied using Daubechies wavelet function. The first level decomposition is used for the fault analysis. The maximum detailed coefficients for various faults currents are analysed for the fault identification. The wavelet transform algorithm is implemented using MATLAB programming. The five-bus system is modelled in MATLAB Simulink and various faults are simulated. The switching time of fault is taken as 0.05 to 0.1 seconds. The faults have been studied at different points in the system. The fault identification method gives accurate results for different types of faults. The load flow analysis is also done for five bus system and appropriate rating of circuit breaker is estimated.