bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinants Affecting Student’s Performance in Teaching Physiology: A retrospective analysis
Authors: Alo Kamrunnahar , Yasmin Ayesha , Yesmin Laila , Liza Sharmin Khan
Published: March 2023

Background: This was a descriptive cross-sectional study among the students in the department of physiology at Khwaja Yunus Ali Medical College (KYAMC) during the period of December 2019 – January 2020 using a structured questionnaire and a checklist for record review of 1st professional examination results.

Objectives: To find out number of determinants including socio-demographic characteristics affecting student’s performance in teaching physiology course in addition to the perceived factors for better performance.

Methods: The data were generated from using a structured questionnaire and a checklist for retrospective record review of 1st professional examination results where the sampling technique was purposive / convenient in nature, the respondents willing to participate. It was analyzed manually & by computer program as appropriate.

Results: In this study among the total 52.57% respondents were male and 47.43% were female where 93.59% were within 20-22 years of age and 97.44% were Muslim by religion. The choice of respondent’s profession was by 25.64% parents. Only 47% and 67% respondents had regular exercise & enough sleep habits. Choice of foods in daily diet as fruits & vegetables were found adequate to only 35-50% respondents, and as milk and yogurt to 35-40% only. Listening music, playing games, using internet, capture photos, sending mails & text including sending and receiving calls were the most pattern of cell phone use among 75-98% respondents. Unbiased behavior of teachers, physical environment of class room, library facilities, available books in the library, adequate opportunities for internet & photo copy, and consideration of student’s opinion in teaching and learning were identified as perceived factors towards better performance to about 35-65% respondents.

Conclusion: Scope for regular exercise and dietary inclusion of fruits & vegetables needs emphasizing in addition to consumption of milk and yogurt. Opportunities for class room facilities, book in the library, internet & photocopy needs to be created further. Student’s opinion in teaching learning process may also be considered towards better academic performance. Unbiased teacher’s behavior can be an added input in this direction as well.

AKMMC J 2021; 12(1) : 22-27
Mobile Phone Usage Pattern among Secondary School Children in Some Selected Rural Schools.
Authors: Monika Farzana Mahzabin , Rahman Md Mahfuzar
Published: March 2023

Background: Mobile phones are an integral part of our modern life. The use of mobile phone for various purposes (including educational) has increased in recent few years in Bangladesh. The aim of the study was to explore the mobile phone usage pattern among secondary school children in rural schools of Bangladesh.

Materials and Methods: This descriptive type cross sectional study was carried among 295 secondary school children by purposive sampling technique from 1st to 31st December, 2019 in different villages of Dhamrai Upazilla, Dhaka. Data were collected by duly pretested a semi-structured questionnaire through face to face interview.

Results: The study revealed that, most of the respondents were in class X (36.61%) with female predominance (56.94%). Among them,63.72% were from nuclear family & majority 56.61% of the respondents had family monthly income BDT >20000 taka. 73% respondents were used smart phone. All respondents (100%) were used mobile phone for communicating with relatives & most of the cases (82.37%) reason was kill spare time. Frequently used social media sites was a Messenger (71.52%) followed by You Tube (68.13%) & Facebook (67.11%). 81.35% respondents were using mobile phones at home and 52.88% had no specific time for using a mobile phone. About 82.71% respondents were found monthly expenditure on mobile phone <200 taka.

Conclusion: The study findings demand an intensified effort should be made towards creating awareness about the use of mobile phone. The pattern of use revealed extensively on internet browsing. In fact, the usage of mobile phone for educational purpose is quite low and most of them used mobile phone for communicating with relatives. In spite of its various advantages it has some disadvantages also. Misusing of mobile phone increases the disadvantages of this device day by day.

AKMMC J 2021; 12(1) : 6-10
Open Preperitoneal Mesh Repair of Inguinal Hernia- A Better Approach for the Novice Surgeons
Authors: Rahman ATM Mostafizur , Rahman Mahbubur
Published: March 2023

Introduction: Inguinal hernia is a common surgical problem in advanced age group, but repair of inguinal hernias after prosthetic mesh repair is usually difficult due to considerable surgical methods, experience and complications. The study is a clinical trial done on patient with any type of inguinal hernia, who were treated by open preperitoneal mesh repair and darning of overlying musculoaponeurotic layers with prolene sutures.

Objectives: To study the operating time, hospital stay, postoperative complications and recurrence rate associated with open preperitoneal mesh repair and darning of overlying musculoaponeurotic layers with prolene sutures by novice surgeons.

Materials and methods: This observational clinical study in 250 patients having any types of inguinal hernias in new and recurrent cases. The period October 2017 to October 2019 was conducted at department of surgery of Bashundhara Ad-din Medical College Hospital and other private hospitals. The age, gender, operating time, hospital stay, postoperative complications rate and recurrence rate of the patients were evaluated.

Results: There were no serious intraoperative complications, there were 230 men and 20 women in the study, whose average age 41.50 (30-72) years. The average operative time taken to complete the surgery and hospital stay were 45.30 (30-120) minutes and 1.5 (1-3) days respectively. Complications include urinary retention in 10%, seroma in 2% and superficial surgical site infection in 2% patients. No recurrence was encountered post-surgery in any of the case till the last follow-up.

Conclusions: We concluded that the open preperitoneal mesh repair and darning of overlying musculoaponeurotic layers with prolene sutures is a safe, easier, time consuming and effective methods in a novice surgeon with fewer complications as compared to other conventional open hernia mesh repairs and laparoscopic hernia repairs.

AKMMC J 2021; 12(1) : 33-37
Characterization of COVID-19 infection in children: A 6 months experience in a tertiary care hospital in Dhaka, Bangladesh
Authors: Halder Soma , Tajkia Gule , Roy Kuntal , Rahman M Ekhlasur , Amin Syed Khairul
Published: March 2023

Background: Corona virus disease is a global health crisis, a surprising feature of the disease reflects that children might be less affected in the initial stage. Previous studies suggest that COVID-19 more likely to infect adults, but paediatric patients are on the rise. In most of the cases children have mild or moderate symptom of COVID-19, but another new serious presentation emerged named Multisystem inflammatory syndrome in children (MIS-C) which includes features like Kawasaki disease or toxic shock syndrome. The past few months we have seen a lot of findings and variation regarding the COVID-19 illness. As childhood presentation are variable analyzing the pattern of disease in children helps the policy makers to make the better strategies and health care givers to serve better.

Objectives: This study was conducted to assess the age and sex distribution, clinical presentations, morbidity, mortality pattern in children with COVID-19 infection.

Methods: This descriptive study conducted in the Outpatient Department of Pediatrics and dedicated COVID-19 unit of Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh from May 2020 to November 2020. 24 children with RT-PCR positive for COVID-19 were included in this study. Medical records of these patients were reviewed and data were analyzed using SPSS software version 20.

Results: The total number of children with RT-PCR positive for COVID-19 during the study period was 24. The male female ratio was 1.4:1. Most of the patients were aged over 10 years 9(37.5%). Fever (92%), cough (75%) and headache (50%) were the most common clinical features. A total 10 (41.7%) patients presented with mild clinical symptoms, 6 (25%) were severe to critical state and 2(8.3%) patients found with features with MIS-C. No mortality was observed.

Conclusion: The paediatric patients with COVID-19 had mild illness and had good prognosis. The child with MIS-C need early intervention for better outcome.

AKMMC J 2021; 12(1) : 45-51
Gossypiboma: A Cause of Iatrogenic Fecal Enterocutaneous Fistula
Authors: Arif Abdus Salam , Alam Md Sofiul , Anam Fariha , Tahmid AT , Maria KN
Published: March 2023

The word ‘gossypiboma’ or ‘textiloma’ is used to describe a retained surgical sponge in the body after an operation. If it is left in the abdomen, it may cause serious morbidity and mortality of the patient as well as medico legal problems. It varies between 1 out of 1000-1500 intra-abdominal operations and 1 out of 300-1000 of all operations1. Herein, we report one case, the first presenting about 2 months after caesarean section with fever with chills and rigor and pain at the operative area. Imaging detected presence of foreign body in the abdomen. Then she went for exploration of the wound and a mop was removed. After that she came to us with pain and feculent discharge from the wound site.

AKMMC J 2021; 12(1) : 58-61
Recursos didácticos de reciclaje en el desarrollo de la marcha de los niños y niñas
Authors: Giler-Giler Rosa , Zambrano-Briones Marlly
Published: March 2023

El presente artículo tiene por objeto proponer puntos de actuación para los educadores, docentes que intervienen en el ámbito de la mediación educativa y social en el contexto familiar. Para ello, en primer lugar, reflexionar sobre el importante papel de la familia en el desarrollo de los niños y niñas que crecen en su seno. Posteriormente entra a analizar las principales dimensiones del contexto familiar con influencia en el desarrollo infantil: las formas de los padres sobre el desarrollo motor grueso en cuanto a la marcha, el uso de recursos didácticos de reciclaje, la forma de estimular estas destrezas motoras de caminar, correr, subir escaleras, mediante el equilibrio concentración, haciendo uso de espacios y las interacciones educativas familiares. Por último, se plantea la necesidad de que la intervención educativa con familias incida en la orientación y prácticas poco estimulantes por otras con mayor capacidad para promover el desarrollo motor grueso de niños y niñas.
Estilos de liderazgos y toma de decisiones en las Pymes de la zona 3 del Ecuador
Authors: Valencia-Pérez Lenin , Gamboa-Salinas Jenny
Published: March 2023

El estilo de liderazgo y la toma de decisiones dentro de las empresas han cambiado los últimos años debido a la pandemia que fue ocasionada por el coronavirus COVID 19 lo cual provocó varios efectos a las industrias ecuatorianas a pesar de ser grandes medianas o pequeñas empresas. La acogida de nuevas medidas de liderazgo es esencial a fin de una adecuada toma de decisiones y a la vez realizar estrategias para activar la economía de las empresas de bienes y servicios que están dentro de la zona 3 del Ecuador. Objetivo: Analizar de qué manera los estilos de liderazgo influyen en la toma de decisiones en la PYMES de la zona 3 del Ecuador. Metodología: Es importante reconocer que este tipo de investigación se desarrolló empleando la metodología descriptiva de la información, por otra parte, la adopción de los métodos de investigación bibliográfica, de tal manera poder profundizar en relación del marco teórico. De este modo se obtuvo la muestra compuesta por 384 empresas de una población de 243651 instituciones, de esta forma se implementó el contacto vía correo electrónico con los integrantes activos en la organización, de esta manera se obtendrá los datos que proporcionen autenticidad por el coeficiente conocido como Chi Cuadrado. Resultado: Por lo consiguiente, el 50% de los gerentes de las PYMES de la zona 3 del Ecuador, aseguran que las jornadas de capacitación son muy esenciales y convenientes para obtener un mejor rendimiento en la empresa, de tal manera que existe un 70% de las empresas que no conoce el funcionamiento de los metadatos que nos ayuda a suministrar información sobre los datos producidos como la calidad, historia, describen el contenido y diferentes características de los datos dentro de ciertas actividades de la empresa. Conclusión: Para cerrar la idea, un buen líder tiene el talento de motivar a los colaboradores y generar un clima organizacional adecuado para un desempeño eficiente y aprovechar al máximo el talento de los colaboradores en la empresa organización.
 
Palabras claves: liderazgo, toma de decisiones, PYMES, metadatos, organización.
Proceso de Curaduría Especial para segundas nupcias, con relación al principio de simplicidad y celeridad
Authors: Escobar-Rueda Marco , Morales-Vela Ricardo
Published: March 2023

Recogiendo lo más importante, el proceso a fin de obtener el nombramiento de curaduría especial para nupcias, lo debe gestionar el progenitor con capacidad para contraer matrimonio, que desea casarse, que tenga bajo su cuidado un hijo menor de edad no emancipado y de anterior relación. La competencia radica en las y los jueces de la Unidad Judicial de Familia, Mujer, Niñez y Adolescencia, el proceso es el voluntario, y debido a las fases propias y formalidades de dicho proceso, así como la carga procesal que atraviesan los juzgados, dicho proceso no es sencillo y rápido, ya que tiene una duración aproximada de un mes y medio a tres meses, obstaculizando el derecho de elegir libremente su estado civil. En virtud de lo señalado y del análisis efectuado dicho proceso riñe con los principios de simplicidad y celeridad, debido a este conjunto de problemas es necesario un proceso más expedito de aproximada 48 horas, por lo que es indispensable una reforma a la Ley Notarial, otorgando a las y los notarios como una atribución exclusiva, fijando tasas reducidas y diferenciadas que no atenten el derecho de igualdad y no discriminación del derecho de acceso a los servicios públicos de las personas con bajos recursos.
Criterios de valoración del avalúo catastral emitido por el GAD Municipal del Catón Mejía para los procedimientos con fines de expropiación
Authors: Curillo-Aguirre José , Batallas-Gómez Hernán
Published: March 2023

El presente artículo de alto nivel, trata sobre la aplicación de los criterios de valoración de bienes inmuebles declarados en utilidad pública, con fines de expropiación, tal como lo establece el Art. 495 del Código Orgánico de Organización Territorial, Autonomía y descentralización en adelante (COOTAD, 2010).

Además, se desarrolla el procedimiento de expropiación en el Ecuador, la determinación del justo precio, en función del avalúo catastral realizado por los departamentos de avalúos y catastros de los Gobiernos Autónomos Municipales.

Igualmente, diferentes aportes doctrinarios a fin de generar un criterio más claro al respecto, juntamente con la revisión de normativa tanto constitucional, así como normas inferiores pertinentes a las expropiaciones.

Para realizar expropiaciones, las máximas autoridades administrativas de los gobiernos regional, provincial, metropolitano o municipal resolverán la declaratoria de utilidad pública, mediante acto debidamente motivado en el que constará en forma obligatoria la individualización del bien o bienes requeridos y los fines a los que se destinará.

Hay autores que afirman que la expropiación es una institución de derecho público, constitucional y administrativo, que se concreta con la emisión de un acto administrativo, emitido en ejercicio de la potestad pública expropiatoria, contenida en la Constitución.

Finalmente, se analiza el “Proyecto Vial Ampliación a cuatro carriles de la vía Alóag-Santo Domingo, Tramo Tandapi-Unión del Toachi”, realizada en el año 2018 por el Gobierno Autónomo Descentralizado de la Provincia de Pichincha en adelante (GADPP, 2018).

De la documentación proporcionada por el GADPP se evidencia que no todas las personas que fueron afectados sus bienes inmuebles con las expropiaciones recibieron el pago del justo precio, por cuanto únicamente se basaron en informes emitidos por el departamento de avalúos y catastros del GAD Municipal del Cantón Mejía, en el cual no se puede determinar que criterios de valoración aplicaron al momento de realizar el avalúo de catastros.
Manejo adecuado del Informe COSO para el control interno de una organización
Authors: Álava-Rosado María , Molina-Loor Edison , Recalde-Aguilar Lugarda
Published: March 2023

El Informe COSO (Committee of Sponsoring Organizations) es un documento que contiene las principales directrices para la implementación y gestión de un sistema de control interno. Desde su publicación en 1992, se ha convertido en el estándar de referencia en todo lo relacionado al control interno. El presente trabajo tiene como finalidad realizar un estudio sobre manejo adecuado del Informe COSO para el control interno de una organización. El estudio se realizó bajo una metodología de tipo documental bibliográfica, bajo la modalidad de revisión, ya que estudia la información existente en la literatura referentes al control interno y el informe COSO. De tal manera se concluye que, este informe ayuda y ofrece seguridad razonable en cuanto al logro de los objetivos que se propongan las entidades ya que las organizaciones pueden cumplir las normativas establecidas por las entidades de control, mejorar el nivel de eficiencia operativa y obtener razonabilidad de la información financiera, las mismas que serán de apoyo para la toma de decisiones dentro de la organización.
Modelo online para los procesos titulación en las universidades de Guayaquil
Authors: Giler-Valverde Gianella , Luy-Navarrete Wayky , Merino-Velásquez Jesús
Published: March 2023

El objetivo de la presente investigación es describir los modelos online para los procesos de titulación en las Universidades de Guayaquil, para lo cual se aplicó una metodología con una investigación de tipo documental con revisión bibliográfica. Estos procesos corresponden a todas las actividades y tareas que un estudiante debe llevar a cabo, luego de terminar su malla curricular, para obtener su título universitario. Como todo proceso, en esta nueva era de innovación tecnológica y modelos online, a través del uso de las Tecnologías de Información y Comunicación, las cuales representan un factor clave para lograr minimizar costos y agilizar los procesos dentro de las instituciones de Educación Superior. En la actualidad las Universidades de Ecuador se han adecuado a las innovaciones y cambios tecnológicos, para poder brindar mejores servicios.
Sistemas y patrones financieros en el comercio exterior de América Latina
Authors: Salazar-Garcés Génesis , Pino-Moran Fanny , Silva-Idrovo Raúl , Arizaga-Vera Fabián
Published: March 2023

El objetivo de la investigación es establecer las relaciones que existen entre los sistemas financieros y las tendencias o patrones financieros de américa latina en torno al comercio exterior de la región, por medio de una investigación documental bibliográfica en la que se recabo la información. Los sistemas financieros son instrumentos que se crean para potencializar las finanzas de un país o región, estos instrumentos son creados para lograr apoyar el desarrollo financiero, estos pueden ser bursátil o de banca, cualquiera que sea dependerá de las características particulares de cada región. Por otro lado, en estos sistemas se apoyan los patrones o tendencias que adoptan determinados mercados, los cuales obedecen a ciertos tipos de variables que impactan directa o indirectamente en las prácticas financieras y provocan los comportamientos bursátiles a nivel global. De igual manera los mercados internacionales o comercio exterior es una de las herramientas que en la actualidad está apoyando el crecimiento de economías en toda la región latinoamericana, ya que economías no tradicionales están enfocando sus estrategias a posicionar sus productos y servicios en los mercados internacionales. Se concluye que la relación entre estos términos es relevante para el avance y desarrollo de la región en función de lograr que estas economías emergentes logren catapultar países en vías de desarrollo al ámbito de mercado internacional.
Tingkat Kenyamanan Pengguna pada Studio Arsitektur: Studi Kasus Studio Arsitektur Institut Teknologi Sumatera
Authors: Hartono Tri , Kustiani Kustiani
Published: March 2023

The Architecture Studio is a supporting facility in the Architecture study program where many activities are carried out to carry out assignments. However, there is a tendency that students spend a lot of time outside the studio room doing assignments. Based on these problems, an analysis of user comfort is the aim of this research, especially for students. The research method used in this study is a qualitative method that involves interviewing space users and quantitatively involves taking direct measurements using a tool called a lutron and a windmate in the architecture studio room at the Sumatra Institute of Technology, after which the measurement results are analyzed and compared with the standards set. This research was conducted by paying attention to the differences in lighting in each studio room, the temperature differences in sunny, cloudy, and overcast weather conditions, and the ventilation used in the studio room. From the measurement results, it was found that the lighting conditions in the architectural studio at the Sumatra Institute of Technology did not meet the SNI (Indonesian National Standard, 2001), and the ventilation conditions at the architecture studio at the Sumatra Institute of Technology did not meet the standard for natural ventilation while meeting the standard for artificial ventilation. The architecture studio at the Sumatra Institute of Technology is comfortable carrying out assignments based on an analysis of the activities that take place during studio hours, assistance activities, and the level of work on studio assignments.
Atherosclerosis And Inflammatory Status In Chronic Kidney Disease Patients After Renal Transplantation: Where Are We Now?
Authors: Ozcicek Fatih , Turkmen Kultigin , Akbas Emin Murat , Demirtas Levent
Published: March 2023

Cardiovascular diseases are the most common cause of mortality and morbidity in patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD), receiving haemodialysis, peritoneal dialysis, and renal transplantation (Rtx). Estimated glomerular filtration rate (eGFR) places Rtx patients in one of the stages of CKD. Therefore, Rtx patients might be considered a subset of CKD patients. Besides the traditional risk factors of hypertension, diabetes, and dyslipidaemia, advanced-age novel risk factors such as endothelial dysfunction, vascular calcification, and increased chronic low-grade inflammation are highly prevalent and seem to play a more important role for vascular disease in CKD and Rtx patients compared to the general population. The role of Rtx in terms of atherogenesis and chronic ongoing low-grade inflammation is still unclear. To date, in the literature, the data are scant regarding the relationship between atherosclerosis, chronic inflammation, and cardiovascular events in Rtx patients with well-functioning kidneys. This review will discuss classical and recent epidemiological, pathophysiological, and clinical aspects of atherosclerosis and inflammation in Rtx patients.
Prevention of Catheter-Associated Urinary Tract Infection Following Gynaecologic Surgery: A Systematic Review
Authors: Chu Christine M. , Arya Lily A.
Published: March 2023

Catheter-associated urinary tract infection (CAUTI) is the most common postoperative infection associated with gynaecologic procedures, and results in increased risks to patients and costs for hospitals. Currently, there is great variation in chemoprophylaxis used for prevention of postoperative CAUTI. The objective of this paper was to systematically review the efficacy of chemoprophylaxis for the prevention of CAUTI during short-term catheterisation following gynaecologic surgery. Evidence acquisition was undertaken by performing a systematic review of PubMed/Medline, Scopus, and the Cochrane Library in November 2013 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Quality assessment was performed using the Jadad and Newcastle-Ontario Scales. Nine studies met criteria for inclusion. Included publications used either antibiotics or methenamine hippurate for chemoprophylaxis. Chemoprophylaxis during catheterisation resulted in a statistically significant decrease in significant bacteriuria as compared to control groups in the majority of the studies. Symptomatic bacteriuria was also significantly decreased. A recommendation of a specific regimen for chemoprophylaxis cannot be made due to heterogeneity in study quality, dose, and duration of chemoprophylaxis, timing of urine culture, and study endpoints. Evidence examining cost-effectiveness and antibiotic resistance was limited. We reviewed the use of either antibiotics or methenamine hippurate for the prevention of CAUTI after gynaecologic surgery. Evidence suggests that chemoprophylaxis results in a decreased rate of bacteriuria and UTIs postoperatively. Further studies are required to determine the optimum regimen. Chemoprophylaxis is useful for the prevention of CAUTI during short-term catheterisation after gynaecologic surgery. Further research to determine the most effective type and dose of chemoprophylaxis, as well as cost-effectiveness and the potential development of antibiotic resistance, is needed.
The Mechanism behind the High Thermoelectric Performance in YbCd2-xMgxSb2
Authors: Kwon Seung-Hwan , Kim Sang-il , Heo Minsu , Seo Won-Seon , Roh Jong Wook , Yang Heesun , Kim Hyun-Sik
Published: March 2023

YbCd2Sb2 is a promising Zintl compound for waste heat recovery applications due to its low thermal conductivity, originating from its complex crystal structure. Many strategies such as alloying or doping have been suggested to further reduce the thermal conductivity of YbCd2Sb2 to improve its thermoelectric performance. However, the effects of alloying or doping on the electronic transport properties of YbCd2Sb2 have not been evaluated in detail. Here, previously reported thermoelectric properties of YbCd2-xMgxSb2 (x = 0, 0.2, 0.4) with drastic thermal conductivity suppression were evaluated using the Single Parabolic Band (SPB) model and Callaway von Bayer (CvB) model. The SPB and CvB models evaluate any changes in electronic band parameters and phonon scattering strength, respectively, due to Mg alloying. Based on the SPB model, Mg alloying deteriorated the weighted mobility, mostly due to non-degenerate mobility reduction. However, the magnitude of point-defect phonon scattering significantly increased with Mg alloying, as evaluated by the CvB model. As a result, the maximum zT is achieved when x = 0.4 at 700 K despite the decreased electronic transport properties from Mg alloying. Our work suggests that carefully designed alloying can improve the thermoelectric performance of the Zintl compound even when it changes its electronic and thermal transport properties in opposite directions.
Knowledge and Attitude of Mothers Regarding Early Childhood Health Protocol Implementation During the Covid-19 Pandemic
Authors: Tambunan Roselina , Ginting Monika
Published: March 2023

Aim: Since Sars-CoV-2, a new strain of the coronavirus, has become a global pandemic, we need to take precautionary measures and establish health procedures. The study aimed to determine the relationship between knowledge and mothers' attitudes regarding the application of health protocols for early childhood during the Covid-19 pandemic at Majalengka Regency.
Method: This cross-sectional study was conducted in 2021 with a sample size of 51 mother-and-child pairs from kindergartens in the Majalengka Regency of West Java. Knowledge and attitude measurement using good validity and reliability reported questionnaires.
Result: The results of the mother's knowledge were good, namely 82.4%, while the level of knowledge was sufficient at 17.6%. The results of the mother's attitude supported 56.9% and did not support 43.1%. The cross-tabulation results obtained a p-value of 0.714, which is greater than 0.05, meaning there is no relationship between knowledge and mothers' attitudes about the application of health protocols in early childhood.
Conclusion: Based on the study result, family members and nurses in public health centers can increase counseling regarding health protocols for early childhood mothers. They need to work with health workers or local health agencies to counsel and motivate mothers to increase attitudes toward implementing health protocols in early childhood during the Covid-19 pandemic.
Factors Affecting Sleep Quality of Treated Patients in the Intensive Cardiac Care Unit Room
Authors: Calisanie Nyayu Nina Putri , Prayoga Hemel
Published: March 2023

Aims: ICCU (Intensive Cardiac Care Unit) is a special room provided in a hospital that treats patients with cardiovascular system problems. Sleep disturbance is one of the significant problems that occur in patients during treatment in the intensive cardiac care unit. Patients in the ICCU are at risk of experiencing sleep disturbances due to various procedures and monitor sounds, noise from communication between staff or noise, sleep disturbances related to lighting, complaints of pain and treatment procedures that occur in >50% of intensive care units. This causes the patient's healing process to be hampered. This study aims to find out factors affecting sleep quality of patients treated in ICCU.
Methods: This research is a quantitative correlational analytic research approach cross sectional study, conducted at a Dustira Tk II Hospital in July-August 2022, the number of samples was 23 respondents. The instruments used included a questionnaire.
Results: There is a relationship between pain and sleep quality with a Pvalue of 0.001. There is a relationship between the environment and sleep quality with a Pvalue of 0.006. There is no relationship between medication and sleep quality with a Pvalue of 0.097. There is no relationship between anxiety and sleep quality with a Pvalue of 0.082. S-regression analysis regarding the factor that most influences the sleep quality of ICCU patients is the factor of pain complaints with a P value of 0.036.
Conclusion: There is a significant relationship between physical complaints and environmental factors on the sleep quality of patients at the Dustira Hospital ICCU. The factor that most influences the quality of sleep is the factor of pain complaints.
HUBUNGAN LAMA KERJASAMA TERHADAP KEPERCAYAAN PELANGGAN PBF BINA PRIMA SEJATI
Authors: Brahmono Umul Angga , Saragi Sahat , Andayani Nurita
Published: March 2023

The large number of pharmacies is not proportional to the number of PBF in DKI Jakarta, causing intense competition in drug distribution activities to pharmacies. The main concept of partnership or cooperation with customers is trust. Building trust will have an impact on bringing loyalty to continue working with the company. This study aims to determine the effect of the length of cooperation between PBF and pharmacies on customer trust. This research was conducted by survey and observation methods. The sampling technique was carried out by Probability Sampling with a Proportionate Stratified Random Sampling approach in order to obtain 69 pharmacies. The results showed that the length of cooperation from 69 pharmacies was 7-12 months for 1 pharmacy, 13-24 months for 8 pharmacies and >24 months for 60 pharmacies. The highest pharmacy confidence level is 85.51%, moderate is 13.04% and low is 1.45%. Based on the results of the Pearson correlation test, a sig value of >0.05 indicates that there is no relationship between length of cooperation and customer trust in PBF. This shows that there is no relationship between the length of time of cooperation with the level of trust the Pharmacy has in PBF Bina Prima Sejati.
PENYEBAB OBAT KEDALUARSA, OBAT RUSAK DAN DEAD STOCK (STOK MATI) DI GUDANG PERBEKALAN FARMASI GUDANG PERBEKALAN FARMASI RUMAH SAKIT X SURABAYA
Authors: Nurcahyani Diah , Ayuningtyas Arina , G Leo Eladisa
Published: March 2023

Drug processing problems in each hospital often occur nowadays, so it is necessary to carry out continuous evaluation to create optimal services in providing good quality patient health. This study aims to describe and analyze the occurrence of expired drugs, damaged drugs and dead stock, to provide  policy recommendations for improving drug processing. This study uses a descriptive method, namely research that describes an object in relation to the actual situation. The sample used in this study is the number of expired drugs, damaged drugs and dead stock for the period June - August 2021 compared to the total number of drugs in the hospital. The percentage results for expired drugs were 0.002%, damaged drugs were 0%, dead stock were 0.022%, this was due to changes in prescribing patterns, expiration dates that were too short when receiving drugs from PBF and not maximally checking expired drugs in each unit, so it is necessary to do checking between planning and drug needs as well as improving the ED drug processing system and evaluating the system and evaluating the drug acceptance system in hospitals.
POLA KOMUNIKASI INTERPERSONAL KELUARGA DALAM PEMULIHAN KESEHATAN MENTAL PENYINTAS COVID-19 TAHUN 2020
Authors: Agustin Malta Ra Anisa , Rahimia Nisa , Hasyim Mugni M. , Ramadina rosetia Judith , Fajar Kurniawati Marhaeni
Published: March 2023

Tujuan dari penelitian ini yakni guna mengetahui bagaimanakah kontak interpersonal pada keluarga bisa meningkatkan kesehatan mental seseorang, khususnya dengan mantan penyintas Covid-19. Penelitian kualitatif ini memakai pendekatan fenomenologis dan fokus mendeskripsikan fenomena bagaimana pola komunikasi dan fungsi keluarga terhadap kesehatan mental penyintas Covid-19. Temuan penelitian ini menunjukkan bahwasanya komunikasi memiliki peran penting dalam mempromosikan kesehatan mental, terutama bagi mereka yang mulai menata kembali kehidupan mereka selama Covid-19. Komunikasi yang memfasilitasi sikap terbuka dan reseptif terhadap mendengarkan. Selama wabah ini, sejumlah orang sudah terpapar liputan media yang traumatis, yang selalu cenderung menakut-nakuti mereka yang terkena dampak Covid-19. Pasien Covid-19 berjuang tak hanya dengan infeksi virus yang sedang menyerang secara fisik, tetapi juga dengan berbagai masalah kesehatan mental psikologis, berupa kesulitan untuk tidur, masalah seperti turunnya kemampuan dalam berkonsentrasi serta penurunan kemampuan dalam mengingat, gangguan kecemasan, depresi, serta demensia. Melalui komunikasi, para penyintas seringkali mengalami pengurangan beban melalui penampilan kelompok utama guna mendengarkan cerita dan memberi kata-kata penyemangat sehingga menimbulkan rasa damai dan rileks.
PENGARUH PESAN KAMPANYE #KERENTANPANYAMPAH THE BODY SHOP INDONESIA TERHADAP SIKAP KHALAYAK (SURVEI PADA FOLLOWERS AKUN INSTAGRAM @THEBODYSHOPINDO.IMPACT)
Authors: Wahidah Denisa Nur , Handayani Lusia , Nathanael Garcia Krisnando
Published: March 2023

Keberadaan sampah yang terus saja mengalami kenaikan setiap tahun-nya membuat semakin banyaknya lingkungan yang tercemar. Salah satu penyebab menumpuknya sampah ialah penggunaan plastik yang masih sangat banyak digunakan. Berdasarkan hal tersebut The Body Shop Indonesia berusaha mengatasi hal tersebut dengan memperkuat komitmenya terhadap isu lingkungan khususnya isu polusi plastik dengan meluncurkan kampanye #KerenTanpaNyampah. The Body Shop Indonesia menggunakan media sosial instagram sebagai media dalam penyebaran pesan kampanye. Penelitian ini bertujuan untuk mengetahui pengaruh dari pesan kampanye The Body Shop Indonesia #KerenTanpaNyampah yang disebarkan melalui media sosial instagram terhadap sikap khalayak. Teori yang digunakan adalah teori atribusi. Metode survei digunakan peneliti untuk menyebarkan kuesioner kepada 100 responden followers akun instagram @thebodyshopindo.impact dengan menggunakan teknik pengambilan sampel yaitu purposive sampling. Pada uji koefisien determinasi diperoleh bahwa pengaruh variabel X (Pesan Kampanye) terhadap variabel Y (Sikap Khalayak) sebesar 56,1% dan sisanya yang berjumlah 43,9% ditentukan oleh faktor lain. Pesan kampanye yang disampaikan memberikan pengaruh pada aspek kognitif, afektif hingga konatif khalayak. Tingkat korelasi pesan kampanye dan sikap khalayak yaitu 0,749 yang mana dapat diartikan bahwa korelasi antara pesan kampanye dan sikap khalayak kuat dan positif. Dan dari hasil penelitian ini dapat merefleksikan keefektifitasan kampanye yang dilakukan oleh The Body Shop Indonesia.
Kontext och deltagande kunskapsprojekt
Authors: Samzelius Tove
Published: March 2023

Based on 20 years of experience involving marginalized singles mothers in participatory knowledge projects, this article provides a personal and critical reflection on the importance of the contexts within which such projects develop. Through concrete examples of projects, developed during different historical periods and welfare regimes, the author illustrates how the political and economic context can create both opportunities and barriers for the participation of the disadvantaged groups and the grassroots organizations that represent them. Some of the tensions too as benefits that can arise when more radical self-organized grassroots groups collaborate with academic institutions are also highlighted. Finally, ethical issues regarding the ideals of commitment of marginalized groups within a welfare context where the time to participate is regulated and limited raises. Consequently, it is argued, there is a need for wider critical reflection and continuous dialogue about how the basic principles of more radical traditions, both in research and social work, can be adapted and incorporated in new ways, whilst also learning from past experiences.
Delaktighet i forskningsprocessen
Authors: Elmersjö Magdalena , Hoffmann Evelina , Hollertz Katarina , Hultqvist Sara
Published: March 2023

Participation in the research process - PAR in a contemporary context.

Expectations and demands on coproduction in research have increased. Therefore, there is a need for knowledge on how these coproducing processes where researchers and practitioners work side by side during the research process can be carried out. In this article, methodological questions related to coproduction and collaboration between researchers and practitioners in the field ofsocial work are raised and discussed. The article draws on an on going research project where participatory action research (PAR) is the leading guideline. PAR in a contemporary context is understood as a democratization process, where values such as participation, mutual learning, empowerment, improvement and development of practice are given as much attention as the actual research findings. The research project discussed takes its starting point in Swedish eldercare, investigating situations of moral stress and moral agency. The project is carried out in close cooperation with three municipalities and institutions where future staff for eldercare are trained (social workers and auxiliary nurses). In the article the relations between researchers and practitioners are discussed. Strategies on how to establish cooperation applying a synergistic approach are highlighted. Furthermore, strategies for dissemination or research results are discussed. The article suggests PAR as a specific social work signature methodology, as PAR acknowledges the need for relational work as well as an action-oriented research agenda, well in line with the core values and understanding of social work as a professional practice and academic discipline. In the article, applying PAR in a contemporary context, is understood as a key component when striving for socially robust knowledge; that is, knowledge that is considered relevant and reliable in the eyes of all actors involved, in this case staff in municipal eldercare, as well as in academia.
Gestaltade erfarenheter i biografi, vittneslitteratur och litteratur
Authors: Alakoski Susanna
Published: March 2023

Som författare arbetar jag personligen helst i fiktionen. Helt enkelt för att den ger mer frihet än det dokumentära skrivandet, som i någon mening gör ett språk på såväl korrekt tidskronologi som ”sanning”. Men ett antal år efter debuten med romanen Svinalängorna (2006), som bland annat handlar om social utsatthet, barns överlevnad, alkoholism, hade jag fått så många frågor om min biografi att jag på allvar började fundera på att skriva något mer självutlämnande, det vill säga mer biografiskt, om jag förmådde. Dels var jag medveten om att få med min bakgrund, arbetarklass, invandrare, kvinna, mångfaldig social utsatthet, var predestinerade att bli författare, eller konstnärer. Dels anade jag att jag kunde skriva något som var relevant. Vidare drevs jag av tanken att bidra med kunskap. Men också av en plikt att vittna eftersom jag överlevt. Och kanske betydde tiga att svika?
Ny bok: Elisabeth Bergdahl och Fia Andersson (red) (2022)
Authors: Gustafsson Kristina
Published: March 2023

Elisabeth Bergdahl och Fia Andersson (red) (2022) Deltagarbaserad aktionsforskning – tillsammans för kunskap, lärande och förändring, Studentlitteratur.
Modeling the potential influence of economic migration on Ebola virus disease transmission dynamics
Authors: Diane Djiomba Njankou Sylvie , Nyabadza Farai
Published: March 2023

Introduction

The good health of the economy of developed countries is an attracting factor for economic migrants from poorer countries whose movements can be associated with the spread of diseases such as the Ebola virus disease.

Methods

In this paper, we formulate a model of Ebola virus disease that considers two patches with different economic statuses represented by the respective gross-national incomes of the two patches. First, we consider a one-directional movement from a poorer patch to a rich patch. Second, we consider a two-way migration model where people move between patches.

Results

The steady states of the model are determined and analyzed. The analysis shows also that the disease free and the endemic equilibrium points are locally stable. The analysis also shows that a unique endemic equilibrium point exists in the poor patch when the reproduction number in this patch is greater than one and multiple endemic equilibria exist in the rich patch when the reproduction number in the poor patch is less than one. The model dynamics of the rich patch present a backward bifurcation which does not facilitate easy Ebola virus disease control. Sensitivity analysis is carried out to determine the most sensitive parameters that must be carefully estimated for the successful control of the Ebola virus disease.

Discussion

Numerical simulations indicate a decrease in the number of infected individuals in the rich patch when movements of populations are limited through the improvement of the economy in the poor patch. So, the improvement of the economy of poorer countries may be critical in avoiding potential outbreaks of Ebola virus disease.
Synthesis and characterization of clay-biochars produced with facile low-temperature one-step in the presence of air for adsorbing methylene blue from aqueous solution
Authors: Liu Rui , Li Yuncong C. , Zhao Zhimeng , Liu Dandan , Ren Jun , Luo Yang
Published: March 2023

A facile and low-energy approach for biochar-supported clay preparation was developed at a low temperature (250°C) in the presence of air. A new type of engineered biochar by implanting clay particles on carbon surfaces had been successfully exploited as a low-priced adsorbent for environmental application. Two biomass feedstocks (tea and coffee wastes) were pretreated with kaolinite or montmorillonite suspension and then clay-biochars were synthesized using the facile one-step method. The adsorption performance, influencing factors, and mechanism of clay-biochars for methylene blue (MB) were investigated with adsorption experiments. The characterization results confirmed that clay exited on the biochar’s surface and the adsorption results revealed that biochar-supported clay had excellent methylene blue adsorption capacities (>20 mg/g) at unadjusted solution pH and room temperature (25°C ± 1°C). Batch adsorption experiments showed that initial solution pH, ionic strength, and competing compounds affected methylene blue adsorptions. The biochar-supported clay also had a potential of recycle and reusability for methylene blue removal. The methylene blue adsorption was predominately controlled by cation exchange (with both biochar and clay) and electrostatic interaction (with biochar only) mechanisms. This study provides a simple and environmental-friendly technology for creating high-efficiency clay-biochar adsorbent for removing cationic contaminants.
Spatio-temporal dynamics of aerosol distribution in an urban environment recorded in situ by means of a bike based monitoring system
Authors: Norra Stefan , Song Junwei , Gebhardt Reiner , Bauer Jonas , Broß Magdalena , Fuchs Marco , Huber Theresa , Mack Dennis , Saathoff Harald
Published: March 2023

Aerosol pollution in urban areas is highly variable due to numerous single emission sources such as automobiles, industrial and commercial activities as well as domestic heating, but also due to complex building structures redirecting air mass flows, producing leeward and windward turbulences and resuspension effects. In this publication, it is shown that one or even few aerosol monitoring sites are not able to reflect these complex patterns. In summer 2019, aerosol pollution was recorded in high spatial resolution during six night and daytime tours with a mobile sensor platform on a trailer pulled by a bicycle. Particle mass loadings showed a high variability with PM10 values ranging from 1.3 to 221 μg m−3 and PM2.5 values from 0.7 to 69.0 μg m−3. Geostatistics were used to calculate respective models of the spatial distributions of PM2.5 and PM10. The resulting maps depict the variability of aerosol concentrations within the urban space. These spatial distribution models delineate the distributions without cutting out the built-up structures. Elsewise, the overall spatial patterns do not become visible because of being sharply interrupted by those cutouts in the resulting maps. Thus, the spatial maps allow to identify most affected urban areas and are not restricted to the street space. Furthermore, this method provides an insight to potentially affected areas, and thus can be used to develop counter measures. It is evident that the spatial aerosol patterns cannot be directly derived from the main wind direction, but result far more from an interplay between main wind direction, built-up patterns and distribution of pollution sources. Not all pollution sources are directly obvious and more research has to be carried out to explain the micro-scale variations of spatial aerosol distribution patterns. In addition, since aerosol load in the atmosphere is a severe issue for health and wellbeing of city residents more attention has to be paid to these local inhomogeneities.