bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Emergency Obstetric Care Services in Primary Health Care Facilities in Niger State: A Mixed Methods Study
Authors: Garba Saleh Ngaski , Ibrahim Abdullahi Haruna , Anyebe Emmanuel Ejembi , Yunusa Umar , Lawal Umar Bello , Abdurashid Idris , Murtala Hassan Hassan , Ladan Muhammad Awwal
Published: September 2022

Background: Primary health care (PHC) is built on the principles of equity in the distribution of quality health care, active community participation in health care programmes and emphasis on prevention of illnesses rather than cure. The main objectives of maternal health services in the primary health care programme are to ensure that every expectant mother maintains good health throughout the maternity cycle. Aim: The main aim of this study is to evaluate the provision of emergency obstetrics care (EmOC) in Primary Health Care facilities. Materials and Methods: Utilizing the mixed research design, data were collected from 887 women, 69 male participants and 24 healthcare providers across 24 PHC facilities in Niger State selected through the multistage sampling technique using the questionnaire, focus group discussion, indepth interview and facility assessment. Ethical approval and all necessary permission were obtained from the Niger State Primary Health Care Agency, stakeholders and the participants. Data were analyzed using descriptive statistics and transcription. Results: Findings from the study revealed that prolonged/obstructed labour, hypertension in pregnancy, bleeding in pregnancy, anaemia, retained placenta and breech presentation of the baby during childbirth were among the maternal health problems occurring in the study locations. Also, there were no facilities for the provision of EmOC services in the PHC facilities. Conclusion: Although prolonged/obstructed labour, hypertension in pregnancy, bleeding in pregnancy, anaemia, postpartum haemorrhage and retained placenta were among the frequently occurring maternal health problems, EmOC services were not provided in almost all the PHC facilities visited. It is therefore recommended that efforts should be made to improve the state of the PHC facilities.
Challenges of PregnantWomen Accessing Focused Antenatal Clinic During Covid-19 Pandemic Lockdown in Wuse District Hospital, Abuja, Nigeria
Authors: Joseph-Shehu Elizabeth M. , Otse-Ugwu Winifred L.
Published: September 2022

Background: Most maternal deaths are linked to pregnancy and childbearing. In an attempt to improve maternal and child health, World Health Organisation introduced focused Antenatal care (ANC). All the activities of the world were at a standstill at the outbreak of COVID-19 in 2020, including obstetric care. Aim: To explore pregnant women's challenges in accessing ANC in Wuse district hospital Abuja during the COVID-19 lockdown. Methods: A descriptive crosssectional survey was conducted among mothers attending ANC at Wuse District Hospital. A purposive sampling technique was employed to select 99 participants for the study. Data were collected via a semi-structured questionnaire and analyzed using descriptive statistics. Results: More than one-quarter (25.3%) were between the age range of 25-30 years, while 57.6% had tertiary education. Also, 80.8% of the participants lived outside the hospital environment, and 62.6% were either civil servants or self-employed. The findings reveal that most (78.8%) of the participants could not attend antenatal appointments as scheduled while only 21.2% could receive ANC at the appropriate time. Challenges of the participants in receiving ANC include closing down of the antenatal clinic because of COVID-19 (28.3%), the difficulty of movement due to COVID-19 lockdown (41.4%), unavailability of staff as they have been drafted into isolation centers (9%) and transport problem (21.2%). Conclusion: The majority of the participants could not attend ANC as recommended during the COVID-19 pandemic lockdown. Adequate provision needs to be provided for pregnant women to have access to quality healthcare during pandemics.
Refracting The Diseased Eye
Authors: Ejukonemu Barbie O. M.
Published: September 2022

Refractive error refers to ocular refractive status where images of objects of regard do not fall on the retina in a relaxed eye - the ametropic eye. Thus, objects are perceived as blur. Refractive error is an aberration in an otherwise normal physiological phenomenon and not a disease. Uncorrected refractive errors are the second most causes of blindness after cataract and the cause of almost half of visual impairment. Clinical refraction is a careful scientific procedure employed to correct refractive error. Given that refractive error is the most common reason patients present to the eye care practitioner, a lot of attention must be given to refraction. When an irreversible eye disease co-exist with refractive error, then correction of refractive error under this circumstance; refracting the diseased eye (RDE) become very challenging and painstaking. There will be likelihood of irregularities in the transparent refractive surfaces of the eye due to disease or surgery which make refraction difficult both for the patient and the examiner. Personal clinical experience of the author who is a low vision consultant and review of related literature from textbooks and journals are brought to bear in this article. This paper is a review of the RDE algorithm with delineation of these steps to enable an effective refractive endpoint for the eye with disease. The paper will enable young Optometrists to deal with refractive error masquerading irreversible eye disease. It is also an essential reading for the low vision Optometrist in mastering the art and science of low vision refraction.
Farmers’ utilization of improved rice production technologies in ebonyi state, nigeria
Authors: A. N., Ezeh, , J. O., Enyigwe, , P. N., Egwu,
Published: September 2022

The study assessed farmers’ utilization of improved rice production technologies in Ebonyi State, Nigeria. Both random and purposive sampling techniques were used in the selection of 140 respondents for the study who were administered with a structured questionnaire. Data were analyzed using descriptive statistics such as frequency, mean scores, and inferential statistics of principal factor analysis. The study shows that farmers are highly aware of existing improved rice production technologies. The most utilized rice production technologies by farmers in the area include use of improved rice varieties (), fertilizer application (), use of agrochemicals (), modern rice milling equipment () and timely transplanting and use of standard depths and spaces (). The major constraints to farmers’ utilization of improved rice production technologies in the study area are administrative, individual, environmental, financial and technical constraints. The study recommends that extension organisations should rejig their extension delivery system to ensure timely dissemination of information on improved rice production technologies to farmers; and farmers should organize themselves into cooperative organization to enhance their access to credit for procurement of modern rice storage and processing facilities.
Asset based wellbeing of poverty of artisanal fish farmers in delta state, nigeria
Authors: J. E. Oboh, , C. I., Ada-Okungbowa, , C. O., Emokaro
Published: September 2022

This research carried out in Delta State, Nigeria, focuses on the empirical application of Principal Component Analysis (PCA), an asset based measure of wellbeing which can be used to assess level of poverty among households in rural areas of developing countries. The study employed questionnaire-based household survey data collection methods. The final wealth index was derived using data collected from 430 artisanal fishing households in riverine Delta State communities. Data on 16 variables measuring multiple aspects of household wealth status were used to extract the set of principal components utilized in the construction of the index. Two key statistical tests, the KMO and Bartlett’s tests, showed the appropriateness of the data for PCA. Results revealed that five major factors influence the wealth status and hence the wellbeing of households: home infrastructure, energy sources, durable home assets, water sources and mobility. Therefore, it is suggested that any efforts to improve the wellbeing of farm households in the study area as well as in other regions with similar socio- economic settings should consider these factors as entry point to poverty alleviation.
Prevalence of hepatitis B among patients in Michael Okpara University of Agriculture, (Mouau) Clinic and Madonna Catholic Hospital Umuahia, Abia State
Authors: Nwankwo I.U. , Edward K.C. , Chukwuma G. , Udensi' C.G. , Ofia M.C.
Published: September 2022

To determine the prevalence of Hepatitis B among patients in Michael Okpara University of Agriculture, (MOUAU) clinic and Madonna Catholic Hospital Umuahia, Abia State. Blood samples were collected aseptically using a sterile syringe and needle. About 2-5ml of blood was collected from each patient and conveyed in ice packs to Microbiology Laboratory for pre-vaccination tests. On-the-spot testing for HBsAg was conducted using Smart Check HBsAg (Globalemed, Cape Town, South Africa) according to the manufacturer’s instructions. This study revealed that about 46.5% of the study participants were positive for hepatitis B surface antigen, while the prevalence of age distribution of Hepatitis B surface antigen among male and female patients revealed that the rate of Hepatitis B Surface Antigen was highest in patients between the age 16-34 years at a percentage prevalence of 19(55.9%). This study also revealed that Hepatitis B virus prevalence rates were the most prevalent among female patients with a positive percentage value of 47.7%.The prevalence rate of HBsAg was higher in the 16-34 age group than in the other age groups tested. This high prevalence rate calls for more awareness on effective HBsAg immunization program in Nigeria. The importance of vaccination in the fight against hepatitis B cannot be overstated, emphasizing the necessity for universal immunization of all people in the study's age group and the creation of measures to prevent mother-to-child transmission. As a result, it is advised that adolescents born before the hepatitis B vaccine era in Nigeria receive public health education and vaccination against the infection.
Comparative studies of acetylated and carboxymethylated starches obtained from red cocoyam (Colocasia esculenta) and white cocoyam (Colocasia antiquorum)
Authors: Ibikunle A.A. , Yussuf S.T. , Bamidele R.A. , Sanyaolu N.O. , Ogundare S.A.
Published: September 2022

Interest in biopolymer is on the rise due to the non-biodegradability of synthetic polymers. Starches obtained from red cocoyam and white cocoyam were subjected to chemical modifications through acetylation using acetic anhydride and carboxymethylation using monochloroacetic acid in the presence of sodium hydroxide followed by determination of their physicochemical and functional properties. The proximate analysis showed that moisture, protein and fat contents reduced following the modification. Moisture content falls within the permissible limit with white cocoyam starch (WCS) having the least in both native and modified starches. Carboxymethylated starches had higher fat and ash content than acetylated starches while acetylated starches had higher protein content. In addition, swelling power, solubility, oil and water absorption capacities increased following modification. Pasting temperature and peak time reduced following modifications, with carboxymethylation having slight reduction. There was a significant difference in the peak, rough, breakdown, final and setback viscosities of native and modified cocoyam starches. The viscosities increased following acetylation but decreased following carboxymethylation. Viscosities of the acetylated red cocoyam were higher than that of acetylated white cocoyam starches. FTIR studies revealed the introduction of new functional groups in the modified starches, with the bands of the - C=O shifting to a higher and -OH to a lower value. Chemical modification improved the physicochemical properties of the starches studied. The physicochemical properties of the native and modified red cocoyam starch make it a better binder than white cocoyam.
Design and Implementation of a Web-GIS for the management of road infrastructure in Zimbabwe
Authors: Mazhindu Aldridge Nyasha , Madamombe Honest K.
Published: September 2022

Road asset mapping has the potential of reducing: costs in keeping all assets data, time-consuming activities like retrieving asset attribute from large files, risks associated with losing all the data by using Geographic Information Systems (GIS). Traditional road data has been stored in the form of hard copy maps showing the different road infrastructure. The World Wide Web (WWW), has revolutionized the provision, dissemination, and data access to people in different geographical locations. Web-GIS based applications have gained popularity because their low cost, ease of use and availability to a large population – that is anyone with a web-browser. Through browsers, web-GIS based applications can display a map with useful information. The design and development of an interactive web-GIS based digital road infrastructure management tool not only allows users to visualize the road infrastructure content but also help in decision making. It makes use of open source GIS tools, PostgreSQL and PostGIS (to manage spatial and non-spatial data), Geoserver (to connect the database to the client mapping application) and Apache Tomcat (to build and deploy the application). The maps are published through Geoserver with their associated information using JavaScript libraries (Open Layers and Geoext). Further spatial analysis (attribute queries) can be done online. Results show that a web-GIS was developed that manages road asset infrastructure like road signs, bridges, animal grids, rest areas. A user can query precise assets they want to visualize for instance damaged bridges. HoweGIS:here is still need to further improve the application for instance allowing user to put complaints about damaged road assets. Thus, the development of the application will help decision makers as well as other users to utilize the information for the benefit of the country.
Urban land use land cover mapping in tropical savannah using Landsat-8 derived normalized difference vegetation index (NDVI) threshold
Authors: Idrees Mohammed O. , Omar Dahir. M. , Babalola Ayo , Ahmadu Hussein. A. , Yusuf Abdulganiyu , Lawal Falilat O.
Published: September 2022

Generation of land use/land cover map at different spatial scales using satellite remote sensing data has been in practice as far back as early 1970s. Since then, research focus has been on the development of classification steps and improving the quality of the resulting maps. In recent times, the demand for detailed high accuracy land-use and land-cover (LULC) data has been on the increase due to the growing complexity of earth processes, while, at the same time, processing step is becoming more complex. This paper explores Landsat 8 derived normalized difference vegetation index (NDVI) threshold for the purpose of simplifying land cover classification process. NDVI images of January, May and December, 2018, representing dry, wet and harmattan seasons were generated. Thereafter, NDVI values corresponding to the location of a set of training data representing the target urban land covers (water, built-up area, soil, grassland and shrub) were extracted. Using the statistics of the extracted values, NDVI threshold for the respective land cover type were determined for the classification process. Finally, the classification accuracy was evaluated using the unbiased matrix coefficient technique which produced overall accuracy of 71.3%, 46.4% and 75.6% at 95% confidence limit for the months of January, May and December of the year review respectively. The result has shown that NDVI threshold is a simple and practical alternative to obtain LULC map at a reasonable time with a few data.
Accuracy of automatic aerial triangulation with bundle block adjustment on large historical image blocks in mountainous terrain
Authors: Holden Petra Brigitte , Smit Julian
Published: September 2022

Achieving accurate orthorectification is a major constraint to upscaling the use of historical aerial imagery for 20th century change detection. This paper presents a series of aerial triangulation bundle block adjustment post-processing model tests to determine the planimetric accuracy obtainable for large historical image blocks, which inherently contain film deformations e.g. warpage and shrinkage. Photo jobs with a range of photo numbers (12-237 images) and area coverage (>33 000-~150 000ha) were included. Self-calibration with 44-parameters and fixing the model to the ground control network achieved the highest final planimetric accuracy (total root mean square error [RMSE] ranging from 18.6 – 25.7px [7.1 – 21.8m] at ground control points and 20.5 – 27.7px [7.8 – 23.5m] at checkpoints). Allowing movement in the model by increasing standard deviations at ground control points or automating the removal of blunders in the model significantly reduced final planimetric accuracy. Removing automated points and running post-processing with no self-calibration also increased the error at checkpoint locations. This study shows that automatic aerial triangulation can assist towards reducing the number of ground control when orthorectifying large blocks of historical aerial photos. However, the study highlights the importance of post-orthorectification accuracy assessment because aerial triangulation accuracy results were not a correct reflection of the error in final orthoimages. Further work should focus on attempting to increase final planimetric accuracy by adjusting the accuracy and number of manual tie points and ground control in combination with altering the amount and positioning of automatic tie points.
Towards achieving Sustainability of coastal environments: Urban Growth analysis and prediction of Lagos, State Nigeria
Authors: Idowu Temitope Ezekiel , Waswa Rose Malot , Lasisi Kayode , Mubea Kenneth , Nyadawa Maurice , Kiema John Bosco Kyalo
Published: September 2022

The most extensive urban growths in the next 30 years are expected to occur in developing countries. Lagos, Nigeria - Africa’s second most populous megacity- is a prime example. To achieve more sustainable and resilient cities, there is a need for modeling the urban growth patterns of major cities and analyzing their implications. In this study, the urban growth of Lagos state was modeled using the Multi-Layer Perceptron (MLP) neural network for the transition modeling and the Markov Chain analysis for the change prediction, achieving a model accuracy of 81.8%. An innovative visual validation of the model results using the ArcGIS was combined with kappa correlation statistics. The results show that by 2031, built-up areas will be the most spatially extensive LULC class in the study area with percentage coverage of 34.1% as opposed to 9% in 1986. The coverage of bare areas is also expected to increase by 53% between 2016 and 2031. Conversely, 24.9% and 68.3% loss of forestlands and wetlands respectively, are expected between 2016 and 2031. In view of the 11th goal of SDGs which focuses on achieving sustainable cities and communities, the objectives of African Union’s Agenda 2063, and based on the urban growth trends observed, the study recommends a prioritization of vertical expansion as opposed to the current horizontal urban growth trends in the study area.
Exploring machine learning algorithms for mapping crop types in a heterogeneous agriculture landscape using Sentinel-2 data. A case study of Free State Province, South Africa
Authors: Mazarire Theresa Taona , Ratshiedana Phathutshedzo Eugene , Nyamugama Adolph , Adam Elhadi , Chirima George
Published: September 2022

Accurate and detailed studies in crop mapping are crucial in precision agriculture, yield estimations, and crop monitoring. This study focused on exploring the utility of Sentinel-2 data in mapping of crop types and testing the two machine learning algorithms which are Random Forest and Support Vector Machine performance in classifying crop types in a heterogeneous agriculture landscape in Free state province, South Africa. Nine crop types were successfully classified. The utility and contribution of different bands for classification were evaluated using RF mean decrease GINI for variable importance. Validation of results was done using a confusion matrix which produced overall accuracy, errors and prediction measures. The best performance was attained by SVM with an overall accuracy of 95% and a kappa value of 94%. RF also performed fairly well with 85% of overall accuracy and kappa value of 83%. It was concluded that Sentinel-2 data performs better using the SVM classifier compared to RF classifier.
Spatio-temporal variations of land surface temperature using Landsat and MODIS: case study of the City of Tshwane, South Africa
Authors: Magidi James , Ahmed Fethi
Published: September 2022

Urbanisation is accelerating urban land use dynamics and this has a significant impact on land surface temperature (LST). Impervious surfaces and increase in air pollution has led to the increase in land surface temperature. This study reports on the use of geospatial technologies to monitor and quantify changes in LST using remotely sensed data in the City of Tshwane. Land surface temperature was retrieved using the winter and summer Landsat datasets for 1997 and 2015 and the MODIS data from 2000 to 2015. Land surface temperature was extracted using emissivity and satellite temperature as input parameters. The spatial and temporal variations in the LST were retrieved to show the effects of land cover change on LST. Change in LST was also analysed on different land cover types using transects across the study area. The study revealed an increase in land surface temperature between the years. It also showed that impervious surfaces had a higher LST compared to the non-impervious surfaces. The results revealed variations in LST between non-cropped and cropped agricultural areas, where the former had higher LST than the latter. Temporal trends revealed a notable increase in LST in the urban areas and there were some seasonal variations in LST with high LST values in summer and low values in winter. Cross-section analysis along transects revealed spatio-temporal thermal variations across different land cover types.
Incidence and Histopathological Study of Xanthomonas axonopodis pv. vesicatoria (Doidge) Dye in Chilli (Capsicum spp.) Seeds in Western Rajasthan
Authors: Sharma Dilip Kumar , Agrawal Kailash
Published: September 2022

Bacterial leaf spot is a destructive disease in Rajasthan caused by Xanthomonas axonopodis pv. vesicatoria (Doidge) Dye. A field and market survey was conducted for the study of incidence and location. Dry seed examination of 103 seed samples of chilli (Capsicum spp.) belonging to 16 districts of Rajasthan that revealed a 10–100% incidence of Xanthomonas axonopodis pv. vesicatoria (XAV) on Tween-80 medium. Two naturally infected seed samples of chilli carrying a 100% incidence of XAV were selected and categorized into asymptomatic (06.25–94.25%), moderately discolored (01.75–42%), and heavily discolored (01.25–27.75%) seeds. The heavily discolored seeds showed shriveled, water-soaked symptoms on their surface, and on bisecting such types of infected seeds, the embryo and endosperm showed necrosis and browning. The pathogen was found confined to the outer seed coat layer, particularly at the ramnent of funiculus in a few asymptomatic seeds. In moderately discolored seeds, the pathogen was found in the seed coat and the space in between the seed coat and the endosperm. It colonized all the seed components, including embryo and endosperm, in heavily discolored seeds. The pathogen caused necrosis, the formation of lytic cavities, a reduction in cell contents, and aggregation of the bacterial cells. The pathogen was found to be extra-as well as intra-embryonic.
La amistad en el decoro: la diplomacia económica de Antonio Carrillo Flores, un embajador mexicano en Washington (1958-1964)
Authors:   El Colegio de México, de los Reyes Patiño Reynaldo
Published: September 2022

El objetivo de este trabajo es analizar el trabajo diplomático de Antonio Carrillo Flores, embajador de México en Estados Unidos entre 1958 y 1964. Utilizando el archivo personal de Carrillo, se muestra que su experiencia en la burocracia económica mexicana fue fundamental para fortalecer la relación comercial y financiera con ese país. Asimismo, se señala que valiéndose de la lógica de la Guerra Fría, impulsó con pragmatismo una agenda económica latinoamericana y buscó alternativas para reducir la dependencia hacia los estadounidenses. El trabajo se divide en dos partes que corresponden a la administración republicana de Eisenhower (1958-1960) y a la demócrata de Kennedy (1961-1964), se finaliza con el nombramiento de Carrillo como secretario de Relaciones Exteriores de México.
THE LABOR MARKET AND EMPLOYMENT IN UKRAINE IN THE CIRCS OF WAR
Authors:   Training Institute of the State Employment Service of Ukraine, Plysenko Halyna
Published: September 2022

The article analyzes the state of the labor market of Ukraine, which functions in conditions of war. It was substantiated that the majority of enterprises were not ready for the worst scenario of the development of events despite the formation of a threatening situation and military escalation near the Ukrainian borders. Quite a large share of such enterprises slowed down or suspended their activities. The companies of the IT sector, as well as those that were able to organize remote work and in which the relocation is not connected with the movement of significant production capacities, received a smaller shock. It was determined that during the first month of the war, the Ukrainian economy halved, which caused changes in the labor market. According to the survey results, on average, 53% of the surveyed respondents lost their jobs due to hostilities in the country (a total of 1000 respondents were surveyed). The biggest problem is in the east, where this indicator reaches 74%. In the first weeks after the start of the war, all online job search platforms saw a significant decrease in the number of open vacancies and resumes posted on them. In Ukraine, the number of resumes has critically decreased. There have been changes in internal migration, as well as population migration abroad. According to UN data, more than 4 million Ukrainians are seeking asylum in neighboring countries. The mass movement of the population to the western regions of Ukraine has led to a sharp increase in the shortage of personnel in the vitally necessary areas of the market in the areas covered by hostilities. The shock period on the labor market did not last long, and already in the second half of March there were signs of its gradual adaptation to the conditions of the new socio-economic reality. It was found that the most in demand on the modern labor market are specialists in the fields of agriculture, transport and logistics, as well as sales (salespeople, cashiers, etc.). The demand for medical workers and pharmacists has also increased. The fact that the RussianUkrainian war will significantly change not only the domestic, but also the global labor market is indisputable. One of the industries that can become a driver of further recovery and development of the domestic economy can be the IT industry. In addition, further development of various formats of remote work should be expect. Also, the need to restore the housing stock, rebuild domestic enterprises and infrastructure facilities creates favorable conditions for the intensive development of the construction industry. Undoubtedly, professions related to the security and defense sector, medicine, psychology, energy, logistics, etc. will be in demand.
CURRENT TRENDS OF THE DEVELOPMENT OF COOPERATIVE ENTREPRENEURSHIP
Authors:   O.M. Beketov National University of Urban Economy in Kharkiv, Kolubai Yroslav
Published: September 2022

The article notes that cooperation has recently become increasingly large-scale, covering all levels of production. The article examines essence and special characteristics of the modern cooperative entrepreneurship, the theoretical aspects of cooperative enterprises in Ukraine have been considered in the article, in particular the problems of its identification and adequacy to the international cooperative principles. The difference between cooperative enterprises and joint stock ventures has been explained. The conclusion is made about the essence of the cooperative idea as a whole, aimed at the comprehensive development of the personality, the realization of its capabilities and the satisfaction of needs. This article defined by negative and positive sides of the functioning of cooperative organizations in a market economy. The main task of the cooperation in the current context is not an adaptation to market principles, but development of cooperation phenomenon unique characteristics, creating and increasing competitive advantages, underlying the cooperative form of economy management. The analysis of foreign experience of cooperative entrepreneurship shows that in many countries collective management is considered as an effective means of solving economic and social problems. At the same time, the main feature of a cooperative enterprise is the participation of employees in the company's capital, which requires the formation of a qualitatively different culture of corporate management, aimed at the broad involvement of employees in management and economic processes. It was noted that implementation of state support measures, creation of cooperative entrepreneurship supporting structures, development of democratic principles in the management of enterprises are necessary for the development of the cooperative entrepreneurship in Ukraine. The development of cooperative entrepreneurship will contribute to the strengthening of multi-organization, the effective implementation of the collective form of ownership, the expansion of cooperative relations and the acceleration of economic growth in Ukraine.
The Effect of Health Education on Infusion of Patients on Maintenance of Infusion Drops at Citama Hospital in 2021
Authors: Rogayah Rogayah , Al-Bahra Al-Bahra , Dwi Lestari Hernida
Published: September 2022

This study aims to identify the characteristics of patients who are infusions, before and after infusion health education is carried out on patients for the maintenance of infusion drops at Citama Hospital in 2021. This study uses a Quasi Experimental method with the research design "Pre and post test control group design" the conclusion of this study was obtained by comparing the effect of treatment on the group of subjects who were given the treatment. The research data was obtained based on a survey using a questionnaire to the sample at Citama Hospital. Based on the results of data analysis, there were 4 people (26.7%) who maintained the infusion drip before being given good health education and after being given the infusion health education, it showed an increase in the maintenance of the infusion drip, namely 12 people (80%). And maintenance of infusion drops before being given infusion health education was not good for 11 people (73.3%) and after being given infusion health education showed a decrease in infusion drip maintenance, namely 3 people (20%), where the analysis used a t-dependent test with the average result (0.533), standard deviation is 0.516 and p value 0.001 where p < 0.05, so it can be concluded that the health education of infusion in patients has a significant influence on the maintenance of infusion drops.
Rigid Pavement Concrete by Adding GGBS and River Sand in Accelerate Curing Method
Authors: Pandiyan D. Senthil , Kumar M. Siva , Sathiyamoorthy A.
Published: September 2022

This method of concrete mix design consists of selection of optimum properties of ingredients, i.e., cement, mineral admixture, fine aggregate, coarse aggregate, water and chemical admixture if needed to produce concrete specified properties such as strength, workability and durability, etc. as economic as possible. The compressive strength of hardened concrete which is generally considered to be an index its properties depends upon its factor, e.g., quality, quality of cement, water, aggregate; placing, compacting and curing. The cost of concrete is made up of cost of material the variation in cost of material a rise in fact that in cement several time costly then aggregate thus the aim to produce a lean mix. In this paper, concrete pavement has designed by adding mineral admixture in reduction of cement content up to 32% and reduce the cost of concrete mix and also to attain its equal strength of concrete.
FAKTOR PENENTU MINAT BERKUNJUNG ULANG PASIEN TUBERKULOSIS DI POLIKLINIK PARU DI RUMAH SAKIT PIRNGADI DI MEDAN
Authors: Sari Yulin , Juliandi Harahap  , Masnelly Lubis
Published: September 2022

Sistem atau cara pelayanan yang optimal otomatis bisa memunculkan kepercayaan pasien pada instansi kesehatan. Jenis penelitian adalah dengan Cross Sectional dengan tujuan untuk mengetahui faktor penentu minat berkunjung ulang pasien tuberkulosis di Poliklinik Paru Rumah Sakit Pirngadi Medan dengan populasi penelitian adalah 1397 pasien TB yang berobat jalan dan sampel diambil dengan cara purposive sampling sebanyak 93 pasien. Hasil penelitian menunjukkan bahwa kehandalan memiliki nilai sig-p 0,300 > 0,05, jaminan sig-p 0,008 < 0,05, bukti fisik sig-p 0,221 < 0,05, empati sig-p 0,028 < 0,05, daya tanggap sig-p 0,034 < 0,05 dan kepuasan pasien sig-p 0,008 < 0,05. Kesimpulan dalam penelitian ini ada pengaruh jaminan, empati, daya tanggap dan kepuasan pasien terhadap minat kunjungan ulang pasien tuberkulosis, sedangkan kehandalan dan bukti fisik tidak memiliki pengaruh terhadap minat kunjungan ulang pasien tuberkulosis. Diharapkan kepada pihak rumah sakit untuk meningkatkan kepuasan pasien menjadi lebih baik seperti memberikan rasa peduli kepada pasien yang membutuhkan pelayanan kesehatan
Kajian Perbandingan Analisis Finansial Perkebunan Kelapa Sawit Rakyat dan Swasta
Authors: Artana I Kadek Pandi Beri , Trisna Anak Agung Inten , Arisena Gede Mekse Korri
Published: September 2022

Kajian ini bertujuan untuk membandingkan analisis kelayakan finansial dan manajemen usaha pada dua jenis kepemilikan perkebunan kelapa sawit di Indonesia. Kepemilikan perkebunan kelapa sawit tersebut adalah perkebunan kelapa sawit rakyat dan swasta di ada di wilayah Indonesia.  Metode yang digunakan adalah studi literatur dengan sumber pustaka dicari dari sistem aplikasi Harzing yang meliputi mengenai NPV, IRR, B/C Ratio, dsb pada perkebunan kelapa sawit swasta dan rakyat. Hasil dari kajian ini didapat pada aspek finansial perkebuanan kelapa sawit swasta terdapat biaya reinvestasi yang di bebankan pada biaya pengeluaran untuk usaha perkebunan kelapa sawit swasta, sedangkan pada rakyat tidak ada ditemukannya biaya reinvestasi yang dibebankan pada pengeluarannya. Rata-rata perkebunan swasta menganalisis switching value untuk menyiapkan strategi menghadapi tantangan kedepan seperti penurunan produksi ataupun kenaikan biaya produksi. Berdasarkan hal tersebut, diharapkan hasil kajian ini dapat menjadi acuan kepada pengembang maupun pemerintah maupun stakeholder terkait.
La Fenomenología como propuesta metodológica para las Ciencias Sociales. Una reflexión sobre la investigación científica
Authors: Padrón Medina Ana María , Méndez Reyes Johan Manuel , Calanchez Urribarri África
Published: September 2022

La fenomenología se ha constituido en un método científico de gran validez y confiabilidad;Husserl su precursor la entendía como un análisis descriptivo de las vivencias intencionales de la conciencia sujeto.Sin embargo, existe una resistencia por parte de quienes se aferran al método de las Ciencias Naturales, que procura no asumir los aportes de estos planteamientos a temáticas susceptibles de las Ciencias Sociales.Por ello, la presente investigación tiene como objetivo analizar la fenomenología como propuesta metodológica para las Ciencias Sociales desde una reflexión sobre las investigaciones científicas. El estudio se enmarca desde una metodología hermenéutica y fenomenológica. Como consideraciones finalesse obtuvo que es crucial para las comunidades científicas reconocer que existe una diversidad de metodologías que deben ser utilizadas de acuerdo con la realidad abordada, yque permitan respetar la tradición del investigador y romper definitivamente con la hegemonía existente aún por parte de quienes controlan el saber.
Percepción y prácticas evaluativas de los docentes universitarios
Authors: Capuñay Uceda Oscar Efraín , Zuñe Chero Limberg
Published: September 2022

La educación universitaria tiene entre sus objetivos formar a la juventud en las competencias profesionales que aseguren su éxito en su vida laboral; actualmente, para evaluar los aprendizajes de estas competencias se continúa calificándose, usando exámenes escritos. En este trabajo de investigación se plantearon dos objetivos; el primer fue, analizar la percepción que tienen los docentes sobre su práctica evaluativa realizada en la universidad; y como segundo objetivo, constatar si las tareas evaluativas aplicadas en su labor docente se orientan al aprendizaje. En esta investigación se aplicó el enfoque cuantitativo y cualitativo, es decir, una metodología mixta para el logro de los objetivos. El primer objetivo se logró usando el enfoque cuantitativo a través del cuestionario ActEval y el cualitativo mediante el análisis documental. Los hallazgos respecto a la percepción de los docentes indican que ellos valoran la importancia de la evaluación y tienen las competencias para llevarlas a la práctica, sin embargo, reconocen no llevarlas a la práctica frecuentemente. En conclusión, nuestros resultados demuestran que las prácticas evaluativas utilizadas por los docentes universitarios no se orientan al aprendizaje, y se recomienda el diseño de programas de mejora para la utilización de prácticas evaluativas orientadas al aprendizaje.
Tunantada, pasión hecha canción
Authors: Esteban-Rivera Edwin Roger , Callupe Becerra Sonia Fiorella , Rojas-Cotrina Amancio Ricardo , López Rengifo Carlos Fernando , Bustamante Paulino Nicéforo
Published: September 2022

La tunantada es una expresión cultural de la provincia de Jauja, región Junín(Perú),que en los últimos años se irradió en todo el paísy en parte del mundo. Muchas son las razones para su expansión, una de ellas es la música. El propósito delartículo es conocer la historia de vida de algunos de susmúsicos y compositores,e interpretar los sentimientos que les impulsaron a componer canciones en género tunantada. La perspectiva metodológica cualitativa,paradigma interpretativo, método historia de vida, sirvieron de ruta para recogery procesar información de los músicos y compositores. Se realizó la revisión documental y la entrevista en profundidad, hallándose que, como arte o como expresión interna del hombre, los compositores transmitenen las canciones sentimientos individuales ycolectivos; por consiguiente, la tunantada gusta a las personas porque reflejasu sentir, dolor, desilusión y esperanza.
Proposed Service and Marketing Communication Initiatives to Strengthen Blibli Positioning in E-Commerce Industry
Authors:   School of Business and Management, Institut Teknologi Bandung, Basaria Evania Surya
Published: September 2022

Since the beginning of the pandemic, the trend of online shopping in Indonesia has been increasing as people are reluctant to shop outside their homes. This triggered the growth of the e-commerce industry, which then resulted in high competition in the industry. Each company provides a wide selection of products and competitive prices to increase sales. Blibli, as one of the leading e-commerce companies in Indonesia under Djarum Group, believes that there needs to be other initiatives beyond price and product variety to strengthen the company’s position. Blibli is committed to providing convenience and security in shopping by providing maximum service. By using primary and secondary data, the author analyses conditions of competitors, customer segmentation that prioritizes services, and how to effectively communicate the services that Blibli has. Primary data is obtained through questionnaires distributed to active users of e-commerce. Through the research conducted, it can be concluded that Blibli’s main competitors (Tokopedia and Shopee) currently do not use services as a differentiator. The author also proposes customer segmentation, namely the millennial generation, who are aware of the importance of service in online shopping. Blibli’s “positioning” proposed in this research is basically in accordance with Blibli’s current “positioning,” but Blibli needs to update its marketing communication strategy so that customers understand Blibli’s advantages. The proposal submitted by the author is expected to help Blibli strengthen its position in the industry as a company that always prioritizes customer satisfaction through excellent services.
Analyses of an Effective Leadership Strategy in Early Childhood Education in Developing Countries: From A Recipient To an Actor
Authors:   Department of Primary Education, School of Early Childhood Care and Primary Education, Cross River State College of Education, Akamkpa, P.M.B. 1171, Calabar, Nigeria
Published: September 2022

In the analysis of this paper the authors investigate a leadership model that can facilitate effectiveness in the early childhood education (ECE) in developing regions, including Africa. Leadership components that indicate multilevel collaboration among stakeholders appear to hold huge advantages ensuring the success of the early years education. Distributed leadership emerged in literature as a leadership model that is increasingly becoming popular in the 21st century as a means to engage, motivate and empower stakeholders in education to share roles in leadership in concert with the school head to ensure the development of the ECE. The attention drawn to distributed leadership is because it seems to enable a movement from the traditional ways were leadership resides in an individual acting as a lone school leader to a practice that allows teachers, parents and even children to actively participate in decision making and influencing positive changes at school. Such a leadership pattern is also preferable as it seems to be flexible in its application to reflect context.
Current Surgical Treatment of Gynecomastia
Authors:   Unidad Medica de Alta Especialidad, Hospital de Especialidades Centro Medico Nacional de Occidente IMSS, Lim Acosta Marcos
Published: September 2022

Gynecomastia is the proper growth in size and proportion of glandular breast tissue in men. It has various etiologies. Regardless of the stimulus or etiology, whether physiological or pathological, histologically the same changes will occur. The most used categorization for patients with gynecomastia is that of Simon BE. The management of each patient must be staggered, individualized and always offering the greatest safety. The surgeon must know this pathology to know all the therapeutic targets and their arsenal for management, surgical treatment must be reserved for selected cases and is an excellent alternative.
The Effects of Financial Ratios on the Perceived Risk Count for Single Equity VIX
Authors: Chen Jo-Hui , Hussain Sabbor , Yeh Wen-Lin
Published: September 2022

Abstract

The determinants of fear gauge from March 2005 to September 2019 are empirically examined with attention to the single equity volatility index (VIX). This study utilized Poisson and Negative Binomial Regressions to investigate the link between perceived risk count and its variables at certain levels of quantiles. The Negative Binomial model was chosen based on the highest log-likelihood value and the lowest the Akaike information criterion (AIC) value to analyze the market psychology condition of investors. The result of the return on equity (ROE), cash conversion cycle (CCC), and dividend payout ratio (DPR) are negatively significant in both medium and higher quantile of perceived risk count. The debt ratio and free cash flow (FCF) positively affect the perceived risk count. The impacts of variables on higher quantile have a greater influence on perceived risk count, followed by medium quantile.

JEL classification numbers: G32.
Keywords: Perceived Risk Count, Equity VIX, Poisson and Negative Binomial Regressions.
Testing for the Long Memory and Multiple Structural Breaks in Consumer ETFs
Authors: Maya Malinda , Chen Jo-Hui
Published: September 2022

Abstract

This research examines the consumer exchange-traded funds (ETFs) in several industries based on long memory and multiple structural breaks. The autoregressive fractionally integrated moving average (ARFIMA) model indicates that consumer ETF returns in the media, consumer service, food and beverage, and consumer goods industries can be accurately predicted. The autoregressive fractionally integrated moving average and fractionally integrated generalized autoregressive conditional heteroskedasticity (ARFIMA-FIGARCH) model reveals that only the gaming and consumer goods industries have a long memory in volatility. This study establishes that through the iterated cumulative sum square test, multiple structural breaks exist in consumer ETF industries. Results prove that the consumer goods industry has a long memory and multiple structural breaks. Finally, the structural breaks in consumer ETFs have strong asymmetrical effects, indicating that all of the consumer ETF industries are generally unstable.

Keywords: The Long Memory, Multiple Structural Breaks, Consumer ETFs, Iterated Cumulative Sums Squares Test.
Janz Syndrome (Youth Mioclonics), Two Brothers Case Report and Literature Review
Authors:   Neurologist assigned to the Neurology Service of the Regional Military Hospital of specialties of Guadalajara, Mexico, Nava Gabriel Miranda
Published: September 2022

Introduction: Juvenile myoclonic epilepsy classified as a generalized genetic epilepsy, It occurs with sudden jerks of the upper limbs and if the lower limbs are affected, with falls and without loss of consciousness. They occur preferably in the first minutes upon waking. They are triggered by sleep deprivation and alcohol intake. The disease follows a non-progressive course Clinical Case: A 15-year-old female patient presented to the service due to an absence crisis and an apparent insomnia problem. The semiology of absence crisis is interrogated and in effect, as well as occasional nocturnal myoclonus, electroencephalogram is performed and a 4 Hz slow wave poly tip pattern is found throughout the stroke, especially in photo stimulation (Figure 1, 2). The patient has an older brother of 17 years who has developed school problems without a previous diagnosis of epilepsy, electroencephalogram is performed and also presents a generalized slow-wave poly tip pattern (Figure 3, 4) treatment with valproate is initiated with good response
Gallbladder Perforation: An Uncommon Complication of Acute Cholecystitis
Authors:   Consultant General Surgeon, General Surgery, Al Qassimi Hospital, Sharjah, United Arab Emirates, Mohammed Marwan Rasheed
Published: September 2022

Acute Cholecystitis is a common condition that may present with unusual complications like gallbladder perforation. Such an uncommon complication usually presents a challenge to surgeons to diagnose and provide the necessary management on as early as possible. The mortality rates are directly related to early surgical intervention. Therefore, it is crucial to keep in mind such a complication and know when to further investigate such patients. In this report we will describe a case of acute perforated cholecystitis which was almost missed due to the unspecific clinical presentation.