bluuebunny/crossref_metadata_2025 huggingface dataset:
Strategies for Handling Stunting in Nagan Raya Districts
Authors: Fazila Leni , Fitri Siregar Siti Maisyaroh , Reynaldi Fitrah , Husna Arfah
Published: May 2023

Stunting is when a person's height is less than average based on age and gender. This study aims to determine the strategy of the Nagan Raya Health Office in reducing stunting rates. This type of research used qualitative research. Data collection techniques are observation, interviews, and documentation. Research informants were the Head of the Health Service, Head of Public Health, Head of Family Health and Nutrition, Head of Promotion and Community Empowerment, Head of Environmental Health, Occupational Health, and Sports. Data analysis techniques are data reduction, data management, and concluding. The results showed that the Nagan Raya health department's strategy for reducing stunting rates was quite good. With eight integrated stunting reduction interventions, specific nutrition interventions, and sensitive nutrition interventions collaborated with cross-sectoral involvement. In conclusion, from 8 integrated stunting reduction interventions, the basis is stunting consultation. The obstacles are that it is difficult to use the budget for stunting, uniting stakeholders' perceptions, and the village government lacks knowledge. Supporting resources are sufficient, namely human resources (HR), facilities, and infrastructure, but it is still insufficient in terms of the budget. Suggestions that socialization is given to the village government. It is hoped that the Health Service and government organizations involved will remain consistent and unite their perceptions and maximize their budget.
Analysis of Implementation Chronic Disease Program (PROLANIS) During Pandemic COVID-19 on Primary Health Care
Authors: Ambarita Anna Tirawani , Nurwahyuni Atik
Published: May 2023

The PROLANIS program is a health program initiated by BPJS Kesehatan to prevent diabetes mellitus and hypertension complications. According to Riskesdas data, in 2018, there were 1,017,290 people with diabetes mellitus and 658,201 people with hypertension in Indonesia. This research method is qualitative, and the data collection technique uses in-depth interviews with five types of informants and secondary data observations, namely the coverage of active participants and the number of primary health care employees. There are five types of informants: the head of the primary health care, the doctor in charge, the PROLANIS officer at the primary health care, the BPJS Kesehatan officer, and the PROLANIS participant. The target number of PROLANIS controlled before the pandemic was not achieved. The COVID-19 pandemic conditions increasingly made the target number of PROLANIS participants increasingly unattainable because several PROLANIS activities involved not being implemented. Participants fostered in clubs are limited and selected according to the participants' commitment to participating in PROLANIS activities. Primary health care is expected to carry out innovations so that PROLANIS activities can be carried out in other forms that reduce but still control the health status of the trained participants
Implementation Evaluation of Clinical Pathway in Aceh Mental Hospital with Poac Method
Authors: Saputra Irwan , Rafsanjani T.M. , Humaira Humaira
Published: May 2023

Rumah Sakit Jiwa Aceh (RSJ) is the only referral psychiatric hospital in Aceh Province. The most diagnosed disease in RSJ is Schizophrenia with an average length of stay in 2018 is 59.76 days. Schizophrenia is classified into severe mental illness due to its chronicity. The length of hospital stay is one indicator of the quality of mental health services. Other indicators are the effectiveness of services and the compliance of services with clinical pathways. Clinical pathway functions as a means of both cost and quality control of patient services. The purpose of this study is to evaluate the implementation of clinical pathway schizophrenia in Aceh Mental Hospital. This research uses qualitative methods. Primary data is collected by in-depth interviews. The study population was RSJ Management and Professional Care Providers (PPA) using a purposive sampling method. the implementation of clinical pathway schizophrenia was not optimal, this was due to the absence of a trial process, limited socialization, lack of PPA and management commitment, and the evaluation results not followed-up. The implementation of clinical pathway that is not optimal has an impact on the differences in services obtained between patients, increasing the length of stay (LOS) of schizophrenic patients and hospital losses. Therefore, Aceh's mental hospital needs to revise the clinical pathway of schizophrenia.
Use of Gadgets with Screen Time on Emotional Intelligence in The Digital Era in Middle Adolescence (15-18 Years)
Authors: Marchamah Dwi Nur Siti , Sudrajat Agus , Rahmatika Dena Nur
Published: May 2023

Gadget addiction causes various personality disorders. This study is to determine whether the use of gadgets with screen time has an effect on emotional intelligence. This research uses the cross-sectional method. The research variables are gadgets as an independent variable, screen time as an intervening variable, and emotional intelligence as a determining variable. The population of adolescents is the middle adolescence (15-18 years) SMA X Semarang City as many as 252 people. Using a minimum sample of 100 people, with a cluster random sampling technique. Data analysis using Path Analysis. Validity test with a 5% confidence level of 0.374. The calculated r-value > r-table. The reliability test used Cronbach Alpha with the results of the reliability value > 0.7. Research results: (1) The significance value of 0.751 > 0.05 means that the use of gadgets does not affect screen time. (2) The significance value of 0.025 < 0.05 means that the use of gadgets affects emotional intelligence. (3) The significance value of 0.722 > 0.05 means that the use of screen time does not affect emotional intelligence. (4) The direct effect of using gadgets on emotional intelligence is explained by a beta value of 0.228. (5) The indirect effect between gadget use and screen time as an intervening variable is (-0.032 x 0.035 = (-0.00112), so 0.228 > (-0.00112), meaning that screen time is not an intervening variable between gadgets and emotional intelligence. The better a person's emotional intelligence, the better it will be accepted by the community.
Obtención de enzima celulasa de Trichoderma reesei a partir de residuos de Zábila como sustrato
Authors: Toyo-Diaz Mitchell José , Toyo-Fernández Betsay María , Hernández-Gómez Shirley Nazareth , Moreno-Quintero María Eugenia
Published: May 2023

El propósito de la investigación fue obtener enzima celulasa de Trichoderma reesei a partir de residuos de zábila como sustrato, con la finalidad de evaluar su potencialidad como soporte nutricional a la producción enzimática aplicable a la industria de alimentos. En cuanto a los materiales y métodos, se empleó como sustrato la corteza de zábila, un residuo deshidratado y molido de una procesadora de bebidas a base de gel de zábila. Se utilizó material residual vegetal procedente de una fábrica local. Los resultados reflejaron mediante el ANOVA, que no existe diferencia significativa en el crecimiento de la colonia fúngica en los cultivos. La actividad enzimática de celulasa se reportó en 0,19 UI/μmol de glucosa.mL, significando que es posible producir celulasa empleando residuo de zábila. Como conclusión Se logró producir 0,19 UI/µmol.min celulasas/mL incubando Trichoderma reesei en medios con polvo de corteza de zábila como sustrato.
La granja agroturística como alternativa de desarrollo endógeno sustentable, con visión ecofilosófica y productiva
Authors: García-Graterol Carlos Guillermo , Graterol-Graterol Ramón Darío
Published: May 2023

La investigación tuvo como objetivo general proponer una Granja Integral Agroturística con visión Ecofilosófica que promueva el desarrollo endógeno en la población de Agua Clara, municipio Democracia del estado Falcón. El estudio fue descriptivo, de campo y modalidad proyecto factible, la población fue una finca de la población de Agua Clara, tomando como muestra dos parcelas. Los resultados indicaron que la granja comenzará con una capacidad operativa de 70 % para los primeros dos años, subiendo 10 % en los próximos tres años, hasta llegar en el quinto año a un 100 % de su capacidad. Como conclusión se tiene que al poner en marcha la granja se aprovecharán las ventajas comparativas, con la premisa de ofrecer productos de alta calidad a la colectividad; la granja integral constituirá un modelo productivo que además de coadyuvar con las actividades de producción brindará la oportunidad de salud y recreación dirigida.
Control of management practices and their impact on the competitiveness of companies in Mexico
Authors: Barragán-Vázquez Carlos Hugo , García-Martínez Jesús , Reyes-Fong Teodoro , Hernández-Ruiz Lorena
Published: May 2023

Competitiveness has different meanings. All of them contain common elements that allow them to be classified into four dimensions: stakeholders, human factor, innovation, finance and market penetration. Goals: The main objective of this research is to analyze the relationship between the use of resources and capacities and financial performance in small and medium microenterprises (Mipymes) of the three sectors in Mexico. Metodology: Regarding the method of obtaining information, the data obtained from the application of 360 surveys were used, covering SME units from the sectors: industrial, commerce and services; in the main cities of the country. A theoretical model was designed to contrast the 3 specified hypotheses, and it was validated with a linear regression model. Contributios: Finally, it is concluded that this empirical study, framed in the contingent approach, has been able to show that human factors and innovation explain to a greater extent their influence on financial performance. And that technology, although it contributes to performance, conflicts when the human factor intervenes in the implementation of said technology. Thus, constituting a sustainable competitive advantage for business success.
Bortzerrietako euskara, herriz herri (ez)berdintasunetan barrena (II)
Authors: Zelaieta Anda Edu
Published: May 2023

Bigarren artikulu honetan, Bortzerrietako euskararen aditzaren morfologiaren, sintaxiaren eta lexikoaren zenbait alderdi deskribatzen ditugu. Azken batean, Bortzerrietako euskararen gramatika bat egin dugu, gramatika deskriptibo horretatik azterketa dialektologikora abiatzeko asmoz. Horretarako, izenburuak berak iradokitzen duenez, geografian barrena joan gara berdintasunak eta ezberdintasunak non sortzen diren ohartzeko. Halaber, tasun linguistiko horien arabera, Bortzerrietako barreneko nahiz kanpoko muga dialektalik behinenak non kokatzen diren erabakitzeko modua izan dugu. Ikuspegi diakronikoa ere baliatu dugu, hondarreko bi mendeotan gertatu diren aldaketak nora begira gertatu diren jabetzeko.
Getxoko etxe izenen sorreraz
Authors: Gorrotxategi Nieto Mikel
Published: May 2023

Ikerketa honetan Getxon baserri izenak sailkatzeaz gain historian zehar sortzeko erabili diren sistema desberdinak aztertu dira mendez mende. Baserri zaharrenek sorrera desberdineko izenak dituzten arren geroago hiru multzotan sailkatu ahal ditugu, etxearen ezaugarri bat aipatzen dutenak (Etxebarria), etxe zaharrago baten izena daramana, ezaugarri bereizgarri batez hornituta (-zar, barri, goiko, beko...) eta jabearen izen, deitura edo ezizena gehi -ena atzizkia dutenak: Sarriena, Osabaena...
The review of studies on the bonding of metal brackets to tooth enamel and ceramics
Authors: Khasan A.M. , Kosyreva T.F. , Tuturov N.S.
Published: May 2023

In our paper, we present a review of modern laboratory studies conducted on the topic bonding strength of brackets using adhesive systems. The main objective of this article is to study the structure of studies, the methods used and the results that were obtained. We selected scientific papers that compared the adhesion of metal braces with tooth enamel and ceramics, using various primers and adhesives. All studies that we selected were published no earlier than 2018. This article analyzes the methods of laboratory experiments, the samples used and the results obtained on the basis of these tests. The result of our review is the conclusion that it is possible to use an additional method to determine the adhesion force of a bracket with tooth enamel and orthopedic materials.
Conclusions are drawn that in the analyzed works all the indicators of adhesion of braces with enamel are in the same range, the adhesion of braces with ceramics is lower compared to adhesion with tooth enamel, there is no data on laboratory studies of the adhesion strength on the separation of braces from tooth enamel and ceramic orthopedic structures.
Les cités éducatives : des missions d’intermédiations réorganisées ?
Authors: Genet Laurie
Published: May 2023

Cet article met en exergue les caractéristiques communes aux professionnels pivots à partir de leurs pratiques et de leurs discours. Grâce à des corpus issus de deux enquêtes ethnographiques, six caractéristiques sont proposées et questionnées. Il s’agit, par la suite, de rendre compte de l’incidence des professionnels pivots dédiés aux cités éducatives sur les pratiques partenariales, à l’échelle de ces territoires singuliers. En quoi les professionnels pivots dédiés aux cités éducatives se distinguent-ils de professionnels pivots antérieurs à ces labélisations et qu’est-ce que cela produit à l’échelle du territoire ?
Écouter les professionnels de la jeunesse en milieu ouvert au sujet du confinement
Authors: Bordet Joëlle
Published: May 2023

Dès le début du confinement dû au Covid 19, les participants du réseau de recherche intervention « Jeunes, inégalités sociales et périphéries » ont pris l’initiative d’écouter des jeunes, des parents, des éducateurs et animateurs en France sur dix-sept sites des quartiers populaires urbains. Ayant constaté une grande évolution des situations sociales due au renforcement de la précarité, de la socialisation des jeunes, en particulier de l’ubérisation pour les jeunes garçons et le retrait des jeunes filles, une évolution rapide des enjeux de la santé psychique, nous avons ensuite réalisé des monographies sur six villes. En référence à ces travaux, nous analysons les effets de ces temps de confinement, nous faisons l’hypothèse que cette épidémie a transformé la temporalité de la vie des habitants à long terme combinant immédiateté et incertitude. Nous identifions aussi les multiples initiatives collectives et les transformations des métiers et des modes d’accompagnement des jeunes et de leurs familles à court et plus long terme. C’est aussi une façon de rendre visible cet effort collectif d’adaptation de tous en solidarité, habitants et professionnels de proximité dans ces temps difficiles.
Restauration d’une école sinistrée et leçons tirées
Authors: Broccolichi Sylvain , Larguèze Brigitte
Published: May 2023

Dans une école d’un quartier d’habitat social de la banlieue parisienne, les difficultés et tensions se sont accrues pendant cinq ans : troubles et dégradations, arrêts maladie et départs répétés des enseignants, résultats calamiteux aux évaluations nationales, mécontentement grandissant des parents. Un comité de pilotage a chargé notre équipe d’analyser la situation, puis de contribuer à l’améliorer, en prenant appui sur les enquêtes précédemment réalisées dans cette ville. En nous référant aussi à d’autres recherches portant sur l’évolution d’établissements de quartiers précarisés, nous interrogeons les possibilités de prévenir ou d’enrayer plus rapidement des spirales d’échec et d’instabilité, lourdes de conséquences pour le travail des enseignants et des élèves.
Better Must Come
Authors: Balazo Patrick
Published: May 2023

In light of the United Nations High Commissioner for Refugee’s global #IBELONG Campaign to end statelessness by 2024, this paper examines the benefits of citizenship acquisition among Sri Lanka’s previously stateless Up-Country Tamil population. From 1948 until 2003, the Up-Country Tamil population was stateless and excluded from the Sri Lankan political process, though with the 2003 grant of citizenship Sri Lanka was celebrated as an example of what it means to successfully end statelessness. Using a liberal theory of citizenship extended by the Rancièrian concept of dissensus, and based on qualitative interviews and questionnaire surveys conducted in Sri Lanka between July and August 2016, this paper identifies potential shortcomings of citizenship acquisition that clash with the promise of the #IBELONG Campaign and the narrative of Sri Lanka’s success in ending statelessness: a rural rights deficit and a shared absence of belonging despite the acquisition of citizenship.
Factors Influencing SME Financing: Case in Indonesian Islamic Bank
Authors:   Universitas Muhammadiyah Surakarta, Jawa Tengah, Maulida Mahmada Azmi , Hidayah Nur ,   Universitas Muhammadiyah Surakarta, Jawa Tengah, Rosyadi Imron ,   Universitas Muhammadiyah Surakarta, Jawa Tengah
Published: May 2023

Purpose: Islamic Commercial Banks is one of the institutions that provide financing for Small and Medium Enterprises (SMEs). This study aims to analyze the effect of Third Party Funds (DPK), Inflation, Non-Performing Financing (NPF), and Margin Levels on Small and Medium Enterprises (PUKM) financing in Islamic Commercial Banks. Method: The type of data used in this study is secondary data derived from monthly statistical reports on Islamic banking which are accessed through the official website of the financial services authority and the website of Bank Indonesia. The period of this research is from 2016 to 2021. The analytical method used is Ordinary Least Square (OLS). Result: The results of the study concluded that DPK and Margin Level had a significant effect on PUKM. While inflation and NPF have no significant effect on PUKM. Islamic commercial banks as intermediary institutions can increase financing for SMEs by maximizing DPK and margin levels in the hope that financing for SMEs can increase economic growth in Indonesia.
Kontradiksi Perilaku Republik Rakyat China di Asia Tenggara: Geopolitik dan Kepentingan Nasional
Authors:   Universitas Padjadjaran, Jawa Barat, Nugraha Arif , Sinaga Obsatar ,   Universitas Padjadjaran, Jawa Barat, Dermawan Windy ,   Universitas Padjadjaran, Jawa Barat
Published: May 2023

Purpose: This study will explain the People's Republic of China's (PRC) national interest through international relations activities in the Southeast Asian region. Activities that occur between PRC and states in Southeast Asia are cooperation and conflict at the same time. One form of cooperation that occurs between the PRC and countries in Southeast Asia is the Belt and Road Initiatives (BRI) mega project. Meanwhile, a territorial dispute in the South China Sea is one form of conflict that arises between the PRC and states in Southeast Asia. Methodology: The research method used in this research is a qualitative research method with a descriptive approach. This study will use the concepts of geopolitics and national interests as a research knife to explain the importance of the Southeast Asian region to the PRC, China's behavior in the Southeast Asia region, and PRC intentions. Results: Southeast Asia is of great importance to PRC national interests. The strategic location, natural resources, and countries in the region have the potential to fulfill PRC national interests. PRC has both cooperative and conflict relations with countries in Southeast Asia. Bilateral and multilateral cooperation between PRC and Southeast Asian countries has positively impacted both sides. One form of collaboration between the PRC and Southeast Asian countries is the BRI, and one conflict is the dispute in the South China Sea. Good relations are not a guarantee of avoiding a conflict and vice versa. Ultimately, the state will make a rational choice that will produce a decision or policy that can accommodate its national interests.
Pola Interaksi Sosial di Warung (Studi Kasus pada Interaksi Sosial di Warung Sembako di Kelurahan Pulogebang Kota Jakarta Timur)
Authors:   UIN Sunan Gunung Djati Bandung, Jawa Barat, Rahman Rizki , Octavia Vera ,   UIN Sunan Gunung Djati Bandung, Jawa Barat
Published: May 2023

Purpose: The purpose of this study was to determine patterns of social interaction in stalls and to determine the behavior of buyers. Research Methodology: The research method used is descriptive qualitative method. Data collection was carried out by participant observation, namely researchers involved in direct interactions with data sources in the field and by observing daily activities at four stalls in Pulogebang Village and researchers also conducted interviews with eight informants. Results: The results of this study show that social interactions that occur in stalls are not only in terms of buying and selling, but there are other conversations outside the context of buying and selling. The interactions that occur in the warung can be associative (cooperation, accommodation, assimilation) and dissociative (competition, contradiction, conflict). As well as the behavior of customers in the Pulogebang Village stalls is a positive behavior in social life. Contribution: This research is expected to be useful for the development of sociology, and can add to the knowledge of sociologists about social interaction, besides that it can help stall visitors and sellers be aware of the importance of good social interaction with the community.
Media Power and the Rule of Law in the Rise of New Despotism: Lesson Learned from Indonesia, China, Russia, and Iran
Authors:   Universitas Gadjah Mada, Daerah Istimewa Yogyakarta, Salma Siti Raudhah
Published: May 2023

Purpose: this study aims to seek an answer to these research questions: 1) "How do media power and the rule of law influence the rise of new despotism in Indonesia, China, Russia, and Iran?" and 2) "How does the new despotism affect the practice of good governance accountability principle in those countries?". This research attempts to identify the rise of new despotism in the world. It contributes to examining the implications of government policies regarding this phenomenonMethod: Multiple case study approaches from these countries are used to conduct qualitative research. Result: The results respond to the call for new thinking about the concept of "New Despotism" in order to contribute to further studies regarding new despotism in developing countries. In addition, the findings of this research are expected to assist policymakers in developing and evaluating policies that address this circumstance. Conclusion: This research can help to rebuild the accountability principle of a good governance system. Accountability in the context of public administration is being investigated since it is at the heart of government administration practice. It has long been a source of worry, particularly in policy-making.
PENINGKATAN PENGETAHUAN MENGENAI PRENATAL COUPLE YOGA DI MASA PANDEMI COVID-19 DENGAN MENGGUNAKAN MEDIA VIDEO DI WILAYAH KERJA PUSKESMAS KELURAHAN CILANDAK TIMUR
Authors: Masita Masita , Rasumawati Rasumawati , Astuti Yunita Laila
Published: May 2023

Prenatal couple yoga merupakan salah satu modifikasi dari prenatal yoga. Pada latihan ini dilakukan dengan melibatkan suami. Prenatal couple yoga dapat memperkuat hubungan emosional antara ibu, ayah dan calon bayi. Kegiatan pengabdian kepada masyarakat ini bertujuan memberikan penyuluhan bagi ibu hamil dan suami untuk meningkatkan pengetahuan tentang Prenatal Couple Yoga di Wilayah Kerja Puskesmas Kelurahan Cilandak Timur, Kecamatan Pasar Minggu, Jakarta Selatan. Kegiatan ini dilaksanakan pada bulan Maret-November 2022 pada 30 ibu hamil. Kegiatan dilaksanakan sesuai jadwal dengan 2 metode yaitu: 1) ibu hamil dan pasangan diberikan penyuluhan mengenai manfaat Prenatal Couple Yoga dan 2) mengajarkan ibu tentang langkah-langkah dalam melakukan Prenatal Couple Yoga dan dipraktikkan dengan menggunakan media video Prenatal Couple Yoga, menganjurkan ibu hamil dan pasangan untuk aktif mengikuti langkah demi langkah. Hasil evaluasi pengetahuan dengan pre dan posttest ditemukan tingkat pengetahuan ibu hamil tentang Prenatal Couple Yoga mengalami peningkatan lebih baik, yaitu pada pretest 64,33 dan posttest sebesar 80,33. Dapat disimpulkan bahwa penyuluhan menggunakan video dapat meningkatkan pengetahuan mengenai Prenatal Couple Yoga. Pelaksanaan Prenatal Couple Yoga ini diharapkan dapat membantu bidan dalam memberikan penyuluhan pada kelas ibu dengan menggunakan media video yang telah dibuat, dan bidan melanjutkan kegiatan ini pada semua ibu hamil yang mengikuti kelas kehamilan, khususnya di Puskesmas Kelurahan Cilandak Timur.
GAMBARAN PENYIMPANAN SEDIAAN FARMASI PADA PEDAGANG BESAR FARMASI DI KOTA PALEMBANG
Authors: Taswin Muhammad , Sarmadi Sarmadi , Tedi Tedi
Published: May 2023

ABSTRAK

 

Latar Belakang: Kesalahan dalam proses penyimpanan masih menjadi penyebab terbesar kerusakan pada sediaan farmasi yang dapat berdampak pada keselamatan pasien. Sebelum sediaan farmasi sampai ke tangan pasien diperlukan instansi kesehatan yang terlibat dalam kegiatan pendistribusian, yaitu Pedagang Besar Farmasi (PBF). Untuk menjamin keamanan, khasiat dan mutu sediaan farmasi maka PBF perlu menerapkan operasional penyimpanan yang termasuk dalam salah satu aspek penting pada Pedoman Cara Distribusi Obat yang Baik (CDOB).

Metode: Penelitian ini merupakan penelitian non eksperimental dengan rancangan deskriptif. Pengambilan data dilakukan pada bulan Maret-Mei 2021 pada Pedagang Besar Farmasi di Kota Palembang dengan menggunakan alat pengumpulan data berupa lembar kuisioner dan checklist lembar observasi yang selanjutnya dianalisis secara deskriptif berdasarkan pedoman CDOB, yaitu infrastruktur penyimpanan, sistem penyimpanan, dan sistem pencatatan.

Hasil: Hasil penelitian menunjukkan bahwa 99,4% infrastruktur penyimpanan telah memenuhi standar CDOB, 85,71% sistem penyimpanan telah memenuhi standar CDOB, dan 95,55% sistem pencatatan telah sesuai dengan CDOB.

Kesimpulan: Dari hasil penelitian dapat disimpulkan bahwa penerapan penyimpanan sediaan farmasi pada Pedagang Besar Farmasi di Kota Palembang masuk ke dalam kategori baik dengan persentase 92,17%.

Kata kunci: Cara Distribusi Obat yang Baik, Pedagang Besar Farmasi, Penyimpanan Obat

 

 

ABSTRACT

 

Background: Errors in the storage process are still the biggest cause of damage to pharmaceutical preparations that can have an impact on patient safety. Before pharmaceutical preparations reach the patient's hands, it is necessary to have a health agency involved in distribution activities, namely Pharmacy Wholesalers (PBF). To ensure the safety, efficacy and quality of pharmaceutical preparations, PBF needs to implement storage operations which are included in one of the important aspects of the Guidelines for Good Drug Distribution Methods (CDOB).

Methods: This research is a non-experimental research with a descriptive design. Data collection was carried out in March-May 2021 at Pharmaceutical Wholesalers in Palembang City using data collection tools in the form of questionnaire sheets and checklists of observation sheets which were then analyzed descriptively based on CDOB guidelines, namely storage infrastructure, storage systems, and recording systems.

Results: The results showed that 99.4% of the storage infrastructure met the CDOB standard, 85.71% of the storage system complied with the CDOB standard, and 95.55% of the recording system complied with the CDOB.

Conclusion: From the results of the study, it can be concluded that the application of pharmaceutical preparation storage at Pharmacy Wholesalers in Palembang City is in the good category with a percentage of 92.17%.

Keywords : Drug Storage, Good Drug Distribution, Pharmaceutical Wholesalers
A STUDY ON EFFECT OF PTERYGIUM EXCISSION ON PTERYGIUM INDUCED ASTIGMATISM
Authors: Lavanya Lavanya , G S Praveenkumar , Shruti Shruti
Published: May 2023

Purpose: Methods: To determine the effect of pterygium excision on pterygium induced astigmatism. A statistical comparison of the refractive astigmatism before and after effective pterygium surgery was done on 30 patients who underwent preoperative and postoperative refraction testing. pterygium surgery caused si Results: gnicant improvements in visual acuity, with the rule astigmatism. The corneal astigmatism tended to decrease s Conclusion: ignicantly following pterygium excision with conjunctival limbal autograft transplantation.
HISTOPATHOLOGICAL STUDY OF NASAL MASSES, A RETROSPECTIVE STUDY IN A TERTIARY CARE CENTRE OF JHARKHAND
Authors: Liyangi Manisha , Ravi Renu
Published: May 2023

Background: Neoplastic and non-neoplastic lesions of the nasal cavity are common conditions in routine clinical
practice among almost all age group of people. This study was carried out to rec Objective: ognize variety of benign and
malignant nasal lesions with regard to age and sex in our region. A retrospecti Methods: ve study was done for a period of 1 year (January 2021 to
December 2021). In this study, 50 patients are selected who presented in our hospital with nasal masses and having multiple clinical
presentation.Result: Analysis of 50 cases of masses in nasal cavity, paranasal sinuses and nasopharynx was done. Nasal polyp was the most
common non- neoplastic lesion. Among the neoplastic lesions, inverted papilloma was the most common benign lesion and squamous cell
carcinoma was the most common malignant lesion. Nasal mases are m Conclusion: ore common in males. For proper evaluation of Sino nasal
masses, clinical, radiological and histopathological evaluation should be done in all patients, but histopathology always gives a conrm diagnosis.
POSTOPERATIVE SORE THROAT AFTER LARYNGOSCOPY WITH MACINTOSH VERSUS VIDEOLARYNGOSCOPE BLADE
Authors: G Lakshmi Manjusha , V Bengali Rashmi , V Deshmukh Sharvari , B Gite Nikhil
Published: May 2023

Introduction: Direct laryngoscopy guided by a Macintosh curved blade, is the standard traditional method of
endotracheal intubation in patients under general anaesthesia. Post Operative Sore Throat [POST] is a common problem
faced. With the advent of newer technology, various videolaryngoscopes have come into usage. To know the incidence of sore throat after Aim:
intubation with the Macintosh versus videolaryngoscope. To compare the incidence of hoarseness, hemodynamic response and time taken for
intubation by two methods. A prospective, randomized study was conducted on 110 patient Method: s with normal airway undergoing general
anaesthesia for elective surgeries. Patients were enrolled into two groups randomly by Systemic Randomization Technique. All patients
underwent thorough pre-anaesthestic evaluation with general and systemic examination. In the operation theatre, baseline vital parameters
were recorded. The standard anaesthetic regimen and surgical procedures was followed. Postoperative sore throat was assessed with 10 point
score at 0,6,12,24 hours post extubation. The mean incidence of sore throat at 0,6,12 and 24 hours Result: post extubation was 6.67, 5.44, 4.91
and 3.93 in the Macintosh group whereas 4.18, 3.09, 1.22 and 1.25 in the videolaryngoscope group. The mean time taken for intubation was 19.5
sec in Macintosh group and 36.6 sec in videolaryngoscope group. All patients were haemodynamically stable throughout the procedure.
Conclusion: The incidence of postoperative sore throat was more with Macintosh blade whereas the time taken for intubation and the
hemodynamic stability was more with the videolaryngoscope blade
EFFECT OF COMPLEMENTARY THERAPY ON HIP ABDUCTION IN CHILDREN WITH CEREBRAL PALSY
Authors: Hemachithra C.
Published: May 2023

Background: Mechanical Horse Riding Simulator (MHRS) is one of the complementary therapy used in the
rehabilitation of children with cerebral palsy which produces rhythmical and repetitive movements. It is working under
the principles of hippotherapy and considered an alternative method for hippotherapy. Purpose: This study aimed to nd out the effectiveness of a
mechanical horse riding simulator on hip abduction range of motion in children with spastic diplegia and evaluate the magnitude of improvement
at different periods (2 weeks, 4 weeks, and 6 weeks). This study included 30 childre Methods: n with spastic diplegia and was divided into two
groups, the experimental and the control group. The experimental group received 15 minutes of complementary therapy with MHRS, 3 days/
week for 6 weeks along with regular physiotherapy, while the control group received 15 minutes of conventional trunk control exercise along
with the regular physiotherapy session. Hip abduction passive range of motion (PROM) was measured with the Goniometer. Pre and postintervention scores were recorded and analyzed with appropriate statistical tools. The baseline characteristics were similar in both Results:
groups before the intervention with the p-value (p>0.01). The observed mean value of hip abduction PROM has been improved in both groups
over 6 weeks and the experimental group shows signicantly better improvement (p<0.01) than the control group in all the weeks. Conclusion:
The study results conrmed that gradual improvement of hip abduction passive range of motion (both sides) was observed in both groups.
Children exposed to MHRS show better improvement than the children in the control group. It was concluded that the MHRS is an effective
complementary therapy improving hip abduction passive range of motion (both sides) in children with spastic diplegia and the provision of
MHRS in longer duration provides more benets than the shorter duration.
DISCERNING THE EFFICACY OF TOPICAL 2% ACETIC ACID IN CHRONIC SUPPURATIVE OTITIS MEDIA USING OTOLOGICAL SYMPTOMS SCORE: A PROSPECTIVE STUDY.
Authors: Joseph Neelamkavi Niya , Khavasi Prabhu , Iqbal Suni
Published: May 2023

BACKGROUND: Chronic suppurative otitis media (CSOM)- mucosal type is “dened as a chronic inammation of the
middle ear and mastoid cavity, which presents with recurrent ear discharges or otorrhoea through a tympanic
perforation.” Acetic acid demonstrates antimicrobial, antipersister and antibiolm potential. The objective of our study is to nd out the efcacy
of medical treatment using acetic acid for patients of CSOM. This prospec RESULTS: tive study comprised of 100 patients suffering from
CSOM who presented to the Department of ENT, HSK Hospital, Bagalkot from July 2021 to December 2022. The patients with chronic otitis
media mucosal type with active discharge were enrolled in our study as per the inclusion and exclusion criteria. They underwent complete
evaluation including otomicroscopy and pure tone audiometry to determine the nature of disease and its severity. Otological symptom score was
calculated in all patients at the time of presentation. They were treated conservatively with topical 2% Acetic acid ear drops. Scores were assessed
based on clinical ndings at day 7, day 14, day 21 and day 30 follow-up visit. Patients were segregated into those with clinical cure (<3), clinical
improvement (3-5) and treatment failure (>5) as per their score. Achieving “treatment success” at the end of the study was considered as an
effective parameter to measure effectiveness of topical acetic acid ear drops. 'Treatment success” i.e. either clinical cure or clinical improvement
was seen in 95% patients after using acetic acid, whereas “treatment failure” was seen in 5% patients at the end of 1 month. In CONCLUSION:
the present study using topical preparation of 2% acetic acid, the resolution of CSOM was shown with success rate in 95% patients. This shows
that acetic acid was effective in reducing the symptoms of CSOM.
PROFILE OF OCULAR MORBIDITY AMONG SCHOOL CHILDREN OF DEHRADUN
Authors: Gupta Manisha , Vats Vatsala , Gupta Himani
Published: May 2023

Background: Childhood is a vulnerable age of growth and development. Ocular conditions whether congenital or
acquired need timely identication and intervention. Ocular Morbidity (OM) describes eye diseases that are either
signicant to the individual seeking care or to the eye health professional opining on the same, and can be classied as modiable and nonmodiable. Our study helps to throw some light on existing ocular morbidity among school going children in Dehradun. Screening Objectives:
of school-children for ocular morbidity and to study their distribution in different age groups. Material and Method: Thirty schools were
selected randomly by lottery method. The informed consent duly signed both in Hindi and English were taken from the principal of the school,
and a date for screening was xed. Examination was done in the respective school campuses where the information required from the students
was obtained through interviews and a pre-tested semi-structured questionnaire. Statistical analysis: Analysis was carried out by using
statistical package for social science system SPSS [version 23.0; SPSS Inc., Chicago, IL, USA] for proportions. Chi square tests were applied
where applicable. A p value of less than 0.05 was considered signicant. The Result: total children screened in the schools were 6868, out of
which 4225 were referred to hospital for detailed ocular examination. Of those referred, 3524 (83.4%) presented to the hospital while 16.6%
failed to visit the hospital. The study showed that among different types of ocular morbidity, refractive errors were present in 53.4% children,
followed by allergic conjunctivitis in 25.2%, amblyopia in 8.9%, squint in 2.85, ptosis in 2.4%, corneal disorders in 2%, ocular trauma in 1.9%,
cataract or pseudophakia in 1.8%, vitamin A deciency in 1.2% children and non-modiable disorders in 0.5%. The study gives an Conclusion:
idea of ocular morbidity prevalent in the region, and creates awareness for both the who provide care, and those who need help.
DEMOGRAPHIC STUDY OF DEATHS DUE TO MECHANICAL ASPHYXIA
Authors: Raviteja M Sai , R Shankar , Babu A Ramesh , Chandra Sekhar Galeti
Published: May 2023

Aim and objective : To do a demographic analysis of autopsy records on mechanical asphyxial fatalities and the various
procedures employed to do it.. Methodology : It was a retrospective (descriptive) study carried out at the Government
Medical College in Ananthapuramu, Andhra Pradesh, Department of Forensic Medicine and Toxicology. A review of the autopsy records
revealed instances of mechanical asphyxial deaths, along with the cause of the asphyxia. The information pertains to the months of January 2021
to Janauary 2022. Results : There were 777 autopsies conducted between January 2021 and January 2022. 122 (15.7%) cases of mechanical
asphyxia were identied from the autopsy records and were studied. There were 27 female cases (36.1%) and 78 male cases (63.9%) in this group.
Male to female ratio was discovered to be 2.8:1. The cases in this study ranged in age from 14 to 80 years. The cases' mean age is 39 years. The age
range of 20–29 years accounts for 19.6% of cases, followed by that of 30–39 years (20.5%) and those between 40–49 years (13.9%) and the age
range of 20 to 49 years is represented by 53.2% of the cases. Conclusion : Among the deaths due to mechanical asphyxia, most common manner
of death is suicide, hanging constitutes most(60.6%) of the mechanical asphyxial deaths in this study and 100% of the cases were antemortem and
suicidal in manner. Other forms of mechanical asphyxia are not as common as hanging.
Відновлювана енергетика та енергоефективність у XXI столітті: матеріали XXIV міжнародної науково-практичної конференції (Київ, 18-19 травня 2021р.)
Authors:   Інститут відновлюваної енергетики НАНУ, Кудря С. О. , Зур’ян О. В. ,   Інститут відновлюваної енергетики НАНУ, Суржик Т. В. ,   Інститут відновлюваної енергетики НАНУ
Published: May 2023

У збірнику викладено матеріали доповідей учасників конференції, присвяченої розвитку відновлюваної енергетики з метою подальшого використання відновлюваних джерел енергії для отримання додаткових обсягів теплової та електричної енергії з метою реалізації заходів з енергозбереження та енергоефективності в суспільстві. Матеріали рекомендовано для науковців, викладачів, фахівців підприємств, аспірантів та студентів, які займаються вирішенням проблем енергозбереження та енергоефективності в суспільстві.
Autoimmune HLA Alleles and Neoepitope Presentation Predict Post-Allogenic Transplant Relapse
Authors: Castro Andrea , Goodman Aaron M. , Rane Zachary , Talwar James V. , Frampton Garrett M. , Morris Gerald P. , Lippman Scott M. , Zhang Xinlian , Kurzrock Razelle , Carter Hannah
Published: May 2023

Introduction

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) can cure patients with high-risk myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). However, many patients relapse or develop debilitating graft-versus-host disease. Transplant restores T-cell reactivity against tumor cells, implicating patient human leukocyte antigen (HLA)-dependent antigen presentation via the major histocompatibility complex as a determinant of response. We sought to identify characteristics of the HLA genotype that influence response in allo-HSCT patients.

Methods

We collected HLA genotype and panel-based somatic mutation profiles for 55 patients with AML and MDS and available data treated at the University of California San Diego Moores Cancer Center between May 2012 and January 2019. We evaluated characteristics of the HLA genotype relative to relapse-free time and overall survival (OS) post-allo-HSCT using univariable and multivariable regression.

Results

In multivariable regression, the presence of an autoimmune allele was significantly associated with relapse-free time (hazard ratio [HR], 0.25; p = 0.01) and OS (HR, 0.16; p < 0.005). The better potential of the donor HLA type to present peptides harboring driver mutations trended toward better relapse-free survival (HR, 0.45; p = 0.07) and significantly correlated with longer OS (HR, 0.33; p = 0.01) though only a minority of cases had an HLA mismatch.

Conclusion

In this single institution retrospective study of patients receiving allo-HSCT for relapsed AML/MDS, characteristics of an individual's HLA genotype (presence of an autoimmune allele and potential of the donor HLA to better present peptides representing driver mutations) were significantly associated with better outcomes. These findings suggest that HLA type may guide the optimal application of allo-HSCT and merit evaluation in larger cohorts. ClinicalTrials.gov Identifier: NCT02478931
Enabling Low-Carbon Tourism Through Technology Transfer in Indonesia: A PESTEL Analysis
Authors: Fasa Angga Wijaya Holman , Berliandaldo Mahardhika , Raditya Raditya , Rosyidi Muhammad Iqbal
Published: May 2023

The tourism and travel sector has contributed significantly to Indonesia’s economic growth and robust development. Despite its positive impact, tourism and travel business activities also potentially impact environmental loss. In order to reduce these negative impacts, the new concept of tourism, namely low-carbon tourism, which focuses on environmental sustainability, can be implemented as the enabler. One of the factors that can support the implementation is the existence of environmentally friendly technology that requires a technology transfer process. This paper aims to overview the role and implication of technology transfer for enabling low-carbon tourism in Indonesia and outlining a conceptual framework for addressing the political (P), economic (E), social (S), technological (T), environmental (E), and legal (L) factors that constrain and support in enabling low-carbon tourism through technology transfer in Indonesia. A qualitative library research method and PESTEL analysis were employed to analyze and map the implications of external factors influencing the development of low-carbon tourism through technology transfer in Indonesia. The paper denotes that all the factors (political, economic, social, technological, environmental, and legal) were interrelated. Nevertheless, the economic factor was the only one with a moderate policy to encourage businesses to use green practices, particularly for the carbon tax policy. Consequently, there was still an opportunity for monetary policy to promote low-carbon tourism.
Indonesia Agricultural Transformation: How Far? Where Would It Go?
Authors: Abduh Muhammad
Published: May 2023

This research examined the inequality that emerges as Indonesia's economy shifts from an agricultural to a non-agricultural sector at the subnational level. These research questions include: (1) How has the agricultural sector in the Indonesian provinces changed over the past two decades? (2) What was the widespread impact of several socioeconomic variables on the transformation of agriculture? (3) How has the agricultural sub-sector responded to the dynamics of these socioeconomic factors over the last decade? The scope of the analysis was the whole province of Indonesia, with time series between 2001-2018. The shift in agriculture at the provincial level was mapped using indicators of poverty and the sector's economic contribution to each province. The logistic regression method was used to see the impact of socioeconomic factors on the agricultural transformation. In contrast, the panel regression was applied to respond to the dynamics of the agricultural sub-sector in terms of socioeconomics in the last ten years. According to the findings of agricultural transformation mapping, there were no changes in the distribution of rural poverty or the agricultural contribution factors between the provinces. Several macroeconomic, social, and infrastructure development factors also significantly contributed to encouraging agricultural transformation and enhancing the added value of the agricultural sector as a whole. It was important to better efficiently utilize the economic potential, which was done by taking production efficiency into account. Furthermore, consumer behaviour and the level of worker productivity had to be considered in attempts to boost economic productivity.
HUBUNGAN PENGETAHUAN IBU BERSALIN SECTIO CAESAREA DENGAN TINGKAT KECEMASAN IBU MENGHADAPI PERSALINAN SECTIO CAESAREA DI ERA PANDEMI COVID-19 DI RS. GRANDMED LUBUK PAKAM TAHUN 2022
Authors: Ariescha Putri Ayu Yessy , Ariani Peny
Published: May 2023

Persalinan dan  kehamilan ialah proses fisiologis yang wajib  dilalui oleh hampir setiap wanita. Meskipun ini merupakan hal fisiologis, hal itu membuat ibu ketakutan. Kecemasan dapat terjadi di semua persalinan, baik di kehamilan primigravida maupun kehamilan multigravida, baaik normal maupun operasi caesar. berdasarkan survei pertama yang dilakukan di rumah sakit rs grandmed lubuk pakam. dari data kunjungan ibu yang melakukan operasi caesar, dilaporkan pada Maret sampai November 2020, rs granmed Lubuk Pakam pada masa pandemi terjadi penurunan ibu bersalin sectio caesarea dengan alasan kecemasan akan di   lakukan   tindakan   sesuai   prosedur,   yang   manakala   jika   pada   pemeriksaan laboratorium ibu yang ingin bersalin terpapar vitus covid- 19 dirawat di ruangan isolasi atau di rujuk sesuai peraturan protokol covid- 19. Tujuan penelitian ini untuk menganalisis hubungan pengetahuan ibu yang melakukan operasi caesar dengan tingkat kecemasan ibu yang menghadapi operasi caesar di masa ERA pandemi Covid-19 di R. rs grandmed Lubuk Pakam. Jenis penelitian ini merupakan penelitian deskriptif koelational. populasi penelitian ini mencakup semua ibu yang menjalani operasi caesar di rumah sakit grandmed lubuk pakam, teknik sampling yang digunakan adalah probability sampling Sampel penelitian ini adalah 52 orang. hasil uji statistik Chi-Square menunjukkan bahwa terdapat hubungan yang signifikan antara pengetahuan ibu yang menjalani operasi caesar dengan tingkat kecemasan ibu menghadapi nyeri persalinan sectio caesarea pada masa pandemi Covid-19  di rs granmed tahun 2021. Nilai P (0,003) dan  odds risk (OR) = 8.100