bluuebunny/crossref_metadata_2025 huggingface dataset:
I can be a “normal” student: The role of lecture capture in supporting disabled and neurodivergent students’ participation in higher education
Authors: Horlin Chiara , Hronska Barbora , Nordmann Emily
Published: August 2023

After the return to on-campus teaching post-Covid, reports of student disengagement and low attendance are common and anxieties over the relationship between lecture recordings and attendance have re-emerged, leading some educators to remove recordings. To understand the potential impact of such decisions, this study explored how neurodivergent and disabled students use recordings using a mixed-method approach. Thematic analysis emphasised the need for learning flexibility and questioned traditional lectures. Neurodivergent and disabled students raised concerns over accessibility, highlighting the crucial nature of recordings beyond attendance. Quantitative results aligned, showing disabled and neurodivergent students more likely to report watching recordings in full and missing in-person lectures due to health or sensory concerns. Although no differences were found in behaviours such as pausing or speed adjustment, these features were described as vital for managing learning among disabled and neurodivergent participants. Our findings do not support an uncritical view of lecture recordings. Participants discussed the self-discipline required for effective use and responses reflected prior concerns discussed in the literature regarding recordings leading to focusing on lectures to the detriment of other sources of information. However, despite challenges, we found multiple examples of students using recordings to maintain engagement as a successful self-regulated learner. In line with Universal Design for Learning, our findings support the provision of lecture recordings as an inclusive and accessible technology for all students, not just those with declared disabilities. All data and analysis code is available at https://osf.io/ue628/
HUBUNGAN TINGKAT PENGETAHUAN OBAT GASTRITIS YANG DIIKLANKAN DI TELEVISI TERHADAP PERILAKU SWAMEDIKASI MASYARAKAT DI APOTEK SE-KECAMATAN BANGKINANG KOTA PROVINSI RIAU
Authors: Aryani Fina , Aryani Soufie , Muharni Septi
Published: August 2023

Gastritis adalah kondisi dimana meningkatnya produksi asam di lambung yang dapat menyebabkan iritasi. Untuk mengatasi gastritis, pasien dapat melakukan swamedikasi (pengobatan sendiri). Adapun faktor yang berpengaruh dalam swamedikasi yakni sumber informasi seperti iklan di televisi. Perilaku swamedikasi memerlukan pengetahuan agar pengobatan aman dan rasional. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan obat gastritis yang diiklankan di televisi terhadap perilaku swamedikasi di apotek se-Kecamatan Bangkinang Kota Provinsi Riau. Jenis penelitian adalah observasional, metode deskriptif analitik dengan rancangan cross sectional serta pengambilan data secara concurrent. Pengambilan sampel dengan cara purposive sampling sehingga didapatkan jumlah sampel sebanyak 110 responden yang memenuhi kriteria inklusi. Hasil uji statistik diperoleh nilai p value 0,000 yang artinya adanya hubungan tingkat pengetahuan obat gastritis yang diiklankan di televisi terhadap perilaku swamedikasi masyarakat di apotek se-Kecamatan Bangkinang Kota Provinsi Riau.
Analisis Kebutuhan Formulasi Kebijakan Program Pengembangan Karier Apoteker Non Aparatur Sipil Negara
Authors: Pratita Rasta Naya , Bachtiar Adang , Ernawati Desak Ketut
Published: August 2023

Derajat kesehatan masyarakat ditentukan oleh kualitas pelayanan kesehatan. WHO menyatakan bahwa 80% keberhasilan pelayanan kesehatan sangat ditentukan oleh kuantitas dan kualitas SDM kesehatan. Berdasarkan Undang-Undang Nomor 36 tahun 2014 tentang Tenaga Kesehatan Pasal 30 ayat (1) menyebutkan bahwa Pengembangan Tenaga Kesehatan diarahkan untuk meningkatkan mutu dan karier Tenaga Kesehatan. Salah satu masalah strategis SDM kesehatan adalah pengembangan karier. Sampai saat ini belum ada regulasi yang mengatur pengembangan karier tenaga kesehatan non ASN khususnya bagi Apoteker, serta belum ada sinkronisasi program pengembangan karier Apoteker yang dimiliki oleh organisasi profesi Apoteker dengan Pemerintah. Penelitian ini menggunakan metode kualitatif terkait proses formulasi kebijakan dan analisis stakeholder. Data yang digunakan adalah data sekunder dari telaah dokumen dan data primer diperoleh dengan wawancara mendalam kepada para informan terpilih.

Hasil penelitian menunjukkan seluruh stakeholder mendukung dan berkomitmen pada program pengembangan karier Apoteker. Organisasi profesi Apoteker bersama pemerintah dinilai menjadi aktor yang paling bertanggungjawab dalam pelaksanaan kebijakan ini. Pola yang diharapkan sesuai untuk pengembangan karier tenaga kesehatan non ASN bagi Apoteker adalah melalui sertifikasi kompetensi dan program pendidikan spesialisasi. Namun, Proses interaksi dan advokasi antar stakeholder masih belum maksimal antara pihak regulator dan pihak organisasi profesi, serta pihak user/payer belum banyak tersosialisasi terkait program pengembangan karier tenaga kesehatan non ASN bagi Apoteker. Sehingga, perlu peningkatan koordinasi dan Kerjasama antar stakeholder dan organisasi profesi

Kata kunci: formulasi kebijakan, pengembangan karier, apoteker
Formulasi dan Evaluasi Granul Mukoadhesif Amoksisilin trihidrat dengan Polimer Kitosan
Authors: Rosmawati  , Hartianty Eka Pebi , Ashfar Kurnia  , Siti Mardiyanti
Published: August 2023

Acute respiratory infection (ARI) is a respiratory infection that causes disruption of normal respiratory activities. Amoxicillin is the antibiotic of first choice that is generally given to patients with ARI. Compliance in the use of antibiotics for less than five days will determine the success of therapy so that the frequency of drug use also affects patient compliance in taking medication. Granule mucoadhesive amoxicillin trihydrate formula is designed with the addition of chitosan polymer is expected to keep the granule in the stomach longer, so as to reduce the frequency of taking the drug. Granule mucoadhesive amoxicillin trihydrate formula with the addition of chitosan polymer is formulated by wet granulation method. The evaluation results showed an increase in the concentration of chitosan in the formula indicating a longer drug release profile, in formula 6 with 40% chitosan concentration, it could maintain drug release by 41% for 6 hours of testing. Drug release kinetics from formulas 1, 3, 4, and 5 followed higuchi release kinetics, formula 2 followed zero-order release kinetics and formula 6 followed first-order release kinetics.
Análisis del discurso de la canción: “Jueves” de la banda española La oreja de Van Gogh
Authors: Hernández-Agatón Lissette
Published: August 2023

This article presents the analysis of the song "Jueves," authored by the Spanish band La Oreja de Van Gogh. It was inspired by the personal diary of a young woman, which was found by rescue personnel after the March 11, 2004 terrorist attacks in Madrid. The methodology used is qualitative in nature, applying the hermeneutics of discourse analysis, examining the text in its textual, enunciative, semiotic, and pragmatic dimensions. The results depict a lyrical subject with low self-esteem, which is based on established social standards. The text employs metaphors that convey a message of liberation and the opening of new experiences. The conclusion of this analysis deduces the significance of self-perception in decision-making and actions.
Características métricas de la Escala de Actitudes hacia las Personas con Discapacidad (EAPD)
Authors: Sainz-Palafox Miguel Angel , Vera-Noriega José Ángel , Tánori-Quintana Jesús
Published: August 2023

Debido a la relevancia que supone entender el papel que juega la actitud hacia las personas con discapacidad en el proceso de inclusión educativa, se han elaborado numerosos instrumentos de medición. En el contexto hispano-parlante, se destaca la Escala de Actitudes hacia las Personas con Discapacidad (EAPD). Sin embargo, esta escala no ha sido validada en México. Por lo tanto, el objetivo del presente trabajo es evaluar la evidencia de validez de la EAPD, así como proponer una versión modificada del instrumento en una muestra de 1934 estudiantes universitarios del estado de Sonora, México. Para ello se llevaron a cabo un análisis Rasch, un análisis factorial exploratorio y confirmatorio, y uno de invarianza entre sexos. Los resultados muestran que la escala modificada cuenta con propiedades psicométricas adecuadas y se divide en una estructura bifactorial con actitudes igualitarias y discriminatorias sobre la discapacidad.
Evidencia de Validez de la Adaptación de la Escala de Miedo al Coronavirus en Colombia
Authors: Gómez-Díaz Javier Andrés , Barón-Birchenall Leonardo
Published: August 2023

Este artículo presenta las evidencias de validez de la adaptación de la Escala de Miedos al Coronavirus (EMC; Sandin et al., 2020) en Colombia. Se utilizó un diseño transversal con una muestra de 1853 ciudadanos colombianos. La adaptación redujo la escala de cuatro a tres factores: (F1) miedo a contagiarse, a enfermarse, y a morir por COVID; (F2) miedo a perder el trabajo o a reducir los ingresos económicos, y (F3) miedo al aislamiento social o a sus efectos. Tanto el análisis factorial exploratorio como el confirmatorio se desarrollaron con el método de máxima verosimilitud con estándares aceptables (SRMR = .06; RMSEA =.11; IC 90% [.106, .115]). Los factores extraídos varían significativamente entre sí, guardan similitud psicométrica con la escala original y presentan consistencia interna alta (ω de McDonald entre .83 y .89). Los resultados demuestran que la EMC puede ser usada en la población colombiana, por ejemplo, para apoyar el diagnóstico de secuelas emocionales o conductuales derivadas de la pandemia por COVID-19.
Cuestionario de Pensamiento Automático (ATQ-8): Nueva evidencia basada en AFC, TRI y SEM
Authors: Becerra Herrera Wilson Alexis , Quispe Escobar Andy Robinson , Cárcamo Zepeda Eduardo Enrique , Torres Guffanti Aylin Del Carmen , Yupanqui Lorenzo Daniel Edgardo
Published: August 2023

El presente estudio tiene como objetivo confirmar propiedades psicométricas del ATQ-8 en una muestra de estudiantes peruanos. Se trabajó con una muestra no probabilística de 217 estudiantes universitarios (de los cuales 68.7% eran mujeres). Además del ATQ-8 se utilizaron instrumentos para medir la ansiedad, depresión, satisfacción con la vida y atención plena. El análisis factorial confirmatorio mostró un adecuado ajuste del modelo unidimensional (CFI = .99, GFI = .99, RMSEA = .07, SRMR = .03). Se obtuvieron índices de confiabilidad alfa (.91) y omega (.90), con consistencia interna adecuada. Por otro lado, los ítems mostraron índices aceptables de discriminación (a) y dificultad (b) monótona. La asociación del ATQ-8 con otras variables mostró relación estadísticamente significativa con la DASS-21 (depresión y ansiedad), satisfacción con la vida (SWLS) y atención plena (MAAS-5). Los resultados muestran un ajuste psicométrico aceptable que avala su uso en estudiantes universitarios para investigaciones científicas.
Evaluación del compromiso en el amamantamiento de mujeres puérperas con escala UWES-17
Authors: Brizuela Mónica L. , Miranda Agustín R. , Sogno Lucía , Malpassi Luisina , Soria Elio A. , Serra Silvana V.
Published: August 2023

La promoción y el seguimiento de la lactancia materna necesita contar con instrumentos fiables y válidos que permitan estudiar el grado de compromiso con el amamantamiento. El objetivo fue analizar las propiedades psicométricas de la Escala de Compromiso de Utrecht (UWES-17) para evaluar el compromiso en la práctica del amamantamiento en 324 mujeres puérperas argentinas. Se utilizaron los instrumentos UWES-17, Escala de Autoeficacia para la Lactancia Materna, Escala de Depresión Postparto y cuestionario sociodemográfico. Se analizaron la fiabilidad, validez, dimensionalidad, sensibilidad y especificidad. El UWES-17 mostró niveles adecuados de consistencia interna y se confirmó su estructura tridimensional. El análisis bifactorial confirmó su utilidad y el modelo comprueba su validez externa. Los hallazgos confirman que el UWES-17 es un instrumento válido y fiable para la medición del compromiso en el amamantamiento, ya que puede ser utilizado en el ámbito clínico y científico para el abordaje interprofesional de la lactancia humana.
MODELO DE AVALIAÇÃO DE SERVIÇO DE REFERÊNCIA NO SETOR PÚBLICO
Authors: Lima Adriléia de Moura , Barbosa Ricardo Rodrigues
Published: August 2023

As instituições governamentais devem satisfazer aos requisitos legais para as quais foram criadas. Caso isso não aconteça, corre-se o risco de sua existência ser comprometida ou questionada. Nesse contexto, o presente trabalho apresenta um modelo de avaliação de serviço de referência no setor público, com base em modelos existentes de avaliação de Sistemas de Informação (SIs) e Serviço de Referência (SRs). Como procedimento metodológico, foi realizado um levantamento bibliográfico sobre a produção científica disponível no Portal de Periódicos da CAPES. Trata-se de um estudo qualitativo, baseado em pesquisa bibliográfica sobre o tema “avaliação de sistema de informação” e “avaliação do serviço de referência”. Como resultado deste estudo, foi possível selecionar modelos de avaliação de SI e avaliação do serviço de referência que possam contribuir para a adoção de um modelo de avaliação do serviço de referência para instituições do setor público.
NOVOS OLHARES PARA UM PERIÓDICO ACADÊMICO
Authors: Silva Patrícia Nascimento
Published: August 2023

Este editorial apresenta brevemente o cenário atual, visualizado no primeiro semestre de 2023, considerando o contexto da Ciência da Informação e a trajetória da Revista Múltiplos Olhares em Ciência da Informação ao longo dos seus 13 anos de existência. Por fim, apresenta algumas alterações implementadas recentemente para evolução do periódico e as temáticas do volume atual.
La educación sexual en las series de televisión: Sex Education como estudio de caso
Authors: Forteza Martínez Aurora
Published: August 2023

Introducción: El auge y apogeo de las plataformas de vídeo bajo demanda han contribuido, en gran medida, a modificar la realidad audiovisual tal y como se conocía hasta la fecha. Dentro de este contexto audiovisual, las series de televisión son un género televisivo que goza de gran popularidad entre la audiencia, donde destacan aquellas dirigidas al público adolescente y juvenil. Metodología: El presente estudio de investigación se ha basado en una metodología cualitativa basada en el análisis de contenido de una serie de televisión, así como de los personajes, analizando para ello los aspectos educomunicativos en materia de educación sexual en la serie Sex Education. Resultados: Cabe destacar que las principales temáticas de la serie giran en torno a las relaciones sexuales entre adolescentes, a enfermedades de transmisión sexual y embarazos adolescentes, entre otros; mientras que, entre los personajes, el grupo más numeroso es el de los familiares, siendo el de los adolescentes el que tiene un mayor peso interpretativo. Discusión: Se observa como la serie Sex Education presenta un patrón similar a otras series de televisión dirigidas al público adolescente, mostrando temáticas basadas en la amistad o las relaciones sexuales, entre otras. Conclusiones: Sex Education presenta la educación sexual a los adolescentes desde un punto de vista educomunicativo, ofreciendo enseñanzas adecuadas y fácilmente comprensibles.
THE EFFECTIVENESS OF MARRIAGE AGE RESTRICTION (Case Study in Cianjur and Ngamprah West Java in 2019-2020)
Authors: Hidayat Nur , Jalil Abdul
Published: August 2023

Abstract. The dynamics of the development of family law in Indonesia continues. Problems with family law are increasingly varied. To accommodate and overcome this, it is necessary to have a legal breakthrough. Marriage Law number 1 of 1974 is one of the reference rules that regulate marriage in Indonesia with all its problems. To be able to keep up with the dynamics of the times, Law Number 1 of 1974 has undergone changes. This change can be seen with the enactment of Law number 16 of 2019 concerning marriage on October 14, 2019 and comes into force on October 15, 2019. This change is more about the minimum age limit when getting married. Where previously the minimum age limit for women was 16 years while for men it was 19 years when they were about to get married. After the enactment of Law Number 16 of 2019 amendments to Law Number 1 of 1974 concerning marriage, the minimum age limit between men and women who will marry is 19 years. After the enactment of Law number 16 of 2019 as an amendment to law number 1 of 1974 concerning marriage on October 15, 2019, it is necessary to conduct a study related to the effectiveness of the amendment to the law, to find out the extent of the impact of the amendment to the law. in society.
RELEVANCE OF THE CONCEPT OF KAFA’AH AND IJBAR GUARDIAN RIGHTS IN THE MODERN ERA FROM PERSPECTIVE OF HANAFIYAH AND SYAFI’IYAH MADHAB
Authors: Ridlwan Mahmudah , Iroyna Isyrofah Tazkiyah
Published: August 2023

The purposes of this study are to find out the opinion of Hanafiyah and Syafi’iyah mazhab about kafâ’ah; and how kafâ’ah is applied by parents when doing ijbar on their daughther in the view of Islamic marriage law. This research is library research and content analysis approach is used to get answers the research problems. The conclusions are (1) The Hanafiyah dan Syafi’iyah mazhab agreed that kafâ’ah must be exist in a marriage, and must be emphasized is kafa’ah in terms of the religion of devotion to Allah swt and good morals. Kafa’ah in wealth is also emphasized by Hanafiyah mazhab, but Syafi’iyah mazhab more emphasized on religion and avoids disgrace; (2) According Islamic marriage law, the ijbar right is related to kafâ’ah, when parents must use kafâ’ah as one of the guardiansip requirements when making ijbar right for his daughter. With kafâ’ah it’s hoped that household life will be beneficial. Therefor, the concept of kafâ’ah as a condition for the guardian’s ijbar rights is still relevant today.
Manajemen Peningkatan Mutu Madrasah di Pondok Pesantren Nurmadani NW Montong Lisung
Authors: Wirawan Purna , Thohri Muhammad , Citriadin Yudin
Published: August 2023

The low quality of education in Indonesia is actually a discussion that has existed for a long time, but until now the problem of education quality has not been resolved. Quality education is the hope and demand of all education stakeholders. Everyone will certainly prefer to study at institutions that have good quality. On this basis, madrasas/educational institutions must be able to provide good service and quality so that they are not left behind and are able to compete with other institutions. This study used a qualitative approach, data were collected by interviews and observations with documentation. Data were analyzed using data reduction, data condensation, data presentation and data verification. This research resulted in (1) Quality improvement management planning at the Nurmadani NW Montong Lisung Islamic Boarding School based on national education standards, but in this study it only examined one of these national education standards, namely education staff standards. (2) The organization of quality improvement management at the Nurmadani NW Montong Lisung Islamic Boarding School is in accordance with the organizational structure because each administrator works according to their respective duties and functions. (3) Motivation in carrying out quality improvement management at the Nurmadani NW Montong Lisung Islamic Boarding School by fostering mastery of the material, mastering the media, improving teacher quality, and providing media is a form of motivational encouragement carried out by the head of the madrasa to his teachers and giving rewards or awards to principals and teachers who carry out their duties properly. (4) the valuation at the Nurmadani NW Montong Lisung Islamic Boarding School is carried out through work meetings or deliberations which are held every 6 months and at the end of the school year involving all concerned at the Islamic boarding school.
Pengembangan Media Kantong Mufrodat dalam Pembelajaran Bahasa Arab untuk Siswa Kelas IX SMP IT Ummi Ayuni Perbaungan
Authors: Hazmi Deni , Rasyid Harun Al-
Published: August 2023

The low vocabulary mastery of students in learning Arabic requires solutions and alternatives, one of which is using pocket mufrodat learning media. This study aims to design and describe the feasibility level of mufrodat pocket media in learning Arabic. The research method used is development research, using a Research and Development (R&D) approach. The subjects of the research trial consisted of two material experts and two media experts, as well as 20 class IX students at SMP IT Ummi Ayuni Perbaungan Academic Year 2022/2023. Data analysis techniques for the feasibility of the media using quantitative descriptive analysis. The processing results of this study indicate that the mufrodat pocket media in learning Arabic is considered appropriate by material experts with an average overall score of 78%, and the assessment by media experts as a whole gets an average score of 83% with a very decent category. Furthermore, student assessments in field trials as a whole got an average score of 80% in the very high category. From these results, the developed mufrodat pocket media can be used by teachers and students, especially class IX, SMP IT Ummi Ayuni Perbaungan. It is also recommended for Arabic teachers to utilize mufrodat pocket media as media in learning Arabic at school.
Upaya Penanaman Jiwa Entrepreneurship melalui Kegiatan Market Day di SD Islam Nurul Izzah Kota Malang
Authors: Farichah Silmi , Abidin Munirul
Published: August 2023

Not everyone has an entrepreneurial spirit, but it can be cultivated through various means. Many institutions strive to find solutions for instilling an entrepreneurial mindset in students, one of which is Nurul Izzah Islamic Elementary School in Malang City. This research method is qualitative, employing a case study approach, in which the researcher will delve deeper into information regarding the school's efforts to instill entrepreneurship in students through Market Day activities at Nurul Izzah Islamic Elementary School in Malang City. The objectives of this study are as follows: 1) To explain the efforts in instilling an entrepreneurial spirit. 2) To understand the cultivation of an entrepreneurial spirit through Market Day. 3) To analyze the efforts in instilling an entrepreneurial spirit through Market Day at Nurul Izzah Islamic Elementary School in Malang City. The findings of the research are as follows: 1) The cultivation of an entrepreneurial spirit can be achieved through training and education. 2) The cultivation of an entrepreneurial spirit through Market Day involves teachers, students, and parents, with the aim of developing marketing skills. 3) The cultivation of an entrepreneurial spirit through Market Day at Nurul Izzah Islamic Elementary School in Malang City is implemented through three stages: the production stage, providing information to parents and the entire school community as stakeholders, and the marketing stage. However, the implementation is not entirely supported, as there are both internal and external inhibiting factors.
The Effectiveness of Higher Education Financing Management in an Effort to Improve the Quality of Students at Teuku Umar University in West Aceh
Authors: Muhadi Andhiyani , Ahmad Masduki
Published: August 2023

To improve the quality of education, consistent encouragement for progress and improvement is essential. The notion of quality is paramount in the field of education and is addressed through continuous improvement. It serves as a solution to address the problem of low-quality education that relies on traditional methodologies. Total Quality Management is a comprehensive approach to quality management that involves every level of management and every department in an organization. In an organizational system that seeks to provide satisfactory customer service, it is important to implement a set of guidelines that ensure consistent customer satisfaction is met. These guidelines should be designed to facilitate the prompt resolution of customer complaints and concerns, while promoting a positive and friendly atmosphere for all customers. There are four key components to effective management in higher education, the first being ensuring that students are satisfied with the level of service provided. The concept of higher education can be divided into three core aspects. First, it involves the pursuit of education outside of secondary school.
Development of a Test Instrument to Test Student Comprehension Based on Multiple Representation of Buffer Solution Material Using the Rasch Model
Authors: Hutagalung Kristina , Aini Faizah Qurrata
Published: August 2023

The results of students' daily tests should be an evaluation material for teachers to evaluate students' understanding of the three levels of multiple chemical representations. The use of test instruments can be used as future learning so that teachers can better know which level of representation needs to be emphasized in the learning process and teachers can find out students' understanding abilities of the interconnection of these three levels, especially in buffer solution material. The Rasch model is used in this research, which is of the Research and Development (R&D) variety, to create a test instrument that can assess a student's comprehension of three levels of chemical representation in buffer solution content. The test instrument is valid, reliable, has a difficulty index, and has strong item discrimination. The steps of this research raised 10 stages of development by Wei, et al in 2012. The research instruments used were a questionnaire validating the contents of the items and also a questionnaire validating the assessment rubric which was filled out by 5 chemistry lecturers who are experts in their fields. Raw data from lecturer validation results were analyzed using the Rasch model supported by Minifacet and Ministep Software. The exact agreement results were obtained from the results of the content validity of 90.6% and the expect agreement of 91.1%, which means that there is a fit between the results of the lecturer's assessment and the results of the model design. Furthermore, the results of empirical item quality found that all items met the valid criteria on the MNSQ, ZSTD and Pt-MeanCorr indicators with a reliability value of 0.91 in the very good category, had a difficulty index, namely easy, medium and difficult levels, as well as the differentiating power of the questions. has 3 levels of respondents.
IDENTIFICATION AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ENTEROBACTER SPECIES BY VITEK-2 SYSTEM ISOLATED FROM VARIOUS CLINICAL SPECIMEN IN GOVT MEDICAL COLLEGE KOTA (RAJASTHAN)
Authors: Kumari Malav Seema , Verma Dinesh , Rani Verma Harsha
Published: August 2023

Background: Enterobacter were proposed as a genus in 1960 by Hormaeche and Edwards based on the division of the former genus Aerobacter into motile, ornithine decarboxylase (ODC)–positive strains (Enterobacter) and nonmotile ODC-negative strains (Klebsiella). The Vitek-2 system is the second generation of Vitek and offers a more sophisticated model of data analysis as well as a fully automated process for card identication, organism suspension dilution and card lling. To study Aim and Objectives: identication and antimicrobial susceptibility pattern of Enterobacter species by Vitek-2 system isolated from various clinical samples. Material and Methods: A total of 100 Enterobacter species obtained from various clinical samples like urine, pus, sputum, endotracheal aspirate and bodyuids (pleural, ascitic, peritoneal and CSF) etc. of patients received at Department of Microbiology, Government Medical College & Associated Group of Hospitals, Kota during a period of approximately 1 year from May 2021 to May 2022 were taken for the identication and Antibiotic sensitivity testing by Vitek-2 system. Out of 100 Enterobacter isolates, 69% w Result: ere E.cloacae and 31% were E.aerogenes. Antimicrobial susceptibility results of Enterobacter species revealed the susceptibility of 56.41% for Nitrofurantoin, 69% for Piperacillin/ Tazobactam and 72% for Cefoperazone/ salbactam. Enterobacter seems to be emerged with increasi Conclusion: ng resistance to multiple antibiotics.
MANAGING A CASE OF INFECTED GAP NONUNION ULNA HAVING PAST MULTIPLE
FAILED SURGERIES - WITH SURPRISING OUTCOME BY NATURE.
Authors: Farid Ansari Naved
Published: August 2023

Introduction: Infected Gap nonunion of ulna are rare and difficult to deal. We report a case of successfully managed infected Gap non-union of forearm bones with unusual fruitful outcome. A 22year male presented with Case Report: history of closed ulna fracture one year back for which he was operated with open reduction and internal fixation using dynamic compression plate. There was pain and fever post-surgery and discharge and wound gaping. This was treated with repeated debridement and resuturing of the wound and oral antibiotics. He continued to have pain fever and discharge and consulted another surgeon who removed the ulna plate and sequentially did thorough debridement and stabilization by Talwalkar Nail. But the discharge continued and the infection persisted. He was again operated and nail removal and debridement were done, but the discharge was still present. He presented to us at 1 Year post injury with Infected Gap Nonunion of ulna with sequestrum on radiograph and discharge from operated site. A staged treatment was planned for him. At first stage, thorough debridement was done and sequestrectomy was done and antibiotic Calcium Sulphate cement bead insertion was done. Patient was explained for the second stage surgery of cement removal and fixation post infection subsidence. Culture report was awaited and due to Covid lockdown the patient was lost. The infection was controlled during this period. Now after a year he followed up for the second stage surgery which was explained to him during his first surgery by us. But when XRAY was done to our surprise there was complete consolidation of the gap nonunion with the cement beads incorporated in the gap nonunion fracture. Also, he was able to do all his routine activity including body building exercises. Infection control in such isolated u Conclusions: lna fracture with intact radius acting as internal splint helped to achieve goals with good functional outcome.
KNOWLEDGE MANAGEMENT AND INTERNAL MARKETING IN UAE HEALTHCARE:
ENHANCING ORGANIZATIONAL PERFORMANCE THROUGH INTEGRATION
Authors: Nair Malini , Anitha Menon J. , Chowa Taonaziso
Published: August 2023

This research focuses on exploring the theoretical foundations of knowledge management (KM) and internal marketing (IM) and their relationship, to enhance organisational performance. The study investigates the impact of effective KM practices and IM efforts on organizational performance in healthcare organizations. The research adopts a mixedmethods approach, combining quantitative surveys and qualitative interviews, to collect data from healthcare professionals in two hospitals in the United Arab Emirates. The findings aim to contribute to the existing body of knowledge in healthcare management, providing insights into how organizations can effectively manage knowledge resources, motivate employees, and achieve superior performance. The study offers practical recommendations for healthcare organizations to optimize their knowledge management,internal marketing, and overall organizational had performanced.
ADVERSE EVENTS IN BLOOD DONORS: SPECTRUM AND REMEDY
Authors: Bhushan Reema , Gupta Prakriti , Mehra Aakash , Iyengar Sudha
Published: August 2023

Introduction: Blood donation i.e. recruitment of new donors as well as the retention of existing donors forms an important backbone of any donation programme. Adverse events of any form can affect donor retention severely. This study aims to analyse the different types of adverse events with suggestions of the preventive measures. Material And Methods: Retrospective observational study conducted in allogeneic blood donors in Central India from January 2018 to May 2022. All the donor adverse events were recorded, retrieved and were categorised as vasovagal reactions, hematoma, extravasation, nerve injury. Out of total 95483 blood donors during the study period, 892 Results: 28 were males (93.45%) and 6255 were females (6.55%). The donations comprised 73216 (76.68%) voluntary donations in the blood center, 4756 replacement donations (5%) and 17511 units were donated in blood donation camps (18.32%). Overall, 1805 donors (1.89%) experienced adverse events with mean age of 36.0±6.3 years. Female donors who experienced adverse events were more than male donors ( n = 1100 vs.750). Vasovagal reactions were seen in 974 (1.02%) donors (females = 772, males = 202). Hematoma developed in 506 donors and extravasation of blood and nerve injury were seen in 306 and 19 donors respectively. Replacement donors showed slightly more frequency of vasovagal reactions while hematoma and nerve injury were seen more commonly in donation camps. Extravasation happened more frequently in voluntary donors. Study of the blood donation adverse events vary among different Conclusion: countries. Proper measures are needed to maintain donor retention and recruit new donors
TO STUDY RISK FACTORS ASSOCIATED WITH ZONE- I RETINOPATHY OF PREMATURITY AND
CORRELATE THE RISK FACTORS WITH CLINICAL OUTCOMES IN A TERTIARY CARE INSTITUTE
Authors: Parmar Bhawna , Khandelwal Garvita , Chouhan Deepika , Ojha Bimalesh
Published: August 2023

Introduction: Around 1 million children die each year because of complications of preterm birth and the preterm who survive face a lifetime disability,including learning disability, hearing impairment, and visual impairment. Retinopathy of prematurity (ROP) is a disorder of the development of retinal blood vessels in premature infants. Normally retinal vascularization starts from the optic disc to the Ora Serrata. Present study was conducted in a tertiary care centre to evaluate risk factors associated with Zone- I retinopathy of prematurity and correlate the risk factors with clinical outcomes. Method: Present study was a prospective observational study conducted at Department of Ophthalmology, Gandhi Medical College, and Hamidia Hospital, Bhopal. All the neonates having zone-I ROP at presentation according to ICROP classification were included in the study after obtaining permission from institutional ethics committee and consent from parents. Results: In present study, it was found that among the Type 1 ROP group baby Born with IVF was the most common maternal risk factor, followed by Twin pregnancy. And among the Type 2 ROP group twin pregnancy was the most common risk factor followed by PROM. When neonatal risk factors were studied, it was found that type 1 ROP was statistically significantly associated with gestational age < 28 weeks and with low birth weight< 1500 grams. History of NICU hospitalization, oxygen supplementation and mechanical ventilation history was statistically significant for type 1 ROP. Conclusion: Current study showed among the type 1 ROP group baby born with IVF was the most common maternal risk factor, followed by twin pregnancy. In our study duration of NICU admission and history of oxygen supplementation was found to be significant, which was longer in cases of type 1 ROP as compared to type 2 ROP.
CASE SERIES OF PRIMARY AMENORRHEA-A HAPPY ENDING
Authors: K Bavithra
Published: August 2023

Introduction: Menstruation is a very important parameter in the development of feminine nature of female sex.
Attainment of menarche brings in a lot of confidence in a girl. There are various reasons behind in not attaining
menarche. The incidence of primary amenorrhea being less than 1%, it accounts for significant physical and
psychological trauma to the girl and the family.With the advancement in the investigation and treatment modalities it is
possible to restore the menstrual functions and thereby preventing complications.Though restoration of reproductive
capacity is again a question and now with the advancement in various ART techniques, this is also possible now. Aim:
This study brings in various presentations of primary amenorrhea that are encountered over a period of 6 months at
Tagore Medical College and Hospital,Chennai.Material Methods: Primary amenorrhea can be due to diverse cause
and needed detailed evaluation. We report two such cases of 15 year and 17 year old individuals with primary
amenorrhea. This is a prospective study done over a period of 6 months among primary amenorrheic patients. They
were investigated and managed and were followed for the treatment response.
EFFECT OF DIFFERENT DOSES OF ORAL MELATONIN AS A PREMEDICATION FOR ATTENUATION OF INTUBATION RESPONSE
Authors: B Muniyappa Reshma , Salim Iqbal M , Varghese Merin , Paulina Shirley , Patil C N Vinutha , Narayanaswamy Vinod Bangalore
Published: August 2023

Background And Aims: Airway manipulation during laryngoscopy and tracheal intubation acts as a powerful noxious stimuli leading to adverse cardiovascular responses, especially in patients with hypertension, coronary artery diseases etc. Melatonin is an endogenous sleep-regulating hormone exhibiting inhibitory actions on central nervous system, may also have role in attenuating hemodynamic responses to laryngoscopy and intubation. We hypothesized that, melatonin 9 mg is better than 6 mg in attenuating intubation response to laryngoscopy and endotracheal intubation. Material And Methods: The randomized control study was conducted on 80 patients scheduled to undergo elective surgeries under general anesthesia with endotracheal intubation. Group A received oral melatonin 6 mg and group B received 9 mg melatonin, 120 minutes before surgery. Hemodynamic parameters were recorded at baseline, 30, 60, 120 minutes after drug administration, pre-induction, post induction and every minute after intubation till 5 minutes then at 10th minute. Sedation scores were assessed using Ramsay sedation scores. Results: In group A, baseline mean HR was 84.78 ± 9.59 beats per minute (95% CI:65.6 - 103.96) and postintubation at 1minute it was 88.25 ± 13.68 bpm (95% CI:60.89 -115.61). In group B, baseline mean HR was 83.27 ± 14.84bpm (95% CI:59.81-108.09) and postintubation at 1minute it was 83.28 ± 14.84 bpm (95% CI:53.6 - 112.96).In group A,baseline mean MAP was 95.07 ± 9.05 mmHg (95% CI:76.98 - 113.18) and postintubation at 1minute it was 87.88 ± 14.89mmHg (95% CI:58.1 - 117.66).In group B, baseline mean MAP was 95.15 ± 10.54 mmHg (95% CI:74.07 - 116.23) and postintubation at 1minute it was 88.35 ± 15.67 mmHg (95% CI:57.01 - 119.69). Pressor response to tracheal intubation was attenuated in both groups and no statistical significance was noted between two groups.Both groups had sedation scores of 2-3.Conclusion: Both oral melatonin 6 mg and 9 mg when administered 120 minutes before induction of anaesthesia were effective in attenuating the hemodynamic responses to laryngoscopy and intubation.
I giornali quotidiani italiani nel Piano nazionale di digitalizzazione
Authors: Lambroni Giovanna , Pace Domenico
Published: August 2023

Il contributo intende illustrare le caratteristiche del “Progetto carta" rivolto, nell'ambito del Piano Nazionale di Digitalizzazione, ai giornali quotidiani dall'Unità al 1955. Individuato in collaborazione con la Direzione generale Biblioteche e diritto d'autore, il progetto, che vede la collaborazione della Biblioteca nazionale centrale di Firenze, della nazionale centrale di Roma, della Biblioteca nazionale Braidense e della Biblioteca nazionale di Napoli, ha come obiettivo la realizzazione di 12.5 milioni di immagini che coprano per intero la produzione editoriale italiana di quotidiani nell'arco di tempo considerato. L'obiettivo finale dell'operazione è la creazione di una banca dati che da una parte garantisca una ricostruzione "virtuale" delle consistenze delle singole testate, e dall'altro permetta, anche attraverso l'adozione della tecnologia OCR, una ricerca più fluida da parte degli utenti.
L’Archivio centrale dello Stato e il suo ruolo di guida per la conservazione della memoria digitale del Paese
Authors: De Pasquale Andrea
Published: August 2023

L’articolo illustra il progetto dell’Archivio centrale dello Stato denominato Polo di conservazione degli archivi, che ha come scopo la costruzione di un modello concettuale-operativo finalizzato alla conservazione degli archivi storici digitali (nativi e digitalizzati a norma) prodotti dalle Amministrazioni statali, a partire da quelle centrali.
Study of Power and Trajectory Optimization in UAV Systems Regarding THz Band Communications with Different Fading Channels
Authors: Karabulut Muhammet Ali
Published: August 2023

Researchers are interested in unmanned aerial vehicles (UAVs) because they have many uses in current 5G and future 6G networks and are safer than human-operated vehicles. Terahertz (THz)-band communications are a possible option in 6G for fast communication. THz wireless communication between UAVs is taken into consideration in this work. Different fading channels, which are significant influencing factors in THz communication channel modeling, are used to analyze the performance of UAV communications in THz networks. Consideration must be made to the structure, wireless channel parameters, and transmission characteristics when evaluating the performance of wireless technology. Nakagami-m, Rician, Weibull, and Rayleigh fading channels are all taken into consideration, along with log-normal fading. Moreover, an optimization algorithm for the THz channel is presented, which is meant to minimize transmission power by optimizing the trajectory of uplink and downlink transmissions between the UAV and users. The equations of the UAV locations and the transmission power optimization of each user are derived. Analytical formulations regarding capacity, outage probability, and bit error rate (BER) are generated when performance-influencing factors are taken into account. The analytical analysis is supported by the numerical results that are provided.
Aerial Base Stations for Global Connectivity: Is it a Feasible and Reliable Solution?
Authors: Matracia Maurilio , kishk mustafa , Alouini Mohamed-Slim
Published: August 2023

Even though achieving global connectivity represents one of the main goals of 5G and beyond wireless networks, exurban areas are still suffering frequent outages due to the lack of proper telecom infrastructures, which are often available only in urban areas. Indeed, cellular network design is usually capacity-driven, and thus base stations’ densities mostly follow population and especially revenue densities. Contextually, we focus on one of the most promising solutions to provide sufficient and reliable coverage in far-flung areas: aerial base stations, which consist of unmanned aerial vehicles carrying cellular base station equipment. In this paper, we extensively discuss the problem of bridging the so-called urban-rural digital divide (i.e., the connectivity gap between urban and rural areas) from various perspectives. First, we showcase various alternative solutions, and compare conventional terrestrial networks with aerial networks from a techno-economic point of view. Then, we highlight the topological aspects of rural environments and explain how they can affect the actual design of cellular networks. In addition, we investigate both the coverage probability and the reliability of the communication links via simulations, proving that the integration of aerial base stations can be quite promising in a 6G perspective. Finally, we propose two original extensions of our case study as open problems.
Impacto del proyecto echo en la evolución de los pacientes
Authors: De la Calle Andrade Lucila Jazmín , Barba Maggi María Angélica , Choca Alcoser Edwin Gilberto , Gualpa Jaramillo Guillermo Gonzalo , Calderón Barba Erika Valeria , Yépez Hidalgo Francisco
Published: August 2023

IntroducciónEl modelo de tele tutorías, basado en las clínicas del Proyecto ECHO, constituye una herramienta de educación virtual para los integrantes de los equipos de salud, principalmente de áreas alejadas, mediante el asesoramiento de especialistas, con sustento en el aprendizaje cooperativo. Objetivo: Evaluar el impacto de la aplicación de las capacitaciones del Proyecto ECHO en la evolución de los pacientes y su relación con la calidad de la atención de salud, desde la percepción de los profesionales participantes en este programa en Ecuador.

MetodologíaSe realizó un estudio cuantitativo, descriptivo, transversal, de campo y no experimental. Mediante la plataforma ZOOM, se presentaron casos clínicos de Ginecología y Obstetricia, Diabetes e Hipertensión. Usando soporte digital gratuito, se implementó un cuestionario de encuesta para 69 participantes, estructurado en 15 dimensiones. Para la medición de las respuestas positivas, se ordenaron los valores de mayor a menor, identificando el principal problema. En el tratamiento general de las contestaciones se incluyó las frecuencias relativas o porcentajes.

ResultadosEl 94,55% de los profesionales consideran que las sesiones de tele clínicas han tenido un efecto afirmativo en la evolución de los pacientes. La mayor dificultad se concentra en los “Cambios de estilo de vida de los pacientes”.

ConclusionesLas sesiones de tele clínicas del proyecto ECHO, ejercieron un impacto positivo sobre la evolución de los pacientes, en relación con la calidad de atención y desde la perspectiva de los profesionales, fundamentalmente en zonas rurales, siendo más evidente en relación a las actividades inherentes al propio desempeño laboral. Los hallazgos reflejan el principal inconveniente detectado, que ameritará un trabajo posterior.
The Effect of Using Dictionary in Teaching Pronunciation
Authors: Reishaan Abdul-Hussein Kadhim , Al-Bayati Wiaam Abdul- Wahab
Published: August 2023

Conventionally, pronunciation is taught by teachers who explain the articulation, read sounds aloud while students listen carefully to the teacher, repeat after him, and then may, though not always, listen to some recordings. This implies that the whole process is based on listening and speaking; writing and reading is just accidental for the sake of exams.Teaching students how to use dictionary for pronunciation is believed to be an extension in developing skills to include reading and writing in both ordinary spelling and transcription. Accordingly, it is hypothesized that the use of dictionary helps students master a better English pronunciation.To prove this hypothesis, the present study has developed a theoretical and a practical part. In the practical one, an experiment has been designed and implemented on first year students/ Department of English Language/CollegeofArts/UniversityofKufaduring the academic year 2006-2007.The study then has reached at several conclusions that validate the hypothesis and then suggested some recommendation
Elements of medical tourism in the holy city of Najaf
Authors: لهمود اسعد
Published: August 2023

And based on the importance of tourism in the national economy and the role it plays in achieving integrated development by increasing the state’s balance of hard currencies and improving the deficit in the balance of payments. Arab and Muslim visitors from all over the world, but relying solely on this tourism activity does not achieve the required economic integration, especially since the Najaf governorate possesses raw natural and human tourism potentials that have not been invested in tourism, which requires the development of plans and scientific studies that help in drawing up the economic policies of the country during the coming years. To ensure the development of eco-tourism, archaeological tourism and cultural festival tourism.