bluuebunny/crossref_metadata_2025 huggingface dataset:
UPAYA MENCIPTAKAN PENDIDIKAN KARAKTER DEMOKRATIS PADA MATERI KEBERAGAMAN DALAM BINGKAI BHINEKA TUNGGAL IKA DI MTs PANCA MUKTI KABUPATEN BENGKULU TENGAH
Authors: Renaldy Andrean , Lubis Elfahmi , Rizki
Published: November 2024

Abstrak 
Tujuan penelitian ini adalah untuk mengetahui : 1). menciptakan pendidikan karakter demokratis pada materi keberagamaan dalam bingkai Bhineka Tunggal Ika Di MTs Panca Mukti Bengkulu Tengah, 2). Untuk mengetahui hambatan dalam menciptakan pendidikan karakter demokratis pada materi keberagamaan dalam Bingkai Bhineka Tunggal Ika Di Mts Panca Mukti Bengkulu Tengah. 3). Untuk mengetahui faktor pendukung dalam menciptakan pendidikan karakter demokratis pada materi keberagamaan dalam bingkai Bhineka Tunggal Ika di MTs Panca Mukti Bengkulu Tengah.Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian deskriptif. Subjek dalam penelitian ini yaitu kepala madrasah, guru PPkn, dan siswa. Metode pengumpulan data berupa observasi, wawancara, dokumentasi. Teknik analisis data menggunakan tahap reduksi data, penyajian data, dan kesimpulan.Penelitian ini menghasilkan temuan sebagai berikut : 1). Menciptakan pendidikan karakter demokratis pada materi keberagaman dalam bingkai Bhineka Tunggal Ika, pelaksanaan pendidikan karakter demokratis pada materi keberagaman dalam bingkai Bhineka Tunggal Ika MTs Panca Mukti di kelas IX A melalui pengembangan diri. 2). Hambatan dalam menciptakan pendidikan karakter demokratis pada materi keberagaman dalam bingkai Bhineka Tunggal Ika di MTs Panca Mukti Bengkulu Tengah, kendala Kondisi kelas yang kurang kondusif karena terlalu banyak siswa, serta ruang kelas yang kurang begitu luas. 3). Faktor pendukung dalam menciptakan pendidikan karakter demokratis dalam Bingkai Bhineka Tunggal Ika di MTs Panca Mukti Bengkulu Tengah, guru menggunakan metode yang bervariasi yaitu penugasan, tanya jawab, diskusi, dan ceramah, memberikan kesempatan pada siswa untuk menyajikan hasil pekerjaan dengan presentasi, serta evaluasi dilakukan dua arah dan melalui budaya kelas.
Kata Kunci: Pendidikan karaktretr demokratis
Manajemen Madrasah dalam Membangun Budaya Literasi Peserta Didik di Madrasah Aliyah Negeri 2 Lombok Timur
Authors: Apnadi Apnadi , Sulhan Ahmad , Muhtar Fathurrahman
Published: November 2024

Literacy culture can be a reflection of the progress of the nation. Literacy culture can also be an indicator that distinguishes primitive society from civilized society. A nation whose literacy is still low will experience a gloomy civilization. The purpose of this study was to determine the ability, and management of madrasahs and implications in Basic Literacy, especially the reading aspect of students at Madrasah Aliyah Negeri (MAN) 2 Lombok Timur. In this study, documentation, observation, and interviews are the methods used to collect data. The results of the study are literacy activities that have begun to grow and develop at MAN 2 Lombok Timur, becoming a special attraction to make MAN 2 Lombok Timur a research location. This is related to Meidiawati's view that several things can be done to build a culture of literacy, namely fostering interest in reading, subsidizing or providing books or reading materials, optimizing the existence of libraries, appreciating written works, and government political support. madrasah management in building a culture of literacy for students at MAN 2 Lombok Timur. Management is related to efforts to plan, organize, mobilize, and control all aspects of activities in realizing the development of a culture of literacy. As part of the management carried out at MAN 2 East Lombok to build a culture of literacy, namely Building a joint commitment, Forming a literacy team, Monitoring and controlling the implementation of commitments, and Providing appreciation for active and high-achieving students (4-M). The management implemented at MAN 2 East Lombok can improve the ability and enthusiasm of students in literacy, improve the quality of literacy results, increase the number of literacy enthusiasts, and foster student awareness in cultivating literacy in their daily lives.
Manajemen Laboratorium IPA di Madrasah Tsanawiyah Negeri 02 Lombok Timur
Authors: Zulkifli Lalu , Zaki Muhammad , Fitriani Iwan
Published: November 2024

A vital component of teaching science is laboratory administration, which is the endeavor to oversee a laboratory and learning activities. Science laboratory management is related to the managers and users of laboratory facilities and practical activities carried out in the laboratory. This study aimed to determine how planning, organizing resources and assets, implementation, supervision, and impacts arise in the management of science laboratories at MTs.N 02 East Lombok. In this study, documentation, observation, and interviews are the methods used to collect data. The results of the study are that the planning stage is quite good, the existence of short-term, medium-term, and long-term programs evidences this. Short-term programs are planned to be completed within a day, a week, or even a month. At the same time, the medium term is planned to be completed during a quarter to a semester. The Organizational Stage is the management of resources, tools, and materials available in the science laboratory. An organizational structure for managing science laboratories has been formed for the organization of resources. The Implementation Stage is the operational stage of the plan that has been scheduled. This stage is very urgent because it determines the success of achieving goals. Related to the implementation stage, the science laboratory manager at MTs. N. 02 East Lombok has done many things such as inventorying available tools and materials, making regulations, and utilization schedules that are synchronized with the madrasah program. The supervision stage functions as a controller and evaluator of the success of the implementation of laboratory management as a whole. The impacts that arise from laboratory management have been implemented well at MTs. N. 02 East Lombok.
Analisis Kemampuan Anak dalam Berbicara Menggunakan Metode Bercerita di TKIT Generasi Rabbani Kota Bengkulu
Authors: Sari Eva Ria Indah , Ramadianti Winda , Hartati Merri Sri
Published: November 2024

One of the first potentials that must be optimized in early childhood is the speaking aspect. However, in learning there is still a lack of children's ability to speak, especially to express, convey and communicate thoughts, and also the pronunciation of words is unclear. So children lack the courage to make their voices heard when telling stories. In this case it is also caused by the teacher's use of learning methods that are less attractive. The aim of this research was to see the influence of the storytelling method on children's speech development at TKIT Generasi Rabbani, Bengkulu City. The method used in this research is descriptive with a qualitative approach. The research implementation time is approximately one month, namely March 25 to April 29 2024. The research techniques used are interview techniques and observations of students. The results of the research show that the storytelling method has a great influence on children's speaking abilities and can increase children's self-confidence.
Kepemimpinan Spiritual Tuan Guru Haji Muhammad Mutawalli dalam Meningkatkan Sumber Daya Manusia Pendidik di Pondok Pesantren Darul Aitam Jerowaru
Authors: Hamdi Miftahul , Yakin Nurul , Sulhan Ahmad
Published: November 2024

Tuan Guru Haji Muhammad Mutawalli's spiritual leadership has garnered attention due to his influence at the Darul Aitam Jerowaru Islamic Boarding School. The integrity of educational human resources in issue relates to the morals, ethics, honesty, accountability, and strong Islamic values that instructors and students embody. The goal of this study was to determine how Tuan Guru Haji Muhammad Mutawalli provided spiritual leadership at the Darul Aitam Jerowaru Islamic Boarding School and contributed to the integrity of Educational Human Resources. Qualitative research is a research approach based on the idea of postpositivism, with data collected using triangulation and inductive analytical procedures. The results of this study are spiritual leadership in the Islamic boarding school of the practice of the tarekat taught by Tuan Guru Haji Muhammad Mutawalli is through opening the Majlis Taklim, the Majlis pengajian for the general public, then the strategy used uses only the sharia approach and the role as the leader of the Islamic boarding school, Tuan Guru directs and organizes his students, so a Tuan Guru has a lot of charm and authority in front of his students.
Student Perceptions of Cheating Behavior Reviewed from Tauhid Character Values at Djuanda University
Authors: Amalia Rachmah , Mawardini Annissa , Nisa Shofia Hanna , Zalzilah Siti Nurul , Fajriatunnisa Fajriatunnisa
Published: November 2024

The research uses a qualitative research design to determine students' perceptions of cheating behavior regarding the tauhid character value at Djuanda University. Using thematic analysis, data was obtained through questionnaires distributed to 30 students from the Primary School Teacher Education (PGSD), Islamic Education Management (MPI), and Law study programs. The research results obtained three categories: forms of violations, causal factors, and solutions to handle cheating habits. The research concluded that in the students' view, cheating behavior is a form of breach of honesty, which lies in a person's intentions, promises, and activities. The leading solution taken by students to deal with cheating behavior is to apply the tauhid character values ​​of integrity, honesty, responsibility, and self-awareness in every activity. This research contributes to fostering tauhid character values ​​to overcome all acts of academic dishonesty.
Application of Maslow's Theory Motivation Model to Teacher Performance: Quantitative Correlation at MTs Negeri 6 Sumedang
Authors: Sariah Dedeh , Nugraha Mulyawan Safwandy
Published: November 2024

This study examines whether the needs-based motivation of ASN teachers at MTs Negeri 6 Sumedang is related to performance as stated by Maslow's hierarchy of needs theory. A correlational quantitative method was used in this study, involving 20 ASN teachers (both civil servants and PPPK) as respondents. Based on the results of the study, a moderate correlation was found between the two variables studied (R=0.493). An R Squared value of 0.243 showed that motivation could explain 24.3% of the changes in teacher performance, while the remaining 79.9% was sourced from other factors that were not studied. The results of regression analysis show that motivation affects performance positively with an F value of 5.789 p value = 0.027. The regression equation obtained is Y = 24.058 + 0.251X which means that the result of increasing one unit of motivation will affect the improvement of teacher performance by 0.251 units. Based on the descriptive results, the performance and motivation of most teachers were classified as 'good', with aspects of self-actualization and professional development receiving the highest scores. This study also revealed that motivation is one of the determining factors that can improve teacher performance at MTs Negeri 6 Sumedang.
Lifetime engineering principles in highway asset management
Authors:   KTI Hungarian Institute for Transport Sciences and Logistics Non-Profit Ltd., Budapest, Hungary, Gáspár László , Bencze Zsolt ,   KTI Hungarian Institute for Transport Sciences and Logistics Non-Profit Ltd., Budapest, Hungary
Published: November 2024

Introduction. An important tendency of our time is sustainability, good value for money and long-term planning. These are also the goals of the recently developed discipline, lifetime engineering. Although the principles of the science were originally developed for buildings and engineering structures, they can also be adapted to public roads. The article — through a case study in Hungary — presents the applicability of life engineering science to public road asset management. Besides, examples of pavement structure design, durability, maintenance-operation and environmental protection are also presented. Problem Statement. The typical lifetime engineering science principles used in the presentation were: increasing (pavement) life cycle; complex, multi-disciplinary design methodology; modular design; effective, quality insurance methods; high level satisfaction of the customers’ needs; minimisation of lifetime costs; sustainable, end-of-life strategies. It is emphasized that lifetime engineering is based on specific basic principles that effectively promote an up-to-date approach to any discipline related to engineering infrastructure. The paper shows that the efficacy of a road asset management. can be considerably increased if some elements of lifetime engineering are utilized.
Prospects for the use of rigid pavement in road construction and improvement of approaches to its design and calculation
Authors:   State Enterprise «National Institute of Infrastructure Development» (SE «NIDI»), Kyiv, Ukraine, Tsynka Anatolii , Gameliak Igor ,   National Transport University, Kyiv, Ukraine, Rybalchenko Sergii ,   State Enterprise «National Institute for Development Іnfrastructure» (SE «NIDI»), Kyiv, Ukraine, Raykovskiy Vitaliy ,   State Enterprise «National Institute for Development Infrastructure» (SE «NIDI»), Kyiv, Ukraine, Zelenovsky Volodymyr ,   State Enterprise «National Institute for Infrastructure Development» (SE «NIDI»), Kyiv, Ukraine
Published: November 2024

Introduction. This article examines the issue of improving the methods of designing and calculating rigid road surfaces, outlined in the DSTU project “Guidelines for the Design of Rigid Road Surfaces” (hereinafter referred to as the DSTU project). The specified methods were developed on the basis of domestic and global experience in the design of highways with rigid road surfaces, analysis of current legal acts, regulatory documents, technical literature related to the object of standardization, taking into account the availability of modern road construction materials and technologies. density of traffic flow, diversity of subsoil, including in complex engineering and geological conditions, peculiarities of road and climatic regions of Ukraine, etc. Problem statement. The need for improvement and a unified approach to the design of rigid road clothing, taking into account the peculiarities of its operation, with the determination of the appropriate parameters depending on the initial data and the effective use of material and technical resources.
MUCORMYCOSIS – “A NUISANCE IN THE IMMUNOCOMPROMISED PATIENT”
Authors: Dua Piyush , Ghosh Shayan , Ranjan Naik Rashmi , Kaushik Nitin , Verma Aviral
Published: November 2024

Background: Methods: The aim of this case report is to present an interesting case of fungal infection secondary to osteomyelitis of maxilla. A
female patient, 42 years old, reported to the Department of Oral & Maxillofacial Surgery, I.T.S Centre for Dental Studies & Research, Murad
Nagar, India, complaining about pain & bad breadth from her oral cavity. Her medical history revealed she was under antidiabetic medications from
previous 2 years. Subsequently, the cone beam computed tomography examination revealed large mixed-density lesion in alveolar process of
maxilla, giving the impression of moth-eaten appearance. The clinical examination revealed exposed necrotic alveolar bone in upper left maxillary
premolar region. Based on the clinical & radiological examination, a treatment plan for surgical int Results: ervention which includes extraction of
involved teeth with sequestrectomy followed by infrastructural maxillectomy was made & was implemented. And after histopathological
diagnosis of chronic osteomyelitis with fungal infection, antifungal regimen was started with Amphotericin B. Individuals having Conclusions:
compromised immune systems have more chances to get lethal fungal infections that affect the oral cavity. So, any osteomyelitis in maxilla must
get diagnosed at early stages to prevent the terrible outcomes.
BACTERIOLOGICAL PROFILE OF CATHETER ASSOCIATED URINARY TRACT INFECTION IN MEDICAL INTENSIVE CARE UNIT
Authors: Sahai Swati , Vasanthi S. , Agatha D.
Published: November 2024

Background: Urinary tract infection (UTI) is the most common nosocomial infection among which more than 80% are catheter-associated
[1] [2,3] (CAUTI) . As compared to patients in non-critical area, those in intensive care unit have more risk of acquiring CAUTI . This study Objective:
was conducted to determine the bacteriological prole of catheter associated urinary tract infection in medical intensive care unit (ICU) patients
and perform antibiotic susceptibility pattern of the isolated organisms. The risk factors associated with CAUTI was also determined. Methods: A
total of 100 patients admitted in medical ICU and put on Foley's catheter were included in the study. They were followed up for the development of
symptomatic CAUTI as per CDC guidelines. Urine culture, isolation and identication of organism were done by per standard microbiological
methods. Antibiotic susceptibility testing was done by disc diffusion and MIC method following CLSI guidelines. This study identied 26 Results:
CAUTI cases with 40 isolated organisms. Most isolates were from Enterobacteriaceae (34.5%) and non-fermenters (32.5%). Pseudomonas
aeruginosa was the most common (25%), followed by Klebsiella pneumoniae (17.5%), Enterococcus faecalis (15%), Escherichia coli (15%), and
Candida spp. (15%). High resistance was noted among Enterobacteriaceae, with 66.67% ESBL, 22.22% Amp C, 11.11% MBL, and 11.11%
carbapenemase production. One methicillin-resistant Staphylococcus aureus was also isolated. The dev Conclusion: elopment of CAUTI is
frequently observed in critically ill patients, with most cases being attributed to Gram-negative organisms. The rise of antimicrobial resistance is a
global concern, with a growing number of multidrug-resistant strains causing CAUTI. To reduce the incidence of drug resistance, the prophylactic
use of antibiotics should be avoided.
CORRELATION OF CARDIAC OUTPUT CALCULATED FROM INVASIVE FICKS PRINCIPLE WITH NON-INVASIVE MEASUREMENT
Authors: Suresh Pandit Manjunath , Jameria Jevin , Patel Vaidarbhi , Hegde Sweekruti , Shanishwara Parth , Sharma Kamal , Kulkarni Mithilesh , Pandey Vimlesh
Published: November 2024

Background: Estimation of cardiac output has been the cornerstone in understanding and optimizing management of various acute cardiac
emergencies not the least heart failure. The contemporary focus of disease management is shifting from symptom management to evaluating
hemodynamic performance including CO, left ventricular volumes, systemic vascular resistance(SVR) and ejection fraction(EF). Methods and
results: Between January 2021 and December 2023, a total of 500 patients were enrolled based on the inclusion criteria established with some form
of cardiac disease, who underwent invasive and non-invasive measurement of Cardiac output (CO), Cardiac Index, SVR and VO2 estimation. The
mean age of the study population was 57 years with a male: female ratio of 1.5:1. Mean CO and CI measured invasively (Qi) were 4.07 ± 1.04 and
2.28 ± 0.55, while mean CO and CI calculated with method 1 (Qn1, non-invasive) were 3.48 ± 0.28 and 1.96 ± 0.11, method 2 (Qn2, non-invasive)
were 2.22 ± 0.55 and 1.2582 ± 0.3008. Qn1 and Qn2 measured a lower cardiac output by 14.62% (p<0.0001) and 45.45 % (p<0.0001) compared to
invasive method. Regression analysis noted a nonlinear correlation between Qi and Qn1 (r=0.33) and a linear correlation between Qi and Qn2
(r=0.64). Qn1 estimated 11.3 % higher SVR(n1) as compared to measured SVR, however there was no statistical difference between values (CO,
CI and SVR) derived from LaFarge and Bergstra formula or between measured and estimated RA pressure. Cardiac output and Conclusion:
cardiac index derived by noninvasive methods have moderate to poor correlation with the standard invasive estimation of CO based on Fick's
principle, SVR estimated by non-invasive methods (Uchida K) was statistically overestimated as compared to the SVR obtained by standard
invasive technique. VO2 estimated by Bergstra formula correlates well with VO2 values of Lafarge formula in all patients irrespective of Killip
class and BMI, Bergstra formula can be used as a reliable alternative method for estimation of VO2 compared to Krovetz-Goldbloom formula. In
conclusion, Cardiac output, cardiac index and SVR measurement with currently available noninvasive methods are not reliable in the diseased
state
PANCREATICO-PLEURAL FISTULA, AN UNUSUAL CAUSE OF RECURRENT PLEURAL EFFUSION IN CHILDREN: A CASE REPORT
Authors: Panuganti Suresh Kumar , Reddy Nukala Jeevan , Vempati Venkateshwar
Published: November 2024

Pancreatico pleural stula (PPF) represents an uncommon but signicant complication of chronic pancreatitis (CP), necessitating a heightened
level of clinical suspicion in patients who exhibit pleural effusion. The conrmation of the presence of a stula tract, extending from the pancreatic
duct to the pleural space, can be established through the use of radiological imaging techniques. A 10-year-old girl presented with a history of
abdominal pain dating back to one year and difculty in breathing for the past 10 days. USG scan of the chest and abdomen revealed right pleural
effusion. Magnetic resonance cholangio pancreatography (MRCP) was suggestive of chronic pancreatitis with pancreatic pleural stula. In the
current case, the child received urokinase treatment for three days through the catheter in a dose of 100,000 IU diluted in 100 ml of normal saline
resulting in signicant expansion of the child's lungs. The child had shown clinical improvement with octreotide infusion (2μg/Kg IV bolus
followed by 2μg/Kg/hr IV continuous infusion for one day and then 4μg/Kg/hr IV for one day and thus child was managed conservatively
EFFECTIVE TREATMENT OF LEPROSY CASES MAY NOT BE ENOUGH TO REACH THE ELIMINATION TARGET WITHOUT TRANSMISSION REDUCTION MEASURES.
Authors: Priya Varsha , Ray Atanu , Kumar Maiti Prasanta
Published: November 2024

Background: Leprosy, a WHO-designated neglected tropical disease is known to be transmitted via inhalation of bacilli-loaded nasal secretions or
droplets. If attention is not paid to transmitters, in spite of intense management policy, today's contracted individuals may add new cases in 5-10
years, paradoxical to prediction of National Leprosy Eradication Programme. 1) Semi-quantitative gra Objective: dations of slit-skin-smear (SSS)
positive cases of leprosy by Bacteriological Index (BI), with special reference to nasal scraping and blow-out material examination. 2) Screening of
nasal scraping of willing household contacts. A hospital based cross sectional analytical study of Methodology: 213 cases was conducted wherein
SSS obtained from all clinically suspected cases of leprosy presenting at Dermatology Department for 20 months were screened by staining slides
with modied Ziehl-Neelson (ZN) technique. Nasal scraping and blow-out material smears were also included for lepra bacilli scoring for
comparative analysis. To detect any silent carrier, nasal samples were examined for willing household contacts of conrmed cases. Results:
Among the total 213 tested cases, 82 were found to be positive for SSS and 64 were positive for nasal smear sampling. 12 cases showed positive
close contact history which proves that it is a communicable disease. 185 cases showed grade 1 deformity and 12 cases showed grade 2 deformity in
which the most common one was nose deformity. Nasal smear AFB positive samples were considered to be Conclusion: potential spreaders of the
disease. Interventional instructions in the form of masks may be advised for reducing disease burden in future. No patient in our study who
presented for follow-up testing suggested doubtful compliance to treatment.
A COMPARATIVE STUDY OF FLUOROSCOPIC GUIDED TRANSFORAMINAL INJECTIONS OF STEROID VERSUS PLATELET-RICH PLASMA IN SINGLE LEVEL LUMBAR DISC HERNIATION.
Authors: Dindivanam Mahesh Kumar , Kumar Raju K Santhosh , Harsha Madamanchi , Chakradhar Konangi
Published: November 2024

Objective: To compare the efcacy of uoroscopic guided transforaminal steroid vs autologous Platelet-rich plasma (PRP) injection in lumbar
disc herniation. A total of 80 patients were studied who had complaints of low back pain with radic Materials And Methods: ulopathy and MRI
evidence of single level disc prolapse. Out of this group, patients were randomly assigned to two groups each having 40 patients. The rst group
received a transforaminal steroid injection and the second group transforaminal PRP injection. All patients were followed up for 12 months, and the
results were compared using a change in Visual Analogue Scale (VAS) score and Oswestry Disability Index (ODI). : Both groups were Results
comparable in terms of demographics, pre-procedure VAS scores, and ODI scores. At the 1-week follow-up, the steroid group had signicantly
better improvement than the PRP group. At 3 weeks, 6 weeks, and 6 months no difference in outcomes was observed. PRP is a safer Conclusion:
alternative to steroids for transforaminal lumbar injections in lumbar radiculopathy. Although improvement was delayed, 6 weeks and 6 months
outcomes were comparable. Multiple PRP injections may be benecial because of its autologous nature.
CLINICAL STUDY OF AUTISM SPECTRUM DISORDERS AMONG TODDLERS IN THE AGE GROUP OF 16-30 MONTHS IN THE FIELD PRACTICE OF TUMKUR.
Authors: S. Naik Pooja. , Anees- UrRahman Mohammed , Kumar G Arun , Bettaiah Jamunashree , G. V Kumar.
Published: November 2024

Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder with multiple causative factors and varied symptoms
including impaired social communication, repetitive behaviour and restricted interests posing a great impact on the early childhood in the form of
poor schooling and social interaction which later on continues to hamper adult productivity. The prevalence of ASD is nearly 1 % worldwide, with
male being more commonly affected compared to females . The diagnosis of ASD is made from the criteria in the Diagnostic Statistical Manual of
Mental Disorders, Fifth Edition (DSM-5).The Modied Checklist for Autism in Toddlers Revised (MCHAT-R) is an ASD screening tool. There is
lack of studies regarding screening of autism spectrum disorders in south India, especially in the rural parts. Therefore, this study would help in
early recognition and improved support of affected families and would also create awareness in the community. Methodology: This was a crosssectional study conducted in the eld practice of Sri Siddhartha Medical College and Hospital, Tumkur. The sample size considered was 600 cases.
The study included children aged between 16-30 months from in and around Tumkur and those with visual or hearing impairment,
neurodegenerative disorder / presence of any neurological decits were excluded. These children were assessed using MCHAT- R questionnaire.
Results: 600 children from both urban and rural communities were assessed using MCHAT-R screening tool, out of which 6 screened positive. The
mean age was 29.17 +/- 1.33 months and male to female ratio was 5:1. The prevalence was found to be 1%. Conclusion: Signs of ASD can occur
very early and the diagnosis can be made as early as 12 months. Since Paediatrician is the rst contact medical person to the child and can refer the
child early to Psychiatrist or Paediatric Neurologist for further intervention, this study would help in early recognition and improved support of
affected families and would also create awareness in the community.
Diseño de un programa de Formación Docente en Educación con enfoque STEM para ciudades intermedias
Authors: Agudelo Rodríguez Carlos Mauricio , González-Reyes Ronald Andrés
Published: November 2024

La educación con enfoque STEM se ha convertido en un espacio propicio para la formación de ciudadanos con habilidades propias del siglo XXI. Por eso, diferentes actores han promovido su implementación en las instituciones educativas, lo que convierte al docente en un actor clave para un desarrollo pertinente del enfoque. En este estudio se diseñó un programa de formación en educación con enfoque STEM, aplicado a un contexto de una ciudad demográficamente intermedia. a partir de un análisis cualitativo-interpretativo, documental y entrevistas semiestructuradas. Se identificaron las competencias y necesidades formativas requeridas para integrar exitosamente el enfoque STEM. Los resultados muestran que la falta de infraestructura tecnológica y la carencia de formación en metodologías activas son barreras críticas para los docentes. Por esto, el programa propone módulos centrados en la interdisciplinariedad, el uso de tecnologías educativas y la contextualización de las metodologías a las realidades locales, con un enfoque constructivista que fomenta la reflexión crítica y la autoevaluación. El estudio concluye que la formación docente en STEM debe adaptarse a las condiciones particulares de las ciudades intermedias, y así promover la colaboración interinstitucional y la innovación pedagógica en estos contextos.
Study of Severe Acute Malnutrition in Children Aged 0-59 Months Hospitalized in the Pediatric Department of Sikasso Hospital
Authors: Sangaré Aboubacar , Diabaté Mohamed , M Kanté , Diallo Korotoumou Welle , Coulibaly Yacouba Aba , Sacko K , Diallo Hibrahima , Traoré Abdoul K , Dembele Sory I
Published: November 2024

Introduction: Malnutrition is a backdrop on which several infections are grafted. The implementation of WHO guidelines would significantly reduce hospital mortality due to severe malnutrition. General Objective: To evaluate the epidemio-clinical characteristics of severe acute malnutrition in children aged 0 to 59 months in the pediatric department of Sikasso hospital from 2015 to 2019. Methodology: The study was conducted in the pediatric department of Sikasso hospital. It was a cross-sectional study with retrospective data collection from January 2015 to December 2018 and prospective from January 2019 to December 2019, children aged 0 to 59 months hospitalized with a P/T ratio < -3 z score or a MUAC < 115mm or nutritional edema. Results: During the study period we had 11,255 cases of hospitalization including 190 cases of severe acute malnutrition in children aged 0 to 59 months, i.e. a frequency of 1.68%. The average age was 19 months with extremes ranging from 6 months to 48 months. The male sex dominated with 56% of cases with a sex ratio of 1.27. The unfavorable socio-economic conditions in the families were 66.32%. The most frequent reasons for consultations were fever and anorexia, respectively 75.79% and 65.26%. Fever was the most common complication, 76% of cases, followed by anemia and anorexia, respectively 65% and 63%. Malaria was the most associated pathology, 47.43%, followed by cases of gastroenteritis and pneumonia, respectively 20.57% and 17.71%. According to the outcome, 8% of malnourished people died.
Choanal Atresia about Two Cases at the Hospital and University Center Gabriel Toure from Bamako (Mali)
Authors: Traore Moussa , Diarra Lasseni , Cisse Boubacar Sidiki , Dao Adama , Konate Moussa , Keita Mamadou , Traore Ramadane , Diallo Mahamadou
Published: November 2024

Choanal atresia is a congenital defect in the permeabilization of the posterior end of the nasal cavities. Its bilateral form is responsible for respiratory distress that can be life-threatening. The unilateral form was suspected in view of the permanent unilateral right nasal obstruction. We report the observation of two clinical cases admitted to the Radiology and Medical Imaging department, CHU GT of Bamako (Mali). The aim of our study was to highlight the importance of screening for this condition at birth. Surgical treatment allowed us to obtain an overall success rate of 100%. Divulsion was used to pass the emergency stage after short-term palliative medical treatment in the case of bilateral choanal atresia. The operative techniques used were divulsion and nasal endoscopic route.
Climate Change and Emerging Infectious Diseases: Investigating the Influence on Transmission Dynamics of Vector-Borne Diseases
Authors: Begum Dr. Afroza
Published: November 2024

Background: Climate change significantly affects the transmission dynamics of vector-borne diseases by altering temperature and rainfall patterns, thus creating favorable conditions for vectors. Objective: This study aims to examine the impact of climate change on the incidence of vector-borne diseases, focusing on temperature and rainfall patterns in Dhaka. Method: A cross-sectional study was conducted from February to November 2023 at Shaheed Monsur Ali Medical College and Hospital, Uttara, Dhaka. A total of 125 patients diagnosed with dengue, malaria, and chikungunya were analyzed. Data on patient demographics, disease occurrence, and climate variables (temperature and rainfall) were collected. Regression analysis evaluated the relationship between climate factors and disease incidence. Results: Out of 125 patients, 69 (55%) had dengue, 31 (25%) had malaria, and 25 (20%) had chikungunya. Dengue cases peaked during the monsoon season (July to September), with a 35% increase compared to the dry season. A 1°C rise in temperature correlated with a 12% rise in disease incidence, while a 50 mm increase in rainfall resulted in a 15% increase in cases. Conclusion: The study confirms that rising temperatures and increased rainfall due to climate change are critical drivers of vector-borne disease transmission in Dhaka, necessitating targeted public health measures.
Optimal Administration and Human Resource Management in Public Secondary schools in Balyesa State
Authors: Felix OMEMU
Published: November 2024

The central focus of this article is on the management of human resources and the streamlined management of public secondary schools in Bayelsa State. The study involved 5,400 instructors from 75 public schools in Bayelsa State. Using the" Yaro Yamane" method, 334 teachers and 38 princtpals were selected as participants, totaling 372 individuals. Data were collected through a questionnaire named the Optimal Administration and Human Resource Management in Public Secondary Schools (OAHRMPSSQ), which is developed specifically for this research. The instrument's accuracy was verified by the human resources department of Niger Delia University, and its reliability was confirmed through a test-retest procedure yielding a reliability coefficient of 0.5. The study's findings indicate a significant influence on the impact of managing human resource on administrative efficiency in Bayelsa State's public secondary schools. Recommendations stemming from the study advocate for the implementation of human resource management policies across all public secondary schools and the timely revision of educational policies to align with the current societal development trends.
A Survey of Tunde Kelani's Interpretations in the Adaptations of Akinwumi Isola's O Le ku (It is Complicated) and Yinka Egbokhare's Dazzling Mirage for the Screen
Authors: Abimbola ADENIYI Kehinde , Babafemi BABATOPE Johnson
Published: November 2024

Adaptation is an age long phenomenon in the arts. Life writings were adapted into novels and largely novels to plays. The trends continue to date. Adaptations are meant to artistically metamorphose a previous creative endeavour into a new one. An artistic work from one genre is transformed into another genre without losing sight of the thematic preoccupation of the source. Tunde Kelani adapted Akinwumi Isola's classic Yoruba Novel O le ku (It is Complicated) and Yinka Egbokhare's novel, Dazzling Mirage into films of the same titles, thus bringing the thesis of both works to a wider and heterogeneous audience. Despite the artistic and box office success of both films, and many essays on the film versions of the two novels, the extent of Tunde Kelani's fidelity to the thematic preoccupations and aesthetic considerations of the original works has not been academically interrogated. Therefore, this study examines the extent of Kelani's faithfulness to the ideology and aesthetic qualities of the original works. The primary data for the study depended on content analysis, structured interview and focused group discussion (FGD). Thus, the Akinwumi Isola's O le ku and Yinka Egbokhare's Dazzling Mirage and Tunde Keleni's cinematic adaptations were content analyzed. Both the literary and audio-visual versions was subjected to seasoned focused group discussion (FGD). The film producer and director; Tunde Kelani was interviewed. Secondary data were sourced from a review of relevant literature. Sarris' Auteur Theory was adopted to drive the discourse. The paper argues that the differences in the media of expression significantly influenced the minor discrepancies between the literary texts and their screen versions. It also argues that Kelani's box office target distracted him for a flawless fidelity to the original works. The study concludes that cineastes should enlist literary experts, who are knowledgeable about the principle of adaptation, and film critics in their production crew.
Analisis Peran Aktor dalam Pengendaliaan Sumber Daya Lahan di Kecamatan Pusakanagara Akibat Pembangunan Pelabuhan Patimban
Authors: Akbar Faisal , Saputra Muchsin
Published: November 2024

Penelitian ini dilakukan untuk mengetahui peran aktor pemerintah, swasta dan masyarakat sekitar dalam melakukan pengendaliaan sumber daya lahan di Kecamatan Pusakanagara yang saat ini telah banyak dilakukan alih fungi lahan pertanian semenjak di bangunnya pelabuhan Patimban dan rencana pembangunan kota baru patimban. Tujuan dari penelitian ini adalah untuk mengetahui siapa saja aktor yang berperan dalam pengendaliaan penggunaan lahan baik itu di kelembagaan pusat. Metode Penelitian menggunakaxn pengambilan data primer dengan teknik wawancara kepada Aktor yang berperan dan analisis stakeholder sebagai pendekatan penelitian ini. Hasil penelitian menunjukan bahwa Peran aktor yang memiliki minat dan kewenangan tertinggi (Players) dalam membuat rencana dan kebijakan terkait pengendalian alih fungsi lahan pertaniaan dikecamatan Pusakanagara adalah pemerintah pusat karena program pelabuhan Patimban merupakan Proyek Strategis Nasional. Peran aktor pemerintah daerahnya sendiri seperti BP4D, DLH kab Subang dan dinas pertaniaan memang memiliki minat dan kewenangan yang tinggi, namun karena ini merupakan Proyek Strategis Nasional maka peran aktor ini di posisiskan sebagai panitia pembebasan lahan dan pembangunan pelabuhan patimban. Peran aktor kelembagaan lokal yaitu kecamatan dan desa menajdi peran sebagai Objek dengan minat tinggi tetapi kewengangan rendah. Jadi kelembagaan lokal ini juga tidak dilibatkan secara langsung ketika melakukan perencanaan yang di lakukan Pemerintah pusat. Masyarakat yang bekerja sebagai petani serta gabungan kelompok tani mengalami dampak dari konversi lahan akibat pembangunan pelabuhan patimban ini. Peran masyarakat yang bermata pencaharian sebagai petani atau Gabungan kelompok tani dan kelembagaan lokal harus dilibatkan secara langsung dalam proses perencanaan supaya bisa disesuaikan dengan kondisi sebenarnya di masyarakat.
Gaya Komunikasi Kepemimpinan Jazilul Fawaid Sebagai Wakil Ketua MPR RI, Analisis Wacana terkait kelangkaan Minyak Goreng
Authors: Maria Susie , Widhi Kawuryan Megandaru
Published: November 2024

Dalam kurun waktu dua dekade terakhir Indonesia telah beberapa kali menghadapi persoalan kelangkaan minyak goreng, minyak goreng merupakan komoditas yang cukup strategis dan salah satu bahan makanan pokok yang tidak dapat terlepas di seluruh lapisan masyarakat di Indonesia. Tujuan penelitian ini adalah untuk memahami gaya komunikasi kepemimpinan Jazilul Fawaid sebagai Wakil Ketua MPR RI dalam menghadapi dan menyikapi isu kelangkaan minyak goreng di Indonesia. Penelitian ini bertujuan untuk mengidentifikasi ciri-ciri komunikasi transformasional yang diterapkan oleh Jazilul Fawaid dalam mengkritisi kebijakan pemerintah dan menyampaikan pesan kepada masyarakat serta pemangku kepentingan terkait isu tersebut. Berdasarkan latarbelakang tersebut peneliti tertarik untuk mengetahui gaya komunikasi kepemimpinan Jazilul Fawaid sebagai Wakil Ketua MPR RI terkait kelangkaan minyak goreng. Metode penelitian yang digunakan adalah kualitatif dengan melakukan pendekatan analisis wacana melalui sumber data yang digunakan dalam penelitian berupa teks atau wacana dari sebuah media pemberitaan online. Hasil penelitian menunjukan bahwa Jazilul Fawaid atau lebih dikenal sebagai Gus Jazil memiliki gaya komunikasi transformasional dengan menciptakan hubungan antara berbagai pihak untuk mencapai potensi maksimal dalam permasalahan kelangkaan minyak goreng serta memberikan motivasi kepada pemerintah dan pihak terkait agar segera mengungkap mafia minyak goreng.
Real-World HbA1c Changes Among Type 2 Diabetes Mellitus Patients Initiating Treatment With a 1.0 Mg Weekly Dose of Semaglutide for Diabetes
Authors: Gronroos Noelle N. , Swift Caroline , Frazer Monica S. , Sargent Andrew , Leszko Michael , Buysman Erin , Alvarez Sara , Dunn Tyler J. , Noone Josh
Published: November 2024

Background: Medical management of patients with type 2 diabetes mellitus (T2DM) is complex because of the chronic nature of the disease and its associated comorbidities. Injectable once-weekly semaglutide for diabetes (OW sema T2D) is a type of glucagon-like peptide–1 receptor agonist approved for the treatment of patients with T2DM.

Objectives: To describe patient characteristics and HbA1c changes for patients prescribed 1.0 mg maintenance dose OW sema T2D.

Methods: This retrospective study included adult patients with T2DM with a pre-index glycated hemoglobin (HbA1c) of at least 7%, initiating treatment with OW sema T2D between January 1, 2018, and December 31, 2019, and prescribed a 1.0 mg maintenance dose. Patients were identified in the Optum Research Database and were included if they had continuous health plan enrollment for at least 12 months prior to (pre-index) and at least 12 months following (post-index) the date of the first OW sema T2D claim (index). Dose at initiation and prescriber specialty were captured. Change in HbA1c between the latest post-index and pre-index HbA1c measurement was calculated among all patients and among those with at least 90 days of continuous treatment (persistent patients).

Results: A total of 2168 patients were included in this study. On average, patients were taking 13.5 different classes of medications. The majority of patients had lipid metabolism disorder (90.8%), hypertension (86.6%), diabetes with complications (86.8%), or other nutritional/endocrine/metabolic disorders (72.5%). The mean HbA1c reduction was 1.2% (P < .001). Patients persistent with OW sema T2D (n =1280) had a mean HbA1c reduction of 1.4% (P < .001). The mean (SD) days covered with a 1.0 mg maintenance dose was 236.1 (94.1) days.

Discussion: Despite being medically complex, the patients in this real-world study experienced significant reductions in HbA1c following initiation of OW sema T2D.

Conclusions: A 1.0 mg maintenance dose of OW sema T2D is an effective treatment for T2DM in the real world.
Uji Efektivitas Ekstrak Daun Tapak Dara Terhadap Penyembuhan Luka Sayat Pada Kulit Punggung Kelinci
Authors: Samodra Galih , Kaaffah Silma
Published: November 2024

Luka Luka sayat merupakan bentuk kerusakan jaringan tubuh yang disebabkan benda tajam dan dapat menimbulkan pendarahan dengan melibatkan peran hemostatis sehingga terjadi peradangan. Salah satu tumbuhan obat yang berpotensi sebagai obat tradisional adalah daun tapak dara karena mempunyai kandungan metabolit sekunder seperti alkaloid, flavonoid, saponin dan steroid. Penelitian ini bertujuan mengetahui pengaruh ekstrak daun tapak dara terhadap penyembuhan luka saya pada kulit punggung kelinci. Pengamatan dilakukan selama 14 hari pada 3 ekor kelinci yang punggungnya dibagi 6 area. Pada area tertentu dilukai sepanjang 2 cm dengan kedalaman 0,1 cm untuk dioleskan salep uji daun tapak dara sebanyak 2 kali sehari. Kelinci diuji dengan 5 kelompok perlakuan, yaitu konsentarsi ekstrak 25%, 50%,75% serta kontrol positif dan kontrol negative. Hasil penelitian memperlihatkan hari ke-8 dan ke-9 luka pada kontrol positif dan konsentrasi 75% sudah menutup dan tidak terdapat keropeng pada semua kelinci. Hasil uji statistik menunjukkan ekstrak daun tapak darah berpengaruh terhadap parameter panjang luka pada kelinci yaitu sebesar 0,000 (p˂0,05). Dapat disimpulkan bahwa pembuatan ekstrak daun tapak dara dengan konsentrasi 25%, 50% dan 75% memberikan efektivitas penyembuhan luka sayat pada kelinci.
Komunikasi Terapeutik Dalam Meningkatkan Pelayanan Keperawatan di RS. Mitra Medika Tanjung Mulia
Authors: Asrul Asrul , Afriani Miskah
Published: November 2024

Melalui komunikasi dapat terjalin suatu hubungan dan kepercayaan antar individu. Komunikasi memiliki peranan yang ukup besar karena pada dasarnya setiap manusia memiliki kemampuan untuk berkomunikasi sekalipun dan cara-cara komunikasinya berbeda-beda Demikian pula dengan tuntutan profesi keperawatan. Selain memiliki pengetahuan medis dan kesehatan perawat juga dituntut untuk memiliki keterampilan berkomunikasi dengan baik, efektif dan tepat sasaran. Selain itu dalam berkomunikasi perawat juga harus memiliki rasa tanggung jawab moral yang tinggi. Tanggung jawab yang tinggi dalam berkomunikasi pada perawat terlihat dari sikap peduli, kasih sayang dan keinginan membantu. Tujuan dari penelitian ini adalah untuk menigkatkan kualitas pelayanan para perawata di Rumah Sakit dalam menyikapi pasien dengan berbagai karateristik dan kondisi fisik maupun psikis dituntut untuk mampu melakukan komunikasi yang efektif sehingga mampu memahami dan memfasilitasi kebutuhan pasien. Kelemahan dalam berkomunikasi merupakan masalah yang serius bagi perawat, hal ini dapat berdampak kepada kondisi pasien. Pasien merasa tidak nyaman dengan sikap perawat hingga akhirnya mempengaruhi proses kesembuhan pasien. Jenis penelitian ini adalah penelitian metode eksperimen dengan desain penelitian yang digunakan adalah the one group pretest-posttest design dimana sebelum diberi perlakuan, hasil perlakuan dapat diketahui karena dapat membandingkan dengan keadaan sebelum diberi perlakuan dan sesudah diberi perlakuan. Populasi dalam penelitian ini adalah seluruh perawat diruang rawaat inap RS Mitra Medika Tanjung Mulia Medan yang berjumlah 266 orang dengan jumlah sampel sebanyak 59 perawat dengan tehnik sampling purposive. Analisa data dilakukan dengan uji pair t test. Berdasarkan hasil penelitian menunjukkan bahwa komunikasi terapeutik memegang peranan penting dalam upaya membantu penyembuhan klien. Untuk mencapai hal tersebut, maka perawat perlu meningkatkan pengetahuan dan keterampilan berkomunikasi secara terapeutik dalam praktek keperawatan.