bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Gaya Kepemimpinan Kepala Sekolah Terhadap Motivasi Kinerja Guru SDK Kalena Wanno
Authors: Angelina Malo  , Daud Bulu  , Solvila Debora Opa Ora  , Asunta Mone  , Santi Mali Hawa  , Sarianti Lende  , Yohanes Lende Bili
Published: August 2024

Human resource management is the process of utilizing humans as workers in a humane manner, so that their psychological potential functions optimally to achieve school goals. The indicators in this research that are meant by HR are implementing planning, recruitment and evaluation. Human resources (HR) greatly influence the quality of education in an institution. Educational institutions that prioritize human resources will increasingly support the development of students who are interested in attending that education. This research aims to determine the effect of human resource management on improving the quality of education at SDK KALENA WANNO STATE PRIMARY SCHOOL institutions. This research uses a data collection method through distributing questionnaires directly by distributing questions to respondents and asking them to provide answers to these questions. Respondents in this research are teaching staff at the SDK KALENA WANNO STATE PRIMARY EDUCATIONAL INSTITUTION. The number of questionnaires distributed was 50. The test technique used uses a validity test and a reliability test. Testing the first and second hypotheses uses a simple linear regression test. The research results show that service quality has a positive effect.
Physics Doctor Sensor
Authors: Rabi Noori Hammude
Published: August 2024

Physics Doctor Sensor technologies have improved the everyday life of human beings through their applications in almost all fields. Sensors are devices that detect changes in the source/environment and collect signals, and accordingly, the reaction is designed. There is a range of sources, including light, temperature, movements, and pressure etc., which may be used. A wide range of applications are utilized using innovative sensor technologies in lifestyle, healthcare, fitness, manufacturing, and daily life. In the medical field, the difficulty of taking medicine is eased by drug donors fitted with sensors. It reminds them to take medicine via a signal and supply the necessary medicine at the specified moment. In health care, older individuals, athletes, and risk patients benefit from modern sensor technology. The current industrial trends driving innovation include ultrasound, radar, and non-contact optoelectronic solutions and laser technology. The paper gives a brief overview of the numerous types of sensors that are utilized in everyday life. Various capabilities of sensors for day-to-day healthcare are discussed. Various features, associated nomenclature, and measures for sensors in day-to-day routine life are discussed diagrammatically and finally, the paper identifies and discusses twenty-two significant applications of sensors for daily life. Sensors also produce vital information and exchange data with other connected devices and administration systems when linked to a network. Thus, for the effective running of many companies, sensors are critical. Various types of sensors are used in our daily life, which is more accurate and makes quicker analysis.
Monitoring Sistem Transmisi Dan Distribusi Pada Pemancar Radio Fm Di Radio Republik Indonesia
Authors: Khaila Mardina Fauziah Awalia  , Desmira Desmira
Published: August 2024

ticular building requires a lot of time. This monitoring is carried out continuously so that it is hoped that there will be an increase in efficiency, time, energy and costs in the electric power monitoring process. Each radio has an operational transmitter located in the broadcast studio so that the broadcast range is wider and clearer and can be enjoyed by the public. The research has several objectives, namely; [1] know about radio trans- mission, [2] know how audio distribution works, [3] how wave propagation works.
Analisis Konten Instagram Radio Elbayu yang Efektif Untuk Memikat Generasi Z
Authors: Gymnastiar Kamal Rafii  , Nadilla Putri Anjelayni
Published: August 2024

Social Media Instagram is a very famous application that is used by various audiences. Instagram is a very famous social media platform and is used by all audiences. One of them is in generation Z, because this platform has many features that can support users, for example sharing information or content and even being able to interact with friends, or even sharing stories and photo posts. So Instagram is very suitable to be used as social media to introduce people. Just like researchers took research to analyze the existence of Instagram content that is effective in attracting generation Z. Because in this case radio Elbayu is not yet known to generation Z. radio Elbayu only recommends radio that still uses AM frequencies. And the listeners are only elderly, the Z generation doesn't know or understand it yet. So with the Instagram platform that can create this content it can attract or add new followers. So that in this way we can still maintain the unique characteristics of Elbayu radio, namely radio broadcasts with AM frequencies and also Elbayu radio can keep up with the times by creating content on Instagram so that generation Z is more interested and gets to know Elbayu. Namely, the content is about Gresik and Surabaya, such as recommendations for tourist attractions, historical places, and much more
Analisis Perhitungan Overall Equipment Effectiveness (OEE) Untuk Peningkatan Nilai Efektivitas Mesin Sewing Line 10 Pada PT. PAN Brothers
Authors: Arum Fauzan Nur Syamsi
Published: August 2024

Developments in the world of manufacturing industry are increasing, very tight industrial competition is encouraging industry to increase production effectiveness. PT. PAN Brothers is a manufacturing industry located in Boyolali, Central Java. PT. PAN Brothers produces clothing types such as jackets, coats, ski jackets, down jackets, tracksuits, travel pants and so on. During the production process, sewing machines have problems, namely machine damage. This research aims to analyze the effectiveness of sewing machine performance using the Overall Equipment Effectiveness (OEE) method and provide suggestions for improving the results of the Failure Mode and Effect Analysis (FMEA) method. The measurement uses the OEE method with three main components, namely availability rate, performance rate and quality rate to identify types of losses based on the six big losses. The average OEE value of 60% is still below world class standards with factors influencing the low OEE value. namely the performance rate, while the losses that affect the effectiveness value of the performance rate are Idling and minor stoppages losses with a value of 42%. By carrying out root cause analysis using a fishbone diagram, the root causes of low performance values ​​influenced by Idling and minor stoppage losses are known, namely machine factors, human factors, methods, materials and the environment. After identifying the problem and measuring the Risk Priority Number (RPN), suggestions for improvement were obtained including providing training to operators, to implement a preventive maintenance system, adding employees in the line balancing section and adding equipment to support machine repair facilities.
Implementasi Algoritma Convolutional Neural Network untuk Meningkatkan Identifikasi Penyakit Tanaman Durian
Authors: M.B. Gigih Baskoro Ashari
Published: August 2024

Detecting diseases in durian plants is a significant challenge in the agricultural sector, impacting yield and quality. This research aims to improve disease identification in durian plants by applying the Convolutional Neural Network (CNN) algorithm. The method involves collecting images of durian leaves, stems, and fruits infected by various diseases and using data augmentation techniques to expand the dataset and reduce overfitting. With the CNN model trained using this dataset, the accuracy reached 62% on validation data, with the highest accuracy for the “Healthy” class at 83%. The research results show that CNN is effective in recognizing diseases in durian plants, although there is still room for improvement through model optimization and the addition of training data. The implications of this research include the development of an AI-based disease detection system that can help farmers care for durian plants more efficiently and timely.
Pengujian Validitas dan Reliabilitas Instrumen Resilience Siswa SMK Teknik Ketenagalistrikan menggunakan PLS-SEM
Authors: Siti Shofiyatus Sa’diyah  , Tri Wrahatnolo  , Joko Joko  , Yulia Fransisca
Published: August 2024

In education, resilience is an important psychological concept especially for understanding how students cope with stress and challenges in their educational environment. This study focuses on five dimensions that contribute to students' level of resilience, including: perseverence, self-reliance, equanimity, existential aloness, and meaningfull life. Study aims to test the validity and reliability of a scale or instrument that measures the level of resilience in Vocational High School (SMK) students, using Structural Equation Modeling Partial Least Squares (SEM-PLS). This study involved 103 SMK students as research participants. Data were collected through a previously developed resilience scale. Data were analyzed using measurement model and structural model. The analysis showed that the resilience scale has good construct validity, with reliable indicators to measure the desired construct. The reliability of the instrument was also found to be high based on the calculated Cronbach's alpha coefficient. This study makes an important contribution to understanding the resilience of vocational students and validating an instrument that can be used to effectively measure this concept in an educational context. Practical implications of the findings include the development of more targeted educational programs to enhance students' resilience, so that they can face learning and life challenges more readily and effectively.
Perbaikan Kualitas Produk Kain Denim Di PT. Dunia Sandang Setia Abadi IV Sebelum Pengiriman Barang Menggunakan Metode Fault Tree Analysis (FTA)
Authors: Andi Muhammad Hilal Alamsyah BS.P
Published: August 2024

The quality of a product is built by the company by paying attention to the needs and desires of customers because an industrial factory will not exist if the products made or ordered are not in accordance with consumer desires. This study aims to determine the causes of fabric defects, especially in one of the Alaska brands in April 2023 as many as 825 defect cases. This research uses the Fault Tree Analysis (FTA) method used to analyze the causes of production defects such as underfeed, double feed, and non-standard thickness. The results of the study were found several factors causing defects in less feed, double feed, and thickness not according to standards, namely raw materials, machinery, and human factors. The improvement strategies during the production process are. Strict supervision and control, periodic training, proper machine maintenance, and selection of quality raw materials are strategies implemented to minimize fabric defects. implement supporting infrastructure to reduce product growth rates.
Prioritas Strategi Kesehatan dan Keselamatan Kerja (K3) Menggunakan Metode SAW dan TOPSIS Pada PT PLN Nusantara Power UP Muara Tawar
Authors: Muhammad Kamaludin Fasya
Published: August 2024

This study aims to find the highest value of criteria, sub-criteria and alternatives in prioritizing K3 strategies at PLN NP UP Muara Tawar to ensure and protect the workforce. Using the 5M approach (Money, Man, Machine, Methods and Milieu), 21 sub-criteria and 5 alternatives in order to prevent, overcome and minimize the occurrence of work accidents and their impacts by identifying, analyzing and controlling appropriately to improve K3 in the workplace. The Simple Additive Weighting (SAW) mixed method is used to calculate criteria and sub-criteria and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) calculates alternatives. The results of the analysis show that the highest criterion is man (M) with a score of 0.2113 and the highest sub-criteria are K3 Infrastructure Investment (MO1) and Fire Protection System Infrastructure Investment (MO2) with a score of 0.29577. The highest alternative is with a score of 0.7900 on maintenance of equipment and facilities (A2).
Analisis Strategi Pengembangan Sumber Daya Manusia Dalam Upaya Peningkatan Efisiensi Jam Kerja Karyawan Pada PT. PNM Mekar Syariah
Authors: Muhammad Abyan Mudhofar
Published: August 2024

Madani Mekar Syariah National Capital (Persero) Jaten Unit Branch Office has 2,000 MSME customers divided into 110 MSME customer groups. This research aims to find out how the strategy for developing and implementing human resource development strategies is in an effort to increase the efficiency of PT employees' working hours. PNM Mekar Syariah. The type of research used is qualitative research which is descriptive analysis. The method used is the multiple linear regression analysis method. Data collection techniques use observation, interviews and questionnaires. Data analysis techniques use Descriptive Statistics, Validity Test, Reliability Test, Data Reduction, Data Presentation, Descriptive Analysis, and Drawing conclusions. Data validity techniques use Statistical Data Analysis and Hypothesis Testing. The results of this research are, holding training, holding formal education for employees, for example undergraduate level scholarships, providing regular coaching for employees, carrying out recruitment according to PT's needs. PNM Unit Jaten, gives awards to outstanding employees.
Lubricin and Hyaluronan Cannot Support Cartilage Lubrication Without Active Phospholipids in Osteoarthritic and Rheumatoid Arthritis Joints
Authors: Z Pawlak
Published: August 2024

This article focuses on disruptive action of the three components present in the synovial fluid: hyaluronan, lubricin and phospholipids, present in active osteoarthritis (OA) and rheumatoid arthritis (RA). Phospholipids lamellar phase adsorbed to hyaluronan and lubricin are two important components in the synovial fluid that both have been suggested to facilitate the lubrication of synovial joints. Recently examined synovial fluid (SF) for the concentration of phospholipids in osteoarthritic by Kosinska et. al., remain in surpassingly high concentration. The lubricating properties of biomolecules with deactivated phospholipids, hyaluronan and lubricin have been shown to not have the same lubricating ability as normal synovial fluid. Based on these observations, we conclude that deactivated phospholipids indeed are unable to provide low friction forces and high load bearing capacity.
Spontaneous Drainage of Large Paraphygeous Abscess
Authors: Berkembrock Camilla Melotti
Published: August 2024

The case of a 68-year-old female patient, without comorbidities, with a diagnosis of a large parapharyngeal abscess on the left, was reported by a neck CT scan, which evolved with spontaneous drainage and complete resolution of the peritonsillar bulging, completing the therapeutic plan with antibiotic therapy, without abscess recurrence. Clinical suspicion, associated with neck CT, is an indispensable item in the design of early treatment, in order to avoid complications.
Attempt to utilize classification of type2 diabetes mellitus subgroups provided by ahlqvist to generate individualized treatment methods based on the actions on insulin resistance & ?cell function: a
Authors: Kaur Kulvinder Kochar
Published: August 2024

Type2 Diabetes mellitus(T2D) refers to a syndrome that by definition is secondary to numerous extents of βcells failure in addition to reduction in insulin sensitivity.Despite ,a lot of metabolic Impairment ,most patientsare classified as either presenting with T1D or T2D.Recently Ahlqvist etal.posited a new system of classification for adult onset disease ,keeping in view the heterogenic metabolic phenotypes of this disease.This new classification system might possess the potential for utilization for greater individualization of treatment depending on the underlying metabolic Impairments in this disease ,despite no existing mediation studies have developed data to validate this claim.Thus here we provide a brief introduction on the etiopathogenesis with regard to T2D as well as in patients acquiring Diabetes at adult age ,besides summarize the evolution of classification systems including one we had earlier provided. Subsequently we try to review the actions of various antidiabetic agents on insulin sensitivity along with β cell function in addition to the posited approaches for individualized therapy as per the various subgroups based on Ahlqvist etal’s posit.Thus we conclude that the innovative T2D subgroups add to an intriguing model that could stimulate us to get better insight over the pathophysiology of this very wide group of T2D that aids in individualized treatment options on the basis of the underlying etiology of the disease.In these innovative T2D subgroups of adult onset disease that would aid in giving some antidiabetic agents that would prove be more advantageous for certain subgroups ,considering the major pathophysiology in addition to avoidance of endorgan injury .To start with it is just the initiation of trying to get in individualized therapy for T2D,along with studies that start performing evaluation of the current existence in addition to innovative drugs,prospectively in various subgroups possessing separate metabolic phenotypes to succeed in making therapy more individualized.
Oltipraz (4-Methyl-5-Pyrazinyl-3h-1,2-Dithiole-3-Thione) Alleviates Doxorubicin-Induced Cardiotoxicity In Abino Rats
Authors: Jagetia Ganesh Chandra
Published: August 2024

Doxorubicin is an anthracycline group of antibiotics that is frequently used in the treatment of various human neoplasias clinically. However, its adverse effect on the human heart is of major concern and limits its full clinical utilization. The present study was undertaken to alleviate the doxorubicin-induced myocardial toxicity by oltipraz an Nrf-2 inducer in albino rats. The albino rats were orally administered with 10 mg/kg body weight of oltipraz daily for three days before treatment with 15 mg/kg body weight of doxorubicin. The doxorubicin-induced myocardial stress indicated by an increase in the CK-MB activity, and lipid peroxidation accompanied by a reduction in the glutathione, glutathione-s-transferase, catalase and superoxide dismutase in the rat heart. The administration of 10 mg/kg oltipraz for three days before doxorubicin treatment reduced the CK-MB activity and lipid peroxidation significantly followed by the significant elevation in the activities of glutathione-s-transferase, catalase and superoxide dismutase and glutathione in the rat heart. Our study demonstrates that oltipraz an Nrf-2 inducer reduced doxorubicin-induced myocardial stress in the rats.
Comparitive Study of Various Brands of Synthetic Hair Gels and Herbal Hair Gels
Authors: Sailaja Abbaraju Krishna
Published: August 2024

Herbal cosmetics are the preparations used to enhance human appearance. The aim of the present research is to formulate and evaluate the herbal gel for the purpose of moisturizing and nourishing of hair. Hair gels are the products used for hardening the hair in particular hairstyle. Herbal hair gels have less side effects it can promote hair growth and prevent hair loss. Marketed products contain silicon’s and chloride which leads to hair damage so herbal hair gels are suggestable. Hair gels helps to maintain the moisture in your hair which is necessary for better growth. Hair gel gives necessary nutrients to your hair gel is used makes your look attractive.
An Unusual Case of Adrenal Histoplasmosis in A 63 Year Old Immunocompetent Man Who Presented With Bilateral Adrenal Hyperplasia
Authors: Bommu Veera
Published: August 2024

A 63-year-old man presented with abnormal thyroid function tests, fatigue and unintentional weight loss. Thyroid disorder was excluded with repeat labs. Further investigation discovered a left lung nodule on a chest X-ray and bilateral large adrenal masses on computed tomography scan of abdomen and pelvis. Detailed Laboratory investigations were negative for a functional mass or adrenal insufficiency. Biopsy of adrenal gland revealed Histoplasma capsulatum. He was treated with liposomal Amphotericin B followed by Itraconazole for three months followed by improvement in fatigue and weight loss. Histoplasma capsulatum is an opportunistic pathogen and has a high susceptibility to disseminate in immunosuppressed patients. It is rare for histoplasmosis to involve adrenal glands in immunocompetent patients. Adrenal insufficiency in patients with Histoplasmosis is a predictor of increased risk for morbidity and mortality. With the availability of effective treatment and risk of adrenal insufficiency, adrenal dissemination should be considered when a patient is diagnosed to have disseminated histoplasmosis, even in the absence of adrenal insufficiency symptoms.
Lipodystrophy - Can the Radiologist Give a Clue to the Diagnosis?
Authors: Nagarajan Suriyaprakash
Published: August 2024

Lipodystrophies are a heterogeneous group of disorders characterized by selective deficiency of adipose tissue or abnormal disposition of fat in the absence of nutritional deprivation or catabolic state [1]. Lipodystrophy presents with unilateral limb thinning with normal clinical, physical and nerve conduction studies. Most common cause of unilateral limb thinning is monomelic amyotrophy, which is a motor neuron disease with muscle atrophy without pain or sensory loss. There is no definite cure for monomelic atrophy except for spinal surgery in advanced cases. It is crucial to differentiate lipodystrophy from amyotrophy, as the former can be managed conservatively. We report a case of 10-year-old girl presenting with unilateral limb thinning.
A Rare Endoscopic Image of An Esophageal Angiodysplasia
Authors: C Sotiropoulos
Published: August 2024

We report a 69-year-old man with a medical history of Myasthenia Gravis diagnosed 10 years before and treated with pyridostigmine who was admitted to the hospital due to microcytic anemia and hyponatremia in a routine blood test. The laboratory values revealed microcytic anemia (Hct: 20,40%, Hb: 6,30 g/dl, MCV: 75,30 fl, MCH: 23,20 pg, MCHC: 30,90 g/dl) and hyponatremia (Na: 121 mmol/l). During the investigation, an esophagogastroduodenoscopy was performed and revealed an esophageal angiodysplasia (Figure 1). The angiodysplasia was treated endoscopicall by argon plasma coagulation (APC).
Changes Made in The Public Healthcare Infrastructure in Rural and Tribal India in Modi 1.0 Regime
Authors: J CyrilKanmony
Published: August 2024

The main scope of the people living in rural and tribal areas for getting treatment for their ailments is the public healthcare infrastructure available there. The three pillars of the public healthcare sector are: Sub Centres (SCs), Primary Health Centres (PHCs) and Community Health Centres (CHCs). To highlight the changes made in the public healthcare infrastructure in Modi 1.0 regime this article made use of two reports on Rural Health Statistics – 2013-’14 and 2018-’19. It is inferred from the data analysed, in comparison with 2014 in 2019, there is an improvement in the number of SCs in position, the number of SCs and PHCs with regular water supply, power supply and approach road and a decrease in the number of PHCs without doctors, lab technicians and pharmacists in rural areas. However, the shortfall of healthcare centres and the average rural population covered by a healthcare centre increased between 2014 and 2019. There is also a shortfall in other facilities such as operation theatre and labour room. The number of CHCs functioning without specialist increased. The number of SCs without health workers and PHCs without health assistants increased. This is almost true to tribal areas also. All these mean that the public healthcare infrastructure and the manpower position and other facilities available there, experienced a negative change in Modi 1.0 regime. Hence it is necessary to undertake some policy measures to improve healthcare facilities available in rural and urban India.
The “Nail-o-flex” Nail as a New Procedure in distal Radius Fractures. A continuous Series of 105 Cases.
Authors: D Persoons
Published: August 2024

Distal radius fractures are a daily problem in the elderly. Its treatment remains a critical challenge due to the number of cases, the final cost of the intervention, the level of X-ray irradiation and a demanding fixation of the fragments in osteoporotic bone. The entire closed procedure requires strict percutaneous nailing. This offers advantages in terms of postoperative pain, intraoperative radiation and cost. The main problem so far has been the ability to ensure a stable reduction in time. This point is discussed with the introduction of the “Nail-o-flex®” nail. A continuous series of 105 patients is introduced.
Pattern of Head and Neck Malignancies and Associated Factors for Late Diagnosis at Bugando Medical Centre
Authors: Kimario Olivia Michael
Published: August 2024

Head and neck cancer are among the most common cancers occurring worldwide.It has challenges in management as patient presents at late stage in our environment. This study was done to determine the pattern of head and neck malignancies and associated factors for late diagnosis for patient attending Bugando Medical Center Mwanza Tanzania. Method: This was analytical cross section prospective study from February to June 2019. Results: A total number of patient enrolled in the study was 60. The male were more by 1.4%. The median age was 56 years with the range of 12years to 89years. The leading area of head and neck malignancies was oropharyngeal malignant by 30%, followed by laryngeal and sinonasal by 25%, then nasopharyngeal and salivary glands by 8.33%, thyroid malignancies 3.5%, hypopharyngeal 3.33% and others 3.33%.A total number of 35(58.33%) patients were from rural areas and 25(41.67%) were from urban. Majority of the patients used local herb about 42% before been treated at the hospital. Patient did not rush to the hospital as soon as they saw the symptoms therefore they consultation ranged between 1 week to more than 50 weeks from the onset of symptoms. Most patients visited dispensary 25(41%) consulted higher levels of health care for their first time, 14 (31.82%) for hospital level and 11 (25.00%) for health center. From the study, 31patients have 2 referrals, 13 have only one referral and 16 have more than two referrals. Conclusion: Major cause of delay presentation of head and neck cancer at Bugando Medical Center was attributed by patients themselves whereas health care had small contribution.
Ethylene Glycol Toxicity in The Emergency Department: A Diagnostic Challenge
Authors: Qaiser Farkhanda
Published: August 2024

Emergency clinicians should suspect ethylene glycol poisoning in cases with suspected toxin ingestion and apparently very high point of care lactate readings. These high lactate readings can be factitious. Point of care testing machines typically use lactate oxidase to determine blood lactate concentrations which can result in false high lactate readings. We present the case of an adult male who presented to the emergency department with reduced level of consciousness, tachycardia and tachypnoea after suddenly collapsing at home. A collateral history from the patient’s partner suggested that he had ingested antifreeze. His point of care testing venous blood gas showed metabolic acidosis with a lactate level of 31 mmol/l. Ethylene glycol poisoning was suspected and the patient was administered fomepizole and had haemodialysis making a good recovery with same. This case highlights that ethylene glycol poisoning should be considered in cases with suspected toxin ingestion and apparently factitious high lactate readings from point of care testing. In suspected ethylene glycol toxicity, appropriate antidote and supportive management should be administered empirically as soon as possible.
Constructing Adherence: Nursing Perspectives on Home Dialysis
Authors: CHOW Josephine S F
Published: August 2024

Aims Dialysis (frequency and length) and measures of health function are usually associated with adherence for in-patient services for patients with kidney failure. Adherence expectations specific to home dialysis are not reported in the literature. Home dialysis offers autonomy and flexibility for patients, whilst at the same time is closely monitored by specialist nurses. A preliminary qualitative investigation was conducted to understand how renal nurse practitioners construct adherence for patients undergoing home dialysis. Semi structured interviews were recorded, transcribed and analysed following principles of thematic analysis. Thematic analysis indicated that markers of adherence were biological or behavioural. Factors contributing to non-adherence were mental health, social, health, and system related. Adherence was found to be dynamic, and decisions about when to intervene were reported as individually determined. The patient/nurse relationship was found to be integral to notions of adherence in home dialysis. The nurses’ role was seen to be evolving and responsive. Further investigations of converging patient and nursing constructions of adherence are needed to determine if these preliminary findings are an indication that policies and procedures should recognize adherence as dynamic and grounded in the nurse-patient relationship.
Exploring The Experiences of Redeployed Nurses During the Covid-19 Pandemic: A Mixed Method Study
Authors: Chow Josephine S F
Published: August 2024

Aims & Objectives: This study aims to investigate the experiences of nurses redeployed during the COVID-19 pandemic. Background: The COVID-19 pandemic prompted the redeployment of healthcare staff to address surging cases and staff shortages. Design: Cross-sectional, mixed methods study. Methods: Data was collected via survey and semi-structured interviews. Validated tools were incorporated into the survey, to measure symptoms of anxiety (Generalised Anxiety Disorder-7), depression (Patient health questionnaire-9) and burnout (Copenhagen burnout inventory-19). Quantitative data from the surveys were analysed descriptively using SPSS software. Qualitative data was analysed using a thematic analysis approach. Results: Thirty-one nurses responded to the online survey. Around 24% of the participants reported experiencing moderate to severe symptoms of depression, 10% anxiety and 29.4% burnout during redeployment. The prevalence of work-related burnout was 53.25%, followed by personal (49.4%) and client-related burnout (32%). Data obtained from the open-ended survey questions reflect similar themes as semi-structured interviews. Participants reported a mix of positive and negative redeployment experience. Following themes emerged from their response: Initial feelings and thoughts of redeployment, positive experience, negative experience, impact on mental health and wellbeing, changes since the first redeployment and suggestions for improvement to future placements. Conclusion: The study outcome provides insight into the nurses’ redeployment experience during pandemic and highlights the areas for improvement when preparing for future global and/or local disasters and enhance the overall experience of redeployment. Relevance to clinical practice: This study offers a baseline understanding of nurses' redeployment experiences during the pandemic, informing policymakers and healthcare sectors to enhance redeployment strategies for future crises. Reporting method: This study used the Mixed Methods Article Reporting Standards (MMARS).
Clinical Decision Making in Advanced and Metastatic Breast Cancer Cases between PARP Inhibitors and CDK4/6 Inhibitors: A Review
Authors: Hays Priya
Published: August 2024

Background: PARP inhibitors and CDK 4/6 inhibitors have been studied extensively as model targeted agents for advanced and metastatic breast cancer with hormone receptor positive/HER2 negative molecular subtype, the most common in the patient population. Method: A PUBMED search was conducted using the keywords PARP inhibitors and Breast Cancer and CDK4/6 inhibitors AND Breast Cancer and PARP inhibitors AND Hormone Receptor Positive Tumors and PARP inhibitors AND Toxicity and BRCA1/2 mutation testing AND HR+/HER2- Advanced Breast Cancer. The studies selected for this review are based on patients having the molecular subtype of HR+/HER2-, and the clinical trials chosen for the decision workflow developed here include cohorts who received PARP inhibitor or CDK4/6 inhibitor therapies, and had either favorable or less than favorable outcomes. Results: A number of factors, including molecular subtype, genomic characteristics, risk factors such as adverse events and potential for resistance, and evidence for desired clinical outcome must be considered in this decision making process, most impacted by the presence of the BRCA mutation and hormone receptor status and the prognostic and predictive potential of each agent. When faced with a patient with advanced breast cancer, the paper suggests that either PARP or CDK4/6 inhibitors could potentially be administered as monotherapy or in combination and proposes a clinical decision making algorithm based on a review of the literature that would enable clinicians to choose the most suitable agent based on the molecular and genomic characteristics of the patient and desired clinical outcome.
The Influence of Financial Inclusion, Financial Planning, and Financial Attitudes on the Financial Management of Culinary MSME Owners Lubuk Pakam
Authors: Andini Ayu , Soemitra Andri , Dharma Budi
Published: August 2024

Actively improving the economy and reducing unemployment in Indonesia is played by Micro, Small and Medium Enterprises. Financial management holds significance in business operations., including financial inclusion, financial planning, and financial attitudes to ensure optimal business financial management. This study aims to assess the impact of Financial Inclusion, Financial Planning, and Financial Attitudes on Financial Management. The goal of this research is to enhance understanding and become a basis for legislators and local governments to focus more on improving the financial management of MSME businesses. Using a quantitative approach, this research involved culinary MSME owners in Lubuk Pakam District as a population. Samples were taken using purposive sampling techniques and the Lemeshow formula to obtain 96 respondents. The data collected is original or first hand (primary) data. Various tests such as validity, reliability, multiple regression, normality, Kolmogorov-Smirnov, multicollinearity, heteroscedasticity, as well as F, t tests, and coefficient of determination were included in the data analysis. It is known that financial management of culinary MSME owners in Lubuk Pakam District is influenced positively and significantly by financial planning and financial attitudes, while financial inclusion does not show a significant influence. Overall, financial inclusion, financial planning and financial attitudes contributed 78.50% to financial management, meanwhile, the remaining 21.50% was attributed to factors or variables that were not included in this study. For future research, it is suggested to include additional independent variables and increase the sample size to achieve a more comprehensive insight into how other variables affect financial behavior.
SWOT Strategy Analysis of the Merger of Cigna Insurance Company with Chubb Life Company
Authors: Riduan Muhammad , Anggraini Tuti , Nasution Juliana
Published: August 2024

The merger is a strategic corporate move that aims to advance Chubb by expanding and strengthening its presence in Indonesia. But the fact is that after officially conducting a merger, a strategy is needed in facing future competition. The SWOT Strategy Analysis of this research was determined with the aim of business or identifying objects related to the research. The data used in this field research was collected and analyzed using qualitative methods. So that several objectives can be obtained in this study, namely the first objective is to provide new opportunities for companies to operate efficiently, while the second objective is to reduce costs and increase company efficiency after the merger. The results showed that Chubb Life Medan Branch has many opportunities that need to be utilized effectively. Therefore, the company should evaluate its existing resources, skills and weaknesses. Based on the analysis, this research can provide strategies to help Chubb Life Medan Branch collaborate with other companies. The findings suggest the implication that Chubb Life Medan Branch should focus on improving its internal environment and external environment to enhance its performance and competitiveness. In addition, one of the best methods to strengthen the company's base is through mergers. The argument is that mergers can enable businesses to achieve their goals more quickly.
Influence of Service Quality, Water Tariffs, and Technological Innovation on PDAM Tirtanadi Customer Satisfaction
Authors: Pane Aulia Ramadani , Nasution Yenni Samri Juliati , Nurwani
Published: August 2024

It is known that the increasing water bill arrears at PDAM Tirtanadi HM Yamin Branch are due to customers' lack of satisfaction with the quality of service, water rates and technological innovation offered. Finding connections and evaluating the impact of the three independent variables on the dependent variable—customer satisfaction—is the goal of this study. The technological innovation variable is novel and has never been investigated in tandem with other variables. This study employs a quantitative associative approach methodology. The sample was determined using the Slovin formula so that there were 100 respondents, with a research population of 27,904 people. The following test were employed in the study of this research: validity test, reliability test, normality test, multicollinearity test, heteroscedasticity test, multiple linear regression test, t test, f test, and coefficient of determination test. The findings of the study indicate that: (1) service quality to customer satisfaction are positively and significantly correlated; (2) water tariffs to customer satisfaction are positively and significantly correlated; (3) technological innovation to customer satisfaction are positively and significantly correlated; and (4) service quality, water rates, and technological innovation are positively and significantly correlated to customer satisfaction at the same time. PDAM Tirtanadi HM Yamin branch needs to improve service quality, suitability of water tariffs, and socialize the use of technological innovations that have been launched.
Analysis of the Development of Islamic Banks in the Capital Market
Authors: Nasution Nadya Dwinna Putri , Harahap Muhammad Ikhsan , Anggraini Tuti , Nuh Ruslee
Published: August 2024

This research aims to understand the trajectory of BSI in the capital market by using trend analysis and identifying the challenges faced in its development. This research uses qualitative research methods, namely content analysis of papers from the Google Scholar database, the OJK website, and the Indonesian data portal. The research object here is an analysis of the development of Islamic banks in the capital market, using trend analysis. The research results show that stock price forecasting, earnings per share forecasting, and ROE forecasting are assumed to remain stable at a certain level every year. In the stock price forecasting graph it produces an R squared value in percent of around 41.25%, in earnings per share forecasting it produces an R squared value in percent of around 95.61%, and in ROE forecasting it produces an R squared value in percent of around 87.75%. This only shows historical and projected data, without showing the factors that influence share price movements, earnings per share, and ROE. Therefore, keep in mind that this data is only part of the factors that need to be considered when making an investment
Analysis of Surety Bond Insurance Products at PT Bumiputeramuda General Insurance 1967 Medan Branch
Authors: Hanin Fadya , Nurbaiti  , Rahmani Nur Ahmadi Bi
Published: August 2024

Surety Bond is an agreement between two parties, namely surety and principal. In this agreement, the surety submits a guarantee to the principal for the benefit of the obligee. If the principal fails or neglects to fulfil its obligations in accordance with the agreement with the obligee, the surety is responsible to the obligee to fulfil the principal's obligations. The purpose of this research is about the mechanism and application of surety bond principles in minimising the problems that will occur. The approach used in this research is qualitative analysis with descriptive method, which is intended to understand how the phenomenon experienced by the object of research. The results of this study explain that PT Bumiputeramuda General Insurance 1967 is one of the companies that has a surety bond product with a good implementation mechanism and applies several principles, namely the principle of togetherness, the principle of a three-party agreement, the principle of attachment, the principle of limitation of liability, the principle of legal defence, the principle of indemnity, the principle of additional / complementary contracts. This research also has implications for researchers and academics in the field of insurance. The findings of this research can be a reference material for further research on surety bond insurance products. In addition, this research can also be an input for academics to develop an educational curriculum on surety bond insurance products.
Marketing Mix on UINSU Students’ Buying Interest in Skintific Through Brand Image as A Moderating Variable
Authors: Sitorus Nurbaina Junita , Syahriza Rahmi , Aisyah Siti
Published: August 2024

This research aims to determine the effect of the marketing mix (4P) on North Sumatra State Islamic University (UINSU) students' buying interest in Skintific products, with brand image as a moderating variable. This research is a type of comparative causal research with a quantitative approach because it involves numerical data and uses statistical data. The population in this study are active female students studying at the North Sumatra State Islamic University (UINSU) with a population of 17,608 female students in 2023. Using the Slovin formula n= N/ (1+ (N  x e2 )) to calculate the sample size so that a sample of 103 respondents was obtained. Sampling was carried out using the probability sampling method because it can obtain a representative sample that accurately reflects the target population. Primary data in this research was obtained from a questionnaire with 27 questions to measure marketing mix variables, purchase interest and brand image using a five-point Likert scale which was distributed online via Google Form.  Data analysis used in this research is IBM SPSS which includes normality test, multicollinearity test, path analysis (path analysis), and hypothesis testing. The research results show that the marketing mix (4P) has a significant effect on consumer buying interest, and brand image moderates this relationship. These findings highlight the importance of effective marketing strategies and a strong brand image to increase consumer interest and loyalty.
Development of FIVAROM-NET: Inclusive Learning Media for Fire Evacuation of Blind Students at SLBN Semarang
Authors: Jamal Jamal Isnan , Suharini Erni , Hayati Rahma
Published: August 2024

There were 938 cases of fire disasters in Central Java in 2021 and Semarang City was in first place with 162 cases. SLBN Semarang, which is located in the city of Semarang, certainly needs effective learning media to increase disaster knowledge. This research aims to develop Fivarom-net, a braille-based fire disaster evacuation map learning media. The fulfillment of facilities and accessibility is the main urgency to increase knowledge and get to know the space in the school environment. This research uses a research and development approach with ADDIE's development design consisting of analysis, design, development, implementation, and evaluation. Data analysis consists of qualitative and quantitative data analysis. The results of observation of learning media at SLBN Semarang are still minimal and inadequate for teaching and learning activities for visually impaired students in mobility-oriented learning. Fivarom-net learning media was developed to produce a better understanding of space through the concept of maps that adjust the learning characteristics of visually impaired students. The analysis of media effectiveness was calculated by calculating the average assessment of three aspects from media experts obtained a figure of 90.67% and from material experts of 84%. Thus, Fivarom-net media is declared effective for the learning of visually impaired students in understanding the surrounding space, especially evacuation routes. This research can increase literacy and knowledge in the field of learning media that are in accordance with the learning characteristics of visually impaired students. In addition, this research contributes to the world of education for children with special needs.
The Role of Communication in Work-Life Balance: A Study of Female Employees at a Religious Institution
Authors: Hartati Novia Sry , Rubino  , Indra Farhan
Published: August 2024

The objective of this research is to conduct a communication analysis of female employees of the Medan City Office of the Ministry of Religious Affairs in order to ascertain how they maintain a balance between their professional and familial responsibilities. The objective is to analyse and identify the family communication model and the impact of communication on female employees in maintaining work-life balance. The research approach employed is qualitative, with the objective of obtaining an in-depth description of the data. The data were obtained through in-depth interviews and an analysis of relevant documentation. In-depth interviews were conducted in an unstructured format with female employees of the Medan City Ministry of Religion Office, while documentation was employed to collect data that would supplement the research results. The findings indicate that the linear communication model, the interactional communication model, the transactional communication model, and the constructive communication model are effective communication strategies in specific contexts where communication between a husband and a wife in a family is required to be conveyed in a clear and targeted manner. These communication approaches are dialogic and collaborative in nature, which allows families to reach a common understanding and develop shared values. This contributes to the strengthening of familial cohesion and facilitates the balance between work and family life.
Policy Implementation of the Community-Based Intervention (IBM) Program BNN Central Kalimantan Province
Authors: Rambang Alphaomega Pulcherima , Purbosari Nita Ryan , Bernardianto Raden Biroum , Koesanto Stefani Made Ayu Artharini
Published: August 2024

Community-Based Intervention (IBM) is one of the programs for the Prevention of Eradication of Narcotics Abuse and Illicit Trafficking with the concept of community empowerment (from the community, by the community, and for the community). These programs aim to intervene in light drug abusers by people who have been trained by the National Narcotics Agency and have competence. BNNP Central Kalimantan started implementing the Community-Based Intervention Program in 2021 where there are several obstacles in its implementation. This study aims to produce recommendations and strategies so that the Community-Based Intervention program at BNNP Central Kalimantan can run optimally. This research used qualitative research methods. The data was analyzed using the Interactive analysis model of Miles, Huberman, and Saldana. The research results indicate that the variables that require attention and serve as preconditions for the success of the implementation process have been met in the implementation of the IBM. As for the constraints still encountered, they will serve as recommendations for the sustainability of future programs