bluuebunny/crossref_metadata_2025 huggingface dataset:
Building Healthcare Brand: Role of service, image, and trust
Authors: Kumar Pradeep , Mittal Shashank , Kumar Shubham
Published: May 2024

Objective: Healthcare branding is a recent concept, and its theoretical modeling is still somewhat inadequate. This paper examines how perceived service quality affects healthcare brand performance, brand image, and behavioral intention.
Methods: The present study uses survey responses from 678 patients who have taken treatment in multi-specialty medical institutes. Standard scales were used from the literature to measure the variables used. The conceptual model was validated using structural equation modeling using AMOS. SPSS was used to determine the validity and reliability of the questionnaire.
Results: The theoretical model has a relatively high and significant coefficient path for each of the hypotheses. The R2 value for satisfaction was 0.70 or 70 percent. The R2 value for the trust was 0.78. For Brand performance, Brand image and behavioral intentions were 81, 82.5, and 74%, respectively. Overall, the scores suggest an acceptable level of measure score and predictive ability of the relevant constructs. The results disclose the dimensions of service quality in the circumstances of healthcare. The patients place relatively more importance on healthcare service quality than any other attributes of healthcare institutions. Service quality has a high beta value of 0.98 and p p-value of 0.000.
Conclusion: The study makes an innovative theoretical contribution by establishing a relationship between experience-centric healthcare brand performance and brand image. Patient satisfaction and trust were demonstrated to mediate the relationship between perceived service quality, brand performance, brand image, and behavioral intention in a healthcare context. The study established the novel finding that trust and satisfaction play a significant role in service quality, brand performance, and brand image of healthcare institutions. This study also shows that brand performance has a positive and significant direct effect on brand performance. This shows the dependency of brand image on brand performance in the healthcare institution context.
Strategi Peningkatan Mutu Produk Dodol Salak Bali di UD Nantafood Denpasar
Authors: Mubarok Rizky , Widia I Wayan , Gunadnya Ida Bagus Putu
Published: May 2024

CV Nantafood merupakan perusahaan yang bergerak dalam bidang pengolahan makanan dengan bahan baku buah salak salah satunya yaitu produk dodol salak Bali. Produk dodol yang dihasilkan telah mampu masuk ke beberapa pusat pembelanjaan oleh - oleh di Bali. Semakin banyaknya pesaing dodol tentu menjadi tantangan bagi suatu perusahaan untuk meningkatkan kualitas produknya. Kepuasan konsumen dapat ditingkatkan melalui kualitas produk yang baik sesuai harapan dan keinginan konsumen. Tujuan penelitian ini adalah (1) Mengetahui atribut yang dianggap penting oleh konsumen dari produk dodol salak bali, (2) Mengukur tingkat kepentingan konsumen terhadap kualitas produk dodol salak bali, (3) Mengukur tingkat kepuasan konsumen terhadap kualitas produk dodol salak bali, (4) Menentukan strategi untuk meningkatkan kualitas produk dodol salak bali. Penelitian ini dilakukan dengan menggunakan metode Quality Function Deployment (QFD). Hasil penelitian ini menunjukan terdapat 10 atribut kualitas produk yang dianggap penting oleh konsumen dengan kriteria sangat penting. Nilai kepentingan konsumen tertinggi cita rasa dodol yang manis dan legit sebesar 4,45, pada nilai kepuasan konsumen atribut tekstur dodol yang lengket dan kenyal mendapatkan nilai terendah sebesar 3,79 dengan IR sebesar 1,31. Maka UD Nantafood perlu memberikan dan meningkatkan kualitas produk atribut tekstur dodol yang lengket dan kenyal. 
 
Abstract
CV Nantafood is a company engaged in the field of food processing with raw materials for zalacca fruit, one of which is the Bali snake fruit dodol product. The dodol products produced have been able to enter several shopping centers for souvenirs in Bali. The increasing number of dodol competitors is certainly a challenge for a company to improve the quality of its products. Consumer satisfaction can be increased through good product quality according to consumer expectations and desires. The aims of this study were (1) to find out the attributes considered important by consumers from the Bali snake fruit dodol product, (2) to measure the level of consumer interest in the quality of the Bali snake fruit dodol product, (3) to measure the level of consumer satisfaction with the quality of the bali snake fruit dodol product, (4) ) Determine strategies to improve the quality of Balinese snake fruit dodol products. This research was conducted using the Quality Function Deployment (QFD) method. The results of this study indicate that there are 10 product quality attributes that are considered important by consumers with very important criteria. The highest value of consumer interest is taste of dodol is sweet and legit of 4.45, on consumer satisfaction value attributes of sticky and chewy dodol texture get the lowest score of 3.79 with an IR of 1.31. So UD Nantafood needs to provide and improve product quality with sticky and chewy dodol texture attributes.
Prediksi Erosi Menggunakan Metode RUSLE pada Lahan Pertanian di Desa Candikuning, Kecamatan Baturiti, Kabupaten Tabanan
Authors: Sianipar Kevin Osda , Sumiyati Sumiyati , Yulianti Ni Luh
Published: May 2024

Pertanian merupakan mata pencaharian utama masyarakat di Desa Candikuning. Kondisi iklim hujan yang mendukung serta intensitas cahaya matahari yang cukup menjadi alasan utama pertanian menjadi salah satu penopang ekonomi masyarakat. Namun banyak permasalahan yang terjadi di lahan pertanian yang ada di Desa Candikuning, salah satunya adalah erosi. Kondisi lahan yang terus tergerus akibat tingginya intensitas hujan dan kondisi topografi lahan menjadi penyebab utama terjadinya erosi di lahan pertanian. Oleh sebab itu, penelitian terkait erosi dapat dilakukan dengan menggunakan metode RUSLE. Penelitian ini bertujuan untuk mengetahui nilai erosi dan tindakan konservasi yang sesuai dengan kondisi lahan. Hasil analisis pada lahan di Desa Candikuning yakni menghasilkan nilai erosi aktual dalam range nilai terkecil sebesar 0,106074 ton/ha/tahun sampai nilai terbesar yakni 313,5865 ton/ha/tahun, dan terdapat 12 lokasi lahan yang harus dilakukan tindakan konservasi berupa penggantian jenis vegetasi dan perbaikan pengelolaan lahan. Hasil analisis kemudian dipetakan kedalam peta sebaran erosi dan peta konservasi menggunakan software QGIS.
ABTRACT
Agriculture is the main livelihood for Candikuning’s people. Good rainfall climate conditions and sufficient sunlight intensity are the main reasons why agriculture steps as one of the pillars for society's economy. However, there are many problems that occur on agricultural land in Candikuning Village, which one was erosion. The condition of the land which continues to erode due to the high intensity of rain and the condition of the land topography are the main cause of erosion on agricultural land. Therefore, research related to erosion can be carried out using the RUSLE method. This research aims to determine the erosion value and conservation measures that are appropriate to land conditions. The results of the analysis in Candikuning Village, namely producing actual erosion values in the range of the smallest value of 0.106074 tons/ha/year to the largest value of 313.5865 tons/ha/year, and there are 12 land location where conservation measures must be carried out in the form of replacing vegetation types and improving land management that has been done. The analysis result can be mapped on the erosion spread map and conservation map using QGIS software.
Analisis Kebutuhan Traktor Tangan dalam Pengolahan Tanah Sawah di Desa Bangbang, Kecamatan Tembuku, Bangli
Authors: Darma I Gede Agus Arya , Aviantara I Gusti Ngurah Apriadi , Tika I Wayan
Published: May 2024

Budidaya pertanian memerlukan pengelolaan yang optimal terhadap kebutuhan traktor pendek. Jumlah traktor tangan yang dibutuhkan tergantung pada luas lahan pertanian, dan tujuan dari pekerjaan ini adalah untuk mengetahui kebutuhan traktor tangan dan merencanakan jumlah traktor tangan yang optimal sebagai rekomendasi. Penelitian ini menggunakan analisis kuantitatif melalui metode survei dalam pencarian data primer yaitu. pengukuran lapangan. Hasil penelitian menunjukkan bahwa kecepatan traktor lengan pendek adalah 0,686 m/s. Kapasitas efektif lahan sebesar 0,0366 ha/jam. Kapasitas lahan teoritis adalah 0,066 ha/jam. Traktor pegangan pendek mempunyai efisiensi lapangan sebesar 55,45%. Desa Bangbang membutuhkan 15 unit traktor tangan pendek untuk pengolahan hasil pertanian.
 
Abstract
Agricultural cultivation requires optimal management of the need for short tractors. The number of hand tractors needed depends on the area of ??agricultural land, and the purpose of this work is to determine the need for hand tractors and plan the optimal number of hand tractors as a recommendation. This study uses quantitative analysis through survey methods in the search for primary data, namely. field measurement. The results showed that the speed of the short arm tractor was 0.686 m/s. The effective capacity of the land is 0.0366 ha/hour. Theoretical land capacity is 0.066 ha/hour. The short handle tractor has a field efficiency of 55.45%. Bangbang Village needs 15 units of short-handed tractors for processing agricultural products.
Korelasi Nilai SPAD dengan Intensitas Serangan Penyakit Blas Pada Umur Padi Yang Berbeda
Authors: Sudiarta I Made , Wijaya I Made Anom Sutrisna , Sulastri Ni Nyoman
Published: May 2024

Tanaman padi (Oryza sativa L.) merupakan tanaman pangan penting yang telah menjadi makanan pokok lebih dari setengah penduduk dunia. Padi sawah yaitu tanaman padi yang dalam pertumbuhannya memerlukan air. Ketidakpastian di masa depan terkait ketersediaan pangan menimbulkan rasa khawatir berbagai pihak karena berbagai tantangan yang ada. Tantangannya antara lain bekurangnya luas lahan pertanian yang produktif, masalah iklim, bahaya serangan hama dan penyakit tanaman serta peningkatan degradasi lahan. Tanaman yang sakit adalah tanaman yang tidak dapat melakukan aktifitas fisiologis secara sempurna, yang akan mengakibatkan tidak sempurnanya produksi baik secara kualitas maupun kuantitas. Penyakit blas merupakan salah satu penyakit utama pada pertanaman padi yang disebabkan oleh cendawan Pyricularia oryzae Cav. Penelitian ini bertujuan untuk menegetahui hubungan kandungan klorofil dengan intetnsitas serangan penyakit blas pada umur padi yang berbeda.
Abstract
Rice is an important food crop that has become the staple food for more than half of the world's population. Rice plant health is very important in determining crop yields. The value of chlorophyll has a close relationship with plant health which can determine the yield of rice production. If the health of the plant decreases, it will be susceptible to disease. Blast disease is one of the factors causing plant health to decline. The attack intensity of the disease can be seen in the green on the leaves. SPAD (Soil Plant Analysis Development) is a simple tool that can determine the amount of chlorophyll in plant leaves called SPAD. This study aims (1) to determine the relationship between SPAD and the intensity of blast disease attacks. (2) To obtain a correlation value between SPAD and the intensity of blast disease attacks. Data collection was carried out in Medium Village which is in the Badung Regency area. Sampling data from the age of rice 71 to 94 HST (Day after Planting). To obtain data, 3 rice fields were measured diagonally, 5 points were taken for each rice field plot, 9 clumps were taken for each point, and the SPAD measurement for each clump was divided into 3 parts of the upper, middle, and lower leaf stems. Each leaf is divided into 3 top, middle, and bottom. The intensity can be seen from the distribution of the spots on the leaves. The development of intensity with age and SPAD with age, if the intensity value is high then the SPAD value is low otherwise if the SPAD value is high then the disease attack intensity value is low. From the research results it can be concluded that SPAD with intensity has a linear relationship, with a correlation value of 0.8634 or 86%. Correlated data is very strong because the correlation value exceeds 0.75 or 75%.
Rancang Bangun Pelontar Pakan Ikan Otomatis Berbasis Mikrokontroller Arduino Mega
Authors: Abdi Bagaskara Pande Made Ngurah Bayu , Budisanjaya I Putu Gede , Tika I Wayan
Published: May 2024

Pakan mempunyai peranan sangat penting dalam pertumbuhan dan perkembangbiakan dalam budidaya ikan, dengan sistem pemberian pakan ikan pada umumnya masih berorientasi pada sumber daya manusia yang sifatnya masih manual. Salah satu teknologi yang dapat memudahkan seseorang dalam melakukan pemeliharaan ikan khususnya dalam pemberian pakan, yaitu dengan menerapkan sistem pemberian pakan otomatis yang berbasis mikrokontroller Arduino Mega. Penelitian ini bertujuan untuk merancang dan membuat alat pelontar pakan ikan otomatis berbasis mikrokontroller arduino mega dan mengetahui kinerja sistem dari alat pelontar pakan ikan otomatis berbasis mikrokontroller arduino mega. Rancangan melibatkan penggunaan komponen seperti keypad, LCD, sensor HC-SR04, sensor RTC, buzzer, motor servo, motor DC, loadcell, dan relay untuk mengontrol dan mengukur berat pakan serta mengatur frekuensi pemberian pakan. Sistem yang dibangun menghasilkan prototipe dengan dimensi diameter 37 cm, lebar 40 cm, dan tinggi 95 cm dan dimensi pelontarnya yaitu panjang 15 cm, lebar 15 cm, dan tinggi 26 cm. Sistem ini berhasil membantu pengguna dalam memberi pakan ikan secara otomatis dan terjadwal.
ABSTRACT 
Fish feeding plays a crucial role in the growth and reproduction of fish in aquaculture. However, the conventional feeding systems still rely heavily on manual intervention. To handle this, the automated fish feeding system based on the Arduino Mega microcontroller offers a practical solution. This research aims to design and develop an automatic fish feeding device using the Arduino Mega microcontroller and evaluate its performance. The design involves the integration of components such as a keypad, LCD, HC-SR04 sensor, RTC sensor, buzzer, servo motor, DC motor, load cell, and relay to control and measure the feed’s weight and regulate the feeding frequency. The constructed system resulted in a prototype with dimensions of 37 cm in diameter, 40 cm in width, and 95 cm in height, with the feeder’s dimensions measuring 15 cm in length, 15 cm in width, and 26 cm in height. The system effectively assists users in providing automated and scheduled fish feeding.
Uji Kinerja Pengeringan Gabah Menggunakan Pengering Rotari Berbahan Bakar Sekam Padi
Authors: Panggabean Tamaria , Hayati Ari , Triana Arjuna Neni
Published: May 2024

Abstrak
Penelitian ini dilatarbelakangi oleh kelemahan pengeringan gabah menggunakan sinar matahari atau penjemuran. Kelemahan pengeringan menggunakan sinar matahari antara lain memerlukan waktu berhari-hari dan tempat yang luas. Penelitian ini bertujuan untuk menguji mesin pengering rotari yang sudah dirancang untuk mengeringkan gabah. Metode penelitian ini adalah eksperimental yang meliputi tahap pendekatan rancangan, rancangan struktural dan rancangan fungsional, setelah itu dilakukan pengujian kinerja pengering rotari. Hasil yang diperoleh pada penelitian ini adalah alat pengering rotari yang telah dirancang dan dikonstruksi telah dapat mengeringkan gabah sebanyak 20 kg dari kadar air awal 18 % menjadi ±14,27-14,73 % bb selama 5 jam, laju pengeringan yang dihasilkan sebesar 0,65-0,75 %/jam dan energi biomassa untuk pengeringan sebesar 22680 – 23040 kal serta massa 1 kg sekam padi dapat mengeringkan 2,5 kg gabah.
Abstract
This research is based on the limitation of drying paddy using sun drying. The weakness of sun drying, among others, takes days and a large space. This study aims to test rotary dryers that have been designed. The method of this research was experimental which consisted of design approach, structural design and functional design, followed by the performance test. The results obtained in this study were: rotary dryers that have been designed and constructed have been able to dry paddy as much as 20 kg from the initial water content of 18 % to 14.27-14.73 % bb for 5 hours, drying rate of 0.65-0.75 %/hour and the biomass energy required for drying of 22680 - 23040 cal, and the mass of 1 kg of rice husk was able to dry 2.5 kg of paddy.
Exploring Pakistani University Lecturers’ Professional Identity Construction and Negotiation in ESL Classroom
Authors: Rizvi Syeda Bushra , N Krishnasamy Hariharan
Published: May 2024

Background: In the context of English as a second language (ESL) education in Pakistani universities, understanding the professional identity construction and negotiation of university lecturers is crucial.
 
Objective: The current study aims to explore the complex dimensions of professional identity among non-native English speaking (NNES) multilingual Pakistani university lecturers.
 
Theoretical Framework: This research aims to address the research gap by providing a nuance exploration of the experiences of Pakistani university lecturers by relating sociocultural theory proposed by Lev Vygotsky (1978). As this theory describes how individual’s cognition is associated with linguistic, cultural, institutional and social contexts, therefore, the focus of the sociocultural perception is on involvement in social interactions
 
Method: Employing the qualitative research approach, the study seeks to investigate the multifaceted aspects that influence the professional identity of the lecturers. Six lecturers were purposively selected on the basis of their linguistic backgrounds and work experiences for classroom observations and in-depth interviews.
 
Results and Discussion: The findings shed light on the challenges and opportunities faced by Pakistani university lecturers in shaping their roles within the ESL teaching domain.
 
Research Implications: The study offers valuable insights into the evolving landscape of ESL education in Pakistan, providing various perspectives of how professional identity is negotiated and constructed within this specific educational context.
 
Originality/Value: The relevance of this study lies in its potential to profoundly influence both academic discourse and educational practices. By delving into the subtle processes of professional identity construction, the study offers valuable insights into the dynamics of teaching and learning in diverse linguistic and cultural settings. It also highlights the critical need for continuous professional development for lecturers to enhance the quality of education.
Political Choices of Muhammadiyah Citizens as a Muslim Minority in the 2018 Bali Governor Election in Indonesia
Authors: Suswanta  , Setiawan Anang
Published: May 2024

Purpose: the primary aim of this study is to explore how the Muhammadiyah community in Bali, a minority Muslim group, engaged in the 2018 Bali gubernatorial election to assert and navigate their political identity. This research seeks to understand the impact of their political participation within the broader dynamics of identity politics in a predominantly non-Muslim setting.
 
Theoretical Reference: the study is framed within theories of political identity and political communication, which provide insights into how identities are formed, communicated, and leveraged in political contexts. These theories help elucidate the complex interactions between minority groups and the political environment, particularly in areas where identity politics play a significant role.
 
Method: A qualitative descriptive approach was employed to capture the political preferences and behaviors of Muhammadiyah members during the 2018 gubernatorial election. Data was gathered through interviews, focus groups, and analysis of campaign materials and public statements. This method enabled a detailed and nuanced understanding of the Muhammadiyah community's political engagement. 
 
Results and Conclusion: the findings indicate that Muhammadiyah members actively participated in the election, using it as a platform to advocate for their political and social interests. Their engagement was shaped by their minority status and the need to assert their identity in a socio-political landscape dominated by different religious and cultural norms. The election outcomes revealed both the challenges and opportunities faced by Muhammadiyah in navigating identity politics in Bali.
 
Implications of Research: this study highlights the critical role of minority religious communities in shaping political landscapes, even in regions where they do not form the majority. Understanding these dynamics is essential for policymakers, political leaders, and civil society organizations that aim to foster inclusive political processes. It also underscores the importance of effective political communication strategies that cater to diverse communities.
 
Originality/Value: this research contributes to the limited literature on the political behavior of Islamic organizations like Muhammadiyah in regional politics, particularly within non-Muslim majority regions. It offers a unique insight into how identity politics and minority status influence political engagement and communication, adding depth to the discussions on multiculturalism and political inclusion in Southeast Asia.
Skin Grafts in Plastic Surgery: A Comprehensive Review of Procedures, Techniques, and Clinical Considerations
Authors: Massochin Amanda Ricardi , Ceccarelli Igor Rezende , Oliveira Carlos Walmyr de Mattos , Câmara Suzane Brito de Sá , Sugayama Alice Pasquim , Cocco Pedro Henrique , Santos Letícia Almeida , Silva Joan Lucas Oliveira , Pereira Maria Vitória Rodrigues Alves , Miklós João Paulo Ortiz , Souza Matheus Draxler Pires de , Leite Lucas Gabriel da Cruz , Silva João Lucas de Quadros da , Silva Junior Uasca Mariano da , Alves Pedro Henrique Pereira da Silva
Published: May 2024

Objective: This study aims to analyze the progress and challenges related to the use of skin grafts in plastic surgery, with the purpose of providing a comprehensive understanding of the associated techniques and clinical considerations.
 
Theoretical Framework: A review of the fundamentals of plastic surgery is presented, emphasizing the importance of skin grafts in wound and deformity reconstruction, as well as exploring the impact of tissue engineering on the evolution of these techniques.
 
Method: This study is based on a systematic review of the scientific literature, following recognized guidelines. Relevant articles addressing different types of skin grafts, their clinical applications, and associated procurement techniques were selected.
 
Results and Discussion: The results of the review highlight the variety of skin grafts available and their respective indications. The discussion addresses the challenges in selecting the appropriate type of graft and the ethical issues related to its procurement and use.
 
Implications of the Research: This study offers important insights for plastic surgeons and researchers on best practices in skin graft utilization, emphasizing the need for ethical considerations and specific care in graft selection and procurement.
 
Originality/Value: It contributes to the literature by providing a comprehensive analysis of skin graft techniques in plastic surgery, including recent advancements and emerging issues. Its relevance lies in the practical guidance it offers to professionals in the field.
Examining the Linguistic Tapestry of Globalization: Structural Borrowings
Authors: Kananaj Anila , Karaj Engjëllushe
Published: May 2024

Purpose: Redefining economies, cultures, language dynamics, and societies worldwide, globalization has become one of the hallmarks of the contemporary era. The impact of this phenomenon in language is examined in this article, with a particular emphasis on structural borrowings from English into Albanian.
 
Theoretical Framework: Scientific criteria have been chosen to determine whether the linguistic data are internal constructions of the language or structural borrowings from English, and to examine the extent to which a global language like that has influenced the structure of 'small' languages like Albanian.
 
Methodology: Thirty-three new constructions were chosen from Albanian textual media, which were then split into groups examined in detail according to their semantic and syntactic features.
 
Findings: Fifty-five percent of native speakers accept semantic-syntactic borrowings from English, which exhibit synonymy and compete with existing normative constructions. Borrowings enhancing the semantics of Albanian are welcome, while those affecting syntactic structure and leading to ambiguity, meaninglessness, and ungrammaticality are not.
 
Research Practical and Social Implication: The knowledge of how syntactic-semantic systems can be modified and impacted by interaction with other language systems is increased by this work. Simultaneously, it advances our understanding of the social dimensions of language use, including language planning and identity maintenance in the area of globalization.
 
Originality/Value: The connections between ‘small’ languages like Albanian and world culture have not received adequate consideration. This study advances our understanding of how globalization impacts communication between speakers of diverse languages and cultural backgrounds by shedding light on the process of structural borrowings.
Arqueologia com pipoca: construções de gênero e raça no cinema
Authors: Nascimento Débora Cristiane Blois
Published: May 2024

Este artigo analisa, a partir de um viés antropológico e arqueológico, a imagem da arqueologia, suas construções e representações nas produções cinematográficas. É importante perceber que o cinema é uma arte absurdamente discursiva; dessa forma, os discursos se constituem, sobretudo, nas inferências. A percepção artística depende do background cultural de cada expectador. Em meu recorte deste campo de investigação, pautei-me na composição das imagens apontadas nos filmes da plataforma digital Netflix, que recebeu esse enfoque por ser o streaming de maior acesso da atualidade. Para isso, classifiquei os títulos de modo quantitativo por ordem de produção; em seguida, a partir da análise fílmica, observei a alegoria por repetição, para enfim recusar a posição judicativa de uma arqueologia branca e homogênea. Dessa forma, tenciono fomentar discussões acerca das narrativas que não falam somente de arqueologia, mas das relações de gênero, raça, diversidade, entre outros. Objetivo mostrar que, na sétima arte, os enredos, as imagens, os discursos e os silêncios contribuem para o racismo estrutural e a invisibilidade de gênero no constructo da arqueologia enquanto disciplina acadêmica, naturalizando lugares de poder e fazendo parte da nossa visão de mundo para além das telas de cinema.
Removing penicillin allergy label in a hospitalized adolescent with a remote penicillin and recent cephalosporin allergy
Authors: Mari David C. , Banks Taylor A.
Published: May 2024

Background: β-Lactam antibiotics are widely used with increased utilization in hospitalized patients. Of this population, as high as 10‐20% report an allergy to β-lactam antibiotics but <5% are at risk of developing clinically significant immunoglobulin
E‐ or T-lymphocyte‐mediated reactions. Most of the time, these reported allergies are present during an illness with no previous inquiry of their validity, which makes investigation and possible removal of this allergy label a challenge. Methods: We report
a 16-year-old boy who presented with 1 week of night sweats, chills, headaches, and fatigue, followed by 1 day of fever and right knee swelling and who was diagnosed with septic bursitis. Due to concern of a penicillin allergy label, the patient was started on a cefepime infusion. Five minutes
into the infusion, the patient reported puffy eyes and itchy throat, followed by a witnessed cascading flat nonpruritic erythematous rash from head to shoulders. This rash went away in 3 minutes after stopping the infusion and the patient being given 50 mg of intravenous diphenhydramine and
10 mg of oral dexamethasone. He was subsequently diagnosed with a cefepime allergy. Results: Allergy/immunology was the speciality consulted, and, by using a screening questionnaire, the patient's reported penicillin allergy was determined to be low risk. Subsequent 1-step
oral challenge was the key to providing the patient with the necessary antibiotic course to resolve his infection. Conclusion: Multiple reported antibiotic allergies lead to poor antibiotic stewardship that causes impactful health and financial burden on the patient and
health-care system. It is thus important to have an evidence-based systematic approach to de-label penicillin antibiotic allergy labels to reduce these potential harms.
Comparison of clinical traits for seasonal and perennial allergic rhinitis during allergen exposure
Authors: Wang Kunpeng , Zhang Yuan , Wan Lianqi , Li Jingyun , Wang Chengshuo , Zhang Luo
Published: May 2024

Background: Allergic rhinitis (AR) is traditionally subdivided into seasonal AR (SAR) and perennial AR (PAR) according to the type of allergen and the occurrence of symptoms during the year. There are currently no reports on the comparison of trait profiles for SAR and PAR
during the allergen exposure. Purpose: The purpose of this study was to analyze the clinical characteristics of SAR and PAR during respective allergen exposure periods to provide valuable information for the development of treatment strategies. Methods:
This study was performed between August 1, 2021, and January 31, 2022, in the Department of Allergy, Beijing Tongren Hospital. We continuously included diagnosed SAR and PAR outpatients who volunteered to participate in the survey. A questionnaire with regard to medical history, severity
of symptoms, and diagnosis and treatment status was collected. Results: A total of 296 patients with SAR and 448 with PAR were finally recruited. Patients with SAR had more severe rhinorrhea compared with patients with PAR (p < 0.001), whereas there was
no statistically significant difference in the severity of itching, sneezing, and congestion between the two entities (p ≥ 0.05). Both the gritty and watery eyes of patients with SAR were noticeably more severe than those of patients with PAR (PTotal Ocular Symptom Score
[PTOSS] < 0.001). AR symptom severity is mainly associated with the comorbid allergic conjunctivitis (odds ratio 1.94 [95% confidence interval, 1.21‐3.09]). SAR patients and PAR patients show no statistically significant differences in terms of their frequency of visits,
annual expenditure, and choice of medication treatment for AR (p > 0.05). The overall control under standard medication of both patients with PAR and those with SAR is not ideal, especially in SAR. Conclusion: The current cross-sectional study demonstrated that the patients
with SAR exhibited more severe overall clinical symptoms than those with PAR, especially nasal rhinorrhea and gritty and watery eyes. Both of the two disease entities have poor control under standardized medication treatment, especially in SAR. Further multicenter longitudinal studies that
involve larger and more diverse populations should be conducted to provide a more accurate and comprehensive understanding of the condition.
Families with Refugee Backgrounds Rebuilding New Lives: A Saskatchewan Study
Authors: Kikulwe Daniel , Halabuza Donalda , Williams Teisha
Published: May 2024

This qualitative study explores factors contributing to refugees’ resilience in Regina, Saskatchewan. It aims to add to the emerging body of Canadian literature on refugees’ strengths and experiences as they navigate resettlement in smaller urban centres. Data were collected from three focus groups that explored the experiences of 15 people from seven countries who had settled in Saskatchewan. Findings show common patterns that contributed to resilience for refugees, including pursuits of Canadian education, employment, social networks, and personal qualities. Conclusions indicate that protective factors (i.e., personal characteristics, social supports and networks, starting over in education and employment) that facilitated resilience for participants interacted and worked together to help them overcome adversity during settlement.
Multidisciplinary Management of Bladder Agenesis and Anorectal Malformations in Female Patients: A Case Series
Authors: I Paster , C Lavoie , C Do , H Syed , E Vasquez
Published: May 2024

Bladder agenesis is an exceedingly rare congenital anomaly with an estimated incidence of 1 in 600,000 [1,2]. Patients born with bladder agenesis carry a poor prognosis due to its association with renal impairment and defects of other organ systems, including the reproductive tract, vascular system, and neurologic system [2-4]. About 90% of those born with bladder agenesis are female, with an estimated female-to-male ratio of 30:1 [1,2]. Herein, we present two cases of bladder agenesis and one case of bladder dysgenesis in female patients; two underwent successful ileal neobladder creation and one underwent incontinent colonic conduit creation.
لغتنا ولغة المنتصر
Authors: سليمان قاسم فتحي
Published: May 2024

الحمد لله والصلاة والسلام على رسول الله (صلى الله عليه وسلم) وبعد:
 لغتنا هي اللغة العربية ، واعني بلغة المنتصر كل اللغات ماعدا اللغة العربية، والمنتصر في الوقت الحاضر منتصر اقتصادياً أو عسكرياً أو اعلامياً وغير ذلك ، والامة العربية في وقتنا الحاضر في آخر الركب ، وكان عليها ان تكون في مقدمة السبق .
فهذه الدراسة في تصوري موضوعية حيادية تم وضعها في الميزان و لا أحكم عليهما مسبقاً بل من خلال معطيات، ومن خلال ماهو مكتوب او مسموع لتصل المعلومة الى العقل ليميز بينهما. ومن ثم القلب ليحكم عليهما مستعيناً بمرجع عالمي و المسمى بمعجم الفردوس الذي نشر سنة (2013م ) لمؤلفه أ.د.مهند عبد الرزاق الفلوجي .  بالاضافة الى علم اطلق عليه (علم اللغة الكوني ) الذي نشأ سنة ( 2003 م) و اقر في جامعة لندن .
ان اللغة العربية لها خصوصيات انفردت بها مثل الإعراب و الاشتقاق والقواعد المنضبطة ، كذلك ارتباط المنطوق بالمكتوب ، وان فيها دقة في الاستعمال ، وان من يطلع على فقة اللغة للثعالبي او غيره من كتب التخصص تتضح لديه هذه الصور، في حين أن اللغات الأخرى تفتقر الى هذه المعطيات وان كان فيها شيء من ذلك فهو مقتضب لا يرقى الى تقعيد القواعد بشكل منضبط ومطرد.
وقد قسمت البحث على ثلاثة مباحث: 1- مكنونات اللغة العربية 2-  العربية تحت الضوء من خلال معجم الفردوس ،3- علم اللغة الكوني. وكل مبحث قسم على عدة مطالب .
بدائل وخيارات العراق الجيوبولتيكية مع تبدلات القوة الاقليمية
Authors: حميد احمد داود
Published: May 2024

تتعامل الولايات المتحدة مع منطقة الشرق الأوسط  وفق حاجاتها ومصالحها التي تقتضي فرض واقع الاستقرار في المنطقة، فكما ان التوتر الدائم فيها أحد متطلبات الحرب الباردة مع الاتحاد السوفيتي سابقا، فإن الاستقرار فيها أحد المتطلبات الأساسية لتكريس قدرتها في الهيمنة على العالم وفرض شروطها على حلفائها الأساسيين في أوروبا والشرق الاوسط على السواء.
 يمثل العراق، وفقا لمعايير الامن الاقليمي ، اهم المرتكزات بل انه عامل التوازن الأهم ، والذي من دونه او بحال ضعفه تشهد المنظومة الأمنية اختلالا بمعادلات الامن العربي والاقليمي والدولي على حد سواء الامر الذي حصل وربما يستمر عند غياب الدور العراقي منذ الاحتلال الامريكي2003  والاستمرار بسياسة اضعافه.ومع ما افرزته المسارات المتناقضة احيانا مع مصالح الامن الاقليمي و مصالح العراق الذاتية من جهة اخرى كمألات القضية الفلسطينية او التأرجح بين ايران والولايات المتحدة والجامعة العربية .
لقد كان الاتحاد السوفيتي السابق والمجموعة الشرقية في عصر التوازن الثنائي أحد البدائل أمام بعض الدول العربية ومنها العراق لتقليص مساحة الهيمنة الغربية. على أنه لا يمكن الحسم بشأن الصراع الجاري في الشرق الأوسط، ولا تحديد جهة الربح والخسارة فيه، لا من الاقطاب الدولية ولا من الأطراف الإقليمية الفاعلة، فهو صراع مفتوح زمانيا ومكانيا ونوعيا، أي أنه نوع من الصراعات التاريخية التي يمكن أن تحدد شكل المنطقة وتشكيل مجتمعاتها للعقود القادمة.
وهذا البحث محاولة لتلمس الخيارات الجيوسياسية المتاحة للعراق في هذا المعترك المعقد .
موقف الولايات المتحدة من لاجئي اثيوبيا 1981-1984
Authors: حنش صلاح وهيب , احمد محمد يحيى
Published: May 2024

يهدف البحث الى تسليط الضوء على موقف الولايات المتحدة  الامريكية من لاجئ اثيوبيا 1981-1985, فقد بدأت الهجرة الاثيوبية تجاه الولايات المتحدة الامريكية منذ عام 1980, بعد ان فتح الكونغرس الامريكي الباب امام اللاجئين الاثيوبيين. كذلك ابقت وزارة الخارجية الامريكية خمسة عشر الف من الاثيوبيين في الولايات المتحدة, عقب سلسلة من القرارات في مجلسي النواب والشيوخ الامريكي, بينما شكل اللاجئون الاثيوبيون ما يقرب (85%) من المهاجرين الأفارقة, لاستمرار الحكومة الاثيوبية بانتهاك حقوق الانسان. كذلك قدمت الولايات المتحدة المساعدات للسودان لاستيعاب اللاجئين الاثيوبيين كاستجابة طارئة للوضع الناتج عن تدفق المهاجرين.
دور استراتيجية سوشمان في تنمية الأداء التحصيلي واكتساب مهارات التفكير الناقد لدى المتعلمين
Authors: محمد حمد عبدالسلام مرير
Published: May 2024

الدّراسة الحاليّة إلى الكشف عن دور استراتيجية سوشمان في تنمية الأداء التحصيلي واكتساب مهارات التفكير الناقد لدى المتعلمين في مادة التربية الإسلامية للمرحلة الابتدائية، اعتمدت المنهج الوصفي التحليلي، وتمّ إعداد استبيان كأداة للدراسة مكون من (20) فقرة من قبل الباحث اعتماداً على خبرته الشخصية واطلاعه على البحوث السابقة. تمّ التحقق من صدق وثبات الاستبيان من خلال تطبيقه على عينة من (118) معلماً ومعلمة تربية إسلامية، خلال الفصل الأول من العام الدراسي (2022-2023م). 
بعد إجراء المعالجات الإحصائية تمّ التوصّل لنتائج عديدة، من أهمها وجود دور كبير لهذه الاستراتيجية في تنمية الأداء التحصيلي واكتساب مهارات التفكير الناقد لدى المتعلمين، كذلك تبين عدم وجود فروق دالّة إحصائياً بين متوسطات إجابات مدرسي التربية الإسلامية حول دورها تعزى لمتغيرات: المؤهل الأكاديمي، سنوات الخبرة.
وعلى ضوء النتائج تمّ اقتراح إعداد دراسات بنفس الموضوع بمراحل دراسية ثانوية ومتوسطة، كما أوصت الدراسة بضرورة تدريب المعلمين على استخدام الاستراتيجيات الحديثة في التعليم من خلال الدورات التدريبية والورش العملية.
Prevalence of Attention Deficit Hyperactivity Disorder among Primary School Students in Tikrit City, Iraq 2023
Authors: Mohamed Gufran M , Al-Deen Zeena Noor , Alanee Ahmed Hashim
Published: May 2024

The schools from which the student chosen were 6 governmental schools (3boys schools, and 3 girls schools) and 2 private mixed schools and the total sample was 400 student were selected randomly. Regarding students who included in the study, a list of questions and information will be taken from the direct teacher about the needed information as age and also questionnaire for the family was sent to fill the information related to ADHD and other general, medical and obstetrical history of the student. Data collection done through a questionnaire concerning personal and other socio-demographic information and taken from teachers and students family. Each involved student will be assessed by using a prepared questionnaire that contains the criteria for the diagnosis of ADHD, according to the American Psychiatric Association, Diagnosed and Statistical Manual of mental disorders DSM-5 Criteria for ADHD. The current study revealed that the proportion of Attention deficit hyperactivity disorder among primary school student was 57/400 (14.2%) and that the proportion of sub types of Attention deficit hyperactivity disorder were inattention disorder 27 (6.8%), Hyperactivity disorder 20 (5%), and combined form was 10 (2.5%). The frequency of Attention deficit hyperactivity disorder was most common at age 6-9 years; 32 cases (56.1%), most of cases were male 30 cases  (52.6%), while female was 27 cases (47.4%).
Aeroelastic Simulation and Experimental Validation of a 3D-Printed Passive Morphing Airfoil
Authors: Ochi Shuji , Kai Shoko , Takase Kohei , Soneda Kensuke , Imamura Taro , Rinoie Kenichi , Yokozeki Tomohiro
Published: May 2024

To predict the deformation and aerodynamic performance of a passive morphing airfoil with a novel compliant structure, aeroelastic simulation methods were developed. The static aeroelastic problem was solved by loosely coupling a finite-element-method solver and a hierarchical Cartesian grid-based flow solver. The viscous effect was investigated by comparing the results of using the Euler and Reynolds-averaged Navier–Stokes (RANS) equations in the aerodynamic simulations. The accuracies of the structural and aerodynamic solvers were validated through structural and wind-tunnel experiments, respectively. The deformation predicted by the RANS-based aeroelastic simulation was in accordance with the experimental results, while the Euler-based aeroelastic simulation predicted a larger deformation. The lift slope of the morphing airfoil improved more than that of the rigid airfoil, showing consistency with the experimental results. The comparative study showed that the viscous flow condition leads to a smaller aerodynamic load and deformation of the morphing airfoil.
Confronting Personal Trauma while Arranging and Describing Collections Relating to the South African Truth and Reconciliation Commission and the Narrative of Ruth First
Authors: Schellnack-Kelly Isabel
Published: May 2024

Nestled within the repositories of the South African History Archives (SAHA) in Johannesburg, the chilling tales of apartheid-era South Africa are preserved through pivotal collections like those of Julian Knight and Rudolph Jansen, and documents intimately connected to the life and tragic demise of Ruth First—a name synonymous with resistance, intellect, and indomitable courage against apartheid’s brutality. Tasked in 2006 with arranging and describing these collections, I embarked on a harrowing journey through the legal representations of individuals implicated in heinous acts against activists. These documents included amnesty applications submitted to the Truth and Reconciliation Commission (TRC), established to probe human rights abuses from 1960 to 1994. This poignant chapter in South Africa’s quest for healing and justice offered amnesty in exchange for the truth about atrocities committed during those dark decades. Ruth First’s narrative, interwoven with these collections, symbolises both victimhood and hope. Her life, activism, and assassination on August 17, 1982, by a parcel bomb sent by the South African Police while in exile in Mozambique, highlight the steep costs of fighting for freedom and justice.
Anxiety and depression among couples undergoing treatment for infertility with assisted reproductive techniques at an Indian centre
Authors: KUMAR RAVISH , DHILLON HARPREET SINGH , HASHIM UZMA , DHILLON GURPREET KAUR , SASIDHARAN SHIBU
Published: May 2024

Background

Infertility and its treatment are frequently associated with psychological distress. We assessed the prevalence of anxiety and depression in couples undergoing treatment for infertility with assisted reproductive techniques (ARTs).

Methods

We included 160 married couples undergoing treatment for infertility at an ART centre. The prevalence of anxiety and depression was assessed using the hospital anxiety and depression scale.

Results

The prevalence of anxiety and depression was 46.2% and 40.9%, respectively. Women had higher mean (SD) anxiety (10.76 [2.69]) and depression (9.86 [2.06]) scores; however, this gender difference was statistically significant only with respect to anxiety (p=0.02). The mean anxiety scores were highest among both genders when the cause of infertility was attributed to both partners and during the first year and 10 years after treatment. Men in the age groups of 20–24 years and 40–44 years and those with no prior treatment had a statistically significant association with the highest anxiety scores. The mean depression scores showed a statistically significant decline in both genders with increasing age. Among men, the mean depression scoreswere significantly higher in those with no prior treatment, male cause of infertility and during the first year and after 10 years of treatment.

Conclusion

The prevalence of anxiety and depression among infertile couples undergoing treatment with ART was almost twice as high as that in the general population. The mean anxiety scores were significantly associated with duration of treatment and gender-based attribution in both genders; however, age and prior treatment were associated with only men. The mean scores of depression were significantly associated with age in both genders, while duration of treatment, gender-based attribution and prior treatment were significantly associated only with men.
Thoracodorsal to long thoracic nerve transfer in a patient with traumatic injury: A case report
Authors: Martinez Juan Pablo , Lovaglio Ana , Masi Gilda Di , Mandolesi Jorge , Zancolli Pablo , Socolovsky Mariano
Published: May 2024

Background:

Traumatic injury to the long thoracic nerve causes paralysis of the serratus muscle, clinically expressed as winged scapula and functional impairment of the shoulder girdle. Treatment varies according to the severity of the injury, with a focus on early intervention for best results; however, the therapeutic approach remains a challenge at present.

Case Description:

We present the case of a 32-year-old male patient, athlete, right-handed, presented with bilateral paresis predominantly in the right arm, associated with paresthesia and changes in the coloring of the upper limbs. After being diagnosed with Thoracic Outlet Syndrome and undergoing surgery, vascular symptoms persisted with a significant loss of strength in the right shoulder. Winged scapula was observed and structural lesions were excluded on magnetic resonance imaging. Electromyographic studies confirmed the presumption of traumatic nerve involvement of the long thoracic nerve. Notwithstanding 6 months of physical therapy, there was no improvement, so a nerve transfer from the thoracodorsal nerve to the right long thoracic nerve was chosen. At 12 months, complete resolution of the winged scapula and functional recovery were observed. The patient also experienced a decrease in preoperative pain from 5/10 to 2/10 on the visual analog scale.

Conclusion:

Nerve transfer from the thoracodorsal nerve to the long thoracic nerve is a safe and effective technique to treat winged scapula due to long thoracic nerve injury.
Hexacyclotetradecenes as Polycyclic Fused exo-Norbornene Monomers: Synthesis of Cyclic Olefin Copolymers via Ti-Catalyzed Controlled Polymerization
Authors: Funahashi Eri , Iwata Yusuke , Matsuoka Shin-ichi
Published: May 2024

Polycyclic fused norbornenes (NBs) are important monomers for producing thermally stable cyclic olefin polymers and copolymers (COCs). However, the difficult addition polymerization of sterically demanding endo-substituted NBs limits the range of accessible COCs. Here, we explored the synthesis and polymerization of an isomeric mixture of hexacyclotetradecenes (1a and 1b) as new polycyclic fused exo-NB-based monomers. These monomers were readily prepared via a two-step catalysis process: norbornadiene dimerization followed by protic-acid-catalyzed isomerization. While ring-opening metathesis polymerization using conventional Ru carbene catalysts was not viable, addition polymerization and copolymerization with 1-octene, using a constrained geometry Ti catalyst, successfully proceeded in a controlled manner. Monomer 1 was consumed faster than 1-octene to form gradient copolymers. 13C nuclear magnetic resonance spectroscopies exhibited reasonable signals that indicated a 1,2-addition polymer structure. X-ray diffraction and thermogravimetry analysis confirmed the amorphous nature and thermal stability of poly1, which showed no weight loss below 400 °C. Thus, this study demonstrates the synthesis and polymerization of new promising polycyclic olefin monomers suitable for producing COC materials.