bluuebunny/crossref_metadata_2025 huggingface dataset:
Técnicas de comunicación asertiva: el impacto en el rendimiento académico de estudiantes de bachillerato
Authors: Chaglla Lasluisa William Franklin , Núñez Bautista Kleber Mauricio
Published: February 2024

Esta investigación tiene una importancia significativa debido a su examen exhaustivo de la influencia de la comunicación asertiva en el rendimiento académico de los estudiantes de secundaria. Es un factor esencial que los participantes del proceso educativo deben tener en cuenta. El objetivo principal de esta investigación es determinar el impacto de la comunicación asertiva en los esfuerzos académicos de los estudiantes matriculados en el programa del Bachillerato General Unificado de la Unidad Educativa “Mushullacta”. En consecuencia, se lleva a cabo un proceso de investigación sistemático y organizado, que emplea el procedimiento científico que abarca la información de fuentes escritas y el trabajo de campo. En términos de metodología, se emplea un enfoque mixto, que combina variables cuantitativas y cualitativas. En consecuencia, los datos se obtienen de diferentes grupos, incluidos los grupos de control y experimentales. En consecuencia, la investigación se inscribe en el ámbito descriptivo-correlacional, ya que las dos variables, a saber, la comunicación asertiva y el rendimiento académico, están interrelacionadas dentro del contexto académico de los estudiantes de la modalidad virtual. Los resultados obtenidos indican que la comunicación asertiva tiene un impacto significativo en la interacción entre los participantes educativos. Se desarrollaron soluciones alternativas para el rendimiento académico.
STRUKTUR KEPRIBADIAN PADA REALITAS KAMPANYE POLITIK PEMILIHAN OSIS DALAM FILM CARNIVALE
Authors: Maulidania Darmata Noorfauziah
Published: February 2024

Pemilihan umum merupakan salah satu agenda yang biasa dilakukan untuk memilih calonn yang akan menjadi pemimpin. Strategi komunikasi dibutuhkan sebagai cara untuk memperoleh dukungan dalam pemilihan umum dengan berdasarkan pada struktur kepribadian dari para calon pemimpin. Dalam penelitian ini menggunakan teori psikoanalisis dan dibantu oleh konsep semiotika. Tujuan penelitian adalah untuk mengidentifikasi struktur kepribadian yang mewakili kepribadian politik dan situasi kampanye politik dalam kegiatan politik siswa di sekolah. Pengumpulan data dilakukan dengan observasi dan dokumentasi teks dari plot film pendek mockumentary yang berjudul Carnivale. Hasil penelitian menemukan bahwa struktur kepribadian mendasari perilaku yang dilakukan oleh kandidat pemimpin OSIS pada masa pemilihan, dan penggunaan kode sosial digunakan sebagai strategi untuk mengkritik dan menyebarkan fitnah kepada kandidat lain
Modelo de socavación para muros de contención cimentados cauces, caso de estudio en el Río Cuale, en Puerto Vallarta, Jalisco, México
Authors: Magaña Jesús Vázquez , Parra Miguel Ángel Jaime , Mariles Edgar Alejandro Barrón , Salinas Ramón Del Muro , Magaña María de Lourdes Vázquez
Published: February 2024

El Río Cuale es una corriente que cruza la zona Sur de la ciudad de Puerto Vallarta, Jalisco, México, existen asentamientos urbanos y comerciales, en sus dos márgenes, algunas de ellas invaden el cauce, a partir del Nivel de Aguas Máximo Ordinarias (México, 2000). La cuenca del Río Cuale ha sido afectada por diversos huracanes, de forma recurrente, y, es por ello, que se demanda contar con modelos de socavación confiables, que permitan el desarrollo de cimentaciones con niveles de desplante, que oferten seguridad a la infraestructura construida, el presente trabajo, plantea el análisis hidrológico, hidráulico y de socavación por varios métodos, de un tramo del citado Río, estableciendo puntos de monitoreo en una estructura diseñada y construida para los resultados de socavación obtenidos, dicha obra ha sido expuesta a tres eventos extraordinarios en los últimos dos años, situación que permite la valoración de los modelos de socavación y el establecimiento de criterios de construcción de estructuras similares en dicha zona.
Western Rainbow Boa (Epicrates cenchria)
Authors: Arteaga Alejandro
Published: February 2024

This is the species account about the Western Rainbow Boa (Epicrates cenchria), a chapter in the Reptiles of Ecuador book. This account summarizes novel as well as historical information (recognition, natural history, distribution, conservation, etymology, and relevant literature) about the species and provides maps and images to facilitate identification of this reptile in the field.
Implementasi Peraturan Daerah Kabupaten Lima Puluh Kota Nomor 4 Tahun 2020 Tentang Pencegahan, Penanggulangan Bahaya Kebakaran dan Pelayanan Non Kebakaran
Authors: Fadhila Putri , Yusran Rahmadani , Alhadi Zikri , Permana Iip
Published: February 2024

Tujuan penelitian ini yakni mengkaji “implementasi Peraturan Daerah Kabupaten Lima Puluh Kota Nomor 4 Tahun 2020 mengenai Pencegahan, Penanggulangan Bahaya Kebakaran dan Pelayanan Non Kebakaran.” Jenis penelitian ini yakni kualitatif deskriptif.  Data dikumpulkan dengan observasi, wawancara, serta dokumentasi dari informan. Analisis data penelitian ini yakni teknik reduksi, penyajian serta penarikan kesimpulan. Berdasarkan hasil penelitian, “Implementasi Peraturan Daerah Kabupaten Lima Puluh Kota Nomor 4 Tahun 2020 tentang Pencegahan, Penanggulangan Bahaya Kebakaran dan Pelayanan Non Kebakaran”, belum terlaksana dengan semestinya. Hal ini dikarenakan beberapa permasalahan, diantaranya yaitu terbatasnya sumber daya keuangan, terbatasnya sarana dan prasarana, serta kesadaran masyarakat yang masih rendah dalam pencegahan serta penanggulangan bahaya kebakaran. Penelitian ini merekomendasikan supaya pemerintah daerah lebih memperhatikan alokasi dana untuk dinas pemadam kebakaran sehingga memiliki anggaran yang cukup sebagai penunjang dalam pengadaan sarana dan prasarana, penambahan sumberdaya manusia, dan pelaksanaan kegiatan sosialisasi guna meningkatkan kesadaran masyarakat di Kabupaten Lima Puluh Kota.
Factors That Influencing Employee’s Wellbeing during Pandemic
Authors:   Telkom Corporate University Jl. Gegerkalong Hilir No. 47, Gegerkalong, Bandung, Jawa Barat, Indonesia, Sulyani Agnesia Candra , Nurhasanah Hasna ,   Telkom Corporate University Jl. Gegerkalong Hilir No. 47, Gegerkalong, Bandung, Jawa Barat, Indonesia, Larasati Niken ,   Telkom Corporate University Jl. Gegerkalong Hilir No. 47, Gegerkalong, Bandung, Jawa Barat, Indonesia, Hapsari Carla ,   Telkom Corporate University Jl. Gegerkalong Hilir No. 47, Gegerkalong, Bandung, Jawa Barat, Indonesia, Fadhli Wibowo Muhammad Rizal ,   Telkom Corporate University Jl. Gegerkalong Hilir No. 47, Gegerkalong, Bandung, Jawa Barat, Indonesia
Published: February 2024

The purpose of this paper is to examine the relationship between diversity, psychosocial, and employee wellbeing as an impact of implementing flexible working arrangements during the COVID-19 period in 2022. The results revealed that diversity and psychosociality were significantly and positively related to employee wellbeing. It also revealed that age and gender were significantly and positively related to flexible working arrangements and that flexible working arrangements were significantly and positively related to psychosocial. Theoretically, this paper has contributed to the literature on flexible working arrangements, psychosocial, diversity, and well-being. Practically, the practitioners of digital companies should consider implementing flexible working arrangements to cater to the needs of their employees by providing flexible work time, remote working, or different working hours. In conclusion, this paper has revealed the importance of flexible working arrangements and diversity in employee well-being.
The Significance of Stakeholders in the Rooftop Solar Power Plant Ecosystem Industry in Indonesia
Authors:   Magister Student of Management Program, Faculty of Economics and Business, Telkom University, Bandung, 40257, Indonesia, Chairahman Muhammad Farhan , Ghina Astri ,   Telkom University, Faculty of Economics and Business, Bandung, 40257, Indonesia
Published: February 2024

Stakeholder analysis in an ecosystem is important for managers to planning the most efficient strategic steps for their organization. On the other hand, there is lack of research that mapping the significance of actors inside the ecosystem of an industry. This study attempts to utilize the network analysis as a method to examine the significance of stakeholders. We demonstrate the usage and effectiveness of this method in the rooftop solar power plant ecosystem industry in Indonesia. This study used a qualitative research methodology. Data were obtained through in-depth interviews with stakeholders who formed the industry. The result of this study are Indonesia’s rooftop solar power plant ecosystem map and power-interest grid of the stakeholders.
Employer Branding to Improve Employee Loyalty after a Business Merger in PT Pelindo Terminal Petikemas
Authors:   School of Business and Management, Bandung Institute of Technology, Andhany Nadya , Nurlaela Arief Neneng ,   School of Business and Management, Bandung Institute of Technology
Published: February 2024

In today’s world, solid employer branding is important for any company or organization. Ambler & Barrow (1996) defined employer branding as the process of building and promoting a company’s reputation as an employer. Ilyas et al. (2020) stated that employer branding has a strong positive relationship with employee loyalty and the extent to which employees are committed to their organization and its goals. When a business goes through a merger, employee loyalty becomes an important factor in ensuring the company’s productivity, which is something that PT Pelindo Terminal Petikemas and some other Indonesian State-Owned Enterprises have gone through in recent years. The primary research objective of this study is to identify the specific aspects of employer branding that can be prioritized by PT Pelindo Terminal Petikemas to enhance employee loyalty. The methodology used is primarily quantitative research with correlational analysis as the statistical model, however, additional qualitative data was also collected and analyzed. The primary data were acquired through an online questionnaire given to the employees of PT Pelindo Terminal Petikemas. This study concludes that employer branding and employee loyalty have a strong positive significant correlation. Furthermore, it was also found that the employer branding dimensions with the strongest correlation with employee loyalty are organizational culture, ethics and corporate social responsibility, and diversity. PT Pelindo Terminal Petikemas can focus on improving the organizational culture, ethics and corporate social responsibility, and diversity aspects of employer branding to improve employee loyalty. The research also provides actionable solutions for PT Pelindo Terminal Petikemas to further strengthen its employer branding and improve employee loyalty.
Bitterballen Formulation of Chicken Meat, Sorghum Flour, and Green Spinach as an Alternative Additional Feeding For Stunted Toddlers Age 12-23 Months
Authors:   Dietition Professional Education Study Program, Department of Nutrition, Politeknik Kesehatan Kemenkes Malang, Zahra Nindya Az , Puspita Theresia ,   Dietition Professional Education Study Program, Department of Nutrition, Politeknik Kesehatan Kemenkes Malang, Komalyna I Nengah Tanu ,   Dietition Professional Education Study Program, Department of Nutrition, Politeknik Kesehatan Kemenkes Malang
Published: February 2024

Lack of nutrition in children and stunting may be caused by several interrelated factors. One of the factors that can influence the emergence of growth retardation in children under five is a lack of food intake such as protein, energy, and zinc children failing to grow. This research analyzes the nutritional values, organoleptic quality, and best level of treatment for Bitterballen with a formulation of chicken meat, sorghum flour, and green spinach as an alternative for providing additional food to stunted toddlers aged 12-23 months. The approach used is quantitative and qualitative by analyzing the organoleptic quality results of Bitterballen, determining the best formulation treatment, and calculating the nutritional value using the yield factor and retention factor for each treatment. The manufacturing procedure was first carried out by formulating three treatments with a ratio of chicken meat, sorghum flour, and green spinach. Of all the treatments, treatment 1 had the highest acceptability, namely containing 287.86 kcal of energy with a nutritional value of 12.71 grams of protein, 17.93 grams of fat, and 19.48 grams of carbohydrates. The organoleptic quality produced by T1 is that it has a light brown color, the aroma is savory, not fishy, and not rancid, the taste produced by T1 is savory and not unpleasant, with the inner texture produced by T1 is not gritty and the outer part is crunchy. The aftertaste is savory and slightly gritty.
The Influence of Service Quality and Brand Image on Customer Loyalty Mediated by Customer Satisfaction: in Indonesia Coal Mining Industry
Authors:   Master of Management University of Lampung, Bandar Lampung, Indonesia, Bangun Sanjaya , MS Mahrinasari ,   Master of Management University of Lampung, Bandar Lampung, Indonesia, Roslina Roslina ,   Master of Management University of Lampung, Bandar Lampung, Indonesia
Published: February 2024

Indonesia is one of the largest coal producers and exporters in the world. Since 2005, when it surpassed Australia's production, Indonesia has become the leading exporter of coal. Coal companies in Indonesia compete with each other to gain limited market share and meet growing demand. PT. Bukit Asam Tbk is the only coal producing company which is a state-owned company (BUMN) among nine others that private company. PT. Bukit Asam Tbk has met quality standards by being ISO (International Standardization of Organization) certified and has several sales achievements and is among the best new stone producing companies in Indonesia. Obtaining several company awards and certifications is expected to improve the company's brand image and increase customer satisfaction as a trusted coal company. The quality of customer service can also influence a company's image and lead to customer satisfaction. This research used a sample of 228 respondents who were consumers or buyers of coal from PT Bukit Asam Tbk, both domestically and internationally. The analysis model in data processing uses SEM Lisrel 8.8. The findings reveal that Service quality and brand image have a positive and significant influence on customer satisfaction. Brand image has no influence on customer loyalty. Customer satisfaction and service quality have a positive and significant influence on customer loyalty.
System Analysis to UML – Restaurant Case Study
Authors:   Sr. Director – Enterprise Architecture, Fortune Brands Home & Security, USA, Kulkarni Nilesh D , Bansal Saurav ,   Sr. Manager - Digital Applications, Fortune Brands Home & Security, USA
Published: February 2024

The paper presents a detailed examination of the application of Unified Modeling Language (UML) for system analysis within the context of a restaurant business case study. It begins with the articulation of business requirements through user journey understanding and user story definition. The importance of a good user story is emphasized, with a particular focus on the INVEST characteristics that ensure a user story's effectiveness. The paper further delves into the basics of UML, exploring fundamental concepts such as classes, and the various relationships within class structures including association, aggregation, and composition. Additionally, it discusses the significance of polymorphism and interface design in object-oriented programming. The paper also highlights Object-oriented design (OOD) heuristics, which provide developers with a set of guidelines for making informed design decisions. A comprehensive user story, constructed from the restaurant use case, demonstrates the practical application of these concepts. This is followed by the development of corresponding UML diagrams, including a use case diagram, an activity diagram, and a state diagram, which collectively showcase the robust modeling capabilities of UML in capturing complex system requirements and providing a clear pathway for system design and implementation.
Transforming the Title Industry: Exploring the Impact of Artificial Intelligence and Generative AI in Mortgage Origination
Authors:   Senior Principal Software Engineer, CA, USA, Shende Abhishek , Kathiriya Satish ,   Software Engineer, CA, USA, Karangara Rajath ,   Technical Project Manager, FL, USA
Published: February 2024

This paper explores the transformative potential of Artificial Intelligence (AI) and Generative AI in reshaping the title industry, particularly in mortgage origination. By analyzing historical challenges, including the subprime mortgage crisis and the inefficiencies of traditional title systems, juxtaposed with modern AI-driven solutions, we highlight the paradigm shift towards technology-centric operations. We examine AI's role in addressing issues such as lost chains of title, complex legal frameworks, and outdated land title recording practices. The research emphasizes AI's capacity for streamlining processes, enhancing accuracy in title searches, and mitigating fraud risks. This study not only delves into AI's operational impact but also considers legal, ethical, and data security implications, underscoring the need for balanced and informed integration of AI technologies in the title industry. The findings suggest a future where AI and Generative AI fundamentally alter traditional practices, offering increased efficiency, reliability, and transparency in mortgage origination processes.
Understanding user Journeys in EdTech Startups: The Role of Analytics Integration
Authors:   Data Analyst/Modeler, Miami, FL, USA, Satish Dingre Sneha
Published: February 2024

In the competitive landscape of startups, a culture of continuous innovation is pivotal for success. While adept at launching feature-rich products, many startups overlook the strategic integration of analytics, missing opportunities to comprehend and cater to user needs. This paper underscores the significance of analytics in the entrepreneurial journey, emphasizing the need for startups to define metrics and gather user insights. Shifting the focus to EdTech startups, the exploration of data sources across the user journey encompasses acquisition, conversion, and feedback phases. This comprehensive analytical strategy is deemed crucial for startups to refine strategies, enhance user experiences, and iteratively improve offerings in the dynamic landscape of entrepreneurship.
Genetic variant in TNF-Alpha gene and its plasma level in relation to obstructive sleep apnoea in the Pakistani population
Authors: Admin  , Ambreen Qamar  , Muhammad Hanif  , Zeba Haque  , Sitwat Zehra  , Saifullah Baig  , Abdul Samad
Published: February 2024

Objective: To assess the link between tumour necrosis factor-alpha -308 guanine/adenine polymorphism and tumour necrosis factor-alpha plasma levels in relation to obstructive sleep apnoea. Method: The cross-sectional study was conducted from December 2018 to March 2021 at the sleep clinic of Dow University Hospital, Karachi, on obstructive sleep apnoea patients and healthy controls. Epworth Sleep Scale score was used to determine daytime sleepiness, while full-night polysomnography was carried out for obstructive sleep apnoea confirmation and categorisation according to severity. Blood sample collection was followed by deoxyribonucleic acid extraction and plasma tumour necrosis factor-alpha measurement using enzyme-linked immunosorbent assay. Genotype distribution and allelic frequency were assessed. Data was analysed using SPSS 20.
Results: Out of the 225 subjects, with a mean age of 47.68±9.88 years, 132 (58.7%) were males, and 93 (41.3%) were females. Among them, 150 (66.7%) were patients, and 75 (33.3%) were controls. Heterozygous tumour necrosis factor-alpha -308 guanine/adenine genotypes were significantly higher among the patients (p<0.05). Minor allele - 308 adenine showed an association with obstructive sleep apnoea, its severity, higher tumour necrosis factor-alpha levels, neck circumference, excessive daytime sleepiness and the presence of hypertension (p<0.05).
Conclusion: Tumour necrosis factor-alpha -308 adenine allele and higher tumour necrosis factor-alpha levels were found to be linked with obstructive sleep apnoea. The polymorphism also showed an association with hypertension in obstructive sleep apnoea patients.
Key Words: Tumour necrosis, polysomnography, alleles, sleep apnea, obstructive, hypert
Perbandingan Kompres Hangat dan Kompres Dingin terhadap Respon Nyeri Imunisasi Pentabio di Wilayah Puskesmas Pekauman Banjarmasin
Authors: Agustin Criselly Leluni  , Novalia Widiya Ningrum  , Hairiana Kusvitasari
Published: February 2024

Immunization is an effort to provide immunity to babies and children by maintaining vaccines in the body to produce antibodies to prevent certain diseases. Providing complete basic immunization aims to obtain initial active immunity including, among others, BCG (Bacillus Calmette-Guerin), Diphtheria, Pertussis, Tetanus, Hemophilus Influenza type B (Hib), Hepatitis B, Polio and Measles. Pain is defined as an uncomfortable sensation and emotional experience associated with actual or potential tissue damage, thus the importance of evidence-based immunization used to reduce pain. Pain management with compresses can be done before immunization at the injection area is considered to be able to reduce pain in babies. Warm compresses can cause a heat effect which will be absorbed into body tissue and can reduce pain. Cold compresses can make the skin reduce its pain response due to the release of endorphins which can block the transmission of nerve fibers. The aim of this research is to determine the comparison of the use of warm compresses and cold compresses on the pain response to pentabio immunization in the Pekauman Community Health Center area. The method used is Pre-Experimental Design with sampling using Nonprobability Sampling. The results of the Mann-Whitney test showed that there was a significant difference in the influence of the two groups on pain levels by looking at the mean value for warm compresses of 17.00.
Analisis Strategi Pemasaran dalam Meningkatkan Omzet Penjualan pada Usaha Apotek Aditara 2 Surabaya
Authors: Taradiva Adisty  , Budi Prabowo
Published: February 2024

The purpose of this research is to analyze and understand the implementation of the best marketing strategies at Apotek Aditara 2 in Surabaya. This research employs a descriptive method with a qualitative approach implemented through SWOT analysis and data collection techniques involving in-depth interviews, observations, and documentation related to the 7P marketing strategy, namely product, place, price, promotion, people, process, and physical evidence. The IFAS and EFAS analyses indicate a strength score of 2.23 and a weakness score of 0.77. Meanwhile, the EFAS results show an opportunity score of 2.56 and a threat score of 0.72. Based on the SWOT Analysis diagram, Apotek Aditara 2 is positioned in quadrant 1, applying an aggressive strategy by leveraging its strengths and opportunities. The applicable SO strategy for Apotek Aditara 2 in Surabaya includes maintaining a complete and varied product supply, preserving the cleanliness and tidiness of the pharmacy, sustaining preventive healthcare services, upholding good service provision, and establishing collaborations with health centers and doctor's practices.
Influence of Current Ratio (CR), Debt to Equity Ratio (DER), and Return on Assets (ROA) on Share Prices at PT Indofarma Tbk
Authors: Budi Andri Setia , Rahmi Palupi Permata , Karamang Ezra
Published: February 2024

This research aims to analyze the influence of the Current Ratio (CR), Debt to Equity Ratio (DER), and Return on Assets (ROA) on the Share Prices of PT Indofarma Tbk for the 2012-2022 period. The independent variables used are Current Ratio (CR), Debt to Equity Ratio (DER), and Return on Assets (ROA), while the dependent variable is Share Prices. These data were then analyzed using the multiple linear regression method involving the t statistical test (partial), the f statistical test (simultaneous), and the coefficient of determination test. The research results show that the Current Ratio (CR) and Return on Assets (ROA) partially have a positive and significant effect on Share Prices. Debt to Equity Ratio (DER) partially has a negative and significant impact on Share Prices. Current Ratio (CR), Debt to Equity Ratio (DER), and Return on Assets (ROA) simultaneously have a positive and significant effect on Share Prices. The contribution of the independent variables (Current Ratio (CR), Debt to Equity Ratio (DER), and Return on Assets (ROA) to Share Prices reached 68.6%.
Zygomatic Abscess – A Rare Sequalae of Otitis Media
Authors: Muhammad Athierah , Hussein Nurfarissa , Mohari Norhaslinda , Azwal Norazwani
Published: February 2024

A zygomatic abscess is a rare complication of acute otitis media. However, over the past two decades, such cases have increased, which might be linked to the rise of antibiotic abuse and antibiotic resistance. Diagnosing and treating a zygomatic abscess is essential as a delay in proper treatment can cause potential harm to the patient. The ideal treatment for these cases is modified radical mastoidectomy with abscess drainage.
Los posibles fraudes de ley del poder fiscal en la lucha contra el fraude
Authors: Casado Ollero Gabriel
Published: February 2024

El autor analiza la singular posición que el deber de contribuir y al poder fiscal, según la doctrina del Tribunal Constitucional y del Tribunal Supremo de España.
FACTORS CONTRIBUTING TO POOR HEALTH-SEEKING BEHAVIORS AMONG HIV ADOLESCENTS ATTENDING ART CLINIC AT KALAGALA HEALTH CENTRE IV, LUWERO DISTRICT. A CROSS-SECTIONAL STUDY.
Authors: NAMBOGO LILLIAN , WERE AMIRI
Published: February 2024

Background:
The purpose of the study: was to find out individual, community, and health facility-related factors contributing to poor health-seeking behaviors among HIV adolescents attending the ART clinic at Kalagala Health Centre IV, Luwero district.
Methodology:
A cross-sectional study design using a simple random sampling technique sampled 50 respondents. A questionnaire with open and ended questions written in English language was used as the data collection tool and data was analyzed manually by use of tally sheets and presented in tables and figures by support of narratives.
Findings:
The majority of the respondents were 18-19 years old (46%), female (60%), and in secondary school (52%). Many (92%) perceived ART as very important, (58%) had ever been exposed to drug adverse effects, and (38%) missed prescribed ART medications ART due to forgetfulness. Respondents (48%) affirmed that their parents don’t usually support them in taking medication, (48%) noted that community members were unfriendly towards HIV-positive adolescents, and (82%) were day scholars. When it came to the health facilities (60%) of the respondents noted the waiting time was quite long, (64%) reported that the attitudes of health workers were fair, (70%) agreed that they received adequate counseling services in regards to timely ART, (56%) reported a very far distance from their homes to the health facility.
Conclusion:
Exposure to drug adverse effects missed prescribed medications due to forgetfulness, unsupportive parents/caretakers, unpleasant perceptions of community members towards HIV-positive adolescents, tight school programs, long waiting times, spiteful attitudes of health workers, and distances from homes to health facilities were the foremost factors contributing to poor health-seeking behaviors among adolescents on ART.
Recommendation:
Kalagala Health Center IV administration should build a good client-based relationship with adolescents so that they can freely express themselves and develop their preferred mode for accessing timely ART.
THE FACTORS ASSOCIATED WITH THE INCREASE OF DIARRHOEA AMONG CHILDREN UNDER FIVE YEARS OF AGE AT KASANGATI HEALTH CENTRE IV, WAKISO DISTRICT: A CROSS-SECTIONAL STUDY.
Authors: AKANGWANAHO IVAN , ODIWUOR OTIENO JOASH
Published: February 2024

Background
The purpose of the study is to determine the factors associated with the increase of diarrhea in children less than 5 years of age in Kasangati Health Center IV, Wakiso district.
Study objectives
Determined the knowledge, attitude, and practices of caretakers towards diarrhea in children less than 5 years old at Kasangati HC IV, Wakiso district.
Methodology
A cross-sectional study of 100 participants was used in the study. A simple random sampling technique was used and data collected using survey and interview methods was presented and analyzed using descriptive frequencies and percentages of Microsoft Word and Excel
Result
The majority of respondents 73(73%) knew the meaning of diarrhea and 27(27%) did not know the meaning of diarrhea. Findings also showed that the majority 54(54%) of respondents said that children don’t like ORS because of its taste, 36(36%) of the respondents proposed its scent, and the rest 10(10%) its color. They also showed that the majority of participants 59 (59%) breastfed a child with diarrhea while 41(41%) respondents did not.
Conclusion
The study findings indicate that the majority of the respondents knew the meaning of diarrhea, its signs and symptoms (marked thirst, weight loss, sunken eyes, and dry skin), and its causes (poor hygiene, too much sugar in milk, and not breastfeeding).
Recommendations
Health workers and community health personnel should increase the sensitization about diarrhea signs and symptoms to the caretakers. Health workers and dispensing places like pharmacies should explain to caretakers how to prepare ORS and assess if they have understood it.
ĐÁNH GIÁ TÍNH AN TOÀN, KHẢ THI, KẾT QUẢ SỚM VÀ TRUNG HẠN CỦA PHẪU THUẬT TIM ÍT XÂM LẤN TRONG ĐIỀU TRỊ BỆNH VAN HAI LÁ HẬU THẤP
Authors: Nguyễn Hoàng Định , Nguyễn Ngọc Tuấn , Bùi Đức An Vinh
Published: February 2024

Mục tiêu: Nghiên cứu nhằm đánh giá tính an toàn, khả thi, kết quả sớm và trung hạn của phẫu thuật tim ít xâm lấn trong điều trị bệnh van hai lá hậu thấp. Phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả loạt ca gồm 125 bệnh nhân (BN) mắc bệnh lý van hai lá hậu thấp được phẫu thuật thay van hai lá bằng các kỹ thuật ít xâm lấn qua đường mở ngực phải từ tháng 01/2019 đến tháng 12/2022. Kết quả: Tuổi BN trung bình là 52,9 ± 10,4, nữ giới chiếm đa số là 69,6%. 80% BN nhập viện vì khó thở, suy tim NYHA II trước mổ 71,2%. Siêu âm biểu hiện hình thái tổn thương đặc trưng van hai lá hậu thấp là 96,8%; tổn thương chủ yếu là hẹp kèm hở van chiểm 84,8%; phân suất tống máu thất trái trung bình là 56,9 ± 6,0%. Tỉ lệ tử vong theo EuroSCORE II là 2,2 ± 1,4%. Thời gian chạy máy tim phổi nhân tạo và cặp động mạch chủ lần lượt là 144,4 phút và 92,2 phút. Tỉ lệ chuyển mở xương ức là 0,8%. 62,4% thay van hai lá cơ học. Trung bình thời gian thở máy và nằm hồi sức lần lượt là 21,2 giờ và 72,3 giờ. 4% chảy máu cần phải mổ lại. 3,2% trường hợp tử vong sớm, trong đó 0.8% nghĩ do bệnh cơ tim Takotsubo. Các yếu tố ảnh hưởng đến nguy cơ tử vong trong 30 ngày đầu sau mổ là thời gian chạy tuần hoàn ngoài cơ thể. Theo dõi trung hạn 14,4 tháng có 1,7% tử vong, tỉ lệ sống còn tại thời điểm 2 năm là 98,3%. Kết luận: Phẫu thuật thay van hai lá ít xâm lấn điều trị bệnh van hậu thấp qua đường mở ngực phải có thể thực hiện an toàn và hiệu quả. Trong giai đoạn đầu triển khai, cần lựa chọn BN cẩn thận, trẻ và ít bệnh đi kèm.
ỨNG DỤNG NGHIỆM PHÁP HANDGRIP TRONG ĐÁNH GIÁ SỨC CƠ TRÊN BỆNH NHÂN CAO TUỔI MẮC SUY TIM MẠN ĐIỀU TRỊ NỘI TRÚ TẠI BỆNH VIỆN THỐNG NHẤT
Authors: Trần Hồng Thụy , Trình Thục Trinh , Hoàng Văn Quang , Cao Thanh Ngọc
Published: February 2024

Mục tiêu: Xác định tỉ lệ giảm sức nắm bàn tay trên bệnh nhân suy tim mạn cao tuổi điều trị nội trú tại Bệnh viện Thống Nhất. Tìm mối liên quan giữa các đặc điểm lâm sàng và cận lâm sàng (tuổi, giới, chỉ số khối, bệnh đồng mắc, mức độ khó thở theo NYHA, NT-proBNP) trên bệnh nhân suy tim mạn cao tuổi điều trị nội trú với tình trạng giảm sức nắm bàn tay. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả, 124 bệnh nhân ≥ 60 tuổi mắc suy tim mạn điều trị nội trú tại Bệnh viện Thống Nhất từ tháng 12/2022 đến tháng 03/2023, được đo sức nắm bàn tay bằng máy điện tử Camry Smedley. Kết quả: Tỉ lệ giảm sức nắm bàn tay trên bệnh nhân cao tuổi mắc suy tim mạn là 78% trong đó nam 50%, nữ 47%. Tỉ lệ giảm sức nắm bàn tay theo nhóm tuổi 60 – 69 tuổi là 26%; 70 – 79 tuổi là 33%; ≥ 80 tuổi là 38%. Các yếu tố liên quản đến giảm sức nắm bàn tay bệnh nhân cao tuổi mắc suy tim mạn là tuổi: khi tăng 1 tuổi thì nguy cơ giảm sức nắm bàn tay tăng 1,09 lần (ĐTC 95%: 1,02 – 1,16; p = 0,013), chỉ số khối cơ thể: nguy cơ giảm sức nắm bàn tay ở người cao tuổi thừa cân bằng 0,33 lần so với nhóm có BMI cân đối (ĐTC 95%: 0,12 – 0,92; p = 0,034), phân độ NYHA: bệnh nhân NYHA III có nguy cơ giảm sức nắm bàn tay gấp 3,64 lần so với nhóm NYHA II (ĐTC 95%: 1,34 – 9,87; p = 0,011). Kết luận: Tỉ lệ giảm sức nắm bàn tay trên bệnh nhân cao tuổi mắc suy tim mạn là 78%. Tuổi cao, chỉ số khối cơ thể, phân độ suy tim NYHA là các yếu tố liên quan đến giảm sức nắm bàn tay ở bệnh nhân cao tuổi mắc suy tim mạn.
CÁC DẠNG HÌNH THÁI NOÃN BẤT THƯỜNG VÀ ẢNH HƯỞNG CỦA MỘT SỐ YẾU TỐ ĐẾN HÌNH THÁI NOÃN TRONG THỤ TINH ỐNG NGHIỆM
Authors: Nguyễn Minh Đức , Lại Thị Tuấn Việt , Trịnh Hồng Thái , Nguyễn Đình Tảo
Published: February 2024

Mục tiêu: Nghiên cứu nhằm xác định tỉ lệ và một số yếu tố ảnh hưởng đến từng hình thái noãn trong chu kỳ sử dụng phác đồ Antagonist. Đối tượng và phương pháp: Nghiên cứu tiến cứu thực hiện trên 812 chu kỳ thụ tinh trong ống nghiệm (TTTON) từ 11/2016 đến 12/2019 tại Bệnh viện chuyên khoa Nam học và Hiếm muộn Hà Nội. Hình thái noãn trưởng thành được đánh giá bởi hai chuyên viên phôi học tại thời điểm trước khi tiêm tinh trùng vào bào tương noãn. Tổng 14 các bất thường hình thái noãn, bao gồm cả bất thường nội bào và ngoại bào được đánh giá. Sử dụng phép phân tích hồi quy logistic để đánh giá ảnh hưởng của tuổi mẹ, số lượng noãn, tỉ lệ noãn trưởng thành và tổng liều FSH đến các bất thường hình thái noãn. Kết quả: Hình thái bất thường chiếm tỷ lệ lớn nhất là hạt phân tán trong bào tương (38,6%), khoang quanh noãn (PVS) hạt (30,2%), thể cực (PB) phân mảnh (29%) và PVS rộng (27,5%). Tuổi mẹ có tác động đến đặc điểm về PVS. Tỷ lệ noãn trưởng thành tác động đến noãn có lưới nội chất co cụm (SER) và không bào (VAC). Số lượng noãn chọc hút tăng ảnh hưởng đến hầu hết các hình thái noãn với hệ số hồi quy dương và các giá trị p<0,05, ngoại trừ hình thái PVS hẹp. Tổng liều FSH cũng tác động đến đặc điểm màng trong suốt (ZP) hình dạng bất thường, PVS hạt, PB phân mảnh và bào tương hạt trung tâm (CLCG). Kết luận: Nghiên cứu cho thấy tỉ lệ của một số hình thái có thể bị ảnh hưởng bởi tuổi mẹ, tỷ lệ noãn trưởng thành, số lượng noãn, và tổng liều FSH
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH LAO MÀNG NÃO Ở NGƯỜI LỚN NHIỄM HIV/AIDS
Authors: Trần Văn Giang , Nguyễn Quốc Phương , Bùi Vũ Huy , Lê Ngọc Hưng
Published: February 2024

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh lao màng não ở người lớn nhiễm HIV/AIDS. Đối tượng & phương pháp: mô tả cắt ngang, hồi cứu kết hợp tiến cứu  trên 56 bệnh nhân HIV/AIDS được chẩn đoán là lao màng não (LMN) điều trị tại Bệnh viện Bệnh Nhiệt đới Trung ương và Bệnh viện phổi Trung ương từ tháng 1/2011 đến 7/2016. Kết quả: nhóm tuổi 30 - 40 (66,1%), nam giới (86%),  sốt (80,4%), đau đầu (94,5%), buồn nôn và nôn (80,4%), cổ cứng 76,4%, gầy sút cân (66,1%), rối loạn tâm thần 55,4%, ý thức từ li bì đến hôn mê 55,4%, rối loạn cơ tròn 32,1%, co giật 14,3% và liệt thần kinh khu trú (từ 1,8 – 8,9%). DNT: màu vàng (64,3%), áp lực tăng (90,9%). Nồng độ protein trung bình 2,38 ±1,85 g ( tăng trên 1g là 86,8%), đường giảm (89,3%). Số lượng tế bào trung bình là 433 ± 429 tế bào (> 100 tế bào/ml là 88,6%). Kết quả nuôi cấy (+) là 67,6% và PCR (+) là 90,7%. Chẩn đoán hình ảnh: 54% có tổn thương trên phim X quang, trong đó tổn thương dạng nốt 51,9%, tràn dịch màng phổi 14,8%, lao kê 11,1%. Trên phim chụp MRI sọ não 83,9% có bất thường, trong đó nhồi máu não (30,8%), phù não (38,5%), giãn não thất (26,9%). Xét nghiệm máu: 78,6% có suy giảm miễn dịch nặng CD4 dưới 200
NGHIÊN CỨU MỘT SỐ CHỈ TIÊU XÉT NGHIỆM SINH HOÁ, MIỄN DỊCH TRÊN BỆNH NHÂN VIÊM GAN VI RÚT B MẠN TÍNH ĐƯỢC ĐIỀU TRỊ BẰNG BÀI THUỐC “LONG SÀI THANG”
Authors: Lê Hồng Phú , Nguyễn Công Thực
Published: February 2024

Mục tiêu: Đánh giá tác dụng của bài thuốc “Long sài thang” trên các chỉ tiêu cận lâm sàng ở bệnh nhân viêm gan vi rút B mạn tính. Đối tượng và phương pháp nghiên cứu: nghiên cứu mô tả tiến hành trên 60 bệnh nhân viêm gan vi rút B mạn tính, ngẫu nhiên chia 2 nhóm: điều trị “Long sài thang” và điều trị “Ích can ninh”. Hiệu quả điều trị được đánh giá sau 1 và 2 liệu trình thông qua các chỉ số xét nghiệm sinh hoá và miễn dịnh. Kết quả: giá trị trung bình các chỉ số xét nghiệm ALT, AST, TBiL, g-GT, ALP, G, SIL-2R, TNF-a, tỷ số A/G đều cải thiện rõ rệt, tỷ lệ bệnh nhân có chỉ số ALT, AST, g-GT trở về bình thường ở nhóm nghiên cứu đều cải thiện rõ hơn so với nhóm chứng chỉ sau 1 liệu trình điều trị. Tỷ lệ bệnh nhân có HBeAg, HBcAg, HBV-DNA chuyển âm tính ở nhóm nghiên cứu cũng rõ hơn so với nhóm chứng sau 2 liệu trình điều trị. Kết luận: bài thuốc “Long sài thang” có tác dụng bảo vệ tế bào gan, phục hồi chức năng gan và hạn chế sự phát triển vi rút viêm gan B.h
Sobre a prova de que todo número natural tem um sucessor em Die Grundlagen der Arithmetik, §§82-3
Authors: Duarte Alessandro Bandeira
Published: February 2024

O objetivo do artigo é apresentar uma derivação alternativa dentro da Aritmética de Frege do teorema 149 de Grundgesetze der Arithmetik, que desempenha um papel central na prova do teorema que afirma que todo número natural tem um sucessor. Em Grundgesetze, a derivação desse teorema depende do teorema IVa, cujo análogo na Aritmética de Frege (IVa*) é independente dos axiomas do sistema. É mostrado que o uso de IVa em Grundgesetze não é essencial e, portanto, que (IVa*) não é necessário para a derivação do teorema 149 dentro da Arimética de Frege.
Cabozantinib (Cabometyx)
Authors: CADTH
Published: February 2024

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses:

Cabozantinib (Cabometyx): 40 mg once daily, oral tablet

Nivolumab (Opdivo): 240 mg every 2 weeks, 30-minute IV infusion, or 480 mg every 4 weeks, 30-minute IV infusion.

Indication: Cabozantinib, in combination with nivolumab, is indicated for the first-line treatment of adult patients with advanced (not amenable to curative surgery or radiation therapy) or metastatic renal cell carcinoma.
ФУНКЦИИ НОТАРИАТА В СОВРЕМЕННОМ ПРАВОВОМ ГОСУДАРСТВЕ
Authors:   Academic Lyceum under TSUL, Karimova Madina
Published: February 2024

"This scientific article examines the various functions of the notary and their application in practice in a modern rule-of-law state. The author revealed the content and target orientation of notarial functions in relation to the legal system of the state. The relevance of the study is to consider the functions of the notary from the point of view of the development of the modern information society, since it ensures the protection of the rights and legitimate interests of citizens and legal entities, implements mechanisms for protecting the rights of participants in civil transactions, is constantly updated and improved. The purpose of the research in the scientific article is to reveal the main functions of the notary and their features in a modern rule-of-law state. The result of the study is the statement that in the conditions of digitalization of civil circulation, the implementation of the notary function occurs with the involvement of digital tools and the electronic infrastructure created for this purpose, which together make it possible to quickly obtain the necessary information and perform notarial actions in conditions that guarantee the legal security of the parties to the transaction. The study made it possible to come to the conclusion that it is necessary to continue work to create additional conditions for the effective implementation of the functions of the notary in the context of the digitalization of civil circulation, given the high importance of the notary. "
"SHAXSIY HAYOT DAXLSIZLIGI HUQUQI TUSHUNСHASI VA UNING HUQUQIY TABIATI "
Authors:   Tashkent State University of Law, Madiev Fakhriddin
Published: February 2024

"This article provides a theoretical analysis of the concept of the right to privacy and its legal nature. The development of digital technologies and the widespread introduction of digital technologies in the lives of society require conducting scientific research on ensuring citizens’ privacy. Therefore, it is necessary to study and analyze the concept of the right to privacy from a conceptual, scientific, and methodological point of view. Natural rights and freedoms, such as the right to life, privacy of housing, privacy of correspondence, and freedom of conscience, are not granted by the state but belong to the individual from birth. If we consider the right of each person to make a moral and ethical assessment of his qualities as his personal right, it is considered to have a subjective nature. Therefore, its value and prestige may or may not be compatible with the social opinion in society. The author touched on “personal life,” “privacy of personal life,” and “functions and tasks of privacy.” In the article, a comprehensive analysis of the right to privacy, analyzing the advanced experience of foreign countries and the approaches of legal scholars to the privacy of personal life, and an author’s tariff on the right to privacy of personal life have been developed. "
HAKAMLIK SUDINING HAL QILUV QARORI TUSHUNCHASI VA HUQUQIY AHAMIYATI
Authors:   Tashkent State University of Law, Кhakberdiev Abdumurad
Published: February 2024

"Arbitration courts, in our opinion, are one of the main institutions of civil society. A modern legal state cannot exist and function without a strong civil society. The experience of developed Western countries shows that citizens and entrepreneurs have a very positive attitude towards arbitration courts, since arbitration processes are designed to quickly and efficiently resolve disputes and other problems in civil and economic activities. Therefore, in the context of the further deepening of democratic reforms and the formation of civil society in our country, it is extremely necessary to widely develop the institution of arbitration. At the same time, it should be noted that today, in addition to competent courts, various problems arise when considering a number of cases of civil and economic disputes by arbitration courts. This article, based on an analysis of foreign experience, examines the issue of the concept and legal significance of an arbitration award. The interaction of the arbitration court with the competent (state) courts, its procedure and shortcomings in focusing on the execution of the decision of the people has also been studied. In accordance with this, the author’s definition of the concept of resolution will be developed, as well as proposals and recommendations for our national legislation regarding the application of the mediation procedure. "
NOTAS SOBRE POLÍTICAS EDUCACIONAIS E GLOBALIZAÇÃO
Authors: Macedo Rodolfo Alves de
Published: February 2024

O presente estudo trata-se de um ensaio de caráter bibliográfico concebido no âmbito de disciplina em nível de pós-graduação stricto sensu. Com o objetivo de abordar criticamente as políticas educacionais, buscou-se destacar o entrelaçamento entre as políticas educacionais e o fenômeno da globalização. Inicialmente, o texto aborda uma definição do conceito de globalização como um fenômeno originalmente econômico, mas com implicações políticas, sociais e culturais, proporcionando uma análise abrangente do fenômeno. O trabalho também destaca os desafios educacionais impostos por este processo de globalização, destacando a influência exercida por organismos internacionais, como o Banco Mundial, nas tomadas de decisões dos Estados e sua aderência a avaliações em larga escala, como o Pisa e a Prova Brasil.
REVOLUCIONANDO A EDUCAÇÃO COM A INTELIGÊNCIA ARTIFICIAL: EXPLORANDO POTENCIALIDADES E DESAFIOS
Authors: Souza Zelandia Maria dos Santos , Cardoso Luís Miguel de Barros
Published: February 2024

A inteligência artificial está remodelando cenários sociais, métodos educacionais e experiências humanas. São apresentadas diferentes aplicações no âmbito educacional, abrangendo desde plataformas de aprendizado personalizadas até sistemas automatizados de avaliação. O presente estudo foi desenvolvido com o objetivo de discutir e identificar aspectos potenciais da inteligência artificial para a educação, além dos desafios da sua implementação no processo educacional. As recentes tendências da automação do processo pedagógico evidenciam a influência da inteligência artificial com o emprego de ativos, como a personalização da experiência de aprendizagem, acesso a recursos educacionais abundantes, feedback imediato com Chatbots, aprendizagem adaptativa, apoio à tomada de decisão, aprendizado interativo e o suporte à diversidade de habilidades. Neste contexto, considera-se que a integração entre inteligência artificial e educação articula práticas e potencialidades, para fornecer meios para o desenvolvimento de capacidade mental elástica e criativa a favor da sociedade, para a qual devem ser integradas novas literacias. Tem-se como desafio desenvolver sistemas de IA integrados com práticas educativas orientadas para o desenvolvimento humano, que ultrapasse a coleta e análise de dados e que inclua atores educacionais que reforcem as competências intelectuais. Portanto, garantir um processo de aprendizagem eficiente e contínuo é uma estratégia que deve ser empregada para o sucesso das atividades pedagógicas e desenvolvimento dos educandos.
PLANEJAMENTO ESCOLAR: A IMPORTÂNCIA NA CONSTRUÇÃO DO COTIDIANO EDUCACIONAL
Authors: Peres Epitácio Silva , Neris Joelton de Oliveira , Peres Valeriane Sousa Terra , Silva Jeromice Moreira da
Published: February 2024

Este artigo propicia uma reflexão a respeito da importância do planejamento escolar na construção do cenário educacional diário. O objetivo geral da pesquisa é investigar e analisar a relevância do planejamento, destacando seu impacto nas práticas pedagógicas e no alcance dos objetivos educacionais. Os objetivos específicos abrangem a identificação das bases teóricas que fundamentam o planejamento escolar, a análise do impacto direto nas práticas pedagógicas para promover uma abordagem mais eficaz no processo de ensino-aprendizagem, e a avaliação da percepção e engajamento dos profissionais da educação em relação ao planejamento e sua aplicação no cotidiano escolar. O referencial teórico abarca contribuições de Libâneo (1994 – 2016), Padilha (2001), Fonseca (2013), Vasconcellos (2002), entre outros. A metodologia adotada foi a pesquisa bibliográfica, proporcionando uma compreensão abrangente da temática. O ato de planejar é caracterizado pela antecipação de ações, estabelecimento de metas e definição de meios viáveis para sua consecução. Por meio do planejamento, o professor otimiza esforços, evita improvisações, organiza os conteúdos ao longo do ano letivo e facilita a interação entre professor, aluno e conhecimento.