bluuebunny/crossref_metadata_2025 huggingface dataset:
Reconstruction of medium and large nasal defects.
Authors: Mansoor Khan  , Waqas Hayat  , Hidayatullah
Published: July 2023

Objective: The aim of this study is to share our experience with nasal reconstruction and to give a standardized algorithm for nasal reconstruction. Study Design: Descriptive cross sectional. Setting: Burns and Plastic Surgery Center, Peshawar. Period: January 2019 to December 2022. Material & Methods: Data was obtained from patient records after approval from IREB. Patients with multiple co-morbidities and small defects (<1.5cm) were excluded from this study. Defects were classified based on anatomic areas of radix, dorsum, sidewall, alar and lower third nasal defects. Cases were cross tabulated regarding site for the reconstructive options to generate the treatment algorithm. Results: A total of 51 cases were included in the study including 30 (58.8%) male patients. Mean age of patients was 48.12+21.89SD. Skin malignancies were the most common (n=35, 68.6%). Nasal ala was the most common site reconstructed in our study (25.5%) followed by nasal dorsum and sidewalls. Medium size (41.2%) was the most common. In 64.8% (n=33) cases, forehead based flaps were used to reconstruct the nasal defects (Table-I). In 5.9% cases we observed flap congestion. In 19 (37.25%) cases, patients presented with additional soft tissue defects which needed reconstruction (Table-II). Reconstructive options are presented as an algorithm based on the defect site (Figure-1). Conclusion: In this study we shared our experience with the readers regarding reconstruction of the nasal detects. We have formulated an algorithm for reconstruction of these defects that will simplify reconstruction in such cases.
Frequency of hyperthermia in acute ischemic stroke patients presenting to tertiary care hospital.
Authors: Farhan Zeb  , Imran Qadir  , Sheraz Zafar  , Sobia Ahmed Qureshi  , Asif Khan  , Saqib Parveiz
Published: July 2023

Objective: To determine frequency of hyperthermia in acute ischemic stroke patients. Study Design: Descriptive Cross-sectional study. Setting: Department of Medicine, M T I-H M C, Peshawar. Period: January, 2020 to Dec, 2020. Material & Methods: All patients admitted through emergency Deptt was included in the study keeping in view inclusion criteria. All patients' axillary temperatures were checked using a mercury thermometer at the time of admission and every six hours for three days. To determine whether hyperthermia met the practical meaning of the term, daily follow-up was conducted. All of the data was entered into a pre-designed proforma. Results: Mean age was recorded as 65.5+7.67 years and mean BMI was 26+1.65kg/m2. 107 (51.94%) patients were recorded as male patients, 99 (48.05%) patients were recorded female patients.32 (15.53%) patients were recorded with hyperthermia. Risk factors were traced in 91.26% had history of hypertension, 84.46% had diabetes mellitus and 78.15% had smoking history. P-value with advancing age (p=0.020) and severity of stroke (p=0.278). Conclusion: It has been concluded in our study that hyperthermia in ischemic stroke should be looked as it has significant impact on the outcome.
Clinical and demographic characteristics of guillain-barré syndrome (GBS) variants in a tertiary care hospital.
Authors: Mian Ayaz ul Haq  , Yusra Samin  , Talha Durrani  , Danish Nabi  , Muhammad Owais Khan  , Muhammad Adeel Khan
Published: July 2023

Objective: To evaluate clinical and demographic characteristics of guillian-barre syndrome. Material & Methods: Study Design: Descriptive, Cross-sectional study. Setting: Department of Neurology, Lady Reading Hospital, Peshawar. Period: December 2020 to March 2022. Results: The study identified 117 patients with GBS, and the mean age was 43.59 ± 17.39 years. There were 78 male (67%) and 39 female (33%) patients. The most common GBS subtype was AMAN (46.2%), followed by AMSAN (34.2%), AIDP (16.2%), and atypical (2.6%). The study found a significant difference in gender distribution between the two subtypes, with male patients being more likely to have axonal GBS. Regarding antecedent events, the study found that 61% of patients had a preceding illness, with gastrointestinal infection being the most common (50%). The clinical features of GBS varied by subtype, with patients with AMAN being more likely to have walking difficulty, symmetric ascending weakness, and numbness/tingling, while patients with AIDP were more likely to have a fever and respiratory distress. Conclusion: The study's findings are broadly consistent with previous research, highlighting the heterogeneity of GBS in terms of its presentation and antecedent events. However, other differentiating points that need to be taken into consideration have also been mentioned. Furthermore, work needs to be done to raise awareness among medical professionals in Nothern Pakistan regarding the salient features of the problem.
Re- appraisal of application of mesh in hernia surgery.
Authors: Abrar Hussain Zaidi  , Muhammad Taimur  , Shazia Naqvi  , Samiullah  , Shanza Faridi  , Sundas Ishtiaq
Published: July 2023

Objective: Evaluation of mesh associated complications and reviewing its selective application in hernia surgery. Design: Descriptive study. Setting: Department of Surgery, Fauji Foundation Hospital, Rawalpindi. Period: Jan 2019 – June 2022. Material & Methods: Patients having undergone hernia surgery in past with mesh repair at FFH or any other hospital that had developed complications and reported to surgical unit 1 FFH. Patients of hernia surgery without mesh repair were excluded. Results: A total of 50 cases were included in the study. Majority of patients were females 42(84%). Paraumbilical hernia 18(36%), Epigastric hernia 13(26%), Incisional hernia 12(24%) and Inguinal hernia 7(14%) cases were included in study. Chronic discharging sinus 16(32%), Recurrent acute local sepsis 12(24%), Large painful seroma 5(10%), Recurrent hernia 13(26%), Acute fulminant sepsis after primary surgery 2(4%) and intestinal obstruction 2(4%) were the mesh associated complications present in patients. Majority of the patient required hospitalization and delayed removal of mesh [43 cases] (86%]. Early removal of mesh was required in 2(4%) cases. The residual defect after the removal of mesh was managed by Component separation and slide method: Early in 2(4%) cases and delayed in 17(34%), double breasting of facial sheath 10(20%), double breasting of external oblique with exteriorization of cord 6(12%) cases. Wound toilet and symptomatic treatment without removal of mesh was advised in 3(6%) cases. Emergency laparotomy and gut anastomosis was performed in 2(4%) cases. Conclusion: Indiscriminate use of mesh needs to be checked, as a significant number of patients develop mesh related complications.
Evaluation of management of Cesarean Scar Pregnancy (CSP).
Authors: Nadia Sharif  , Uzma Manzoor  , Saadia Bano  , Awais Shuja  , Tasneem Azhar  , Maria Ishfaq
Published: July 2023

Objective: To evaluate our experience in treatment of Caesarean Scar Pregnancy (CSP). Study Design: Cross Sectional Descriptive study. Setting: Department of Gynecology and Obstetrics, Independent Medical College Faisalabad. Period: Jan 2016 to Jan 2021. Material & Methods: The data for this study retrospectively obtained from outpatient department, emergency ward and labor ward registers. Data was analyzed by simple descriptive statics. Diagnosis of CSP was made by using transvaginal ultrasound and color flow Doppler ultrasound. Treatment offered was either medical management as systemic methotrexate or surgical as D&C or laparotomy. The aim was to do conservative treatment for fertility sparing. Patient age, gestational age at time of presentation, number of previous Cesarean Section and success of overall management strategy was analyzed. Results: In this study we had 12 patients diagnosed to have CSP with at least one scar on uterus of previous caesarean section. The mean age of patients was 32.5± 2 years and the gestational age range was from 5 weeks and 3 days to 10 weeks and 1 day. The diagnosis was done by using transvaginal ultrasound and color flow Doppler ultrasound. Which showed high velocity and low impedance flow in sub trophoblastic area. Out of 12 patient’s 58.33 percent were treated with systemic methotrexate and had successful outcome. These were followed by B-hCG levels till non pregnant serum level of B-hCG of <5.1IU was achieved. 16.66 percent patients underwent D&C, but due to hemorrhage they were treated with laparotomy as supplementary procedure. 41.55 percent Patients were treated by laparotomy as their primary management with aim of fertility sparing surgery. The laparotomy was found to be successful treatment in all the patients who underwent surgical management as their primary treatment. Conclusion: Prompt diagnosis has pivotal role in reducing morbidity and mortality associated with CSP. Medical management is found to be successful at early gestational age. Fertility sparing surgery is better option as gestation advances more than 8 weeks to avoid undesirable outcome like hemorrhage and hysterectomy.
THE WOMEN'S PHILANTHOPIC MOVEMENT DURING THE COVID-19 PENDEMIC
Authors: Napsiah
Published: July 2023

The purpose of this study is to prove that stereotypes about women are gentle and protective, and irrational because they are only suitable in the domestic sector and are not worthy of being driving actors in the field of philanthropy. However, these stereotypes do not always have a negative impact, but under certain conditions they actually raise concern for vulnerable groups in the era covid-19 pandemic. This can be proven in the women's movement, the community of Kartini UIN SUKA, a community engaged in education and the Fetus and womb community which is engaged in mental health by direct interviews and using content analysis on the Fetus and Womb community Instragram which is strengthened, supported by observations and data from journals and websites. This study concludes that, during the Covid-19 pandemic, with limited space and movement due to the WFH policy, women formed a community engaged in philanthropy as a form of concern for others affected by Covid-19. Providing assistance to students in the form of groceries and educating women on mental health through virtual space is a movement that is urgently needed during the Covid-19 pandemic. This movement is not only beneficial to recipients but is also able to provide a stimulus to other groups to be motivated to foster a diverse attitude towards others even in limited circumstances. The act of driving philanthropy as well as being an actor of change is a way to break through patriarchal culture.
Socioeconomic Factor, Disaster Literacy and Disaster Awarness in Lampung Province
Authors: Simon Sumanjoyo Hutagalung  , Himawan Indrajat
Published: July 2023

Abstract. Natural disasters result in casualties owing to the community's lack of preparedness, this lack is a result of the education and catastrophe awareness condition among community groups. This paper describe the following questions: 1) How do socioeconomic factors affect disaster awareness? 2) Does a person's socioeconomic status effect their requirements and preferences for disaster information search? This study seeks to analyze a research issue utilizing case studies from two local administrations in the province of Lampung: South Lampung and Bandar Lampung. This research's is based on a comparative case study, an approach to community-based research that fits perfectly. Two-month survey (May-July 2022) will be undertaken to assess the level of disaster awareness in the community and to determine how and where individuals with varied socioeconomic levels get disaster-related information. The conclusion of this study is the importance for decision-makers to understand the background cultural context and disaster experience.
Stakeholder Collaboration in the Development of Essential Ecosystem Area
Authors: M. Husni Tamrin  , Lunariana Lubis
Published: July 2023

Abstract. This study aims to analyze the process of collaborative governance in the development of the Ujungpangkah Mangrove (MUP) Essential Ecosystem Area (KEE) in Gresik Regency, East Java which has been established by the Governor of East Java in 2020. Collaboration between government and non-government is seen from the aspect of their respective roles each stakeholder, common understanding and goals, clarity of roles and responsibilities of each party, commitment of stakeholders in carrying out roles and responsibilities, reciprocal relationships and dependencies as well as potential conflicts and efforts made to resolve these conflicts for the sustainability of KEE-MUP as an ecotourism destination. This research uses a qualitative method with a case study approach. The results show that the dynamics of collaborative governance are not good, this can be seen from the unclear understanding and common goals among stakeholders. The collaboration scheme carried out by the government to build trust and commitment in the development of KEE must be carried out so that the roles of each stakeholder are clearly known. With these facts, common perceptions between stakeholders are needed as well as arrangements for rights and obligations in effective management, each stakeholder must bear the costs of managing KEE which is his responsibility, and is entitled to benefit from managing KEE through activities that are legally justified. As well as a partnership mechanism between stakeholders in the management of KEE, the mechanism for sharing costs and benefits must be regulated in a transparent, fair and fulfilling the principle of equality.
The Economy of Oil palm smallholders in Post-Conflict Aceh
Authors: Akmal M , Rahman Boby , Zulhilmi Zulhilmi , Irfan Irfan , Muzaffarsyah Teuku
Published: July 2023

Abstract. This article aims to describe the economy of oil palm smallholders in post-conflict Aceh. The data for this study were gathered through observation, interviews, and a review of the relevant literature. This study found that oil palm plantations were one of the industries that helped the people of North Aceh get back on their feet economically after the conflict. The peaceful conditions in post-conflict Aceh propelled the former GAM combatants to plunge into the oil palm plantation sector because the potential for land was quite wide. The success of the oil palm plantation activities by former GAM combatants encouraged the community to participate in planting oil palm so that the area of oil palm plantations continued to increase in North Aceh, and then the community's economy also increased. These conditions strengthened peace because GAM combatants successfully switched from conflict-related activities to economic ones.
The Quality of Information System Applications and Service Quality Increases Customer Satisfaction
Authors: Napitupulu Ilham Hidayah
Published: July 2023

Abstract. This paper examines the quality of service and the quality of online motorcycle taxi system applications that can affect consumer satisfaction during the Covid-19 pandemic. This research is the development of the TAM concept that provides hope, and can help to predict user attitudes and acceptance of information system technology. The user's perception of the application system depends on the quality of the information system available, where the quality measures of the online application system are Reliability, Flexibility, Security, Easy to use, Privacy, Accessibility. This research is a survey research using a questionnaire as a source of processed data. Determination of the research sample using justment sampling. Questionnaires were distributed to respondents using the online motorcycle taxi application, in this case GOJEK, as many as 340 respondents. Research data were analyzed using multiple linear regression with SPSS tools. The results of the study explain that only flexibility has no effect on customer satisfaction, while service quality, Reliability, Security, Easy to use, Privacy, Accessibility have an effect on customer satisfaction. Using the TAM concept, online motorcycle taxi providers can retain old customers and find new customers by conducting surveys at certain periods of online motorcycle taxi users' consumers.
Communication of Traditional Elites’ Power Relations and Language Power Over Mute Groups
Authors: Manafe Yermia Djefri , Hadi Ido Prijana , Jama Karolus Budiman
Published: July 2023

Research on the communication of traditional elite power relations and language power over silent groups in the deliberative culture of "Lonto Leok" of the Manggarai ethnic group aims to explore the culture of lonto leok and to find out the power relations of traditional elites with the community (silent groups). To achieve this goal, the researchers used a qualitative approach in order to get a variety of problems related to the object and subject of research. This research found that the lonto leok culture is a form of deliberation in the context of the Manggarai indigenous community, where the traditional elite has a very strong role in the social interaction of the Manggarai community. The position of the traditional elite and the power of language in lonto leok culture implicitly silence the lower layers of non-elite society, clearly illustrated in the patrilineal-genealogical structure of the local elite and the ritual language where all lonto leok participants are directed to always be one heart and soul and avoid differences of opinion. Language is not only a tool of communication, but also a tool of power that is not only for understanding, but because language is related to certain shared ideologies and values, it must be believed, fulfilled, obeyed, respected and recognized.
Meias Elásticas Compressivas na Prevenção da Síndrome Pós-trombótica: Assim Tão Evidente?
Authors: Flora Andreia , Silva Ana Celeste , Madeira Ana Rodrigues , Tainha Sara
Published: July 2023

A síndrome pós-trombótica (SPT) é uma complicação tardia da trombose venosa profunda (TVP) que surge em 20%- 50% dos doentes. A sua sintomatologia é causa de grande morbilidade e compromete a qualidade de vida dos doen- tes. Assim, a prevenção da SPT após um episódio de TVP é fundamental. Várias guidelines têm recomendado o uso de meias elásticas compressivas diariamente como forma de prevenção da SPT. Contudo, o ensaio SOX veio alterar este paradigma ao concluir que não existiu benefício no uso de meias compressivas. Desde então, vários estudos têm sido feitos nesta área, uma vez que o seu uso apresenta também algumas desvantagens como o preço e o desconforto. O objetivo desta revisão consiste em determinar a eficácia da utilização de meias elásticas compressivas na prevenção da SPT. Dos 16 artigos obtidos a partir das diferentes bases de dados, 8 foram incluídos na revisão narrativa. Fo- ram também incluídas guidelines internacionais sobre este tema, nomeadamente as European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis. Vários estudos apontam para a não redução da incidência de SPT com a utilização de terapêutica compressiva, enquanto outros continuam a sugerir benefícios com o seu uso. Os estudos analisados apresentam evidência muito contraditória, sendo controver- sa a recomendação do uso de meias compressivas na profilaxia do SPT. Uma limitação da presente revisão deve-se à heterogeneidade dos estudos. Assim, são necessários estudos de melhor qualidade, com amostras populacionais maiores e metodologias mais homogéneas, para que se possa concluir de forma inequívoca se existe ou não benefício na utilização das meias compressivas.
Público, Universal e Tendencialmente Gratuito: Uma Reflexão sobre o Sistema Nacional de Saúde
Authors: Campelo Daniela
Published: July 2023

O Serviço Nacional de Saúde assenta sobre três pilares essenciais que permitem que toda a população tenha acesso à saúde. Contudo, nos últimos anos temos vindo a assistir à sua constante reformulação e degradação, não só do sistema como também dos seus profissionais. Estamos hoje mais ocupados a encontrar respostas rápidas para problemas colossais, que se evidenciam a cada novo desafio, do que a proteger a saúde dos utentes e dos profissionais. Além da parca gestão dos cuidados de saúde no geral, estamos a assistir a um implodir dos serviços de urgência que entregam a primeira resposta a muitos utentes. Estamos ainda a perpetuar um clima de catástrofe na formação dos médicos internos que atravessam estes serviços durante a sua formação. São recebidos como mão-de-obra extra, que suporta parte destes serviços, desacompanhados, sem experiência em serviço de urgência e sem qualquer tutoria.Este artigo de perspetiva salienta esta vivência na primeira pessoa e alerta para a forma como temos vindo a permitir que se pratique a medicina no serviço público, que compromete a saúde dos seus utentes, bem como dos seus profissionais.
COBc1-A NEW BABY CORN COMPOSITE FOR TAMIL NADU
Authors:   Centre for Plant Breeding and Genectics,Tamil Nadu Agrl,University Coimbatore 641003, G NALLATHAMBI , N JAYARAMAN ,   Centre for Plant Breeding and Genectics,Tamil Nadu Agrl,University Coimbatore 641003, M RANGASAMY ,   Centre for Plant Breeding and Genectics,Tamil Nadu Agrl,University Coimbatore 641003
Published: July 2023

BC 2, is a baby corn composite suitable for irrigated and rainfed situations. Each plant can yield 2 to 3 cobs and the tender cobs can be harvested between 50 and 65 days after sowing before fertilization. It has an yield potential of 8316 kg baby corn and 32.2 tonnes of green fodder per hectare. It is moderately resistant to sorghum downy mildew diseases and tolerant to major pest of maize. It possess high starch (7.1 per cent) and delightful sweet flavour (total sugars 1.3 per cent) than the local baby corn. It serve as a valuable nutritious energy source with the attractive standard size cob (9 to 10 cm) suited for export market and released as CoBc 1 (1988).
A GESTÃO DEMOCRÁTICA ESCOLAR E O DESAFIO DA APRENDIZAGEM DURANTE O ENSINO NÃO PRESENCIAL: pesquisa documental sobre a experiência do Centro Educa Mais Júlio de Mesquita Filho.
Authors: AMARAL MARIA ANTONIA OLIVEIRA
Published: July 2023

Este artigo tem como objetivo entender os desafios enfrentados pela Gestão Escolar
para promoção da Gestão democrática em meio ao cenário do acometimento da
COVID-19. A metodologia empregada é pautada em pesquisa bibliográfica e
descritiva de abordagem qualitativa. Trata-se ainda, de uma pesquisa de campo,
cujo levantamento de dados ocorreu na escola pública Centro Educa Mais Júlio de
Mesquita Filho durante os meses de março de 2020 a junho de 2021 para que possa
ser observado os princípios práticos dos desafios dessa nova realidade sócio
educacional. A pesquisa tornou possível a verificação da articulação entre escola,
professores, estudantes e família; evidencias da sistematização da rotina
pedagógica como estratégia para garantir a aprendizagem do estudante durante o
ensino não presencial. Concluiu-se, que os principais desafios observados no campo
estudado referem-se ao acesso e utilização dos recursos utilitários como
equipamentos e acesso a serviços de internet, apesar das ações da escola em
promover o diálogo com os pais e alunos no intuito de proporcionar melhorias
dessas demandas, haja vista que tal condição expõe de maneira evidente as
múltiplas realidades às quais a escola trata.
Palavras-chave: Gestão Democrática. Gestão Escolar. Aprendizagem. Aprendizagem.
Does Knowledge Sharing and Technopreneurship Affect Entrepreneurial Outcomes in Developing Economies? Using The SME and ANOVA Approaches
Authors: Halim Md. Abdul , Jahan Mst. Ismot , Mahmud Tazin , Chowdhury Md. Golam Mustafa , Basak Pulakesh , Robel K. H.
Published: July 2023

This study on technopreneurship aims to reconfigure entrepreneurial outcomes, but how knowledge sharing moderates the interaction is an academic and practical concern. This study focuses on how knowledge sharing and technopreneurship affect the entrepreneurial outcome in Bangladeshi small and medium enterprises (SMEs). This research has established the following aims to establish a meaningful association between technopreneurship, knowledge sharing, and the outcomes of entrepreneurial endeavours. In pursuit of knowledge, data were collected through primary sources after establishing the questionnaire's validity and reliability. Findings revealed that technopreneurship and knowledge sharing individually affected entrepreneurial outcomes. However, knowledge sharing could not significantly moderate the interaction between technopreneurship and entrepreneurial outcomes. Hence, the recommendation was anchored on improving knowledge sharing, technopreneurship, and managerial dexterity of owners and managers.
THE GROWTH AND SURVIVAL RATE OF CATFISH (Clarias gariepinus) REARED INTENSIVELY USE BIO-FLOC TECHNOLOGY
Authors: Suwarsito Suwarsito
Published: July 2023

The study purposed to investigate the growth and survival rate of catfish (Clarias gariepinus) reared intensively use bio-floc technology. The research used an experimental method, consists of two treatments. Treatment A was catfish reared uses Noni fruit (Morinda citrifolia) fermentation on culture media every seven days with a dose of 10 ml/liter. The treatment also uses papaya leaves as additional feed. Treatment B was catfish reared apply bio-floc technology use probiotics. Probiotic consists of Lactobacillus spp. and Thiobacillus spp. The addition of 5 grams of Lactobacillus spp. and 500 ml molasses in rearing media were carried out every seven days. The feed used in the experiment was fermented by Thiobacillus spp. and molasses at a dose of 150 ml/kg of feed. Two plastic tanks with a volume of 5000 L were used in the experiments. Amount 3000 catfish with the average initial body weight of 6 grams reared in each plastic tank. Catfish were fed twice daily with a feeding rate of 7%. Feed nutrition content was protein minimum 28%, fat maximum 4%, and fiber maximum 5%. Catfish were reared for 64 days. The research data consist of fish growth, feed conversion ratio, and survival rate of fish. Data were analyzed quantitatively descriptively. The results showed that survival rate of catfish in treatment B higher than treatment A, but growth of catfish in treatment B lower than treatment A. Feed conversion ratio in treatment A lower than treatment B. The specific growth rate, feed conversion ratio, and survival rate of catfish in treatment A were 5.19%, 69.83%, and 0.78, respectively. At the same time, the specific growth rate, feed conversion ratio, and survival rate of catfish in treatment B were 3.89%, 90.80%, and 0.95, respectively. The results were indicated that bio-floc technology could improve the survival rate of catfish but no increased growth of catfish.
Kinerja Petani Swadaya Kelapa Sawit Di Kecamatan Pangkalan Kerinci, Kabupaten Pelalawan, Riau
Authors: Nurjanah Danik , Ambarsari Arum , Anwar Muhammad Fathul
Published: July 2023

Kinerja petani swadaya kelapa sawit di Desa Makmur. Petani melakukan usaha tani telah berlangsung lama, namun tingkat keberhasilan masih kecil. Beberapa faktor yang mempengaruhi kinerja yaitu, kualitas, kuantitas, dan efektivitas. Tujuan penelitian ini yaitu untuk mengetahui bagaimana kinerja petani swadaya kelapa sawit untuk meningkatkan produksinya dan apa kendala yang dialami dalam pelaksanaan usaha tani kelapa sawit swadaya. Pengambilan sampel dilakukan dengan snowball sampling. Metode penelitian ini menggunakan metode analisis deskriptif. Hasil penelitian ini yaitu secara kualitas, petani belum menerapkan prinsip-prinsip praktik budidaya yang baik. Petani dalam melakukan budidaya kelapa sawit masih sebatas otodidak atau belajar dengan petani swadaya satu dengan yang lainnya. Secara kuantitas petani swadaya belum mencapai kinerja yang baik, produksi per bulan sebesar 1.290 kg/Ha, produksi tersebut masih dibawah standar produksi. Secara efektivitas, pendapatan petani swadaya kelapa sawit yang mencapai Rp. 21.337.223/ha/tahun masih dibawah Upah Minimum Kabupaten/Kota (UMK) Kabupaten Pelalawan yaitu Rp.3.002.383/bulan. Kendala yang dihadapi oleh petani swadaya kelapa sawit di Desa Makmur yaitu masalah kualitas bibit dan varietas yang tidak teridentifikasi. Sehingga sangat mempengaruhi hasil produksi kelapa sawit.
ANALISIS SIFAT FISIKOKIMIA DAN SENSORI FRUIT LEATHER NANAS DENGAN PENAMBAHAN PEGAGAN (Centella asiatica L. Urban)
Authors: Triastuti Desy
Published: July 2023

Fruit leather is a processed food product in the form of thin sheets made from fruit and through a drying process. Pineapple is a tropical fruit that is popular among the public, but it is perishable. In this study, gotu kola (Centella asiatica) and pectin were added to increase the nutritional content and health benefits of fruit leather. The purpose of the study was to determine the effect of the addition of gotu kola and pectin on the physicochemical and sensory properties of pineapple fruit leather and to find out the best concentration of gotu kola and pectin addition in making pineapple fruit leather based on these physicochemical and sensory properties. The study used a Complete Randomized Design (CRD) with factor the addition of gotu kola concentrations and factor the addition of pectin. Observations were made on physicochemical properties including thickness, water content, Aw, pH, vitamin C, and color, as well as sensory properties, towards the color, taste, aroma, and texture of fruit leather. The data from the study were analyzed statistically with ANOVA and DMRT at a significance level of 5%. The results showed that the addition of gotu kola and pectin and the interaction of the two did not affect the water content, Aw, vitamin C, and the degree of redness (a), but the addition of gotu kola affected the pH value, brightness (L), yellowish degree (b), and sensory value of pineapple fruit leather. The best treatment was C1P1 with a water content of 20.31%, an Aw value of 0.56, a pH value of 4.21, a vitamin C content of 23.65 mg / 100 g, a brightness (L) of 50.63, a degree of redness (a) of 4.66, a degree of yellowness (b), and sensory favored by the panelists.
Phenotype Characteristics of Kampung Chicken in Dullah Selatan District Tual Regency
Authors: Jaimiri Abdul M. , Papilaya Bercomien J. , Rajab Rajab
Published: July 2023

Qualitative and quantitative traits are used to identify chicken lines, and in breeding qualitative and quantitative traits can be used to produce superior breeds of chickens. In this study, the authors aimed to determine the phenotype (qualitative and quantitative characteristics) of chickens in Dullah Selatan, Tual City. The results of this study found that the qualitative characteristics of native chickens were feather color: white (8 males (11.59%) and 5 females (6.76%), black (0 males (0.00%) and 29 females ( 39.19%), liars (6 males (8.70%) and 8 females (10.81%), Columbia (50 males (72.46%) and 24 females (32.43%), and striated (5 males (7.25%) and 8 females (10.81%); comb form: single (41 males (59.42%) and 42 females (56.76%) and pea (male) 28 individuals (40.58%) and 32 females (43.24%); and shank color: Black/gray (8 males (11.59%) and 37 females (50.00%) and yellow/white (61 males (88.41%) and 37 females (50.00%) While quantitative characteristics were found on average body weight: Males 1338.07 g and females 964.87 g Chest circumference: Males 27 .01 cm and female 24.55 cm; Upper thigh length: Male 9.44 cm and female 8.03; Lower thigh length: male 13.15 cm and female 11.6; Shank length male 10.28 cm and female 8.08 cm.
SEME (SOCIAL AND ECOLOGYCAL MARKET ECONOMY) TERHADAP KEBERLANJUTAN SUMBERDAYA PERIKANAN DAN KESEJAHTERAAN NELAYAN
Authors: Kaya Ivonne Raystika Gretha , Sajriawati Sajriawati
Published: July 2023

Fisheries resources are very vulnerable. Integrated management is needed between regions, sectors and stakeholders to sustain fisheries resources. Good management will provide the maximum benefits of the environment, economy and society. "Social and Ecological Market Economy" (SEME) is based on determining a triangle strategic, is the combination of capital, labor and environmental sustainability. This concept is needed as a benchmark in maintaining a balance between resource sustainability, fishermen as beneficiaries and the economic side to ensure the sustainability of fishermen's lives and prevent poverty. Some of the instruments that can be implemented based on the SEME concept are: 1) Supporting laws and regulations, 2) Improving the local market economy, 3) Creating a network of cooperation, and 4) Forming fishing activities and businesses based on environmental sustainability.
PENDAPATAN USAHA PERIKANAN BAGAN APUNG DI NEGERI TULEHU KABUPATEN MALUKU TENGAH
Authors: Wally Sakina , Bawole Dionisius , Apituley Yolanda Marla Tania Nangkah
Published: July 2023

Fishing using a floating lift net contributes a positive impact on the fishermen of Tulehu village, but problems faced by fishermen in fishing often affect their income. This study aims to analyze the income of the floating lift net business in Tulehu village. The results showed that the number of fishing activities for floating lift net during the non-fishing season were 55 trips and during the fishing season 138 trips. Fixed costs incurred during the non-fishing season was Rp32,971,175 and in the fishing season was Rp13,294,150, while variable costs during the non-fishing season was Rp19,361,175 and during the fishing season was Rp25,042,200. Based on the costs incurred, the floating lift net business earns an average profit of Rp59,045,620 during the non-fishing season and Rp247,597,600 during the fishing season. Research should be continued with an analysis of the financial feasibility of the business, so it can be seen whether the business is feasible or not.
HARDINESS DAN DUKUNGAN SOSIAL DENGAN ADAPTABILITAS KARIER PADA MAHASISWA FAKULTAS PSIKOLOGI
Authors: Yolanda  , Wiwik Sulistiani  , Dewi Mahastuti
Published: July 2023

The research aims to determine the existence of: (1). The relationship between career hardiness and career adaptability; (2). The relationship between social support and career adaptability; (3). The relationship between hardiness and social support with career adaptability in Psychology Faculty students, Hang Tuah University, Surabaya. The research uses a quantitative approach to survey research methods. The number of subjects is 194 students. The sampling technique in this study used quota sampling. Data analysis used product moment and multiple correlation. The career adaptability scale consists of 24 items (α=0.914). Hardiness scale consists of 18 items (α=0.831). The social support scale consists of 12 items (α=0.956). The major hypothesis obtained F value sig. Change of 0.003 < 0.05. The close relationship between hardiness and social support with career adaptability is 6%. These results indicate that the hypothesis is accepted, meaning that there is a positive relationship between hardiness and social support with career adaptability for students of the Psychology Faculty, Hang Tuah University, Surabaya. From these results, there are several implications including being able to contribute to development institutions related to career adaptability and can be a useful reference for the development of student knowledge.
Waste Management Strategy Based On Community Empowerment Through Waste Bank In Bandarraya Village
Authors: Darmayanti Lita , Dharma Yasmin Nabila , Lestari Nadia Yulia , Sitio Edward , Aulia Regina Deva , Ridwansyah M.
Published: July 2023

Sampah merupakan salah satu permasalahan lingkungan hidup yang saat ini belum dapat teratasi dengan baik. Terbatasnya Tempat Pembuangan Sampah (TPA) di Kota Pekanbaru khususnya di Kelurahan Bandarraya, menjadikan permasalahan sampah ini semakin kompleks. Bank sampah menjadi salah satu pilihan dalam strategi pengelolaan sampah. Bank sampah merupakan salah satu program yang dapat mengubah cara pandang masyarakat terhadap pengelolaan sampah. Program pengabdian kepada masyarakat ini bermitra dengan DLHK Kota Pekanbaru. Beberapa permasalahan yang ada pada masyarakat, antara lain: masyarakat kurang memiliki pengetahuan tentang bahayanya sampah, kurangnya pemilahan sampah, kurangnya pengetahuan tentang bank sampah, cara kerja, serta tambahan pendapatan dengan menyetorkannya ke bank sampah. Tujuan dari kegiatan pengabdian kepada masyarakat ini ialah memberikan pengetahuan cara meminimalisir permasalahan sampah sekaligus memberi penghasilan tambahan bagi masyarakat lewat bank sampah di kelurahan Bandarraya. Metode pendekatan yang akan dilakukan berdasarkan kesepakatan dengan mitra adalah dengan sosialisasi tentang sampah dan pengelolaannya. Target luaran yang diharapkan adalah masyarakat teredukasi untuk melakukan pemilahan sampah dan menyetor ke Bank Sampah, sehingga terciptanya lingkungan yang bersih dan sehat, serta menambah pendapatan masyarakat dari pengelolaan sampah yang ada. Dukungan dari pemerintah juga sangat diperlukan untuk keberlangsungan bank sampah ini.
The Effect of Workload and Commitment on Online Motorcycle Taxi Drivers’ Performance
Authors: Hartono Hartono
Published: July 2023

The community daily life is inseparable from the need of transportation facility. The need of transportation seems to be a certain business opportunity for some people. Lumajang Go is a technology company established in Lumajang regency that provides public transportation service application include 2-wheeled and 4-wheeled motorized vehicles. The objective of this research is to determine the effect of workload and commitment on the online motorcycle taxi drivers’ performance of Lumajang Go in Lumajang with a sample of 30. The method of this study is using multiple regression analysis technique. The result of this study shows that workload has no significant effect on drivers’ performance, commitment has significant effect on drivers’ performance while workload and commitment have significant effect on drivers’ performance simultaneously.
Evaluation of the Adsorbent Potential of Biochar obtained by Pyrolysis to Remove Emerging Contaminants
Authors: Amaral Maria Alice , Fusinato Mirian , da Cunha Michele , Coll Jean Paulo , Lacerda João Henrique , Sanches Filho Pedro José
Published: July 2023

Emerging contaminants (EC) can be harmful to human health and the environment, as many of these compounds are persistent, bioaccumulative, toxic and are not regulated. Drugs are part of this group, including hormones (estrone, β-estradiol) and sunscreens (oxybenzone and octocrylene) used in this study. The adsorption capacity of biochar generated from the pyrolysis of rice husks from the region of Pelotas-RS-Brazil was evaluated in this study. The objective was to characterize the biochar and evaluate its adsorbent potential in the removal of hormones and sunscreens. The characterization of biochar was carried out through surface area (BET), Zero charge point (ZPC), X-ray diffraction (XFR), fixed carbon, volatile, and ash. The effectiveness in removing ECs was evaluated by stirring rice husk pyrolysis biochar (RHPB) (0.2 g and 0.5 g) in synthetic aqueous solutions fortified with 10.0 µg L-1 of the analytes at 25 °C for 1 hour at 150 rpm. The RHPB was filtered off and the analytes were desorbed with acetone and dichloromethane (DCM) under ultrasound for 30 min. The extract was concentrated, derivatized by silylation, and analyzed by gas chromatography coupled to mass spectrometry (GC-MS). Biochar showed promising removal results, reaching values of 60.1% removal for β-estradiol, 59.4% for estrone, 44.6% for octocrylene and 37.4% for oxybenzone.
Planning of clinical trial programmes for medicines for the treatment of obesity
Authors: Proskurina I. A. , Gorskaya T. E. , Goryachev D. V.
Published: July 2023

Scientific relevance. Obesity is a significant public health problem. Currently, the Russian Federation and the other Member States of the Eurasian Economic Union (EAEU) do not have regulatory documents and recommendations for planning clinical trials (CTs) of new (original) medicines for the treatment of obesity.

Aim. The study aimed to provide recommendations on the basic principles of planning and conducting CTs of medicines for the treatment of obesity.

Discussion. The authors reviewed the requirements for conducting CTs of medicines for the treatment of obesity set forth by the European Medicines Agency (EMA) and the US Food and Drug Administration (FDA). In addition, the authors analysed approaches to CTs providing for a reliable evaluation of the efficacy and safety of medicines for the treatment of obesity. The primary endpoint of such CTs is a statistically significant loss of at least 5% of the baseline weight after 12 months of treatment. Secondary endpoints include assessments of abdominal obesity reduction, subcutaneous and visceral fat reduction, and the medicinal product’s effect on maintaining a reduced body weight.

Conclusions. In addition, CTs should investigate the effects of treatment on cardiovascular risk factors and cardiovascular morbidity/mortality. A CT protocol should define the intercurrent events that should be considered in the analysis of trial results. When investigating the safety of medicines for the treatment of obesity, studies should focus on neuropsychiatric safety, the potential for abuse/addiction and withdrawal reactions, and the development of valvulopathy and pulmonary hypertension. These recommendations may be of use to experts evaluating clinical development programmes or marketing authorisation submissions for medicines for the treatment of obesity.
Lecturas feministas de Julia Kristeva: sobre las formas de la lucha política y el problema que se niega a desaparecer
Authors: Lucaccini Mirna
Published: July 2023

En este artículo se recuperan las críticas que se le han hecho a Julia Kristeva desde ciertos feminismos, especialmente a partir del trabajo de Judith Butler y secundariamente de Nancy Fraser. Para esto, se reponen algunos conceptos claves del pensamiento de Kristeva, a la luz de una serie de discusiones al interior de la teoría feminista. En primer lugar, es posible ubicarlas en un contexto más general de reflexiones al interior del feminismo en la contienda entre el feminismo de la diferencia y el feminismo deconstructivista. Por otra parte, aunque vinculado a este primer punto, se inscribe en un debate más general de los feminismos con el psicoanálisis y de este último en su vínculo con cierto pensamiento postestructuralista. Nos interesa iluminar, a la luz de las críticas de Butler a esta, en qué términos, conceptos y discusiones del feminismo se inscribe este intercambio. Por último, el recorrido indicado permitirá distinguir qué formas adquiere la lucha política tanto en Julia Kristeva como Judith Butler.
Post-Pandemic Onset Public School Enrollment and Mobility: Evidence From Virginia
Authors: Schueler Beth E. , Miller Luke C.
Published: July 2023

Public school enrollment dramatically decreased during the pandemic, but the patterns of decline and student movement across schools are not yet well understood. Using statewide student-level data from Virginia, we find pre-K–12 enrollment dropped by 4% between fall 2019 and the first post-pandemic fall of 2020. The changes were the largest in pre-kindergarten and kindergarten and explained mostly by decreases in new enrollees, though exits also increased. K–12 enrollment declines were the largest among White and economically-advantaged students (but largest for Black and economically-disadvantaged pre-kindergartners). We also observe a decline in school transfers (both within and between districts), concentrated among Black and economically-disadvantaged students and students with disabilities. Findings have implications for equity, school funding, and student well-being.
Recurrent Gynecological Tumors in Previously Irradiated Patients. Does Re-Irradiation with Stereotactic Body Radiotherapy Have a Role? A Systematic Review
Authors: Pontoriero Antonio , Critelli Paola , Bosurgi Alberto , Carrubba Chiara , Spatola Corrado , Ferrantelli Giacomo , Chillari Federico , Zagardo Valentina , Brogna Anna , Ferini Gianluca , Parisi Silvana , Pergolizzi Stefano
Published: July 2023

Background: Re-irradiation of patients with previously irradiated gynecological tumors represents one of the hot topics of modern oncology. It is generally performed using Brachytherapy (alone or after external beam radiation therapy (EBRT) re-treatment) or Stereotactic Body Radiotherapy (SBRT). Literature provides few data concerning SBRT re-irradiation (re-RT). Here we provided a statistical and comparative analysis of the studies to make a general assessment of the efficacy and reliability of SBRT, considering the potential benefits achievable in terms of local control, overall survival and toxicity. Methods: A computerized literature search was performed in 3 electronic databases (MEDLINE, EMBASE, and Cochrane) from 1996 to 2020. Only studies analysing outcomes of re-irradiated (re-I) patients were taken into consideration. Quality assessment score and risk of bias were assessed for each article. Random-effects models were used due to great subjectivity given the lack of related control groups in the non-comparative studies and a tendency towards high heterogeneity (examined by the Cochran Q chi-square test and the I2 statistic). To determine the pooled 2-year Overall Survival (OS) and 2-year Local Control (LC) and ≥Grade 3 (G3) treatment-related toxicities, an established meta-analysis technique over single and multi-arm studies was performed. Results: Of 21 articles focusing on the role of SBRT in recurrent gynaecological cancers, were identified. Only 7 articles, published between 2009 and 2020, with outcomes limited to re-I patients and specific radiotherapy techniques were included. The selected studies counted a total of 196 patients, 157 of whom were previously irradiated. With a median follow up time of 14.5 months, using SBRT re-I technique, the pooled 2-year OS of 52.7% (95% confidence interval (CI): 0.372 to 0.651) and 2-year LC of 75.7% (95% CI: 0.614 to 0.852) were observed. SBRT re-irradiation technique does not affect toxicities with pooled ≥G3 late toxicities being 8.7% (95% CI: –0.0944 to 0.267). Conclusions: According to our review, SBRT re-irradiation technique seems to be feasible and safe, when brachytherapy re-RT technique is not available. Further studies are warranted to standardize the best radiation therapy in recurrent gynaecological cancer.
Comparison of Hysterectomy and Bilateral Adnexectomy Performed via Laparoscopy or vNOTES: A Retrospective Cohort Study of 390 Patients
Authors: Chen Li , Zhang Bingli , He Shan , Zhou Ping , Zhong Qijun , Hou Tao , He Wen
Published: July 2023

Background: This research aims to evaluate the clinical outcomes of vaginal natural orifice transluminal endoscopic surgery hysterectomy (vNOTESH) compared with conventional laparoscopic hysterectomy (cLH) on non-prolapsed uteri for presumed benign gynecologic disorders. Methods: We retrospectively analyzed the data of all patients receiving vNOTESH or cLH in Meizhou People’s Hospital, Meizhou, China from January 2018 and December 2020. Relevant patient characteristics and clinical outcomes data were collected after written informed consent. Results: There were no significant differences between cLH and vNOTESH groups regarding age, body mass index (BMI), number of pregnancy, history of abdominal operation, type of surgery, blood loss, changes in hemoglobin levels, postoperative fever, complications, 12th-hour, and 48th-hour Visual Analog Scale (VAS) scores. The vNOTESH group had significantly shorter operative time (67.37 ± 25.90 vs. 89.71 ± 36.43 min, p < 0.001) and postoperative hospitalization (5.25 ± 1.67 vs. 5.82 ± 2.88 d, p = 0.007) than the cLH group. Besides, the 24th-hour VAS scores were noticeably lower (1.50 ± 0.75 vs. 1.78 ± 0.77, p = 0.001) in the vNOTESH group. Furthermore, the subgroup analysis showed similar trend in operative time (83.56 ± 33.37 vs. 95.84 ± 33.83 min, p = 0.017) and 24th-hour VAS scores (1.38 ± 0.59 vs. 1.79 ± 0.75 min, p = 0.001) between the two enlarged uterine subgroups. Conclusions: The vNOTESH can offer a safe and effective alternative to laparoscopy for women with non-prolapsed benign uteri. Even in case with a large uterus, the vNOTESH can be a feasible treatment with promising short-term efficacy and safety as compared with cLH.