bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of vena cava inferior diameter with ultrasonography in patients undergoing spinal anesthesia and evaluation of postoperative hypotension
Authors: Ozdemir Ahmet , Yilmaz Sinan , Ogurlu Mustafa
Published: February 2025

Objective: Hypotension frequently occurs during spinal anesthesia and has serious complication that requires early and quick treatment. The goal of this study was to predict the state of fluids in the patient’s body through measurement via ultrasonography of the inferior vena cava diameter (IVCd) prior to administering the spinal anesthesia. This study also intended to investigate the presence or not of a relationship between the ultrasonography IVCd measurements before spinal anesthesia and hypotension.
Material and Methods: A prospective study was performed in which the patients (n:115) were grouped based on their ultrasonography IVC transverse diameter measurements: those with <1.5 cm diameters were categorized as Group 1 (n:22), those having 1.5-2 cm diameter in Group 2 (n:67) and those possessing >2 cm diameter in Group 3 (n:26). The hemodynamic parameters of all the patients were measured.
Results: Hypotension was observed in 23 (20%) patients, particularly in the 5th minute post administration of spinal anesthesia. Hypotension was especially high in Group 1 (52%) compared to Group 2 (34.8%) and Group 3 (13%) (p<0.001).
Conclusion: We concluded that IVCd measurement with ultrasonography is a significant indicator which helps to determine the volumetric status of the patient. However, considering the development of the complication of hypotension post SA, it is felt that the IVC diameter measurement by USG might not always be adequate by itself, and needs to be assessed together with the clinical parameters of old age and presence of chronic diseases.
Antibacterial Activity of Laurus nobilis: A review of literature
Authors: Sırıken Belgin , Yavuz Ceren , Güler Ayhan
Published: February 2025

The presence of phenolic compounds in spices and herbs, along with the essential oils, has been gaining attention due to their various functions like antioxidant capacity, antimicrobial properties, and flavoring properties. The Bay leaf belongs to Lauraceae family and is endemic in the Mediterranean region. Lauraceae, is an aromatic plant frequently used as a spice in Mediterranean cookery and as a traditional medicine for the treatment of several infectious disease. L. nobilis also belongs to Lauraceae.L. nobilis is aromatic tree, and is 2 m to 10 m high. L.nobilis contains about 1.3% essential oils and polar flavonoids mono, sesquiterpenes, alkoloids, glycosylated flavor-noids, megastigmane and phenolic components. It is known to have various pharmacological effects, including antimicrobial, cytotoxic and immune modulating. Its’ essential oil containg eucalyptol, α-terpinyl acetate, linalool, methyl eugenol, sabinene and carvacrol. The property of every essential oil varies according to the harvest country, altitude, period of sunshine, conditions of harvest. These essential oil contents of L. nobilis are strong antibacterial activity against Gram negative and Gram positive foodorne pathogens (Salmonella, Staphylococcus aureus, Esherichia coli, Listeria monocytogenes like that), spoilage bacteria (Pseudomonas aeroginosa) as well as antifungal effects. The synergy between terpenes (linalool), lactones, oxides (1,8 cineole) and monoterpenes (camphene, alpa-pinene) gives to the  essential oil of Laurel a good antibacterial activity. Its essential oils’ various or single chemical compositions at different concentrations have different inhibition mechanisms that can affect a variety of pathogens by changing membrane permeability, denaturing proteins and inhibiting enzymes. The oils are not affecting on existing beneficial intestinal bacteria.
Epidural blood patch for the treatment of post dural puncture headache in pregnant women
Authors: Binici Orhan , Kuyrukluyıldız Ufuk
Published: February 2025

Objective: Postdural puncture headache (PDPH) is still a considerable problem and it is one of the most common complications of neuro axial anesthesia. Efficiency of the blood patch performed for the patients who developed postdural headache following spinal and combined spinal-epidural anesthesia carried out in our hospital was retrospectively investigated.
Material and Methods: Postdural puncture headache (PDPH) is one of the complications commonly encountered after epidural anesthesia and analgesia with occurring of dural penetration. In this study, efficiency of the epidural blood patch (EBP) was discussed in the patients with postdural puncture headache who did not give response to medical therapy. A total of 55 patients who developed PDPH following caesarean section performed under spinal and combined spinal-epidural anesthesia between January 2009 and January 2014 in Erzincan State Hospital and Erzincan Mengücek Gazi Training and Research Hospital was included in the study.
Results: Among the 1,110 undergone spinal and 1,749 combined regional anesthesia patient, 55 patients have been developed PDHA and 34 patients who did not give response to medical therapy who applied epidural blood patch.
Conclusions: In the cases of PDPHs which don’t give response to medical therapy within 24 hours, EBP should be administered, considering not only the mothers, but also the infants.
Is tubal ligation effective on sexual dysfunction?
Authors: Kara Osman Fadil , Karli Pervin
Published: February 2025

Objective: Commonly used methods for preventing pregnancy in Turkey are withdrawal (30%), intrauterine device (27.2%), tube ligation (16.7%), condom (15.2), injection (8.9%), and combined oral contraceptive (1.9%). Protection from pregnancy is one of the most important factors affecting women's health. One of the preferred methods to protect against pregnancy is the 16.7% choice of tube ligation. Tube ligation is used as a contraceptive method but this method has some undesirable consequences. Our aim in this study is to investigate whether tubal ligation has effect on sexually dysfunctional and it is related to the process.
Material method: We included in our study 161 patients using tubal ligation and 77 non-prevention methods. We recorded the demographic characteristics of these patients. We applied the fsfi scale. This questionnaire is a scale of sexual function assessment consisting of 19 questions evaluating sexual functions.
Result: We did not find any difference in the total fsfi (female sexual function index) score between the patients who underwent tubal ligation and those who did not. However, we found a significant decrease in sexual desire and satisfaction in the tubal ligation group. In the subgroup analyzes of the fsfi score, results indicate that the correlation bonds with the subgroups of the tubal ligation group was deteriorated.
Conclusion: Tubal ligation is a preferred method for contraception target, and various studies related to the effects on health have been made. Also, this study determined that tubal ligation has no effect on total fsfi scores. However, subgroup work seemed to have an effect on demand and satisfaction. In addition all, the duration of tubal ligation didn’t have any effect on sexual function.
Cyberknife re-irradiation for recurrent glioblastoma multiforme
Authors: Yersal Ozlem
Published: February 2025

Objective:   Treatment of patients with recurrent glioblastoma multiforme (GBM) is challenging. Treatment alternatives include re-operation, chemotherapy and re-irridation. Stereotactic radiosurgery with cyberknife is a good therapeutic approach to deliver high-dose radiation to a definite target volume with minimizing re-irradiation to nearby healthy tissues. This study, evaluated the efficacy of cyberknife treatment in 24 patients with recurrent GBM.
Methods: Total 24 patients with recurrent GBM who received cyberknife treatment in any line of recurrence between the 2011, 2015 were included in this study. A median dose of 30 Gy was applied to each patient.
Results: Median survival was 10.3 months after cyberknife treatment and 23 months after diagnosis. Patients younger than 60 years (4.8 vs 14.2 month; p:0.05) and patients with primary total tumor excision (9.3 vs 4.9 month; p:0.05) had longer overall survival than other patients in univariate analysis but not in multivariate analysis. In this patient population, any other variables predicting longer overall survival could not be found. Treatment was well-tolerated and no severe toxicities observed.
Conclusion: Although limitations exist, our study demonstrates that SRS in terms of cyberknife for recurrent GBM is feasible and well tolerated by patients with low toxicity.
Comparison of serum glutathione peroxidase levels in healthy controls and patients with oral cavity malignancy
Authors: Belli Şeyda , Demir Halit , Kırankaya Ayşegül
Published: February 2025

Objective: In this study, we investigated the glutathione peroxidase enzyme activity changes in patients with oral cavity malignancies.
Material and Methods: Twenty-five patients with oral cavity malignancy and 24 healthy individuals were included in the study. There was no statistically significant difference between the groups in terms of age, gender and smoking-alcohol consumption habits.
Results: Glutathione peroxidase activity was found to be significantly lower in the blood of patients with oral cavity malignancies than the control group ( 2,238±0,039,  p: 0,0001).
Conclusion: The level of glutathione peroxidase in the blood can be used as an important biomarker for the prognosis and to guide to the treatment approaches for the patients with oral cavity malignancy.
In the evaluation of tracheobronchial lesions, MDCT virtual bronchoscopy with fiber optic bronchoscopy comparison
Authors: Unverdi Zeyni , Kervancioglu Resat , Unverdi Sena , Menzilcioglu Mehmet Sait
Published: February 2025

Objective: The aim of this study is compare multislice CT VB and FOB to assess tracheobronchial lesions with multislace CT VB.
Material and Methods: In the period between September 2012 and August 2013 found indications for bronchoscopy and the total of 44 patients underwent FOB and FOB MDCT-SB were included in the study to be evaluated. All patients underwent VB and/or FOB. In both methods, tracheobronchial tree were divided into 18 separate segments. FOB virtual bronchoscopic findings as the gold standard method to assess the results were considered. Accordingly, positive and negative predictive values of MDCT for VB, sensitivity, selectivity and specificity values were calculated.
Results: Patient ages 1 and 79 (mean: 53 ± 16) of the patients ranged from 7 (16%) female and 37 (84%) were men. In FOB 16 narrowing, 9 congestion, four external compression, 11 mucosal abnormalities were found and in the VB 12 narrowing, 16 obstruction, 8 external compression detected. None of the 11 mucosal findings in the FOB could not be determined in VB. Patients detect in FOB 25 cases were detected in VB; two patients with lesions on the FOB, although not detected in the VB (false negative). In 14 cases both FOB and endoluminal lesion was detected in the VB. FOB lesions not seen in the VB lesion in 5 cases (false positive). According to these values, sensitivity 92%, specificity 73%, positive predictive value (PPV) of 82%, negative predictive value (NPV) 87%, Accuracy: 84%, respectively. 
Conclusion: Both mucosal biopsies should not be made to give details because of disadvantages such as virtual bronchoscopy fob is not an alternative for the moment. However tracheobronchial tumor research, interventional bronchoscopic procedures and biopsy guidance, foreign body aspiration of the initial assessment, tracheal injury is evaluation and treatment planning, obstructive lesions of the distal show, stenosis evaluation of endobronchial abnormalities characterization and postoperative follow-up issues of virtual bronchoscopy, constantly evolving detector technology and software when placed through the right indications for routine use will take time, we believe that the rightful place.
Perbandingan aktivitas antidiabetes ekstrak air dan etanol Muntingia calabura L Folium terhadap mencit jantan
Authors: Pangondian Aswan , PS Nurunnisa , Husein Saddam , Umaya Chindy , Athaillah Athaillah , Chandra Putra
Published: February 2025

Muntingia calabura L merupakan tanaman herbal indonesia yang dikenal kersen memiliki aktivitas untuk menurunkan kadar gula darah, M. calabura Folium memiliki metabolit sekunder yaitu tanin, flavonoid, saponin, triterpenoid serta polifenol yang juga memiliki antioksidan tinggi. Tujuan penelitian untuk menentukan aktivitas antidiabetes dari dekok M.Calabura dan etanol dari M. Calabura Folium terhadap mencit yang diinduksi aloksan. Metode penelitian ini, daun kersen yang diekstraksi secara maserasi dengan etanol 70% dan dekoksi daun kersen (EDMC) dan pengukuran kadar glukosa darah dengan interval waktu menggunakan glucometer setelah diinduksi aloksan. Hewan percobaan dibagi menjadi 8 kelompok (kelompok positif, kelompok negatif serta kelompok EEMC (ekstrak etanol Mutingia calabura) dan kelompok EDMC (Ekstraksi Dekok Muntingia calabura) dengan dosis 125mg, 250mg dan 500mg/kg BB. Hasil pengujian menunjukkan adanya aktivitas dalam menurunkan kadar gula darah selama interval waktu yang ditentukan berbeda siginifikan dibandingkan dengan kelompok negatif sementar kontrol positif (glibenklamid) menunjukkan tidak berbeda signifikan dibandingkan dengan EEMC 250 mg/kg BB dan EDMC 500 mg/kg BB. Kesimpulan penelitian ini bahwa kelompok EEMC dan kelompok EDMC memiliki aktivitas antidiabetes. EEMC 250 mg/kg BB dan EDMC 500 mg/kg BB sebanding dengan glibenklamid kemampuannya menurunkan konsentrasi glukosa darah terhadap mencit jantan.
Exacerbação dos Sintomas do Transtorno de Déficit de Atenção e Hiperatividade Relacionada ao Uso Prolongado de Tecnologias Digitais
Authors: Leonardo Alexandre Brianezzi Afonso , Mayumi Omuro Cecília , Caprini Cremonini Mateus , Luana Fernandes Gonçalves  , Bombassaro Luísa , Araujo Alves Naiara , Maria Prates Oliveira Jordana , Geoffrey Machado de Rezende Gabryell , Carla Dantas Moura Ana
Published: February 2025

Este estudo investiga a relação entre o uso prolongado de tecnologias digitais e a exacerbação dos sintomas do Transtorno de Déficit de Atenção e Hiperatividade (TDAH). O objetivo é analisar como a exposição excessiva a dispositivos eletrônicos pode influenciar no agravamento dos sintomas de TDAH. Foi realizada uma revisão integrativa da literatura nas bases de dados Scientific Electronic Library Online (SciELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), utilizando os descritores: “TDAH”, “tempo de tela” e “tecnologias digitais”. Os resultados indicam que o uso excessivo de tecnologias digitais está associado ao aumento dos sintomas de desatenção, hiperatividade e impulsividade em indivíduos com TDAH. Conclui-se que é fundamental a implementação de estratégias de intervenção que visem ao controle do tempo de exposição a telas para mitigar os efeitos negativos nas pessoas com TDAH.
ENTREVISTA: REGINA CÉLIA GRANDO
Authors: Grando Regina Célia , Scheffer Nilce Fátima
Published: February 2025

Esta Entrevista foi realizada com a professora Dra. Regina Célia Grando por e-mail, na data de 11/12/2024.  Neste diálogo, ela faz um resgate de sua vida e atuação na Educação e Educação Matemática, desde quando ela ingressou na escola, até constituir-se professora, na Licenciatura em Matemática. Sua vida volta-se à Educação e Educação Matemática, dedicação à pesquisa, extensão e pós-graduação. Nesta entrevista, Regina apresenta um recorte da sua história e trajetória de vida desde a opção pela carreira do magistério para ser professora de Matemática, até a formação de professores de Matemática, caminho que vem seguindo, há muitos anos, pela Educação Matemática, ao lado de pesquisadores e professores, por atuar em cursos de Graduação, Pós-Graduação e na SBEM.
LANGUAGE DISORDERS AND THE INFLUENCE ON THE COMMUNICATION OF CHILDREN AGED 6-11 YEARS
Authors: Flora Lamçja  , Eliona Sula
Published: February 2025

Communication is a dynamic process, during which we exchange information, thoughts and feelings, verbally (with words) or non-verbally (without words). Children communicate with adults from the day they are born.This study was realized in children of the age group 6-11 years, where 100 children participated in the study. The children are part of the public schools in the city of Elbasan, Albania. For the measurements provided in the study, the instrument Rating scale, disorders of Speaking DSM-V was used. Inability to produce sounds, according to the measurements carried out, it turns out that 20% of the children do not have complete habits in communication, 20% of the children sometimes almost have complete habits, 30% are in the upper formation of the habits and 40% of the children constantly possess expressions during communication. 20% of children have difficulty in articulating diphthongs, 20% have difficulty in the articulation of consonants. 60% of children articulate well and consistently consonants, vowels and speak correctly, expressed Inability to articulate sentences. 20% of children do not construct simple sentences, vocabulary content, 10% of children do not use verbs correctly, name, date, address, do not tell events and emotions, 20% of children sometimes use verbs, name, date, address, do not tell events and emotions. Disturbances the conversation 10% of children do not realize the beginning of the conversation, eye contact, do not wait their turn to speak, do not fully use the language to communicate. Based on the above results, speech disorders are present in a considerable number of children.
KEY WORDS: Language Disorders, Children, Preschool, Communication, Influence
PERCEIVED PERCEPTIONS ON THE WELFARE SCHEMES OF MEMBERS OF HANDLOOM WEAVERS’ COOPERATIVE SOCIETIES IN MADURAI DISTRICT
Authors: Dr.K. Dhevan  , P.Thirupathi Ramar
Published: February 2025

Handloom Industry is an oldest Industry to provide employment opportunities for full time and part time in the Rural and Urban Areas. In Tamil Nadu, there are 70917 Males and 58124 Females are weaving as a Full time Weavers in Rural Areas. There are 29304 Males and 26356 Females are weaving as a Full time Weavers in Urban Areas. Sri Murugan Weaver’s Cooperative Industrial Society was selected purposively for the study. This paper focus on the performance of the MH.141 Sri Murugan weavers cooperative industrial society and perceived perceptions of members who got the benefits from this society for the various welfare schemes implemented by the Government of India and Government of Tamil Nadu. The Data has been collected from around 87 Respondents through interview schedule. The data has been analyzed through proper statistical techniques like Frequency, Percentage, Chi-square, Chi-square and Yates’ p-value. It is that the calculated chi-square value is more than the table value. So, the result is significant. Hence, the hypothesis “Availed welfare schemes of the beneficiaries and develop economical level from work, through their society are connected” carries effectively.
P.Gunavathi (Age 57) (Member No.129) said “Before a member of MH.141 Sri Murugan Industrial Handloom Weavers Society. I am doing weaving with a Master Weaver. I had no home and lived in a rented house to weave for the meager wages offered by the Master Weavers. However, I was not able to join the society member, because I Could not repay their advance amount. We have made some progress economically as the society paid the above amount and rescued us from the master weavers and made us with a house through the Group Housing Scheme.
KEY WORDS- Cooperatives, weaving, opinion, welfare schemes
HOTEL RESORT DENGAN PENEKANAN ECOWISATA DI PANTAI KLAYAR PACITAN
Authors: Arrosyid Harun , Rully Rully
Published: February 2025

Pacitan merupakan salah satu dari 38 kabupaten yang ada di Provinsi Jawa Timur yang terletak di bagian selat barat daya dengan luas wilayah 1.389,8716 km, luas tersebut sebagian besar berupa perbukitan dan jurang terjal selebihnya merupakan dataran rendah. Batas Kota Pacitan yaitu sebelah timur Kabupaten Trenggalek, sebelah selatan samudera Indonesia, sebelah barat Kabupaten Wonogiri (Jawa Jengah), sebelah utara Kabupaten Ponorogo (Jawa Timur) dan Kabupaten Wonogiri (Jawa Tengah).Kabupaten Pacitan memiliki, potensi yang cukup beragam mulai dari potensi wisata Pantai dan potensi pesisir. Beberapa destinasi salah satunya Pantai Klayar yang memiliki daya tarik dengan bentangan pasir putihnya, karang raksasa seperti sphinx di mesir, seruling samudra, air mancur alami, air terjun dan batu karang yang indah. di ambil dari badan pusat statistik di sekitar Pantai Klayar saat ini hanya tersedia penginapan dengan tipe homestay. Hal ini pula yang menyebabkan sebagian besar wisatwan asing di Pantai Klayar memilih untuk tidak tinggal pada saat kunjungannya, karena keterbatasan jumlah dan opsi penginapan yang tersedia. hotel resort dengan penekanan eco-wisata yag berpendekatan arsitektur tropis modern sangat di perlukan di Pantai Klayar, sebagai upaya mengatasi permasalahan keterbatasan jumlah penginapan dan meningkatkan sumber daya alam, lingkungan sekitar Pantai Klayar.
TRANSPORT HUB DENGAN FASILITAS GEDUNG PARKIR, SHELTER PUBLIC, DAN APARTEMEN YANG BERBASIS TRANSIT ORIENTED DEVELOPMENT DI KOTA SURAKARTA
Authors: Rosyidi Rizal Fajri , Krisnawati Eny
Published: February 2025

Kota Surakarta memiliki peran dan letak yang strategis, berada di pertemuan jalur Madiun-Semarang dan jalur lintas selatan jawa menjadikannya sebagai kota transit dan pusat pertumbuhan ekonomi di kawasan tersebut. Kondisi diatas menyebabkan beberapa dampak seperti keterbatasan lahan, kepadatan penduduk, peningkatan infrastruktur, polusi, kerusakan lingkungan dan sebagainya. Transport Hub sebagai kawasan mixed used yang terintegrasi dengan moda transportasi publik dapat menjadi solusi dalam pengembangan pembangunan kota berkelanjutan akibat dari dampak letak dan peran strategis Kota Surakarta. Mendukung hal tersebut, diperlukan fasilitas berupa Gedung Parkir, Shelter Publik, dan Apartemen untuk memaksimalkan fungsi kawasan. Penekanan Green Arsitektur pada bangunan mendukung konsep keberlanjutan pada pertumbuhan kota. Konsep Transit Oriented Development dijadikan sebagai solusi akibat dampak kepadatan pada kota. Permasalahan yang muncul bagaimana merencanakan dan merancang Transport Hub dengan Fasilitas Gedung Parkir, Shelter Public, dan Apartemen yang Berbasis Transit Oriented Development Di Kota Surakarta. Tujuan penelitian ini adalah mendapatkan konsep Transport Hub dengan Fasilitas Gedung Parkir, Shelter Public, dan Apartemen yang Berbasis Transit Oriented Development Di Kota Surakarta.
PUSAT REHABILITASI NARKOTIKA SEBAGAI SARANA HEALING ENVIRONMENT DI KARANGANYAR DENGAN PENDEKATAN BIOPHILIC
Authors: Murti Otniel Damar Krisna , Karsono Danarti
Published: February 2025

Penyalahgunaan narkotika setiap tahunnya terus meningkat di beberapa negara khususnya di Indonesia. Badan Narkotika Nasional (BNN) mengungkapkan bahwa persoalan penyalahgunaan narkoba di Indonesia masih perlu diperhatikan. Hal ini juga diperkuat dengan data kasus narkotika di Indonesia tinggi sebagaimana dicatat di Indonesia Drugs Report. Jawa tengah merupakan salah satu provinsi besar di Indonesia yang dimana Provinsi Jawa Tengah memiliki kasus penyalahgunaan narkotika yang cukup tinggi dan semakin meresahkan setiap tahunnya. Berdasarkan data Indonesia Drug Report 2023 terdapat 1.982 kasus. Dengan kasus penyalahgunaan narkotika yang meningkat setiap tahunnya, fasilitas rehabilitasi penyalahgunaan narkoba di Jawa Tengah yang kurang memadai. Fasilitas rehabilitasi narkoba yang ada di Jawa Tengah hanya didominasi untuk melayani penyembuhan racun dari dalam tubuh atau yang biasa disebut rehabilitasi medis. Rehabilitasi medis kurang mencukupi karena dibutuhkannya rehabilitasi sosial untuk pemantapan jiwa korban.Permasalahan yang muncul adalah Bagaimana konsep perencanaan Pusat Pusat Rehabilitasi Narkotika Sebagai Sarana Healing Environment di Karanganyar dengan pendekatan Biophilic. Tujuannya ialah mendapatkan konsep perencanaan dan perancangan Pusat Pusat Rehabilitasi Narkotika Sebagai Sarana Healing Environment di Karanganyar dengan pendekatan Biophilic. Metode yang digunakan adalah kualitatif. Hasil penelitian  adalah mendapatkan  suatu konsep perencanaan  dan  perancangan Pusat Rehabilitasi Narkotika Sebagai Sarana Healing Environment Di Karanganyar Dengan Pendekatan Biophilic.
The concepts of implementing mechanism of managing business processes in ensuring economic security of an enterprise
Authors:   Vinnitsa State Pedagogical University, Samborska Oksana
Published: February 2025

The importance of implementing a business process management mechanism in ensuring the economic security of an enterprise is demonstrated. The lack of existing practices regarding such implementation is highlighted. A “pyramid” of implementing the corresponding mechanism is proposed, with three interconnected levels identified within this pyramid — the implementation principles, tasks, and tools. Fundamental principles of implementing the business process management mechanism in ensuring economic security are proposed and described, including integration of the mechanism into the enterprise management system, interpretative declaration, use of change management tools, encapsulation of the mentioned mechanism, iterative and adaptive nature of implementation, necessity of organizational formalization and subjective determination within the mentioned mechanism, formation of feedback loop, anticipation and overcoming of resistance to change, encompassing both organizational and individual changes. The provisions of the interpretative declaration during the implementation of the business process management mechanism in ensuring the economic security of the enterprise are thoroughly examined, including the presence of organizational conflicts, deviations, and resistance to change, the necessity of adapting fundamental provisions to the conditions of specific enterprise’s activities, iterative nature of implementation, etc. It is shown that such phenomena during implementation are common and one of the variants of the norm; therefore, their occurrence is entirely expected, and enterprise management should be prepared for them.

Keywords: management mechanism, business processes, enterprise, economic security, implementation, implementation principles, interpretative declaration.
Analisis Perlindungan Hukum Bagi WNI yang Berwisata Religi ke Negara Israel
Authors: Gracianto Hubertus Divo , Fathinnuddin Muhammad
Published: February 2025

Penelitian ini berfokus pada perlindungan hukum bagi wisatawan Indonesia yang melakukan perjalanan religi ke Israel, sebuah negara yang tidak memiliki hubungan diplomatik dengan Indonesia. Pengalaman penulis dalam mengantar wisatawan ke Israel menimbulkan kekhawatiran tentang keamanan dan kepastian hukum yang mereka hadapi selama berada di sana. Penelitian ini menganalisis dua isu utama: (1) hubungan bilateral antara Indonesia dan Israel dalam konteks hukum internasional serta industri pariwisata, dan (2) tanggung jawab serta perlindungan hukum yang diberikan oleh pemerintah Indonesia terhadap warga negara Indonesia (WNI) yang menjadi wisatawan di negara tanpa hubungan diplomatik resmi. Metode penelitian yang digunakan adalah penelitian hukum normatif, dengan pendekatan terhadap regulasi, konsep, dan kasus hukum yang relevan. Penelitian ini bertujuan untuk menghasilkan kesimpulan mengenai: (1) pengaturan tanggung jawab negara dalam konteks bilateral dan perlindungan terhadap WNI oleh Kementerian Pariwisata melalui agen perjalanan dan penyedia jasa lokal, serta (2) rekomendasi formulasi produk hukum yang dapat menjamin perlindungan bagi WNI sebagai wisatawan asing di negara tersebut. Meskipun beberapa instrumen hukum telah tertuang dalam peraturan melalui kedutaan besar Indonesia di negara-negara terdekat, masih terdapat kekosongan norma yang perlu diatasi. Oleh karena itu, diperlukan konsensus atau perjanjian hukum antara penyedia jasa perjalanan lokal dan pengguna jasa untuk mencegah kerugian akibat masalah, sengketa, atau keadaan di luar kendali (force majeure).
More communication less information: Engage virtual meeting attendees from a cognitive load theory perspective
Authors: Sun Jie , Zhang Xingyi , Leung Xi Yu
Published: February 2025

Drawing on the cognitive load theory (CLT), this study develops a research framework to investigate the effects of different psychosocial factors in virtual meeting attendees on their engagement behavior. 298 online surveys were collected. PLS-SEM was employed to analyze the proposed hypotheses. The results showed that information overload and communication overload impact virtual meeting attendees’ engagement directly and indirectly through mental fatigue and self-efficacy. This study also reveals that attendees with different motivations (education vs. networking) are influenced differently by mental fatigue and self-efficacy. The findings of current research offer actionable implications for event planners to improve attendees’ engagement during the virtual meeting.
Prevalence and Risk Factors of Knee Osteoarthritis: A Cross-Sectional Study in Palembang, Indonesia
Authors: Vanessa Stepania  , Nur Rachmat Lubis  , Ramadhan Ananditia Putra
Published: February 2025

Osteoarthritis (OA) is a prevalent degenerative joint disease causing pain, disability, and decreased quality of life. This study aimed to investigate the prevalence and risk factors associated with knee OA in Palembang, Indonesia. A cross-sectional study was conducted using secondary data from medical records of patients diagnosed with knee OA at Dr. Mohammad Hoesin General Hospital in Palembang during 2023. Patients aged ≥ 55 years with primary knee OA were included, while those with secondary knee OA or cerebrovascular disease were excluded. Data on sociodemographics, clinical characteristics, and comorbidities were collected. Univariate analysis and correlation tests were performed to assess the association between risk factors and knee OA. A total of 133 patients with knee OA were included. The majority were female (82%), aged 55-65 years (51.1%), and housewives (48.1%). Bilateral knee involvement was observed in 73.7% of patients. Overweight (35.3%) was the most common BMI category. Hypertension was the most prevalent comorbidity (61.7%), followed by diabetes mellitus (19.5%) and dyslipidemia (19.5%). Correlation analysis showed a significant positive correlation between knee OA and age, female gender, and BMI. In conclusion, knee OA in Palembang is more prevalent in middle-aged women, particularly housewives. Overweight and hypertension are significant risk factors associated with knee OA. These findings underscore the need for targeted preventive strategies and public health interventions to address these modifiable risk factors.
The Impact of Severe Mental Illness (SMI) on Oral Health-Related Quality of Life (OHRQoL): A Mixed-Methods Study in Surabaya, Indonesia
Authors: Syaifudin Syaifudin  , Duru Carissa Neuer  , Muhammad Ashraf  , Aprilia Sari
Published: February 2025

Introduction: Severe Mental Illness (SMI) often leads to neglect of personal care, including oral hygiene, and may be associated with specific oral health challenges. This study aimed to comprehensively assess the impact of SMI on Oral Health-Related Quality of Life (OHRQoL) in a population in Surabaya, Indonesia.
Methods: A cross-sectional study was conducted involving 120 participants with SMI (schizophrenia, bipolar disorder, and major depressive disorder with psychotic features) recruited from a tertiary psychiatric hospital and community mental health centers in Surabaya, and 120 age- and sex-matched controls without SMI. OHRQoL was assessed quantitatively using the Indonesian version of the Oral Health Impact Profile-14 (OHIP-14). Semi-structured interviews were conducted with a subset of 30 participants with SMI to explore their experiences and perceptions regarding oral health. Oral examinations were performed on all participants to assess Decayed, Missing, and Filled Teeth (DMFT) index, Community Periodontal Index (CPI), and presence of oral mucosal lesions.
Results: Participants with SMI had significantly higher mean OHIP-14 scores (32.5 ± 8.2) compared to controls (14.1 ± 4.5) (p < 0.001), indicating poorer OHRQoL. The DMFT index was also significantly higher in the SMI group (12.8 ± 3.7) compared to controls (6.2 ± 2.1) (p < 0.001), and CPI scores indicated worse periodontal health in the SMI group. Qualitative analysis revealed key themes: barriers to accessing dental care (financial constraints, fear, lack of transportation), challenges with daily oral hygiene practices (forgetfulness, lack of motivation, side effects of medication), and limited awareness of the importance of oral health.
Conclusion: Individuals with SMI in Surabaya, Indonesia, experience significantly poorer OHRQoL compared to the general population. This is associated with poorer objective oral health status and multiple, interlinked barriers to care. Integrated mental health and oral health services, tailored interventions to improve oral hygiene practices, and increased awareness campaigns are crucial to address this disparity.
Adaptive Leadership in Public Universities in Uganda: A Systematic Literature Review
Authors: Kasule George Wilson
Published: February 2025

This study through a systematic literature review explored adaptive leadership status, the rationale for adaptive leadership, and the challenges facing embracing adaptive leadership in public universities in Uganda. The literature search process consisted of inclusion and exclusion criteria and the development of a search strategy. Fourteen (14) articles were found to have relevant information on adaptive leadership status, the rationale for adaptive leadership, and challenges facing embracing adaptive leadership in higher educational institutions in Uganda. The findings reveal that adaptive leadership in public universities in Uganda is almost non-existent. This is buttressed by the fact that these universities have perpetually failed to solve most of the challenges they face, let alone demonstrating high levels of ineffectiveness in their operations. The study findings also divulge that the rationale for embracing adaptive leadership in public universities in Uganda includes but is not limited to: addressing complexity and uncertainty; enhancing institutional effectiveness; fostering a culture of collaboration and inclusivity; and developing capacity for sustainability and resilience. The study further discloses that some of the notable challenges encumbering embracing of adaptive leadership in public universities in Uganda comprise: limited financial, human and, material resources; excessive bureaucratic structures; and resistance to change by employees. The paper concludes, thus, that the absence of adaptive leadership in public universities in Uganda is worrying, hence, urgent mitigation measures need to be taken owing to the fact that adaptive leadership is critical to help public universities have the ability to cope with change in their operations almost on the daily basis. The study recommends that university leaders and managers make deliberate efforts to familiarise themselves with adaptive leadership principles through relevant professional development programmes. Institutionalise adaptive leadership as well as adopting appropriate administrative structures that ensure: clear lines of authority and decision-making; effective communication and collaboration across units; efficient resource allocation and management; strong governance and accountability; and flexibility to adapt to changing circumstances and priorities.
Analysis of the Antibiotic Resistance Problem in the Agricultural Sector
Authors: Olsufyeva E. N. , Yankovskaya V. S.
Published: February 2025

Antimicrobial resistance is a major global threat to public health and development. The problem of antibiotic resistance arose as a result of widespread and uncontrolled use of antimicrobial drugs in medicine and agriculture. Antimicrobials, including antibiotics, are widely used in modern agriculture to treat animals, birds, and other domestic animals, as well as in the food industry. A decrease in the sensitivity of bacteria to certain classes of antibiotics was discovered as early as the very beginning of the antibiotic discovery era, which subsequently, in some cases, transformed into multidrug resistance. The resistance of microorganisms depends on the structure of the antibiotic and is associated with the mechanism of its antibacterial activity. The review examines the properties of various groups of antibiotics that are critically important in terms of the resistance problem, intended for the treatment, prevention, and growth stimulation of farm animals. The possibilities of using methods alternative to antibiotic therapy in veterinary medicine were also discussed.
The Case of Congenital Combined Immunodeficiency with Severe Atopy: The Importance of Early Diagnosis and Features of Therapeutic Strategies
Authors: Serebryakova E. N. , Shilova T. V. , Kozhevnikov A. S. , Razzhivin A. M.
Published: February 2025

The article describes a case of congenital combined immunodeficiency with severe atopy – deficiency of the cytogenesis regulator (DOCK8) The article examines modern ideas about the role of DOCK8 protein in ensuring the basic functions of the immune system, the consequences of loss of function of DOCK8 protein, epidemiology, clinical manifestations, modern principles of diagnosis and treatment of DOCK8 deficiency.
Assistant Language Teacher Needs and Wants for Professional Development
Authors: Hiratsuka takaaki
Published: February 2025

The present study addresses the notable absence of research concerning professional development opportunities tailored for foreign assistant language teachers (ALTs) in Japan. Although many ALTs are relatively new to both teaching and Japanese culture, they are afforded limited opportunities for professional development, typically through brief orientations and a small number of local conferences each year. There is also little research exploring the needs and wants of ALTs in this regard. To investigate this matter, I interviewed 11 in-service ALTs to pinpoint perceived shortcomings in their career development conferences and ascertain their specific aspirations for these events. This study sheds light on the overlooked perspectives of ALTs themselves regarding their professional development opportunities and therefore has the potential to drive positive changes within the Japan Exchange and Teaching (JET) Programme, reflecting ALTs’ desires for a chance at impactful career growth.
本研究は、日本における外国語指導助手（ALT）の専門能力開発機会に関する研究の不足に対処するものである。ALTは、一般的に教育経験が乏しく日本文化の知識も不足しているが、専門的な成長の機会は限られている（通常短期のオリエンテーションや年に数回の都道府県単位の会議のみである）。また、ALTのニーズや要望に焦点を当てた研究もほとんど見当たらない。この問題に深く迫るため、11人の現職ALTとのインタビューを通して、彼らの指導能力向上研修における不足点と、これらのイベントに対する具体的な期待について調査を行った。この研究は、これまで見過ごされてきたALTの専門能力開発機会についてALT自身の視点に光を当てると同時に効果的な教師教育の可能性を探り、ALT個人とJETプログラム全体の前向きな変化を促すものである。
日本人英語話者をロールモデルにした自己像と英語学習意欲の促進―メディア教材LMSを介した授業実践―
Fostering an L2 Self-Image and Motivation Through Japanese English-Speaking Role Models:
An LMS-Mediated Class Activity
Authors: 小笠原麻衣子  , Prowant Christopher
Published: February 2025

ロールモデルとなる英語話者が少ないELF環境では、学習者が英語話者としての自己像がイメージできるような情報提供の重要性が強調されてきた。本研究では高専で行われた、ロールモデルとなる日本人英語話者をLMS(Learning Management System)上で映像提示した活動の実践報告を行う。LMS活動後に提出させたレポートを「L2(第2言語)動機づけ自己システム論」（Dörnyei, 2009）を枠組みとして分析し、当該活動が、生徒のグローバル社会における将来的な自己像のイメージを促進し、英語学習意欲を高めたかを検証した。その結果、活動を通じて、生徒がある程度はグローバル社会における自己像をイメージでき、限定的ではあるが英語学習意欲の向上も確認できた。教師は生徒が過去の学習経験の枠を超える活動を導入する必要があり、そのような活動が、ポジティブな英語話者としての自己像の形成、また幅広い英語学習体験への関心や学習意欲へとつながることが示唆された。
Promoting learners’ self-image as English speakers is crucial in EFL environments with few English-speaking role models.  In this study, one such role model was presented to students in a video utilizing an LMS (Learning Management System) at a national college of technology (KOSEN). Following the activity, student reports were analyzed using the “L2 Motivational Self System” (Dörnyei, 2009) to investigate the effect on their future self-image as an English speaker, as well as their motivation. The results indicate that this activity enhanced students’ positive L2 self and raised their motivation to some extent. This study suggests that teachers should implement activities that guide students beyond their limited learning experiences.  Such activities help students form a positive self-image as an English speaker and open their eyes to various English learning experiences.
The role and effectiveness of project-based learning in English language teaching in EFL classrooms
Authors:   English teacher of Private school “Real School”, Nukus/ Karakalpakstan, Uzbekistan, Rustemovna Isaeva Diana
Published: February 2025

Project-Based Learning (PBL) has emerged as a significant pedagogical approach in English as a Foreign Language (EFL) classrooms. This paper explores the role and effectiveness of PBL in enhancing language acquisition, engagement, and cultural competence among EFL learners. By integrating real-world challenges, PBL fosters a more interactive and student-centered environment conducive to language learning.
Methods and methods of teaching the science of technical training using digital education technology
Authors:   The head of the Faculty of Military Education is Associate Professor, Bukhara State Pedagogical Institute, Uzbekistan, Anvarovich Turayev Jahongir
Published: February 2025

This article aims to develop students' technical skills, providing them not only with theoretical knowledge, but also with practical skills. Preparing students for technical fields through modern technical methods, innovative technologies and interactive teaching methods helps them develop creative and independent work skills. It is thought that through this process, students will acquire the skills necessary for applying technical knowledge and working successfully in the future.
Enhancing Language Proficiency: Comprehensive Vocabulary Building Strategies for Effective English Teaching
Authors: Shaban Ahmad Abdulkareem , Abdullah Ilav Shivan , Ramadhan Yousra Abdullah , Hussein Soleen M.Salman
Published: February 2025

This study investigates the effectiveness of vocabulary building strategies (VBS) in enhancing English language instruction at the University of Duhok, emphasizing student perceptions gathered through a quantitative questionnaire. A total of 86 participants were surveyed to evaluate the impact of VBS on vocabulary acquisition, aiming to identify the most effective teaching methods in this context. The analysis reveals that students have a generally positive perception of VBS, indicating that these strategies significantly contribute to their vocabulary development and overall language proficiency. Furthermore, the study underscores the critical need to integrate VBS into the English curriculum and teacher training programs to ensure that all educators are equipped with effective instructional techniques. The findings suggest that a one-size-fits-all approach may not be sufficient; instead, personalized and adaptive VBS implementation is essential to cater to the diverse learning styles and needs of students. In addition to curricular improvements, the study advocates for continuous pedagogical evaluation to monitor and enhance the effectiveness of VBS in the classroom. Recommendations include developing tailored curricula that align with VBS principles and fostering a supportive learning environment that promotes vocabulary growth. Finally, the research calls for further qualitative and experimental studies to explore individual learning differences and identify the specific elements of VBS that maximize their effectiveness, thereby paving the way for more informed and effective English language education practices.
Equipping Organizational Reliability: Between Organization and Situated Activity, the Contribution of Situational Approaches
Authors: Gentil Stéphanie
Published: February 2025

Research on high-reliability organizations (HROs) studies how organizations subject to significant risks manage to maintain their reliability. In such work, reliability is not based exclusively on an organization’s ability to anticipate and prevent problems but is the product of interactions between actors adjusting to unexpected events every day. By focusing primarily on communicative and cognitive processes, HROs neglect the role of equipment in supporting the construction of organizational reliability. We argue that this pitfall arises from the unit of analysis considered by HRO literature, which led us to shift our focus from structure (rules, prevention systems) to situated interactions. We suggest that this should be complemented by a situational analysis framework exploring the theoretical potential of the ‘situation’ concept as an intermediate analysis unit between situated activity and organization. From in situ observation sequences in two operating rooms of a private clinic, we distinguished three types of situations. Here, the entwinement of human activities with equipment that builds reliability takes different forms: standard, bounded, and extended situations. Finally, our research highlights three contributions of a situational approach to thinking about organizational reliability: (1) as an intermediate notion between the given and the created, the situation enables us to study the tangible and intangible equipment supporting reliability; (2) as an intermediary notion between singularity and regularity, it allows us to highlight the influence of context on reliability maintenance activities; and (3) as an intermediary notion between instantaneity of action and permanence of the organization, it lets us identify reliability maintenance trajectories.
The Influence of Formal and Informal Ethical Systems on Employees’ Unethical Decisions
Authors: Koetz Clara , Hudson Sarah
Published: February 2025

This paper examines the effect of formal (e.g., codes of conduct [COC] and punishment) and informal (e.g., peer behavior) ethical systems on employees’ unethical intentions. Previous studies disagree about the effectiveness of COC and punishment policies on individuals’ unethical intentions. Moreover, there is not much research regarding the interactive effects of formal and informal norms in organizations on unethical behavior and how employees decide when there is incongruence between formal and informal ethical systems. To investigate this, we propose the following research question: What is the effect of distinct formal (implicit and explicit COC and strong and weak punishment policies) and informal (peers’ ethical and unethical behaviors) ethical systems on individuals’ unethical decisions? The results of an exploratory qualitative study (N = 275) and an experimental study (N = 374) demonstrate that (1) peer behavior has the strongest effect on individuals’ unethical intentions; (2) punishment and clear COC combined are effective in reducing unethical intentions when peers behave unethically; however, in these contexts, rules are ineffective when not supported by punishment policies, and punishment can be counterproductive when rules are implicit or nonexistent. Our study contributes to the literature on ethical decision-making by showing how combinations of formal and informal ethical systems influence unethical intentions. It also offers valuable recommendations to managers on reducing unethical behavior in companies.