bluuebunny/crossref_metadata_2025 huggingface dataset:
Characterization of Household Waste in Islamabad and Exploring Possible Reuse and Recycling Options
Authors: Qasim Muhammad , Anjum Nomana , Iftikhar Nazia , Manzar Saima , Baber Shaista
Published: November 2022

Increased solid waste generation creates additional environmental problems as many cities are unable to manage it. Unfortunately, none of the cities of Pakistan has a proper solid waste management system right from collection of waste up to its proper disposal. Islamabad, being a capital city of Pakistan with 90% literacy rate faces the similar solid waste management problems. In Islamabad around 91% of total municipal waste is composed of green and household waste which may support composting. Currently, there is no proper sorting system of municipal solid waste which indicates insufficient and inefficient recycling of organic/inorganic waste materials in Islamabad. The major portion of the recyclable household waste collected is gone wasted and buried at dumping sites in sectors H-12 and H-10. The paper is an initiative to determine reusable components of household solid waste in Islamabad and explore possible recycling/reuse options. By adopting stratified random sampling design, the primary research is carried out in sector G-7, Islamabad. Districts with in the sector have been made on the basis of income groups. 2% sample size is taken as waste generated within the income groups has high degree of similarity. The study concluded the possible reuse and recycling options for the major household waste in Islamabad.
Dietary Practices among Adolescents: Do Boys Eat Better than Girls?
Authors: Adeel Farooq Farooq Ahmad , Awan Mukhtar Ahmad , Anjum Nomana , Ahmed Hajra , Ahmed Zaheer , Afreen Asma
Published: November 2022

Adolescence is a unique period in life as it is a time of intense physical, psychological and cognitive development. This uniqueness puts the adolescence in a conflicting situation and stress which effect many developmental aspects of the personality. These developmental stages are closely linked with adolescent’s dietary practices. The present study was conducted to assess the dietary practices of adolescent boys and girls in relation to their mothers’ education. The total number of subjects was 702, age between 14-16 years, studying in randomly selected schools of District Chakwal. The study revealed that boys eat relatively better than the girls of same age despite of the fact that girls’ mothers were more educated than boys’ mothers at P. Value 0.002. Boys were taking more regular meals (78%) as compared to girls (62%). Education of mothers had no relevance with regularity of meals presumably because most of the mothers were either matriculate or had education up till Intermediate. A negligible number of mothers had a graduate level degree or higher. Dietary practices of the boys were better as compared to girls at P. Value < 0.002. Regularity in having breakfast was better in boys as compared to girls i.e. 87% boys and 64% girls. Almost similar pattern was observed in lunch consumption, where 80% boys and 70% girls were taking lunch regularly. Most of the male adolescents (89%) were taking their dinner regularly while only 65% female adolescents were regular in taking dinner. According to the participants’ major reasons for irregularity in meals were school timings as well as their own liking and disliking in having meals. Rice was the most favorite staple food among the participants. The tendency of skipping meals was also more prominent in girls which needs to be explored further.
Young People as Consumers of Information Technology in a Third World Country
Authors: Shaikh Mohammad Asim , Shaikh Mohammad Adil , Asar Farzana
Published: November 2022

Governments, Parents and teachers need to act as facilitators and mediators in the process of adoption and shaping of media culture rather than either acting as passive onlookers or active controllers Review of available observations and Assessment of impacts of ICTs on lives of young people in developing countries on the basis of experts views and relevant information. This study reviewed the situation and tried to explore the views and practices of young people belonging to a developing country through a small sample survey. This survey was conducted in Karachi, the most urbanized city of Pakistan. A questionnaire was used to explore the views and practices of young people belonging to a developing country through a small sample survey. Students from two colleges were randomly selected to fill the questionnaires. Most of the ICT resources were used more often by boys. Majority of respondents did not felt hat it had made significant impact on their work or family life. Most of them felt that it had made appositive impact on their lives this survey revealed that majority of college students were wer satisfied with their use of ICT resources.
Challenges Facing Persons with Physical and Visual Disabilities in Accessing Housing Needs; A Case Study of Bungoma Municipality
Authors: Mukoche Wamalwa Chrispinus W , Kisilu Kitainge , Catherine Sempele
Published: November 2022

Persons with disabilities constitute 3.5% of the total population in Kenya. According to the 2009 census, there are approximately 1,330,312 persons with disabilities in Kenya. The disabilities range from visual, audio, physical and intellectual challenges. The study focused on the physical and visual challenges. These persons face discrimination due to socio-cultural and economic factors. Persons with physical and visual disabilities have unique housing needs due to the nature and degree of their disability. It is therefore important that housing design and construction take these unique consumer needs of persons with physical and visual disabilities into consideration. The paper examines the findings of the study that investigated the challenges persons with physical and visual disabilities face in accessing decent and affordable housing in informal and low income settlements within Bungoma Municipality. A sample survey design was employed where interviews, observation checklists and field participatory methods were used. Guided sampling technique was used in identifying research participants or respondents, while a snowballing technique was employed to identify respondents with physical and visual disabilities. The findings showed lack of water borne sanitary facilities in informal and low income settlements in urban areas. The roads and pathways were found to be muddy and narrow to accommodate the needs of persons with disabilities. The sewage and drainage systems were poor and posed great risks to persons with disabilities. The land lords/ladies were found ignorant about the needs for persons with disabilities. The paper concludes that physically and visually challenged persons face numerous challenges in accessing decent and affordable housing in informal and low income settlements. The paper recommends rigorous implementation of Persons with Disabilities Act (2003) and that the persons with disabilities themselves to intensify advocacy and awareness, raising programs that will make housing for persons with disabilities, human rights and development agenda.
Effect of Constructivist Instrumental Four-Step Approach on the Achievement and Retention in Pattern Drafting by Nigerian Certificate in Education Home Economics Students in South-South Zone, Nigeria
Authors: Iwebunakite Nwabah, Nkeiruka , Anne Igbo Chinyere
Published: November 2022

This study was designed to determine the effect of constructivist instructional four-step approach on the achievement and retention in pattern drafting by Nigeria Certificate in Education Home Economics students in south-south zone, Nigeria. The study adopted a quasi-experimental research design which involved groups of students in their intact classes assigned to experimental and control groups respectively. The population for the study was 333 year-one students of all the colleges of education in the six (6) states in south-south Nigeria, out of which 118 students were purposely sampled and used for the study. Five research questions and four null hypotheses, tested at 0.05 level of significance guided the study. The instruments used for data collection were Pattern Drafting Cognitive Test (PDCT), Pattern Drafting Psychomotor Test (PDPT). The instruments; PDCT, PDPT were validated to ensure face and content validity. The instruments were trial-tested to determine the psychometric indices, namely; internal consistency of the items and coefficient of stability. The data collected were analyzed using mean and standard deviation to answer the research questions. Null hypothesis were tested using analysis of covariance (ANCOVA) at 0.05 level of significance. The study revealed that the constructivist instructional four-step approach was more effective in improving students’ academic achievement and retention of learning.
Relationship of Emotional Intelligence with Social Anxiety and Social Competence of Adolescents
Authors: Inam Attiya , Khalil Hafsa , Tahir Warda Binte , Abiodullah Muhammad
Published: November 2022

This study was an effort to find out the relationship of emotional intelligence with social anxiety and social competence of adolescents. The study was carried out at Ibne Sina College and SICAS. A sample of 130 adolescents between the ages of 14-16 years was randomly selected. Emotional quotient inventory youth version (EQi- YV) by Baron, Kutcher Social Anxiety Disorder Scale for Adolescents (K-GSADS-A) and Measures of Adolescence Social Performance (MASP) were used to find out the emotional intelligence, social anxiety and social competence respectively. Data was analyzed using descriptive statistics as well as independent samples t-test, ANOVA and Pearson correlation coefficient. Results showed that girls experience more social anxiety as compared to boys. Further analysis revealed a negative correlation between emotional intelligence and social anxiety, a positive relation between emotional intelligence and social competence and a negative relation between social anxiety and social competence of both boys and girls.
The Impact of Entertainment on Buyers’ Decisions via Facebook: Jordanian Youth Behavior of E-Fashion Stores Context
Authors: Hussain Ghazal
Published: November 2022

This study was done to evaluate the menstrual hygiene practices of the low-income adolescent girls living in Karachi Pakistan. Data was collected from one hundred and twenty nine adolescent girls aged 9-14 from three government schools of Karachi, West. Altogether 29 questions were asked from each of them. It was found out that the menstrual hygienic practices were un-satisfactory. The girls need to be educated about the use of proper pads, its changing and proper disposal. This can be achieved by giving them proper education, training and knowledge by family members and teachers so there won’t be any misunderstanding to the adolescent girls regarding menstrual hygiene.
Household Water Quality, Sources, Storage and Treatment in Korangi and Landhi Town of Karachi
Authors: Mobin Rimsha , Urooj Huma
Published: November 2022

Water is essential human need in world there is a lack of awareness regarding water sources, storage, treatment and the quality of drinking water. This study aimed to study and compare the quality sources, storage and treatment of drinking water in Korangi and Landhi towns in Karachi. A random 50 sample 25 from each town the data was obtained. The tools used to collect data through observation cum questionnaire through survey method. The research concludes that both Korangi and Landhi Town has no difference in their quality of household water. But they have some difference in storage, sources and treatment.
Przegląd dotychczasowych rozwiązań
na poziomie aplikacyjnym w zakresie
integracji technologii BIM i GIS
Authors: Borkowski Andrzej Szymon , Osińska Natalia , Szymańska Natalia
Published: November 2022

Postępujące zmiany w branży AEC, przyczyniają się do poszukiwania innowacyjnych metod cyfryzacji i wykorzystania technik komputerowych, głównie z zakresu nowoczesnej technologii modelowania informacji o budynku (BIM), stającej się kluczowym narzędziem współczesnego, zrównoważonego budownictwa. Mimo wysokiego stopnia dojrzałości technologii BIM, która dostarcza dane w skali mikro, wciąż problemowe zagadnienie stanowi brak w budowanych modelach danych w skali makro (GIS). Niedostateczne lub niedokładne informacje nt. otoczenia inwestycji utrudniają i spowalniają proces zarządzania realizacją inwestycji. Aktualnie trudno mówić o choćby częściowej integracji technologii BIM i GIS. W przypadku integracji na poziomie aplikacyjnym trafniejszym sformułowaniem jest „współpraca”. Postępująca współpraca technologii BIM i GIS przyczynia się do dalszego rozwoju technik modelowania trójwymiarowego, wzbogacając budowane modele o informacje fizjograficzne nt. struktur występujących w środowisku przyrodniczym. Integrację danych BIM i GIS można rozpatrywać z poziomu współpracy oprogramowania lub poziomu głębszego – bazodanowego. W niniejszym artykule dokonano przeglądu dotychczasowych implementacji IT z zakresu integracji technologii BIM i GIS, uwzględniając aplikacje pochodzące od różnych producentów i rozwiązania stosowane w różnych krajach.
GODNOŚĆ jako wartość w wystąpieniach publicznych prezydenta Lecha Kaczyńskiego
Authors: Wołoszyn Magdalena
Published: November 2022

Dignity is one of the elementary values in the axiological canon of Poles. It is equated with the fundamental right of every human being. This is confirmed by the language data presented in the article. Dignity is also one of the most important values in Lech Kaczyński’s presidential discourse. The dignity of the state and nation was of particular importance to him, followed by the dignity of workers. The aim of the article is to analyze dignity on the example of presidential public speeches in 2006-2009.
La música y su aporte en el lenguaje verbal del niño con transtorno espectro autista (TEA).
Authors: Ávila Revelo Arcelia Anabel , Mendieta Torres Yessenia Anabel
Published: November 2022

El TEA es un desorden del desarrollo extensamente estudiado desde que Kanner lo definiera en 1943, sin embargo, no han podido establecerse las causas concretas de su origen, por lo que se le ha caracterizado de enigmático. Tras las diferentes modificaciones que ha sufrido su cuadro clínico, las alternaciones en el lenguaje y comunicación han permanecido constantes a lo largo de la historia. En los últimos años, la música ha adquirido un carácter terapéutico en el tratamiento y mejora de ambos aspectos. Este trabajo acopia múltiples investigaciones llevadas a cabo sobre el beneficio que la música ha demostrado tener en el desarrollo y mejora del lenguaje verbal en niños con TEA, nuestra población de estudio fueron 3 estudiantes con TEA de 5,7 y 8 años de edad, hemos aplicado una metodología descriptiva correlacionado la música con el desarrollo del lenguaje verbal de los niños con TEA. En donde se ha desarrollado 12 clases que tienen contenidos similares al inventario de MacArthur con el que sea evaluó en aprendizaje de los niños, el mismo que es un instrumento cuyo objetivo es evaluar el desarrollo de habilidades comunicativas en niños y niñas,  de esta manera se concluye que la durante las clases aplicadas con música se mejoró significativamente el lenguaje verbal de nuestra muestra de estudio.
La formación del psicopedagogo para la inclusión y atención educativa a la diversidad de sujetos con trastorno de conducta.
Authors: Fruto López Yanelixa América , Más Sánchez Pablo Raúl
Published: November 2022

Este artículo propone un modelo pedagógico en la formación del psicopedagogo para la atención a los sujetos con trastorno de conducta. El modelo propuesto revela las posibilidades que ofrece en la preparación de este profesional. Se desarrolló sobre una metodología con un enfoque mixto, apoyado en métodos como el análisis-síntesis, la inducción-deducción, el histórico-lógico, la modelación, el sistémico-estructural-funcional, la entrevista, el análisis de documentos y la observación. Se arriba a las relaciones esenciales que se establecen entre la teoría y las exigencias prácticas durante el cumplimiento de las funciones profesionales del psicopedagogo.
Violencia y medicina sicosomática: el lenguaje del cuerpo
Authors: Henao-Orrego Octavio
Published: November 2022

La función de la medicina ha sido denominada, entre otras, como el arte de curar. Pero esto implica un tipo de rituales que ha variado significativamente en los últimos años. Desde el abordaje, el tiempo destinado a cada paciente, el grado de confidencialidad que pueda lograrse, hasta el lenguaje que se expresa o el silencio que también tiene significado. La medicina psicosomática es una ciencia que trata de correlacionar rigurosamente lo físico, lo psicológico y ahora lo social, comprendiendo lo real, lo imaginario y lo simbólico. En este artículo se pretende desarrollar esta necesaria integración, acudiendo a diversos autores y escuelas, de diferentes países, discurriendo por el lenguaje, el habla y el silencio, teniendo en cuenta la misma complejidad humana en sus muy diversas circunstancias y motivaciones. Se analizan las fases de hablar o callar y sus expresiones posibles en el cuerpo. Se mencionan estudios científicos de otras latitudes y se correlacionan con las experiencias de violencia en nuestro país, y sus expresiones en dolencias y enfermedades como la hipertensión arterial, algunas expresiones en órganos diana, ansiedad, alergias, migraña, entre otros, hasta la elección vicariante de órganos. Se mencionan igualmente las incidencias de los episodios violentos sobre la salud y algunos tipos de conducta documentados por la medicina comportamental. Se aportan ejemplos de diversos autores, desde la úlcera péptica, hasta las estadísticas incrementadas por las guerras, los desplazamientos y las desapariciones forzadas. Se mencionan las posibles correlaciones entre la somatización y el habla y el sentir de los individuos sometidos a circunstancias violentas. Se ilustran modalidades de abordaje y tratamiento, teniendo en cuenta las dimensiones del ser y su consciencia, para lograr la mejoría de sus síntomas e incluso la resolución de sus conflictos. Se enfatiza en la biografía personal, comparándola con los exámenes y procedimientos técnicos de diagnóstico. También las dificultades para nombrar el dolor producido por eventos traumáticos de índole psicológica. Se establecen categorías de las expresiones del lenguaje en los órganos, sus lógicas y también las repercusiones del silencio. Se mencionan alternativas de manejo más allá de los medicamentos y se finaliza con una reflexión sobre los tipos de lenguaje y la alienación del individuo frente a una sociedad violenta.
¿Consulta asistida o equipos interdisciplinarios? Reflexiones frente a la innovación en modelos de prestación
Authors: Castaño Yepes Ramón Abel
Published: November 2022

El modelo de consulta asistida, en el que varios médicos generales apoyan a un especialista, ha sido criticado por ser de mala calidad y por exponer al médico general y al especialista a riesgos legales. Este modelo de prestación es claramente diferente al modelo basado en equipos interdisciplinarios, pues estos últimos mejoran el acceso, la calidad y la experiencia del paciente, al tiempo que disminuyen la sobrecarga de trabajo del especialista. Un equipo interdisciplinario se define como un grupo de profesionales de la salud, apoyados por técnicos y auxiliares, que actúa como equipo cohesionado, rinde cuentas por los resultados en salud de sus pacientes, y es responsable por un grupo definido de pacientes a lo largo del ciclo de atención relevante. La creciente escasez de oferta de especialistas obliga a innovar en modelos de prestación mediante reasignación de procesos, subprocesos, actividades o tareas, a individuos con formación diferente o más corta en comparación con la del médico especialista. No obstante sus efectos positivos, las regulaciones vigentes en Colombia hacen difícil desarrollar este tipo de innovaciones. Para superar las barreras regulatorias es necesario llevar a cabo pilotos demostrativos con adecuado seguimiento por parte de entidades de vigilancia y control e instituciones académicas. Este artículo tiene por objetivo señalar las diferencias entre el modelo de consulta asistida y el modelo basado en equipos interdisciplinarios. Frente a este último, define sus características estructurales y funcionales, justifica las innovaciones en este modelo, y propone estrategias para superar las barreras regulatorias a dichas innovaciones.
ANALISIS SUSEPTIBILITAS MAGNETIK PASIR DI AREA PESISIR BATU GONG KECAMATAN LALONGGASUMEETO KABUPATEN KONAWE
Authors: Ysrawati Ysrawati , Jahidin Jahidin , Haraty Syamsul Razak , Anda Pou , Hasan Erzam Sahaluddin , Andimbara La Ode
Published: November 2022

Telah dilakukan penelitian dengan tujuan untuk menentukan nilai suseptibilitas magnetik pasir dan jenis mineral magnetik yang terkandung pada pasir di area pesisir Batu Gong. Pengambilan sampel dilakukan secara grid dengan jumlah 63 titik di area pesisir Batu Gong. Panjang keseluruhan lokasi penelitian 2 km, untuk jarak antar titik pengambilan sampel 30 m pada setiap titik dengan kedalaman 30 cm. Pengukuran nilai suseptibilitas magnetik pasir dilakukan dengan menggunakan alat Bartington MS2B. Berdasarkan hasil pengukuran diperoleh nilai suseptibilitas magnetik sampel pasir berada pada rentang nilai 2,7 x 10-8m3/kg – 8 x 10-8m3/kg, dengan kandungan mineral magnetik berupa  pyrite (FeS2) dan biotite (Mg, Fe, AL Silikat), sedangkan hasil pengukuran analisis geokimia X- Ray Diffraction (XRD) diperoleh persentase senyawa quartz berkisar antara 79,48% - 85,60%  dan persentase senyawa mica berkisar antara 14,39% - 19,51%.
30 Years of Geographic Information Systems Studies in Turkey: A Bibliometric Analysis (1990-2020)
Authors: ALTUNDAL ÖNCÜ Merve , ATEŞ Ersin , FİDAN Seçkin , YILMAZ Mutlu
Published: November 2022

Today, Geographic Information Systems (GIS) are widely used in many fields, especially in the field of geography. GIS, which provides data storage, digitization, querying and reporting in computer environment, has become an effective tool in recent years thanks to various software and hardware. Although there is a trend increase in GIS studies in the world, no analysis has been made about the literature in Turkey. The aim of this study is to determine which concepts are studied on GIS in Turkey, how the change takes place over the years, and which concepts are the future trends. For this purpose, publications with 'GIS' in the title, keyword and abstract were scanned in the Scopus database. From 1990, which was the first publication, to 2020, 1325 articles were found among the researchers from Turkey (17.10.2022). The obtained data were analysed bibliometrically with the VOSviewer program. According to the results of the research, the most prominent concepts in the GIS literature in Turkey are concepts such as remote sensing, land use, landslide, slope, forest. Concepts such as Analytical Hierarchy Process (AHP), network analysis, urban planning, climate change and multi-criteria decision-making analysis are the most studied concepts in recent years. It has been determined that the most cited studies are in the field of geology. While on the basis of countries the most cooperation is made with the USA, England, Germany and Iran, countries such as Netherlands, Sweden and China have been identified as prominent collaborations in recent years. Finally, when the collaborations between the researchers were examined on an individual basis, it was determined that the individual relationship networks were weak and the researchers conducted partnerships with the same researchers in a limited environment.
Pharaoh's Gift: Was Ancient Nubia the Land of Milk and Camels?
Authors: Reinbold Stephen L.
Published: November 2022

Did Abraham receive camels from Pharaoh? Many archaeologists contend that the presence of camels in the Genesis narrative is an anachronism that was added by later scribes. But what if camels were brought across the Red Sea from Arabia to Africa at an earlier date? I will propose a possible camel route from the coastal region to the Nile based on studies of the following: modern and ancient DNA, revealing camel movements after domestication; mutations for adult lactase persistence (LP) that were brought to Africa along with camels or that originated in Africa; and human Y chromosome mutations that can be associated with the LP alleles and the transport of camels. The cumulative evidence allows the possibility of camels to reach Nubia by about 2000 BC. Egyptians could have brought them to Pharaoh who gave them to Abraham.
Viral Diseases and the Neglected Commandment of Creation Care
Authors: Gonzalez Oscar , DiLuca Dario
Published: November 2022

Humans are called to rule over creation (Gen. 1:27) but not in an irresponsible way. We should treat creation, as we read in Genesis 2:15, by caring for it. That was the requirement from God for humanity. We can define creation care as nature conservation. However, we should acknowledge that we have been neglecting our role as stewards of creation. There is deforestation, species extinction, pollution, and other human activities that cause suffering not only for plants and animals, but also for people. Mismanagement of nature can cause spillover of disease. In wildlife, agents of disease are common, but they are somehow under control when there are many hosts. Scientists recognize today that pathogens and parasites have a role in the structure of ecosystems. By causing deforestation and removing animals from their natural habitats, we are increasing the possibility of zoonotic diseases that may cause epidemics and pandemics. This article will relate the origin of viral diseases, such as COVID-19, to a failure of proper nature management and provide examples of viral diseases resulting from such mismanagement.
Teaching the Beauty of God in Computer Programming and Design
Authors: Lew Grace
Published: November 2022

Even though aesthetics is often not explicitly included in computer science curricula, a review of computer science literature shows that incorporating beauty is beneficial in areas such as programming and design. Beauty in the field of computer science unified with a theological view of beauty forms a faith-integrated perspective with vertical and horizontal dimensions. This article shows that a faith-integrated perspective of beauty in computer science adds transcendent meaning and purposes for incorporating aesthetics as part of a computer science academic curriculum. Some examples are also provided for teaching with a faith-integrated perspective of beauty in computer science courses for Christian higher education.
Relationship Between Principals’ Human Skills and Job Satisfaction of Secondary School Teachers with Mediating role of School Climate
Authors: Dr.Faheem Khan  , Muhammad Junaid Siraji  , Qamar uz Zaman  , Zafrullah Khan Khattak  , Qaisar Anwar  , Asif Minhas
Published: November 2022

The current study was aimed to investigate the relationship between principals’ human skills and job satisfaction of secondary school teachers with mediating role of school climate.  A sample of 271 Secondary School Teachers (SSTs) was selected through stratified sampling method. A questionnaire was developed for data collection purpose. Pearson-Product Correlation and mediation analysis was used. The results of the study indicated that school climate partially mediated in the relationship between principals’ human skills and teacher’ job satisfaction. The study recommended that school principals may emphasis and develop their human skills.
ANALISIS KUALITAS PELAYANAN RUMAH SAKIT UMUM DAERAH dr. H. ANDI ABDURRAHMAN NOOR KABUPATEN TANAH BUMBU
Authors: Hermawan Ade , Bakhtiar Bakhtiar , Jamili Muhammad , Oktorina Eni
Published: November 2022

Abstract : Five indicators are used as a measure to analyze the services of the Regional General Hospital dr. H. A ndi Abdurrahman Noor Tanah Bumbu Regency, namely the convenience of service facilities, service accuracy, friendliness of officers, punctuality, and ease of service procedures all have a good tendency, meaning that it can be concluded that the quality of services provided by the Regional General Hospital dr. H. Andi Abdurrahman Noor Tanah Bumbu Regency is qualified.

Keywords: Service, Service Quality, Hospital

 

Abstrak : Lima indikator yang dijadikan ukuran untuk menganalisis pelayanan Rumah Sakit Umum Daerah dr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu yaitu Kenyamanan sarana pelayanan, Akurasi pelayanan, Keramahan petugas, Ketepatan waktu, dan Kemudahan prosedur pelayanan semuanya mempunyai kecenderungan yang baik, artinya dapat disimpulkan bahwa kualitas pelayanan yang diselenggarakan oleh Rumah Sakit Umum Daerah dr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu adalah berkualitas.

Kata Kunci:     Pelayanan, Kualitas Pelayanan, Rumah Sakit
Importancia del sistema de tutorías dentro del proceso formativo aplicado en la Universidad Técnica de Manabí (UTM), y su incidencia en los procesos de evaluación institucional
Authors: Espinales Cedeño Marcela M. , Durán Pinos Antonio , Donoso Valdiviezo Marcelo
Published: November 2022

En los actuales momentos a la tutoría se considera como una estrategia de calidad educativa a nivel superior, a la cual tienen derecho todos los estudiantes, por tal motivo es necesario determinar la importancia del sistema de tutorías dentro del proceso formativo aplicado en la Universidad Técnica de Manabí (UTM), en donde participan estudiantes, tutores y responsables académicos, quienes con sus criterios permitieron establecer la incidencia en los procesos de evaluación institucional. La investigación que se realizó es teórica empírica, y en ella se determinan las necesidades de los estudiantes con respecto a la tutoría, así como la de los docentes desde su desempeño como tutores, lo cual es corroborado con el pronunciamiento de los coordinadores de carrera y la Directora de Evaluación y Aseguramiento de la Calidad institucional. La recolección de datos se efectuó mediante técnicas e instrumentos, como la entrevista y la encuesta, utilizando un enfoque mixto con indicadores cualitativos y cuantitativos. Los resultados obtenidos posibilitaron proponer alternativas de mejoramiento al plan de acción tutorial, especialmente en la designación de horarios, la capacitación para desarrollar la tutoría, la adecuada planificación por parte de los tutores y el mejoramiento del sistema informático para el seguimiento de las tutorías implementadas en la institución, de ahí que la aplicación del Plan de Tutorías contribuye significativamente en el desarrollo académico de los estudiantes de las diferentes carreras, mejoran su nivel académico y disminuye su deserción, así como también fortalece el desempeño de los tutores.
HUBUNGAN STATUS GIZI IBU SAAT HAMIL DENGAN KEJADIAN STUNTING PADA BALITA USIA 0-24 BULAN DI PUSKESMAS KALIGESING PURWOREJO
Authors: Wulandari Fetty Chandra , Susanti
Published: November 2022

Studi pendahuluan di Puskesmas Kaligesing pada bulan Desember 2020 terdapat 83 balita usia 0-24 bulan yang mengalami stunting. Sedangkan balita yang berusia 25-60 bulan yang mengalami stunting sebanyak 250 balita. Tujuan penelitian ini untuk mengetahui hubungan antara status gizi ibu saat hamil dengan kejadian stunting pada balita usia 0-24 bulan di Puskesmas Kaligesing Purworejo. Metode penelitian menggunakan case control dengan pendekatan retrospective. Pengumpulan data menggunakan data sekunder. Populasi ibu dan balita usia 0-24 Bulan di Puskesmas Kaligesing Purworejo sebanyak 666 orang. Pengambilan sampel menggunakan teknik random sampling dengan jumlah 56 sampel. Instrumen penelitian ini menggunakan check list. Teknik uji statistik menggunakan Chi-Square. Hasil penelitian terdapat hubungan antara status gizi ibu saat hamil (p value = 0,003) dengan kejadian stunting pada balita.
GAMBARAN PELAKSANAAN GERAKAN MASYARAKAT HIDUP SEHAT DI DESA TLOGOREJO KECAMATAN BUTUH KABUPATEN PURWOREJO
Authors: Kurniawati Nindya , Amanah Siti
Published: November 2022

Gerakan Masyarakat Hidup Sehat (GERMAS) menjadi pilihan dalam mewujudkan derajat kesehatan masyarakat yang lebih baik. Dari hasil studi pendahuluan dari 10 Kepala Keluarga didapatkan 7 diantaranya belum melaksanakan gerakan masyarakat hidup sehat dengan baik. Tujuan penelitian untuk mengetahui gambaran pelaksanaan gerakan masyarakat hidup sehat di desa tlogorejo kecamatan butuh kabupaten purworejo berdasarkan karakteristik responden. Jenis penelitian ini menggunakan metode Deskriptif. Jumlah populasi yaitu sebanyak 133 Kepala Keluarga dan sampel sebanyak 100 Kepala Keluarga, pengambilan sampel dengan Tehnik Simple Random Sampling. Data dikumpulkan melalui observasi checklist. Teknik analisis data menggunakan teknik analisis univariat dengan rumus prosentase. Hasil Penelitian menunjukan bahwa pelaksanaan gerakan masyarakat hidup sehat di Desa Tlogorejo Kecamatan Butuh Kabupaten Purworejo yang dilakukan oleh masyarakat yang sesuai dengan teori yaitu sebanyak 27 Kepala Keluarga (27.0%) dan yang belum melaksanakan keseluruhan yaitu sebanyak 73 Kepala Keluarga (73.0%). Terdapat kesesuaian teori pelaksanaan gerakan masyarakat hidup sehat yaitu sebanyak 27 Kepala Keluarga (27.0%) yang sudah melakukan gerakan masyarakat hidup sehat dengan baik dan secara keseluruhan.
PENGETAHUAN DAN PENERIMAAN TERAPI KOMPLEMENTER IBU NIFAS BERBASIS KEARIFAN LOKAL DI WILAYAH KERJA PUSKESMAS GEBANG KABUPATEN PURWOREJO
Authors: Zuliyanti Nurma Ika , Lailla Jihan Huda , Syuniarita Rademta , Satriandhini Marsita
Published: November 2022

Indonesia merupakan negara yang memiliki keanekaragaman sosial budaya dan memiliki tradisi untuk menjaga kesehatan terutama pada ibu nifas. Penatalaksaan pelayanan pada ibu nifas selain sesuai evidence based kebidanan terkadang ibu nifas juga menggunakan terapi komplementer untuk mengatasi keluhan yang dialami oleh ibu. Seperti penggunaan ramuan herbal untuk memperbanyak produksi ASI atau untuk mengurangi nyeri pada luka perinuim, Selain itu juga terdapat beberapa metode untuk mempercepat pemulihan kondisi kesehatanibu nifas menggunakan pilis, parem, tapel atau penggunaan bengkung. Tujuan penelitian ini bertujuan untuk mengetahui tingkat pengetahuan dan penerimaan terapi koplementer pada ibu nifas berbasis kearifan lokal. Metode Jenis penelitian ini adalah kuantitatif dengan pendekatan retrospektif, tehnik pengambilan sampel dengan purposive sampling. Pengumpulan data dilakukan dengan kuisoner. Hasil penelitian Sebagian besar tingkatpengetahuan ibu nifas tentang terapi komplementer rendah yaitu 46,67%. terapi komplementer yang sering ada dimasyarakat yaitu penggunaan pilis, tapel, parem, jamu uyup-uyup dan bengkung atau gurita. Penerimaan terapi komplementer tertinggi yaitu pada Bengkung/Gurita/stagen yaitu 83,33% dan penerimaan terendah yaitu pada parem yaitu 28,33%. Kesimpulan: Terapi komplementer memiliki banyak manfaat namun belum digunakan secara maksimal di masyarakat karena belum banyak masyarakat yang mengetahui tentang khasiat dari terapi tersebut, selain itu terapi komplementer yang ada di masyarakat belum tersedia dalam bentuk yang modern dan praktis sehingga belum banyak yang menggunakan.
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN KB IMPLANT DI PUSKESMAS SEBOROKRAPYAK KECAMATAN BANYUURIP KABUPATEN PURWOREJO
Authors: Sholichah Nur , Lathifah Ummi
Published: November 2022

Masalah utama yang dihadapi Indonesia adalah tingginya laju pertumbuhan penduduk. Dimana penggunaan metode kontrasepsi jangka panjang khususnya Implant tergolong rendah, berlawanan dengan hasil studi pendahuluan di Puskesmas Seborokrapyak menunjukkan terdapat 269 akseptor KB Implant. Tujuan Penelitian untuk mengetahui faktor-faktor yang mempengaruhi Pemilihan KB Implant di Puskesmas Seborokrapyak. Metode penelitian menggunakan desain penelitian survey retrospektif dengan pendekatan case control. Populasi dalam penelitian ini adalah semua Wanita usia subur di puskesmas seborokrapyak pada bulan September 2020–September 2021. Pengambilan Sampel menggunakan teknik random sampling. Waktu penelitian pada bulan Maret-April 2022. Analisis data mengguakan uji chi-square. Hasil penelitian ini menunjukkan bahwa hasil uji statistic chi-square diperoleh (P value = 0,436) pada pekerjaan 0.436 yang berarti nilai P value > 0,05 sehingga tidak terdapat hubungan antara pekerjaan terhadap Pemilihan KB Implant, pada paritas diperoleh nilai 0.035 yang berarti < 0,05 sehingga terdapat hubungan antara paritas terhadap Pemilihan KB Implant dan pada umur diperoleh nilai 0.028 hubungan antara Umur terhadap Pemilihan KB Implant.
HUBUNGAN DUKUNGAN SUAMI DALAM MENGHADAPI KECEMASAN TERHADAP KECEMASAN PERUBAHAN FISIK PADA PRIMIGRAVIDA DI WILAYAH KERJA PUSKESMAS BAYAN KABUPATEN PURWOREJO
Authors: Fitriana Ayu , Kurniawati Nindya
Published: November 2022

Trimester III merupakan kondisi dimana ibu mengalami perubahan yang sangat signifikan. Kecemasan ini berbeda setiap ibu hamil, namun ibu primigravida mengalami kecemasan yang lebih dibandingkan dengan ibu multigravida. Kondisi ini memerlukan dukungan orang terdekat khususnya suami sebagai main supporter. Survey study pendahuluan yang dilakukan di Puskesmas Bayan terdapat ibu primigravida sebanyak 18 orang 8 diantaranya mengalami kecemasan. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan suami dengan kecemasan perubahan fisik pada primigravida di wilayah kerja puskesmas bayan. Metode yang digunakan survey analitik, dengan pendekatan crosssectional. Populasi ibu hamil TM III dengan sampel 36 responden teknik yang digunakan accidental sampling, yang dilaksanakan dipuskesmas bayan, pada bulan maret. Instrument yang digunakan kuesioner dan uji statistic yang digunakan Chi Square. Hasil penelitian Uji Chi Square yaitu Ada Hubungan Dukungan Suami Dalam menghadapi Kecemasan Terhadap Kecemasan perubahan Fisik Pada Primigravida di Wilayah Kerja Puskesmas Bayan dengan hasil nilai p value (0,001) < α (0,05) maka Ho di tolak Ha diterima. Diharapkan petugas kesehatan dapat meningkatkan pelayanan kesehatan ibu hamil khususnya memberikan konseling dan pemeriksaan ANC.
Shell and tube heat exchanger design for waste water cooling
Authors: Josiel Teixeira Consul  , Rodrigo Gonzatti
Published: November 2022

This paper presents the design of a hull and tube heat exchanger, including thermal calculation, until the definition of the geometry of its mechanical components. The service to which this exchanger will be designed, and to cool the disposal of the water used in the cooling process of a steel rolling mill. Then the mechanical design is presented, where the materials are specified and the dimensions are calculated for the main components of the exchanger. The TEMA (Tubular Exchanger Manufacturers Association) and ASME (American Society of Mechanical Engineers) standards were the main international standards on which the mechanical design was based.
Assessment of neuron-specific enolase, glycated haemoglobin and fasting plasma glucose levels in patients with diabetes peripheral neuropathy in Calabar Metropolis, Nigeria: A case control study
Authors: Raymond E Eworo  , Augusta C Nsonwu-Anyanwu  , Brendan E Akah  , Rita D Alami
Published: November 2022

Background: Persistent hyperglycemia has been implicated in the development of neuronal complications in diabetes patients. Nerve damage and metabolic abnormalities may cause the release of neuron specific enolase into circulation. Aim: To investigate the relationship between serum neuron-specific enolase (NSE), fasting plasma glucose (FPG) and glycated haemoglobin (HbA1C) levels in diabetic patients with peripheral neuropathy. Methods: one hundred and five patients with peripheral neuropathy and 60 apparently healthy non-diabetic controls aged 45-69 years attending Clinics in General Hospital Calabar and the University of Calabar Teaching Hospital, Calabar, between July 2021 and January 2022, were recruited into the study. Fasting plasma glucose was estimated using glucose oxidase peroxidase method. Glycated haemoglobin and NSE were determined using Boronate Affinity High Performance Liquid Chromatography and ELISA methods respectively. Height and weight were measured and BMI computed, and data analyzed using Student’s t-test, ANOVA, post hoc analysis and Pearson’s correlation at P<0.05. Results: Body mass index, blood pressure, fasting plasma glucose, glycated haemoglobin and neuron specific enolase concentrations were significantly different (P=<0.05) between the diabetic patients and the controls. Neuron specific enolase vary significantly (P<0.05) among the diabetic patients with different forms of diabetes peripheral neuropathy. Fasting plasma glucose correlated positively with NSE (r=0.441, P=0.000) and HbA1C (r=0.328, P=0.001) respectively. Glycated haemoglobin correlated positively with BMI (r=0.412, P=0.000) and NSE (r=0.328, P=0.001) in that order. Conclusion: This study has shown that glycated haemoglobin and fasting plasma glucose are related with neuron specific enolase levels in patients with diabetes peripheral neuropathy. Thus, rising levels of glycated haemoglobin and fasting plasma glucose (poor glycemic control) may be associated with progressive nerve damage in patients with diabetes peripheral neuropathy.
Association of Chartered Physiotherapists in Respiratory Care scoping review: Post-operative physiotherapy in people undergoing thoracic surgery
Authors: Eden Allaina , Gilbert Nikki , Bendall Amy , Easton Izzie , Lewko Agnieszka , Page Alicia , Tait Chloe , Jones Una
Published: November 2022

Introduction This scoping review was produced by the ACPRC editorial board. Following a preliminary scoping day, surgery was considered 1 of 5 key priorities for review. Surgery was subsequently separated into specialities. Objective The objective of this scoping review was to report the extent and methodological type of evidence associated with post-operative physiotherapy in people who underwent thoracic surgery. Inclusion criteria Studies with adult patients undergoing thoracic surgery and published between 2014 and 2020 were included. The thoracic procedure undertaken required post-operative physiotherapy intervention as part of the recovery process. Method Searches were undertaken in PEDro, CINAHL, EMBASE, MEDLINE, PubMed, Google Scholar and the Clinical Trials Registry. Article titles and abstracts were screened by one reviewer, and full text articles appraised by two reviewers. Quality was assessed and data was extracted using the relevant tools dependent on study methodology. Results Initially, 1809 articles were retrieved from which 28 articles were included in this scoping review, including a total of 6265 participants. Studies were randomised control trials (n = 10), observational studies (n = 7) and systematic review or meta-analysis (n = 5). The quality of the articles was good with the studies having structured protocols and blinding of subjects where appropriate, however there were some methodical flaws, including being underpowered. The variability in clinical physiotherapy practice between countries was highlighted. Included studies explored respiratory physiotherapy (n = 13), mobilisation (n = 10), combined respiratory and mobilisation (n = 3), kinesiology taping (n = 1) and outcomes (n = 1). Early and intensive mobilisation as part of an ERAS programme demonstrated statistically significant reduction in length of stay, post-operative pulmonary complications, and morbidity. The level of patients’ pre-operative mobility impacted on their post-operative outcomes and risk of developing post-operative pulmonary complications (PPC). Conclusion The scoping review included 28 studies with a range of methodologies providing evidence that supports post-operative physiotherapy intervention in people who undergo thoracic surgery. Future research should aim to clarify which respiratory physiotherapy techniques impact recovery and expand the diversity of methodologies to include more qualitative research.
Evaluation of the outcomes of adjunctive awake-proning as a novel approach to the management of COVID-19 pneumonitis in a level 1 hospital ward setting
Authors: Palit Joyeeta , Clay Alexandra , Tunbridge Anne , Keen Carol
Published: November 2022

In response to pressure on United Kingdom healthcare services due to the COVID-19 pandemic, a decision was made to pre-emptively awake-prone hypoxic patients with COVID-19 pneumonitis in a non intensive care unit (ICU) setting, with the aim of improving oxygenation and patient outcomes. This approach was trialled over 30 days from 30th March 2020, awake-proning patients for up to 15 hours a day in the first 72 hours of commencement. This case series was retrospectively analysed to characterise patients who tolerated the intensive regime (group A) versus those who ceased awake-proning early (group B). Additionally, length of stay in days was evaluated in the two groups. In total, 36 patients were proned – with an average of 2% point increase in oxygen saturations. Of these, 21 patients tolerated the intensive regime (average 1878 minutes/72 hours). Of the 15 people who ceased early (971 minutes/72 hours), only 4 were due to intolerable side effects. There were no major significant differences in baseline clinical characteristics between the two groups. Length of stay was significantly reduced in group A over group B even when adjusted for confounding of ICU stay (7.2 compared to 15.2 days p = 0.049). In conclusion awake-proning was successfully delivered in a level 1 setting, requiring the addition of 2 extra physiotherapy staff only. Further exploration is needed to explore the association of intensive regimes with reduced length of stay.