bluuebunny/crossref_metadata_2025 huggingface dataset:
CAUSAL FACTORS AND SOLUTIONS TO LEARNING DIFFICULTIES IN ARABIC IN CLASS XI IPS MADRASAH ALIYAH MUHAMMADIYAH 1 MEDAN-NORTH SUMATERA
Authors: Rahma Siti , Gajah Azizah Sabrina , Hasibuan Ernida , Nasution Sakholid
Published: December 2024

This research is motivated by the problem of students who have difficulty in learning Arabic. The researcher raised the title related to "Causal Factors and Solutions to Arabic Learning Difficulties in Class XI IPS MAS Muhammadiyah 1 Medan-North Sumatera". The purpose of this study is to find out the factors that cause students to have difficulty in learning Arabic and solutions or strategies in overcoming learning difficulties in Arabic. This research applies descriptive qualitative research methods with collection methods namely interviews, observation and documentation. The results of the research obtained are found various factors, namely internal factors and external factors that cause students to feel difficulties in learning Arabic. Internal factors are divided into 2, namely first, physiological factors such as illness or disability. Second, psychological factors such as intelligence, talent, interest, motivation, mental health factors and special kinds of learners. While external factors include the family environment, school environment and community environment. The solution to overcome students' difficulties in learning Arabic at Madrasah Aliyah Muhammadiyah 1 Medan-Nort Sumatera is by using several learning media that are considered effective such as using audio-visual-based learning media, namely using learning videos or watching Arabic cartoons, applying ice breaking before starting learning, and playing games.
HARUN NASUTION'S THOUGHTS ON ISLAMIC EDUCATION AND IMPLICATIONS WITH INDUSTRIAL REVOLUTION 5.0
Authors: Ichsan Sayed Muhammad , Siregar Maragustam
Published: December 2024

Islamic education is a solution to the various problems that plague humanity today, but in its journey Islamic education is seen as just a label, namely Islamic education is unable to reflect the practice of Islamic teachings in the field of education. Harun Nasution's idea is one form of assumptions that arise, that Islamic education if run correctly in bringing up students who are highly dedicated to society. The research uses a literature study approach or known as Library Research with a factual histrionic research model on figures that focuses on Harun Nasution's views on Islamic education and implications for contemporary Islamic education. The results of this study indicate that Islamic education in Harun Nasution's view is divided into two forms, namely basic and advanced. Basic education includes kindergarten, elementary school, junior high school, and high school, which focus on spiritual and moral approaches, and advanced education, namely universities, which focus on spiritual, moral and intellectual approaches. In this case, intellectual is using rationality as a means of analyzing existing problems.
Keywords: Harun Nasution, Islamic Education, Contemporary
The impact of the project-based learning method and the visual programming language Scratch on the achievements of preschool children in mastering arithmetic operations
Authors: Sovilj-Nikić Sandra , Marinković Jadranka
Published: December 2024

The research aims to determine how the application of the project-based learning method affects the achievements of preschool children in mastering the arithmetic operations of addition and subtraction, as well as to determine the impact of the use of the visual programming language Scratch on the development of logical thinking and progress in learning. The experimental research was carried out with preschool children aged 6 years. In the research, 30 children participated. They were divided into two equal groups. The first group of children conventionally learned arithmetic operations, while the second group learned using the project-based method. After that, both groups used the visual programming language Scratch to learn arithmetic operations. The Mann-Whitney U test was used to compare different methods of learning arithmetic operations and to determine the difference in achievement in mastering the arithmetic operations of addition and subtraction. The results show that the children of the experimental group, in which the project-based learning method was applied, showed a higher level of knowledge, especially after applying the visual programming language Scratch. Based on the obtained results, it can be concluded that the use of visual programming language in preschool education is an excellent supplement to the project-based learning method, as well as that it helps children to develop abilities such as creative and logical thinking and overall contributes to the progress of children in understanding arithmetic operations.
Perceived instructor’s emotional support and its mediating effect to students’ academic resilience and study engagement: In the case of a higher education institution in the Philippines
Authors: Lobo Joseph
Published: December 2024

This investigation delved deep into the invisible threads binding student resilience and educational support. Against the backdrop of bustling classrooms and echoing halls, this research sought to unravel how these intertwined factors sculpt students’ academic journeys and well-being. In this regard, the study aimed to examine the mediating role of perceived instructor’s emotional support among 896 students [371 males (41.31%) and 527 females (58.69%)] from a selected higher education institution in the Philippines. Sex differences were notable, with female students generally reporting higher academic resilience and greater perceived emotional support from instructors compared to males. However, both sexes showed similar levels of study engagement. Correlation analyses indicated positive associations: academic resilience correlated positively with study engagement and perceived emotional support, while emotional support correlated positively with study engagement. Path analyses affirmed all hypotheses: academic resilience positively influenced study engagement and perceived emotional support. Perceived emotional support also positively influenced study engagement, partially mediating the relationship between resilience and engagement. These findings underscored the pivotal roles of resilience and emotional support in nurturing student engagement and well-being within higher education contexts. The study suggests practical implications, including the importance of enhancing instructor training in emotional support strategies and implementing resilience-building interventions to foster student success and well-being.
Love, sex, respect, and physical attractiveness in marital satisfaction and remarriage: A comparison between monogamous and polygynous marriages
Authors: Husain Waqar , Faheem Ammara , Zaheer Aden
Published: December 2024

Studies on polygyny have been limited to socio-economic factors. The psychosocial aspects involved in the trend of having more than one wife were not studied earlier. The current study explored the role of love, sex, respect, and physical attractiveness in the marital satisfaction of polygynous husbands, monogamous husbands, and monogamous wives. A total of 611 participants from diverse cities in Pakistan took part in the study, comprising 57 polygynous husbands, 57 first wives of polygynous husbands, 57 second wives of polygynous husbands, 220 monogamous husbands, and 220 monogamous wives. Sukoon Marital Life Analysis scale was used to gather data. The results indicated a significant elevation in marital satisfaction among polygynous husbands with their second wives compared to the satisfaction levels of monogamous husbands. Additionally, second wives demonstrated significantly higher satisfaction with their husbands when compared to their first wives. These findings lead to the conclusion that second marriages exhibit notably higher levels of marital satisfaction for both polygynous husbands and their second wives in contrast to the satisfaction reported by monogamous husbands and wives. This study contributes valuable insights into the psychosocial dynamics of polygynous relationships.
From strangers to spouses: Exploring dyadic effects of insecure attachment and responsiveness on we-ness in Indian arranged marriages
Authors: Kumar Ritesh Mehta , Singh Ram Manohar
Published: December 2024

Dyadic studies have shown that insecure attachment styles, anxiety and avoidance, influence relationship outcomes such as relationship satisfaction, quality, and well-being. However, most of these studies have involved couples in choice-based marriages. Few dyadic studies have investigated the actor-partner effects of insecure attachment in arranged marriages. The present study (N = 96 dyads, 192 individuals) explored the mediating effects of perceived partner responsiveness (PPR) on the relationship between attachment insecurities and an individual’s sense of we-ness. Strong statistical support emerged for actor effects; however, partner effects were only partially supported. While wives’ avoidance attachment was indirectly and negatively associated with husbands’ we-ness through wives’ and husbands’ PPR, the vice-versa was not supported. Moreover, husbands’ anxious attachment was indirectly and negatively associated with wives’ we-ness, and wives’ anxious attachment was indirectly and negatively associated with husbands’ we-ness through husbands’ and wives’ PPR, respectively. The study attempts to unfold the complexity emerging from partners' interactions in Indian arranged marriages.
The Relationship between Work Stress and Fatigue and Sleep Quality in Speech Therapist Health Personnel in Medan City, Indonesia
Authors: Prasetyo Aditya Anggren , Hastuti Lis Sarwi
Published: December 2024

Background: Work is one of the activities carried out by a speech therapist in order to meet daily needs and desires for something. During the work process, speech therapists often experience obstacles that develop into negative feelings in the form of work stress and fatigue at work. The demands of the speech therapist's work environment can result in changing sleep patterns so that the speech therapist has poor sleep quality. Objectives: This study aims to determine the relationship between work stress and fatigue and sleep quality in speech therapist health workers in the city of Medan. Methods: This type of research is a non-experimental quantitative with a cross-sectional approach. The sampling technique used was purposive sampling with 28 speech therapists as respondents. Measurement of work stress using the Perceived Stress Scale questionnaire (PSS-10), fatigue measurement using the Industrial Fatigue Research Committee (IFRC) questionnaire and measurement of sleep quality using the Pittsburgh Sleep Quality questionnaire (PSQI). Data analysis was performed using the SPSS version 25.0 statistical program using the Spearman Rank statistical test. Results: The majority of respondents aged 20-40 years (82.1%), female (75%), married (57.1%), Diploma III education level (92.9%), working period 1-10 years (75 %). Speech therapists experienced moderate stress (53.6%) with low fatigue (64.33%) and good sleep quality (60.7%). The results of the correlation test obtained a value of r=0.192 (p=0.000) for the fatigue variable and a value of r=0.211 (p=0.000) for the sleep quality variable. Conclusion: There is no correlation between work stress and fatigue and work stress and sleep quality among speech therapist health workers in Medan City.
Bibliography: 16 (2012-2021)
Keywords: Speech Therapist, Job Stress, Fatigue, Sleep Quality.
Dampak Media Sosial Terhadap Keputusan Pembelian Konsumen di E-Commerce
Authors: M. Raghil  , Hendra Riofita
Published: December 2024

This study examines the impact of social media on consumer purchasing decisions in e-commerce. With advancements in information technology, social media platforms such as Instagram, TikTok, and Facebook have evolved from mere promotional tools into essential means of building brand awareness and consumer trust. Social media facilitates direct interactions with consumers through visual content, customer reviews, and influencer collaborations, creating more personal and emotional shopping experiences. Additionally, features like TikTok Shop streamline promotion and purchasing processes on a single platform, offering new business opportunities. The study also highlights the role of testimonials, reviews, and influencer marketing in shaping purchasing decisions. Findings indicate that social media enhances brand awareness, fosters trust, and drives consumer loyalty, ultimately strengthening brand image in the digital marketplace.
Implementasi Manajemen Sumber Daya Manusia Dalam Organisasi Pos Paud Terpadu Tulip Rungkut Tengah
Authors: Farchan Candra Utama  , Alfiandi Imam Mawardi
Published: December 2024

Human Resource Management (HRM) plays a crucial role in organizational development, including in Early Childhood Education (ECE). The focus of this research is Tulip Integrated PAUD in Rungkut Tengah Village, Surabaya. Early childhood (0-6 years) enters the golden age period where their learning patterns are based on imitation. This research aims to improve the effectiveness of early childhood learning and socialization at Tulip Integrated PAUD through the implementation of HRM. The main problems involve children's diverse characters, lack of activities, and differences in parents' mindsets. The implementation method consists of four stages: (1) introduction to the members of Tulip Integrated PAUD, (2) introducing the concept of HR Management, (3) providing active and expressive learning to students, and (4) evaluation and monitoring.The results showed that the socialization of HR Management positively contributed to the management of human resources at Tulip Integrated PAUD. Emphasis on fun and expressive teaching patterns increases early childhood participation in learning and social activities. Continuous evaluation and monitoring are needed to ensure continuity and improvement. In conclusion, the implementation of HRM and engaging learning approaches can improve the effectiveness of PAUD organizations. It creates a conducive environment for optimal early childhood development, by involving teachers, committees, and parents as part of integrated human resource management.
Metode akupresur untuk Menurunkan Tekanan Darah Tinggi pada Lansia
Authors: Sumarni Sumarni , Lutfia Lili , Putri Nadya Alifah , Chotimah Chusnul , Yulianti Rubyatna Eka
Published: December 2024

Akupresur merupakan salah satu terapi non farmakologis yang dapat dilakukan untuk pasien lansia dengan hipertensi.Terapi akupresur dapat membuat tubuh rileks sehingga terjadi penurunan tekanan darah. Metode penyuluhan ini dilakukan secara langsung dengan ceramah dan diskusi secara interaktif serta simulasi akupresur.  Diskusi dilakukan dengan metode tanya jawab terkait materi. Materi selain disajikan secara presentasi juga diberikan  melalui leaflet. Akupresur dilakukan dengan melakukan penekanan pada titik LR 3, SP 6,ST 40, ST 36, GB 20, L14,PC 6. Pada setiap titik refleksi minimal 2 menit setiap titiknya. Hasil kegiatan menunjukan bahwa setelah kegiatan ini sebagian besar ibu mempunyai pengetahaun yang baik tentang hipertensi dan akupresur. Kegiatan penyuluhan ini telah dicapai dengan menambah wawasan dan turunnya tekanan darah setelah intervensi akupresur.
Kegiatan Penyuluhan Dan Penapisan Komposisi Tubuh Pada Kelompok Lanjut Usia Di Gereja St. Fransiskus Asisi
Authors: Limas Peter Ian , Kasvana Kasvana  , Saerang Stefanus Hnady , Satyanegara William Gilbert , Wijaya Dean Ascha , Santoso Alexander Halim
Published: December 2024

Aging is associated with significant changes in body composition, specifically a decrease in lean body mass and an increase in fat mass. These changes contribute to the prevalence of obesity and sarcopenia in the elderly population, impacting quality of life, morbidity and mortality. A complex interaction between hormonal decline, chronic inflammation, nutritional deficiencies, and reduced physical activity underlies these changes. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for obesity and sarcopenia in the elderly at St. Mary's Church, Francis of Assisi. We use Bioelectrical Impedance Analysis (BIA) to measure body composition, which includes total body fat, visceral fat, subcutaneous fat, and muscle mass. Among 32 participants, the average total body fat, visceral fat, subcutaneous fat, and muscle mass were 36.5% each; 9.6%; 9.68%; and 21.5%. Body composition assessment using BIA is very important in managing the elderly's health. Preventive strategies, including tailored exercise programmes, nutritional counselling, and lifestyle modifications, are essential to maintain muscle mass and prevent excessive fat deposition, thereby improving quality of life and reducing morbidity and mortality.
Keywords: Body Composition, Obesity, Sarcopenia, Elderly, Bioelectrical Impedance Analysis
Kegiatan Pengabdian Masyarakat dengan Edukasi dan Skrining Kadar Air, Kadar Minyak, dan Hidrasi Kulit pada Kelompok Usia Remaja di SMA Kalam Kudus 2
Authors: Catharina Sagita Moniaga  , Alexander Halim Santoso  , Eric Hartono  , Louise Audrey Sukianto  , Tosya Putri Alifia  , Edwin Destra
Published: December 2024

Healthy skin is a condition in which the skin’s moisture, oil levels, and elasticity are optimally maintained, allowing it to protect the body from external factors and maintain its physiological balance. The balance of water, oil, and skin hydration is especially important for adolescents undergoing hormonal changes. The purpose of this activity is to enhance adolescents' awareness and understanding of the importance of healthy skin through education and assessments of some of the skin contents. This community service activity was organized using the Plan-Do-Check-Act (PDCA) method, which includes health education and assessments of skin water, oil, and hydration levels among adolescent groups. The results of this activity indicate that screening and education contribute to adolescents’ understanding of the risk factors affecting skin health, the importance of appropriate skincare, and the benefits of regular assessments. The activity's discussion highlights that balanced levels of water, oil, and skin hydration play a role in preventing skin issues such as infections, acne, dermatitis, and premature aging. This education supports adolescents in adopting healthy habits to maintain their skin health. This activity plays a crucial role in raising adolescents' awareness of skin health, thereby reducing the risk of future skin disorders.
Comment la méthode de mesure des variables affecte-t-elle la relation entre internationalisation et performance ? Une étude sur l’industrie automobile
Authors: GALY Nadine , LACOSTE Denis
Published: December 2024

Despite decades of research, there is still no consensus on the impact of internationalization level on performance. Our objective is to show that this is partly explained by the use of different methods for measuring variables. We conducted a study on the global automotive industry over a period of 10 years, using various methods to measure internationalization on one hand, and performance on the other. Our results validate our hypothesis. We think that by using different indicators, researchers measure very different dimensions of internationalization and performance. Our research indicates that it would be useful to return to more in-depth analyses of the link between different forms of internationalization and different facets of performance.
Enhancing Early Childhood Social-Emotional Skills through Innovative Interactive Learning Media
Authors: Hikmah Hikmah , Wongsonadi Sri Kuswantono , Hartati Sofia , Jahja Yudrik
Published: December 2024

This study evaluates the impact of innovative interactive learning media on social-emotional skill development in preschool-aged children. Using a mixed-methods approach, the research compared social-emotional growth between an experimental group that engaged with interactive media and a control group that used traditional storybooks. Six key social-emotional skills were assessed: empathy, emotional regulation, cooperation, communication, conflict resolution, and self-awareness. Results indicated significant improvements in the experimental group across all skill parameters, with the greatest gains in communication and conflict resolution. Independent t-tests revealed that the experimental group’s progress was significantly greater than that of the control group, with large Cohen’s d effect sizes underscoring the practical relevance of these outcomes. Qualitative feedback from educators and parents further supported these findings, emphasizing how interactive media fostered active engagement and offered opportunities for children to practice social skills in real-time scenarios. This study highlights the effectiveness of interactive media as a tool for early childhood social-emotional learning and recommends further exploration of its potential across varied educational settings.
Integration of The Principle of Restorative Justice In Law Enforcement of Tax Crimes To Achieve Legal Certainty In Indonesia
Authors: Soesilo Soesilo , Yusuf Hasibuan Fauzie , Maryano Maryano
Published: December 2024

This research analyses the implementation of judges' decisions on law enforcement of taxation crimes in Indonesia and identifies ideal criminal law policies to achieve legal certainty. The method used is normative juridical with analytical descriptive approach, which is supported by the theory of judicial power, theory of legal certainty, and theory of law enforcement. The results show that the ultimum remedium principle has not been fully applied consistently, with some serious tax offences going directly to the criminal realm even though administrative mechanisms are still possible. Conversely, some other offences are resolved administratively, even though the criminal elements have been fulfilled. This inconsistency suggests the need for uniform technical guidelines to reduce differences in legal interpretation. This research is an integration of restorative justice principles in Indonesian tax law, which allows offenders to settle tax liabilities along with penalties before being subject to criminal sanctions. This approach balances the recovery of state losses and the deterrent effect for offenders, while supporting sustainable taxpayer compliance. This research recommends the preparation of pretrial guidelines and harmonization of regulations to improve legal certainty in tax cases in Indonesia.
An Oral Sedation Preparation Based on Pistachio Nuts with Organic Melatonin Content To Support MRI Examination
Authors: Surya Wrddhi Putra IM Dwitya , Satoto Bambang , Dartini Dartini , Masrochah Siti , Latifah Leny , Murti Wibowo Gatot
Published: December 2024

Sedation of propofol, chloral hydrate, midazolam, and ketamine is commonly used in MRI examinations. There are still risky side effects from the previous 4 sedations, so melatonin tablets are a safer option. Melatonin synthesized in tablets can still cause quite adverse side effects. Pistachios processed into milk can be used as an alternative to natural melatonin oral sedation. Research Objective: To determine the potential of pistachio milk as an alternative to oral melatonin sedation to support MRI examinations. Research Method: This research uses the R&D (Research and Development) method with 4 stages, namely finding potentials and problems, data collection, product design, and design validation. The product in the form of 200 mL pistachio milk with concentration variants of 35 g, 45 g, 55 g, 65 g was tested in a laboratory to determine its potential from the test results with a reference to melatonin tablets of 10 mg. Research Results: Laboratory tests showed the presence of melatonin and other accompanying ingredients such as phenolics, carotene, and polyphenols. The melatonin content of the 35 g, 45 g, 55 g, 65 g variants is 5.5 mg, 6.1 mg, 8.7 mg, 10.5 mg, respectively. Conclusion: Pistachio milk with a 65 g variant has a melatonin content of 10.5 mg which is close to the reference for sedation of melatonin tablets of 10 mg, so it has the potential to be an alternative to oral sedation of melatonin to support MRI examinations.
Legal Dilemma of Abortion Regulation for Rape Victims in Indonesia from the Perspective of Justice
Authors: Iwansyah Iwansyah , Arief Fakrulloh Zudan
Published: December 2024

This research discusses the role and impact of medical expert witness testimony in drug abuse cases involving police officers as alleged violators of the code of ethics. Expert witness testimony plays a critical role as a key piece of evidence in the legal process, particularly in determining the validity of allegations and ensuring fairness in proceedings. However, the study highlights several challenges faced by medical experts, including social pressure, public stigma, and potential conflicts of interest that may compromise their objectivity, integrity, and independence. Furthermore, the complexity of legal procedures and administrative constraints can hinder the timely collection of biological samples and subsequent analysis. Difficulties in accessing relevant medical records and data further exacerbate these challenges, creating delays and inefficiencies in resolving cases. This study also underscores the psychological and institutional pressures on expert witnesses when handling cases involving law enforcement personnel, which can impact their professional credibility. To address these issues, the research recommends systemic reforms aimed at strengthening the role of expert witnesses through clearer regulations, standardized procedures for evidence collection, and enhanced safeguards to protect their independence. Improved transparency, accountability, and collaboration between legal and medical institutions are critical to ensuring justice, particularly in cases of drug abuse involving law enforcement officers.
Legal Efforts in Handling Consumer Disputes at the Consumer Dispute Settlement Body (BPSK) in Indonesia
Authors: Yuwono M. Sunandar , Saptomo Ade
Published: December 2024

Consumer disputes are issues that frequently arise in the relationship between consumers and businesses. In Indonesia, the Consumer Dispute Settlement Body (BPSK) plays a vital role in addressing these disputes. The legal efforts available through BPSK are regulated under Law of the Republic of Indonesia No. 8 of 1999 on Consumer Protection, which provides a legal framework for dispute resolution that is simple, fast, and low-cost. The dispute resolution process at BPSK includes mediation, binding decisions, and procedures regulated by the Ministry of Trade Regulation No. 11 of 2016. This research uses a qualitative approach with data collection techniques through in-depth interviews, observations, and document analysis. This study aims to analyze the effectiveness of the legal efforts undertaken by BPSK in handling consumer disputes, as well as the challenges faced in its implementation. The findings indicate that although BPSK offers better access for consumers, there are still barriers regarding socialization, resource capacity, and community legal awareness. This research is expected to provide recommendations for improving the consumer dispute resolution system in Indonesia.
Criminal Law Politics and Reform to Strengthen Law Enforcement Roles in Indonesia in Combatting Narcotics Crimes
Authors: Pambudi Pambudi , Redi Ahmad
Published: December 2024

This research aims to analyze the criminal law policy on narcotics in Indonesia and evaluate the reform of strengthening the role of law enforcement officials in combating narcotics offenses. The study focuses on examining the existing legal framework governing narcotics crimes, assessing the effectiveness of its implementation, and identifying the challenges faced in the law enforcement process. Through a comprehensive analysis, this research highlights various obstacles, including limitations in resources, inconsistencies in legal interpretation, and gaps in inter-agency coordination, which hinder the effectiveness of narcotics law enforcement. Furthermore, this study explores reform efforts to enhance the professionalism, capacity, and integrity of law enforcement officials as key agents in addressing narcotics-related offenses. It emphasizes the importance of improving training, adopting technology-driven approaches, and fostering accountability to ensure a more transparent and efficient enforcement system. The findings of this research are expected to contribute to the development of a more effective, just, and sustainable law enforcement policy that can better respond to the ongoing threat of narcotics in Indonesia. By addressing systemic challenges and implementing strategic reforms, this study advocates for a holistic approach to combating narcotics offenses and safeguarding society from their adverse impacts.
Güncellenmesi Gereken Bir Disiplin Suçu Olarak Devlet Memurlarının Mal Bildiriminde Bulunmaması
Authors: Çapar Asuman
Published: December 2024

Anayasa’nın 71. maddesinde kamu hizmetine girenler bakımından mal bildirim yükümlülüğü düzenlenmiştir. 3628 sayılı Kanun’da göreve girişte, görev esnasında belirli aralıklarla ve aylık gelirinin beş katı oranında mal edinmesi gibi bazı hallerde kamu görevlilerinin kendileri, eşleri ve reşit olmayan çocukları bakımından bir aylık süre içerisinde mal bildirim yükümlülüğü getirilmiştir. Mal bildirim yükümlülüğü 657 sayılı Devlet Memurları Kanunu’nda ise disiplin suçu olarak 125/D-j maddesinde düzenlenmiştir. 657 sayılı Kanun’da mal bildirim yükümlülüğüne uyulmaması durumunda kademe ilerlemesinin durdurulması cezası öngörülmüştür. Bu ceza disiplin cezaları ile hedeflenen kurum düzeninin sağlanması amacını aşar nitelikte olup, işlenen fiil ile verilen ceza arasında orantılılık bulunmamaktadır. Mal bildiriminde bulunmama fiiline öngörülen ceza ile fiil arasında ölçülülük sağlanamamaktadır. Bu nedenle mal bildiriminde bulunmama fiiline verilen disiplin cezasının uyarma ya da kınama cezası olarak yeniden düzenlenmesi gerektiğini değerlendirmekteyiz. Ayrıca mal bildirim süresi üç aya uzatılmalı ve mal bildiriminin elektronik ortamda yapılması sağlanarak kamu görevlilerinin işi kolaylaştırılmalıdır. Disiplin soruşturması başlatılmadan önce idare ilgiliye ihtar göndermelidir.
Symptom Burden and Survivorship Care for Patients With Prostate Cancer on Androgen Deprivation Therapy
Authors: Sentana-Lledo Daniel , Saraf Anurag , Morgans Alicia K.
Published: December 2024

Prostate cancer survivors represent a growing population of patients with a diagnosis of prostate cancer, whether they were cured using local therapies or continue to receive systemic treatment of advanced disease. Many patients receive androgen deprivation therapy (ADT) during treatment, which is associated with many long-lasting physical and psychological effects. Identifying and addressing the needs of survivors is imperative for improving their health and well-being. This narrative review highlights the most common issues associated with ADT affecting survivorship in prostate cancer, including cardiovascular and metabolic effects, musculoskeletal health, sexual morbidity, and local therapy effects, as well as the mental and psychological toll. A special emphasis is placed on the existing literature examining specific interventions to alleviate these symptoms, along with describing existing gaps in knowledge, with the goal of promoting dedicated studies aimed at enhancing the survivorship experience of patients with prostate cancer.
Pengembangan Industri Teri dalam Pemberdayaan Ekonomi Masyarakat Desa Padelegan Kecamatan Pademawu Kabupaten Pamekasan
Authors: Marsum Marsum  , Syaiful Anam  , Mohammad Fahrur Rozi  , Suhaimi Suhaimi
Published: December 2024

Anchovies are widely consumed by the lower middle class, it turns out to be one of the best sources of calcium. The greatest calcium requirement occurs during growth and calcium is still needed even though it has reached adulthood to prevent osteoporosis. According to Hendradi (2009) anchovies are a source of calcium that is resistant and not easily dissolved in water. Anchovies are very good as a source of calcium that is cheap and easy to obtain. The development of the anchovy industry in empowering the economy of the Padelegan village community means that increasing the independence and welfare of the Padelegan village community is one of them through economic empowerment in the village in the digitalization era. Thematic KKN Group 05 Madura University activities carried out the development of the anchovy industry in empowering the economy of the Padelegan village community for one month with 11 work programs. This article was written using a qualitative study method with a descriptive approach.
Pemanfaatan Plastic Canvas sebagai Tas Handmade yang Dikombinasikan untuk Menambah Inovasi Baru pada Produk Handmade
Authors: Layla Hanisa  , Veronika Mevelia Christine  , Zaschia Flanivolya Matulessy  , Anggun Pratiwi  , Achmad Bagas Djuan R  , Irda Agustin Kustiwi
Published: December 2024

This research aims to provide new innovations in handmade products or knitted products. Apart from that, this research also aims to help UMKM in developing their handmade bag business. The methods we use in this activity are research, discussion, training, development and evaluation. The results of this research show an increase in product quality, creativity and sales through digital and offline marketing strategies. Collaboration with partners makes a big contribution, especially in practical training and product marketing. Even though there are challenges such as manual production processes and market competition, innovation and the right marketing strategy can help this product remain competitive and have the opportunity to develop sustainably. We hope that UMKM players can develop the handmade bag or knitted bag business by developing new innovations while maintaining product quality.
A Colonized Dream: Fragmented Identity and Betrayal in Sunetra Gupta’s Memories of Rain
Authors: Liton Baron Sikder
Published: December 2024

Sunetra Gupta’s debut novel, Memories of Rain, explores the complexities of cultural dislocation and the lingering effects of colonialism through Moni, a Bengali woman who migrates to England. This essay examines Moni’s struggle to forge an identity amidst conflicting emotions and a fractured sense of belonging. It analyzes how her romanticized view of England, shaped by English literature, collides with the harsh realities of life as an immigrant, ultimately leading to her disillusionment and return to Calcutta.  This article draws on critical scholarship to explore themes of “colonized otherness,” memory, nostalgia, and the search for a hyphenated identity. Moni’s journey reflects the challenges of navigating cultural clashes, betrayal, and the enduring power dynamics between colonizer and colonized. The analysis reveals how Gupta utilizes literary elements and the power of memory to portray Moni’s search for self-discovery and reclamation of her Bengali heritage.
Transformasi Sistem Pendidikan di India: Profil, Tujuan, Manajemen, Pendidikan Islam, dan Tantangan dalam Menghadapi Isu Global
Authors: Devi Rosvianto  , Mislaini Mislaini  , Nila Komala Bintang
Published: December 2024

This research discusses the transformation of the education system in India with a focus on the profile, goals, management, Islamic education and global challenges. The background is India's economic and social development which requires a quality education system. This study aims to analyze the Indian education system and identify the challenges faced. The methods used are literature studies and theoretical analysis with reference to the theory of modernization, inclusion and technology-based learning. The results show that the Indian education system has a structured structure, but still faces educational gaps, uneven quality of education and limited use of technology. Islamic education also faces challenges. This research has implications for the development of the education system in India, especially improving access and quality of education, as well as integrating environmental education in the curriculum. These results can be a reference for the government, educators and researchers to develop a quality education system that is relevant to the needs of society. This research contributes to the understanding of the Indian education system and the development of strategies to improve the quality of education.
ACOMODAÇÃO SENSORIAL COMO RECURSO NO SUPORTE NO PÓS TRANSPLANTE HEPÁTICO NA PRIMEIRA INFÂNCIA
Authors: Santos Barros Aline dos , Souza Eliane Soares Mousinho de , Pereira Maria Madalena , Silva Pontes Shirlei , Sabattha dos Santos Sirlane , Bittencourt Angela Maria
Published: December 2024

risco de perda de fluídos e sangue, uma vez que o fígado está relacionado ao mecanismo da coagulação sanguínea. Objetivo: mapear estratégias de cuidado da terapeuta ocupacional acerca do atendimento ao paciente pediátrico, que apresentava disfunção sensorial em decorrência do transplante hepático corrido em outubro de 2023. Método: trata-se de estudo de caso realizado com uma criança pós-hepático, que apresentava agitação psicomotora e rejeição ao contato social, anseio contínuo pelo toque físico do pai, prejudicando a segurança hospitalar. Foi enviado para os pais e para a instituição a solicitação de liberação da pesquisa. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o parecer 6609833. Resultado: a terapeuta ocupacional, com a utilização da abordagem de Integração Sensorial, visou prevenir estes comportamentos por meio da promoção de regulação emocional e adaptação ao ambiente hospitalar. Os recursos sensoriais utilizados foram individualizados e acompanhados da oferta de orientações diárias ao cuidador, a qual obteve melhora na interação social, bem como no controle da agitação psicomotora e na segurança hospitalar, enfatizando a importância da atuação deste profissional em contextos complexos de reabilitação pediátrica pós-transplante. Conclusão: esta intervenção demonstrou ser eficaz na promoção da regulação emocional, na adaptação ao ambiente hospitalar e na melhoria da interação social da criança em contextos complexos, pois a individualização dos recursos sensoriais, aliada ao suporte diário aos cuidadores, contribuiu para o controle da agitação psicomotora e para a segurança hospitalar, destacando a relevância do terapeuta ocupacional na elaboração e implementação de estratégias que atendam às necessidades específicas de cada criança, promovendo seu bem-estar e facilitando o processo de reabilitação. Recomenda-se a continuidade de pesquisas para aprofundar o entendimento sobre as contribuições da Integração Sensorial em cenários pediátricos de alta complexidade.
SELETIVIDADE ALIMENTAR EM CRIANÇAS COM AUTISMO
Authors: Silva Ribeiro Elliana Dias e , Barboza Danielle de Jesus , Santos Patrícia da Silva , Bittencourt Angela Maria
Published: December 2024

Este estudo tem por objetivo analisar a seletividade alimentar em crianças com autismo, especificamente, pois a seletividade alimentar representa desafio significativo não apenas para a saúde da criança, mas também para as dinâmicas familiares e sociais. Do ponto de vista social, esta condição pode resultar em exclusão e estigmatização, dificultando a participação em eventos sociais e nas interações com seus pares. A falta de aceitação de novos alimentos pode levar a problemas de saúde e nutrição, impactando diretamente o desenvolvimento físico, cognitivo e emocional da criança. Objetivo: analisar a intervenção da terapeuta ocupacional pela abordagem da integração sensorial na seletividade alimentar de criança autista. Metodologia: estudo de caso realizado com uma criança diagnosticada com TEA. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o parecer 6.609.833. Resultados: destaca-se a importância da seletividade alimentar que acarreta a deficiência de alguns nutrientes, culminando em risco aumentado de desnutrição, raquitismo, obesidade, retardo de crescimento, problemas ósseos, déficits sociais e baixo desempenho acadêmico, além dos sintomas gastrointestinais, devido a alteração na composição e função da microbiota intestinal, que podem ser agravados pela seletividade alimentar, pela avaliação contínua das necessidades nutricionais e emocionais das crianças são fundamentais para a implementação de estratégias adequadas que visem à melhoria do estado de saúde geral e da aceitação alimentar. Conclusão: é necessário oferecer estratégias eficazes para ampliar a aceitação de novos alimentos, melhorar a qualidade de vida da criança e pesquisas mais aprofundadas sobre este tema, visto que, ainda são poucas as contribuições cientificas que compreendem os aspectos gerais da seletividade alimentar.
ABORDAJE ENDOSCÓPICO ENDONASAL GUIADO POR NEURONAVEGACIÓN EN TUMORES HIPOFISIARIOS: NUEVA TÉCNICA NEUROQUIRÚRGICA EN HOSPITAL ALCÍVAR - GUAYAQUIL.
Authors: CHONG CESAR , WONG XAVIER , ACOSTA MONTSERRATE
Published: December 2024

El objetivo de este artículo es presentar esta nueva experiencia en el Hospital Alcívar-Guayaquil en el tratamiento de lesiones de la región selar mediante el abordaje endoscópico endonasal (utilizando el endoscopio y su respectiva torre óptica). Tradicionalmente se ha venido utilizando en el Hospital Alcívar la técnica microquirúrgica (uso del microscopio). Se exponen las diferentes fases del procedimiento. Consecuentemente, los resultados clínicos y quirúrgicos se presentan. El abordaje endoscópico endonasal a la región selar es una nueva opción que viene a quedarse por sus ventajas en óptica que permiten un mejor desempeño del neurocirujano en las diferentes fases del abordaje en diferentes patologías de región selar predominantemente, aunque cada vez se está utilizando en áreas adyacentes (base craneal anterior, clivus y otras, lo que implica que es una técnica versátil y útil que lo ha demostrado por sus resultados.Presentamos los primeros dos casos intervenidos en el Hospital Alcívar con Abordaje endoscópico endonasal de región selar con resultados de Anatomía patológica de Adenomas hipofisarios.
DERMATOFIBROSARCOMA PROTUBERANS.
Authors: VILLACIS GIBSY
Published: December 2024

El dermatofibrosarcoma protuberans (DFSP) es un sarcoma de partes blandas poco frecuente, malignidad local y crecimiento lento. Representa menos del 0,1% de las neoplasias malignas y el 1,8% de los todos sarcomas de tejidos blandos.Se presenta el caso en varón de 55 años de lesión nodular localizada en tronco con características clínicas de DFSP confirmada con histopatología.La primera línea de tratamiento es la cirugía con la resección local amplia o la cirugía micrográfica de Mohs existiendo otras alternativas terapéuticas.
Concordancia diagnóstica de lesiones meniscales, entre hallazgos imagenológicos vs artroscópicos mediante clasificaciones de D. Stoller e ISAKOS
Authors: Valle Ochoa Carlos Jacinto , Celi Simbaña Stalin Santiago , Galló Valverde, Jean Carlos , Zea Torres Jorge Carlos , González Pazmiño Paola , Navas Palma Carmen Matilde
Published: December 2024

Introducción: El objetivo del estudio fue establecer la concordancia diagnóstica de lesiones meniscales observadas mediante resonancia magnética utilizando la clasificación de Stoller e Isakos verssus los hallazgos de artroscopía de rodilla.
Métodos: El presente estudio de pruebas diagnósticas, se desarrolló en el Hospital Alcívar en Guayaquil, Ecuador de enero a agosto del 2024.  Se incluyeron registros de pacientes con patología de meniscos, que contaban con Resonancia Magnética Nuclear de rodilla y fueron sometidos a artroscopía. Se usó la clasificación de Isakos, y de Stoller. La muestra fue no probabilística. El análisis corresponde a pruebas diagnósticas.
Resultados: Fueron 19 casos. Entre la clasificación de Isakos y el Gold Estándar (Artroscopía se observó un Índice de Kappa de Cohen de 0.57 lo que corresponde a Concordancia Moderada; y para las lesiones de menisco interno se observó un Índice de Kappa de Cohen de 0.88 lo que corresponde a Concordancia Muy buena. La sensibilidad y especificidad diagnóstica podemos concluir que en el grupo estudiado la Clasificación de Isakos mostró valores más altos tanto para el Menisco externo: sensibilidad 81.3% especificidad del 100%, como para el Menisco Interno: sensibilidad 100 % y especificidad del 85.7 %.
Conclusiones: La clasificación de Isakos tiene una mejor sensibilidad y especificidad para el diagnóstico de lesiones de meniscos comparada con la clasificación de Stoller, comparadas con la artroscopía como grupo de control.
The medicine of the new generations
Authors: Miranda Leonidas
Published: December 2024

Since Hippocrates, the father of medicine, wrote his oath that has survived the millennia, many sunrises have crossed the calendar like a swift and light sigh. In the days when Galen described the hands, eyes, and ears as the primary tools for diagnosing diseases, many books were written with fertile medical information to improve humanity's health. A tour of the hospitals of yesteryear would show us the richness of what we can discover with a prolific anamnesis. The effort of those who preceded us in science to bring out the symptoms and the meticulous observation of the signs led our predecessors to weave the solid structure of modern medicine. Without computers or tomographs, they came to diagnose the pathological entities that govern our daily wanderings today as pilgrims and magnates of hospital roads. Medical life today is only possible with the saving participation of imaging and the laboratory. The discovery of the microscope, biochemical examinations, computers, and X-rays, with their different applications, opened the doors to an infinity that never ceases to amaze. From the enigmatic virus that decimates the population during a pandemic to the 3D images of a scanner that helps to find hidden cancer, the graphic illustrations of our anatomy in real-time and the measurements of values ​​in body fluids guide our decisions for an accurate diagnosis a correct prescription or a precise and detailed surgery. "Don't let your skin stand between you and the diagnosis of that appendicitis..." a clinician told me when faced with a case of suggestive abdominal pain with doubtful images where the semiology exceeded the potential certainty of a state-of-the-art tomograph. The traditional structure of symptoms and signs must strengthen clinical suspicion and anticipate the results of confirmatory tests. The new generations should be encouraged to maintain this culture of examining the patient first. I still remember the diagnosis of a mass in my first rectal examination as a student, made to a patient who had consulted the medical service for a heart condition. The incidental finding of a novice physician probably saved that patient's life on that occasion.
Factores de riesgo asociados con el desarrollo de neumonía aspirativa en pacientes con evento cerebro vascular isquémico agudo y su relación con la mortalidad.
Authors: Yperti Intriago María José , Ordoñez Mayra
Published: December 2024

ANTECEDENTES: La neumonía es un tipo de complicación infecciosa muy común en pacientes que han sufrido un ictus. Se relaciona con elevada mortalidad, mayor estancia hospitalaria y malos resultados funcionales que afectan la calidad de vida del paciente.
OBJETIVO: Reconocer los factores de riesgo asociados a la neumonía aspirativa en pacientes con evento cerebrovascular isquémico agudo y su relación con la mortalidad en el Hospital Teodoro Maldonado Carbo, de mayo del 2018 a mayo del 2021.
METODOLOGÍA: Estudio retrospectivo, longitudinal, correlacional con alcance analítico y enfoque cuantitativo que se llevó a cabo en el Hospital Teodoro Maldonado Carbo (HTMC), de mayo 2018 a mayo 2021.
RESULTADOS: Muestra conformada por 442 pacientes: 277 masculinos, 165 femeninos, la edad media de la población fue 70,5 años.
CONCLUSIONES: La NAAI tiene una elevada prevalencia y mortalidad hospitalaria, se asocia a múltiples factores de riesgo y los resultados funcionales a largo plazo en los pacientes son malos.