bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical Profile of 100 Elderly Patients Admitted to Critical Care Unit
Authors: Ul Huq Abrar Mohammed , Kumar Sandeep , Ambali Anand P.
Published: December 2023

Introduction:

The population of older people (≥60 years) is a growing segment of society, leading to enhanced stress on the global health-care system. Critical care admissions with multiple comorbidities result in prolonged hospital stay and are associated with increased mortality. There is a need to study the profile of older adults admitted to the intensive care unit (ICU) so as to know and understand the challenges of delivery of health care in an intensive care setup.

Materials and Methods:

A prospective observational study was conducted with the aim to assess the clinicodemographic profile, disease pattern, and clinical outcome in elderly patients admitted to the medical ICU. One hundred elderly people of either gender with medical emergencies admitted during the study period of 6 months were included in the study after obtaining informed consent.

Results:

The mean age of 100 elderly patients admitted to medical ICU was found to be 70.75 ± 9.22 years. There were 57 males and 43 females. The most common systemic cause of admission to the critical care unit was pertaining to the respiratory system in 45 patients (25.4%) such as exacerbation of chronic obstructive pulmonary disease, pneumonia, and cor pulmonale. The mean number of comorbidities in our study subjects was 1.13 ± 1.12. The common comorbidities were hypertension 39 (34.2%) and diabetes mellitus 22 (19.3%). The mortality in patients with >2 comorbidities was found to be 52.5% and with ≤2 comorbidities was found to be 13.4%, the difference being statistically significant (P< 0.001). Thirty-four percent of patients required invasive mechanical ventilation, and the overall mortality rate was found to be 14%. Mortality was significantly higher among males (71.42%). The mean length of ICU stay was 7.24 ± 6.60 days. Length of stay was significantly higher in patients with <2 comorbidities and with the diagnosis of cerebrovascular disorders.

Conclusion:

Older people admitted to ICUs are more challenging because of preexisting multiple comorbidities and have a significantly higher risk of poor outcomes. Diseases of the respiratory system, cardiovascular system, and central nervous system are more common among older people with increased length of ICU stay and higher mortality.
Abdominal Tuberculosis Presenting as Anemia Refractory to Standard Therapy in an Elderly Male
Authors: Sharma Gaurav , Rani Deepa , Verma Ashish , Chakrabarti Sankha Shubhra
Published: December 2023

India bears a significant proportion of tuberculosis cases, accounting for approximately 28% of the global burden. Among the reported global cases, around 16% constitute extrapulmonary tuberculosis (EPTB). EPTB diagnosis and treatment are usually challenging. The diagnosis frequently requires the application of contemporary methods, such as acquiring extrapulmonary samples and utilizing advanced diagnostic tools that involve immunological and molecular techniques. Here, we present a case of an elderly male who presented with constitutional symptoms and severe anemia which was refractory to standard hematinic and transfusion therapy. The patient was diagnosed to be a case of abdominal tuberculosis and improved with antitubercular therapy.
Effect of video distraction on preoperative anxiety scores in pediatric patients undergoing general anesthesia in ophthalmic daycare procedures: A randomized controlled trial
Authors: Bandyopadhyay Soumily , Kaur Manpreet , Sinha Renu , Muthiah Thilaka , Ayub Arshad , Subramaniam Rajeshwari
Published: December 2023

Background and Aims:

Parental separation, fear, and exposure to the operating room environment lead to stress and anxiety in pediatric patients. This study aims to identify the research gaps in the effect of video distraction on pediatric patients of Indian origin. We hypothesized that video distraction along with parental presence would reduce preoperative anxiety in pediatric patients undergoing ophthalmic procedures under general anesthesia compared with parental presence alone.

Material and Methods:

In this prospective randomized trial, 145 patients aged 2–8 years, ASA I-II, with at least one functional eye undergoing elective ophthalmic daycare procedures were enrolled. They were randomly allocated to two Groups: Group V had distraction by watching a video/playing a video game together with parental presence, whereas control Group C had parental presence alone without any video distraction. The primary objective of the study was to compare preoperative anxiety using the Modified Yale Preoperative Anxiety score (mYPAS) and heart rate (HR), whereas the secondary objective was to compare child fear, emergence delirium, and parental satisfaction between the two groups. The three time points for intergroup comparisons were the preoperative holding area 10 min before induction (T0), transport of the child to the operating room (T1), and face mask introduction (T2).

Results:

There was a statistically significant difference between mYPAS score in groups V and C at all time points (P = 0.036, P = 0.0001, P = 0.0000), parental satisfaction score at all three time points (P = 0.0049, P = 0.0000, P = 0.0000), and Child Fear Score at T1 and T2 (P = 0.0001, P = 0.0001, respectively). However, there was no statistically significant difference in the emergence of delirium between the two groups.

Conclusions:

Video distraction together with parental presence has a promising role for implementation in hospitals with heavy workload settings where pharmacological intervention would not be feasible, to alleviate preoperative anxiety in children. However, preoperative anxiety may not translate into increased postoperative emergence delirium as was earlier believed.
Characterization of evisceration and enucleation following ocular trauma in Medellín, Colombia
Authors: Giraldo Natalia Rodríguez , López Sebastián Vallejo , Julio-Doria Luis Fernando , Calle Diana Carolina Gómez , Ochoa Oscar Alonso Villada , Posada Mariana López
Published: December 2023

Introduction:

Ocular trauma is a significant cause of visual loss with long-term sequelae, including reduced quality of life and loss of productivity for young patients. Surgical treatment depends on the injury; enucleation and evisceration are viable options in nonrecoverable eyes. Our study aims to describe the epidemiological and clinical profiles of patients undergoing evisceration/enucleation due to ocular trauma in a tertiary care center in Medellin, Colombia, over 10 years.

Methods:

We conducted a cross-sectional descriptive study of eyes that were eviscerated or enucleated due to trauma at the SHospital Universitario San Vicente Fundación in Medellin, Colombia, between 2011 and 2021. We studied sociodemographic characteristics, factors related to ocular trauma, and the surgical procedure performed.

Results:

We studied 161 eyes of 160 patients, of which 2 were enucleated and 158 eviscerated due to ocular trauma. The male-to-female ratio was 7.9:1, and the mean age was 36.6 years (standard deviation = 18.3). 52.2% were due to aggression or violence; the most frequent mechanism was a gunshot wound (28.1%). 98.1% were classified as open ocular trauma, of which 84.5% were ruptured globes. Of the eyes with reported visual acuity, 93.3% did not perceive light. Of the 161 eyes, 58.4% suffered an orbital fracture, and 29.2% suffered cranioencephalic trauma. Primary evisceration was performed in 98.8%, with half of the patients operated in 2 days or less and 75% in 4 days or less. An orbital implant was used in 90.7%. Seventy-five percent of patients were followed up at 36 days.

Conclusions:

The majority of ocular trauma resulting in loss of the eyeball occurred in young men who had suffered aggression or violence and presented with ocular rupture, with primary evisceration and orbital implant being performed in most cases, in contrast to what is reported in international series where secondary evisceration is preferred, possibly due to the initial severity of the traumatized eyes.
Cartan subalgebras in von Neumann algebras associated with graph product groups
Authors: Chifan Ionuţ , Kunnawalkam Elayavalli Srivatsav
Published: December 2023

We completely classify the Cartan subalgebras in all von Neumann algebras associated with graph product groups and their free ergodic measure preserving actions on probability spaces.
Approximate equivalence of representations of AH algebras into semifinite von Neumann factors
Authors: Shen Junhao , Shi Rui
Published: December 2023

In this paper, we prove a non-commutative version of the Weyl–von Neumann theorem for representations of unital, separable AH algebras into countably decomposable, semifinite, properly infinite, von Neumann factors, where an AH algebra means an approximately homogeneous

C^{\ast}

-algebra. We also prove a result for approximate summands of representations of unital, separable AH algebras into finite von Neumann factors.
A Qualitative Study of the Experience of COVID-19 Patients in Burkina Faso
Authors: Konaté Blahima , Médah Rachel , Traoré Isidore , Ouedraogo Samiratou , Kaboré Nongodo Firmin , Mamguem Ariane Kamga , Billa Oumar , Kania Dramane , Badolo Hermann , Ouédraogo Esperance , de Rekeneire Nathalie , Poda Armel , Diendéré Arnaud Eric , Ouédraogo Boukary , Tinto Halidou , Dabakuyo-Yonli Tienhan Sandrine
Published: December 2023

In Burkina Faso, the health system is characterized by systemic insufficient and antiquated health-care infrastructures. Consequently, few health-care establishments have the required resources to diagnose and manage patients with COVID-19, and fewer still have intensive care facilities for severely ill patients with COVID. Furthermore, there is a widespread scarcity of qualified health-care staff. The aim of this study was to explore the experiences of patients with COVID-19 who recovered after being cared for in Bobo Dioulasso and Ouagadougou. Using individual semistructured interviews, we performed a cross-sectional qualitative, descriptive study from June 12 to 30, 2020 with the aid of 13 well-educated patients who had survived COVID-19. The results reveal that prior to hospital admission, the main reason that prompted patients to seek care was onset of symptoms of COVID-19, regardless of whether they had been in contact with suspected or confirmed cases. Transmission was mainly believed to have occurred in the community, in the hospital, and during travel. Patient management was punctuated by frequent self-medication with medicinal plants or pharmaceutical drugs. The participants reported a negative perception of hospitalization or home-based management, with several forms of stigmatization, but a positive perception influenced by the satisfactory quality of management in health-care centers. This report of patient experiences could be helpful in improving the management of COVID-19 in Burkina Faso, both in the health-care setting and in home-based care.
Dependency revisited: commodities, commodity-related capital flows and growth models in emerging economies
Authors: Schedelik Michael , Nölke Andreas , May Christian , Gomes Alexandre
Published: December 2023

The growth model perspective has provided avenues for bridging comparative and international political economy, mainly regarding the Global Financial Crisis and developments within the eurozone. This article aims to contribute to this endeavor by highlighting the joint effects of capital flows and commodity price swings on growth models in emerging capitalist economies. While the literature on dependent financialization has primarily focused on debt-led growth in the Global South, we spell out the negative implications of commodity-based export-led growth. To this end, we first present a stylized depiction of commodity dependence and provide descriptive statistical evidence of its global prevalence. Subsequently, we trace the co-movement of capital flows to emerging economies and commodity prices. We argue that this ‘commodity–finance nexus’ reinforces the pro-cyclical nature of commodity-based growth, financial volatility, and the vulnerability to global boom–bust cycles. Furthermore, we demonstrate that the conventional method for establishing growth models by calculating the relative contributions to growth is ill-suited to capture the commodity-based export-led growth model of highly commodity-dependent economies. Finally, we identify commodity price movements and fiscal policies as major drivers of growth, with an important role for domestic politics as an intervening variable.
War in European Museum Narratives and Cultural Memory
Authors: Verbytska Polina
Published: December 2023

The article examines how the war narrative is displayed in modern European museum exhibitions, particularly in light of new museology and cultural memory trends in Germany and Poland. The study recognises that the contested nature of cultural and historical contexts influences the process of representing cultural memory in museum narratives. It combines the theoretical approach of museology with specific museum practices. Using case studies from the Bundeswehr Museum of Military History, Dresden, Germany; the Documentation Centre for Displacement, Expulsion, Reconciliation, Berlin, Germany; and the Museum of the Second World War, Gdansk, Poland, the author examines the impact of challenging issues centred on cultural memory of the war in museum exhibitions over recent decades. The study underlines the significance of innovative approaches to museum exhibitions that display the experience of war and contribute to social dialogue and sustainability.
The concept of small museums from an international and local perspective: starting points for further research in the Czech Republic
Authors: Jagošová Lucie
Published: December 2023

The study deals with the question, what is a small museum and what are its specifics compared to other museums. Based on available foreign and local sources, it summarizes the current state of research which is largely focused on searching for the consensus on how to clearly define this type of museums. The study is based on the published results of key research in the past twenty years, it outlines selected approaches to the characteristics of a small museum and summarizes its typical features. Analogously, it looks at the state of research in the Czech museum sphere, where the topic of small museums has been repeatedly opened, examined and debated from different perspectives of professional activities and professions in a small museum. The study raises the question of how to effectively build on this state of research and develop it further within the Czech Republic, where this type of museums seems to be insufficiently mapped so far.
Artificial Intelligence (AI) and Automation in the World of Work: A Threat to Employees?
Authors: Mabungela Mvuyisi
Published: December 2023

The introduction of machines driven by artificial intelligence (AI) and automation technologies has already had a significant impact on the manufacturing, automotive, logistics, retail, and wholesale industries, and the repercussions of their replacement on the human labour has been a hotly disputed subject. AI and automation technical advancements are having a big influence on workforce turnover. The aim of this study was to look at employees' attitudes on Artificial Intelligence and Automation at work, specifically whether they see AI as a threat or not. Secondary data sources from several authors were utilised in this article. This data was gathered from published and peer-reviewed publications, internet sources, and textbooks pertinent to the issue under consideration.  Some researchers contend that automation is likely to add to South Africa's high unemployment rate. There is a scarcity of empirical data in the form of published empirical research concentrating on the stress that AI and automation place on employees, hence the study is being conducted. Based on this study, it appeared that employees feel threatened by this rise of Artificial Intelligence and Automation.
Financial Performance Of Islamic Insurance Companies Before And During The Covid-19 Pandemic
Authors: Zahra Aulia Dika , Baehaqi Ahmad , Harto Prayogo P.
Published: December 2023

This research aims to analyze the comparative financial performance of Islamic insurance companies before and during the Covid-19 pandemic. The financial performance measured refers to the early warning system ratios, which consist of the underwriting, liquidity, own retention, premium stability, and loss ratios. This research is a descriptive quantitative research using the Wilcoxon test. The research population is all Islamic insurance companies registered with the Financial Services Authority (FSA) for 2018-2021. The sample was selected based on purposive sampling so that 48 observation data were obtained. Data comes from financial reports obtained through the official FSA and Company websites. The research results show significant differences in financial performance before and during the pandemic in the liquidity and loss ratio variables. However, there is no significant difference in financial performance before and during the pandemic in the underwriting ratio, own retention ratio, and premium stability ratio variables. This research can complement existing theories and become a reference for companies to evaluate and improve their financial performance, especially after the Covid-19 pandemic.
The Role Of Women Chief Executive Officers On Tax Avoidance Decisions In Islamic Stock Index
Authors: Winarto Wahid Wachyu Adi , Nisa Amalia Fakhru
Published: December 2023

This study aims to show empirical data on the impact of women CEO traits on tax avoidance. The populations are all companies listed on the Indonesian Islamic Stock Index from 2021 to 2022, as many as 403 firms. The data collection technique used in this research was quota sampling, which obtained 350 observation data. The variables that were observed in this study were employed as the study's objectives, including the traits of women CEOs as independent variables, tax avoidance as a dependent variable, and profitability, leverage, and firm size as control factors. Multiple linear regressions are used in the analysis that was used to solve the first problem. The findings indicated that female leaders who serve as CEOs negatively influence tax avoidance. This research is expected to add to the literature and be helpful in the development of accounting disciplines, especially in corporate governance in disclosing tax avoidance by companies. The practical implications of this research provide helpful managerial implications for companies as corporate governance in managing strategies and policies related to corporate tax payments.
Contextual-Based Physics Learning Through Experimental Method to Increase Learning Outcomes in Thermodynamics Material
Authors: Hanifah Amalia , Sudibyo Elok , Munasir  , Budiyanto Mohammad
Published: December 2023

One of the important benefits of implementing meaningful learning for students is improving better learning outcomes. But in general the ability to manage meaningful learning is still relatively low. This study aimed to describe the effectiveness of contextual-based physics learning through experimental method to increase learning outcomes in thermodynamics material. The effectiveness of contextual-based physics learning through experimental method was described based on the data of increasing students’ learning outcomes. This research employed an one-group pretest-posttest pre-experimental design. The results showed that the contextual-based physics learning through experimental method was able to increase learning outcomes of science education students in thermodynamics material with N-gain of 0.69 in medium category increase. Statistical Wilcoxon test also informed that the learning model can significantly improve learning outcomes of science education students in thermodynamics material. Based on the increase of learning outcomes, it can be concluded the contextual-based physics learning through experimental method was effective.
Learning Transfer in the Workplace: An Insight Into the Missing Link in the Education and Training of Employees
Authors: Okunlola John Olayemi
Published: December 2023

The goal of education and training is the transfer of learning which requires translating theories to knowledge, skills and learned behaviour. Education can only achieve its intended purpose when theories taught in the classroom are connected to workplace practices. If education and training fail to achieve this lofty objective, then, all efforts, time and resources may be a waste. Transfer of learning only occurs when prior learned knowledge and skills are applied in workplace, either in similar, related, or different contexts. However, there seems to be a missing link in what is being taught and transferred to the workplace in recent times. Aside from the theory of identical elements, this review also considers the theory of near and far transfer. The relevance of these two theories to classroom and workplace is the focal point of this review. Data for this review are secondary sources from documentary reviews, related articles, scholarly works in journals, conference proceedings among others. Data derived from these sources were analysed using content analysis approach. This paper posits that there is a missing link between what is being taught and learnt in the classroom and its workplace application. This paper posits that there is urgent need to make classroom a centre of active learning. Hence, a student-centred pedagogy is recommended, where real-life social contexts are taught in the classrooms, which can ultimately transfer learning to workplace.
Implementation of Multicultural-Based Social Science Learning and the Influential Factors
Authors: Rohartati Sri , Robandi Babang
Published: December 2023

The goal of this study was to learn about the implementation of multicultural-based social science learning for elementary school teacher education (PGSD) students at Universitas Langlangbuana, as well as the supporting and inhibiting factors that influence multicultural-based social science learning implementation.This is a qualitative study that intends to reveal numerous aspects about occurrences, phenomena, and social symptoms in elementary school teacher education students at Universitas Langlangbuana.The implementation of multicultural-based IPS learning and the supporting and inhibiting elements in the implementation of multicultural-based social science learning courses are the topic of this study. The implementation of multicultural-based social science learning as a means of preventing radicalism comprises three stages: planning, execution, and evaluation. Religious, ethnic, and cultural aspects, as well as support from friends and the surrounding community, all play a role in the implementation of multicultural-based social science learning. Meanwhile, internal and external issues are impeding the use of multicultural-based IPS learning. Internal issues include students and the lecture process in class, while external factors include the internet's impact, non-educational television shows such as brawls, and group tasks that are rarely completed with other students.
The Validity of Problem-Based Contextual Model in the History Learning at Senior High School
Authors: Aisyah Siti , Effendi Heri , Wandi Joni Indra , Noer Salman M , Priyono Cipto Duwi
Published: December 2023

Learning models can improve the quality of education. Therefore, this paper aims to prove the validity level of the problem-based contextual model in learning history through selected documentary films. This research refers to research and development. The process was used to produce and validate a product including educational products. The resulting educational product is a problem-based contextual learning model in learning history, which used ADDIE design model. The problem-based contextual model in history learning in high school is in the valid category. This model is a new learning model developed from the contextual learning model. Documentary film is one of the tools that can be used as a medium to deliver learning material. Visualization in film can make the expected atmosphere really felt and as if students are participating in the conditions in the film. In this case, the teacher has the essential role in explaining important points that become the subject of discussion so that learning a history will be more dynamic and varied. The problem-based contextual model was developed based on theoretical studies of learning theories, and also of learning values ​​to develop attitudes. The learning is based on student oriented. The problem-based contextual model consists of six syntaxes, namely: Visualization Problem, Relating, Experience, Applying, Cooperating Transferring, and Clarification.
Analiza magnetnog polja i privlačne sile elektromagnetnog separatora metodom konačnih elemenata
Authors:   Univerzitet u Beogradu, Institut Mihajlo Pupin, Željko V. Despotović , Djordje M. Lekić ,   Univerzitet u Banjoj Luci, Elektrotehnički fakultet
Published: December 2023

The paper provides an analysis of the magnetic field and the attractive electromagnetic force of a powerful electromagnet that is used as part of an electromagnetic separator (EMS) to separate metal parts on conveyor belts for coal delivery. The analysis was done using the finite element method using the FEMM 4.2 software package. For the modelling of the EMS magnetic circuit, a two-dimensional axis-symmetric model was defined and one characteristic section was simulated. Since a time-invariant magnetic field originating from a constant direct current is considered, a magnetostatic type of simulation is adopted. The paper presents the simulation results related to the value of the magnetic field induction and the attractive force of the electromagnet for several characteristic distances of interest. The results of the simulation were applied as part of the design if the plant for the detection and extraction of metal parts on the conveyor belt for the delivery of coal from surface mine “Drmno” to the thermal power plant (TPP) "Kostolac".
PERBUATAN MELAWAN HUKUM AKIBAT MEMBANGUN DI ATAS TANAH WAKAF (UNLAWFUL ACTIONS CAUSED BY BUILDING ON THE WAQF LAND)
Authors: Siregar Gomgom , Lubis Mhd Ansori , Lubis Muhammad Ridwan , Hartin Nst Venny Fraya , Nasution Lukman
Published: December 2023

Penguasaan tanah tanpa hak merupakan suatu penguasaan tanah yang dilakukan oleh seseorang atau badan hukum untuk menikmati atau menggunakan tanah tersebut yang bukan tanah miliknya tanpa alas hak dan juga secara melawan hukum. Praktek wakaf yang terjadi dalam kehidupan masyarakat belum sepenuhnya berjalan tertib dan efisien sehingga dalam berbagai kasus harta benda wakaf tidak terpelihara sebagaimana mestinya, terlantar, beralih ke tangan pihak ketiga atau ke tangan ahli waris dengan cara melawan hukum. Keadaan demikian, hanya karena kelalaian atau ketidakmampuan nazhir dalam mengelola dan mengembangkan harta benda wakaf. Hal itu juga karena sikap masyarakat yang kurang peduli atau memahami status harta benda wakaf yang seharusnya dilindungi demi kesejahteraan umum sesuai dengan tujuan, fungsi, dan peruntukan wakaf. Akibat hukum pemakaian hak atas tanah oleh pihak yang tidak berhak di atas tanah wakaf, maka perbuatan tersebut adalah perbuatan melawan hukum.
PENGARUH LABEL HALAL DAN HARGA TERHADAP KEPUTUSAN PEMBELIAN PRODUK YAKULT DI KOTA BIMA
Authors: Putra Anzalna , Ernawati Sri
Published: December 2023

For Muslims, halal labeling is a material consideration in purchasing, as well as price. The purpose of this study was to determine the effect of halal labels and prices on purchasing decisions both partially and simultaneously. This type of research is associative, the research instrument uses a questionnaire with a Likert scale. The population used in this study were all consumers of yakul products in the city of Bima whose number is unknown (unknown population). The number of samples used in this study were 50 respondents using a purposive sampling technique. Data collection techniques with observation, questionnaires, and literature study. Data analysis techniques by carrying out validity tests, reliability tests, multiple linear regression tests, correlation coefficients, determination tests, t tests, and f tests. The results of this study indicate that the halal label has no significant effect while the price has a significant effect on the purchasing decision, while simultaneously the halal label and price have an effect on the purchasing decision.
The Hungarian Bouvard et Pécuchet
Authors: Hansági Ágnes
Published: December 2023

Mór Jókai’s satiric novel Egy ember, aki mindent tud [A Man who Knows Everything] was first published in 12 parts in the illustrated satirical weekly Az Üstökös between 2 May and 18 July 1874. Its German translation was published parallel with the Hungarian text. This paper shows that, in several regards, Jókai’s short novel is parallel to Flaubert’s unfinished, subversive masterpiece Bouvard et Pécuchet. The structure of the two novels is obviously similar; both are built on a chain of metonymic contacts of failed “projects”. Although in the fields of science and knowledge the heroes “encounter” do not follow the same order, the extent of thematic coincidence is surprising. Jókai’s and Flaubert’s novels are built on a scenic or episodic structure, the cut-at-will-form (Moretti). Both texts may be read as a narrative telling the story of the birth of the dilettante as a product of popular communication and mass media.
¿PUEDE SER LA LIMITACIÓN DE PAGOS EN EFECTIVO DEL ORDENAMIENTO ESPAÑOL CONTRARIA AL DERECHO DE LA UNIÓN EUROPEA?
Authors:   Universidad Pablo de Olavide de Sevilla, Martín Rodríguez José Miguel
Published: December 2023

El art. 7 de la Ley 7/2012, de 29 de octubre, introdujo en nuestro ordenamiento la limitación de pagos en efectivo, régimen modificado a través de la Ley 11/2021, de 9 de julio. Apenas unos meses después el TJUE se pronunció por primera vez sobre la adecuación al ordenamiento comunitario del régimen de limitación de pagos en efectivo de un Estado miembro (Bulgaria) en la STJUE de 6 de octubre de 2021, ECOTEX Bulgaria, asunto C-544/19. En este estudio, tras examinar la posición del TJUE y de otras instituciones comunitarias, valoramos si nuestro régimen interno es compatible con esta jurisprudencia.
Service Process Enhancement in Medical Tourism with Support of Augmented Reality
Authors: MOĞOL SEVER Mune
Published: December 2023

Digital technologies play a critical role in streamlining the supply chain process and reducing operational time in service businesses, as demonstrated by the COVID-19 pandemic. Service providers may be able to do their tasks quickly and effectively if they digitize their processes. The goal of the project was to create an application that supported augmented reality (AR) for the order-picking process for a medical facility. Reducing order picking time is this study's secondary goal. Adobe Aero is used in the development of AR apps. Data for 278 observations during a month were analyzed in Minitab-21 using comparison groups. The order-picking process may be implemented using AR, according to the results, and there is a substantial difference in order-picking time after implementing the AR-supported model (p < 0,05; mean order-picking time before 0,64, after 0,45). In contrast to the traditional method, the box plot in the AR-supported model indicates that the data range is large and uniformly distributed. AR is a useful tool in the service supply chain for order picking. Order picking time is positively impacted by the AR-supported model.
Mekanisme Penggantian Antar Waktu (PAW) Anggota DPR Menurut Undang-Undang Nomor 7 Tahun 2017 Tentang Pemilihan Umum
Authors: Nurhalim Nurhalim , Fitri Icha Cahyaning
Published: December 2023

Mekanisme Penggantian Antar Waktu (PAW) Anggota DPR Menurut Undang – Undang Nomor 7 Tahun 2017 Tentang Pemilihan Umum. Penggantian Antarwaktu (PAW) merupakan salah satu sarana pengisian jabatan diluar proses pemilihan secara periodik. Mekanisme ini merupakan alat kontrol partai politik terhadap anggotanya yang menjabat dalam parlemen. Penggantian Antar waktu (PAW) menurut Pasal 426 ayat (1) Undang-Undang Nomor 7 Tahun 2017 Tentang Pemilihan Umum. Penggantian calon terpilih anggota DPR, DPD, DPRD Provinsi, dan DPRD Kabupaten/kota dilakukan apabila calon terpilih yang bersangkutan: a. meninggal dunia; b. mengundurkan diri; c. tidak lagi memenuhi syarat menjadi anggota DPR, DPD, DPRD Provinsi, dan DPRD Kabupaten/kota; atau d. terbukti melakukan tindak pidana pemilu berupa politik uang atau pemalsuan dokumen berdasarkan putusan pengadilan yang telah memperoleh kekuatan hukum tetap. Penelitian ini bertujuan untuk mengetahui bagaimana mekanisme Penggantian Antarwaktu (PAW) Anggota DPR berdasarkan Undang – undang Nomor 7 Tahun 2017 Tentang Pemilihan Umum. Penelitian ini dilaksanakan dengan metode yuridis normatif dengan cara menkaji berbagai macam aturan hukum yang bersifat formal dan analisis kasus. Hasil penelitian ini menunjukkan bahwa. Mekanisme Penggantian Antar Waktu (PAW) dalam Undang - Undang Pemilu terbatas hanya mengatur PAW Calon Anggota DPR dalam tahapan Pemilu.  Dalam pemberhentian antar waktu anggota DPR ini masih terlihat partai politik hanya mementingkan kepentingan partai politik dan mengesampingkan kepentingan anggota, masyarakat dan Negara.
Analysis of the head of Madrasah Leadership Style, Teaching Methods, Teacher Competence, Learning Strategies Towards Student Quality in the Industry 4.0 Era Madrasah Aliyah (MA) Tapin Regency, South Kalimantan
Authors:   Pancasetia College of Economics Banjarmasin, Fauziannor Fauziannor , Kadir Abdul ,   Pancasetia College of Economics Banjarmasin, Melania Melania ,   Pancasetia College of Economics Banjarmasin, Jayen Fredy ,   Pancasetia College of Economics Banjarmasin, Kamaruddin Kamaruddin ,   Pancasetia College of Economics Banjarmasin
Published: December 2023

The aim of this research is to analyze and prove the simultaneous and partial influence of the madrasa head’s leadership style, learning methods, teacher competence, learning strategies on student quality in the industrial era 4.0 at Madrasah Aliyah (MA) Tapin Regency. The approach to this research is quantitative research, namely research that focuses on studying objective phenomena to be studied quantitatively. The sample taken in this study used a total sampling technique of 47 people consisting of 3 heads of Madrasah Aliyah in Tapin Regency, 44 certified civil servant teachers. Data collection techniques use questionnaires, documentation, interviews and observation. Validity and reliability tests were carried out on the research instruments. Data were analyzed using multiple linear regression analysis with classical assumption tests. The results of the research show that simultaneously the leadership style of the madrasa head, learning methods, teacher competence, and learning strategies have a significant effect on the quality of students in the industrial era 4.0 at Madrasah Aliyah Tapin Regency. Partially, the leadership style of the madrasa head, teacher competency and learning strategies have no significant influence on the quality of students in the industrial era 4.0 at Madrasah Aliyah Tapin Regency, but learning methods have a significant influence on the quality of students in the industrial era 4.0 at Madrasah Aliyah Tapin Regency.
Towards a Healthier Boyolali Community: The Social Return on Investment (SROI) on the Family Care Health Optimization Service Program (Yok Peka)
Authors:   Department of International Relations, Universitas Diponegoro, Jl. Prof. Sudarto, Semarang, Indonesia 50139, Wahyudi Fendy Eko , Subhan Muhammad ,   Department of International Relations, Universitas Diponegoro, Jl. Prof. Sudarto, Semarang, Indonesia 50139, Zuliyan Muhammad Arief ,   Department of International Relations, Universitas Diponegoro, Jl. Prof. Sudarto, Semarang, Indonesia 50139, Febriana Betie ,   Faculty of Nursing, Universitas Islam Sultan Agung, Jl. Kaligawe Raya, Semarang, Indonesia 50112
Published: December 2023

PT Pertamina Patra Niaga Fuel Terminal (FT) Boyolali, commonly referred to as FT Boyolali, is a fuel terminal that is part of the leading lubricant company in Indonesia, namely PT Pertamina Lubricants. FT Boyolali has several Corporate Social Innovation (CSI) programs spread across the company’s closest area, including Teras District, in Boyolali Regency. The program entitled Yok Peka is a form of Social Innovation carried out by FT Boyolali to address social problems to prevent and deal with health cases in pregnant women and toddlers in Boyolali Regency, especially cases of stunting and cases of Chronic Energy Deficiency (CED) pregnant women. Apart from that, this program also supports the formation of economic empowerment of health cadres and the community to balance health standards with improving the community's economy. The effectiveness of the CSI Yok Peka program is measured using the social return on investment (SROI) method to determine the output and outcomes felt by various stakeholders and also to determine the comparison (ratio) between investment and benefits quantitatively. SROI is a method companies can use to measure the return on business investment for a program or social activity carried out using a financial quantification (monetization) calculation approach. The results of the SROI analysis of the Yok Peka program in the period 2020 to 2022 show a benefit value of IDR 635.799.963 compared to an investment value of IDR 165.650,000. In other words, every investment of IDR 1 in the Yok Peka program can produce benefits of IDR 3.84 (SROI = 1: 3.84).
Time of Sargassum Tea Application on the Growth and Yield of Garlic
Authors:   Ilocos Sur Polytechnic State College, Hayohay Cherisse May S.
Published: December 2023

The present farming management uses inorganic fertilizer that include chemical pesticides and chemical fertilizer which damage our natural ecosystems where different living organisms live. Therefore there is an urgent need to have solution to this particular agricultural problem. Hence, this study on time of sargassum tea application (30 DAP, 60 DAP AND 90 DAP) of the growth and yield of garlic conducted from October 17, 2014 to February 13, 2015 at the Citrus Project of DMMMSU-NLUC, Bacnotan La Union. Results revealed that the application of sargassum tea at 80 DAP to garlic produced more yield (6093.75 kg/ha) than those plants subjected to other treatments.
Leadership of Sub-District Head in Efforts to Build Village Independence in Tanah Laut District, Indonesia
Authors:   Faculty of Social and Political Sciences, Lambung Mangkurat University, JL B Hasan Basry, Kayutangi Banjarmasin, Indonesia, Saifudin Saifudin , Rahman Gazali ,   Faculty of Social and Political Sciences, Lambung Mangkurat University, JL B Hasan Basry, Kayutangi Banjarmasin, Indonesia, Ghazali Istikhariyati Karima ,   Faculty of Social and Political Sciences, Lambung Mangkurat University, JL B Hasan Basry, Kayutangi Banjarmasin, Indonesia
Published: December 2023

This research aims to determine and analyze the leadership of the sub-district head, and the factors that influence it in efforts to build village independence in the economic, social, and cultural fields in Tanah Laut Regency, Indonesia. The research method uses qualitative methods that aim to explore, discover, understand, and analyze in depth the phenomenon of subdistrict head leadership and village independence in the economic, social, and cultural fields in coastal areas and river basins. This research will be carried out in Kurau District, Tanah Laut Regency, which consists of 11 villages. The research results show that the sub-district head's leadership in building village independence in Kurau District, Tanah Laut Regency in the economic sector, there are several steps and strategies implemented, namely: implementing Musrenbangdes, optimizing the use of village funds, developing local economic potential, and expansion agricultural efforts through intensification and extensification.
Tratamentos convencionais e complementares do Transtorno Bipolar: uma revisão.
Authors: Souza Fernandes Murilo Henrique de , Cardoso Rita Alessandra
Published: December 2023

O Transtorno Bipolar (TB) é um quadro psiquiátrico relativamente recente na literatura médica e apresenta causas multifatoriais. Com diagnóstico geralmente tardio, caracteriza-se como uma doença crônica que acomete homens e mulheres com igual prevalência, sendo a instabilidade do humor o principal sintoma. A farmacoterapia é considerada o tratamento de  primeira escolha, mas nem sempre oferece adequado controle. Sendo assim, o objetivo deste estudo é investigar os tratamentos convencionais e alternativos do TB. A metodologia utilizada para construção do presente trabalho  foi a revisão bibliográfica. Foi possível verificar que apesar da farmacoterapia promover certa estabilidade no humor e melhoria na qualidade de vida dos pacientes portadores de TB, ela não deve ser a única abordagem terapêutica, uma vez que resultados mais consistentes são atingidos quando se tem a associação da farmacoterapia à psicoterapia, preferencialmente na corrente teórica da Psicologia Cognitivo Comportamental, acompanhados da psicoeducação sobre a doença. A farmacoterapia do TB, em uma parcela importante de pacientes, não consegue promover adequado controle da doença, com alta taxa de abandono devido à persistência de sintomas e/ou manifestação de reações adversas. Portanto, há a necessidade do surgimento de novos tratamentos e do preenchimento de uma grande lacuna na literatura científica a respeito de terapias complementares que possam auxiliar no controle desta doença. Poucos estudos científicos estão disponíveis a esse respeito e evidências mais robustas são necessárias para fundamentar a tomada de decisão terapêutica envolvendo tais abordagens.
Desempenho produtivo de fêmeas suínas após suplementação com Moringa oleífera
Authors: Ferreira Pacheco Jehsse , Abranches Silva Thiago , Brandão da Cunha Paolla , Cruvinel Yasmim , Ferreira Santos Gabriela , Felipe Braga Thiago , De Castro Burbarelli Maria Fernanda , Giselly de Souza Carla , Miranda de Vargas Junior Fernando , Carrijo Mirian Ribeiro Moreira
Published: December 2023

A Moringa oleifera tem sido considerada um alimento que apresenta muitos benefícios, principalmente em eventos reprodutivos, especificamente na gestação e lactação de suínos, porém pouco se sabe sobre a utilização e benefícios desta planta na dieta desses animais. Portanto, o objetivo desta pesquisa foi avaliar o desempenho produtivo de porcas suplementadas com folhas de Moringa oleifera (MO) no terço final da gestação e início da lactação. Oito porcas Camborough foram selecionadas e distribuídas aleatoriamente em um delineamento casualizado. As fêmeas foram divididas em dois grupos, quatro porcas receberam a dieta convencional por dia e quatro receberam a dieta convencional juntamente com MO. O tratamento com moringa não alterou a composição centesimal do leite e do colostro, mas não diminuiu significativamente os lipídios e proteínas; no perfil de ácidos graxos constatou-se que o leite aumentou os ácidos graxos: ácido palmítico, ácido oleico e ômega 9 quando comparado ao colostro. Quanto ao número de leitões nascidos vivos, observou-se uma média de 12,8 leitões e a taxa de mortalidade de leitões variou de 16,766% a 35,329%. Pode-se concluir que a concentração utilizada não alterou os níveis da composição centesimal do colostro e do leite das porcas suplementadas, portanto não comprometeu o desenvolvimento das suas ninhadas, nem no ganho de peso diário dos leitões durante o período de tratamento .
Os principais fatores associados à candidíase vulvovaginal
Authors: Dantas Elias Carolina , Rodrigues Teixeira Fernanda , Garcia de Vasconcelos Laura , Magalhães de Souza Lima Sofia , Helena Ribeiro Fagundes de Souza Líbera
Published: December 2023

Introdução: a candidíase vulvovaginal é a segunda causa mais comum de sintomas de vaginite e pode acontecer em qualquer estágio da vida das mulheres. Tal doença decorre do sobrecrescimento de fungos da espécie Candida spp. na região vulvovaginal e possui diversos fatores desencadeadores. Objetivo: verificar os principais fatores que influenciam no surgimento da candidíase vulvovaginal. Metodologia: trata-se de revisão de literatura realizada de fevereiro a julho de 2023. Para tanto, buscou-se artigos científicos envolvendo o tema, utilizando os descritores candidíase vulvovaginal, Candida e vulvovaginite, assim como o booleano “AND”. A pesquisa limitou-se aos artigos publicados de 2018 a 2023, disponibilizados gratuitamente e na íntegra, o que resultou na análise de 82 trabalhos, dos quais 28 estudos foram selecionados para análise e discussão na presente revisão. Resultados e discussões: os fungos Candida spp. são normalmente encontrados na microbiota vaginal, mas um desequilíbrio na sua proliferação pode levar à candidíase vulvovaginal. Dentre as manifestações clínicas, verifica-se a coceira, ardor, além do corrimento branco, grumoso, inodoro e com aspecto pastoso. Com relação aos fatores de risco associados a essa patologia, verificou-se um grande universo de condições que podem levar ao desenvolvimento da infecção, o que torna difícil a identificação do gatilho. Apesar de não ser considerada uma infecção sexualmente transmissível, a candidíase pode ser transmitida pelo sexo, o que torna a prática sexual um fator de risco. Conclusão: verificou-se que os principais fatores associados à candidíase vulvovaginal são diabetes, gestação, antibióticos, atividade sexual, imunossupressão, anticoncepcionais, medicamentos, deficiência imunológica e hábitos de higiene inadequados.
Time to treat the climate and nature crisis as one indivisible global health emergency
Authors: Abbasi Kamran , Ali Parveen , Barbour Virginia , Benfield Thomas , Bibbins-Domingo Kirsten , Hancocks Stephen , Horton Richard , Laybourn-Langton Laurie , Mash Robert , Sahni Peush , Sharief Wadeia Mohammad , Yonga Paul , Zielinski Chris
Published: December 2023

Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.
Pelatihan 3D Modelling Menggunakan Blender Pada SMA Methodist-8 Medan
Authors: Safar Ilham , Simanjuntak Richard Parlindungan , Wahyuni Dewi
Published: December 2023

Training in the field of 3D Modeling using Blender has been completed for students at Methodist-8 Medan High School (SMA). The aim of this training is to provide basic understanding and skills in creating and designing animated 3D objects that can be expressed in real visual form, both in terms of shape, texture and size of the object using the Blender design tool. This training method includes several practical stages focusing on the introduction of Blender 3D, basic concepts of 3D animation, design, 3D measurements, framework and modeling, texturing and visualization. The students were given a step-by-step 3D Modeling learning guide and were guided directly on how to create and design animated 3D objects until completion by forming group teams to hone their skills in improving their creativity and understanding of the art of design that is responsive and has aesthetic value. The results of this training showed a 90% increase in students' understanding in learning the basic concepts of 3D animation with practical design tools using Blender. They were able to produce simple 3D modeling designs with good animated 3D objects, appropriate textures so that the resulting objects looked real, then implemented the results of their designs in the form of animating character visualizations and 100% response from the students requested that this training be continued in the activity session next period of community service.