bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring Transformational Leadership and Employee Performance: The Mediation Role of Psychological Empowerment Millennial Generation
Authors: Bustani  , Juniar Asrid
Published: November 2023

This study investigates the influence of transformational leadership on the performance of millennial employees working in SMEs in Banjarmasin City in South Kalimantan Province, Indonesia. Furthermore, it postulates that psychological empowerment is a mediator in explicating the relationship between transformational leadership and employee performance. The research methodology employs a quantitative approach and purposive sampling to select a sample of 400 SME employees in Banjarmasin who were born between 1981 and 1996, thus belonging to the millennial generation. Data analysis involves the utilization of PLS-SEM, with the testing of constructs following a reflective-reflective model. The findings indicate that transformational leadership does not directly influence employee performance but instead exerts its influence through the mediating factor of psychological empowerment. Psychological empowerment, therefore, assumes a crucial role in mediating the relationship between these two constructs. Considering the limited existing literature concerning millennial generation workers, our model serves as a valuable tool for uncovering the distinctive traits of millennial employees within the SME context. Furthermore, this research lays the foundation for future cross-country comparisons of millennial leadership approaches across diverse Asian nations, contributing to a deeper understanding of the varying characteristics of the millennial generation within distinct cultural settings.
The Influence of Transformational Leadership Style and Motivation on Employee Performance PT. Bintang Kadiri
Authors: Harno Rinto , Liosten Rianna Roosida Ully T  , Hasibuan Putri Septi Naulina , Rinawati Liya
Published: November 2023

The purpose of this study was to ascertain the impact of motivation and a transformational leadership style on the productivity of PT. Bintang Kadiri employees in Kediri Regency, to ascertain the impact of transformational leadership style and motivation on the output of PT. Bintang Kadiri employees, and to determine the indirect impact of transformational leadership style and motivation on performance through job satisfaction of PT. Bintang Kadiri employees as well as ascertaining the impact of job satisfaction has a significant impact on the performance of the company PT. Bintang Kadiri. The goal of this study, which involved 30 respondents, was to determine how transformational leadership style and motivation affect job satisfaction and how those factors affect the performance of PT. Bintang Kadiri personnel. The study's findings for the first hypothesis led to an explanation of how PT. Bintang Kadiri employees' job satisfaction is influenced by their motivation and transformational leadership style at the same time, the second premise can be justified by showing how the motivation and leadership style of PT. Bintang Kadiri personnel have an impact on their performance, the third theory is that employees of PT. Bintang Kadiri from Motivation perform better when their leaders adopt a transformational style, and the fourth hypothesis showed the employee performance at PT. Bintang Kadiri is significantly impacted by job satisfaction.
The Influence of on the Academic Procrastination of Community Science Polytechnic Cadents
Authors: Risyat Ibnu Arif , Kusmiyanti
Published: November 2023

Starting from excessive use of smartphones and the phenomenon of violations of cadet life regulations regarding careless use of smartphones, the author raised this issue into a scientific article. This article uses quantitative research methods with a population of 345 cadets and a sample of 181 cadets of the 55th Class of Correctional Science Polytechnic using calculations from the Krejci and Morgan sample table. This article finds that there is an influence of Smartphone Addiction on the Academic Procrastination of Correctional Science Polytechnic Cadets. This shows that the more the quality of Smartphone Addiction Cadets increases, the level of Academic Procrastination of the Correctional Science Polytechnic Cadets will also increase. From the results of the Coefficient Test (R2), it is known that the influence of Smartphone Addiction on the Academic Procrastination of Correctional Science Polytechnic Cadets has a percentage of 11.7% and 88.3% is influenced by factors other than Smartphone Addiction. Some of the suggestions given by the author are: Educational Programs on Healthy Smartphone Use, Development of Learning Support Applications, Time Management Skills Workshops, Development of a Supportive Learning Environment, Data Collection and Advanced Research, Collaboration with other institutions, and Tightening Enforcement of Disciplinary Punishments Regarding Use Smartphones. From the results of the Coefficient Test (R2), it is known that the influence of Smartphone Addiction on the Academic Procrastination of Correctional Science Polytechnic Cadets has a percentage of 11.7% and 88.3% is influenced by factors other than Smartphone Addiction.
Marketing Strategies to Attract Millenial Generation Consumers' Buying Intentions
Authors: Pika Putu Ayu Titha Paramita
Published: November 2023

Purpose of this research is to find out the marketing strategies implemented by MS GLOW attract the buying interest of millennial generation consumers and determine the buying interest of millennial generation consumers towards MS GLOW products. The research uses qualitative methods. The research location was in Semarapura Kelod, Klungkung, Bali, Indonesia. This research sample used purposive sampling with six informants: business owners, employees, and consumers. Researchers used interviews, documentation, observation methods, and data wetness to collect data using triangulation of sources and techniques. Data analysis uses data collection, reduction, display, and Conclusion Drawing. The research results show that the marketing strategy carried out by MS GLOW Klungkung in implementing the marketing mix can be said to be quite successful because one of the main strategies in determining the success of marketing activities on the scale at MS GLOW Klungkung is determining the marketing mix. Implementing marketing strategies to attract consumer buying interest has been carried out effectively by the MS GLOW Klungkung distributor, done offline or online. However, all the marketing strategies that have been carried out to attract millennial consumers, where reviews on social media about MS GLOW products influence trust. The perception of customers with different beliefs about a product means that it is still difficult to attract millennial consumers' buying intention.
Positive Aspect of Virtual Hotel Operator
Authors: Satrya I Dewa Gde
Published: November 2023

Traveling is becoming easier with technology. Tourists can choose and determine the accommodation used to stay. Virtual hotel operators (VHO) help travelers choose lodging according to time, cost and desired location. The aim of this research is to describe the advantages of VHO based on family traveler experiences. The growth of tourist accommodation provides choices that benefit tourists. Every accommodation definitely has a market segment. The formulation of the problem in this research is, what are the advantages of VHO based on the experience of family travelers?. This research was conducted using a qualitative approach. The primary data source was obtained through the experience of family travelers staying at VHO (OYO and RedDoorz) in 3 cities (Solo, Jogja and Jakarta). VHO’s advantages mainly lie in its location close to the main tourist destinations and affordable prices. Because of these two things, several things that are lacking from VHO do not reduce satisfaction and positive impressions from tourists. Some things are lacking, such as the accommodation environment being less than beautiful, no parking area, lack of privacy.
The Effect of Accrual Earnings Management, Real Earnings Management, and Institutional Ownership on Leverage
Authors: Anggraini Anita , Suranta Eddy
Published: November 2023

The purpose of this research is to provide empirical evidence on the influence of accrual and real-based earnings management and institutional ownership on leverage. The dependent variable is leverage. The independent variables are accrual earnings management (DAC), real earnings management (CFO, PROD, DISEXP), and institutional ownership. This research uses multiple linear regression. The sample used is a manufacturing company listed on the Indonesian Stock Exchange and has an ESG score from 2018-2022.  The sample for this research was selected using a purposive sampling technique with a total of 120 observation data. The results of this research show that earnings management using 4 proxies, namely accrued earnings management (DAC) and real earnings management (CFO, PROD, DISEXP) has a significant influence on leverage. Institutional ownership does not have a significant effect on leverage. The implications of this research are very large because it provides support for the application of agency theory. However, it is crucial to highlight that the scope of this research is confined to Indonesian manufacturing enterprises, therefore the conclusions may not be immediately transferable to other nations.
Analysis of Banking Financial Ratio Before and During Covid-19 Pandemi
Authors: Suryadi Eka Sutisna , Muhaimin  , Achmad Lukman , Febriani Dwi Ihsani
Published: November 2023

This research aims to find out if there are differences in the Current Ratio, Debt to Asset Ratio, and Return on Asset to the financial performance of Bank Muamalat Indonesia before and during the Covid-19 pandemic period.  The population in this study is the entire financial statements of Bank Muamalat Indonesia and the sample in this study is the financial statements of Bank Muamalat Indonesia period 2017-2022. Data analysis techniques are carried out using the Normality Test, Homogeneity Test, and the Independent Samples Test.  " The results of this study are No significant differences in  Current Ratio  at the Indonesian Muamalat Bank before and during the Covid-19 pandemic.
Dimensions in the Adoption of Philippine Tax E-Payment Channels in Paying Income Taxes Among Individual Taxpayers
Authors: Aguilar Lord Eddie I.
Published: November 2023

Time has entered the digitized era where electronic systems have penetrated transactions, including taxation, simplifying processes among taxpayers for better revenue collection. With the aim of helping tax authorities in administering revenue collection, the study determines the factors influencing the adoption of the Philippines tax e-payment channels in paying income taxes among individual taxpayers and develop a research framework that illustrates the relevance and structure of the extracted factors. Using the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) as a guide model, the study applies the quantitative research method as the research design. The assumption of the adoption of e-payment channels in paying income taxes among individual taxpayers is multifaceted that is based on the perception of the relative technology system. An Exploratory Factor Analysis (EFA) was employed to analyze a dataset of 110 respondents using random sampling collected through modified questionnaires. The study revealed that perceived usefulness, perceived benefit, perceived trust, social influence, facilitating conditions, and perceived cost influence the adoption of the BIR e-payment channels in paying income taxes among individual taxpayers in Davao City.
Determinants of Occupational Health and Safety Disclosure: An Empirical Study of Property, Real Estate, and Building Construction Companies on IDX
Authors: Astuti Sindy , Aminah
Published: November 2023

Occupational Health and Safety Disclosure (OHSD) is essential to provide the public and stakeholders with more information about a company. In particular, OHSD still needs further research because the work accidents in Indonesia are currently excessive, but not all companies disclose it. OHSD is also crucial for corporate sustainability.  The primary objective of this study is to conduct an empirical study of the impact of Profitability, Leverage, and The Size of the Board of Commissioners on OHSD. The research method used in this study is quantitative and secondary data obtained from the annual reports and sustainability reports of the property, real estate, and building construction companies listed on the Indonesia Stock Exchange (IDX) from 2019 to 2021. The sampling technique used is purposive sampling, with 81 samples. Data analysis used panel data regression with a Random Effect Model (REM). The study concluded that Profitability and Leverage (DER) significantly and positively affect OHSD. However, the size of the Board of Commissioners has a negative and significant effect on OHSD. The research results imply the Occupational Health and Safety Disclosure as material for preparing company policies. For academics, this research is expected to expand the financial accounting literature on OHSD from the stakeholder theory perspective.
The Effect of Management Knowledge Influences the Preparation of MSMEs Financial Statements
Authors: Hikmahwati  , Irwansyah Rusman
Published: November 2023

The rapid development of the MSME sector shows that there is great potential if this can be managed and developed well which will certainly be able to create strong micro, small and medium enterprises. The main problem in developing MSMEs is related to presenting financial reports. The inability to present quality financial reports is one of the weaknesses of management. This condition also occurs among MSME business actors in Banjarmasin. This has an impact on the difficulty of MSME actors in evaluating their operational performance. There is still not much research related to management knowledge in preparing financial reports for MSME players. So the aim of this research is to analyze how management knowledge influences the preparation of MSME financial reports in Banjarmasin City. The population of this research is MSMEs registered with the Banjarmasin City Cooperative and Industrial Service. Takes the form of a descriptive quantitative approach. The method used is Linear Regression, namely testing the Goodness and Fit Model, the feasibility of this model can be seen in the determination test (R-Square) and F Test. The results of the hypothesis test state that management knowledge influences the preparation of MSME financial reports in Banjarmasin City with a significance value (Sig ) is 0.000. The influence of management knowledge on the preparation of financial reports is 45.7%.
Financial Performance as a Mediation of Tax Avoidance Determinants in LQ45 Companies on the Indonesia Stock Exchange
Authors: Azwar Khairul , Susanti Elly , Supitriyani
Published: November 2023

Taxes are the main source of revenue in the State Budget (APBN) which accounted for 73% of all state revenue in 2019. Taxes have such an important role in sustaining the continuity of government and development. However, realized tax receipts never reached the target level between 2009 and 2020.This is because there are companies that carry out tax avoidance actions. The purpose of this study is to specifically analyze the variables that affect tax evasion in the LQ45 index companies of the Indonesian Stock Exchange. This research was conducted during the period 2017 –2022. The sampling technique used in this study is purposive sampling, in which criteria are determined based on the variables studied. The data analysis technique used is multiple simple linear regression analysis and a residual test for moderating variables. The F-test results show that institutional ownership, sales growth and Ln_total assets have a positive and insignificant effect on tax evasion. T-test results show that institutional ownership and sales growth have a negative and insignificant effect on tax evasion. However, Ln-Total_Asset has a negative and significant effect on tax evasion.
The Influence of Intellectual Capital, and Capital Structure on Financial Performance
Authors: Ikbal Ahmad , Abdullah
Published: November 2023

The primary aim of this study is to investigate how capital structure and intellectual capital affect the financial performance of banking institutions that are publicly traded on the Indonesia Stock Exchange over the period from 2018 to 2022. The research employed a purposive sampling approach to select its sample, resulting in the collection of 180 data observations from 36 companies over a five-year span. The analysis in this study was conducted using multiple linear regression techniques, utilizing IBM SPSS software for the analysis. The research findings indicate that capital structure does not exert a substantial impact on financial performance. In contrast, intellectual capital exhibits a notably positive influence on financial performance.
The Potential Financial Distress in Special Notation Companies on the Indonesia Stock Exchange: Prediction Model Approach
Authors: Sugiarti Wiwik , - Nikmah
Published: November 2023

This research aims to predict the potential financial distress in companies with special notation on the Indonesia Stock Exchange during the period from January 1, 2021, to December 2022, using the Modified Altman Model (Z-Score) and the Springate Model (S-Score) approaches. Data for the study were obtained from the official website of the Indonesia Stock Exchange, employing purposive sampling as the sampling technique. Based on the criteria, a total of 280 research observations were obtained. The results indicate that both models can predict the potential financial distress of companies using financial ratios. Furthermore, the research findings reveal differences in the accuracy level of predicting potential financial distress between the Modified Altman Z-Score and Springate models. The Modified Altman Z-Score model demonstrates higher accuracy compared to the Springate model in predicting the potential financial distress of companies with special notation. This research provides important information for companies with special notation codes that experience financial distress, to immediately improve financial conditions, and provides a basis for strategic decision making to ensure the sustainability of the company and for investors and other interested parties can be used as a basis for investment decision making.
fim do Programa de Braços Abertos e o início do Redenção
Authors: De Freitas Silva Elizângela , Gomes Pereira Pedro Paulo , Delgado Alves Ygor Diego
Published: November 2023

Este artigo é um recorte de uma dissertação de mestrado que ocorreu no período de 2019 a 2021. Em 2014, no município deSão Paulo, foi criado o Programa “De Braços Abertos” (DBA), baseado na estratégia de redução de danos. O Programa tinha o intuito de proporcionar às pessoas que fazem uso de crack a garantia de acesso a direitos considerados básicos, como saúde, trabalho remunerado, alimentação, assistência e moradia, por meio de intervenção não violenta. Em maio de 2017, foi divulgado pelos meios de comunicação o encerramento do DBA e que ele viria a ser substituído pelo programa “Redenção”. A pesquisa buscou realizar um percurso do DBA até o Redenção, realizando uma comparação inicial entre eles. Utilizamos, para isso, a vivência profissional dos pesquisadores no DBA, entrevistas abertas com ex-profissionais que trabalharam tanto no DBA quanto no Redenção e com um ex-beneficiário, como recurso para compreender os dois programas.
Guia de referência rápido para o desenvolvimento de trabalhos voltados à população em situação de rua
Authors: Narciso Rogeria , De Andrade Tania Izabel
Published: November 2023

Indicação de Fontes e bases de dados de artigos, legislação e jurisprudência para apoiar a formulação de ações e estudos em prol daPopulação em Situação de rua.
COMPARISON OF BLOOD PRESSURE INDICES (MEAN ARTERIAL PRESSURE AND PULSE PRESSURE) AFTER INDUCTION OF STRESS BETWEEN POST-COVID-19 AND HEALTHY ADULTS
Authors: Raza Syed Shahmeer , Khan Nida Wali , Fida Najma , Zafar Umema , Ali Dur E Shehwar , Shah Attaullah
Published: November 2023

Objectives: This study aimed to compute the effect of stress 6-minute Walk Test (6-MWT)/Exercise) on Blood Pressure Indices (BPIs) in both COVID-19 patients and Controls.
Materials and Methods: A total of 122 young adults were included in this research with 61 participants each in the cases and the controls group. Participants between the ages of 18-40 with a previously positive confirmed PCR report covid (>3 months had passed after resolution of COVID-19 infection) were included as cases while healthy adults who did not contract covid were included in the control group. All the participants from both groups were stressed by asking them to perform the 6MWT. The subject’s blood pressure was checked both before and after the stress and their MAP and PP were calculated.
Results: In both pre and post-stress comparisons between cases and controls there was no significant difference between MAP (Post-Stress p=1 and Pre-Stress p=0.25) and PP (Post-Stress p=0.129 and Pre-Stress p=0.68). Matrix Scatter Plot between variables both pre and post-stress shows that all the variables (MAP, PP, and HR) did not correlate with each other.
Conclusion: BPI i.e., MAP and PP show no significant difference between post-COVID participants and healthy adults after induction of stress.
Keywords: Six Minute Walk Test; Covid-19; Mean Arterial Pressure; Pulse Pressure
ENTREPRENEURIAL MINDSET: PERSPECTIVE OF MEDICAL UNDERGRADUATES
Authors: Haider Iqbal , Khan Manahil Saeed , Shafi Mohsin , Khan Qaisar Ali , Saeed Reshael
Published: November 2023

Objectives: This study aimed to comprehend the entrepreneurial and abroad practice mindset among Pakistani medical undergraduates and the factors influencing their choices.
Methods: A cross-sectional survey involving 401 students from various medical and dental colleges in Khyber Pakhtunkhwa, Pakistan, was conducted. Participants completed a questionnaire concerning their career preferences, reasons for working abroad or in private practice, and perceptions of benefits and drawbacks to working in public and private sectors, among other questions. Data was analyzed using the SPSS software (IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.).
Results: Two hundred and five (205) students prefer postgraduate training, while 168 prefer overseas clinical training. Outpatient services in governmental hospitals were mentioned as a benefit, while a lack of facilities was noted as a hurdle. Twenty-eight (28) students chose private practice due to its appealing work environment. There was no significant association between studying years and preference for working abroad as a clinician, with a p-value of 0.251 regarding barriers in private practice or the type of setup preferred.
Conclusion: Perceptions of general practice among medical students in Pakistan are influenced by various factors, such as income potential, quality of life, and the chance to acquire new skills. The responses reflect the students' inclination towards furthering training and gaining experience in different healthcare setups. Further research may explore how these perceptions affect healthcare delivery within the country.
Keywords: Entrepreneurial Mindset, Overseas Training, Public Sector Benefits, Private Practice Barriers, Postgraduate Training.
FREQUENCY OF SAGITTAL IMBALANCE IN PATIENTS WITH IDIOPATHIC ADOLESCENT SCOLIOSIS
Authors: Naseer Qadir , Ullah Rafi , Ahmad Mushtaq , Sardar Bakht , Khan Muhammad  Shoaib , Hakim Yasir
Published: November 2023

Objective: To determine the frequency of sagittal imbalance in patients  with idiopathic adolescent scoliosis
Materials and Methods: This Cross-sectional study was conducted in the Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar from 20 May 2019 to 19 Nov 2019 on 88 patients by Consecutive probability sampling technique. A standard technique was used for the study radiograph. Data was stored and analyzed using the statistical software SPSS version 21. All the quantitative variables like age were analyzed by Mean, +/- standard deviation. Post-stratification chi-square test was applied keeping P value equal or less than 0.05. All the results were presented in tables and graphs.
RESULTS: A total of 88 patients with adolescent idiopathic scoliosis were enrolled in this study. There were 22 male (25%) and 66 (75%) female patients. The mean age of patients received was    43 years +/- 13.4 years with a standard deviation of +/-0.23. Regarding deformity severity, there was mild deformity (Cobb angle 10-25) in 33, patients  (37.5%), moderate deformity (Cobb angle 26-40) in 26 patients (29.5%) moderately severe deformity (Cobb angle41-60) in 18 (20.5%) severe deformity (>60) in 11 (12.5%). Fifty-six (63.6%) patients had structural curves i.e. flexible and corrected with the forward Adam bending test. Thirty-two (36.4%) had a nonstructural or rigid deformity.
CONCLUSION: Most of the patients having adolescent idiopathic scoliosis have a sagittal imbalanced spine. Spinopelvic parameters like lumbar lordosis, sacral slope, pelvic incidence, and pelvic tilt need to be included in routine workups of scoliotic patients in specific groups like one with a rigid deformity, severe deformity, and advancing age. Spinopelvic imbalance is very important in adult deformity.
KEY WORDS: Adolescent Idiopathic scoliosis AIS, Sagittal Imbalance, Spinopelvic imbalance.
COMPARATIVE EFFECTS OF MUSCLE ENERGY TECHNIQUE AND COUNTERSTRAIN TECHNIQUE ON PAIN, FUNCTION STATUS AND SATISFACTION LEVEL IN PLANTER FASCIITIS PATIENTS
Authors: Sandhu Taliah Bashir , Jamil Ayesha , Arslan Syed Asadullah
Published: November 2023

Objective: To compare the effects of muscle energy technique and counterstrain technique on pain, functional status and satisfaction level in patients with planter fasciitis.

Methods: This randomized clinical trial was conducted from May to November 2022. Total 66 patients were recruited using purposive sampling technique. Clinically diagnosed patients of plantar fasciitis of age 20-60 years, both gender and history of pain?4 weeks were randomly allocated into two groups. Muscle energy technique was applied to group A and Counterstrain technique was given to Group B with routine physiotherapy. Outcomes measure were Visual Analog Scales for pain, Foot and Ankle Ability Measure for functional level and Patient Satisfaction Questionnaire-18 for satisfaction level. Assessment was conducted at baseline, 1st and 2ndweek. Independent t-test and RM-ANOVA was used for between and within-group differences with p?0.05 was significant.

Results: The results showed no significant difference between Group A and Group B in pain (p=0.245), functional status (ADL: p=0.862, Sport: p=0.092) and satisfaction level (p=0.108). However, significant within-group difference was observed with pain (p=0.000), functional status (p=0.000) and general satisfaction level (p=0.000).

Conclusion: Muscle Energy and Counterstrain Technique are equally beneficial in decreasing pain, enhancing functional status and patient satisfaction level in plantar fasciitis patients.

Keywords: Counterstrain Technique; Functional Status; Foot and ankle ability measure; Muscle energy technique; Pain; Planter fasciitis; Satisfaction Level; Visual analog scale
PREVALENCE OF LOWER LIMB EDEMA IN NATAL AND POST-NATAL PERIOD
Authors: Rafique Anum , Rafique Nazish , Afzal Kiran , Ahmed Khan Hafsa , Ashfaq Nazish , Rubab Amna
Published: November 2023

Introduction: Pregnancy is a very special period for women, they experience emotional, physical, and physiological deviations. The majority of females encounter peripheral edema during their gestation time. The objective of this study was to determine the occurrence of edema in the natal and post-natal period, risk factors, and their association with edema.

Methods: An observational study was conducted at Cantonment Hospital and Benazir Bhutto Hospital, Rawalpindi, Pakistan from August 2018 to January 2019. Out of 405 females, 18-35 years of age and 3rd trimester of gestation or post-natal period and women with previous venous diseases or high-risk gestations were included. Whereas women with edema in other body parts and those after puerperium were excluded. The data was collected by self-structured questionnaire, edema grading scale, and limb measurement. Data were analyzed by SPSS 23.

Results: The frequency of leg edema was 65.9% and higher in the third trimester, especially during the eighth and nine months of pregnancy. It could lead to several other symptoms like pain and cramps that could be intensified by long-standing and comforted through rest whereas a few other factors that affect edema contain less water intake and lack of exercise. There is a significant association between edema and its related risk factors including months of pregnancy, exercises during pregnancy, and activity level (p < 0.001).

Conclusion(s): Lower limb edema is prevalent in late pregnancy, especially during the 8th - 9th month. There is a significant association between edema and its related risk factors including months of pregnancy, exercises during pregnancy, and activity level.

Keywords: Edema, lower limb, pregnancy, prevalence.
FREQUENCY OF RISK FACTORS ASSOCIATED WITH DIABETIC KETOACIDOSIS IN PATIENTS PRESENTING AT KHYBER TEACHING HOSPITAL PESHAWAR
Authors: Asim Muhammad , Badshah Aliena , Atif Durkho , Mohammad Wazir
Published: November 2023

Objectives: To determine the frequency of risk factors associated with diabetic ketoacidosis in patients presenting at Khyber Teaching Hospital Peshawar.
Materials and methods: Patients of either gender, aged between 18 and 60 years, with either type I or type II diabetes mellitus presenting with diabetic ketoacidosis with the duration of diabetes > 1 year were included in the study. DKA was diagnosed based on the clinical presentation of respective patients, serum Random Blood Sugar (RBS), and urinary ketones. Careful scrutinization was done for the detection of common risk factors for DKA like infections, stroke, myocardial infarction, and pancreatitis. Based on the clinical examination for Stroke and acute pancreatitis, CT imaging of the brain and CT of the abdomen with pancreatic protocol were performed.
Results: Among 111 DKA patients, the mean age was 43 years with standard deviation ± 12.05. 63(57%) patients were male while 48(43%) were female. Infection was found in 54(49%) patients, stroke in 4(4%) myocardial infarctions in 3(3%), and pancreatitis was found in 7(6%) patients.
Conclusion: The most common risk factor for diabetic ketoacidosis is infections in half of the participants while stroke was 4%, myocardial infarction was 3% and pancreatitis was 6%.
 
 
KEYWORDS: diabetic ketoacidosis; type I diabetes; type II diabetes
Prisoner use of information and communications technology
Authors: Kerr Aysha , Willis Matthew
Published: November 2023

Developments in information and communications technology (ICT) have changed how people in nations like Australia conduct their lives. Widespread access to the internet, use of social media and the capacity to manage vast amounts of information and to communicate instantly with people all across the world have fundamentally changed our personal and professional lives. While the use of ICT has increased exponentially for most Australians, those held in our prisons have not had the same access to this technology. The emerging use of ICT in prisons promises to transform the daily lived experience of prisoners. This paper explores some of the ways ICT is being implemented in Australian prisons and internationally, and considers the challenges, risks and benefits of bridging the ‘digital divide’.
ЭТИКАЛЫҚ КОМИТЕТТІҢ МЕДИЦИНАДАҒЫ РӨЛІ
Authors: ТҰРҒҰНОВА Д.Т. , САРЫМСАКОВ Б.Е.
Published: November 2023

Көптеген денсаулық сақтау мекемелері мен білім беру мекемелерінде этикалық комитеттер құрылуда. Бұл ұйымдардың басшыларына осы жаңа құрылымдық бөлімшенің құрылуына не себеп болды? Медицина ғылымы қазіргі әлемдегі ең дамып келе жатқан ғылымдардың бірі болып табылады. Жыл сайын жаңа дәрі-дәрмектер, ауруларды анықтау жолдары, емдеу әдістері ашылады. Медициналық технология саласындағы зерттеулер халықаралық консенсус құжаттарына сәйкес жүргізіледі, өйткені медицинаның негізгі ережесі «зиян келтірмеу» болып табылады. Жаһандық үрдістерге сәйкес денсаулық сақтау ұйымдарында биомедициналық зерттеулердің жүзеге асырылуын бақылау үшін тәуелсіз этика комитеттері құрылуда. Этикалық комитеттер жүргізіліп жатқан зерттеулерге тиісті сараптама жүргізеді, сондайақ күрделі жанжалды жағдайларда бақылау функциясын орындайды және ұсыныстар жасайды.
РАЗЛИЧИЯ ЧУВСТВИТЕЛЬНОСТИ К ИНСУЛИНУ И ФУНКЦИИ БЕТАКЛЕТОК ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ СРЕДИ ПРЕДСТАВИТЕЛЕЙ ЭТНОСОВ: СИСТЕМАТИЧЕСКИЙ ОБЗОР
Authors: АБЫЛАЙУЛЫ Ж. , БОЛЬШАКОВА С.В. , ИСТАЕВА Ж.С. , ИСТАЕВ А.М.
Published: November 2023

Исследование этнических различий в распределении тела и метаболических характеристиках имеет важное значение для понимания риска развития диабета и ожирения. В данной научной публикации представлен систематический обзор и мета-анализ, направленные на выявление различий в антропометрических показателях и метаболических параметрах между разными этническими группами. Анализ этих различий поможет лучше понять влияние этнической принадлежности на факторы риска связанные с образом жизни и может способствовать более индивидуализированному подходу к предотвращению и управлению этими заболеваниями.
СРАВНЕНИЕ КЛИНИКО-ЛАБОРАТОРНОЙ ХАРАКТЕРИСТИКИ БОЛЬНЫХ ХРОНИЧЕСКИМ ВИРУСНЫМ ГЕПАТИТОМ С ПЕРВОГО И ТРЕТЬЕГО ГЕНОТИПОВ В ПРОЦЕССЕ ПРОВЕДЕНИЯ ПРОТИВОВИРУСНОЙ ТЕРАПИИ
Authors: ИСКАКОВА А.Н. , АСТРАХАНОВ А.Р. , НУРЛАНОВА Г.Н. , СИСЕНОВ А.Ж. , АБДУГАЛИЕВА Н.Ш. , КУРМАНГАЗИН М.С.
Published: November 2023

Во всем мире вирусом гепатита С инфицированы 71 миллион человек. Хронический вирусный гепатит С (ХГВС) связана с прогрессирующим заболеванием печени. Он является основной причиной гепатоцеллюлярной карциномы. У ХГВС есть 7 основных генотипов. Генотипы детерминируют ответ на лечение и являются предикторами прогресса заболевания. Цель нашей работы – сравнительное изучение клинико-лабораторных показателей печени у больных ХВГС с 1-м и 3-м генотипами в процессе проведения противовирусной терапии. По результатам нашего исследования получены данные, что течение ХВГС с 3-м генотипом является отчетливо более агрессивным, чем у лиц с 1-м генотипом ХВГС. Предположительная длительность заболевания в группах была в пределах 2 лет (1 генотип — 2 [1-3], 3 генотип — 2 [1-3]), и статистически не отличалась (р=0,900). При изучении клинических проявлений ХВГС 1 генотипа, выявлен ведущий синдром (астеновегетативный), который проявлялся общей слабостью, снижением работоспособности и нарушением сна. В процессе противовирусной терапии (ПВТ) независимо от генотипа вируса были выявлены статистически значимые изменения в обеих группах. Эффективность 12-недельного режима терапии комбинацией софосбувира в сочетании с даклатасвиром у ранее не получавших лечения пациентов с ХВГC 1 и 3 генотипов показали хорошую эффективность.
СОВРЕМЕННЫЙ ВЗГЛЯД И НОВЫЕ ПЕРСПЕКТИВЫ НЕФРОПРОТЕКТИВНОЙ ТЕРАПИИ ПРИ ХРОНИЧЕСКОЙ БОЛЕЗНИ ПОЧЕК
Authors: ДЕМЕУБАЕВА Д.М. , КАПАНОВА Г.Ж. , ГРЖИБОВСКИЙ А.М. , ДИКАНБАЕВА С.А. , ТАШЕНОВА Г.Т. , ЖАППАРГАЛЫ Н.Е. , ДАТХАЕВА З.А.
Published: November 2023

Хроническая болезнь почек — это термин объединяющий всех пациентов с сохраняющимися 3 и более месяцев признаками повреждения почек с или без нарушения их функций. Доказано, что нефропротективная терапия позволяет снизить риск развития терминальной стадии ХБП до 50%. Несмотря на то, что разработаны и утверждены Протоколы диагностики и лечения ХБП, до настоящего времени выявление ранних стадий ХБП страдает. Как правило дети поступают в отделения нефрологии в 4-5 стадии ХБП. В связи с этим, в настоящее время, особое значение в профилактике прогрессирования ХБП имеет ее ранняя диагностика. Статистические данные указывают на относительно низкие показатели смертности от ХБП. Это вполне закономерно, если учесть темпы развития и совершенствования методов нефропротекции и заместительной почечной терапии. Основной причиной смертности пациентов с ХБП является поражение сердечно-сосудистой системы. Доказано, что развитие ренального синдрома является фактором прогрессирования сердечно-сосудистых заболеваний. С другой стороны, исход ХБП находится в прямой зависимости от тяжести в степени прогрессирования кардиального синдрома. Этому способствует гиперхолестеринемия, гиперурикемия, нарушение фосфорно-кальциевого обмена и анемия, протеинурия и другие факторы, объединяющие понятие нарушение метаболического обмена. Основная цель этого оценочного обзора- идентификация и качественный синтез статей по нефропротективной терапии для предотвращения прогрессирования хронической болезни почек. Материалы и методы. Исследование представляет собой оценочный обзор, доступных литературных данных. Поиск литературы проводился в базах PubMed, Scopus, Web of Science, Springer. Поисковые запросы и комбинации терминов проводились в PubMed, Scopus, Web of Science и Springer. Дублирующие публикации были проверены и удалены. Первоначально было идентифицировано 315 статьи. После удаления дубликатов в результате поиска в электронных базах данных и просмотра ссылок на статьи, а также применение критериев включения / исключения и тщательное изучение рефератов привело к 15 статьям подходящих для качественного синтеза. Результаты и обсуждение Были представлены препараты, обладающие нефропротективным, антипротеинурическим, гипотензивным эффектами, их влияние на предотвращение дальнейшего снижения скорости клубочковой фильтрации. Проблема отсутствия эффективной терапии с минимизацией побочных эффектов в детской нефрологии, требует изучения возможностей применения новых медикаментозных средств, нацеленных на нефропротекцию.
MODERN ASPECTS OF THE ORGANIZATION OF NURSING CARE TO ENSURE THE QUALITY OF LIFE AND HEALTH OF ELDERLY PATIENTS
Authors: ISENOVA B.K. , AIMBETOVA G.E.
Published: November 2023

Currently, the country is actively undergoing health care reform, its modernization. Nursing is the most important component of the healthcare system, which has significant human resources and real potential opportunities for reforms in market conditions. Trends in the development of nursing significantly strengthen the role of the nurse in the modern healthcare system. Initially, the nurse belonged to the average medical staff, was considered a doctor’s assistant and provided nursing care as prescribed by a doctor. Currently, modern theories of nursing, based on a scientific approach and evidence-based practices, represent a nurse as an equal partner of a doctor who makes independent nursing decisions, plans and carries out evidence-based nursing care, reflecting it in nursing documentation. Now the partnership of a doctor and a nurse is that a doctor provides medical care to a patient, and a nurse provides nursing care, working within a multiprofessional team of healthcare professionals to improve the effectiveness of the quality of medical care at all levels of the healthcare system.
РЕТРОСПЕКТИВНОЕ ИССЛЕДОВАНИЕ РЕЗИСТЕНТНОСТИ E.COLI К АНТИБИОТИКАМ У БОЛЬНЫХ ИНФЕКЦИОННЫМИ ЗАБОЛЕВАНИЯМИ НА ПРИМЕРЕ Г.АЛМАТЫ
Authors: АХАЕВА Т.А. , СЕЙТАЛИЕВА А.М. , КУДАЙБЕРГЕНОВА А. , КАЙРАНОВА Г. , САРСЕНОВА Л.К. , ЖУСУПОВА Г.Д. , МУCАЖАНОВА Ж. , АЛЬ-ТАМИМИ З.
Published: November 2023

Инфекционные заболевания продолжают выявляться у пациентов всего мира, что требует применения антибактериальных препаратов (АБ). А 2021 год сопровождался, ко всему прочему, высокой частотой коронавирусной инфекции. Бактериальный посев мазков остается неизменным методом изучения микрофлоры пациентов, и позволяет наиболее точно оценить чувствительность патогенов к антибиотикам. В этой связи представляется интересным изучить резистентность бактериальной флоры к антибиотикам у пациентов с коронавирусной инфекцией. Наиболее часто высевали Escherichia coli (E.coli), которая относится к оппортунистической инфекции. Целью этого исследования является оценка чувствительности к антибиотикам бактериальных изолятов у больных с коронавирусной инфекцией в городе Алматы. Были изучены результаты бактериальных посевов мазков, взятых из зева и мокроты у пациентов, госпитализированных с января 2021 по декабрь 2021 года в городской инфекционной больнице г. Алматы. Возраст больных составил от 20 до 76 лет. Из 1897 образцов высеянных микроорганизмов было отобрано 431 образцов с E.coli. Наиболее распространенными антибиотиками, использованными для микробиологических анализов были беталактамные, среди них очень высокую резистентность показал Амоксициллин — 86%, Ампициллин – 87%. Также высокий уровень резистентности выявлен у Доксициклина – 61%. Умеренная устойчивость была выявлена к Левофлоксацину — 19%, Нитрофурантоину – 15%, Амикацину – 11%. Наиболее низкая резистентность наблюдалась к антибиотикам Амикацину и карбапенемам – 2-3%. Полученные данные свидетельствуют, что во многих случаях E.coli устойчива ко многим бета-лактамным антибиотикам, даже широкого спектра действия, а также ко многим тетрациклиновым антибиотикам. Наиболее эффективными являются препаратами из группы резерва, например, карбапенемы.
ЭНДЕМИЯЛЫҚ АУРУЛАРҒА ЭКОНОМИКАЛЫҚ ЗИЯНДЫ БАҒАЛАУ ӘДІСТЕМЕСІН ӘЗІРЛЕУ
Authors: АХМЕТОВА К.М. , ЖУМАДИЛОВА З.Б. , ШАЙДУЛЛИНА Ж.И. , ЖУМАДИЛОВА М.Б.
Published: November 2023

Денсаулық халықтың жағдайын анықтайтын фактор ретінде елдің жоғарғы көрсеткіштерін ғана емес, оның әл-ауқатын да көрсетеді. Ал халықтың денсаулығын сақтау мен қамтамасыз етуге байланысты шығындар мемлекет міндеттерінің бірі болып табылады. Салым мен шығынның тиімділігі денсаулықты жоғалтудан келтірілген экономикалық зиянмен анықталады. Экономикалық залалды бағалау экономика, қаржы және тәуекелдерді басқару саласында жоспарлау мен шешім қабылдаудың маңызды құралы болып табылады. Өзінің географиялық орналасу жағдайына байланысты Қазақстанда аса қауіпті инфекциялардың эндемиялық табиғи ошақтары бар. Үлкен қаржылық шығындарды және аса қауіпті инфекциялар салдарының ел экономикасына тигізетін әсерін ескере отырып, эндемиялық аурулардан болатын экономикалық зиянды есептеу әдістемесін әзірлеу маңызды бағыт болып табылады. Әдістеме тікелей және жанама әдістермен жасалды. Экономикалық залалды бағалаудың тікелей әдісі пациенттерді емдеуге және күтуге байланысты шығындарды, соның ішінде медициналық қызметке, дәрі-дәрмекке, құрал-жабдыққа, тасымалдауға және т.б. шығындарды тікелей қосуға негізделген. Жанама әдіс инфекциямен байланысты, халықтың өнімділігін жоғалту және мемлекеттік кірісті жоғалту шығындарды бағалау үшін қолданылады. Әзірленген әдістеме бюджет қаражатын жұмсаудың ұтымдылығы мен мақсаттылығын арттыруға мүмкіндік береді.
ВЛИЯНИЕ COVID-19 НА ТЕЧЕНИЕ БЕРЕМЕННОСТИ В I-II ТРИМЕСТРЕ
Authors: Момбиева Ж.Т. , Калмаханов С.Б.
Published: November 2023

В настоящее время имеется немногочисленные данные о влиянии короновирусной инфекции (COVID-19) на течение беременности, родов, состояния плода и послеродовый период, но мало изучен вопрос о предположительных акушерских рисков у беременных женщин с положительным ПЦР на COVID-19 в I и во II триместре беременности. В ходе исследования мы провели скрининг биохимических показателей беременных первого триместра и УЗИ картины первого и второго триместра беременности с положительным тестом на COVID-19 по сравнению с когортой здоровых беременных женщин. Цель. Оценить влияние COVID-19 на течение беременности первого и второго триместра. Методы. Дизайн исследования предоставляет собой когортное ретроспективное исследование. В исследования были включены 56 беременные женщины, перенесшие COVID-19 и не перенесшие 49 женщин в I и во II триместре беременности. Клинические записи беременных женщин с COVID-19 и без него были ретроспективно изучены в период с 1 февраля по 11 декабря 2021года, в 2-х городских поликлиниках №21 и №3 города Алматы. Сравнивали лабораторные и исходные характеристики женщин с диагностированным во время беременности COVID-19 и без него. В первом триместре беременности был проанализирован комбинированный скрининг (УЗИ и биохимический скрининг). Во втором триместре был рассмотрен второй УЗИ скрининг. Результаты. В результате исследования все показатели не были статическими значимыми. Обе подгруппы были сопоставимы между собой по возрасту. Оценены биохимические маркеры беременности РАРР-А и β-ХГЧ, первый был в два раза выше у женщин с COVID-19 по сравнению с без COVID-19 женщинами. Второй показатель не показал значимую разницу между группами. Не было существенной разницы в толщине воротникового пространства у женщин с положительным результатом на предыдущую инфекцию SARS-CoV-2 (n = 18), по сравнению с отрицательным (n = 994) (p = 0,62). Выводы. Материнское инфекционное заболевание Covid-19 не влияла на толщину воротникового пространства, и не было значительно повышенного риска потери беременности у женщин, перенесших COVID-19 в первом и во втором триместре беременности. Эти данные свидетельствуют о том, что Covid-19 у женщин бессимптомны, легкой, средней степени тяжести не представляет существенной угрозы в первом и во втором триместре беременности.
Investigating the relationship between academia and the information technology industry: a systematic literature review
Authors: Carvalho Felipe Pessoa de , Santos Rafael Cavalcante dos , Nascimento Samara Martins , Coutinho Jarbele Cássia da Silva , Sousa Reudismam Rolim de
Published: November 2023

This work aims to investigate the relationship between the information technology industry and academia from 2019 to 2023 through a Systematic Literature Review. The guidelines followed for conducting the SLR were established by Kitchenham and Charters (2007), through which it was possible to obtain a total of 34 primary studies. The results indicate that: (i) academia struggles to keep up with technological advancements due to the disparity between what is taught in the classroom and what is required by the industry; (ii) despite the challenges of keeping pace with technological advancements, academia is making efforts to address these issues through internal academic activities and industry-academia collaboration; (iii) there is a shortage of qualified workforce for the information technology market, particularly in terms of technical and interpersonal skills; and (iv) the job market has defined specific competencies for hiring in this field.
Snakes and ladders in infectious diseases: creation and acceptance of a game to disseminate knowledge about dengue and leishmaniasis
Authors: Kito Bruno Kenji , Matarazo João Guilherme Araujo , Lordelo André Dos Santos de Barros , Oliveira Rodrigo Cesar Henck , Moris Daniela Vanessa , Carvalho Thaís Batista , Peresi-Lordelo Eliana
Published: November 2023

The objective of the present study was to create a Snakes and Ladders style board game to disseminate knowledge about dengue and leishmaniasis. To this end, a game was created with questions addressing the transmission, prevention, treatment, and symptoms of dengue and leishmaniasis. The game was applied during an activity linked to the University Extension Project “Girls in STEM”, with the participation of 255 students, enrolled in the 9th year of elementary school and high school. To verify acceptance of the game, an opinion survey was carried out. Most participants (94.5%) found the game easy to play; 98.5% enjoyed playing about different disease categories at the same time; 99.6% liked the way the questions on the card were asked; 98.9% liked the board format; 99.2% thought they learned information about different diseases using the game. It was possible to verify that the Snakes and Ladders board game about dengue and leishmaniasis had excellent acceptance among the applied public. Furthermore, the proposed gamification system can be adapted to other subjects or contexts, to assist in the school education process and improve the population's quality of life.