bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypothalamic Hamartoma in an 11-Year-Old Female: Clinical Presentation, Diagnostic Evaluation, and Management Strategies – A Case Report and Literature Review
Authors: Pilika Kliti ,   University Hospital Center ", Xhetani Xhesika , Pilika Anita , Shpuza Aldo ,   Mother Teresa",   , Tirane, Albania,   Korca Region Hospital, Albania,   University Hospital Center "Mother Teresa", Tirane, Albania,   Department of Public Health, University of Medicine, Tirane, Albania
Published: July 2024

Background: Hypothalamic hamartomas (HH) are rare, benign brain tumors that can cause severe neurological symptoms, including epilepsy. This report presents a case of an 11-year-old female with HH, highlighting the clinical presentation, diagnostic workup, and management strategies. Case Presentation: An 11-year-old female with no prior medical history presented with generalized tonic-clonic seizures during sleep, characterized by convulsions, cyanosis, tongue biting, frothing at the mouth, and loss of consciousness lasting 1-2 minutes. Subsequent episodes included focal Jacksonian seizures involving the face and right eye myoclonus, progressing to generalized convulsions. Neurological examination and development were normal, with no family history of epilepsy. MRI revealed a sessile lesion in the left hypothalamus with T2/FLAIR hyperintensity and T1 hypointensity. Laboratory tests, including thyroid function, gynecological ultrasound, and various blood tests, were normal. A 48-hour video EEG indicated sensorimotor cortex involvement in both hemispheres, likely linked to the hypothalamic lesion. Management: Initial management involved observation without antiepileptic medications. Due to persistent seizures, the treatment plan included oxcarbazepine, titrated to 1200 mg/day, and Keppra (levetiracetam) 1000 mg/day. Efforts were made to discontinue Keppra and maintain monotherapy with oxcarbazepine. Given the small size of the lesion and effective seizure control with medication, surgical intervention was not pursued. Conclusion: This case underscores the importance of comprehensive diagnostic evaluation and individualized treatment plans for patients with HH. While medical management can be effective for small lesions, surgical options reported in the literature provide alternative strategies for larger or treatment-resistant cases. A multidisciplinary approach is crucial in managing the complex presentation of HH to optimize patient outcomes and improve quality of life.
Integrated Management of complex Fistula-in-Ano in a Patient with Ulcerative Colitis Using Kshara Sutra: A Unique Case Study
Authors: Jaiswal DJ Dhananjay ,   B.A.M.S, Medical Officer at District Ayurveda Health Centre, Biratnagar Morang Nepal, Gyawali Krishna Prasad ,   Consultant Ayurveda Surgeon, Ayurveda Hospital Naradevi Kathmandu Nepal
Published: July 2024

Introduction: Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by mucosal inflammation of the colon and rectum often leading to debilitating symptoms and complications. Fistula-in- Ano is a rare complication of UC, which is an abnormal tract connecting the anal canal to the skin surrounding the anus, further complicating management and impairing patients' quality of life which poses significant challenges in management due to its chronic and recurrent nature. Kshara Sutra, an Ayurvedic parasurgical procedure involving the use of medicated thread, has shown promising results in the treatment of complex Fistula-in-Ano in a patient with ulcerative colitis. Aim: To evaluate the efficacy of Kshara Sutra in the management of complex Fistula-in-Ano in a patient with Ulcerative colitis. Material and Methods: A Hindu, married 56 yrs. old male patient came in Shalya Department of Naradevi Ayurveda Hospital, Kathmandu Nepal with a chief complaints of recurrent episodes of bloody diarrhea, abdominal pain, and perianal discharge over a span of four years. Diagnostic workup revealed extensive colonic involvement consistent with UC on colonoscopy and imaging confirmed the presence of a fistula-in-ano. The patient was diagnosed as a case of Fistula-in Ano with clinical findings & examination done. Then Kshara sutra Ligation was planned along with internal medications. Results/Discussions: After 6 months of treatment, result was achieved remarkably. Conclusion: This case highlights the potential efficacy and safety of Kshara Sutra therapy as an adjunctive and safest treatment modality for managing complex Fistula-in-Ano in patients with underlying ulcerative colitis.
PENGENDALIAN SIRKULASI DAN PENGUKURAN PH AIR PADA TAMBAK GARAM BERBASIS ARDUINO
Authors: Hanafie Ahmad , Dharti Aksa Amaliah Chintami , Hamid Anisa , Ningsih Eka Pertiwi
Published: July 2024

Proses pembentukan garam sangat dipengaruhi oleh tingkat keasaman pH. Kisaran pH 7-8 harus ada dalam air garam yang digunakan untuk membuat garam ini. Salah satu unsur yang berdampak negatif terhadap terciptanya garam adalah curah hujan, dengan adanya alat pengukuran pH yang dirancang dengan menggunakan teknologi mikrokontroler arduino dapat menjadi solusi bagi para petani garam agar dapat mengukur kadar pH air sekaligus mengendalikan kadar pH air agar tetap netral. Tujuan penelitian Merancang Alat Pengedalian Sirkulasi dan pengukuran pH Pada Tambak Garam Berbasis Arduino. Metode penelitian yang dipakai adalah metode  penelitian Research and Development (R&D) yaitu pendefinisian, perancangan alat, pengembangan alat dan pengujian fungsi alat, pembuatan sistem dilakukan menggunakan flowchart, blok diagram dan diuji menggunakan teknik pengujian Black Box. Agar Mendapat kualitas garam yang terbaik harus di pH air kisaran 7 – 8, jadi pengendalian harus dilakukan secara terus menerus. Hasil perancangan keseluruhan alat pengendalian sirkulasi sensor pH akan terhubung ke Arduino sebagai input sensor baca pH dengan menjalankan alat, kemudian melihat hasil pengukuran kadar pH di wadah netral yang ditampilkan pada LCD. Setelah membaca hasil pengukuran kadar pH, relay akan bekerja untuk mengaktif dan menonaktifkan pompa.  Kesimpulannya alat ini dapat berfungsi dengan baik berdasarkan hasil pengujian yaitu jika LCD menampilkan kadar pH asam maka pompa basa akan aktif untuk menyalurkan air ke wadah netral dan pompa asam akan mati, sebaliknya jika LCD menampikan kadar pH basa maka pompa asam akan aktif untuk menyalurkan air ke wadah netral dan pompa basa akan mati.
UPAYA PENINGKATAN KESELAMATAN PELAYARAN DARI ASPEK PERALATAN DAN MANAJEMEN KESELAMATAN KAPAL
Authors: Abdul Rahman
Published: July 2024

Transportasi laut merupakan unsur vital melayani mobilitas orang barang, tantangan dihadapi bagaimana keselamatan pelayaran menjamin kelancaraan arus barang, jasa merata di seluruh daerah. Upaya dilakukan pemerintah untuk menjamin keamanan, keselamatan pelayaran, mengeluarkan standar terkait dengan teknologi kapal, kelengkapan peralatan keselamatan dan sertifikasi awak kapal. Laporan KNKT mengenai jumlah korban meninggal dan hilang setiap tahun mengalami peningkatan. Fenomena meningkatnya angka kecelakaan serta penelitian terdahulu perlu mengkaji kembali upaya peningkatan keselamatan pelayaran, mengingat pentingnya keselamatan pelayaran. Berdasarkan hal tersebut peneliti merumuskan kembali upaya peningkatan keselamatan pelayaran. Tujuan penelitian menggambarkan secara sistematis, upaya meningkatkan keselamatan pelayaran Metode digunakan non-eksperimental bersifat deskriptif kualitatif mendeskrifisikan kondisi yang terjadi pada kondisi di atas kapal. Hasil Dari pelaksanaan penelitian di atas kapal terkait kondisi perlatan keselamatan kapal telah memenuhi standar yang dipersyaratkan berdasarkan ISM Code serta manajemen keselamatan kapal dan pelatihan telah terlaksana di atas kapal, akan tetapi perlu upaya peningkatan keselamatan dimana pada aspek peralatan keselamatan perlu dilaksanakan perawatan dan pengecekan secara rutin dan intensif agar berfugsi baik jika terjadi kondisi darurat di atas kapal serta perlunya pelatihan crew kapal yang terlaksana secara rutin dalam penaganan kondisi darurat di atas kapal termasuk pengunaan peralatan keselamatan.
KONTROL START STOP MOTOR 1 PHASE MENGGUNAKAN REMOTE WIRELESS
Authors: Sriwati Sriwati , Karim Saktiani , Putra Irgi Fahreza , Zulkifli Zulkifli
Published: July 2024

Mengimplementasikan sebuah alat automasi pengendali motor berbasis wireless dengan remot control adalah cara yang tepat mengatasi malas. Tujuan dari penelitian ini adalah untuk mengetahui kontrol start stop motor 1 phase menggunakan remote wireles. Metode yang digunakan yaitu studi literatur, analisa dan perancangan alat, pengujian dan dokumentasi. Pembuatan model dan simulasi alat dan rangkaian dilakukan dengan menggunakan softwarel Simurellay. Dengan berbagai komponen yang digunakan. Hasil penelitian perancangan kontrol Star stop motor 1 phasa menggunakan remote wirelless dilakukan dengan cara menambahkan power supply, Rellay, Selector Switch dan wirelless sebagai komponen penunjang. Prinsip kerja dari alat kontrol Star stop motor 1 phasa adalah mengontrol dari dua arah yaitul kontrol langsung dari pushbutton dan kontrol dari remote wirelless. Hasil perancangan trainer motor 1 phasa menggunakan remote maka untuk meningkatkan fungsi dan ketahanan alat disarankan membuat box dari akrilik, atau panel dari besi. Sehingga komponen terlindungi. Disimpulkan bahwa remote wireles sangat diperlukan dan sudah diaplikasikan di industri .
Pregnant woman suffered from thrombocytopenia
Authors: Dvoretsky Leonid I. ,   Sechenov First Moscow State Medical University (Sechenov University),
Published: July 2024

The paper reports the major clinical situations associated with thrombocytopenia in pregnancy. The diagnostic criteria of the most frequent disorders associated with thrombocytopenia that occur during gestation are provided. The issues related to differential diagnosis of thrombocytopenia in pregnancy are discussed.
Pancreatogenic diabetes mellitus: features of development, clinical course, diagnosis and treatment
Authors: Batrak Galina A. ,   Ivanovo State Medical Academy
Published: July 2024

The features of development, characteristic clinical symptoms, laboratory, instrumental methods of examination and the basic principles of therapy of pancreatogenic diabetes mellitus (DM) are determined. Correlations in the development and course of the disease were revealed. It has been proven that pancreatogenic diabetes occurs significantly more often in men, more than half of whom abuse alcohol and smoke, while after surgery for pancreatic necrosis, patients with pancreatogenic diabetes statistically significantly begin to drink less alcohol. According to a scientific study, the duration of pancreatogenic DM is closely interrelated with the duration of chronic pancreatitis. The low level of C-peptide confirms an early decrease in insulin secretion and, accordingly, the need for insulin therapy. Irregular intake of enzymes significantly contributes to exacerbations of chronic pancreatitis, worsens the course of diabetes and leads to the development of diabetic complications. It was noted that with the duration of pancreatogenic diabetes, the risk of hypoglycemia increases statistically significantly, which certainly requires regular blood glucose testing. Self-monitoring of blood glucose in patients with DM should be carried out with the help of modern, accurate and easy-to-use portable glucose meters, one of which is the Contour Plus Uan.
Rational pharmacotherapy of arterial hypertension in real clinical practice: diuretics through drug safety
Authors: Trukhan Dmitry I. ,   Omsk State Medical University, Bagisheva Natalya V. ,   Omsk State Medical University
Published: July 2024

The use of diuretics in arterial hypertension is pathogenetically justified, which is due to the significant role of an increase in the volume of circulating blood and the retention of sodium ions in the internal environment of the body, in increasing blood pressure. In clinical guidelines, the choice of a diuretic for the treatment of hypertension is limited to 3 drugs: hydrochlorothiazide, chlorthalidone and indapamide. Thiazide and thiazide-like diuretics are often combined into a single group of "thiazides", however, they have significant differences in the mechanism of their action, clinical effects, drug safety profile, partly in the parameters of the effectiveness of blood pressure control, as well as the evidence base in randomized clinical trials. In the first part of the review, along with evidence of the effectiveness of the use of diuretics in arterial hypertension, various aspects of the drug safety of drugs in this group are considered, both possible metabolic disorders and more rare, but possible disorders of the organ of vision, skin adverse reactions and the risk of acute respiratory distress. -syndrome. The second part of the review considers the efficacy and safety of the thiazide-like diuretic indapamide.
Akhlak Manusia Terhadap Dirinya, Allah SWT, dan Rasulullah SAW
Authors: Ari Repi Predi , Karim Pangulu Abdul
Published: July 2024

The impact of ethical challenges in the era of globalization has become evident among the younger generation, leading to a reluctance among youth to incorporate Islamic guidance into their daily lives. This study aims to explore the application of human morality concerning oneself, Allah SWT, and Prophet Muhammad SAW. The research adopts a subjective approach with a focus on library research methods. Scientific references, including articles, books, proceedings, and academic projects (such as theses or dissertations), serve as the primary sources of research data. The findings reveal that personal morality involves striving to balance the physical and spiritual aspects of oneself without imposing limitations on either, while upholding virtues such as gratitude, sincerity, patience, forgiveness, and trust. Additionally, human morality towards Allah SWT as the Creator entails worship and the maintenance of the continuity of life as khalifatullah fil ardh. Regarding morality towards the Messenger of Allah, it involves emulating his life and implementing Islamic teachings in alignment with the Prophet Muhammad's words, actions, and judgments.
Sifat Dua Puluh Telaah Pemikiran Al – Fudholi dalam Kitab Kifayatul Awwam
Authors: Jarkasih Hrp Ibnu Alwi , Abdullah Radhinal , Sapri Sapri
Published: July 2024

The book Kifayatul Awwam, an important work in Islamic literature, was written by Al-Fudholi, a famous Muslim scholar. This book is famous for presenting broad Islamic teachings, especially the attributes of Allah. This research uses the Library Research method by utilizing data and literature in this writing. The research aims to provide a general understanding of the twenty characteristics contained in the book kifayatul awwam. The book kifayatul awwam includes twenty characteristics that are very important to understand in Islamic teachings, because they are the basis of the Islamic faith. Some of the characteristics discussed in this book include the characteristics of obligatory, impossible and jaiz for Allah. The twenty characteristics contained in the book kifayatul awwam have an important role in forming the creed of the Islamic ummah. Understanding and implementing this characteristic is an important part of the spiritual journey of a servant's life.
Efektivitas Penggunaan Media Jaringan Berbasis Aplikasi pada Pembelajaran PAI di Era Digital
Authors: Sibuea Parulian , Maulana Ong Aldi , Hasibuan Darma Syahputra , Sabtina Desi , Syahbrina Filia Bunga , Nadirah Nadirah , Gustriana Widya , Rambe Wirda Aini
Published: July 2024

In this era, technology has been very advanced and developed to facilitate the process of education and learning, various kinds of technological media that we can find in this sophisticated era, one of which is very popular media and all humans can access it, namely network media. Network media has many features, one of which is application-based network media, with the use of interesting learning applications so as to provide attraction for educators, students. The method used by researchers in this study uses qualitative research methods with data collection techniques, namely observation and using tests to strengthen the research conducted. This study was carried out within 2 days by applying the use of network-based media in the classroom. This study aims to determine the effectiveness of using application-based network media in learning Islamic Religious Education.
Peran Pembelajaran IPS dalam Pembentukan Karakter Peserta Didik
Authors: Istiqomah Fina , Ningsih Tutuk
Published: July 2024

This article aims to describe the implementation of Character Education values ​​in Social Sciences Learning. An integrated introduction to character values ​​in social studies subjects. In the introduction to social studies learning, we apply the importance of values ​​in cultivating daily behavior. Character must be built through a process, one of which is daily learning at school. These values ​​are integrated into social studies learning, especially the development of religious values, discipline, and ethics and morals in social and environmental relations. Integrating education into the learning process begins with planning, implementing and evaluating the learning stages. The principle of contextual learning (teaching and learning in situations) which can be implemented in the development of learning plans (curriculum, lesson plans, design of learning activities and assessment in teaching materials), learning processes and assessments.
Keywords: Social Studies Learning, Character Formation
Menyelasaikan Masalah Kehidupan Sehari-hari dalam Konsep Barisan dan Deret Aritmatika
Authors: Megarani Omega , Maghfirah Nurintan , Wandini Rora Rizky
Published: July 2024

This research aims to solve everyday life problems using the concept of arithmetic sequences and series. The type of research used is qualitative research. The type of data used is secondary data. Data collection method uses library research. The method for this study uses previous literature studies, books and journals. An arithmetic sequence is a number that has a certain pattern and a fixed difference. while an arithmetic series is the sum of all the numbers in the arithmetic series. The concept of arithmetic sequences and series can be applied in life as a solution to solve everyday life problems.
Metode Ummi Meningkatkan Kemampuan Membaca Al-Qur'an di Universitas Nahdlatul Ulama Al Ghazali (UNUGHA) Cilacap
Authors: Mukaromah Nisaul , Hanif Muh
Published: July 2024

This research aims to analyze the application of the Ummi method in improving the ability to read the Al-Qur'an at UNUGHA Cilacap. The aim is to provide a better understanding of the factors that influence the effectiveness of Al-Qur'an learning in the academic environment, as well as applying the ummi method to improve students' Al-Qur'an reading skills, with a focus on case studies at UNUGHA Cilacap. Through a case study approach, presenting an effective method for improving skills in reciting the Koran through the Ummi method. Reading the Koran proficiently is an important skill for Muslim students. However, many people face difficulties in mastering the correct recitation techniques. This research explores the effectiveness of the Ummi Method—an innovative teaching approach—in developing strong Al-Quran reading skills among students at Al Ghazali State Islamic University, Cilacap. Through the use of a qualitative case study design, we observed Ummi Method classes, interviewed enthusiastic students and dedicated tutors, and examined evaluation results. These findings reveal how the Ummi Method engages students with a fun yet rigorous step-by-step process. By utilizing repetition, an emphasis on clear pronunciation, and a caring learning environment, students gain confidence and improve their skills significantly. Real-life motivational examples from tutors also inspire spiritual and character development. Students appreciate learning at their own pace through this simple yet comprehensive system. The evaluation scores support that the Ummi Method improves the quality of reading, knowledge of Tajwid rules, and love of the Al-Quran. This research provides valuable insights into effective teaching approaches that address the needs of modern Muslim learners. The successful application of the Ummi Method at Al Ghazali State Islamic University Cilacap shows its potential in optimizing academic achievement and also strengthening faith in other educational contexts. This method is based on the rules of tajwid, makharijul letters, gharib, and tartil rules. Recommendations include curriculum improvements and facility support to improve students' ability to read the Koran. Further studies are needed for a deeper understanding. The findings of this research provide valuable insight for the development of effective learning strategies and solutions to overcome the challenges faced by students in studying the Koran.
Pengaruh Pembelajaran Pendidikan Agama Islam Terhadap Kesadaran Spiritual Siswa Kelas XI di SMK Pasundan 4 Bandung
Authors: Latif Ilyas Abdul , Dahlan Siti Lutfiani Nurlatifah , Mustopa Suci Rahmawati , Muhsin Muhsin , Khairurrohman Afrizal
Published: July 2024

This research aims to analyze the influence of Islamic Education learning on the spiritual awareness of 11th-grade students at SMK Pasundan 4 Bandung. The research method used is a qualitative approach with a descriptive qualitative method. Data collection was conducted through interviews with Islamic Education teachers and 11th-grade students. The results of the study indicate that the portrayal of spiritual behavior among students at SMK Pasundan 4 Bandung is still not optimal, with some behaviors lacking discipline, politeness, and honesty. Efforts by Islamic Education teachers to enhance students' spiritual awareness are carried out through planning, implementation, and evaluation of learning by applying Discovery Learning, Project Based Learning, and Problem Based Learning models. The supporting factor for Islamic Education learning is adequate school facilities, while the inhibiting factor is some students who underestimate Islamic Education lessons and often skip classes. The conclusion of this study is that Islamic Education learning has not fully influenced the spiritual awareness of students at SMK Pasundan 4 Bandung. More intensive efforts are needed from teachers and the school to enhance students' spiritual awareness through the habituation of religious activities and exemplary behavior.
Evaluation of The Treatment of Open Intercondylar Fracture Distal Femur by Transosseous Osteosynthesis Technique with Ilizarov External Fixator
Authors: Islam MS
Published: July 2024

Objectives: Treatment of Distal femoral fractures cannot be done following simple set of rules and when it is an open fracture the treatment is more difficult. Several methods were studied by different authors both at home and abroad, but none were conclusive.

Methods: This prospective study was done between January 2011 to December 2012, 15 patients of the open intercondylar fractures of Distal femur were treated by transosseous osteosynthesis technique by Ilizarov External Fixator in NITOR (National Institute of Traumatology and Orthopaedic rehabilitation), Dhaka. 2 of the patients were not available for final follow up after removal of the fixator frame. So ultimately the final result based on the results of 13 Cases. Minimum 6 months follow up was done from the date of injury. No patient below age 16, no type IIIB or IIIC fractures and no patients having less than 6 months follow up were included in the study. Patients with severe injuries (Head injury, Abdomen and chest injury) were excluded from the study. Patients with medical illness such as Diabetes Mellitus, Peripheral Vascular diseases were not included in the study.

Results: 12 male and 01 female patient between 16 and 56 years were studied. Most common age group in this series were 16-30 year age group (53.85%) and average age of the patients was 31.15 years. Most of the patients were male and road traffic accident was the leading cause of injury (92.31%). Right side involved in (69.23%) most of the cases. All patients were C3 type of fractures and G-II and G-IIIA types were same (38.46%). Most of the patients (53.85%) were operated within 1-2 weeks of admission. Average duration of hospital stay was 22 days ranging from 10 day to 45 days. Most of the patient had soft tissue healing by granulation tissue formation. Others were treated by primary closure, Delayed primary closure or secondary closure.

Various complications were observed among them pintract infection, wire breakage, wire loosening, stiffness of joints, angulations and rotations, deep infection of the tissue, leg length discrepancy was observed in this study. According to the criteria of Neer et al, 1967 final results of the treatment were analyzed. Acceptable result was found in 61.54% of cases (Excellent 7.69% and good 53.85%). Results of the rest of 38.46% cases were not acceptable (Fair 23.08% and poor 15.38%). The result is similar with others done for open fractures of distal femur by Ilizarov External Fixator or other methods of fixation.

Conclusion: So it can be concluded that transosseous osteosynthesis technique is a satisfactory method for treating open intercondylar fracture of distal femur as a primary and definite mode of treatment.
Prevalence of Anxiety and Depression among Wives of Men Working or Living Abroad from Sylhet: Exploring Impact on Mental Health
Authors: Salam MU
Published: July 2024

This article finds out the prevalence of anxiety and depression among women whose husbands work abroad and also explores the significance of consequential impact on their mental health imposed by the situation as compared to those who live with their husbands. Based on a comprehensive analysis of relevant literature and empirical studies, the research sheds light on the implied challenges faced by these women, considering factors such as separation, communication barriers, and social support. The results showed significant differences between the study and the control groups. The prevalence of anxiety and depression among the study group was 51.2% and 44.1% and the average anxiety and depression score were 19.82 and 21.24 respectively. The combined odds ratio (OR) for anxiety and/or depression between the study and control groups was 9.87 with a 95% confidence interval of [5.49, 17.86] and a chi-squire test p-value <0.001.The findings are important as they may contribute to a deeper understanding of the mental health implications in this specific demographic, providing valuable insights for healthcare professionals, policymakers, and support networks.
Information and Safety Precautions on Air Pollution for Adult Respiratory Patients in Tertiary Hospital
Authors: Abbas MG
Published: July 2024

Background: Bangladesh faces escalating air pollution due to urbanization, industrialization, deforestation, and rising energy consumption. This jeopardizes public health, leading to respiratory problems and heightened risks of infections, causing a surge in hospital admissions, deaths, and associated economic burdens.

Method: This was a cross-sectional study to assess the level of knowledge and protective practices regarding air pollution among adult respiratory disease patients who attended the medicine OPD of the National Institute of Diseases of the Chest & Hospital (NIDCH) from January 1, 2023, to December 31, 2023.

Result: The mean age of the 361 respondents was 37.90±13.77 years and more than half (53.5%) of them were in the age group 21-40 years. About one-third (32.1%) received higher secondary and above education. Almost one-fourth (23.5%) of respondents’ income was between 15000, and personal monthly income was not applicable for more than (56.5%) of respondents. About three-fourths (73.7%) of patients were married, two-thirds (67.3%) belonged to a nuclear family and about half (54.6%) of participants belonged to a member of 1-4 persons. The majority (95.3%) of respondents were Muslim and about two-thirds (67.3%) belonged to the nuclear family. About two-thirds (67%) of patients had poor knowledge and one-third (33%) had average knowledge regarding air pollution. All the respondents had poor protective practices against air pollution.

Conclusion: The study's insights will guide future efforts to raise awareness among adult respiratory patients about air pollution risks, respiratory health effects, and protective measures. Empowering these patients not only safeguards their health but also promotes environmental responsibility for cleaner air in the community.
Market Sensing Capabilities, Inovasi Produk sebagai Peningkatan Competitive Advantage pada UMKM Produk Pangan Olahan Terkemas Kecamatan Tutur
Authors: Nuraeni Nuraeni , Santia Devta Argu
Published: July 2024

International Monetary Fund (IMF) telah memberitahukan kepada seluruh negara bahwasepertiga dari ekonomi global akan mengalami resesi ekonomi pada tahun ini. Resesi ekonomi global yangdiperkirakan terjadi karena perekonomian Amerika Serikat (AS), Uni Eropa, dan China yang melambat.Dalam menghadapi resesi ekonomi, ada salah satu pelaku ekonomi yang diperkirakan menjadi penyelamatperekonomian negara yaitu Usaha Mikro Kecil Menengah (UMKM). UMKM proiduk pangan oilahanteirkeimas merupakan UMKM yang memproduksi hasil olahan dari perkebunan, pertanian, dan peternakan.Hal ini sangat mendukung dengan wilayah Kecamatan Tutur yang kaya akan hasil bumi dan peternakan,sehingga UMKM produk pangan olahan terkemas memiliki daya saing dan nilai tersendiri. Penelitian inidilakukan untuk mengetahui pengaruh market sensing capabilities, inovasi produk, dan competitiveadvantage. Sampel pada penelitian ini adalah UMKM Produk Pangan Olahan Terkemas Kecamatan Tuturdengan jumlah 81 unit UMKM. Penelitian ini juga menggunakan alat analisis WarpPLS 7.0, denganmelihat nilai outer model dan inner model.
Efektifitas Strategi Promosi Kripik Singkong Barokah terhadap Hasil Penjualan di Era Pandemi Covid 19
Authors: Solihin Amil , Rasyidi Ahmad Hafas , Sari Lisma Dian Kartika
Published: July 2024

Promotional strategy is a strategy used by companies producing goods or services to be launched into the market commercially. Marketing strategy is the determination of policies and plans, goals and objectives that are carried out to achieve the expected final results by researching needs and consumers, producing goods and services, determining price levels, promoting products and distributing products to consumers. The purpose of this study was to determine the promotion strategy of cassava chips on sales results in the era of the COVID 19 pandemic. The data collection techniques used were observation, interviews, and documentation. Thus, the sales results increased in 2019 by Rp 3.257.500 while in 2020 the sales results were Rp 2.858.000 and finally in 2021 the nominal value was Rp 20.835.000
Identifikasi Motivasi Belajar Anak Didik Pra-sekolah Melalui Game Pengenalan Bentuk Geometri
Authors: Akbar Arbi Fadilah , Darmanto Tedjo , Azhari Azhari
Published: July 2024

Pembelajaran berbasis game yang berkaitan dengan bentuk geometri dapat dikategorikan sebagai seious game yang dapat dipergunakan untuk meningkatkan motivasi belajar anak didik pra-sekolah. Pada penelitian ini pembelajaran dilakukan melalui game tentang pengenalan obyek berbentuk geometri dan dapat dipilih yang ditampilkan dengan warna-warni yang dapat diubah secara acak dengan urutan tertentu. Motivasi belajar dapat diidentifikasi berdasarkan kriteria pemilihan obyek yang dijadikan acuan pemilihan obyek lainnya agar menjadi serupa.
Implementasi Kurikulum Merdeka Jalur Mandiri di SD Negeri Gugus 1 Kecamatan Gunung Talang Kabupaten Solok
Authors: Primadona Sus , Adripen Adripen , Demina Demina
Published: July 2024

Penelitian ini dilatarbelakangi oleh penerapan kurikulum merdeka jalur mandiri jenjang sekolah dasar pasca Pandemi Covid-19. Penelitian ini adalah penelitian kualitatif. Lokasi penelitian adalah di SD Negeri se Gugus 1 Kecamatan Gunung Talang. Teknik pengumpulan data yang digunakan adalah wawancara dengan tipe semi terstruktur, lembar observasi, dan dokumentasi. Teknik analisis data adalah dengan cara kondensasi data, tampilan data, penarikan kesimpulan, dan verivikasi data. Hasil penelitian menunjukkan bahwa, 1) Terdapat perubahan bentuk perencanaan dalam implementasi kurikulum merdeka jalur mandiri yang berfokus pada aspek kurikulum, sumber daya manusia, pembiayaan, sarana dan prasarana. 2) Implementasi kurikulum merdeka jalur mandiri diawali dengan perumusan tujuan pembelajaran, penyusunan alur tujuan pembelajaran, assessment diagnostik diawal pembelajaran, bimbingan teknis dan sosialisasi terhadap guru dan orang tua, serta  pemenuhan sumber belajar dan media pembelajaran. 3) Bentuk pengawasan terhadap implementasi  kurikulum merdeka jalur mandiri dilakukan pada aspek proses pembelajaran, penyusunan perangkat pembelajaran, dan laporan hasil belajar
Relationship between Auditor Independence and Financial Statement Quality in Rwanda
Authors: Ndagano Jean
Published: July 2024

Purpose: The aim of the study was to assess the relationship between auditor independence and financial statement quality in Rwanda.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The study demonstrated that when auditors maintain a high level of independence, they are more likely to detect and report financial misstatements or irregularities accurately. This leads to higher-quality financial statements that investors and stakeholders can rely on for decision-making purposes. Conversely, when auditor independence is compromised, such as through close relationships with management or financial incentives, there is a greater risk of overlooking errors or fraudulent activities, ultimately reducing the quality of financial reporting.
Regulatory bodies and professional standards, such as the Sarbanes-Oxley Act and the International Standards on Auditing, emphasize the importance of auditor independence to safeguard the integrity of financial information. Companies that prioritize auditor independence and engage independent audit firms tend to have stronger financial statement quality, which contributes to market confidence and investor trust in the transparency and accuracy of financial reporting.
Implications to Theory, Practice and Policy: Agency theory, institutional theory and stakeholder theory may be used to anchor future studies on assessing the relationship between auditor independence and financial statement quality in Rwanda. In terms of practical implications, it is essential to encourage audit firms and companies to adopt best practices that ensure auditor independence. From a policy perspective, collaboration with regulatory bodies is essential to review and enhance existing audit regulations, standards, and guidelines.
Impact of Blockchain Technology on Financial Reporting in Small and Medium-Sized Enterprises (SMEs) in Pakistan
Authors: Mirza Fazal
Published: July 2024

Purpose: The aim of the study was to assess the impact of blockchain technology on financial reporting in small and medium-sized enterprises (SMEs) in Pakistan.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The study indicated that blockchain's decentralized ledger system enhances transparency and accuracy in financial data recording and reporting. It reduces the risk of fraud and manipulation due to its immutable nature, ensuring that transactions are securely recorded and traceable. This technology streamlines processes, such as auditing and reconciliation, leading to cost savings and increased efficiency for SMEs. Additionally, blockchain's real-time data availability improves decision-making capabilities and enhances trust among stakeholders. However, challenges such as regulatory compliance and implementation costs remain, requiring careful consideration for SMEs looking to adopt blockchain for financial reporting.
Implications to Theory, Practice and Policy: Diffusion of innovations theory, agency theory and resource-based view may be used to anchor future studies on assessing the impact of blockchain technology on financial reporting in small and medium-sized enterprises (SMEs) in Pakistan. In practice, SMEs are encouraged to initiate pilot projects that leverage blockchain-based financial reporting solutions. On the policy front, advocating for regulatory clarity and supportive frameworks is essential to promote blockchain adoption among SMEs.
Effect of Tax Policy Changes on Corporate Investment Decisions in Saudi Arabia
Authors: Khan Hussain
Published: July 2024

Purpose: The aim of the study was to assess the effect of tax policy changes on corporate investment decisions in Saudi Arabia.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The study indicated that reductions in corporate tax rates generally lead to increased investment by companies. Lower taxes can free up funds that businesses then use for capital expenditures, research and development, and expansion projects. Conversely, higher tax rates may discourage investment, as they reduce after-tax profits and make certain projects less economically viable. However, the relationship between tax policy and investment decisions is complex and can vary depending on factors such as the overall economic environment, industry dynamics, and the specific details of the tax changes. Overall, though, there is evidence to suggest that tax policy plays a substantial role in shaping corporate investment behavior.
Implications to Theory, Practice and Policy: Pecking order theory, agency theory and neoclassical investment theory may be used to anchor future studies on assessing the effect of tax policy changes on corporate investment decisions in Saudi Arabia. Policymakers and corporate leaders should collaborate to design tax policies that align with strategic investment objectives, fostering economic growth, innovation, and market competitiveness. The findings from research studies on the effect of tax policy changes on corporate investment decisions can inform evidence-based policymaking aimed at optimizing tax frameworks for economic resilience and dynamism.
Cuèntame tu vida: Ethos y textos “autobiográficos” de Mauricio Macry y Cristina Kirchner
Authors: Ques Maria Elena
Published: July 2024

¿Qué lugar tienen hoy los libros de expresidentes sobre su experiencia en la función pública? A tono con la creciente exposición de lo privado/ íntimo por parte de figuras públicas, los libros publicados por Cristina Kirchner y por Mauricio Macri enlazan su testimonio público con la narración de vivencias privadas. Tal entrecruzamiento adquiere un valor argumentativo, en tanto insta al lector a inferir rasgos del ethos público en encrucijadas y anécdotas privadas.
Este trabajo propone, por un lado, examinar un género que enlaza el testimonio, las memorias y la propaganda política. Por otro, veremos cómo incide, en estos casos, la elección del género en el ethos personal y político y la función que, en cada caso, cumplen las  anécdotas sobre la familia, a la pareja, al uso del tiempo libre. ¿Lo privado y lo público se presentan estos libros como espacios complementarios o en tensión? Para analizar estas cuestiones se considerarán trabajos dedicados a reflexionar sobre la problemática del género (Lejeune,1974; Arfuch, 1995 y 2010; Ludmer, 2010; Roudinesco, 2023, entre otros) y, por otra parte, trabajos orientados a la problemática del ethos desde perspectivas analíticas (Amossy, 1999; Maingueneau, 2010; Montero, 2012; Arnoux, 2018; Chareaudeau, 2021; entre otros).
The effect of Applying (E-learning) in Higher Education: Study on a Number of Students from different Universities in Iraq
Authors: Hasan Ibrahim Naeem , Abd-alrazak Maryam Qutaiba , Rashid Shatha Talib
Published: July 2024

COVID-19â€™s pandemic has hastened the expansion of online learning across all levels of education. Countries have pushed to expand their use of distant education and make it mandatory in view of the danger of being unable to resume face-to-face education. This study aims to determine the challenges and obstacles face by students in Iraqi universities with e-learning. It founds that the main problems that influence and impact online learning during COVID-19 are related to technical, academic, and communication challenges. The study results show that a total of 39.89% agreed that e-learning facilitates the learning process from various aspects, and a total of 42.13% disagreed with that, and a total of 17.8% are moderate.
The Influence Of Compensation, Work Environment, And Organizational Commitment On Employee Performance (Case Study at PT Witan Prelsisi Indonesia)
Authors: Hasyim Wachid , Wirjawan Tri Wahju
Published: July 2024

Human resources are a very important element for companies so that a business runs well, good human resources are created by good management. Which is able to provide comfort for its employees. This study aims to examine the effect of compensation, work environment, and organizational commitment on employee performance. This type of research is quantitative research. This sampling uses a simple random technique which is a technique that is carried out randomly and comes from existing population members. The sample in this study were employees at PT Witan Presisi Indonesia, namely 90 people, and collecting data in this study included observation, distributing questionnaires, and literature study. Data analysis techniques in this study are validity test, reliability test, classical assumption test, multiple linear analysis and hypothesis testing. By using the SPSS Version 25 application program which shows the results that there is an influence and no effect on X on Y. Furthermore, it can be concluded partially that compensation has no effect and is not significant on employee performance seen from the results of tcount (1.212) ttable (1.987) and significance value (1.229) (0.05), the work environment has a positive and significant effect on employee performance seen from the results of tcount (4. 4117) ttable (0.05), 4117) ttable (1.987) and significance value (0.000) (0.05), and organizational commitment has a positive and significant effect on employee performance as seen from the results of tcount (3.371) ttable (1.987) and significance value (0.002) (0.05).
ANALYSIS OF ACTIVE SCHOOL COMMUTING INFRASTRUCTURE IN OTA, OGUN STATE, NIGERIA
Authors: Odekunle Folasade Jokotade , Adebayo Gabriel Olabisi , Adewole Hakeem.A , Adedini Ademola James
Published: July 2024

Active commuting can be enhanced through infrastructure development to promote well-being. Lack of awareness and little or no knowledge of the importance and health benefits reduces the rate at which school children and policymakers value active commuting in Nigeria. The study analysed the activities of active school commuting with cycling in Ota, to provide information on how it would enhance the well-being of young people. Primary (questionnaire) and secondary data were used. A multistage sampling method was adopted. Twenty public schools were identified, and 50% were randomly selected.Â  Random sampling was used to select 20 students up to age from each school selected for the survey, therefore having a total of 200 questionnaires. The data were analysed using descriptive statistics and five-point Likert-scales method.Â  The findings revealed that the road was not constructed to standard, was not in good condition, and lacked some necessary amenities. Active commuting users were not satisfied with the existing conditions of the road. Well-being indicators revealed that derived active factors have the highest mean score of 4.07, and respected active factors have the lowest mean score of 2.74.Â  Active school commuting is a subset of physical activity which promotes wellness and quality of life. It is recommended that the government should rehabilitate the road up to standard and provide necessary amenities for the safety of active commuting users. Local governments also can organize active commuting sports competitions for school children and young ones in their jurisdiction.
The Role of the Spotify Wrapped Digital Campaign on Spotify Brand Advocacy on Social Media Instagram, Twitter (X), and Tiktok
Authors: Wulandari Ismi Alivia , Putriana Muria , Sari Wina Puspita , Soegiarto Asep , Rizki Menati Fajar
Published: July 2024

This research aims to determine the contribution of the Spotify Wrapped digital campaign to Spotify brand advocacy on social media (Instagram, Twitter (X), and Tiktok) and determine the participation of Spotify users in become an active brand advocates through the Spotify Wrapped digital campaign. The hypothesis of this research is that there is a positive and significant relationship between user participation in the Spotify Wrapped digital campaign and the level of Spotify brand advocacy on social media (Instagram, Twitter (X), and Tiktok). This research method is descriptive quantitative. The population is 574 million and the sample is 100 which is calculated using the Slovin formula. The sampling technique in this research used a simple random sampling technique. The results of this study show that the Pearson correlation test value is 0.822 with a significance of 0.00. This value can be interpreted that the Spotify Wrapped digital campaign has a positive relationship with Spotify's brand advocacy on social media (Instagram, Twitter (X), and Tiktok). From the simple linear regression analysis, a value of 0.00 is obtained, H1 is accepted, namely that there is a positive and significant relationship between user participation in the Spotify Wrapped digital campaign and the level of Spotify brand advocacy on social media (Instagram, Twitter (X), and Tiktok). Based on these results, the more users are involved in the Spotify Wrapped digital campaign, the higher the level of support and promotion of the Spotify brand on social media platforms (Instagram, X, TikTok), and the greater the possibility of them becoming active brand advocates for Spotify.Keywords: Digital Campaign, Brand Advocacy, Spotify Wrapped, Social Media