bluuebunny/crossref_metadata_2025 huggingface dataset:
Fracture-Dislocations of the Elbow: A Comparison of Monteggia and Terrible Triad Fracture Patterns
Authors: Gonzalez Leah J. , Shields Charlotte N. , Leucht Philipp , Konda Sanjit R. , Egol Kenneth A.
Published: December 2022

Fracture-dislocations of the elbow are a spectrum of injuries that have varying outcomes and complications, such as limited range of motion and long-term pain. The Monteggia fracture-dislocation and terrible triad fracture-dislocation are 2 such injury patterns that occur secondary to different mechanisms. This study sought to compare complication profiles and patient outcomes associated with these 2 distinct injury patterns. A retrospective chart review of all adult patients treated by 1 of 3 orthopedic traumatologists at a major academic center for operative fixation for either a Monteggia fracture-dislocation or a terrible triad elbow fracture-dislocation over a 12-year period was performed. Data collected included demographics, surgical data, patient-reported pain and elbow stiffness, elbow range of motion, presence of elbow joint contracture, nerve injuries, healing complications, and need for reoperation. The review included 105 patients, 58 with Monteggia injury and 47 with terrible triad injury, who had complete follow-up and radiographic imaging available. At latest follow-up, the 2 groups had similar rates of pain, reoperation, and ultimate elbow range of motion in flexion, extension, pronation, and supination. Elbow contractures requiring operative release were more commonly associated with terrible triad injury, and the incidence of nonunion was significantly greater in Monteggia fractures. A Monteggia fracture-dislocation portends a higher risk of ulna nonunion, whereas terrible triad injury is associated with elbow contracture. Despite their unique complications, both patterns ultimately have high rates of reoperation as their unique complications are both indications for operative repair. Patients should be appropriately counseled on the complication profile of their unique injury pattern. [
Orthopedics
. 2023;46(3):158–163.]
Effect of Manikin and Virtual Simulation on Clinical Judgment
Authors: Martin Jeanne E. , Tyndall Deborah
Published: December 2022

Background:

Evidence suggests competency in clinical judgment may be lacking in new graduate nurses. Graduates from accelerated baccalaureate nursing (ABSN) programs have even less time to develop clinical judgment competency. Various simulation modalities, including high-fidelity manikin and virtual reality, have been used to develop clinical judgment in prelicensure students. However, the outcomes of these simulation modalities on clinical judgment in ABSN students is not well understood.

Method:

An integrative literature review was conducted using five databases with primary research that examined the effect of manikin or virtual simulation on clinical judgment in BSN students.

Results:

Fourteen studies were included in this review. The findings were organized using Tanner's Clinical Judgment Model.

Conclusion:

Findings from this review were mixed, with a lack of evidence comparing the two modalities. Future research should include comparison studies aimed at examining the effects of these modalities with ABSN students.

[
J Nurs Educ
. 2022;61(12):693–699.]
Achieved Lenticule Diameter and Functional Optical Zone in Hyperopic Eyes After Lenticule Intrastromal Keratoplasty
Authors: Liu Shengtao , Zhao Yu , Zhao Jing , Zhang Xiaoxue , Li Meiyan , Zhou Xingtao
Published: December 2022

Purpose:

To investigate achieved lenticule diameter (ALD) and functional optical zone (FOZ) following femtosecond laser–assisted lenticule intrastromal keratoplasty (FS-LIKE) or small incision lenticule intrastromal keratoplasty (SMI-LIKE).

Methods:

Small incision lenticule extraction (SMILE)–derived human lenticules were placed on the surface of a contact glass (CG) and model eye (ME). Ex vivo ALDs were assessed at different hydration times. The ALD and FOZ were obtained using optical coherence tomography and Scheimpflug tomography at 6 months after lenticule implantation.

Results:

At 1 hour after hydration, lenticules achieved a slightly larger CG-loading ALD (6.63 ± 0.07 mm) and similar ME-loading ALD (6.53 ± 0.07 mm) as compared to a programmed optical zone (POZ) of 6.5 mm (
P
< .001). At 6 months after surgery, FS-LIKE with a POZ of 6.5 mm obtained an ALD of 6.20 ± 0.21 mm, which was larger than SMI-LIKE with a POZ of 6.64 mm (5.90 ± 0.14 mm,
P
= .001). The mean FOZ diameters were 5.33 ± 0.28 and 5.11 ± 0.14 mm for the FS-LIKE and SMI-LIKE groups, respectively (
P
= .022). The absence of significant differences in the ALD and FOZ among the different meridians indicated that the achieved lenticule and optical zone shapes were circular.

Conclusions:

An accurate lenticular size could be obtained from SMILE, and FS-LIKE could achieve a larger FOZ than SMI-LIKE, attributed to attaining a larger ALD.

[
J Refract Surg
. 2022;38(12):791–796.]
Clinical Presentation, Screening, and Diagnosis of Pediatric Tuberculosis
Authors: Baucom Clairalyn , LaPonsie Sadie
Published: December 2022

Tuberculosis (TB) remains a leading cause of illness and death throughout the world. Despite its high prevalence worldwide, a diagnosis of TB can be hampered by variable clinical presentation, differences in host response, and lack of clinician awareness. In addition to the lungs, TB can affect almost every organ system in the body. Importantly, the severity of the disease is influenced by the age and immune status of the patient. Because it is relatively rare in the United States and other high-income countries, pediatricians in those settings may be unfamiliar with this ancient disease and may omit it from their differential diagnosis. This article aims to bring general pediatricians up to date with the epidemiology of pediatric TB as well as common presentations and screening tests. Confirmatory testing and treatment of TB are out of the scope of this article. Consultation with the local health department is recommended for any patients in whom active TB is suspected or diagnosed.

[
Pediatr Ann
. 2022;51(12):e461–e468.]
Diagnostic Testing Procedures and Challenges for Primary Immunodeficiencies
Authors: Kraft Antigone , Ciaccio Christina E.
Published: December 2022

Primary immunodeficiencies are rare but are often on the differential diagnosis list when patients present with recurrent or atypical infections. Patients with primary immunodeficiencies can present with a variety of symptoms and can present providers with diagnostic challenges given this variability, and the severe implications of immunodeficiencies can sometimes lead providers to pursue broad workups that may not be necessary. However, there are certain symptom patterns providers can look out for and diagnostic steps that can be taken to triage these presentations. We have used the practice modeled in the “Five Fingers of the Immune Workup” to outline common laboratory tests for clinicians to order when they are concerned for immunodeficiencies while remembering that these diagnoses are often rare, and true concern for this pathology would warrant referral to a specialist.

[
Pediatr Ann
. 2022;51(12):e480–e484.]
Health Literacy and Difficulty Accessing Information About the COVID-19 Pandemic Among Parents Who Are Deaf and Hard-of-Hearing
Authors: James Tyler G. , Helm Kaila V. T. , Ratakonda Sanjana , Smith Lauren D. , Mitra Monika , McKee Michael M.
Published: December 2022

People who are deaf and hard-of-hearing (DHH) struggle with information marginalization and limited health literacy, challenging their ability to access information on preventing coronavirus disease 2019 (COVID-19). This study assessed the relationship between language preference, health literacy, and COVID-19 information barriers among parents who are DHH in the United States. Data were drawn from a larger study focused on individuals who are DHH who had given birth in the past 10 years. Respondents completed a web-based survey between March 2020 and July 2021. We segmented respondents by language preference [i.e., American Sign Language (ASL), English, or bilingual ASL/English] and used logistic regression models to test the hypothesis that language preference and health literacy were both associated with COVID-19 information marginalization. Of the total sample (
N
= 417), approximately 17% had limited health literacy, and 22% reported experiencing difficulty accessing information about COVID-19. In adjusted analyses, respondents with limited health literacy ([adjusted odds ratio] aO
R
= 2.245) and Hispanic ethnicity (aO
R
= 2.149) had higher risk of reporting information access barriers. There was no association between language preference and reporting COVID-19 information barriers. However, individuals who are DHH with limited health literacy were at higher risk of experiencing information marginalization during the ongoing COVID-19 pandemic, highlighting the need for tailored information based on access needs. [

HLRP: Health Literacy Research and Practice
. 2022;6(4):e310–e315.

]
Does inclusive finance improve income: A study in rural areas
Authors: Li Zhiyi , Tuerxun Mayila , Cao Jianhong , Fan Min , Yang Cunyi
Published: December 2022

Increasing rural income is the common requirement of poverty alleviation and a rural revitalization strategy. As a financial system arrangement, inclusive finance plays an important role in rural income. This paper analyzes the influence of inclusive finance development affecting rural income. Taking 13 regions in Xinjiang as samples, we used a fixed-effects and mediating-effect model to conduct empirical tests. We found that inclusive finance development can significantly promote rural income in Xinjiang. The role of inclusive financial development in the rural income in deep poverty areas is weaker than that in non-deep poverty areas. Meanwhile, with the proposal of the Belt and Road Initiative, the role of inclusive financial development in rural income has been significantly enhanced. Taking the per capita economic output as the mechanism variable, we found that it is a vital channel for inclusive finance to improve rural income.
A numerical study of swirling axisymmetric flow characteristics in a cylinder with suspended PEG based magnetite and oxides nanoparticles
Authors: Raju C. S. K. , Raju S.V. Siva Rama , Upadhya S. Mamatha , Ahammad N. Ameer , Shah Nehad Ali , Botmart Thongchai
Published: December 2022

For entire heat transfer practitioners from the last ten years, heat transmission performance in cooling and heating applications has become foremost concern. Hence, research towards innovative heat transference fluids is enormously powerful and stimulating. This study examines flow and thermal management in axisymmetric magneto hydrodynamic Polyethylene glycol (PEG) based hybrid nanofluid flow induced by a swirling cylinder. Flow and heat transfer is analyzed and compared for PEG+ Cu2O + MgO and PEG+Graphene+ Cu + Ag hybrid nanofluid flow. Shooting technique (R-K 4th order) is applied to work out the flow equations numerically. Simulated results are demonstrated via graphs. The computational results are validated with the published research work and found a modest concurrence. The foremost outcome of this investigation is found to be the axial, swirl and radial velocities in hybrid nanofluid are observed to decay with improvement in Reynolds number, nanofluid volume fraction and magnetic parameter. Platelet shaped nanoparticle colloidal suspension exhibit more decaying axial, swirl and radial velocity compared to spherical shaped nanoparticle colloidal suspension. It is detected that heat transmission rate is higher in PEG + Cu2O + MgO Hybrid nanofluid compared with PEG + Graphene + Cu + Ag Hybrid nanofluid. For cooling purpose one can adopt PEG+Cu2O + MgO hybrid nanofluid.
Phoneme Frequencies in Slovene (Text vs. Dictionary)
Authors: Kelih Emmerich , Zörnig Peter
Published: December 2022

In this paper Slovene phoneme frequencies from a Slovene–German learner’s dictionary are analysed. The structure of the dictionary allows the determination of phoneme frequencies on two distinct linguistic levels: the level of dictionary (analysis of headwords) and the level of text (example sentences, illustrating a prototypical context of a given headword). By applying various statistical significance tests it can be shown that no significant differences between the rank-frequency distributions are observable. The same holds true for testing the differences, based on the repetition rate of phoneme frequencies on the dictionary and text levels. In contrast to this, only dichotomised data (by grouping them into vowels and consonants) show a significantly different frequency behaviour. Overall it can be shown that based on the given empirical observations, the conceptual importance and relevance of the levels of dictionary vs. text for quantitative phoneme studies has to be reconsidered and critically reflected in future studies.
How is the availability of public health workers in Indonesia’s primary health care? Secondary data analysis of health facility research in 2019
Authors: Mawarni Dian , Sabran Sabran
Published: December 2022

The lack and maldistribution of public health workers are critical issues for primary health care. This study aimed to assess the availability of public health workers at primary health care and to identify its related factors. We use secondary data from health facility research in 2019. Overall, 68.79% of primary health care in rural areas and 71.33% of primary health care in remote areas have the number of public health workers fit standards, but urban areas only reach 46.82%. The public health worker from health promotion and behavior concentration is more dominantly fulfilled than others. Accreditation status is a determinant factor of the availability of public health workers in urban and rural primary health care. Especially remote primary health care, it is not only affected by accreditation status but also service capability. The government needs to review the policy of public health worker recruitment at primary health care to support the fulfillment of public health workers. Public health education should start considering career development programs to ensure that all graduates from various concentrations can be absorbed into the workforce.
Analysis of organizational culture factors that influence the performance of health care professionals: A literature review
Authors: Almutairi Reem Lafi , Aditya Ronal Surya , Kodriyah Lailatul , Yusuf Ah. , Solikhah Fitriana Kurniasari , Al Razeeni Daifallah M. , Kotijah Siti
Published: December 2022

Hospitals in today’s healthcare system are under pressure to boost their competitiveness. A number of studies have shown the disconnect between corporate culture and the enhancement of healthcare professionals’ performance. While it is well accepted that an organization’s culture has a substantial impact on the performance of its health care professionals in clinical practice, the mechanisms by which culture might enhance health care professionals’ performance remain unclear. This paper draws on 22 literature reviews and database searches using keyword syntax from ScienceDirect, Pubmed, Google Scholar, and other relevant publications published between 2011 and 2021. Research in the field demonstrates that a company’s culture may influence the efficiency and effectiveness of its healthcare employees. This overarching issue was dissected into the following themes: nurse performance mediated by discipline; the existence of cultural groups; a central focus on health care professional management; and individual, organizational, and psychological aspects. The optimal performance of nurses and the outcomes of patient care are contingent on management in the health care business knowing the cultural factors that exist in the workplace.
Sagittal alignment differences on the operating room table compared to preoperative and postoperative imaging in anterior cervical discectomy and fusion
Authors: Lambrechts Mark J. , Toci Gregory R. , Karamian Brian A. , Kozick Zachary , Prodoehl John , Reiter David , Muchintala Rahul , Tecce Eric , Vaccaro Alexander , O'Connor Patrick , Syal Amit , Lambo Dominic , Canseco Jose A. , Kaye I. David , Woods Barrett I. , Hilibrand Alan S. , Kepler Christopher K. , Vaccaro Alexander R. , Schroeder Gregory D.
Published: December 2022

Study Design:

The study design used was a retrospective cohort.

Objective:

The objective of this study is to determine if intraoperative improvements in sagittal alignment on the operating table persisted on postoperative standing radiographs.

Summary of Background Data:

Cervical sagittal alignment may be correlated to postoperative outcomes. Since anterior cervical discectomy and fusions (ACDFs) can restore some cervical lordosis through intervertebral grafts/cages, it is important to understand if intraoperative radiographic measurements correlate with persistent postoperative radiographic changes.

Materials and Methods:

Patients undergoing elective primary ACDF were screened for the presence of lateral cervical radiographs preoperatively, intraoperatively, and postoperatively. Patients were excluded if their first postoperative radiograph was more than 3 months following the procedure or if cervical lordosis was not able to be measured at each time point. Paired t-tests were utilized to compare differences in measurements between time points. Statistical significance was set at P < 0.05.

Results:

Of 46 included patients, 26 (56.5%) were female, and the mean age was 55.2 ± 11.6 years. C0-C2 lordosis significantly increased from the preoperative to intraoperative time point (delta [Δ] = 4.49, P = 0.029) and significantly decreased from the intraoperative to postoperative time period (Δ = −6.57, P < 0.001), but this resulted in no significant preoperative to postoperative change (Δ = −2.08, P = 0.096). C2 slope decreased from the preoperative to the intraoperative time point (Δ = −3.84, P = 0.043) and significantly increased from the intraoperative to the postoperative time point (Δ = 3.68, P = 0.047), which also resulted in no net change in alignment between the preoperative and postoperative periods (Δ = −0.16, P = 0.848). There was no significant difference in the C2-C7 SVA from the preoperative to intraoperative (Δ = 0.85, P = 0.724) or intraoperative to postoperative periods (Δ = 2.04, P = 0.401); however, the C2-C7 SVA significantly increased from the preoperative to postoperative period (Δ = 2.88, P = 0.006).

Conclusions:

Intraoperative positioning predominantly affects the mobile upper cervical spine, particularly C0-C2 lordosis and C2 slope, but these changes do not persist postoperatively.
análise bakhtiniana sobre o discurso de ódio contra nordestinos em postagens nas redes sociais após o primeiro turno das Eleições 2022
Authors: Freitas Samya Semião
Published: December 2022

A banalização do ódio e o ataque a grupos historicamente subalternizados vêm gerando uma onda de retrocessos sociais e democráticos marcada pela violência e pela prática da intolerância. Nessa perspectiva, objetiva-se analisar o discurso de ódio contra nordestinos em enunciados do universo das redes sociais digitais. Para isso, tomamos como base teórico-metodológica pressupostos da Análise Dialógica do Discurso, mais especificamente as noções de cronotopo, de enunciado concreto e de apreciação valorativa, considerando-se que, a partir de uma perspectiva axiológica, constroem-se, nas redes sociais, cronotopos de ódio que favorecem a disseminação de práticas discursivas intolerantes, preconceituosas e xenofóbicas. O corpus se constitui de cinco postagens que circularam nas redes sociais logo após o primeiro turno das eleições presidenciais 2022. Os resultados revelam que os enunciados analisados criam e são criados por cronotopos de ódio contra uma parcela da sociedade, que fortalecem a filiação ideológica e o sentimento de pertença de grupos apoiadores de Jair Bolsonaro em ambiente virtual. Além disso, esses enunciados contribuem para um projeto enunciativo que visa a inferiorização do povo nordestino e uma consequente marginalização dessa parte da população, de modo a tentar descredibilizar os resultados das eleições.
ABSENTEEİSM İLE İLGİLİ YAZILAN LİSANSÜSTÜ TEZLERİN BİBLİYOMETRİK ANALİZİ
Authors: TELLİ DANIŞMAZ Açelya
Published: December 2022

Örgütsel vatandaşlık davranışı ile madalyonun diğer yüzü olan zorunlu vatandaşlık davranışı örgütsel davranışın temel çalışma konularındandır. Öyle ki son zamanlarda işgücü devir hızı, işten ayrılma niyeti gibi kavramların işletmeler nezdinde ön plana çıkmasıyla birlikte özellikle vatandaşlık davranışının negatif yönlerine ağırlık verilmeye ve çalışan gereksinimleri daha kapsamlı bir şekilde ele alınmaya başlanmıştır. Absenteeism kavramı da tıpkı presenteeism, zorunlu vatandaşlık davranışı gibi çalışanların iş hayatlarını ve bu nedenle işletme verimliliğini yakından ilgilendiren bir örgütsel davranış konusudur. Bu bağlamda çalışmanın amacı “absenteeism” ile ilgili YÖK Tez Veritabanı’nda yayınlanan tüm lisansüstü tezlerin belirli kriterler açısından incelenerek ileride bu konuyla ilgili yapılacak olan araştırmalara bir katkı sunmaktır. Bu amaçla öncelikle absenteeismin kavramsal çerçevesi çizilmiş olup ardından absenteeismle ilgili yazılan tüm lisansüstü tezler bibliyometrik açıdan analiz edilmiştir. Yapılan analiz neticesinde, “absenteeism” ile ilgili en çok tezin Eskişehir Osmangazi Üniversitesi’nde üretildiği, en çok yüksek lisans türünde ve Türkçe dilinde absenteeismle ilgili tez yazıldığı, en çok eğitim ve öğretim konularında tez üretildiği, 2019 ve 2022 yıllarında en çok tezin üretildiği, sayfa sayısının en çok 101-150 aralığında olduğu, en çok nicel veri analizinin tercih edildiği, absenteeismle ilgili araştırmalarda en çok tercih edilen örneklem aralığının 0-300 olduğu ve yazarların çoğunlukla “absenteeism” ile ilgili kendi ölçeklerini geliştirmeyi tercih ettikleri tespit edilmiştir.
COVID-19 Relapse and Reinfection Frequency, Clinical Features of Cases
Authors: ASLANER Hümeyra , ASLANER Hacı Ahmet , SAVRANLAR Yasemin , BENLİ Ali Ramazan
Published: December 2022

Purpose: How the immune response of people infected with SARS-CoV-2 develops against the virus and how long it is effective is one of the most important questions during the pandemic period. We aimed to examine the frequency of relapse and re-infection, examine the influencing factors, evaluate the cases' clinical conditions and symptoms, and examine the severity of subsequent infection.

Materials and Methods: This is a descriptive and cross-sectional type study using the Public Health Management System (PHMS) records of the Turkish Ministry of Health. Clinical improvement and negative RT-PCR test results, and positive RT-PCR test results at least 45 days after the first infection were included in this study. The cases were divided into two groups: the relapse group, those positive for 45-89 days after the first infection, and the reinfection group after 90 days recommended by the CDC. Demographic characteristics, whether or not to be a health worker, accompanying chronic illness, and re-positivity periods were evaluated.

Results: The total number of cases was 103,096. The number of cases with repeat positivity detected after 45 days was 78. In the study, the number of cases in the relapse group (45-89 days) was 49, while the number of cases in the reinfection group (over 90 days) was 29.

Conclusions: The very low rate of reinfection and milder symptoms in the second infection are promising for vaccination studies. Understanding the COVID-19 reinfection could be the key to guiding government and public health decisions in the coming months.
Challenges Facing Single Mothers in Supporting their Adolescent Children: A Case of Dodoma, Tanzania
Authors: Menard Shitindi Elizabeth , Lubawa, PhD Dorothy
Published: December 2022

This study investigated on challenges facing single mothers in supporting their adolescent children in Dodoma, Tanzania. The study employed the qualitative approach with the phenomenological research design. The population of the study comprised of all single mothers of three wards in Dodoma City Council and eight Social Welfare Officers from the studied wards and city council. A sample of 30 single mothers was drawn through a purposive sampling technique, and five Social Welfare Officers were selected as key informants. Semi-structured interview guides were used to gather data from respondents and key informants and the responses were tape-recorded. Data was transcribed and analysed using the thematic analysis method. The study established that single mothers experienced manifold challenges in supporting their adolescent children. The challenges ranged from economic, social, cultural, to psychological. The study recommended that support mechanisms from government and non-governmental organisations be in place to empower single mothers with prerequisite tools that will help them become economically stable. Social cultural practices that stigmatize and deprive single women’s property and consequently hinder single mothers from supporting their children adolescents should be stopped. Social welfare officers should provide training to the community on the rights of single mothers to live, to be respected, to own land and other property and to be supported.
Junior High School Science Teachers’ Knowledge, Practice and Challenges of Differentiated Instruction in Kpandai District, Ghana
Authors: Sulo Bingan George , Setor Amenu Ernest , Tsitu Agbeko David , Kwateng Isaiah
Published: December 2022

This study investigated knowledge practice and challenges of Junior High School Science teachers in Differentiated Instruction (DI) in Kpandai District of the Northern Region of Ghana. The study employed the concurrent nested design. Out of 268 teachers, a sample size of 31 science teachers was drawn to participate in the study through questionnaire and a sub-sample of five teachers was purposively selected for interviews. The quantitative data was analysed using descriptive statistics while the qualitative data was analysed thematically. The study concluded that most JHS science teachers in Kpandai District possessed required knowledge on DI and they actually differentiated the instruction in their Science classes. However, they faced some challenges when differentiating their instructions. The study recommends that knowledge of DI possessed by most Science teachers should be strengthened through regularly organizing in-service training for them. This should be done by GES Directorate of Kpandai to enable the teachers improve their knowledge of DI. Teachers should be supported by SISOs to practice every aspect of DI especially when assessing the learners. Finally, the government and other educational stakeholders should ensure that textbooks and other materials/resources are readily made available to Science teachers for effective implementation of DI in schools.
The State of Research in Technical Universities: Evidence from four Ghanaian Technical Universities
Authors: Afua Nkrumah Maame
Published: December 2022

This study sought to establish the state of research in Ghanaian Technical Universities (TUs) using a desktop research approach. The study was necessitated by the fact that little investigation if any, had been conducted into the research output of the TUs since they became universities in 2016. The secondary data collected was analysed using descriptive statistics, mainly frequencies and averages Regardless of the differences between the TUs, the total number of publications per annum was 249, an average of 62.25 publications per TU. The minimum and maximum numbers of publications per TU were 20 publications and 107 publications, respectively, per annum. On the international stage, the study points to the need for an increase in the research output of the TUs. It is recommended that individual TUs should put in place specific strategies meant to increase research output. These strategies may include mentoring, partnerships and implementing the governments’ promotion criteria that requires research and publication.
Pengaruh Pemberian Susu Kedelai Terhadap Kadar Glukosa Darah Pada Penderita Diabetes Melitus Type 2 di Puskesmas Pagar Jati Kecamatan Lubuk Pakam
Authors: Diana Cut , Erna Elfrida Naiborhu  , Nurmasyitah  , Betty Nurmala Samosir  , Karmila Br Kaban
Published: December 2022

Latar Belakang: Penyakit yang angka penderitanya cukup signifikan antara lain penyakit

kardiovaskuler, serta kanker, hipertensi dan diabetes mellitus atau biasa disebut penyakit degenerative

(Potter & Perry, 2018). Kelompok penyakit metabolisme yang mengalami kelainan sekresi insulin,

kerja insulin yang mempunyai karakteristik KGD nya yang melebihi batas normal (Hiperglikemia)

dapat disebut diabetes Mellitus. Penyakit ini bisa saja dialami pada anak ataupun unsia dewasa. Bahkan

bisa ada tanpa memiliki tanda tanda penyakit serta dapat diketahui jika dilakukan pemeriksaan

kesehatan rutin (Soegondo, 2017 dalam Sartika et al, 2019).

Tujuan: Untuk mendapatkan hasil terhadap pengaruh pemberian susu kedelai terhadap KGD pada

penderita diabetes melitus type 2 di wilayah kerja puskesmas Pagar Jati Kecamatan Lubuk Pakam.

Desain penelitian: Pra eksperimen dan teknik purposive sampling dengan sampel sebanyak 50

responden

Kesimpulan: KGD penderita diabetes melitus type 2 sebelum diberikan susu kedelai mayoritas pada

rentang 160 mg/dl – 200 mg/dl, KGD penderita diabetes melitus type 2 sesudah diberikan susu kedelai

mayoritas <160 mg/dl, serta didapatkan pengaruh pemberian susu kedelai terhadap KGD pada penderita

diabetes melitus type 2.

Kata kunci: Diabetes melitus susu kedelai, kadar glukosa darah, KGD
“Trigger effect” of the passenger
Authors: Ulyanitskaya V. I. , Pokrovskaya O. D.
Published: December 2022

The purpose of the study is to study the reaction of passengers and customers to the further use of the services provided at the infrastructure facilities of the passenger complex through the main “trigger effects” and behavioral reactions, as well as the possible consequences of their occurrence and the influence of emotional coloring on the assessment of the quality of services. The need for local studies of the “behavioral factors” of the passenger through the element of the “trigger effect” is substantiated, when part of the research will be aimed at result-oriented and proactive introduction of a new service or its automation.

Cause-and-effect relationships, simulation modeling, algorithmization, data analysis, block diagramming, etc. are applied. The main parameters (“trigger factors”) of passengers’ refusal to use the services of the station complex are identified.

The presented developments will allow to substantiate the relationship between the introduced digital services and the transition to individual automated devices (systems) through an assessment of the perception and reaction of passengers to the services provided and offered, the degree of interaction between passengers and Russian Railways. It is proposed to adjust the life cycle of any service, taking into account possible errors and the influence of “triggers” for a more controlled and reasonable opinion of passengers. Based on the results of the study and the data obtained, it is possible to revise the methodology for assessing the level of passenger satisfaction with the quality of railway transport services and loyalty, which will take into account additional factors (behavioral and trigger) of individualization of services.
Understanding and Encountering the Ethics of Self and Others in Autoethnography: Challenging the Extant and Exploring Possibilities
Authors: Dahal Niroj , Luitel Bal Chandra
Published: December 2022

In cultural and institutional contexts, autoethnography examines personal and professional experiences. While conducting and representing autoethnography, these considerations raise ethical challenges for self and others. This expository paper examines and explores the various forms of the ethics of self and others in autoethnography in South Asian contexts. Furthermore, ethical positions in an autoethnographic inquiry are presented and explored by challenging the extant and exploring the possibilities. Moreover, ethical standards are maintained based on the first author's experiences. We also realized that the emerging challenges of the ethics of self and others in autoethnography are ongoing and real. Likewise, we brought the first author’s lived experiences of conducting autoethnographic inquiry in his personal, professional, and cultural contexts (i.e., South Asian contexts) as a guiding principle. Above all, following the foundational understanding of ethics in autoethnography, one may engage with others in the account of self-experiences. The paper concludes by highlighting possible procedural and situational ethics pertaining to Dharma and Karma in autoethnography as a transformative educational research methodology (Luitel & Dahal, 2020) that might be demonstrated while conducting an autoethnographic inquiry.
POJAM I OBLICI MEĐUNARODNE SARADNjE JEDINICA LOKALNE SAMOUPRAVE
Authors:   University of Kragujevac, Faculty of Law, Kovačević Anika
Published: December 2022

Cooperation between cities and municipalities from different countries represents an area which has not been fully researched and which raises many questions and doubts. Unlike strictly formal and predefined forms of cooperation between countries, the relationships and cooperation between local levels imply greater flexibility in their establishment, development, dynamics and form, which enables the citizens of local communities to develop their mutual relationships in a more approachable way, unencumbered by “high“ politics. The establishment of cooperation between local self-government units of the Republic of Serbia and local self-government units from other countries represents the establishment of mutual support based on reciprocity and equality in a sphere which is of interest for both sides, by conducting various activities together. The Constitution of the Republic of Serbia states that local self-government units cooperate with local self-government units from other countries, within the foreign policy of the Republic of Serbia, while respecting territorial unity and legal order of the Republic of Serbia. Similarly to the division at the state level, cooperation between cities and municipalities in two or more countries can also be divided into multilateral and bilateral cooperation. By analyzing the most significant national, regional and international documents, with the example of the Strategy for International Cooperation of the City of Kragujevac – the first document of its kind in Serbia, we point to the role and significance of international cooperation as an instrument for discussion and solving global, regional and local questions of vital importance for the realization of citizens’ rights and freedoms.
Penerapan Fuzzy – Service Quality Terhadap Tingkat Kepuasan Pelayanan BPJS Ketenagakerjaan
Authors: Prabowo Tito , Machfud Imam , Lestari Dewi
Published: December 2022

Peserta BPJS Ketenagakerjaan pastinya menginginkan kualitas pelayanan yang maksimal. Oleh sebab itu, perlu suatu pengukuran tingkat kepuasan terhadap kualitas pelayanan yang diberikan oleh pihak BPJS Ketenagakerjaan. Metode pengolahan data menggunakan Fuzzy – Service Quality dengan menghitung nilai fuzzikasi dan defuzzikasi. Hasil akhir yang diperoleh nantinya akan membantu pihak BPJS Ketenagakerjaan dalam meningkatkan kualitas pelayanan. Dari hasil pengolahan data dapat terlihat bahwa gap terbesar dan perlu adanya evaluasi yaitu gap dengan nilai terbesar yaitu dimensi Assurance dengan kode D1, D2, D3, D4 dan Reability dengan kode B1, B3, B4, B6. Berdasarkan hasil perhitungan Gap secara keseluruhan menunjukkan bahwa nilai Gap positif yaitu layanan yang diterima peserta BPJS Ketenegakerjaan sesuai dengan harapan peserta
The Effect of Principal Transformational Leadership, Work Ethics and Achievement Motivation on the Performance of Junior High School Teachers in Balangan Regency
Authors:   Master of Education Administration, Universitas Lambung Mangkurat, Banjarmasin 70123, Indonesia, Rasidinurahmad Rasidinurahmad , Metroyadi Metroyadi , Suhaimi Suhaimi
Published: December 2022

This study attempts to describe and analyze the direct and indirect effects of Achievement Motivation as an intermediary variable in the correlation between the Principal's Transformational Leadership, Work Ethic, and teacher performance. The population of 203 junior high school teachers in Balangan Regency is sampled using proportionate random sampling to get a sample of 176 individuals. This research analysis employed descriptive and inferential SPSS 22 statistics. Using a questionnaire, information was gathered about Transformational Leadership of Principals (48 items), Work Ethics (35 items), Motivation for Achievement (30 items), and Teacher Performance (26 things). (1) The principal's transformational leadership, the teacher's work ethic, the teacher's success motivation, and the teacher's performance all fall into the "high" category, as indicated by the study's findings. The principal transformational leadership has a direct impact on teacher work ethic, teacher achievement motivation, and teacher performance. (3) There is an indirect effect of the principal's transformational leadership, teacher work ethic, and teacher achievement motivation on teacher performance.
The Correlation Between Principal Leadership, Subordinate Maturity and Achievement Motivation with Teacher Job Stress at Public Elementary Schools, Bukit Batu District, Palangkaraya
Authors:   Master of Education Administration, Universitas Lambung Mangkurat, Banjarmasin, Indonesia, Silvia Nova , Suriansyah Ahmad , Ngadimun Ngadimun
Published: December 2022

The purpose of this study was to analyze the direct and indirect correlation between principal leadership, subordinate maturity and achievement motivation with the work-related stress of public teachers at Bukit Batu District, Palangkaraya. The researchers used a correlational method with a quantitative approach which was formulated into a path analysis model. The study population of this study consisted of 171 teachers from 16 elementary schools in Bukit Batu District and 119 respondents were taken as the research sample using the proportional sampling technique. The researchers used a questionnaire to collect the data. The data analysis used was descriptive analysis, classic assumption test, hypothesis testing and path analysis. The results of the analysis of the regression coefficient value of the principal leadership variable (X1) and work-related stress (Y) are -0.253, school principal leadership (X2) and achievement motivation (Z) are 0.264, subordinate maturity (X2) and work-related stress (Y) are - 0.342, subordinate maturity (X2) and achievement motivation (Z) of 0.596, achievement motivation (Z) and work-related stress (Y) of -0.288, principal leadership (X1) and work-related stress (Y) through achievement motivation (Z) of -0.076 and maturity of subordinates (X2) and work-related stress (Y) through achievement motivation of -0.157. The conclusions of this study is a description of the principal's leadership in the high category, subordinate maturity, achievement motivation and workrelated stress of SDN teachers in Bukit Batu District in the medium category. There is a significant direct correlation between principal leadership, subordinate maturity and achievement motivation with teacher work-related stress. There is an indirect correlation between principal leadership and subordinate maturity with teacher stress through achievement motivation at SDN Bukit Batu District, Palangkaraya.
The Contribution of the Principal's Transformational Leadership, Work Climate and Achievement Motivation to the Performance of State Elementary School Teachers in Teweh Baru District, North Barito Regency
Authors:   Master of Education Administration, Universitas Lambung Mangkurat, Banjarmasin, Indonesia, Mahdiana Mahdiana , Saleh M. , Suhaimi Suhaimi
Published: December 2022

The purpose of this study was to analyze the direct and indirect contributions of school principals' transformational leadership, work climate, and achievement motivation on the performance of elementary school teachers in Teweh Baru District, North Barito Regency. The method used in this study is a correlational method with a quantitative approach that is formalized into a path analysis model. 263 teachers from 25 elementary schools in Teweh Baru District, North Barito Regency constituted the study population. 159 respondents were chosen for the study sample using the proportional allocation formula and simple proportionate random sampling. Data were collected using questionnaires about the principal's transformational leadership (35 items), the work climate (35 items), achievement motivation (40 items), and teacher performance (40 items), and data were analyzed using descriptive analysis, the classical assumption test, test hypothesis, and path analysis (path analysis). This study instrument was tested for the level of validity and reliability using the product moment person correlation test. Study data were analyzed using path analysis to see the direct and indirect effects between variables. By first using the normality test, linearity test, and multicollinearity test. The results of the study show that there is a contribution of the principal's leadership, work climate, and achievement motivation to teacher performance both directly and indirectly.
Forms of a Mass Holiday in Uzbekistan: The Content of the Spectacle, Game Models, Rules for Staging
Authors:   Uzbekistan State Institute of Arts and Culture, Uzbekistan, Atamukhamedov Akbar Kh.
Published: December 2022

This article attempts to analyze the foundations of the spiritual values of the people of Uzbekistan, which are primarily reflected in rituals and holidays. In turn, there is a parallel analysis of the formation and development of holidays in the process of life, the conditions for their constant honing and improvement. A well-organized holiday always has its own characteristics. In this event, everyone should feel like a participant in it. In no case should the impression of coercion to certain actions be created. The holiday should charge the participants with its energy, thanks to it, misunderstandings, if any, should disappear between them. During the holiday, many conflicts can be resolved. The purpose of the holiday is not to suppress them, but to work them out. We are not talking about the fact that the contradiction will disappear completely, during the holiday it is smoothed out. Any cultural - mass holiday or event has its own scenario. It is based on actions that are diverse in nature. These activities are based on the program, and can also be improvised, which involves the creative expression of each of the participants. The script of the holiday must be well-written. It is worth noting that it is no less important than the chosen place, premises, design, quality of service and the rest. The script, first of all, determines the interest of the guests. If the guests are not bored, then the holiday was a success, and the script was written correctly.
Digital Customer Satisfaction Service Management Model Innovation Through Digital Literacy-Based Digital Service Excellence Education
Authors:   Faculty of Science Education - State University of Jakarta, Indonesia, Sari Eliana , Madhakomala Madhakomala , Priatna Bambang Avip , Dian Dian , Yatimah Durotul , Sudirman Sudirman , Roji Ishak Fakhru
Published: December 2022

This study aims to create a satisfaction-based Digital Service Excellence (DSE) measurement instrument through strengthening digital literacy for education staff in DKI Jakarta. The digital service excellence measurement instrument developed by researchers refers to the Servqual model which is modified according to field requirements. The unit of analysis in this study was students of state junior high schools in DKI Jakarta, with an affordable population of 413 state junior high school students, which was carried out by proportional random sampling. The method used in this study is a quantitative descriptive method, with data collection techniques through distributing questionnaires, and data analysis techniques using descriptive statistics. The results of this study indicate that overall the level of student satisfaction with digital service excellence for education staff in Indonesia is quite satisfied. The results of measuring student satisfaction on the dimensions of administrative services, library services, laboratory services, and digital service excellence special services were also quite satisfied. Satisfaction-based digital service excellence measurement instruments resulting from this study can be used as an instrument for evaluating the competence of education staff in Indonesia.
Design and Application of Self-consolidating Concrete in Nigeria: A Review Paper
Authors:   Department of Building Technology, Federal Polytechnic, Ede, Nigeria, T A Buari , F A Olutoge ,   Department of Civil and Environmental Engineering, UWI, St Augustine, Trinidad and Tobago
Published: December 2022

The design and application of Self-Consolidating Concrete (SCC) is limited in building and civil engineering projects in Nigeria due to the absence of self-consolidating concrete manufacturers, limited availability of some raw materials such as limestone powder, silica fume, air entrainment, metakaolin, and high cost of synthetic cementitious materials [1]. However, review of literatures revealed the potentials of locally available cementitious materials in improving the properties of universal concrete but its inclusion in SCC design has not been fully explored. The advantages of using Self-Consolidating Concrete (SCC) is not only limited to its durability but also prominent for mitigating problems of poor segregation, consolidation and homogeneity in congested reinforced concrete structures. Hence, this research reviewed various designs of SCC in Nigeria to enhance the existing knowledge and to create awareness about innovative methods of concrete design and possible areas of applications self-consolidating concrete in Nigeria construction industry. The findings from reviews indicated that lack of awareness, limited research data and instrumentation on SSC production has been the major setback in it applications in Nigeria. Conclusively, Nigeria Construction industry as one of largest sector of economy can benefit from the global market growth of self-consolidating concrete through its design and application.
olhar da comunidade sobre o papel da universidade pública no enfrentamento da pandemia
Authors: Borges Silva Marcius Vinicius , Melo de Aguiar Lira Luiza , Andrade Pinto Monteiro Bruno
Published: December 2022

Com o surgimento da pandemia do SARS-CoV-2 em 2019, tempos obscuros de uma crise sanitária escancararam a perversa desigualdade socioambiental e a incapacidade de prover os serviços públicos básicos para toda a população. Em meio a este cenário, foi promovido um curso de extensão on-line, no intuito de viabilizar o diálogo e a troca de saberes entre a sociedade e a universidade, superando o discurso da hegemonia acadêmica e substituindo pela aliança com movimentos e organizações sociais. Neste trabalho, foram analisadas as respostas dos cursistas frente ao preenchimento de formulários, tomando como pilar a análise de conteúdo de Laurence Bardin. Os participantes ponderaram sobre diálogo comunidade-universidade; o papel da universidade na pandemia; comunicação acessível para a comunidade; atividades de extensão e credibilidade das informações. Concluímos com entendimento da importância em encarar o verbo esperançar como um imperativo, não como uma forma de se conformar, mas resistir e tentar buscar soluções de forma conjunta.