bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN OBESITAS TERHADAP MOBILITAS TORAKS SAAT PERNAPASAN INSPIRASI PADA UNIVERSITAS DHYANA PURA BALI
Authors: Panyonga Simon , Permadi Agung Wahyu , Daryono
Published: August 2024

Dampak obesitas adalah kondisi dimana akumulasi lemak yang abnormal/berlebihan yang dapat menimbulkan efek buruk bagi kesehatan. Mobilitas thorax terjadi perubahan ukuran distensibilitas paru dengan perubahan volume paru karena tekanan pleura dan alveoli. Tujuan penelitian untuk mengetahui hubungan obesitas terhadapat mobilitas thorax saat pernapasan inspirasi pada mahasiswa/i. Sampel yang ambil dalam penelitian ini adalah 35 orang yang berusia 18-25 tahun yang dipilih secara sampling purposive berdasarkan dengan kriteria inklusi pada mahasiswa,yang memiliki kategori obesitas dan tidak memiliki gangguan pernapasan, obesitas diukur dengan menggunakan IMT dan mengukur mobilitas thorax diukur dengan munggunakan metline. Berdasarkan hasil penelitian menggunakan pearson product momen didapatkan korelasi dengan nilai signifikan 0,000 yang menunjukan adanya korelasi antara obesitas dengan mobilitas thorax karena nilai signifikan kurang dari 0,050(p<0,50). Berdasarkan penelitian yang dilakukan disimpulkan bahwa terdapat korelasi serta koefesien korelasi yang kuat antara obesitas dan mobilitas thorax pada mahasiswa dimana tingkat obesitas semakin tinggi maka mobilitas thorax akan semakin rendah
IMPLEMENTASI SCRUM MODEL DEVELOPMENT PADA REZVAC CLOUD RESERVATION DAN PAYMENT SYSTEM
Authors: Suryawan I Gede Totok , Andika Ary Wira
Published: August 2024

ABSTRAKPaper ini membahas tentang penggunaan Scrum model dalam pengembangan aplikasi berbasis cloud untuk menyelesaikan permasalahan yang dihadapi oleh pemilik website tour & activities khususnya terkait dengan fasilitas pemesanan dan pembayaran pada website mereka. Proses pemesanan menggunakan email, whatsapp, facebook, live chat memungkinkan wisatawan bisa dengan leluasa membatalkan pesanan karena mereka tidak melakukan pembayaran sebelumnya. Untuk menyelesaikan permasalahan tersebut pada penelitian ini telah dikembangkan sebuah aplikasi berbasi cloud untuk memfasilitasi client dalam manajemen produk, pemesanan, serta pembayaran dari wisatawan. Seluruh website client akan terintegrasi dengan sistem ini dan payment gateway, sehingga proses pemesanan & pembayaran oleh wisatawan akan terdisitribusi di masing-masing website client. implementasi Scrum model pada penelitian ini mulai dari menentukan product backlog, sprint, scrum meeting, hingga demo ke client. Hasil penelitian menunjukan bahwa Scrum model dapat menghasilkan sebuah software berbasis cloud dengan resiko kegagalan bisa terlihat lebih cepat pada setiap backlog yang dikembangkan sehngga bisa mengurangi terjadinya software crisis.ABSTRACTThis paper discusses the use of Scrum models in the development of cloud-based applications to solve problems faced by website tour & activities owners, especially related to booking and payment facilities on their website. Ordering process using email, whatsapp, facebook, live chat allows travelers to freely cancel orders because they don't make previous payments. To solve these problems in this study has developed a cloud-based application to facilitate clients in product management, ordering, and payment from tourists. All client websites will be integrated with this system and payment gateways, so the booking & payment process by tourists will be distributed at each client website. The implementation of the Scrum model in this study starts from determining the product backlog, sprint, scrum meeting, and demo to the client. The results show that the Scrum model can produce a cloud-based software with the risk of failure can be seen faster in each backlog that is developed so that it can reduce the occurrence of software crisisIMPLEMENTASI SCRUM MODEL DEVELOPMENT PADA REZVAC CLOUD RESERVATION DAN PAYMENT SYSTEM1Program Studi Teknik Informatika STMIK STIKOM Indonesia; 2 Program Studi Teknik Informatika Politeknik Widya Dharma BaliEmail: totok.suryawan@gmail.comKata Kunci: Sistem Pemesanan & Pembayaran Online, Perjalanan & Aktivitas Wisata, Metode Pengembangan Perangkat Lunak, Metode Agile, Model ScrumKeywords: Online Booking & Payment System, Tour & Activities, Agile Method, Scrum Mode
TINGKAT-TINGKATAN KALIMAT BAHASA BALI (PERSPEKTIF ANGGAH-UNGGUH BASA)
Authors: Suwija I Nyoman
Published: August 2024

ABSTRAK Sampai dengan saat ini bahasa daerah Bali masih eksis sebagai muatan lokal wajib pada jenjang pendidikan dasar dan menangah. Sistem bicara bahasa Bali yang unik dengan anggah-ungguh basanya merupakan warisan budaya Bali patut diselamatkan. Mengingat bahasa daerah Bali memiliki peran yang strategis sebagai wahana dan akar budaya Bali, maka bahasa daerah Bali patut dipelihara, dibina, dan dilestarikan. Penelitian ini bertujuan untuk mendeskripsikan tingkat-tingkatan kalimat bahasa Bali sebagai dampak dari adanya anggah-ungguh kruna dalam bahasa daerah Bali. Penelitian ini menggunakan teori sosiolinguistik Fishman (1986). Dalam pengumpulan data digunakan metode observasi dan metode wawancara. Data yang terkumpul dianalisis secara deskriptif analitis. Berdasarkan anggah-ungguh kruna sebagai pembentuknya, kalimat bahasa Bali dibedakan atas: (1) kalimat alus singgih, (2) kalimat alus sor, (3) kalimat alus mider, (4) kalimat alus madia, (5) kalimat andap, dan (6) kalimat kasar. Kata kunci: kalimat bahasa Bali, anggah-ungguh kruna, sosiolinguistik.
PERUBAHAN KELEMBAGAAN MASYARAKAT KAWASAN PERBATASAN KABUPATEN TIMOR TENGAH UTARA DAN DISTRICT OEKUSI-TIMOR LESTE
Authors: Oki Kamilaus Konstanse
Published: August 2024

ABSTRAKTimor Tengah Utara merupakan kabupaten di Provinsi NTT berbatasan dengan distric Oekusi-Timor Leste. Masyarakat kawasan perbatasan kedua negera memiliki hubungan emosional karena terikat kekerabatan. Modal sosial memiliki pengaruh perubahan kelembagaan dan perdagangan lintas batas. Pelaku pasar perbatasan adalah eksportir, kuliner, money changer. Permasalahan dalam penelitian, bagaimana pengaruh modal sosial, perdagangan lintas batas terhadap perubahan kelembagaan. Tujuan penelitian untuk menganalisis dan menginterpretasi pengaruh modal sosial, perdagangan lintas batas terhadap perubahan kelembagaan. Penelitian dilakukan di perbatasan kabupaten TTU. Alat analisa digunakan adalah PLS. Hasil analisis, hubungan langsung modal sosial terhadap perdagangan lintas batas positif, nilai outor loading 0,837 dan terhadap perubahan kelembagaan 0,310. Hubungan perdagangan lintas batas dengan perubahan kelembagaan 0,628. Rata-rata indikator pembentuk variabel perdagangan lintas batas dan perubahan kelembagaan diatas 0,6. Hubungan antara modal sosial, perdagangan lintas batas, dan perubahan kelembagaan baik secara langsung maupun tidak langsung, positif.Kata kunci: modal sosial, perdagangan lintas batas, perubahan kelembagaanABSTRACTTimor Tengah Utara is a district in the province NTT bordering on the district Oekusi-Timor Leste. The community of the two border regions has an emotional connection due to kinship. Social capital has the influence of institutional change and cross-border trade. Border market actors are exporters, culinary, money changers. Problems in research, how the influence of social capital, cross-border trade on institutional change. The research objective is to analyze and interpret the influence of social capital, cross-border trade on institutional change. The research was conducted at the border of TTU district. The analyzer used is PLS. The results of the analysis, the direct relationship of social capital to cross-border trade is positive, the outor value is 0.837 and the institutional change is 0.310. Cross-border trade relations with institutional changes are 0.628. The average indicator forming cross-border trade variables and institutional changes above 0.6. The relationship between social capital, cross-border trade, and institutional changes both directly and indirectly, is positive.Keywords: social capital, cross-border trade, institutional change
PERANCANGAN SISTEM MONITORING PEMANTAU KERUSAKAN FASILITAS PEMBELAJARAN UNIVERSITAS DHYANA PURA
Authors: Malelak Kelvin Hennry Loudry , Christian Adi
Published: August 2024

ABSTRAKUniversitas Dhyana Pura adalah Universitas swasta di Kabupaten Badung dan telah terakreditasi B oleh BAN-PT memiliki ±38 ruang kuliah dan 3 laboratorium komputer yang digunakan oleh 15 Program Studi dalam penanganan fasilitas yang rusak di Universitas Dhyana Pura fasilitas pembelajaran yang rusak terkadang tidak dilaporkan oleh mahasiswa karena tidak adanya petugas di Bagian Manajemen Ruang sedangkan mahasiswa memiliki jam kuliah yang cukup padat. Tujuan dari penelitian ini adalah Merancang sistem monitoring kerusakan fasilitas pembelajaran universitas dhyana pura. Metode yang digunakan adalah metode waterfall sering dinamakan siklus hidup klasik (Classic Life Cycle), dimulai dari tahapan perancangan (Planning), permodelan (Modeling), konstruksi (construction), penyerahan sistem ke para pengguna (Deployment) yang diakhiri dengan dukungan pada perangkat lunak lengkap yang dihasilkan. Dengan adanya sistem monitoring pemantau kerusakan fasilitas pembelajaran ini dapat memudahkan mahasiswa melaporkan kerusakan fasilitas pembelajranKata kunci: Universitas Dhyana Pura, waterfall, fasilitas pembelajaran, Sistem monitoring pemantau kerusakaanABSTRACTDhyana Pura University is a private university in Badung Regency and has been accredited B by BAN-PT has ± 38 lecture halls and 3 computer laboratories used by 15 Study Programs in handling damaged facilities at Dhyana Pura University damaged learning facilities are sometimes not reported by students because there was no officer in the Space Management Department while the students had quite solid lecture hours. The purpose of this study is to design a damage monitoring system for the Dhana temple learning facility. The method used is the waterfall method is often called the classic life cycle (Classic Life Cycle), starting from the design stage (planning), modeling (construction), construction (construction), system submission to users (Deployment) which ends with support for the software complete produced. With the monitoring system monitoring damage to this learning facility can facilitate students to report damage to learning facilitiesKeywords: University of Dhyana Pura, waterfall, learning facilities, monitoring system for damage monitoring
KARIR PLATEAU DAN INTENSI BERWIRAUSAHA (KAJIAN EMPIRIS)
Authors: Adhiputra Made Wahyu
Published: August 2024

ABSTRACTThis study examined the antecedents and consequence of career plateau. Antecedents of career plateau are job tenure, age, job involvement and supervisor’s support. The consequence of career plateau is organizational commitment. Organizational commitment has three dimensions, namely affective organizational commitment, continuance organizational commitment and normative organizational commitment. This paper is a theorical and empirical analysis. Intense competition graduates of the intelectual is not matched by the number of jobs available, it will increase the number of unemployed intellectuals or educated unemployed college graduates. Entreprenuer attitude, motivation to comply, self efficacy is seen as an appropriate container for growing spirit to entrepreneurial behavior.Key Words: Career Plateau, Entrepreneurial Intentions
KEMAMPUAN MENULIS KARANGAN DIALOG MELALUI MODEL PEMBELAJARAN KOOPERATIF TIPE THINK-PAIR-SHARE PADA MAHASISWA JURUSAN TATA HIDANGAN DI AKADEMI KOMUNITAS MANAJEMEN PERHOTELAN INDONESIA
Authors: Lindawati Ni Putu , Asriyani Retny , Anggayana I Wayan Agus
Published: August 2024

ABSTRAKPenelitian ini bertujuan mengetahui seberapa besar penggunaan model pembelajaran kooperatif tipe Think-Pair-Share (TPS). Penelitian ini dilaksanakan dalam bentuk penelitian tindakan kelas yang terdiri atas empat tahapan dalam setiap siklusnya. Tes awal diberikan untuk mengetahui kemampuan awal mahasiswa dalam kemampuan menulis sehingga nilai yang diperoleh pada tes awal dapat dibandingkan dengan siklus I. Hasil data kuantitatif menunjukkan bahwa TPS dapat meningkatkan kemampuan menulis mahasiswa, khususnya pada karangan dialog dengan menggunakan simple past tense. Hal ini dapat dilihat dari hasil yang diperoleh oleh mahasiswa terjadi peningkatan selama model pembelajaran kooperatif tipe TPS diterapkan. Nilai rata-rata yang diperoleh mahasiswa pada tes awal adalah 60,9. Setelah diberikan pembelajaran pada siklus I, nilai rata-rata mahasiswa meningkat menjadi 80,0. Dari hasil data kualitatif terbukti bahwa mahasiswa mampu menulis karangan dialog menggunakan simple past tense dengan penyusunan kalimat yang benar sesuai dengan tata bahasa.Kata kunci: kemampuan menulis, pembelajaran kooperatif, Think-Pair-Share.ABSTRACTThis research aimed at finding out how far the use of cooperative learning type Think-Pair-Share (TPS). This research designed in form of action-based research which involved four steps in each circle. Pre-test was conducted in order to know the student’s basic ability at writing skill, so that the achievement on the pre-test can be compared with the achievement on circle I. The result of quantitative data showed TPS could improve students writing ability especially at writing dialogs using simple past tense. It can be seen from the result of the student’s achievement tests which increased continuously during the application of cooperative learning type TPS. The mean score of students in the pre-test was 60,9. After conducting the treatment in the first circle, the students mean score improved to 80,0. The qualitative data, it was showed that the students could write good dialogs using simple past tense with proper structure.Keywords: speaking ability, cooperative learning, Think-Pair-Share.
KAJIAN PARTISIPASI MASYARAKAT DALAM PENGEMBANGAN DESTINASI WISATA DI KABUPATEN LOMBOK UTARA
Authors: Gede I Putu , Idrus Syech , Yulendra Lalu
Published: August 2024

ABSTRACTLombok tourism development shows an increase in the number of significant tourist visits until August 2018 totaling 2,469,026 wisnu and foreign tourists. The increase in visits has not been offset by the participation of local communities in the development of tourist destinations in North Lombok Regency. The purpose of this study is (1) to examine the forms of past local community participation in supporting the development of Gumantar North Lombok tourist destinations; (2) to study the current forms of community participation of local and village governments in supporting the development of Gumantar North Lombok tourist destinations; (3) to study the future forms of Community Participation and provide recommendations for involving the community in participating in the development of tourist destinations in the Gumantar tourism village of North Lombok. The research method used is a collaboration between qualitative and quantitative approaches using data collection techniques through direct observation (observation), in-depth interviews (depth interviews), data processing using qualitative descriptive analysis presented in narrative form. The results of the study show that differences in community participation from the past tend to be very simple participatory, obedient to the rules of custom / awig law, ethical and polite in expressing opinions so that past participation is very strong in the development of tourist destinations. The participation of today's society still shows adherence and adheres to the rules of customary law / awig, ethics and courtesy in expressing opinions is more critical because the influence of information technology that has penetrated into the village and the role of the government began to show its existence, so that the participation of today's society tends to experience weakening in the development of tourist destinations. While future community participation is suspected to show a more apathetic and critical tendency because of an increase in better levels of public education, a consumptive lifestyle, modernization of facilities, infrastructure available in the village, the dominant role of the government in developing tourist destinations and community empowermentKey words: Participation, community, tourist destination
OPTIMALISASI WEB PROXY CACHE UNTUK MENINGKATKAN KECEPATAN AKSES INTERNET MENGGUNAKAN ID3
Authors: Hilmi Muhammad Riza , Susila I Made Darma
Published: August 2024

ABSTRAKPertukaran data di Internet semakin terus meningkat secara signifikan, terutama penyediaan informasi yang diakses melalui website. Hal ini menyebabkan tingginya trafik resource pada server web dan memerlukan bandwidth yang besar untuk koneksi pada lingkungan host pengakses sehingga jika bandwidth terbatas maka host pengakses akan mengalami akses Internet yang lambat. Penyedian proxy yang memiliki fasilitas cache sering digunakan untuk mengurangi beban tersebut. Akan tetapi proxy cache masih memiliki beberapa kelemahan diantara hanya sebagian kecil resource web yang disimpan dalam cache dan yang tersimpan di cache sebagian besar kurang dapat dimanfaatkan sehingga jika pengguna mengakses kembali website masih memerlukan bandwidth yang besar. Penelitian ini menggunakan metode Iterative Dychotomizer version 3 (ID3) untuk membantu mengoptimalkan penyimpanan resource dalam cache. ID3 memberikan informasi tentang objek yang akan disimpan ke dalam cache yang dianggap penting sebagai input dan output jaringan digunakan untuk memandu pemilihan objek cache yang diakses oleh pengguna. Hasil penelitian ini menunjukkan bahwa ID3 dapat membantu mengoptimalkan kemampuan web proxy guna menyimpan data yang sering diakses pengguna kedalam cache dan mengoptimalkan penggunaan bandwidth sehingga dapat mempercepat akses internet oleh pengguna.Kata kunci: web proxy, cache proxy, optimalisasi cache.ABSTRACTData exchange on the Internet continues to increase significantly, especially the provision of information accessed through the website. This causes high resource traffic on web servers and requires large bandwidth to connect to the access host environment so that if bandwidth is limited then accessing hosts will slow Internet access. Provision of proxies that have cache facilities is often used to reduce the burden. However, the proxy cache still has some disadvantages between only a small portion of web resources stored in the cache and most of the cache stored can not be utilized so that if the user accesses the website again, it still requires large bandwidth. This study uses the Iterative Dychotomizer version 3 (ID3) method to help optimize storage of resources in the cache. ID3 provides information about objects to be stored in cache which are considered important as input and output are used to guide the selection of cache objects accessed by users. The results of this study indicate that ID3 can help optimize the ability of web proxies to store data that is frequently accessed by users into the cache and optimize bandwidth usage so that users can speed up internet access.Keywords: web proxy, cache proxy, cache optimization
ANALISIS MENU DALAM MENINGKATKAN PENJUALAN MAKANAN PADA COFFEE SHOP RESTORAN PURI SARON DENPASAR BALI
Authors: Mertayasa I Gede Agus
Published: August 2024

ABSTRAKJudul penelitian ini adalah analisis menu dalam meningkatkan penjualan makanan di Hotel Puri Saron Denpasar. Rumus masalah yang dapat dikemukanan dalam penelitian ini adalah bagaimanakah klasifikasi menu yang terdapat di restaurant Coffee ShopPuri Saron Hotel Denpasar dan kebijakan apa yang perlu diambil manajemen dalam meningkatkan penjualan makanan di Hotel Puri Saron Denpasar Bali tahun 2019. Variabel dalam penelitian ini adalah analisis menu dengan sub variable menu mix, food cost dan contribution margin. Tehnik analisis yang digunakan dalam penelitian ini adalah tehnik analisis menu engineering. Berdasarkan hasil analisis yang dilakukan, maka dapat disimpulkan bahwa terdapat 13 item atau 32,5% jenis hidangan untuk kelompok star, 4 item atau 10% jenis hidangan kelompok flowhorse, 2 item atau 5% jenis hidangan kelompok puzzle, dan 21item atau 52,5% jenis hidangan kelompok dog. Kebijakan manajemen yang dilakukan dalam meningkatkan penjualan makanan adalah mempertahankan kulaitas dan harga makanan untuk kelompok star, meningkatkan kualitas makanan dan harga jual makanan untuk kelompok flowhorse, Memperbaiki bahan baku untuk menurunkan harga makanan untuk kelompok puzzle dan melakukan evaluasi terhadap bahan, promosi dan harga makanan untuk katagori dog.Kata kunci: Menu mix, food cost dan contribution marginABSTRACTThe title of this research is menu analysis in increasing food sales at Puri Saron Hotel Denpasar. The problem formula that can be raised in this study is how to classify the menu at the Coffee ShopPuri Saron Hotel Denpasar restaurant and what policies need to be taken by management in increasing food sales at Puri Saron Hotel Denpasar Bali in 2019. The variables in this study are menu analysis with sub variable mix menu, food cost and contribution margin. The analysis technique used in this study is a menu engineering analysis technique consisting of 12 steps. Based on the results of the analysis conducted, it can be concluded that there are 13 items or 32.5% types of dishes for star groups, 4 items or 10% types of flowhorse groups, 2 items or 5% types of puzzle group dishes, and 21 items or 52.5 % of dog group dishes. The management policy carried out in increasing food sales is maintaining food quality and prices for star groups, improving food quality and selling prices of food for flowhorse groups, improving food raw materials so as to reduce food prices for puzzle groups and evaluating materials, services, promotions and the price of food for the dog category.Keywords: Menu mix, food cost, contribution margin
CLINICAL STUDY ON HEARING LOSS IN PATIENTS WITH CHRONIC KIDNEY DISEASE
Authors: Narve V P , Goyal Chahak , Verma Akansha , Dhawale Sanjay
Published: August 2024

Aim- This study aims to assess hearing loss prevalence and severity in renal failure patients, analyze correlations with
demographic factors, and identify risk factors such as hypertension, diabetes, ototoxic medications, and CKD duration
and stage. This study of 150 CKD patients from Gajra Raja Medical College and Jay Arogya Hospitals i Methodology- ncludes history taking,
clinical exams, lab tests, and audiological evaluations. Patients on hemodialysis were assessed for age, gender, CKD duration, comorbidities, and
medication history, excluding those with unrelated hearing loss or acute renal failure. Procedures involved ENT exams, pure-tone audiometry,
tympanometry, and lab tests for serum creatinine, blood urea nitrogen, and electrolytes. The study f Results- ound that 40% of CKD patients
experienced hearing loss, with higher prevalence in males and the highest rates in Stage V CKD. Patients aged 51-60 years were most affected.
Common symptoms included nasal obstruction (80%) and recurrent sinus infections (60%). Pure tone audiometry showed varying degrees of
hearing loss, with severe cases affecting 21 patients. Prolonged hemodialysis sessions correlated with more severe hearing loss. These ndings
highlight the signicant impact of CKD on hearing health, necessitating careful monitoring and targeted interventions. Hearing loss Conclusionis common in CKD patients, predominantly featuring sensorineural impairment. Regular auditory evaluations and interdisciplinary management
are critical to enhance their quality of life. Additional research is necessary to explore protective strategies and the impact of ototoxic medications
on hearing loss in this population, aiming to mitigate these effects and optimize CKD patient care.
CARDIAC ECHINOCOCCOSIS! STILL POSSIBLE IN INDIAN SCENARIO.
Authors: Krishna Kasturi Prithvi , Rao. M Amaresh
Published: August 2024

We present a rare collection of two cases- one with intraventricular and other with infected intrapericardial
echinococcosis. Intra pericardial echinococcosis presented like chronic pericarditis, where as intra ventricular cardiac
echinococcosis presented as Right Ventricular failure with NYHA (New York Heart association) class III symptoms. Intrapericardial hydatid
approached through left anterolateral thoracotomy and intraventricular cardiac echinococcosis was approached through midline sternotomy and
procedure was done on cardiopulmonary bypass. Post operative course uneventful.
MACULAR FUNDUS AUTOFLUORESCENCE IN HEALTHY INDIAN ADULTS WITH VARYING DIETARY HABITS
Authors: Vimawala Murti , Nagpal Shubha , Muzumdar Deepa , Parashar Nikhil
Published: August 2024

Background: Lipofuscin deposition in Retinal Pigment Epithelium (RPE) represents retinal aging, which is
pathologically accelerated in Age Related Macular Degeneration (AMD). Studies conducted on AMD patients have
found dietary modication as a key factor in reducing disease progression. In this study, our aim was to ascertain the impact of dietary habits on
accumulation of lipofuscin at the macula using Fundus autouorescence imaging. We postulated that healthy adults consuming non-vegetarian
diet have higher macular lipofuscin deposition as compared to vegetarians. 200 healthy adults were d Material and Methods: ivided into three
groups as per age (20 - 30 years, 31 - 40 years and 41 - 50 years) and further categorized into Vegetarians and Non-Vegetarians based on their
dietary history. Fundus autouorescence (FAF) was recorded using a Non-Mydriatic Fundus Camera, at macula (M) and peripapillary bundle
area (P) and quantied in grayscale units. Statistical analysis was used to nd an association between age, dietary habits and FAF values in three
groups. Mean autouorescence at area M and P was signicantly higher in Non-vegetarians as compared Results: to Vegetarians (p=0.0002,
p=0.0004). These ndings were consistent in all age groups. Mean autouorescence values at both analysed regions were found to increase
signicantly with age (p<0.001 at area M and P). Signicantly lower levels of macular FAF in vegetar Conclusion: ians across all age groups may
have implications on retinal health. It can be postulated that a vegetarian diet may have protective benets and aid in reduced lipofuscin
deposition at macula, thus lowering the risk of developing vision-threatening age-related eye disease.
SERUM LACTATE LEVEL AS PREDICTOR OF OUTCOME IN SEPSIS PATIENTS IN INTENSIVE CARE UNIT
Authors: Gersappa Tanvi Anil , Yakub Shireen Faruque , Thakkar Mitesh
Published: August 2024

Background- Sepsis is a common critical condition caused by the body's overwhelming response to certain infective
agents. Many biomarkers, including the serum lactate level, have been used for sepsis diagnosis and guiding treatment.
Recently, the Third International Consensus Denitions for Sepsis and Septic Shock (Sepsis-3) recommended the Sequential Organ Failure
Assessment (SOFA) and the quick SOFA (qSOFA) rather than lactate for screening sepsis and assess prognosis. This study explores correlation
between blood lactate levels in patients with sepsis admitted into the intensive care unit and their hospital outcomes. Materials and MethodsThis was an observational study conducted in the Department of Medicine, in a tertiary care hospital of India conducted for a period of 2 years.
Sepsis Patients admitted into Intensive Care Unit (ICU ) above 18 years of age were included in the study. Information was collected through a
pre-tested and structured proforma for each patient. Serum Lactate levels at admission, 6 hours after admission and 24 hourly for the next 3 days
was recorded to observe for lactate clearance from the body. The role of lactate monitoring helped in determining prognostic potential and focus
on early stage of sepsis management. Lactate clearance and organ dysfunction was assessed and outcome was quantied using SOFA scoring.
Results- Being a quantitative data, normality of data was tested using Shapiro-wilk test .Mann-Whitney U test was used to compare between
patients with different outcome. Serum lactate levels (at 6 hours) was higher inpatients who couldn't survive (10.33) as compared to group of
patients who survived (4.82) and the difference between the two was statistically signicant (p = 0.001). The predictive usefulness Conclusionof serial serum lactate monitoring for morbidity and mortality is conrmed by this study. However, it would be prudent to note that recovering
from such an insult takes a lot of time. Even if a critical patient has survived the current crisis, lactate readings should likely be monitored for
longer periods of time.
THE STUDY OF CHANGING TREND IN MINIMUM INHIBITORY CONCENTRATION (MIC) OF VANCOMYCIN RESISTANT STAPHYLOCOCCUS AUREUS (VRSA) BY AGAR DILUTION METHOD AND ITS COMPARISON WITH E-TEST
Authors: Ahmed Raees , E. Chand Anita
Published: August 2024

Background: The emergence of Vancomycin-Resistant Staphylococcus aureus (VRSA) among Methicillin-Resistant
Staphylococcus aureus (MRSA) strains is a signicant concern in the medical industry. Vancomycin and other
glycopeptide antibiotics are frequently used to treat infections caused by methicillin-resistant Staphylococcus aureus. In recent years, the
incidence of vancomycin intermediate S. aureus (VISA) and vancomycin resistant S. aureus (VRSA) has increased in many parts of the world.
Accurate calculation of the Minimum Inhibitory Concentration (MIC) is critical for conrming VRSA and directing suitable treatment. This
study examines the accuracy and utility of two commonly used MIC measurement techniques: agar dilution and the E-test strip method. Aim
And Objective: A comparison of the agar dilution method and the e-test strip method for determining the minimum inhibitory concentration
(MIC) to conrm VRSA among MRSA. This was an observational cross-sectional study conducted in the De Material And Methods: partment
of Microbiology at Government Medical College, Kota, Rajasthan.The samples were processed immediately on receiving the lab, if there was a
delay, they were refrigerated at 40-70Celsius. A total of 185 clinical MRSA isolates were screened from 384 Staphylococcus aureus isolates, and
vancomycin MICs were determined using both agar dilution and E-test strip procedures in accordance with CLSI guidelines. In the Results:
current investigation, the Vancomycin screen agar method was used on 185 clinical isolates of MRSA, 6 (3.24%) of which were identied as
VRSA. Out of the 185 MRSA isolates, two (1.08%) were VRSA and three (1.62%) were VISA. The incidence of VRSA was discovered to be
1.62%. Both the agar dilution and E-test strip methods identied 180 (97.30%) VSSAs. The MIC values of the 185 MRSA were determined
using both the agar dilution method and the E-test strip method. In this work, the Agar dilution method was used as the gold standard for MIC
determination. It produces exact and consistent results but is laborious and time-consuming. The e-test strip approach is a more convenient and
faster option. It is simple to execute and analyse, however the ndings may vary compared to the agar dilution approach. Both the Conclusion:
agar dilution method and the E-test strip approach are suitable for determining MIC values. Both the agar dilution and E-test strip methods
provide slightly different MIC values. The e-test strip method is easier to use than the agar dilution method. The agar dilution method is time
consuming and labor-intensive, yet it is a reliable gold standard approach for MIC determination. The optimum clinical management of VRSA
infections requires the use of an appropriate MIC determination method.
TEACHING PROFESSIONALISM AND ETHICS AMONG UNDERGRADUATE STUDENTS – A TERTIARY HOSPITAL BASE STUDY
Authors: Vidyabati Devi Rajkumari , Fortwengel Gerhard , Mathew A Mary , D Sauza Russell Franco
Published: August 2024

Background: Medical ethics has progressively turned into a common element of the undergraduate curriculum at many medical institutes, often
within a well-dened humanity programme. Professionalism is a concept of belief system to achieve trust between physicians and society.
Professional competencies the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values and
reection in daily practice for the benet of the individual and community being served. It is important to gather baseline information on
professionalism awareness among undergraduate medical students to be able to guide curriculum along with its teaching and assessment
methologies. Ethics teaching has been shown to have signicant inuence on professionalism and moral qualities of medical professionals. Aneed
is felt to train undergraduate students and nd out perceptions of undergraduate medical students regarding ethics and professionalism. The study
aims to explore the perceptions of medical undergraduate students and the assess their attitude on professionalism and ethics. Materials and
Methods: It was a qualitative study in which four focus group discussions where conducted among rst phase, second phase and third phase
MBBS. Manual content analysis of the transcripts were done. Results: The text information was categorised into 29 categories which were
merged into seven major themes, after the qualitative analysis of the data, namely qualities of a good doctor, need of teaching professionalism, ways
of teaching professionalism to under-graduate medical students, assessment of professionalism, factors promoting professionalism, and factors
hindering professionalism. The students perceived that a good doctor should have adequate knowledge of the subject and should keep the subject
update. A good doctor should be committed to accountable to patients, profession and community, seless, healthy, good communicator, ethical
and law abiding, practice integrity and social justice. This study conrmed the need of teaching professionalism and ethics to identify trained the
students by role modelling, group discussion. Physician are likely to improve the professionalism with training and experience. Conclusion –
professionalism is an important component of medicines contract with society. Medical under-graduate students should be trained about the need
and professionalism through narratives, role modeling by faculties, case scenarios and small-group discussions. Summary:A supportive and
conductive environment for enhancing adoption of good professional practice skills should be created both at the academic institutions and the
clinical training sites within the health system. The study has assess the undergraduate students perception, keeping in mind the difference in
attitude of professionalism among the students at different phases of the MBBS course.
A LITERATURE REVIEW ON PHYSICAL THERAPY MANAGEMENT OF A RARE CONDITION- EHLERS-DANLOS SYNDROME.
Authors: Rana Arushi , Sasidharan Shwetha
Published: August 2024

Background: Ehlers Danlos syndrome is an autosomal dominant disorder characterized by hyper elasticity, fragility and hypermobility leading to
pain and stiffness of the joints. EDS type iii exhibits a complex range of signs and symptoms of varying degree and combinations that make these
conditions different to recognize. It is hypothesized that being hypermobile makes you more likely to develop chronic musculoskeletal pain due to
an increased risk of re injury and experiencing more frequent pain. Aim:the aim of the present paper is to provide a state of understanding about the
condition and a state of art od diagnosis and treatment of the present condition. Methods: PubMed, research gate, google scholar, science direct
were the databases utilized to search for research papers. 67 articles of the past 22 years were collected and reviewed in accordance with the
selection criteria. Selection criteria: individuals facing pain due to hypermobility were included as per the selection criteria. Result: from a total of
12 articles identied through the search, 42 articles were deemed eligible for the full text screening with 5 studies eligible to be included in this
review. The result indicates management of hypermobility Ehlers Danlos syndrome poses challenges in denitively establishing the efcacy of
physiotherapy as a reliable method for pain management in EDS patients. Conclusion: We draw inference from this literature study that ndings
underscore the need for comprehensive and multidimensional care strategies in addressing the complexity associated with EDS, especially in
managing pain and enhancing patients wellbeing.
EVALUATION OF EXTRA ARTICULAR DISTAL HUMERUS FRACTURE FIXATION OUTCOMES WITH SINGLE COLUMN EXTRA ARTICULAR DISTAL HUMERUS PLATE
Authors: Rai Basant , Singh Jaspal , Kumar Dinesh , Singh Amarpreet , Singh Vikramjit
Published: August 2024

Aim:To determine the Radiological and Functional outcomes of extraarticular distal humerus fracture with extra articular distal humerus plate
xation. Methods: This prospective study was conducted from 2020 to 2022, including Extra articular distal humerus fractures which were
managed by open Para tricipital approach and xation were done with extra articular distal humerus locking plate with or without lag screw.
Radiological union were assessed on regular follow up and Final Functional outcomes were assessed according to MAYO elbow performance
index. Total 25 cases were selected for the study in which mean age were 44.68±12.39 and average fol Result : low up was 6 months. The Mean time
to radiological union was 13.72 weeks and 1 case show union at 18 weeks. The average Mayo performance elbow score with excellent result in 68%
Cases. Using Extra articular distal humerus plate for extra articular distal humerus fracture xatio Conclusion: n provide better union and
Functional rates with less soft tissue disruption, stable xation and early functional recovery.
A STUDY OF ASSESS THE KNOWLEDGE,ATTITUDES,ANDPRACTICE (KAP) OF SURVEY OF FAMILY PLANNING AMONG WOMEN AT RURAL AREA AT GWALIOR, M.P.
Authors: Sharma Anil Kumar
Published: August 2024

Every man and woman has the right to be informed about and have access to safe, effective, affordable, and acceptable methods of fertility
regulation of their choice, as well as the right to appropriate health care services that will allow women to safely navigate pregnancy and childbirth
while also giving couples the best chance of having a healthy infant. Abstracts on research proving how family planning helps and advances
people's and nations' health and prosperity, as well as high-impact or best-practice family planning programmes and service delivery models, were
very interesting.
SURGICAL MANAGEMENT AND OUTCOME OF POST MI VENTRICULAR SEPTAL RUPTURE: OUR 10-YEARS EXPERIENCE
Authors: Silky Vishakha , Dhanda Poonam , Mittal Sahil , Grover V. , Jhajhria Narender S. , Aiyer Palash , Bhushan Rahul
Published: August 2024

Aims: The aim of this study is to review our experience with late surgical repair of post-MI VSD in a single center over 10 years. Materials and
Methods:This is a retrograde observational study. All patients who underwent post MI VSD closure from May 2014 to April 2023 were included in
the study. Results: Total 8 patients underwent post MI VSD repair. The mean age of the patients was 67.62 years with Male: Female ratio 5:3. The
VSDs were anterior in 5 (62%) patients with 2 patients having two VSDs. More than 50% of patients were in cardiogenic shock during the initial
presentation. All the patients were initially managed conservatively and once stabilized were taken for elective surgery. IABP was used in one
patient. Average duration between MI and surgical repair was 23 days. Mean CPB and ACC time was 226 and 98.5 minutes, respectively. On Pump
CABG was done in 3 patients. There was no in-hospital mortality and average hospital stay was 29 days. 3 patients were readmitted for post
operative effusions. Conclusion: Medical stabilization and repair of post MI VSD after 3 weeks had excellent outcomes in terms of in hospital
mortality Clinical Significance: This study helps us understand the clinical course of this rare entity viz post MI VSD and how the delayed repair
can result in good outcomes with less morbidity and mortality.
Food, cooking and health in a selected corpus of websites and connected YouTube channels in France. Collecting and archiving the audiovisual web
Authors: Bonah Christian , Lellinger Solène , Sala Caroline
Published: August 2024

Based on a collaborative effort between the research project BodyCapital and the Bibliothèque Nationale de France (BnF), we present a two-step archiving process and analysis of audiovisual web content related to food and health history, investigating how audiovisuals have contributed to shaping our eating habits.
The first step involved a web crawl with Heritrix, targeting 158 identified seed URLs compiled based on BnF science & technology lists and URLs identified by the research group. The crawl harvested 1,067,159 URLs. A content analysis identified 1,718 videos in our corpus. Content mapping and the identification of links to YouTube videos were performed, leading to the second step involving a focused collection of 34 YouTube channels harvesting 24,427 videos (2.4 TB) to be analyzed.
Compartilhamento de Dados de Pesquisa
Authors: Vila Nova Susimery , Farias Lóscio Bernadette , Iury de Sousa Oliveira Marcelo
Published: August 2024

The article discusses the findings of a thematic analysis of the factors that influence the sharing of open research data during times of crisis. The study involved a literature review and a focus group with researchers and specialists from different fields. The goals were to identify factors affecting data sharing and to propose a theoretical model to help research institutions understand the challenges in sharing their data. The study presents a theoretical model with four dimensions: Contextual, Motivational, Technological/Infrastructure, and Financing, along with categories, factors, definitions, and characteristics. It highlights the crucial role of motivational factors, indicating that researchers' attitudes and beliefs drive data sharing. Understanding these factors can significantly impact decision-making and the development of public policies based on the Open Science model. The article concludes with suggestions for future research to address barriers and resistance to sharing research data, particularly during times of crisis.
Derecho Penal del enemigo
Authors: Leonardo Torres Doris Analy
Published: August 2024

PROBLEMA: ¿Cómo se legisla en el mundo; así mismo las contradicciones que se dan por diferentes autores en los Estados de Derecho. OBJETIVO: Explicar la tendencia del derecho penal del enemigo. MÉTODO: La metodología utilizada se basa en el método inductivo y deductivo descriptivo, porque el fenómeno esperado se analiza como una hipótesis y generalización informativa sobre el tema en discusión, además de conducir de lo general a lo específico. RESULTADOS: Derivado a las consecuencias que se manejan respecto al enemigo, que un Estado de derecho garantice un sistema jurídico con los principios generales del Derecho al igual que las características que encajan en el tema, para así ser más eficientes y decididos en su combate contra estas personas; ya que pueden convertirse en un verdadero peligro para la sociedad, pero sobre todo si las teorías que las explican contradicen los criterios fundamentales como guía. CONCLUSIÓN: La posible regulación del derecho penal del enemigo en Guatemala con delitos de peligro abstracto, dado el caso que todos los seres humanos se hallan vinculados entres si por medio de la relación casual dentro de un marco social, cultural y religioso. Pero si nos damos cuenta ello afronta ámbitos de discusión por desacuerdo en sus múltiples modos de pensamiento, uno atípico y otro típico dentro del marco de ley; es por ello que quienes no se rigen dentro de las normas deben ser consideradas como tal.
Research on the BOPPPS Teaching Mode of Number and Algebra in Junior Middle School Mathematics
Authors: Zhang Xiaoting , Yang Yongwei
Published: August 2024

BOPPPS teaching mode is a goal-oriented and student-centered teaching mode. It emphasizes students' participatory learning and attaches great importance to classroom interaction and inquiry. In order to change the disadvantages of traditional teaching, this paper discusses the perfect fit between this model and the "number and algebra" classroom in junior high school mathematics. On this basis, a series of teaching strategies are provided for reference. The teaching process of "number and algebra" under the BOPPPS teaching mode is constructed. This provides experience for junior high school mathematics teaching.
A Phase Ib Study of Selinexor in Combination with Pembrolizumab in Patients with Metastatic Melanoma
Authors: Gouda Mohamed A. , Stephen Bettzy , Tian Yanyan , Alshawa Anas , Onwugaje Dilichukwu O. Chudy , Albittar Aya , Yang Yali , Zarifa Abdulrazzak , Yilmaz Bulent , Gurses Serdar , Sprenger Ashabari , Derbala Mohamed H. , Brink Amanda , How Jeffrey Andrew , Moyers Justin , Piha-Paul Sarina A. , Hong David S. , Meric-Bernstam Funda , Patel Sapna P. , Oliva Isabella Glitza
Published: August 2024

Introduction

Immune checkpoint inhibitors (ICIs) have substantially advanced the treatment of patients with malignant melanoma. However, improving therapeutic efficacy requires identifying drug combinations that elicit durable responses without inducing intolerable toxicity. Within that context, selinexor emerges as a possible combination option that has been shown in preclinical studies to enhance the efficacy of ICI therapy. Methods: In this phase 1b study, we investigated selinexor in combination with pembrolizumab in 25 patients with advanced non-uveal melanoma. Patients received selinexor at a dosage of 60 mg taken orally twice weekly, and pembrolizumab intravenously at a dosage of 200 mg every 3 weeks. Results: Despite the high incidence of adverse events (96%), most treatment-related toxicities were manageable with supportive care and dose reductions. The most common adverse events of any grade were nausea (n = 20; 80%), decreased white blood cell count (n = 15; 60%), vomiting (n = 14; 56%), anemia (n = 12; 48%), fatigue (n = 12; 48%), and decreased platelet count (n = 12; 48%). The 10 patients with treatment-naïve evaluable disease had an objective response rate (ORR) of 70% (n = 7, including three patients with complete response), which was significantly higher than that of the 14 patients with prior anti–programmed cell death protein 1 (anti-PD-1) therapy, whose ORR was 7% (n = 1; p = 0.002). Stable disease was observed in two patients (20%) with treatment-naïve disease and seven patients (50%) with prior anti-PD-1 therapy. Conclusion: Selinexor combined with pembrolizumab showed promising antitumor activity in patients with treatment-naïve metastatic melanoma. The toxicity profile of the combination was consistent with that reported for individual agents, with no additional safety concerns.