bluuebunny/crossref_metadata_2025 huggingface dataset:
Review on Determinants and Challenges of Household Food Security in Ethiopia
Authors: Yenewa Workineh
Published: February 2024

The issue of food security is a major concern and a top priority area for Ethiopia. Food security is a relative term that refers to the fact that all people have access to enough food to enable them to live an active, productive, and healthy life. Households are considered to be food secure when they produce enough staple food to meet their daily needs or when they have sufficient income to purchase food from the market. Like many developing countries, the highland farmers in Ethiopia mainly rely on subsistence agriculture and are often affected by food insecurity. The main objective of the paper is to review the determinants of households’ food security in Ethiopia.
Effect of Chemical and Hand weeding Control Methods on Growth Yield Components and Yield of Field Pea in Bale Highlands, Southeastern Ethiopia
Authors: Meleta Tamiru , Dargei Reta , Kora Dagne , Dajane Baharu
Published: February 2024

Afield experiment was conducted during bona season of 2019/2020 and 2021/2022 at two location Agarfa sub-site and Sinana on station to evaluate the integrated effects of pre-emergence herbicides and hand-weeding on weed control, yield components, yield, and their economic feasibility for cost effective weed control in field pea. The treatments consisted of three dual gold rates (1, 2 and 3 liter per hectares) and three times (0, 1and 2 times hand weeding). The experiment was laid out in a factorial arrangement of RBCD with three replications. Results indicated that Dual-gold 2 liter per hectare supplemented with hand weeding at 25-30 days after crop emergence resulted in the highest grain yield and economic benefit. However, in case labor is constraint and Pre-emergence herbicide is timely available, pre emergence application of Dual-gold 2 liter per hectare should be the alternative to prevent the yield loss and to ensure maximum net benefit for the producers. Thus, the result of this study, it can be tentatively concluded that herbicides application is an integral part of farmer’s pulse crop management in modern agricultural systems.
Surgery of Primary Spontaneous Pneumothorax about 289 Cases
Authors: Ghebouli Khalil , Bendjoudi Kenza , Belbekri Mehdi , Kecir Mohamed Amine , Nekhla Ahmed , Achou Karima
Published: February 2024

Objectives: Primary spontaneous pneumothorax is a public health problem because of its frequency and its occurrence in a population often young. It is a pathology which natural evolution is marked by the occurrence of recurrence. The purpose of the surgical treatment of PSP is to resect the apical bulla and bleb areas. In addition, various pleural adhesion procedures are recommended to prevent recurrence. Methods: Between 2015 and July 2021, the results of 289 operations performed patients with PSP were examined. The variables analyzed were age, sexe, risk factor, morbidity and mortality surgical results. The average patient follow-up rate is 26 months. Results: Recurrent PSP largely dominated the surgical indications with a rate of 73.8%. Complications were seen at a rate of 5.1%. These complications required revision surgery in 3 cases. The recurrence rate is around 1.7%. However, the residual postoperative pain is around 10.7%. The average length of stay is around 6.8 ±1.2. The mortality rate was nil. Conclusion: Surgery for primary spontaneous pneumothorax has shown encouraging results, during which it must be performed as soon as possible once the indication for surgery has been established.
Study on Physicochemical and Organoleptic Properties of Gebang Starch-Based Artificial Rice with Mung Bean Flour Supplementation
Authors: Lalel Herianus J. D. , Simamora Agnes V. , Gandut Yosefina R. Y. , Roefaida Effy , Kapa Max J. , Pitay Noni F.
Published: February 2024

Gebang starch traditionally has been used by Timorese for making local food. However, it is used to told in mass media that people eat feed because rice has become the most prestigious staple food. Therefore, a study has been conducted to know the physicochemical and organoleptic properties of artificial rice made from gebang starch (GS) in combination with mung bean flour (MB). Five combinations of the flours studied were 100% of GS, 95% of GS with 5% of MB, 90% of GS with 10% of MB, 85% of GS 15% of MB, and 80% of GS with 20% of MB. The rice was processed using an extruder. Proximate, physical, and organoleptic of the rice were then evaluated. The nutrient content of all artificial rice is almost similar to natural rice. Mung bean flour supplementation increased the protein content of the rice. Most of the artificial rice has a yellowish-brown to fallow-brown color. The artificial rice dimension is almost similar to natural rice, which is the length is almost 7 mm, and thickness is almost 3 mm. The artificial rice weight of 1000 kernels ranges from 0.45 to 0.49 g/ml. Except for the aroma of the rice, all other organoleptic properties have a positive response from panelists.It can be concluded that artificial rice made from GS and MB has a good potency to be used as a natural rice complement, especially in terms of the nutritional content.
Vegetables Production and Management Practices, Challenges, and Opportunities by Smallholder Farmers in Ethiopia
Authors: Milkias Dawit , Degefu Sura
Published: February 2024

The production of vegetables is very important to Ethiopia's economy and various types of vegetables can grow in Ethiopia. However, despite the existing potentials, smallholder vegetable farms are based on low input–low output production system in the country. The production is run by smallholder farmers and is located on a relatively small part of land. In the same way, there is inadequate knowledge on improved vegetables production practices, challenges and opportunities by smallholder farmers in the country and public research on vegetable crops was negligible. To this end, this review was aimed to assess practices of vegetable production and management, challenges of vegetable production and management and opportunity of vegetable production by small holder farming household. The review found that, vegetable production practices and management are not the primary activity for the majority of smallholder farming households in the country; rather, they are seen as a supplement to the production of major crops. It was mainly based on traditional farming system. Further the review found out that, lack of access to credit, limited supply of improved seed, marketing and market information, appropriate management techniques, appropriate disease and insect pest control measures, outbreak of new disease and pest are among the main challenges of vegetable production in the country. This is mainly because of the limited resource allocation to research and development including the extension services. Finally, the review recommends that, in promoting vegetable producer households, diversified and intensified agricultural farming, and problems related to extension service and research, credit service, disease and pest control, market and marketing information, and provision of modern agricultural inputs should be addressed by concerned bodies.
Trauma pain management among nurses at the Emergency and Surgical Units in a Municipal Hospital in Ghana
Authors: Abowie Fynn-Aikins E. , Cecilia Eliason , Esi Amoah , Benjamin Abaidoo
Published: February 2024

Introduction: Trauma pain is one of the most prevalent complaints among patients at emergency settings. Nurses have an indispensable role in the management of trauma pain, but literature has identified inadequate knowledge in pain management among nurses in many countries. This study was done to examine the practice of trauma pain management among nurses at the emergency and surgical units at the Bekwai Municipal Hospital. Methodology: This was a descriptive quantitative cross-sectional study. The convenience sampling method was employed with a structured questionnaire. Data collected were analysed with IBM SPSS Version 24. Independent t-tests and one-way ANOVA were used to examine the association between demographic characteristics and mean score in knowledge and attitude. P-values which were less than 0.05 were considered statistically significant. Results: A total of 41 nurses participated in this study. The mean score for knowledge and attitude in traumatic pain management was 51.1%. There was an association between mean score in knowledge and attitude and educational level (p-value = 0.001) and also between mean score in knowledge and attitude and job rank (p-value = 0.001). Nurses with previous training in pain management had higher knowledge and attitude (15.5± 2.7) than those without previous training (14.2± 3.5) in pain management but the mean difference was not significant (p-value = 0.182). Conclusions: Nurses at the Emergency and Surgical Unit at the Bekwai Municipal Hospital had poor knowledge and attitude toward traumatic pain management.
Adaptation and Production of Heterotrigona itama from Natural Colonies in Kuantan Singingi
Authors: Seprido Seprido , Hadi Nariman
Published: February 2024

Stingless bees also referred to as kelulut, are a species of honey-producing bees that do not possess a sting. Currently, beekeeping is being developed in Kuantan Singingi. However, there is a lack of research on the adaptability and honey production of Heterotrigona itama from natural colonies. In order to enhance understanding and provide valuable insights to the community, conducting a preliminary study on the adaptability and honey production of Heterotrigona itama from natural colonies in the Kuantan Singingi district is essential. This study was carried out in Central Kuantan, utilizing 10 natural colonies, through surveys and field trials to collect data directly from the field. This research aimed to assess the acceptance rate of box topping by the Heterotrigona itama colonies, which was found to be an average of 82.3 days. Additionally, the average amount of honey per pot was 4.1 ml, with a total volume of honey per colony measuring 93.7 ml. The duration of honey pot production was recorded as 93.6 days, and the number of honey pots obtained over a span of 6 months was 22.8 pieces.
Potential of Endophytious Fungi from Rice Plant Local Genotype Kuantan Singingi in Improving Rice Plant Growth
Authors: Andriani Desta , Seprido Seprido
Published: February 2024

This study aims to investigate the potential of endophytic fungi derived from local genotypes of Pulut Karate and white Sisgam rice plants to enhance the growth of rice plants. The research was conducted in a laboratory setting using an experimental approach. Initially, the endophytic fungi were isolated from the rice plants of Pulut Karate and white lionfish genotypes, which were previously collected in another research project. These fungi were then cultured on PDA media and incubated for seven days. Subsequently, the germination and growth of rice seedlings inoculated with each endophytic fungus isolate were examined. The growth parameters of the rice seedlings, including seed height, root length, and number of leaves, were carefully observed. The findings of this research were presented in the form of data and images. The results indicate that the seed germination rate ranged from 90% to 100%. Among all the isolates, isolate PB03 demonstrated the most significant impact on rice plant growth, as evidenced by its taller plant height (8.03 cm) and longer root length (6.27 cm) compared to the other isolates and the control group.
Pengaruh Working Capital Management Terhadap Kinerja Perusahaan Pada Sektor Healthcare Yang Tercatat Di Bursa Efek Indonesia
Authors: Andrean Raka
Published: February 2024

Penelitian ini merinci dampak perkembangan teknologi dan persaingan antar perusahaan terhadap kebutuhan modal dan manajemen modal kerja yang efektif. Dalam upaya mencapai laba optimal, perusahaan perlu memahami krusialnya manajemen modal kerja yang memastikan kelangsungan operasional. Fokus utama penelitian ini adalah mengidentifikasi pengaruh variabel manajemen modal kerja, seperti inventory turnover (ITO), average payment period (APP), average collection period (ACP), dan cash conversion cycle (CCC), terhadap kinerja perusahaan. Efektivitas pengelolaan modal kerja dikaitkan dengan perencanaan dan pemantauan aset dan liabilitas lancar, dengan tujuan mengurangi risiko gagal bayar utang jangka pendek dan menghindari investasi berlebihan pada aset jangka pendek. Metode penelitian kuantitatif terstruktur diterapkan dengan menitikberatkan pada perusahaan sektor healthcare di Bursa Efek Indonesia (BEI). Tujuan dari penelitian ini adalah untuk memberikan wawasan terbaru dan relevan mengenai hubungan antara manajemen modal kerja dan kinerja bisnis dalam industri yang terus berkembang. Hasil penelitian ini diharapkan dapat memberikan kontribusi yang signifikan baik secara akademis maupun praktis, membuka peluang pemahaman yang lebih mendalam dan pengambilan keputusan yang lebih cerdas dalam dinamika bisnis yang selalu berubah.
Impacto dos Esteroides Anabolizantes na Saúde Cardiovascular: Uma Revisão Abrangente da Literatura
Authors: Moura Vasconcelos José Lucas , Sampaio Alexandre Felipe Bastos , Bastos Ana Beatriz da Conceição , Nascimento Arquimedes Barros , Maldonado Caio Mário do Couto , Bastos Camila Conceição , Passos Camilla Barreto , Tonin Clara Costa , Filho Eugênio Alencar Muniz , Silva Fernanda Vitória Araújo da , França Juliana Santos , Gonçalves Kauara Marcelino , Santos Layannara Nascimento , Campos Lorena Pereira Aparício , Carvalho Maria Thalyta de Andrade Gomes , Mendonça Maycon das Neves , Rodrigues Nadja Mara Pondé , Rodrigues Nadja Mara Pondé , Júnior Robério Ribeiro de Azevêdo , Figuerêdo Valéria Azevedo , Souza Victor Henrique Leite de
Published: February 2024

Este estudo realizou uma revisão abrangente da literatura sobre o impacto dos esteroides anabolizantes na saúde cardiovascular. Através da análise de estudos epidemiológicos, revisões sistemáticas e meta-análises, foi possível identificar uma associação significativa entre o uso de esteroides anabolizantes e o aumento do risco de eventos cardiovasculares adversos, como hipertensão, aterosclerose, infarto do miocárdio e acidente vascular cerebral. Mecanismos fisiopatológicos subjacentes, incluindo alterações no perfil lipídico, função vascular e promoção da trombose, foram discutidos para elucidar os efeitos cardiovasculares dessas substâncias. Considerando os riscos associados ao uso de anabolizantes, é essencial que profissionais de saúde estejam cientes desses efeitos adversos e trabalhem em conjunto com os pacientes para prevenir complicações cardiovasculares.
COMPARAÇÃO DE ESTRATÉGIAS DE SEDAÇÃO EM PACIENTES SOB VENTILAÇÃO MECÂNICA
Authors: Kundsin Alana , Paula Alex Blank de , Spiguel Larissa Claro , Cardoso Renan Sesquim
Published: February 2024

A importância de realizar comparações entre sedativos em uma Unidade de Terapia Intensiva (UTI) reside na necessidade de identificar o agente sedativo mais eficaz e seguro, visando aprimorar o conforto e a segurança dos pacientes. O presente artigo tratou-se de uma revisão de literatura do tipo integrativa, de caráter descritivo, apoiando-se em materiais disponíveis gratuitamente e integralmente nas bases de dados da Scielo e Pubmed, de 2020 a 2024, onde foram selecionados 6 artigos ligados diretamente ao tema e à metodologia escolhida. O objetivo do presente estudo foi identificar e comparar as principais estratégias de sedação em doentes críticos. A pergunta de pesquisa, de acordo com a estratégia PICO foi: em pacientes sob ventilação mecânica na UTI, qual é a eficácia comparativa de diferentes estratégias de sedação na redução do tempo de ventilação mecânica e na ocorrência de eventos adversos? Concluiu-se que o ciprofol é comparável ao propofol em termos de boa tolerância e eficácia para sedação. A dexmedetomidina é mais eficaz na redução do tempo de ventilação mecânica (VM) em relação ao propofol. Não existem disparidades significativas em efeitos adversos e tempo de ventilação mecânica entre o besilato de remimazolam e o propofol. O propofol reduziu significativamente o tempo de ventilação mecânica em comparação ao midazolan. O besilato de remimazolam emerge como um potencial substituto para o propofol e o midazolam, apresentando menor probabilidade de causar depressão hemodinâmica e contaminação em comparação com o propofol. A combinação de dexmedetomidina com propofol demonstrou capacidade de reduzir os períodos de recuperação e extubação em pacientes sob ventilação mecânica.
Literasi Platform Bisnis Digital Untuk Meningkatkan Pengetahuan dan Keterampilan Penggunaan Aplikasi Bisnis E-Commerce
Authors: Hamidin Dini , Mulyati Erna , Maniah Maniah
Published: February 2024

Perubahan preferensi konsumen terhadap transaksi online telah meningkatkan penggunaan aplikasi e-commerce. Hal ini mempengaruhi kebutuhan akan sumber daya manusia yang memiliki kompetensi dalam menggunakan berbagai platform digital bisnis yang tersedia di internet. Kebutuhan ini juga menjadi perhatian para guru di SMK ICB Cinta Niaga Bandung untuk menambah wawasan peserta didiknya, khususnya Jurusan Bisnis dan Pemasaran Online (BDP), serta Otomasi dan Manajemen Perkantoran (OTKP). Metode kegiatan pelatihan ini terdiri dari 3 tahap: mengidentifikasi tujuan pembelajaran, merancang penilaian (pre-test dan post-test), dan melaksanakan strategi instruksional (literasi pengetahuan dasar bisnis digital dan instruksi demonstrasi pada platform bisnis digital TokoTalk). Berdasarkan hasil pelaksanaan kegiatan ini, pelatihan ini diikuti oleh 27 siswa dan telah efektif meningkatkan literasi dan keterampilan digital siswa jurusan BDP dan OTKP SMK ICB Cinta Niaga dalam menggunakan platform bisnis digital TokoTalk.
Implementasi Aplikasi Tracer Study di SMK Daarut Tauhiid Bandung
Authors: Maulani Muhamad Ruslan , Supono Supono , Nirwan Saepudin
Published: February 2024

This community service aims to apply and implement the Tracer Study application at SMK Daarut Tauhiid Bandung. Tracer Study is a method used to track the success of alumni in terms of employment, further education, entrepreneurship and other feedback received from alumni. This service included a needs analysis and design of the Tracer Study application tailored to the needs of SMK Daarut Tauhiid Bandung. In addition, the application was developed and implemented using the latest technology to provide easier and faster access for interaction between alumni and the school. By using the Tracer Study application, SMK Daarut Tauhiid Bandung can track the career development of alumni, determine their success in achieving their career goals, and obtain useful feedback to improve the quality of education at the school. The methodology for this service includes needs analysis, system design, application development, and training for the school and alumni on how to use the application. Evaluation and monitoring will be carried out to ensure the successful implementation of the Tracer Study application at SMK Daarut Tauhiid Bandung. By implementing the Tracer Study application, SMK Daarut Tauhiid Bandung can obtain accurate and useful data to measure the success of the education they provide to students, improve the relationship between the school and alumni, and make a positive contribution to the community in an effort to improve the quality of education
EXPLICATING THE NARRATIVES OF ELEMENTARY TEACHERS IN HANDLING GRADE 2 STUDENTS WITHOUT PRIOR IN-PERSON INSTRUCTION
Authors: Generoso  P. Makig-Angay  , Henry C. Ligan
Published: February 2024

The purpose of this qualitative study employing the approach of narratology was to explore the narratives of elementary teachers in dealing with Grade 2 students without prior in-person instruction in the Division of Tagum City. Three elementary teachers were selected through purposive sampling, and they were interviewed to glean the narratives relevant to the research topic of the study. Their narratives were similar which showed the problems that emerged among the Grade 2 learners after the pandemic which include the learning gaps in literacy and numeracy, socio-emotional problems of the pupils, and lack of parental involvement during the pandemic. In response to these perceived challenges, the teachers focused first on the recovery of the expected foundational skills of the learners and exposed them to lots of interactions with their peers. Moreover, remediation as an intervention was made available for the learners to cope with their learning gaps in consonance with asking the learners parents for their collaboration and support. The elementary teachers realized that the curriculum should be adjusted to accommodate these learners who admittedly had learning loss during the pandemic. Support of teachers, educational leaders, parents, and stakeholders was perceived to be crucial to immediately address this serious problem in the society today.
KEYWORDS: education, elementary teachers, narrative research, purposive sampling, Division of Tagum City
«Green» logistics in the business of logistics transportation: prospects and features of the development of «green» logistics in business for Ukraine
Authors: Reznik Nadiia , Marynina Olena
Published: February 2024

The urgency of researching the directions of logistics transformation determines the growth of the social responsibility of business. This article examines the goals, tasks, and principles of ecological logistics and the factors of the concept of responsibility during the implementation of logistics operations. Now, significant results of applying new technologies and strategies in the activities of Ukrainian entrepreneurs, state institutions, and commercial and non-commercial organizations are being monitored. Today, logistics technologies reach a new level of organization and management, and innovative solutions, technologies, and strategies are used. This determines the high level of environmental protection. The business implements modern trends to preserve the environment. For example, factories and transport companies create their environmental plans. The majority of customers and companies prefer rail transport for international transportation. Thanks to this, the achievement of quantitative and qualitative goals of logistics activity is created. Through the cooperation of economic, social, and environmental components. This forms the image of «green logistics». The article considers the goals, tasks, and principles of «green» logistics, factors that contribute to the formation of the concept of general responsibility during logistics operations, and conditions of its implementation. It was determined that the possibility of achieving quantitative and qualitative goals of logistics activity is provided by synthesizing economic, social, and ecological components that form the outline of «green logistics»; the unity of the interaction of these components provides resource-saving technologies.
The cooperation of these components creates conditions for the development of resource-saving technologies. Logistics has a significant impact on most components of the environment. For example, atmospheric air and water pollution, ozone layer destruction, etc. It has been studied that the impact of various vehicles on the environment has become an incentive for countries' governments to develop «green» technologies. It is important to note that state support is a significant factor in implementing ecological strategies and innovations for implementing approaches and methods of managing material, technical, production-economic, and transport-distribution operations.
Keywords: logistics, «green» logistics, environment, logistics processes, «green» technologies.
Innovation’s, and civil servants’ behavioral models’ influence on the formation of customs authorities’ and financial intelligence units' cooperation and document exchange institutional conditions
Authors: Revak Irina , Pidkhomnyi Oleg , Prokopenko Valeriia , Zubrytskyi Artur
Published: February 2024

The article examines the influence of innovation on the development of institutional conditions for cooperation and document exchange between customs authorities and financial intelligence units, considering the civil servants' behavior patterns as innovative approaches implementers. Cooperation between customs authorities and financial intelligence units provides a critical foundation for ensuring the integrity of international trade and financial systems. In a time of rapid technological advancement, innovation plays a key role in shaping the dynamics of this collaboration.
Individual and organizational factors in the behavioral models' formation in the field of relevant cooperation and ways to increase the efficiency of interdepartmental cooperation are substantiated. Particular attention is paid to the procedure for the exchange of documents between customs authorities and financial intelligence units, considering commodity and financial flows in the global economy, and the inconsistency of national and international law in the international trade field certain provisions. The opportunities and challenges of such cooperation, incentives, and the ability to exchange information between customs authorities and financial intelligence units are identified.
The need to introduce innovative tools and information exchange mechanisms specifically designed to identify suspicious signals in trade and financial transactions that may indicate crimes in international trade or sanctions evasion is argued.
Instead of viewing innovation as a potential threat, customs authorities should actively engage with innovative enterprises to create mechanisms that consider technological advances. Such collaboration can lead to the development of systems and processes that not only ensure compliance with regulatory requirements, but also facilitate more convenient and efficient cross-border trade. The development of digital ecosystems opens promising opportunities for cooperation between customs and financial intelligence units. Such systems not only improve the efficiency of risk assessment, but also ensure financial crimes timely detection. This innovative approach creates a dynamic system that adapts to the changing nature of threats in global trade and finance.
Keywords: innovations, behavior patterns of civil servants, customs authorities, financial intelligence units, cooperation, document exchange.
Higher education system reforms in Ukraine: challenges for art education
Authors: Datsko Olesya
Published: February 2024

Permanent reforms of the education system in Ukraine are conducting without high-quality strategic planning and scientific justification. It leads to stochastic processes, actualizes challenges and threats to the competitiveness of the high education industry, and the issue of many universities survival precisely of the number, permanence and groundlessness of the proposed reforms.
In 2022 the Ministry of Education and Science of Ukraine announced another reform of higher education, which don't take into account the important role of culture as the pilar and basis for the Sustainable Development Goals achieving, and the requirements of the strategic documents of Ukraine's development.
Special risks are created for higher art education, as a result of its marginalization, neglect of the importance of this education for social development and the peculiarities of the artistic higher education training.
There is established that certain proposals for modern reforms, in particular regarding the list of fields of education and training, the standardization of scientific work accounting, do not meet the actual needs of society, and therefore the implementation of these changes is inappropriate.
For the authorities an economy of budget funds is the main criterion for the effectiveness of reforms, and obviously these reforms do not supply the better provision of public goods por the people. Also, the priorities of the implemented reform are determined by the requirements of the loan agreement with the International Bank for Reconstruction and Development, the main target indicators of which are unknown to the public. At the same time, the proposed changes do not contain proper scientific justifications and assessments of the expected impact on the state's ability to perform social functions, in particular to guarantee higher education as a component of the state's security chain. And most importantly, its do not contain indicators of humanitarian development as a pillars of reforms.
The need to revise the goal-setting procedure and approaches to the planning and implementation of the higher education reforms is proven. The important criteria for the effectiveness of reforms should be the systematic consideration of the important role of culture in social development and the human dimension of performance indicators, as well as the positioning of higher art education as a value-shaping component of the education system.
Infection Control Status of Hand Hygiene After Treatment of Contaminated Areas of Dental Workers
Authors: Na Hee Ja
Published: February 2024

Objective: For infection control, dental workers' awareness of non-risk instruments and related infection control protocols commonly used in dental treatment or medical institutions was investigated, and infection control status was studied. Methods: This study involved 141 dental workers at S dental hospitals, Y dental clinics, I dental clinics, and H dental clinics in Gwangju and Gyeonggi-do. The study participants are G.With the power 3.1 program, 141 people were calculated with an effect size of 0.3, a significance level of 0.05 and a power of 0.95. After visiting the dentist in person to explain the purpose of the study and how to fill out the questionnaire, it was retrieved after self-filling. The questionnaire was 13 questions, and the alpha of the reliability statistic Cronbach was .083, indicating high reliability. Results: In the descriptive statistics of univariate variance analysis of hand hygiene performance when moving contaminated areas, the younger the age, the lower the hand hygiene performance when moving contaminated areas. Conclusion: Conducting hand hygiene after contact with age and contaminated areas. In wearing hand hygiene gloves, the F statistic is 2.698, significance probability .002, which is significantly explained at significance level .05. In other words, hand hygiene after contact with age and contaminated areas. Wearing hand hygiene gloves was found to be at a low level.
Space Infections in Children- A Case Report Series
Authors: Sathyaprasad Savitha
Published: February 2024

Head and neck area infections in children can be severe, necessitating an immediate diagnosis and course of treatment. These infections are frequently brought on by periapical abscesses, dental trauma, untreated dental caries (cavities), or consequences from dental operations. Poor oral hygiene practices and postponed dental treatment in children might raise the risk. Swelling, discomfort, fever, trouble swallowing, trismus (inability to open the mouth), and occasionally difficulty breathing or speaking are common symptoms in children with head and neck region infections. Clinical examination, patient history, and imaging tests like dental radiographs (X-rays) and CT scans to map out the extent and location of the infection are commonly used by paediatric dentists and healthcare professionals to identify these illnesses. To manage the illness, broad-spectrum antibiotics are frequently administered. These infections, if ignored, can result in potentially fatal consequences such as cellulitis, Ludwig's angina, mediastinitis, and sepsis.
Intercepting Intracept: A Case Report of Idiopathic Arachnoiditis
Authors: Chhatre Akhil
Published: February 2024

Introduction: Determining the exact diagnoses for low back is challenging due to the myriad of causative factors. Consequently, rare diagnoses like arachnoiditis are often overlooked, causing patients with this condition to be ineffectively treated. Arachnoiditis involves inflammation of the arachnoid membrane enveloping the spinal cord, can is caused by diverse etiological factors, including infections, trauma, spinal cord contamination, tumors, and genetic predispositions. Case: In this case report, the author describe a 43-year-old female with a past medical history of anxiety and depression who presented with chronic back pain. The patient had previously undergone trials of various neuropathic and nociceptive modulating medications as well as transforaminal and caudal epidural corticosteroid injections, yielding minimal relief. On the evaluation, the patient’s lumbar spine MRI revealed findings suggestive arachnoiditis, a diagnosis that had also been missed on a previous MRI a year prior. Given this, the patient was advised to not undergo the Intercept procedure which had been previously recommended by another provider. Discussion: Given its resemblance to other neurologic conditions, the diagnosis of arachnoiditis involves a comprehensive approach with history, physical examination, and imaging modalities such as MRI or CT myelography serving as critical components. In this case, the patient did not have any history of infection or trauma, making the diagnosis more elusive, and requiring the team to pay more heed to the imaging finding. Although her imaging served supportive evidence or arachnoiditis, it is important to recognize its correlation with clinical findings and the severity of symptoms is not always consistent. Management of arachnoiditis requires a multi-faceted approach with steroids, neuropathic modulating medications, muscle relaxants, cognitive behavioral therapy, and physical therapy. Conclusion: This case report underscores the diagnostic challenges and clinical intricacies associated with spinal arachnoiditis. The presented patient's atypical symptoms and protracted diagnostic journey highlight the importance of ongoing vigilance and comprehensive evaluation in chronic pain management. Further research should investigate effective treatment modalities for this chronic and debilitating condition that is overlooked, given its similarity to other diagnoses and rare prevalence.
Trust Issue in Relationship pada Pasangan Long Distance Relationship
Authors: Kuswartanti Dyah Rachman , Nasyadila Arum , Anugerah Ninda Tri
Published: February 2024

Usia dewasa awal, biasanya menjalin hubungan dengan lawan jenis yang semakin intens dan intim atau biasanya disebut pacaran. Saat berpacaran mereka saling mengenal dan saling menyesuaikan karakter ataupun sifat. Tak jarang mereka melakukan Long Distance Relationship (LDR), yang berarti terpisah secara geografis dengan pasangan. Kondisi seperti ini pasangan membutuhkan kepercayaan untuk dapat menjaga hubungan. Tujuan penelitian ini adalah mengetahui trust in relationship pada pasangan LDR. Peneliti menggunakan metode pendekatan kuantitatif pada 60 responden yang menjalin LDR, dan berusia 18-30 tahun. Skala yang digunakan adalah alat ukur trust issue in relationship yang sudah diadaptasi dari Rempel (1985). Nilai dengan nilai reliabilitas adalah 0.892. Hasil penelitian ini adalah respon pasangan LDR sebanyak 53% atau 32 responden termasuk dalam kategori tingkat kepercayaan tinggi, yang memiliki arti bahwa pasangan LDR percaya kepada pasangan walaupun hubungan mereka terpaut jarak.
Gaya Kepemimpinan Berdasarkan Path-Goal Theory
Authors: Astari Karima
Published: February 2024

Dengan menggunakan gaya kepemimpinan yang tepat, pemimpin dapat mempengaruhi kepuasan kerja, komitmen dan produktivitas karyawan. Penelitian ini bertujuan untuk menganalisis gaya kepemimpinan yang dimiliki oleh dekan berdasarkan path-goal theory. Pendekatan penelitian menggunakan pendekatan kuantitatif, dengan metode studi deskriptif. Sampel terdiri dari 34 karyawan. Instrumen yang digunakan adalah The Path–Goal Leadership Questionnaire yang terdiri dari 20 item. Pengujian reliabilitas dilakukan dengan metode statistik Cronbach’s Alpha, dengan hasil 0.876. Hasil penelitian menunjukan bahwa gaya kepemimpinan yang dimiliki oleh dekan adalah gaya kepemimpinan directive dan achievement-oriented. Singkatnya, dekan memberikan pedoman, yang memungkinkan karyawan tahu apa yang diharapkan dari mereka, menetapkan standar kinerja bagi mereka serta menetapkan tujuan yang menantang dan mendorong karyawan untuk mencapai kinerja terbaik mereka. Hasil penelitian ini diharapkan menjadi wawasan bagi instansi. Selain itu, dapat menjadi pengetahuan, informasi tambahan bahkan masukan bagi pemimpin, karyawan dan organisasi, sehingga diharapkan dapat bergerak melampaui respons dan rutinitas yang nyaman dan membayangkan cara-cara baru untuk bekerja dan memimpin.
Taxifolin Inhibits the Proliferation of Glioblastoma Multiforme Cells via Apoptosis and Autophagy
Authors: Kuo Jinn-Rung , Chang Yuh-Ming , Huang Yen-Min , Chang Yun-Chen , Lee Chih-Chien , Hsu Li-Sung , Yang Tsung-Hsi
Published: February 2024

Glioblastoma multiforme is the most malignant tumor in the central nervous system. As a result of its high recurrence rate, drug resistance, and distal metastasis, the 5-year survival rate of glioblastoma multiforme patients is only around 5%. Taxifolin, a polyphenol from traditional Chinese medicine, exerts antioxidant, anti-inflammatory, and antitumor properties. This study aimed to explore the molecular mechanisms of taxifolin on the proliferation of glioblastoma multiforme. Taxifolin mitigated the viability of GBM 8901 cells in a time- and dose-dependent manner. Flow cytometry analysis by PI alone or PI combined with Annexin V revealed that taxifolin at 200 and 400 μM significantly elevated the apoptosis population in GBM8901 cells. Western blot analysis demonstrated that taxifolin dose-dependently increased p53 expression and reduced poly ADP-ribose polymerase, B-cell lymphoma 2, and pro-caspase-3 expression. Moreover, the autophagy-related protein p62 was reduced by taxifolin. By contrast, expression of the light chain 3β protein was elevated in response to taxifolin treatment. Depletion of light chain 3β protein by short hairpin RNA significantly recovered 200 and 400 μM taxifolin-induced cell death in GBM8901 cells. Our findings indicated that taxifolin repressed the cell proliferation of glioblastoma multiforme by triggering apoptosis and autophagy. Using taxifolin to treat glioblastoma multiforme may be a potential therapy agent.
Pengaruh Model Discovery Learning Berbasis IoT Terhadap Kemampuan Berpikir Kritis Siswa: Meta -analysis
Authors: Baso Intang Sappaile  , Nenni Triana Sinaga  , Muh.Safar  , Novianty Djafri  , Aloisius Harso  , Dewanto  , Tomi Apra santosa
Published: February 2024

The industrial revolution 4.0 has had a significant impact on the field of education. The role of technology has a positive impact on students' critical thinking abilities in learning. The discovery learning model is an effective learning model associated with Internet of Things (IoT) technology. However, many studies regarding discovery learning models have not found an effect size for Internet-based discovery learning on students' critical thinking skills. The aim of this research is to determine the effect of the IoT-based discovery learning model on students' critical thinking abilities. This type of research is a type of quantitative research with a meta-analysis approach. Inclusion eligibility criteria are research published in 2020-2024, research must be related to IoT-based discovery learning models, research data comes from reputable international journals and proceedings, research has complete data for effect size analysis and sample size (N) > 25 students. Data analysis techniques with the help of JSAP software. The results of the research concluded that the mean effect size value was 1,154, so the IoT-based discovery learning model had a positive effect on students' critical thinking abilities in the high category. These findings provide important information for teachers regarding the application of IoT-based discovery learning models to develop students' critical thinking skills in schools
CD99 tumor associated antigen is a potential target for antibody therapy of T-cell acute lymphoblastic leukemia
Authors: Kotemul Kamonporn , Kasinrerk Watchara , Takheaw Nuchjira
Published: February 2024

Monoclonal antibodies (mAbs) are an effective drug for targeted immunotherapy in several cancer types. However, so far, no antibody has been successfully developed for certain types of cancer, including T-cell acute lymphoblastic leukemia (T-ALL). T-ALL is an aggressive hematologic malignancy. T-ALL patients who are treated with chemotherapeutic drugs frequently relapse and become drug resistant. Therefore, antibody-based therapy is promising for T-ALL treatment. To successfully develop an antibody-based therapy for T-ALL, antibodies that induce death in malignant T cells but not in nonmalignant T cells are required to avoid the induction of secondary T-cell immunodeficiency. In this review, CD99 tumor associated antigen, which is highly expressed on malignant T cells and lowly expressed on nonmalignant T cells, is proposed to be a potential target for antibody therapy of T-ALL. Since certain clones of anti-CD99 mAbs induce apoptosis only in malignant T cells, these anti-CD99 mAbs might be a promising antibody drug for the treatment of T-ALL with high efficiency and low adverse effects. Moreover, over the past 25 years, many clones of anti-CD99 mAbs have been studied for their direct effects on T-ALL. These outcomes are gathered here.
Laparoscopic approach to intestinal obstruction.
Authors: Lobato Bancalero L , Fernández Garcia FJ , Maros Rojas N , Arrebola Luque L , González Cano J , Roldán de la Rúa J
Published: February 2024

Presentamos el caso de una paciente con cuadro de dolor abdominal y estreñimiento de dos semanas de evolución. Presenta distensión abdominal y dolor en hipogastrio. Con analítica dentro de la normalidad de se realiza TC de abdomen con imágen de lesión sospechosa de neoplasia en sigma. Se realiza rectosigmoidoscopia que confirma la lesión a 27 centímetros del margen anal, obstructiva, no franqueable y que no permite la colocación de stent.
Perianal basal cell carcinoma, an uncommon location.
Authors: Alejandre Ovejero B , Garde Lecumberri C , García Martínez MÁ , Mirón Pozo B
Published: February 2024

El carcinoma basocelular es una entidad muy frecuente en las zonas fotoexpuestas en el género masculino sobre la 6-7ª década de la vida. Sus localizaciones son variadas, siendo la zona perianal una localización inusual. Su diagnóstico se confirma mediante el estudio anatomopatológico y la inmunohistoquímica. El tratamiento se basa en la escisión con márgenes. Aquí presentamos un caso de un varón de 74 años con carcinoma basocelular tratado en nuestro centro.
Amyand's hernia complicated with cecal necrosis: Presentation of a case and surgical treatment.
Authors: Martínez Martínez HG , Pulido López RA , Flores Ávila JE , Manzano Tamez M
Published: February 2024

Introducción: La presencia del apéndice vermiforme, inflamado o no, dentro de un saco herniario se conoce como hernia de Amyand (HA). Esta representa un 1 por ciento de todas las hernias inguinales y un tercio de estas se asocian con apendicitis aguda. Esta presentación es una entidad poco frecuente y la mayoría de las ocasiones se presenta como hallazgo durante el evento quirúrgico.

Caso clínico: Reportamos un paciente masculino de la quinta década de la vida que consultó por un cuadro de 10 días de evolución con aumento de volumen en región inguinal derecha asociado a dolor e incapacidad a la reducción. Se practicó laparotomía exploradora que requirió hemicolectomía derecha.

Resultados: Durante el transoperatorio se evidencia saco herniario con contenido de ciego y apéndice cecal con necrosis en su base. Se realiza hemicolectomía derecha y elaboración de ileostomía bajo anestesia regional.

Discusión: Los pacientes que presentan este tipo de hernia pueden presentar un cuadro clínico similar al de una hernia inguinal estrangulada acompañado de síntomas clásicos de apendicitis aguda. El diagnóstico se considera un reto, es esencial una historia clínica formal acompañado de exploración física minuciosa; la tomografía computarizada es útil en adultos, así como la ecografía en pacientes pediátricos, sin embargo, el hallazgo intraoperatorio confirmará el diagnóstico.

Conclusiones: La hernia de Amyand representa un reto diagnóstico, en la mayoría de las ocasiones se considera un diagnóstico intraoperatorio incidental. No existe un tratamiento protocolizado, sin embargo, el grado inflamatorio del apéndice es el que guiará el abordaje quirúrgico.
Giant ovarian cyst as a cause of parastomal incarceration
Authors: Gómez Sánchez J , Jurado Prieto FJ , Nania A , Hernandez García MD , Mirón Pozo B
Published: February 2024

Los quistes ováricos gigantes son tumores de más de 10 cm de diámetro que pueden generar una variedad de síntomas importante. La distensión abdominal progresiva, el dolor abdominal difuso inespecífico y la compresión de órganos (estreñimiento, vómitos y micción frecuente) son sus principales formas de manifestación, y su tratamiento suele ser quirúrgico. Por otro lado, una de las complicaciones más frecuentes de las amputaciones abdominoperineales, tras la confección de un estoma, es su consiguiente hernia paraostomal. En muchas ocasiones dichas hernias pueden presentar episodios de complicación como obstrucción intermitente, dolor, y menos frecuente, episodios de incarceración.

La combinación de ambas patologías es algo infrecuente, y que puede requerir una actuación urgente. Presentamos paciente con hernia paraostomal no complicada que por crecimiento de quiste ovárico gigante presentó episodio de incarceración y obstrucción requiriendo cirugía urgente con funestos resultados.
Effectiveness of Field Oriented Control and Direct Torque Control Methods for Induction Motor Speed Regulation
Authors: Ahmad Sohail , Le Ha Thu
Published: February 2024

Induction motors are used extensively in many sectors, including manufacturing, power generation, healthcare, and transportation. Robust speed regulation of inductor motors is a key requirement for ensuring their intended usage and increasing their effectiveness. This study analyzes two advanced and popular methods for regulating the torque and speed of induction motors, namely, field-oriented control (FOC) and direct torque control (DTC). Detailed mathematical modeling of both methods is described, providing the in-depth perspective of the control algorithms and problem variables. This is followed by a thorough analysis of the performance of the control methods. Different control scenarios have been analyzed using simulation with MATLAB Simulink under different speed and loading conditions. The outcomes show that FOC provides better performance in terms of reduced torque jitter, smooth torque, and speed tracking response for highly variable load and reference speed profiles. Further, the FOC is found to generate better current waveforms. This leads to improving the power factor, decreasing electrical noise, and enhancing the motor performance. Meanwhile, the DTC demonstrates a strong capability to handle large speed changes and provide faster torque response, but it suffers from considerable torque variation. The simulation outcomes also suggest that the method selected to tune PI controllers is effective. The findings contribute to enhancing the efficient operation of induction motors and fostering their applications in diverse sectors for improved productivity and service, and superior economic gain.
Artistic Narrative and Expression—A Perspective of Artistic Philosophy
Authors: Zhang Haibin
Published: February 2024

The philosophy of art takes human aesthetic activities as the object, and makes philosophical reflections on human aesthetic activities, presenting the most general and fundamental laws. The pursuit of artistic philosophy has shifted from people’s alienated emotions to more focus on people’s poetic feelings, getting rid of the standardized model of mechanism, truly re-examining people’s true feelings, and pursuing meaning and poetry. The highest state of art is also the state of philosophy. The value judgment of art in the philosophical field of vision deepens the cognition and understanding of the transcendence of art. The abstract and unified view of art philosophy has far-reaching significance in artistic practice.