bluuebunny/crossref_metadata_2025 huggingface dataset:
O PAPEL DO FARMACÊUTICO NA AUTOMEDICAÇÃO DA "FARMÁCIA" CASEIRA
Authors: De Oliveira Netto Idari Francisco , De Sousa Letícia Cristina Alves , Ferreira Bruno Rogério , Tassara Kennia Rodrigues , Silva Igor Caldeira , Wastowski Isabela Jubé
Published: March 2023

A assistência farmacêutica tem em seus preceitos a promoção do acesso aos medicamentos, porém este acesso traz consigo graves consequências. A prática da automedicação é frequente em casos de cefaleias, dores lombares, pequenas infecções dentre outros, e envolve indivíduos de todas as classes sociais e níveis de escolaridade. O uso de medicamentos sem receita médica é um grave problema que pode mascarar vários sintomas impedindo diagnósticos simples que podem ser agravados. É necessária a orientação farmacêutica quanto a questões como interação medicamentosa e o armazenamento de medicamentos para garantir eficácia na terapia do paciente evitando possíveis efeitos adversos. Esta pesquisa visa identificar a ocorrência da prática da automedicação e a necessidade da orientação de um profissional farmacêutico, através da atenção farmacêutica, para o manuseio e uso racional dos medicamentos. O estudo mostrou por meio de revisão de literaturas que a inserção do profissional farmacêutico em programas de assistência à comunidade e a visão da farmácia como um estabelecimento de saúde, são fundamentais para a minimização dos problemas causados pela automedicação, armazenamento e descarte incorreto de medicamentos.
Role of Counseling Media on Knowledge, Attitudes and Actions Women of Childbearing Age in IVA Examination at East Kolaka District
Authors: Harsup Moita Putri , Sunarsih Sunarsih , Fatmawati Fatmawati
Published: March 2023

Introduction: Based on the 2019 of Regional Health Research, the early detection of cancer that has been carried out is the early detection of cervical cancer using the IVA method (Visual Inspection with Acetic Acid), which shows a decrease in IVA detection in each public health center and is still far from the national target of 100%. East Kolaka District is the area with the second lowest IVA examination rate at 0.08% while the first lowest IVA examination area is in Konawe District at 0.04% from 17 districts.

Method: This type of research is experimental research, a pre-experimental design with Four Groups Pretest-Posttest research design, was used to examine the role of the counseling media to the knowledge, attitudes and actions of women childbearing age in the IVA examination in East Kolaka District. The sample size of the respondents was 186 people.

Result: The Role models, FGDs, leaflets and whatsapp application had an effect on knowledge, attitudes and actions in the IVA examination in East Kolaka District.

Conclusion: Looking at the average increase in the result shows that whatsapp media was more effective in increasing knowledge, attitudes and actions than the other three media.
NGHIÊN CỨU MỘT SỐ YẾU ẢNH HƯỞNG TỚI CHỨC NĂNG HÔ HẤP Ở NAM GIỚI ĐẾN KHÁM TẠI BỆNH VIỆN QUÂN Y 103
Authors: Đỗ Đức Thuần , Lê Văn Quân, Nguyễn Thanh Hà Tuấn,  Phạm Ngọc Thảo
Published: March 2023

Mục tiêu: Nghiên cứu các yếu tố ảnh hưởng đến chức năng hô hấp ở đối tượng nam giới, trưởng thành. Phương pháp: tổng số 45 bệnh nhân độ tuổi từ 20 tới 48, tiền sử không mắc các bệnh lý hô hấp đi kiểm tra sức khỏe định kỳ về chức năng hô hấp tại Bệnh viện Quân y 103 được thu thập từ tháng 2/2022 tới tháng 5/2022. Chức năng hô hấp của bệnh nhân được đánh giá bằng phương pháp đô hô hấp ký. Tương quan hạng pearson hoặc kiểm định Independent Samples T-Test được sử dụng để đánh giá mối liên quan giữa chỉ số đánh giá chức năng hô hấp với tuổi, chiều cao, cân nặng, BMI, tình trạng hút thuốc của bệnh nhân. Kết quả: Giá trị trung bình của FVC và FEV1 là 4.2 và 3.7 lít với giá trị trung bình của chỉ số Gaensler là 88.2%. Giá trị trung bình của FEV3 và FEV6 là 4.1 lít và giá trị giá trị trung bình của FEF 25-75%, FEF 200-1200, PEF là 4.5, 6.9, 7.7 lít/ giây. Tuổi có tương quan nghịch với chỉ số Gaensler, FEF25-75% . Ngược lại, cân nặng có mối tương quan thuận với FVC, FEV1, FEV3, FEV6 và chiều cao có mối tương quan thuận với FVC, FEV1, FEF 25-75% , FEV3, FEV6 , FEF 200-1200. Giá trị trung bình chỉ số Gaensler, FEF 25-75%, FEF 25-75% , lưu lượng đỉnh ở nhóm có hút thuốc thấp hơn so với nhóm không hút thuốc. Kết luận: Tuổi, chiều cao, cân nặng và tình trạng hút thuốc ảnh hưởng đến chức năng hô hấp của nam giới trưởng thành độ từ 18 tới 48 tuổi.
A CLOUD-BASED INVASION DETECTION SYSTEM THAT USES SECURE HASHING METHODS
Authors: Kondragunta Devendra Babu , Judgi Dr. T
Published: March 2023

All industries have the same fundamental problem of insufficient defense, but today's adversaries are making significant efforts to penetrate these defenses in order to engage in illegal insider trading. They identify a wide variety of information theft conduits. Private details is more vulnerable to intrusion in the modern world. While there are numerous defenses against various forms of assault, hackers are always developing novel methods of breaching existing defenses. As a result, in this article, we attempted to create a novel approach that would be very resistant to such an assault. The suggested scheme includes the implementation of a hash map-based system for detecting intrusions. In this system, the item is hashed and then stored as a shared key. The safe transfer of data is a key issue nowadays. Users in the data-sharing system may encrypt their files using their own personal keys before uploading them. If a user leaks the key information, it becomes tough for the cloud provider maintain stay secure, making this attribute extremely crucial to any large-scale data sharing system. In this work, we provide a secure and efficient implementation of the technique, as well as a proof of its security. Many obstacles stand in the way of data owners when they want to make their data available through server or cloud storage. The issues may be addressed in a variety of ways. For the safe management of a shared key belonging to the data's owner, several methods are required. In this article, we'll discuss the concept of a trusted authority as a means of verifying the identities of cloud data users. The trusted authority will utilize the SHA algorithm to produce the key, and then distribute it to the user and the owner. To determine the hash value, the certified authority system utilizes the MD-5 method after receiving an AES-encrypted file from the data owner. It maintains a database with keys that may be accessed during dynamic operations and utilized to identify any cheaters inside the network (CSP or Owner). The CSP module stores files sent from the trusted authority in the cloud. It is shown that the generated key sets have many desired qualities that protect reliable communication from being snooped on by other the network's nodes. Key Words: Object, Hashing, Hash Map, Intrusion Detection System, Intrusion, Security.
On Some Reflections of Profit and Loss Functions
Authors: KELEŞ Hasan
Published: April 2023

This article is about the symmetrical reflections of profit and loss functions and the functions obtained from them, which are widely used in economic, economic and financial applications of mathematics. It is seen that the applications in the literature are calculated according to the profit and loss accounts alone. Since the occurrence of loss in an economic activity negatively affects the result of the profit, as a result of the loss, economic activity bankruptcy, etc. decisions are finalized. This has irreversible consequences. The controllability of these two interactive events poses reassuring risks. In short, it enables the manageability of the activity. Applications in life take place on a more real axis. To control, to see the whole event, thus providing the possibility of intervention. Therefore, it started with linear functions in the plane. Evaluations were made on the graphics here.

The system concepts existing in Mathematical Science, their results in applications, especially in economic activities in the market were examined and their symmetrical reflections with respect to each other were examined. Starting from the reflections of the known profit and loss functions, their interactions with each other were investigated [4]. How the break-even point was reflected according to these reflections, and therefore what they did was examined. The reflection of profit and loss functions according to another function was discussed. This makes it necessary for the control, planning and implementation of the situations observed in an economic activity, which are known in market economies. Therefore, it was emphasized that when the price will change in an economic activity, it will be more important to monitor and manage, and even at what stage the advertisements will be made, as a result of reflections. The loss curve is negatively sloping due to price, reflecting new information on the condition of its slope. It was emphasized that the reflections of the determining factors in marketing vary so much. As is known, prices simultaneously reflect both the value for the buyer of the next (or marginal) unit and the cost for the seller of that unit.
Elliptic Curve Cryptosystem for Digital multimedia, General Review
Authors: Abbas Dina.H. , Ayad Abd-al-Kahhar AbdulSalam
Published: April 2023

Various Cryptography algorithms are used to keep the transmission of data safe from intruder and tosecure the connection between sender and receiver. This article provides an overview of ECC, including thealgorithm process, fundamental protocols, and different ECC systems and applications. EC over fields also representsby numerous graphical representations of cryptographic processes. Comparison tables are included that list the ratioof key size between ECC and RSA (the nearest method to ECC), in factors of overhead, power availability andrequired storage, which indicates fast running with less bandwidth in case of elliptic curve method. In the other handsome previous works related to the topic were compared according to the functions of properties, measurementmethods, and type of the data used, results were collected in traceable manner for the purpose of making it availableto researchers and those interested in ECC.
Professional Quality of Life (ProQOL) of Health Care Providers in Manipur, India
Authors: Mathew Lintu , Gupta Avantika
Published: April 2023

Introduction: Professional Quality of Life (ProQOL) relates to comfort and satisfaction in a profession. Health care providers are exposed to great level of stress and traumatic events in their job. This study aimed at determining the ProQOL of health care providers in Bishnupur district.
Methodology: A cross sectional study was conducted among health care providers of Bishnupur district, Manipur during 24 January- 24 February 2021. The participants were 153 healthcare providers from district hospital, CHCs and PHCs using a convenience method. The instrument for collecting data consisted of “Professional Quality of Life Measure version 5(ProQOL-5)” questionnaire. Chi square test and Pearson’s r correlation was used for analysis.
Results: Mean age of the participants was 37.54 + 9.1 years. The mean values for the domain compassion satisfaction (CS), secondary traumatic stress (STS), burnout (BO) was 36.7 + 5.2, 23.2+ 4.5 and 23.3 + 5.6 respectively. BO and STS were positively correlated. There was no significant association between other domains. Participants who had night shifts had more BO level compared to others.
Conclusion: Majority of the participants had moderate CS and STS. Those having prolonged duty hours experienced more burnout compared to others.
Balance Control of a Flywheel Inverted Pendulum by Fuzzy Logic Controller
Authors: ERKOL Hüseyin Oktay , KÖZKURT Cemil
Published: April 2023

In this study, a flywheel inverted pendulum was modeled as simulation. The model controlled by fuzzy logic and PID controller for comparison. Fuzzy logic controllers were designed using triangular and Gaussian membership functions and various methods that are "and", "implication" and "aggregation". All gains from fuzzy logic controllers and PID were tuned by the trial-and-error method. The best performance was obtained by fuzzy logic controller that uses a triangular membership function and "prob/probor" functions. The results were evaluated in terms of three phenomena. In terms of Settling Time and Maximum Overshoot, Fuzzy Triangle MF with 0.15 s and 0 degrees, respectively, and PID and Fuzzy Triangle MF models with 0 degrees in terms of Steady-State error achieved the best success. In addition, the robustness of the control system was tested by applying two different types of disturbance inputs, random and impulse. The results show that fuzzy logic is a good alternative for balance control of a flywheel inverted pendulum, but PID has an acceptable performance.
Acontecimiento y crisis contemporánea: un acercamiento a partir de la filosofía de Slavoj Žižek
Authors: Cañaveral-Londoño Diana-Carolina , Osorio Francisco , Rengifo-Castañeda Carlos-Adolfo
Published: March 2023

El presente artículo pretende dar cuenta de cómo el pensamiento de Slavoj Žižek posibilita el diagnóstico, la comprensión y la interpretación de nuevas o diversas formas de confrontación de algunas de las crisis más importantes de este tiempo, para lo cual esta investigación partió del estudio del concepto de crisis en el pensamiento del filósofo esloveno y de la descripción breve de algunos hechos que podrían considerarse como críticos o verdaderas crisis de este tiempo. Posteriormente se realizó un análisis de la teoría del acontecimiento desarrollada por Žižek en varias de sus obras, para finalizar con algunas recomendaciones y reflexiones en torno a la forma en que el pensamiento de dicho autor posibilita tanto una nueva comprensión de las crisis, como la construcción de alternativas y focos de atención que constituyan, en sí mismos, nuevas formas de confrontación de ellos. El método empleado para realizar el abordaje así propuesto fue el hermenéutico, el instrumento fue el estudio bibliográfico y la técnica de análisis de información fue el análisis del discurso.
CRITERIA AND METHODS FOR ASSESSING EFFICIENCY OF PUBLIC LIFE QUALITY MANAGEMENT (WORLD EXPERIENCE)
Authors: Budeshev Yeraly , Rakhmetova Aibota
Published: March 2023

Quality of life is a socio-economic systems management category. Management’s efficiency is associated with allocation of all required performance evaluation criteria and further measurement procedure. The achieved result directly depends on optimality of criteria selection and further measurement. Accordingly, this paper explores main approaches to measuring quality of life, identifies their advantages and disadvantages. The study also highlights criteria for assessing wellbeing based on an objective, subjective, and integral perception of quality of life in countries with a higher level of wellbeing. Based on systematization of theoretical approaches to determining the structure of quality of life, its aspects (structural blocks) most common in international practice, recognized as the minimum required are identified. In accordance with the proposed structure, conclusion recommends using indicators correctly determining changes in the wellbeing and strengthening of the impact of society on a decision-making process to improve the quality of life. Recommendation takes into account the fact that in today's Kazakhstan the degree of satisfaction with the quality of life remains low as there is a multitude of systemic problems associated with uneven income distribution; housing security and credit burden; state of strategic life support facilities, including heat supply (thermal power plants) and public highways (of republican, regional, and district significance); environmental situation in regions and cities of republican significance, and other aspects of quality of life negatively affecting the level of confidence in socio-economic institutions.
DỰ ĐOÁN HẠN DÙNG VẮC XIN MẪU CHUẨN QUỐC GIA VIÊM GAN B TÁI TỔ HỢP LẦN THỨ HAI
Authors: Nguyễn Thị Kiều  , Đoàn Hữu Thiển  , Nguyễn Thị Lý  , Nguyễn Kim Bách  , Bế Thị Thắm  , Nguyễn Thị Hồng Định  , Phùng Hải Linh
Published: April 2023

Loạt vắc xin mẫu chuẩn viêm gan B lần thứ hai MCQG.HBV.02 được đưa vào sử dụng từ năm 2019 nhưng chưa có nghiên cứu đánh giá tính ổn định nào được công bố. Nghiên cứu này được thực hiện với mục tiêu dự đoán hạn dùng loạt vắc xin mẫu chuẩn trên bằng phương pháp thúc đẩy nhiệt để xác định hàm lượng kháng nguyên HBsAg của mẫu chuẩn ở các nhiệt độ bảo quản khác nhau: 25oC, 37oC và 45 oC. Kết quả nghiên cứu cho thấy, ở nhiệt độ 25oC sau 28, 56, và 84 ngày hàm lượng HBsAg của loạt MCQG.HBV.02 tương ứng là 28,8; 26,5 và 13,3 µg/ml; Ở 37 oC sau 28, 56 và 84 ngày hàm lượng HBsAg của loạt mẫu chuẩn lần lượt là 17,4; 12,1 và 8,7 µg/ml. Ở điều kiện 45oC sau 7, 14, 28, 56 ngày hàm lượng HBsAg của MCQG.HBV.02 theo thứ tự là 15,4; 12,4; 5,8; 3,3 µg/ml. Sử dụng phần mềm JMP Pro13 dựa trên phương trình Arrhenius tính được: Hạn dùng loạt mẫu chuẩn là 1825 ngày (tương đương 5,3 năm); sau 5 năm, hàm lượng HBsAg dự đoán đạt 20.4 µg HBsAg/ml, đạt yêu cầu theo tiêu chuẩn ≥ 20 µg/ml. Kết luận: Hạn dùng dự kiến của loạt vắc xin mẫu chuẩn quốc gia viêm gan B tái tổ hợp MCQG.HBV.02 là 5,3 năm khi bảo quản ở nhiệt độ 2-8oC.
THỰC TRẠNG PHẢN ỨNG SAU TIÊM CHỦNG VẮC-XIN SII VÀ VẮC-XIN bOPV Ở TRẺ DƯỚI 1 TUỔI TRONG CHƯƠNG TRÌNH TIÊM CHỦNG MỞ RỘNG TẠI TỈNH NINH BÌNH NĂM 2021
Authors: Nguyễn Mai Thanh  , Nguyễn Ngọc Linh  , Nguyễn Thị Thu Phương  , Lương Thị Khuyên
Published: April 2023

Vắc-xin bOPV và SII là 2 loại vắc-xin được sử dụng phổ biến trong chương trình tiêm chủng mở rộng. Do vậy việc theo dõi phản ứng phụ sau tiêm là công việc quan trọng nhằm tìm hiểu nguyên nhân và các yếu tố liên quan đến tình trạng này. Thiết kế nghiên cứu mô tả cắt ngang trên 350 trẻ dưới 1 tuổi tiêm chủng vắc-xin SII và bOPV trong chương trình tiêm chủng mở rộng tại các Trạm Y tế tỉnh Ninh Bình. Kết quả phản ứng sau tiêm vắc-xin SII và bOPV chiếm tỷ lệ cao với 93,71%. Trong đó, phản ứng tại chỗ sau tiêm chiếm 56%, phản ứng toàn thân sau tiêm chiếm 86%. Phổ biến nhất là phản ứng sốt với 82,57%, quấy khóc nhẹ 40%, đau tại chỗ tiêm 32% và sưng tại chỗ tiêm chiếm 25,71%. Kết quả phân tích cho thấy có mối liên quan giữa tình trạng dinh dưỡng khi tiêm của trẻ và các lần sử dụng vắc-xin đến tỷ lệ phản ứng sau tiêm với lần lượt OR là 0,01 (0,00 – 0,41) và 0,08 (0,01 – 0,80) với mức ý nghĩa thống kê p<0,05. Cha mẹ/người chăm sóc trẻ nên lưu ý thận trọng hơn sau khi trẻ tiêm xong mũi vắc xin SII và bOPV đầu tiên.
Progress and Challenges of Biological Leaching of Heavy Metal in Coal Ash from a Power Plant
Authors: Lisafitri Yuni , Kardena Edwan
Published: April 2023

Bioleaching is a technique for reducing the heavy metal content of coal ash by using bacteria, fungi, or yeast. Previous studies in heavy metal bioleaching of coal ash discussed the factors affecting the process, but as yet there is little information on the challenges of using microorganisms. Therefore, this study aimed to obtain comprehensive information regarding the use of microorganisms in heavy metal bioleaching. Heavy metal concentrations in coal ash are low, and the metals are diverse. The components of coal ash are complexes that cannot leach certain heavy metals according to previous studies. These low concentrations and complex components make it difficult to investigate the bioleaching mechanism. The combination of biological and chemical interactions involves various components in this system. The high concentration of iron and heavy metal leached could be toxic for microorganisms. The process is influenced by several factors, such as particle size, pH, and pulp density. Most heavy metal bioleaching studies on coal ash have been conducted on a small scale to control conditions affecting the process. Bioleaching kinetics in coal is a liquid-solid reaction that can be represented by the shrinking core model, which was mainly used in this study.
Analisis Aplikasi Sikar dengan Metode Triangulasi Pengelolaan Surat Masuk dan Keluar
Authors: Liang Maurico , Irawan Muhammad Dedi
Published: April 2023

Judul penelitian ini adalah “Analisis Penggunaan Aplikasi SIKAR Dengan Metode Triangulasi Pengelolaan Surat Masuk dan Surat Keluar BPKAD PROVSU”. Tujuan dari penelitian ini adalah untuk mengetahui penggunaan aplikasi penyajian dalam pengelolaan surat masuk dan surat keluar pada suatu pada BPKAD PROVSU. Penelitian ini merupakan penelitian deskriptif kualitatif dengan menggunakan pendekatan studi kasus. Informan penelitian ini diperoleh dengan menggunakan metode Triangulasi. Metode pengumpulan data diperoleh melalui observasi, wawancara sebanyak dan dokumentasi. Hasil penelitian menunjukkan bahwa penggunaan aplikasi Tata surat pada BPKAD PROVSU berjalan dengan baik mulai dari pengelolaan surat masuk dan surat keluar hingga penyimpanan surat di aplikasi. Aplikasi ini juga berguna di bagian umum yang menangani fungsi manajemen surat menyurat. Masalah  dari aplikasi SIKAR adalah aplikasi tidak memiliki pemindai file untuk mengirim email.
Penerapan Algoritma K-means dalam Mengelompokkan Demam Berdarah Dengue Berdasarkan Kabupaten
Authors: Tyas Tresna Meida Mahening , Purnamasari Ade Irma
Published: April 2023

Demam berdarah dengue atau DBD adalah penyakit yang ditularkan oleh nyamuk aedes aegypti yang menyebabkan demam dan memunculkan pendarahan. Tercatat angka demam berdarah dengue mencapai 27.010 kasus dari Januari-Agustus 2022 di Jawa Barat berdasarkan Dinas Kesehatan Provinsi Jawa Barat. Hal ini menjadi penyebab lambatnya pencegahan maupun penanganan penyakit tersebut. Maka dari itu diperlukan pengelompokan penyebaran kasus demam berdarah dengue di Jawa barat. Pengelompokan menggunakan metode K-means serta data-data yang telah diperoleh dapat dikelompokkan dalam beberapa cluster, dimana proses pengelompokan K-Means menggunakan tools RapidMiner. Hasil yang diperoleh dari pengelompokan data menggunakan algoritma K-Means kasus penyebaran demam berdarah dengue berdasarkan kabupaten/kota di provinsi Jawa Barat dengan cluster optimal yaitu pada cluster 3 dengan nilai indeks Davies Bouldin sebesar 0.359. Adapun anggota cluster 0 berjumlah 100 anggota yang didominasi oleh Kabupaten Ciamis, Kabupaten Cianjur, Kabupaten Garut, Kabupaten Kuningan dan Kabupaten Tasikmalaya. Sementara cluster 1 berjumlah 20 anggota yang didominasi Kota Bandung, serta cluster 2 berjumlah 96 anggota yang didominasi Kabupaten Bekasi, Kabupaten Bogor, Kabupaten Cirebon, Kabupaten Pangandaran, Kabupaten Sumedang, Kota Cimahi, dan Kota Tasikmalaya. Dari hasil ini diharapkan dapat membantu pemerintah untuk memetakan penyebaran penyakit demam berdarah dengue sebagai upaya penanganan penyebaran yang lebih luas serta dapat menjadi masukan kepada masyarakat untuk menjaga lingkungan melalui gerakan pemberantas nyamuk penularan demam berdarah dengue
Analisis Kegagalan Rantai Timing Sepeda Motor Bebek Akibat Beban Tarik dengan Metode Tensile Test
Authors: Samudra Bhagaskara Teguh , Irwan Ade , Ritonga Din Aswan
Published: April 2023

The timing chain is one of the components that play a major role in determining how the engine works by receiving rotation from the crankshaft. This rotation is useful for moving the camshaft which is located in the cylinder head. when the timing chain is loose it often gives an unexpected sound response that can cause the timing chain to quickly stretch. the timing chain will quickly stretch on a motorcycle that rarely gets new and fresh engine oil intake. lack of maintenance on engine oil will have an impact on many things. In addition to the timing chain which is easily loosened due to the lack of a lubricant formula in the engine oil, the research begins with finding and studying various supporting theories related to the strength and elongation of the timing chain. the method used in this research is the tensile test method using the UTM machine. universal testing machine. Material testing machine with a length of 26.5 mm. The research results have 5 specimens for the first specimen on the timing chain having a tensile stress with a value of 2,00 Mpa, a tensile strain with a value of 1,07 and a modulus of elasticity with a value of 1,86 Mpa. the second specimen on the timing chain has a tensile stress with a value of 1.4 Mpa, a tensile strain with a value of 1.07 and a modulus of elasticity with a value of 1.33 Mpa. The third specimen in the timing chain has a tensile stress with a value of 1.79 Mpa, a tensile strain with a value of 1.07 and a modulus of elasticity with a value of 1.67 Mpa. the fourth specimen in the timing chain has a tensile stress with a value of 1.96 Mpa, a tensile strain with a value of 1.15 and a modulus of elasticity with a value of 1.70 Mpa. the fifth specimen in the timing chain has a tensile stress with a value of 5.79 Mpa, a tensile strain with a value of 1. and a modulus of elasticity with a value of 5.79 Mpa.
The Great Imitator: A Rare Case of Lues Maligna in an HIV-Positive Patient
Authors: Samaan Fadi
Published: April 2023

Lues maligna is a rare form of secondary syphilis, which manifests as severe skin lesions and systemic symptoms. We report a case of a 54-year-old male, who had long standing history of human immune deficiency (HIV) infection. The patient presented with fever, chills, and fatigue, with associated ulcerated and scabbed nodules on the face, trunk, and extremities. He was not compliant with HIV treatment regimen and had previous history of treated syphilis. He was sexually active with a female partner. Work-up revealed elevated RPR titers (1:32), which was 1:1 five years prior. He was diagnosed with Lues maligna and was treated with 1 dose of intramuscular benzathine penicillin. Additionally, the lesions were superinfected with staphylococcus aureus which was treated. Syphilis presents a diagnostic challenge and remains the great imitator. Physicians should be vigilant of lues maligna diagnosis when skin lesions are suggestive.
Transient Right Ventricular Failure from Intravenous Injection of Methylphenidate Tablets
Authors: Chatterjee Arjun , Crane Alejandro Duran , Olt Caroline , Freiberg Marina
Published: April 2023

Methylphenidate (MPH) is a sympathomimetic stimulant used to manage adult narcolepsy and attention deficit hyperactivity disorder (ADHD), which is frequently abused. We present the case of a 37-year-old female who developed acute right ventricle (RV) failure after the self-injection of IV MPH. While difficult to prove causation, the temporal relationship between self-injection and symptom onset suggests a role for MPH in this patient’s acute RV failure. Other causes for acute RV failure were ruled out: she had no prior history of PH, ECG was not consistent with ischemia, computed tomography angiography (CTA) was negative for pulmonary embolism (PE), and Right heart catheterization (RHC) was not consistent with left ventricular failure. While there are case reports of persistent PH with chronic IV MPH use, this case describes the only reported incident of transient acute RV failure after IV MPH use.
Urban Parents' Perceptions About the Role of Organized Religion and Spiritual Beliefs in Their Family Life
Authors: Pitchlyn Carol , Smith-myles Brenda , Cook Virginia
Published: March 2023

Parents with children with cognitive disabilities may rely on organized religion and/or spiritual beliefs as coping strategies in their lives. Fifteen parents of adolescents with cognitive disabilities were administered the Support From Religious Organizational and Personal Beliefs Scale—Revised to test this hypothesis. The results indicated that 50% of the participants did not (a) become more active in organized religion activities when their child with cognitive disabilities was born, (b) seek out assistance from the church when they experienced problems, or (c) perceive the church as being more supportive of them when compared with other agencies. In addition, 56% of the participants perceived that (a) they were satisfied with their personal beliefs, (b) they sought comfort through prayer, and (c) their personal beliefs continued to be a source of comfort in nurturing their child.
Challenging the "Good" School Myth to Work With Multicultural Exceptional Learners
Authors: Obiakor Festus , Algozzine Robert , Bakken Jeffrey
Published: March 2023

"Good" schools are typically defined as environments in which good students attend, good teachers teach, good parents participate, and good communities exist. This definition suggests that students maintain high test scores with the focus on going to college. In other words, good schools are typically exclusive in maintaining high standards for students, teachers, and service providers. The problem, however, is that such good schools pride themselves on maintaining and pushing homogeneous standards at all educational levels. Ironically, such actions, by standardizing the educational process, preclude responding to students with special needs and those who are culturally, linguistically, behaviorally, academically, and socioeconomically different. This article challenges the good school myth and presents equitable ways to work with multicultural exceptional learners.
Transformative Multiliteracies Pedagogy: School-based Strategies for Closing the Achievement Gap
Authors: Cummins Jim
Published: March 2023

Despite ongoing concern about the underachievement of low-income and culturally and linguistically diverse (CLD) students, there has been little focus on the kinds of pedagogy required to reverse this underachievement. Pedagogical approaches have been increasingly transmission-oriented, focusing on preparing students for high-stakes testing. Such approaches ignore the socioeconomic and sociopolitical roots of underachievement as well as research highlighting literacy engagement as a strong predictor of literacy achievement. The Transformative Multiliteracies Pedagogy frameworks presented here locate CLD students' underachievement within societal power relations and highlight the negotiation of identity between teachers and students as a central means of creating contexts of empowerment. Heuristic tools educators can use to critically assess their own practice and to articulate potentially productive pedagogical directions are discussed.
Critical Reflections on Working with Diverse Families: Culturally Responsive Professional Development Strategies for Early Childhood and Early Childhood Special Educators
Authors: Maude Susan , Hodges Lisa Naig , Brotherson Mary Jane , Hughes-Belding Kere , Peck Nancy , Weigel Cindy , Sharp Lisa
Published: March 2023

Professional development that focuses on supporting teachers' abilities to work with diverse families is keenly needed. This article outlines three instructional strategies and how they were used with undergraduate students in an inclusive early childhood teacher education program: (a) involving diverse family members as instructional supports; (b) performance of family scenarios; and (c) examining diverse families in popular media. These strategies, undergirded by the importance of critical reflection, have been implemented as part of a statewide preservice teacher education initiative in Iowa. Program evaluation data provide preliminary evidence of their potential to foster the development of necessary cultural dispositions for future teachers to meet the growing diversity among children and families.
“First, Do No Harm”
Authors: MCHATTON PATRICIA ALVAREZ , SMITH MICHAEL , BROWN KAREN HARRIS , CURTIS JESSICA
Published: March 2023

The reality that American public schools are not meeting the needs of all students and the increasing incongruity between student and teacher demographics demand increased efforts to prepare teacher candidates to work with students who are ethnically, culturally and linguistically diverse. Teacher preparation programs are charged with this work and have responded by addressing diversity through multiple methods (e.g., discrete courses, infused content, and culturally and linguistically diverse field experiences). These efforts are commendable but may approach cultural competency from a one size fits all perspective. This pilot study explores the possibilities for purposeful preparation of culturally competent educators through a developmental approach allowing for differentiated experiences leading to higher levels of intercultural sensitivity. The rationale for use of a developmental approach and corresponding assessment tool is provided along with pre-and post-assessment results from one student cohort. Implications for teacher preparation and recommendations for future research are also presented.
Systematically Addressing Discipline Disproportionality Through the Application of a School-Wide Framework
Authors: SWAIN-BRADWAY JESSICA , LOMAN SHELDON L. , VINCENT CLAUDIA G.
Published: March 2023

The disproportionate representation of culturally and linguistically diverse students in exclusionary discipline practices is a well-documented practice in education. This paper synthesizes current literature that points to a cultural incongruence between students and teachers as an underlying mechanism for disparity in school practices involving the application of disciplinary strategies. Culturally responsive School-Wide Positive Behavior Interventions and Support (SW-PBIS) is explored as a potential approach for reducing the discrepancy in application of disciplinary policies and practices. Prominent suggestions from literature in culturally responsive pedagogy and behavior management are described through the systems framework of SW-PBIS.
Educational Reform and Accountability: Implications for African Americans with Exceptionalities
Authors: Obiakor Festus , Ford Bridgie
Published: March 2023

Reform and accountability are imperative for programmatic changes in general and special education. Understandably, any form of reform matters to students, parents, and other educational stakeholders. However, the question is not whether special education is a necessity; the questions continue to be, How "special"s is special education for African American learners? Why are these learners consistently misidentified, misassessed, miscategorized, misplaced, and misinstructed? And, what can general and special educators do about these problems? In this article, we respond to these critical questions and suggest ways for making reform accountable for African American learners.
IMPLIKASI MASYARAKAT EKONOMI ASEAN (MEA) BAGI PEMBERDAYAAN BIMBINGAN DAN KONSELING DALAM MENGEMBANGKAN KOMPETENSI KONSELOR
Authors: Ulfah Ulfah , Arifudin Opan
Published: April 2023

Tujuan penelitian ini adalah untuk mengetahui implikasi masyarakat ekonomi asean (MEA) bagi pemberdayaan bimbingan dan konseling dalam mengembangkan kompetensi konselor. Sesuai dengan karakteristik masalah yang diangkat dalam penelitian ini maka menggunakan Metode Riset kualitatif, yaitu menekankan analisisnya pada data deskriptif berupa kata-kata tertulis yang diamati. Hasil penelitian ini menunjukkan bahwa pembaharuan dalam layanan bimbingan dan konseling termasuk memanfaatkan kecanggihan teknologi merupakan suatu karakter dunia modern, hal ini berdasar pada persepsi bahwa pendidikan harus merupakan pelopor pembaharuan peradaban manusia. Artinya esensi pendidikan adalah membangun dan mengembangkan kehidupan kemanusiaan baru. Karena itu program layanan, pendekatan proses layanan dan infrastruktur layanan harus mencerminkan adanya sinergi antara kebutuhan, proses layanan, dan hasil layanan. Ini berarti bahwa proses dan hasil layanan bimbingan hendaknya mencerminkan integrasi dengan kehidupan nyata dan masa depan konseli selanjutnya. Tuntutan ini hanya bisa dipenuhi dengan penyajian program bimbingan dan konseling yang memberikan fasilitas belajar kepada konseli baik secara individu maupun kelompok, dan dapat merangsang kreativitas, intelektualitas, dan kemampuan pemamah diri serta analisis tuntutan kompetensi yang mendalam. Dengan kata lain, sejalan dengan era globalisasi revolusi layanan bimbingan dan konseling pada akhirnya diarahkan untuk kesejahteraan kehidupan umat manusia masa kini dan akan datang.
Application Of Project-Based Learning Models In Learning To Write Proposal In Semester V Students
Authors: Susetyo Susetyo
Published: March 2023

The purpose of this study was to determine the effect of the project-based learning model on the ability of Indonesian Language and Literature Education Study Program students in preparing quantitative research proposals . This research method is an experiment with the One Group Pretest-Posttest Design . All students of the Indonesian Language and Literature Education Study Program who took the Indonesian language education research course in the odd semester of the 2022/2023 academic year were used as research subjects. The instruments used to collect research data are (1) the research proposal assessment rubric. Data collection techniques were in the form of (1) assignments, namely making quantitative research proposals in Indonesian language and literature education. The collected data were analyzed using quantitative data analysis techniques using percentage and comparison formulas. The results showed that the project-based learning model had an effect on the ability of fifth semester students of the Indonesian Language and Literature Study Program in preparing quantitative research proposals. The ability of fifth semester students of the Indonesian Language and Literature Education Study Program FKIP PGRI Yogyakarta University who have participated in the implementation of project-based learning has the ability to write quantitative research proposals higher than the ability of students before participating in project-based learning. Research results are made into scientific journal articles and published in reputable or accredited international journals.
Policy Dynamics in Contemporary Public Administration Studies: A Conceptual Analysis
Authors: Putera Prakoso Bhairawa , Widianingsih Ida , Ningrum Sinta , Suryanto Suryanto , Rianto Yan
Published: March 2023

This paper aims to provide an overview based on the literatures regarding the development of the study of policy dynamics research in the field of public administration. The study aims to answer the research question, „What is the theoretical and conceptual framework of „policy dynamics“ in the contemporary discourse of current public administration?“. The method used is a bibliometric analysis and semi-systematic literature review in the form of a literature review of international publications published between 1990 and 2020, sourced from the Google Scholar database. The sixty articles that are most relevant in terms of Article title, Abstract, and Keywords (journal articles: 55 papers and Conferences proceedings: 5 papers) are chosen for analysis. As a result, policy dynamics can be grouped into three categories: policy dynamics as historical institutionalism, policy dynamics as policy change, and policy dynamics as policy evolution. This study concludes that policy dynamics is the evolution of policy changes, where these changes have implications for the policies of a regime/government on institutions, actors, and systems within a certain period. This concept manifests in the five new clusters in the definition of policy dynamics, which include regime/government change, institutional change/transformation, changes in issue, direction and content of policy, actor's role and existence, and policy object inputs and outputs.
Neck Ganglioneuroma Mimicking a Thyroid Nodule in a Four-Year-Old Child: A Case Report and Review of the Literature
Authors: Corrado Stefania , Morgante Cesare , Tassi Sauro , Maccarrone Francesco , Di Massa Gianluca , Pontecorvi Alfredo , Papi Giampaolo
Published: April 2023

Introduction: Ganglioneuromas are tumors of neurogenic origin usually located in the abdomen, the adrenal glands, and the mediastinum but infrequently found in the neck region. Case Presentation: We describe the case of a four-year-old Albanian girl presenting with an anterior neck mass initially suspected to be a thyroid nodule. From a clinical point of view, there was no evidence of compression on vital cervical structures. Lab tests detected normal serum thyrotropin, calcitonin, and parathormone concentrations. A neck ultrasound showed a huge mass apparently originating from the left thyroid lobe. Cytological examination of fine needle biopsy demonstrated a population of large cells with eosinophilic cytoplasm, regular nuclei, and prominent nucleoli and spindle cells without significant atypia, consistent with a benign lesion of neurogenic origin. Also, the neck MRI displayed a mass with well-defined margins, likely arising from the peripheral nervous system. The patient underwent surgical excision of the mass without complications. The histological exam was diagnostic for ganglioneuroma. Conclusions: We discuss the cytological and histological features peculiar to such a rare neck lesion and review the differential diagnosis.
Prognostic Factors for Predicting COVID-19 Severity and Mortality
Authors: Jahangirimehr Azam , Honarmandpour Azam , Khalighi Azam , Najafi Marzieh , Kalantar Mojtaba , Abdolahi Shahvali Elham , Hemmatipour Akram , Heydarheydari Sahel
Published: April 2023

Background: COVID-19 has become a serious health problem worldwide. Objectives: The current study investigated the prognostic factors associated with demographical parameters, clinical and vital signs, and laboratory results for predicting severity and mortality in patients infected with COVID-19. Methods: This retrospective analysis was conducted on the medical records of 372 COVID-19-positive patients hospitalized at the Khatam al-Anbiya Hospital, Shoushtar, Iran, from Sep 2020 to Sep 2021. The association of demographic parameters, clinical and vital signs, and laboratory results with severity and patients' outcomes (survival/mortality) was studied. The patients were divided into the non-severe group (n = 275) and the severe group (n = 97). COVID-19 disease severity was determined based on the severity of pulmonary involvement using CT chest images. The collected data were analyzed using IBM SPSS software for Windows (version 18). Logistic regression analysis was employed using the Forward LR method to predict COVID-19 severity and mortality. Results: The rates of mortality and the severe form of the disease were 87.1% (n = 324) and 12.9% (n = 48), respectively. A prognostic value was observed in predicting COVID-19 severity and mortality for some clinical and vital signs (diabetes (P < 0.001, P = 0.019), hypertension (P = 0.024, P = 0.012), pulmonary diseases (P = 0.038, P < 0.001), and anosmia (P = 0.043, P = 0.044) and paraclinical parameters (FBS (P = 0.014, P = 0.045), BUN (P = 0.045, 0.001), Cr (P = 0.027, P = 0.047), Neut (P = 0.002, P = 0.005), and SpO2 (P = 0.014, P = 0.001)). Cardiovascular disorders (P = 0.037), fever (P = 0.008), and dyspnea (P = 0.020) were also effective at predicting disease-related mortality. Multiple logistic regression analyses showed that diabetes disease, the place of residence, PCO2, and BUN with R2 = 0.18, and age, pulmonary diseases, and BUN with R2 = 0.21 were involved in predicting the severity and mortality, respectively. Conclusions: It seems that in addition to the BUN, diabetes and pulmonary diseases play a more significant role in predicting the severity and mortality due to COVID-19, respectively.
Transforming Employee Motivation to Enhance Employee Performance at PT Bio Farma (Persero)
Authors: Prajnaparamita Leman Nabila , Gustomo Aurik
Published: April 2023

This study was conducted at PT Bio Farma (Persero). This Indonesian state-owned company focuses on the research and production of life-science products. During the last three years of implementing the Performance Management System, employee performance has decreased from 2019 – 2021. This study explores the decline in employee performance and the factors that cause it. The research was conducted using quantitative and qualitative analysis methods. The quantitative approach was performed through a survey involving 125 Bio Farma employees as respondents. The survey questions cover 5 (five) elements that can contribute to employee performance: shared values, leadership style, organizational culture, perceptions of organizational practices, and employee motivation. In comparison, the qualitative method was performed through interviews, observation, and internal documentation. To help find root causes and gaps, current practice conditions in the company are also discussed in this study. This study found that employee motivation is the main factor contributing to decreased performance, especially regarding career opportunities and the remuneration system. These business issues lead to proposed solutions to improve the career opportunity system at Bio Farma. Talent management is used in determining the future career of employees. This study suggests the application of competency-based assessment to obtain employee competency data that will be included in employee talent data. The proposed solution will be based on an implementation plan through the implementation of four main activities: identifying employee competencies, defining employee competencies, implementing competency-based assessments, and creating employee talent data which includes performance, potential and competency data.
Quantitative Study of Startup Valuation and Strategy Post 2022 Winter
Authors: Fajrin Rasyid Muhamad , Sumirat Erman , Aswin Rahadi Raden
Published: April 2023

Introduction: In 2022, the market capitalization of some publicly traded technology companies is declining. This period is commonly referred to as "winter" because it is more challenging for startups to get funding from investors. The study seeks to understand the impact of winter 2022 on the valuation and strategy of privately funded startups, focusing on five variables: sector, funding stage, relative market position, profitability, and founder's contribution/strength. Method: Quantitative analysis relies on survey responses from 180 startup founders in Indonesia who specialize in six industries: retail/e-commerce, fintech, agriculture/fisheries, healthcare, logistics, and education. Path Analysis is then applied to the data to determine the relationships between variables. Result: This research shows that profitability and founders' contributions/strengths impact startup valuation. Furthermore, relative market position and profitability have an impact on startup strategy. Finally, a decrease in valuation multiples for startups affects their strategy. Conclusion: This research can guide startup founders as they grow their businesses, especially in relation to the five variables listed above. Future research may be conducted on other variables, sectors, countries, or similar topics later/period.
Mobile Bank from an Islamic Economic Perspective
Authors: Gunaepi Aang , Bianda Ryan , Misbakul Munir Muhammad
Published: April 2023

Mobile banking is a widespread practice in many areas throughout Indonesia. There are many reasons for this, both internal and external. This study aims to find out and analyze the definition, history, and practice of mobile banking, then review it from the perspective of Islamic Economics. This study uses a qualitative method by reviewing related literature on mobile banking and its practices in various regions in Indonesia. In the Islamic economy, financial inclusion is very important because the financial system is geared to promote people's welfare. The practice of debts through mobile banks can be carried out with several principles that must be obeyed, including murabahah, mudharabah, and musyarakah. During obligations through portable banks, mobile banks must ensure that all transactions follow sharia principles. The Islamic solution to preventing the practice of mobile banking is to carry out financial planning through a priority scale of needs, educate the public about the Islamic economy through Islamic financial institutions, and maximize the role of zakat for mustahik.