bluuebunny/crossref_metadata_2025 huggingface dataset:
A Point Prevalence Study of the Use of Antibiotics in Six Tertiary Care Hospitals in the Kathmandu Valley, Nepal
Authors: Jha N. , Thapa B. , Pathak S. B. , Pandey A. , Pokhrel S. , Shankar P. R. , Bhandary S. , Mudvari A. , Dangal G.
Published: April 2023

Background Point prevalence survey (PPS) on antibiotic use developed by the WHO has already been used in many hospitals globally.

Objective To obtain information on antibiotic prescription using point prevalence survey methodology in six private hospitals in the Kathmandu valley.

Method This descriptive cross-sectional study was completed during 20th July to 28th July 2021 using point prevalence survey methodology. The study was conducted among inpatients admitted at or before 8:00 AM on the day of survey in various wards. Data was presented as frequencies and percentages.

Result Maximum number of patients were above 60 years [34 (18.7%)]. Number of male and female participants were equal [91 (50%)]. Only one antibiotic was used in 81 patients (44.5%) followed by two antibiotics in 71 (39%) patients. Duration of prophylactic antibiotic use was one day in 66 (63.7%) patients. Blood, urine, sputum, and wound swabs were the common samples for culture. Cultures were positive for 17 (24.7%) samples. The common organisms isolated were E. Coli, Pseudomonas aeruginosa and Klebsiella pneumoniae. Ceftriaxone was the most used antibiotic. Drug and therapeutics, infection control committee and pharmacovigilance activities were present in 3/6 (50%) study sites. Antimicrobial stewardship was present in 3/6 (50%) and microbiological services was present in all hospitals. Antibiotic formulary and antibiotic guideline were present in 4/6 sites and facilities to audit or review surgical antibiotic prophylaxis choice in 2/6 (33.3%) sites, facility to monitor antibiotic use in 4/6 (66.6%) and cumulative antibiotic susceptibility reports in 2/6 (33.3%) study sites.

Conclusion Ceftriaxone was the most used antibiotic. E. Coli, Pseudomonas aeruginosa and Klebsiella pneumonia were the commonly isolated organisms. Not all parameters for infrastructure, policy and practice and monitoring and feedback were present at the study sites.
Rickettsial Infection amongst Febrile Illness Patient in a Tertiary Care Hospital: A Retrospective Cross-sectional Study
Authors: Gurung R. B. , Gurung R. B. , Sapkota P. , Bhatt S. , Tamang A. , Joshi S. , Khadka S. , Jaisy D. N. , Chalise S. , Shrestha P.
Published: April 2023

Background Rickettsial infection is an emerging neglected tropical disease in the Southeast Asia. In past few years Nepal is also reporting escalating prevalence of rickettsia. The under evaluation is resulting it as undiagnosed or are simply labeled as pyrexia of unknown origin.

Objective To find out the prevalence of rickettsia in a hospital setting, assess the sociodemographic and other relevant clinical features of the rickettsia patients.

Method This is a hospital based retrospective cross-sectional study from October 2020 to October 2021. This study reviewed the medical records of the department.

Result The study included 105 eligible patients and the prevalence rate was 4.38 per 100 patients. The mean age of the participants was 42 years, and the mean hospital stay was 3 (SD ±2.06) days. More than 55% of the participants had fever for less than or equal to 5 days and 9% had Eschar present. Vomiting, headache, and myalgia were the most common symptoms and hypertension, and diabetes were the common comorbidities. Pneumonia and the acute kidney injury were the two complications of the patients as stated in the study. The severity of the thrombocytopenia deducted from admission time to discharge, and the case fatality was 4%.

Conclusion The future studies shall consider on collaborative clinical and entomological research. This would help in better understanding of the etiology of supposedly unknown febrile illness and the under-investigated field of emerging rickettsia in Nepal.
Solving the Mystery of Giant Intrathoracic Mass
Authors: Karmacharya R. M. , Singh A. , Devbhandari M. , Napit D. , Ghimire K. , Mahat C. , Vaidya S.
Published: April 2023

Intrathoracic schwannoma are highly vascular nerve sheath benign tumors arising from neural crest derived schwann cells of the intercostal nerves. Common clinical presentation is palpable mass but in our case patient presented with shortness of breath which is rare presentation in Schwannoma. Imaging studies of the patient showed the lesion in left lung, however surgical finding showed mass to arise from chest wall and it was confirmed to be schwannoma by histopathological examination.
Preparing to Publish
Authors: Huffman Sarah , Cotos Elena , Becker Kimberly
Published: April 2023

This book offers a wealth of instructional material on the topic of research article writing for publication and thesis or dissertation completion. The text provides graduate student writers with helpful information, strategies, and tips on navigating disciplinary writing in their fields and how to understand, dissect, and ultimately, construct their own research article. The text is organized according to a standard research article format, breaking down each section of the empirical research in a simple and straightforward manner to help graduate students build a quality, argument-driven manuscript as they write up their empirical study findings.
Economic analysis of alternatives for second rotations in Eucalyptus globulus plantations in southeast Uruguay
Authors: Balmelli Gustavo , Gasparri Pilar , Morales Olmos Virginia
Published: April 2023

Eucalyptus globulus is one of the most planted forest species in Uruguay. However, its high susceptibility to diseases has determined that in recent years most plantations reaching harvest are replaced by other species, mainly E. dunnii and E. smithii. The decision whether to maintain the plantation for an additional rotation as coppice crop or to carry out a replanting depends on the expected economic results of both alternatives. Therefore, the objective of this research was to estimate the profitability of a coppice crop of E. globulus and that of a new plantation, with two different species, E. dunnii and E. smithii. In addition, a sensitivity analysis was carried out to study the impact of eventual variations in plantation productivity, in distance to the point of sale, and in the price of wood. Results showed that the three alternatives analyzed are economically viable, but that the management as coppice crop and the replanting with E. smithii are more profitable than replanting with E. dunnii. On the other hand, the coppice management is the alternative that requires less investment and that presents fewer risks, since it is less sensitive to changes in the main variables that determine the economic result.
Rancang Bangun Maximum Power Point Tracking pada Panel Surya dengan Metode Incremental Conductance Menggunakan Zeta Konverter
Authors: Mahmudatul Ula  , Arief Rahmadani
Published: April 2023

Maximum Power Point Tracking (MPPT) is a method of maintaining the maximum output power of solar panels when the power of the solar panel changes over time due to the influence of the load or intensity of sunlight. This research proposed designing MPPT on photovoltaic using the Incremental Conductance method. The incremental Conductance method controls the duty cycle when the voltage and current change values ?I/?V>-I/V. This system uses one solar panel with a power capacity of 100 Wp, a ZETA converter as a DC-DC converter to lower the voltage, and used a load 12V/5W DC lamp. From the tests that have been carried out, the tracking time for MPPT Incremental Conductance is 4,5 seconds with a maximum power of 63,9015 Watt with irradiation of sunlight 813 W/m2. The average power without MPPT is 51,215 Watt, and by using MPPT Incremental Conductance, the average power is 57,274 Watt. So, there is an increase in power when using the MPPT Incremental Conductance control.
Mapping dan Navigasi untuk Robot Pengantar Makanan di Restoran Berbasis ROS
Authors: Louise  , Susanthi Yohana , Muliady
Published: April 2023

Perkembangan teknologi yang pesat memungkinkan pekerjaan manusia digantikan oleh robot sehingga dapat memberikan hasil lebih konsisten dan diharapkan meminimalisir kesalahan yang terjadi. Dengan menggunakan robot turtlebot2 dan sensor RP LiDAR yang dikontrol dengan ROS sebagai framework komunikasi antar proses, telah dirancang dan direalisasikan robot yang dapat melakukan mapping, localization, path planning, navigasi, serta obstacle avoidance untuk mengantarkan makanan di restoran. Mapping dan localization dapat dicapai dengan menggunakan algoritma SLAM dengan metoda gmapping dan amcl. Algoritma path planning menggunakan algoritma Djikstra untuk menghasilkan jalur yang paling pendek untuk mencapai tujuan. Robot dapat bernavigasi sesuai jalur tersebut sehingga dapat terwujud robot pengantar makanan yang otonom. Realisasi dari perancangan sistem ini menghasilkan robot yang dapat mengantarkan makanan ke meja tujuan dan kembali lagi ke dapur secara otomatis dengan waktu rata-rata untuk meja terdekat 51 detik dan untuk meja yang terjauh 124 detik dengan tingkat keberhasilan antara 60% sampai dengan 100%. Pada proses navigasi, robot dapat menghindari halangan-halangan yang terdeteksi oleh sensor RP LiDAR dan tidak terdapat perbedaan waktu yang berarti.
Lifetime productivity of bulls depending on the similarity of their parents by antigens of the B blood group system
Authors: Ugnivenko Anatolii , Natalych Oleksandr
Published: April 2023

During the selection of parents of future bulls of meat breeds, the problem of improving the main signs of meat productivity is a priority. Search for techniques that would additionally influence the effectiveness of using future bulls using conventional breeding methods determines the relevance of this study. The purpose of the study was to determine the influence of the selection of parent pairs based on antigens of the B blood group system on the results of lifelong use of bulls of Ukrainian beef cattle, created by the method of the complex reproductive crossing of four different breeds. The study was conducted by comparing the performance of bulls assigned to different groups by the antigenic similarity index (ras) of their parents. By ras value over 0.150 formed a group of progenies from a homogeneous selection of parents (n=5). In the group from a heterogeneous selection of parents (n=5), the indicator ras less than 0.150. The libido of bulls was tested in the arena by the time of manifestation of sexual reflexes when receiving sperm on an artificial vagina. Within the groups, the age of bulls at the time of first sperm collection, life and productive use, the number of ejaculates received and culled, and the quality and fertilising ability of sperm were determined. It was identified that in bulls obtained from the homogeneous selection of parents by ras compared to peers from heterogeneous mating, there is a tendency to increase the age of initiation of sperm collection by 33.9%. They also have a longer productive use expectancy by 6.3% and a longer life expectancy by 21.5%. Bulls obtained from heterogeneous selection during use have more leads to the scarecrow by 13.6% and predominate in the number of ejaculates obtained. The percentage of ejaculate culled is twice as high. Bulls from homogeneous selection have a higher (by 15.3 points) share of active manifestation of sexual reflexes, a larger volume of ejaculate, better indicators of sperm motility and concentration, fewer culled ejaculates, and a higher fertilisation capacity of sperm by 18.2 points. The results obtained should be used in the selection of bulls for potential mothers of valuable bulls of the Ukrainian beef breed and in other livestock populations created by the method of complex reproductive crossing
Atenção domiciliar na atenção primária à saúde: revisão integrativa da literatura
Authors: Corrêa Alexandra Marinho , Souza Daniel Cerdeira de
Published: April 2023

Alexandra Marinho Corrêa Daniel Cerdeira de Souza
Impact of PGRS Priming on Germination and Seedling Parameters of Pea And Plantago under Artificial Magnetism
Authors: Khair Ul Nisa  , Kanval Shaukat  , Abdul Samad  , Mereen Nizar  , Tariq Ismail  , Ayeesha Masood  , Bakht Zareen  , Jibran Ahmed
Published: April 2023

Seed priming is widely recognized as a significant phenomenon for synchronizing germination and enhancing the vigor of seeds. Seeking the importance of priming, the influence of magnetic treatments in overall performance of plants cannot be undermined as well. In the present study, seeds of Pisum sativum L. and Plantago ovata Forssk. were primed with essential Plant Growth Regulators (PGRs) such as; Gibberellic acid (GA3), Potassium nitrate (KNO3), Salicylic acid (SA), Ascorbic acid (AsA), Hydrogen peroxide (H2O2) in combination with different artificial magnetic treatment (North, South and N/S) to document morpho-physiological attributes. A lab experiment was conducted under Complete Randomized Design (CRD) which consisted of 6 seed priming treatment along with control (no-priming) each with three replications. Seeds were primed with water (H2O) and PGRs for 12 hours and the final harvest of seedlings was obtained for morpho-physiological analysis after 20 days of germination. Results portrayed statistically significant (p < 0.05) data by increasing the morphological characteristics (root/shoot length, number of leaves, root/shoot fresh weight and root/shoot dry weight). Similarly, photosynthetic pigments i.e., chl a and carotenoids recorded significant variations under artificial magnetism except chl b which showed non-significant (p > 0.05) variations. Results concluded that hydro priming and pre-soaking of seeds with essential PGRs are highly recommended to maximize the early germination, morpho-physiological performance in pea and plantago seedlings under artificial magnetism.
Évaluation du suivi des recommandations françaises sur la prise en charge des dermohypodermites bactériennes non nécrosantes au CHU de Poitiers : enquête sur l’évolution des pratiques en trois ans
Authors: Bessière L. , Boutin D. , Barbarin C. , Roblot F. Cazenave , Mimoz O. , Hainaut E. , Regnault M. Masson
Published: April 2023

Objectifs : La Haute Autorité de santé a publié en 2019 des recommandations concernant la prise en charge des dermohypodermites bactériennes non nécrosantes (DHBNN). L’objectif de cette étude était d’évaluer le suivi de ces recommandations au centre hospitalo-universitaire de Poitiers sur les trois années suivant leur publication.

Matériel et méthodes : Étude rétrospective monocentrique sur dossiers de patients admis aux urgences pour prise en charge d’une DHBNN entre avril 2019 et avril 2022.

Résultats : Cent cinquante patients ont été inclus (50 patients par année). Il s’agissait de 87 femmes et 63 hommes d’un âge moyen de 77 ans. Le choix de l’antibiotique était jugé adéquat chez 130 patients (87 %) sans différence significative selon les périodes analysées. La posologie d’amoxicilline était adéquate chez 62 patients (59 %) toutes périodes confondues et dans 49, 62 et 68 % des cas sur les années n + 1, n + 2, n + 3, respectivement (NS). La durée de l’antibiothérapie était de 7 ± 2 jours et conforme aux recommandations dans 67 % des cas toutes périodes confondues. Elle était adéquate dans 56, 69 et 77 % des cas sur les années n + 1, n + 2, n + 3, respectivement. Une différence de pratique statistiquement significative était notée entre la période n + 1 et n + 3 (p = 0,03). Une porte d’entrée cutanée était retrouvée et traitée chez la plupart des patients (80 %). Les mesures associées (surélévation du membre, mise en place de contention veineuse, vaccination antitétanique, conseils diététiques) étaient peu proposées.

Conclusion : Cette étude met en évidence une adhésion croissante aux recommandations qui reste encore modeste concernant la posologie (trop faible) et la durée de l’antibiothérapie (trop prolongée). Il semble également nécessaire de rappeler l’importance des mesures associées et de prévention des récidives. La mise en place d’outils spécifiques (feuilles préremplies, fiche d’informations patient) pourrait favoriser leur application.
Highlights of the strategy for the implementation of the brewing barley variety program
Authors: Yusova O. A. , Nikolaev P. N.
Published: April 2023

Modern realities dictate the need to obtain scientific results and technologies that will be the basis for the innovative development of the domestic market for products and services. Creation and introduction into production of a new variety of brewing barley to fill the resulting niche. The purpose of the research is to determine the key points of the strategy for implementing the program for creating a brewing barley variety. The main points are: the availability of conditions and tactical decisions for the implementation of the program, the development of program stages and the production base. The project implementation period will be 3 years; net present value (NPV) – 1,348,141.7; project profitability index (PI) – 1.18; discounted payback period (DPP) – 7 years.
Variability of fruit weight of summer apple varieties on the lower terrace of the botanical garden named after Vs. M. Krutovsky
Authors: Repyah M. V.
Published: April 2023

The paper presents the results of variability of fruit weight and crop load per unit area of crown projection of apple varieties of the summer ripening period in the conditions of the Siberian region: Arcade summer, White filling, Moscow Grushovka, Golden spike, Nobilis, Papirovka for a five-year period. The studies were conducted annually, from 2018 to 2022. These varieties are characterized by good winter hardiness, early entry into the fruiting season (for 3–6 years), earlier maturation dates (end of July–August), but short-term fruit storage (from seven days to one and a half months), which is a disadvantage of this group of varieties. The object of the study is a collection of apple trees of summer varieties growing in an open form in the Botanical Garden named after Vs. M. Krutovsky, which is located on the right bank of Krasnoyarsk. The purpose of the research was to establish the variability of the fruit weight of apple trees of large-fruited varieties depending on the varietal affiliation and the growing season. The paper presents field and laboratory research methods. During the research, the generally accepted methods specified in the «Program and methodology of variety study of fruit, berry and nut crops» were used. As a result of the conducted studies, a significant variability in fruit weight was revealed depending on the growing season. In general, the weight of fruits of all varieties is 18,1–21,41 % less than provided for in their characteristics according to literature data. The yield of trees varies from 0 to 117,4 kg. The varieties of the summer ripening period were selected, which revealed the highest average weight of fruits, as well as those that are valuable in terms of nutritional and aesthetic qualities, which is a promising factor for further breeding: White filling, Grushovka Moskovskaya, Papirovka. This indicator, depending on the variety and the year of fruiting, is less than provided for in the pomological description. Nevertheless, for the conditions of the sharply continental climate of the Siberian region, fruits of such sizes are considered large.
Construct-to-construct biplanar cantilever technique for spinal deformity correction: illustrative case
Authors: Sarmiento J. Manuel , Fourman Mitchell S. , Kim Han Jo
Published: April 2023

BACKGROUND

There is a continued trend toward posterior-only approaches for achieving spinal deformity correction of idiopathic scoliosis. We present a posteriorly based correction technique and en bloc translation reduction maneuver that can be useful in the management of kyphoscoliosis.

OBSERVATIONS

A 50-year-old female with a past medical history of untreated adolescent idiopathic scoliosis since she was 12 years old presented to the clinic for evaluation of progressive thoracolumbar spinal deformity and worsening mid-to-low back pain. Standing scoliosis radiographs shows an 85° left lumbar curve with an apex at the L1–2 disk. There was a compensatory 58° right thoracic curve with an apex at T9, a −1.4 cm central vertical axis, and a focal kyphotic deformity of 86° from T11–L3 with a corresponding apex at the L1–2 disk. She was diagnosed with adult idiopathic scoliosis and indicated for a T9–L4 posterior spinal fusion with T11–L4 Smith-Peterson osteotomies. A simple en bloc reduction maneuver was used to translate the apex of the coronal deformity toward the midline and simultaneously correct the patient’s focal kyphosis.

LESSONS

A construct-to-construct biplanar cantilever technique is ideal for the treatment of kyphoscoliosis and can provide effective deformity correction in both the sagittal and coronal planes.
Clival intraosseous myxoma treated with an endoscopic endonasal approach: illustrative case
Authors: Porwal Mokshal H. , Aaronson Daniel M. , Razzak Abrahim N. , Zwagerman Nathan T.
Published: April 2023

BACKGROUND

Solitary lesions of the clivus, especially nonchordomatous ones, are exceptionally rare pathologies representing only 0.1%–0.2% of intracranial tumors that may present diagnostic and therapeutic challenges. Intraosseous myxomas are benign tumors arising from mesenchymal cells with an unknown pathophysiology.

OBSERVATIONS

In this article, a 15-year-old male with clival intraosseous myxoma who was treated via an endoscopic endonasal surgical approach is presented. The patient became symptomatic after a baseball struck his head, leading to throbbing headaches and visual difficulties for tracking objects. Examination noted diplopia, cranial nerve VI palsy, and ptosis. After imaging revealed a tumor extending to the left cavernous sinus with bulging of the dorsal clivus against the basilar artery/ventral pons, resection was performed. Postoperatively, the patient noted ocular motility and alignment improvement without further complications.

LESSONS

Clival masses present with symptoms from compromised neurovascular structures including visual disturbances and trigeminal sensory deficits. Given the rarity of these entities, patients may postpone further treatment until workup; this patient was misdiagnosed for possible concussion until several weeks passed. A PubMed database review of cranial myxoma cases was conducted to identify solitary clival intraosseous myxoma cases. This case is one of the few in which this pathology was treated through an endoscopic endonasal operative approach without complications, demonstrating its safety and effectiveness.
Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case
Authors: Pryce Mitchell L. , Chung K. H. Carlos , Zeineddine Hussein A. , Dawes Bryden H.
Published: April 2023

BACKGROUND

Dural arteriovenous fistulas (dAVFs) are aberrant vascular communications between meningeal arteries and venous sinuses or cortical veins. dAVF pathogenesis is incompletely understood; however, formation likely occurs as a result of angioneogensis.

OBSERVATIONS

A 78-year-old man presented after trauma with basal and cortical subarachnoid hemorrhage (SAH). Computed tomography revealed a parietal bone fracture overlying the superior sagittal sinus (SSS). Catheter angiography performed within 24 hours of the injury demonstrated an SSS dAVF supplied by the middle meningeal artery, adjacent to the fracture.

LESSONS

The authors present the case of an acute traumatic dAVF adjacent to a calvarial fracture. In this case, the authors proprose that the underlying pathogenesis is suggestive of direct vessel injury rather than the pathway commonly associated with this pathology.
HPLC PROFILING AND ANTIHYPERGLYCEMIC EVALUATION OF PHE (POLYHERBAL EXTRACT) OF SELECTED INDIAN MEDICINAL HERBS IN ALLOXAN DIABETIC RATS
Authors: P. Manorama  , Aruna Valmiki , D. Geetha  , Angajala Gangadhara
Published: April 2023

In the present work antihyperglycemic screening of the polyherbal powder was carried out by oral administration of an aqueous extract of polyherbal powder on alloxan-induced diabetic rats. The polyherbal powder displayed a substantial increase in hypoglycemic efficacy at a dose of 100 mg/kg and 200 mg/kg in both Alloxan-induced diabetic rats and normal rats. The powder also exhibited enhancement in various parameters like the glycogen content of the liver, restoration of pancreatic β-cells, body weight, and carbohydrate metabolizing enzymes. Results obtained showed that the Alloxan diabetic rats on treatment with polyherbal powder at various doses of 100 mg/kg and 200 mg/kg considerably improved their body weights to 222.30 ± 3.42 g and 221.6 ± 3.60 g when compared to non-diabetic rats respectively. In addition to this, the histopathological analysis demonstrated that polyherbal powder enhanced the histological architecture of the islets of Langerhans significantly which is on par when compared to the standard Glibenclamide
Efektivitas Sistem Informasi Desa (SID) Dalam Pelayanan Publik Di Desa Dlingo, Kecamatan Dlingo, Kabupaten Bantul
Authors: Apriyansyah Apriyansyah , Maullidina Isnaini , Purnomo Eko Priyo
Published: April 2023

Public services become one of the needs of the community that must be met by local or central government, such as. Dlingo Village Government which has innovation in doing public service that is with Village Information System (SID) that can give information fast and precisely related Information about public service, besides information about Dlingo Village. This study aims to determine the Village Information System in public service in Dlingo Village, Dlingo District, Bantul Regency. This research uses descriptive research type and qualitative method. The results of this study were obtained from Dlingo Village Government as the public service implementer and Dlingo Village community as the recipient of public service. , proved that the services provided by the Dlingo Village government have been effective and fast.
Apparatus Resource Development Strategy at the Merauke Regency Regional Civil Service Agency
Authors: Rikardus Everistus , Abdullah Muhammad Tang , Rakhmat Rakhmat
Published: April 2023

This study aims to (1) describe and analyze the condition of existing apparatus resources in the Merauke Regency Regional Personnel Agency; and (2) describe and analyze the apparatus development strategy in the Merauke Regency Regional Personnel Agency. This research applies a qualitative approach. The informants involved included: (1) Head of the Regional Civil Service Agency; (2) Subdivision of the Strategy of the Regional Civil Service Agency Resources; and (3) a number of training alumni employees. Data collection techniques are interviews, observation, study of literature and documentation. Data analysis techniques are carried out through data reduction, data presentation and data verification. The results showed that the implementation of education and training, especially in the Merauke Regency Regional Personnel Agency, had been effective, although there were still some improvements that needed to be made so that the results of the training could be maximized as expected. Employees are the most important resource in a public organization. Good employees who meet the qualification standards can only be obtained through effective recruitment efforts. The implementation of education and training in the Merauke Regency Regional Personnel Agency is good because based on the results it shows starting from training materials, good and effective delivery methods in the training process, facilities and infrastructure to support training activities, skilled presenters, learning process according to standard procedures, proportion of time and the method of implementation was working well and effectively.
Implementasi Public Private Partnership dalam Pengembangan Pariwisata di Kabupaten Toraja Utara
Authors: Djabbari Muhammad Hidayat , Alwi Alwi , Thamrin Saddam Husain
Published: April 2023

The concept of Public Private Partnership (PPP) provides efficiency and Effectiveness in providing public services to the community, as well as helping the government sector deal with limited budget and resources in developing the tourism sector. This study aims to determine how the implementation of the Public Private Partnership (PPP) in tourism development in North Toraja Regency. This research uses a qualitative approach. Data collection was carried out by interview, observation and documentation study. Data processing techniques and data analysis were carried out in three stages, namely: data reduction, presentation and conclusion drawing. The informants in this study were: (a) the Culture and Tourism Office of North Toraja Regency; (b) Owner / Manager of Ke'te Kesu 'and Lempe Negeri Diatas Awan Tourism Object; (c) Visitors / Community. The results showed: (1) Equity shows the existence of a win-win solution in the distribution of cooperation which has an impact on receiving fees and tourism services; (2) The Effectiveness of this MoU (cooperation agreement) is seen to be effective in receiving revenue (retribution) and providing services to visitors or tourists; (3) The efficiency in this public-private collaboration shows that the use of resources in the development of tourist objects is proven to be more efficient with the involvement of the private sector; (4) Exportability shows the government gets a high risk of demand to meet the needs of tourist objects and compensation to communities affected by the construction of tourist attraction facilities and infrastructure.
The Implementation of Village-Owned Enterprise Program
Authors: P Resky Amalia , Tamrin Saddam Husain
Published: April 2023

The purpose of this study is to analyze and identify the implementation of Village-Owned Enterprises (BUMDes) program policies in Sabbangparu District, Wajo Regency and identify supporting and inhibiting factors in implementing Village-Owned Enterprises (BUMDes) programs in Sabbangparu District. This research is conducted by looking at the implementation of the theory proposed by Grindle 1980, which is from the contents of the policy and the implementation environment of this study using a qualitative descriptive approach. It intended to provide a clear picture of the problem under study and systematically explain the data in implementing the BUMDes program. Research results on the implementation of BUMDes are seen from the content and context variables. The implementation of the BUMDes is still not running effectively due to the lack of support from the community in implementing the BUMDes. In addition, there is still insecurity from village leaders in running BUMDes and a lack of supporting the administration.
Policy Change for Empowering MSMEs in The Covid-19 Pandemic Situation (Case Study of Increasing Competitiveness of Business Actors in Cianjur Regency)
Authors: Rohmah Anisa Nur , Laksmono Bambang Shergi
Published: April 2023

The COVID-19 pandemic has presented various problems and also has an impact on business actors, especially those engaged in the Micro, Small and Medium Enterprises (MSME) sector. They complained about the decline in sales, purchases, and even venture capital. The decline in MSME productivity, in a decrease in the Gross Domestic Product (GDP) in the regions, as well as the Human Development Index (IPM). Therefore, this study seeks to examine changes in MSME empowerment policies during the COVID-19 pandemic, in order to increase the competitiveness of business actors in Cianjur Regency. This study uses a qualitative approach with data collection through in-depth interviews, observation, and documentation studies. The data analysis technique was carried out through three stages, namely open coding, axial coding and selective coding. Research informants came from a) Department of Cooperatives, MSMEs, Trade and Industry of Cianjur Regency; b) Center for Integrated Services of SMEsCo in Cianjur Regency; c) Directorate of Domestic Trade, Ministry of Trade of the Republic of Indonesia; and d) SMEs in Cianjur Regency. The results of the study indicate that there are three aspects of MSME empowerment policies carried out by the Cianjur Regency Government, namely; a) Marketing, with a focus on online marketing through the creation of e-catalog and e-commerce applications in Cianjur Regency, as well as offline marketing through the application of Cianjur local government regulations and product diversification programs; b) Capital, which focuses on facilitating access to payments, and a revolving fund program with 0% interest.
Mengurai Kesenjangan Layanan Publik bagi Penyandang Disabilitas di Masa Pandemi: Studi Kasus Kabupaten Ponorogo
Authors: Febriyan Deby , Ma'ruf Muhammad Farid , Pradana Galih Wahyu , Megawati Suci
Published: April 2023

Penyandang disabilitas dengan jenis disabilitas yang berbeda merupakan salah satu kelompok yang rentan terhadap infeksi virus covid-19. Dalam menghadapi covid-19 dan untuk penyandang disabilitas, pemerintah telah mengeluarkan kebijakan pencegahan. Regulasi ini harus diimplementasikan secara benar, dikarenakan individu dengan disabilitas memerlukan bantuan untuk melakukan aktivitas mereka karena keterbatasannya. Sehingga pendidikan mengenai protokol kesehatan menjadi sangat penting bagi penyandang disabilitas. Penelitian ini merupakan penelitian deskriptif kualitatif dengan pengumpulan data melalui studi literature, observasi, focus group discussion dan wawancara mendalam.  Tujuan dari penelitian ini adalah untuk menguraikan strategy dari pemerintah daerah untuk mengedukasi protokol kesehatan untuk orang dengan disabilitas mental melalui optimalisasi Lembaga sosial di Ponorogo. Hasil penelitian ini mengungkapkan bahwa pemerintah setempat, termasuk juga penyandang disabilitas, mempunyai peran yang signifikan dalam menjalankan protokol kesehatan masyarakat. Edukasi protokol kesehatan untuk penyandang disabilitas dapat dilakukan antara lain dengan a) mengikutsertakan pembicara bahasa isyarat; (b) menyusun panduan pelaksanaan komunikasi dan penyediaan informasi yang inklusif, dan (c) membuat pedoman layanan untuk kelas daring. Edukasi protokol kesehatan dilakukan secara langsung dan tidak langsung. Partisipasi dari lembaga sosial non pemerintah merupakan salah satu cara untuk menerapkan protokol kesehatan bagi penyandang disabilitas di Kabupaten Ponorogo. Komunitas Rumah Harapan Karangpatihan adalah salah satu lembaga non pemerintah yang secara langsung aktif dalam edukasi penyandang disabilitas untuk protocol kesehatan di desa mereka. Edukasi bagi keluarga penyandang disabilitas dilakukan secara informatif. Dalam rangka membatasi interaksi langsung, aktivis Rumah Harapan sering mengkoordinasikan dukungan sosial dari berbagai pihak. Namun sangat disayangkan, pengoptimalan proses edukasi protokol kesehatan untuk penyandang disabilitas tidaklah terkoordinasi dengan baik antara rumah harapan dengan otoritas terkait yang ada di Kabupaten Ponorogo. Bagaimanapun juga, jelas bahwa penyandang disabilitas dalam aktivitas keseharian mereka tidak menerapkan protokol kesehatan.
The Policy of Coastal Waste Management: Case Study In Demak Regency
Authors: Masrohatun Masrohatun
Published: April 2023

The excessive amount of waste piles has been a challenge for Indonesia. Moreover, it has worse impact on coastal communities as rob takes place. Hence, this study aims to unveil the forms of coastal community waste management and local government policy. Using qualitative method and case study approach, it was found that coastal communities shared the same understanding of waste. They perceived it as discarded substance, both organic and inorganic, after its primary use. Further, coastal communities disposed of the waste by getting it burnt, buried, thrown into rivers, sold, and saved in waste banks.  In dealing with waste problems, the government issued policies by signing cooperation agreements and encouraging residents to have waste management literacy. However, many village governments did not have any specific policy on waste management.
Scientific justification of spatial distribution and mapping of anomalous manifestations of white hydrogen – energy raw material of the XXI century
Authors: Bahrii I. D. , Riepkin О. О. , Paiuk S. O. , Kryl Ia. M. , Gafych I. P.
Published: April 2023

The research studied the pressing problem of the fuel and energy strategy of the XXI century. For the first time, there was shown the diversity of the authors approach to theoretical and applied problems of hydrogen energy.General issues of fundamental and applied aspects of hydrogen origin were covered.The study provides the results of scientific developments on hydrogen mapping performed within the framework of scientific and practical exploratory and geo-ecological research on more than 200 hydrocarbon objects both on land (including mining fields) and in marine water areas. Prognostic and search system criteria were substantiated, with hydrogen being used for the first time as a component of the complex of methodical solutions in the search practice.The study emphasizes the decisive role of Ukraine in the competition for primacy in scientific developments. For the first time in world practice, the implementation of global projects for the extraction and production of white hydrogen was substantiated.The technology was tested on numerous hydrocarbon deposits, water resources and mine workings and therefore has all the prospects for the effective application in the search and extraction of hydrogen.At the same time, a database of hydrogen values obtained by performing surface methods using the technology of structural-thermo-atmosphere-geochemical research (STAGD) was created.For the first time, a map of promising oil and gas-bearing objects and industrial concentrations for the production of white hydrogen was developed on the fragment “Structural-tectonic map of the Dnipro-Donetsk basin” on a 1:200,000 scale, 2010.
A Case for Nature in Long-Haul Space Exploration
Authors: Kaufman Jason , Floyd T. Elliott , Lenartz Andrew
Published: April 2023

Technologically mediated nature during long-haul crewed space missions would promote the achievement of mission objectives.
Engineering management for Assessment of Solar Energy Development (case study of Jordan)
Authors: Ababneh Mahmoud , Alzubi Motaz , Takialddin Al Smadi
Published: April 2023

The renewable energy sector in Jordan is rapidly growing as the government is committed to reducing the country's dependence on fossil fuels and increasing the contribution of renewable energy to its energy mix. However, the effective management of renewable energy projects requires a unique set of skills and expertise that is different from traditional engineering management. The agreement between solar energy yield and electricity demand is compared in terms of daily, monthly and yearly patterns. A special focus is oriented towards the current status of solar energy projects in Jordan area in terms of their sizes, reliability, feasibility and challenges. Finally, concerning the future plans of solar energy in Irbid area, a road map will be introduced to trigger the decision makers to convert Irbid to a green governorate in the next decade and examines the key skills and competencies required for engineering managers to succeed in the renewable energy sector in Jordan, including technical expertise, project management skills, financial and business acumen, and strong communication and leadership skills.
Inflation and income inequality: Relationship research in the regional aspect
Authors: Arzhenovsky S. V.
Published: April 2023

The paper examines the question of whether inflation and inequality are interrelated. The data panel formed based on Rosstat information. The econometric modeling methodology included the identification of separate panel regressions for the consumer price index (CPI) and the Gini coefficient, as well as equations systems for these indicators, including equations systems for food inflation, nonfood products and services, as well as quantiles of population distribution by income. A two-way positive relationship between the CPI for goods and services and the Gini coefficient by region was empirically obtained. However, the result is asymmetric and typical for the CPI for food products and for the fifth income quintile. For the CPI for non-food goods/services/the first quintile of the income distribution, the result changes to a negative two-way relationship. The obtained results allow taking into account the unequal income of the population when making decisions by the Bank of Russia on monetary policy, as well as emphasize the effectiveness of government measures to equalize income of the population in order to contain inflationary processes.
Evolución perinatal y sobrevida a cinco años en niños con diagnóstico prenatal de síndrome de hipoplasia de ventrículo izquierdo
Authors: Cisternas O. Daniela , Terra V. Rodrigo , Aguilera P. Susana , Enríquez G. Gabriela , Rodriguez A. Juan Guillermo
Published: April 2023

El síndrome de hipoplasia de ventrículo izquierdo (SHVI) es una cardiopatía congénita de baja prevalencia y alta letalidad. Objetivo: determinar la evolución perinatal y sobrevida al año y cinco años de fetos con diagnóstico prenatal de SHVI. Pacientes y Método: Estudio de cohorte prospectivo de todos los fetos con SHVI ingresados al Centro de Referencia Perinatal (CERPO) nacidos entre enero 2008 y diciembre 2017. Se obtuvieron datos demográficos y clínicos perinatales de la base de datos de CERPO. Al año y quinto año de edad, se realizó encuesta telefónica para conocer el tratamiento quirúrgico y sobrevida. Resultados: Se ingresaron 1.573 pacientes a CERPO, 899 con cardiopatías congénitas, confirmándose diagnóstico prenatal de SHVI en 7% (110/1.573). El promedio de edad gestacional al diagnóstico y la mediana al ingreso fue 26+3 y de 32+3 semanas respectivamente. 89% nacieron vivos, 90% a término y 57% por cesárea. La mediana de peso al nacer fue 3.128 gramos. 89% sobrevivió al periodo prenatal, 50% al periodo neonatal precoz, 33% al periodo neonatal tardío, 19% el primer año y 17% a los 5 años. Conclusiones: En este centro, la sobrevida al año y cinco años de fetos con diagnóstico prenatal de SHVI fue 19% y 17% respectivamente. Es importante que la consejería prenatal considere publicaciones basadas en casuísticas locales, con diagnóstico prenatal, postnatal y de aquellos que alcanzan la cirugía, para entregar información más precisa a los padres.
Determinants of Emergency Nurse Readiness for Emerging Infectious Diseases
Authors: Laksmi Ida Ayu Agung , Udaksana I Made Adi Wahyu , Susila I Made Dwie Pradnya
Published: April 2023

Emerging infectious diseases are infectious diseases that appear and increase so rapidly that they can be said to be epidemics or non-natural disasters. As the front line, nurses are faced with uncertainties that increase the risk of exposure to disease, so preparedness is needed. This study aims to analyze the factors that affect the preparedness of emergency nurses in dealing with patients with emerging infectious diseases. This study is a correlational analytic study involving 109 emergency nurses in Bali. Data were collected through an online survey using a general questionnaire on demographic factors, a questionnaire on nurses' knowledge of EID, and a questionnaire on nurse preparedness in dealing with EID that had been tested for validity and reliability. The results of the bivariate analysis using the Spearman rank test showed that only the availability of personal protective equipment (p-value 0.007, p < α (0.05) and nurses' knowledge had a significant correlation with emergency nurse preparedness in dealing with patients with emerging infectious diseases (p-value 0.005, p < α (0.05). Therefore, it can be suggested to the hospital management in providing opportunities for emergency nurses to receive training related to emergencies in dealing with emerging infectious diseases and increase the assurance of the availability of adequate personal protective equipment  (PPE).
The Effectiveness of the E-Book “Aku Siap Pubertas (ASiaP)” in Improving the Role of Mothers and Children's Readiness for Puberty
Authors: Mardeyanti Mardeyanti , Karningsih Karningsih , Yulfitria Fauziah , Darwanty Jundra
Published: April 2023

Adolescents experience successive hormonal, physical, psychological and social changes. Adolescents detach themselves emotionally from their parents to assume social roles. As many as 47.7% of teenagers often feel anxious, and 84% feel repeated feelings of anxiety. One of the anxieties that are handled is the physical changes during puberty. The results of this research on family support are still relatively low, namely 12%. Families are overprotective, lack attention, and feel confused about adolescent emotions. Objective: To determine the effect of e-books on knowledge, attitudes, mother's role and children's readiness to face puberty. Methods: The research design is quasi-experimental. They conducted research in March-September 2022 in the Malaka Jaya sub-district, East Jakarta, with a total sample of 59 mothers and adolescents. The data results were analyzed using the non-parametric Wilcoxon Rank and linear regression tests. Results: This study shows the effect of e-books on knowledge, attitudes and the role of mothers in dealing with pubertal changes with a significance of 0.000, 0.04 and 0.000. Education affects learning with a value of 0.000 and a regression coefficient of 2.787, which means that education increases a mother's knowledge by 2.7 times. There 91.1% of children are ready to be cheerful and ready to go through puberty, with a significance of 0.002. Conclusion: Using e-books increases mothers' role in facing puberty changes, and adolescents can go through puberty well.
Sexual dimorphism based on the sternum bone morphometry in human fetuses: a pilot study
Authors: Aragão José Aderval , Matos Ícaro Quintela , Carvalho Higor Dantas Gonçalves , Aragão Iapunira Catarina Sant’Anna , Aragão Felipe Matheus Sant’Anna , Lourenço Bárbara Costa , Feitosa Vera Lúcia Correa , Reis Francisco Prado
Published: April 2023

The recognition and determination of sex from fragments and remnants of human skeletons has been, until now, a complex task for forensic experts and anthropologists. For the former, it becomes crucial in cases of mass disasters, catastrophes, such as terrorist acts and wars. The study with bones of the pelvis, skull, femur and other long bones has significantly contributed to analyze the determination of sex in these situations. The study of sternum dimorphism can become one more element that may collaborate with this type of knowledge. The present study sought to investigate, in human fetuses, the sexual dimorphism of the sternum, based on its perimeter measurements, which were treated using statistical methods. For this purpose, three different observers used a digital pachymeter with a precision of 0.01mm and the average of the measurements obtained was calculated. Differences in average were evaluated using the t-test and Mann-Whitney test, as well as discriminant analysis. Findings from measurements of the sternum in human fetuses did not seem to us to be a reliable indicator of sex determination. We hope that further studies with a larger number of samples and the use of other possible techniques will also collaborate with the subject.