bluuebunny/crossref_metadata_2025 huggingface dataset:
Importance of Supplier Quality and Supplier Relationship Quality in Supply Chain
Authors: Widjaja Sheren Aurelia , Darmawan Bambang
Published: November 2023

The lack of awareness of companies to choose quality suppliers often leads to changing suppliers. In addition, another thing that contributes to the change of suppliers is the lack of awareness of the company to manage good relationships with suppliers. The impact of changing suppliers is that there are changes in the goods or services offered to customers, such as quality, specifications, and others. Furthermore, this will affect customer satisfaction and if the quality decreases, it can result in losses for the company. The purpose of this article is to determine the urgency of supplier quality and supplier relationship quality. The method used in data collection is Literature Review (LR). Supplier quality and supplier relationship quality play an important role in the supply chain. Then one of the important factors that must be developed to improve the quality of the relationship is the communication factor.
Implementation of Warehouse Management System Planning in Finished Goods Warehouse
Authors: Larutama Wiku , Bentar Dewang Rangga , Risdayanto Rifqy Oktavian , Alvariedz Ridwan Salman
Published: November 2023

Warehouses play an important role in the supply chain by serving as a link between producers and end consumers. Warehouses not only serve as a place to store goods, but also have other important functions. Operational efficiency and logistics control in finished goods warehouses are increasingly becoming an urgent need for companies in various industries. However, ineffective warehouse management can lead to negative impacts such as decreased profits and customer dissatisfaction. Therefore, efforts are needed to manage warehouses with good efficiency and structure. This article discusses the concept of Warehouse Management System (WMS) and finished goods warehouse management in an effort to improve operational efficiency and logistics control. Through a qualitative approach with data acquisition using literature review from various relevant sources, the relationship between the use of WMS and increased productivity in a company is examined. The results showed that there was a significant improvement in the performance of a company. The WMS is proven to increase the number of orders received and the company’s operational efficiency. WMS aids inventory management with real-time stock data, preventing shortages or excesses. Successful implementation demands proper strategy, tech utilization, planning, system integration, and employee training. Thus, WMS implementation can bring about positive changes in warehouse operational efficiency, inventory optimization, and meeting customer needs.
Proposed Solutions to Vaccine Storing and Distribution at PT. POS Logistik Indonesia, Bandung
Authors: Dwiyanti Vina , Putra Davin Arkan Admoko , Ar-rafi Ahmad Reza , Muslim Anim
Published: November 2023

This case study digs into the involvement of students in the logistic engineering curriculum at Universitas Pendidikan Indonesia in real-world logistics problems. The research is based on a consulting project carried out in partnership with PT. POS Logistik Indonesia, is a well-known logistics company specializing in health and vaccine product warehousing. The primary responsibility allocated to the students is to meticulously observe, thoroughly analyze, and provide solutions for material handling procedures within the boundaries of the company's warehouse facilities. While the main goal was to collect visual documentation of the warehouse, PT. POS Logistik Indonesia delivered Standard Operating Procedure (SOP) documents relevant to health and vaccine product management. This made it possible to approach the consultation assignment in a more collaborative and informed manner. The primary goal of this article is to identify relevant difficulties and formulate prescriptive solutions based on interviews and on-site visits, with a particular emphasis on the improvement of vaccine storage and handling techniques to avoid waste in future initiatives.
Analisis Faktor-faktor yang Mempengaruhi Penyelesaian Skripsi Mahasiswa pada Program Studi Pendidikan Teknik Bangunan di Masa Pandemi Covid-19
Authors: Hidayatullah Irvan , Suryadi Dedy , Nurasiyah Siti
Published: November 2023

Sejumlah faktor memengaruhi kemampuan mahasiswa dalam menyelesaikan skripsi, termasuk faktor internal yang berasal dari dalam diri mahasiswa, faktor lingkungan yang ada di sekitar mereka, dan faktor-faktor eksternal lainnya. Saat ini, pandemi global Covid-19 telah menimpa seluruh dunia. Hal ini berdampak pada dunia pendidikan termasuk Perguruan Tinggi mengalami dampak salah satunya menciptakan masalah tambahan bagi mahasiswa, terutama dalam menyelesaikan skripsi. Ini terjadi karena proses bimbingan, seminar, dan sidang skripsi harus dilakukan secara daring atau dalam format online, menghadirkan tantangan tersendiri. Tujuan dari penelitian ini adalah untuk memberikan gambaran mendalam tentang faktor-faktor yang berperan dalam penyelesaian skripsi bagi mahasiswa program studi Pendidikan Teknik Bangunan selama periode pandemi Covid-19. Dalam penelitian ini, peneliti melakukan analisis mengenai sejauh mana faktor internal dan faktor eksternal mempengaruhi proses ini. Pendekatan yang digunakan dalam penelitian ini adalah metode deskriptif kuantitatif, dengan kuesioner digunakan sebagai alat penelitian yang diberikan kepada mahasiswa program studi Pendidikan Teknik Bangunan angkatan 2016. Hasil penelitian yang diperoleh menunjukkan bahwa faktor internal memiliki dampak yang lebih signifikan dibandingkan dengan faktor eksternal dalam pengaruh terhadap penyelesaian tesis. Faktor internal memberikan kontribusi sebesar 53%, sementara faktor eksternal memberikan kontribusi sebesar 47%. Dalam konteks faktor internal ini, motivasi, khususnya keinginan untuk menyelesaikan skripsi sesuai jadwal yang telah ditetapkan, menjadi indikator yang paling dominan.
Pengembangan Desain Problem Based Learning Berbantuan Jobsheet dalam Pembelajaran Dasar-Dasar Konstruksi Bangunan Kompetensi Keahlian Konstruksi Gedung, Sanitasi dan Pemeliharaan di SMK
Authors: Nurwulan Yulia , Suryadi Dedy , Supriatna Nandan
Published: November 2023

Metode Pembelajaran Berbasis Masalah atau Problem Based Learning (PBL) mengajak siswa untuk aktif berpartisipasi dalam pemecahan masalah dunia nyata yang relevan dengan materi pelajaran. Tujuan utama PBL adalah mengembangkan kemampuan berpikir kritis, analitis, kolaborasi, dan pemecahan masalah pada siswa. Penelitian ini memiliki dua tujuan utama yaitu merancang lembar kerja PBL yang khusus mendukung pembelajaran konstruksi dasar di kelas X KGSP dan mengevaluasi kelayakan lembar kerja tersebut. Penelitian ini dilakukan dengan menerapkan metode kuantitatif dan termasuk dalam kategori penelitian dan pengembangan, mengikuti model Sugiyono yang melibatkan lima tahap. Tahap pertama adalah identifikasi potensi dan masalah, di mana tantangan utama dalam pembelajaran konstruksi dasar diidentifikasi. Data diperoleh melalui Diskusi Kelompok Fokus (FGD) dan analisis dokumen pada tahap pengumpulan data. Langkah berikutnya adalah desain produk, di mana lembar kerja PBL dibuat berdasarkan struktur PBL. Validasi desain adalah tahap berikutnya yang melibatkan evaluasi oleh para ahli, yang menilai validitas isi, kualitas linguistik, penyajian, dan manfaat lembar kerja. Hasil penelitian menunjukkan bahwa lembar kerja PBL yang dikembangkan sangat sesuai dengan struktur PBL, mendapatkan penilaian sangat layak dari para ahli dalam aspek-aspek yang berbeda. Evaluasi oleh ahli media juga menyatakan bahwa lembar kerja ini sangat sesuai dalam hal perspektif, kemudahan penggunaan, konsistensi, desain, dan dampak pada hasil pembelajaran siswa. Penelitian ini memberikan kontribusi penting untuk pengembangan pembelajaran konstruksi dasar di kelas X KGSP melalui pendekatan PBL yang lebih efektif dan relevan.
Efektivitas Penerapan Metode Penugasan Berbasis Portofolio dalam Pembelajaran Gambar Teknik
Authors: Gusach Tanisha , Suryadi Dedy , Nurasiyah Siti , Widianingsih Irma
Published: November 2023

Pembelajaran gambar teknik merupakan bagian integral dari pendidikan teknik yang memiliki peran penting dalam mengembangkan keterampilan siswa. Dalam konteks pembelajaran ini, penelitian ini diinisiasi dengan tujuan yang jelas, yaitu untuk mengeksplorasi efektivitas metode tugas berbasis portofolio. Metode ini diintegrasikan ke dalam proses pembelajaran untuk meningkatkan pemahaman siswa terhadap materi pembelajaran serta mencapai hasil pembelajaran yang diinginkan. Fokus utama penelitian ini adalah mengukur efektivitas penerapan metode penugasan berbasis portofolio dalam pembelajaran gambar teknik. Penelitian ini melihat lebih dalam tentang bagaimana metode ini dapat efektif dalam pembelajaran gambar teknik. Hasil penelitian ini membawa temuan menarik, terdapat tantangan dalam mencapai tujuan pembelajaran secara optimal. Oleh karena itu, metode tugas berbasis portofolio muncul sebagai alternatif yang efektif. Melalui metode ini, siswa bukan hanya memahami materi, tetapi juga terlibat secara aktif dalam proses belajar, mendorong pengembangan kompetensi mereka dengan lebih baik. Penelitian ini menggambarkan sebuah langkah maju dalam mengoptimalkan pembelajaran gambar teknik. Hasil penelitian ini menunjukkan efektivitas penugasan portofolio dalam mata pelajaran Gambar teknik juga dievaluasi dari hasil belajar siswa, di mana 89% siswa berhasil mencapai atau melebihi nilai KKM. Meskipun ada beberapa kekurangan yang teridentifikasi, temuan ini memberikan bukti yang kuat bahwa metode tugas berbasis portofolio memiliki potensi besar. Namun, penelitian ini juga mendorong adanya pemikiran lebih lanjut. Perbaikan dalam pengembangan bahan ajar, interaksi siswa dengan materi, dan evaluasi tugas portofolio merupakan beberapa aspek yang perlu mendapatkan perhatian lebih lanjut. Dengan mengusung pendekatan yang holistik, diharapkan hasil pembelajaran yang optimal dapat dicapai. Penelitian ini adalah langkah awal yang memberikan wawasan berharga, dan diharapkan dapat menginspirasi penelitian-penelitian mendatang dalam upaya meningkatkan pembelajaran gambar teknik.
Pengaruh Penggunaan Platform Microsoft Teams Terhadap Hasil Belajar Siswa di SMK
Authors: Rahayu Sri , Afnan Mohammad , Kudwadi Budi
Published: November 2023

Pandemi yang melanda Indonesia saat ini menyebabkan pembelajaran tatap muka langsung tidak diperbolehkan karena penyebaran Covid-19 yang masih berlangsung. Sehingga, pembelajaran terpaksa diadakan secara tatap maya atau dalam jaringan (daring). Microsoft Teams menjadi solusi yang dapat mendorong pembentukan tim secara daring. Program ini diterapkan dalam latihan pembelajaran yang membahas topik pembuatan jalan dan jembatan dengan tujuan meningkatkan hasil belajar siswa. Penelitian ini bertujuan untuk mengkaji beberapa aspek, yaitu: penggunaan Microsoft Teams di SMK Negeri 1 Karawang, tujuan pembelajaran siswa dalam pelajaran pembangunan jalan dan jembatan, serta dampak penggunaan Microsoft Teams terhadap prestasi belajar siswa di SMK Negeri 1 Karawang dalam topik pembangunan jalan dan jembatan. Dalam penelitian ini, metode kuantitatif dengan pendekatan korelasional. Data mengenai penggunaan aplikasi Microsoft Teams (variabel X) diperoleh melalui survei, sedangkan data mengenai prestasi belajar siswa (variabel Y) dalam mata pelajaran Pembangunan Jalan dan Jembatan diambil dari hasil tes siswa. Survei digunakan untuk mendapatkan informasi rinci mengenai penggunaan Microsoft Teams, sementara hasil tes siswa digunakan untuk menilai sejauh mana siswa memahami materi Pembangunan Jalan dan Jembatan. Hasil penelitian menunjukkan bahwa penggunaan aplikasi Microsoft Teams mencapai 40%, hasil belajar siswa di SMK Negeri 1 Karawang dalam mata pelajaran konstruksi jalan dan jembatan termasuk dalam kategori “baik”. Berdasarkan persamaan regresi Y = 24,660 + 0,517X, ditemukan bahwa penggunaan Microsoft Teams memiliki pengaruh signifikan terhadap hasil belajar siswa, dengan kontribusi variabel X mencapai 26,3%.
Fasilitas dan Pemanfaatan Ruang Terbuka Hijau Publik Kelurahan Pondok Kelapa
Authors: Utami Annisa Rizky , Saleh Rosmawita
Published: November 2023

Sebagai negara yang terus mengalami pertumbuhan populasi dan mengalami peningkatan jumlah penduduk yang diiringi oleh upaya pembangunan berbagai fasilitas dan infrastruktur. Salah satu aspek yang menjadi perhatian dalam pembangunan ini adalah lingkungan, termasuk di dalamnya Ruang Terbuka Hijau (RTH) yang memiliki peran penting sebagai area publik. Meskipun demikian, terdapat tantangan dalam mengoptimalkan fasilitas dan manfaat yang disediakan oleh RTH ini, karena tidak selalu semua aspek berjalan sesuai dengan ketentuan yang telah ditetapkan.Oleh karena itu, penelitian ini bertujuan untuk mengkaji secara mendalam kondisi eksisting dari Ruang Terbuka Hijau Publik yang terletak di Kelurahan Pondok Kelapa, dengan tujuan akhir memberikan saran-saran yang berdasarkan pada peraturan yang berlaku. Metode yang digunakan dalam penelitian ini adalah pendekatan deskriptif kuantitatif, yang bertujuan untuk memberikan gambaran yang jelas mengenai kondisi penggunaan RTH publik tersebut, termasuk di dalamnya aspek pemanfaatan fasilitas yang ada.Dari hasil penelitian yang telah dilakukan, terungkap bahwa fasilitas yang tersedia di Ruang Terbuka Hijau Publik di Kelurahan Pondok Kelapa masih belum dimanfaatkan secara optimal sesuai dengan fungsinya. Banyak fasilitas yang mengalami kerusakan dan memerlukan perbaikan agar dapat berfungsi dengan baik. Selain itu, pola pemanfaatan fasilitas oleh masyarakat juga tidak selalu sesuai dengan tujuan awal pembangunan RTH ini. Dengan demikian, penelitian ini dapat memberikan pemahaman yang lebih mendalam mengenai kondisi RTH Publik di Kelurahan Pondok Kelapa dan mengidentifikasi beberapa area yang memerlukan perbaikan. Dengan rekomendasi yang akan dihasilkan berdasarkan temuan penelitian ini, diharapkan akan dapat meningkatkan pemanfaatan RTH publik secara efektif sesuai dengan peraturan yang berlaku.
Korelasi Kepemimpinan Mutu, Instruksional, dan Transformasional Kepala Sekolah dengan Ketercapaian SNP di SMK
Authors: Fadli Putra Aprilia , Darmono Darmono
Published: November 2023

Saat ini, dunia pendidikan memiliki peran yang sangat penting dalam pembangunan bangsa, tetapi kualitas yang dimiliki pendidikan di Indonesia masih kurang memuaskan. Tantangan yang signifikan dapat terlihat padakualitas pendidikan yang masih kurang memadai di berbagai tingkat pendidikan.Peningkatan kualitas pendidikan ini dapat dicapai dengan berbagai aspek, salah satunya yaitu peran kepemimpinan dalam dunia pendidikan. Tujuan dari penelitian ini adalah untuk menginvestigasi keterkaitan antara kepemimpinan berkualitas, instruksional, dan transformasional dengan pencapaian Standar Nasional Pendidikan (SNP) di lingkungan SMK Muhammadiyah 3 Yogyakarta. Populasi penelitian ini meliputi seluruh tenaga pendidik di SMK tersebut, dengan sampel penelitian terdiri dari 30 orang. Metode pengumpulan data yang digunakan adalah dengan menggunakan kuesioner, sementara analisis data melibatkan analisis deskriptif, korelasi, dan regresi.Hasil penelitian yang diperoleh yaitu diantaranya terdapat hubungan positif yang signifikan dengan nilai korelasi sebesar 0,154 antara kepemimpinan berkualitas kepala sekolah dan pencapaian SNP, ditemukan hubungan positif yang lemah dengan nilai korelasi 0,132 antara kepemimpinan instruksional kepala sekolah dan pencapaian SNP, ditemuan hubungan positif yang cukup kuat dengan nilai korelasi 0,198 antara kepemimpinan transformasional kepala sekolah dan pencapaian SNP. Selain itu, ditemukan bahwa terdapat hubungan simultan antara kepemimpinan mutu, instruksional, dan transformasional kepala sekolah dengan pencapaian SNP, dengan koefisien korelasi sebesar 0,391. Temuan ini memberikan wawasan yang berharga mengenai pentingnya berbagai aspek kepemimpinan dalam meraih pencapaian SNP yang lebih baik di lingkungan SMK Muhammadiyah 3 Yogyakarta. Implikasi dari penelitian ini dapat membantu mengarahkan upaya pengembangan praktik kepemimpinan yang lebih efektif di institusi pendidikan serupa, serta memberikan panduan bagi peningkatan mutu pendidikan di sekolah-sekolah sejenis.
Genetic and spermatological aspects of acephalic sperm syndrome
Authors: Khayat S. Sh. , Bragina E. E. , Kurilo L. F. , Chernykh V. B.
Published: November 2023

Acephalic sperm syndrome is a genetically determined form of primary male infertility associated with teratozoospermia due to  a  disrupted  head-tail  coupling  apparatus.  Acephalic  spermatozoa  syndrome  is  characterized  by  high  proportion of headless (acephalic) spermatozoa in the ejaculate. Sperm morphological changes in this syndrome were characterized, however, the etiology and pathogenesis of this syndrome have not been under evaluated. In recent years, with the progress in sequencing technology and other high-performance methods of genome, proteome and other omics technologies, it has become possible to identify many genetic causes of disorders of spermatogenesis and male infertility, as well as a better understanding of their mechanisms. This article provides a brief overview of the genes associated with acephalic sperm syndrome.
Yoga Breathing (Maheshwarananda’s Modified Bhujangini Pranayama): A Randomized Study in Hypobaric Hypoxemia at 3,650 m Elevation
Authors: Spatenkova Vera , Bednar Roman , Melichova Anna , Kuriscak Eduard
Published: November 2023

Hypobaric hypoxemia represents a risk factor for body integrity and challenges its homeostasis. We examined whether practicing Maheshwarananda’s modified bhujangini pranayama yoga breathing technique would influence hypobaric hypoxemia at an altitude of 3,650 m. An international randomized two-period, two-sequence crossover intervention study was conducted in September 2019 in the Himalayas. We compared 5-minute testing periods of pranayama breathing with normal resting breathing in 20 subjects divided randomly into two groups of 10 individuals; all had a daily practice of Maheshwarananda’s modified bhujangini pranayama and were nonsmokers, lacto vegetarians, and alcohol abstainers. We measured the arterial saturation by pulse oximetry (SpO2; our primary outcome variable), end-tidal carbon dioxide partial pressure (EtCO2), respiratory rate, and heart rate at two altitudes: (1) 378 m (T0); and (2) 3,650 m (T1 = 2nd day, T2 = 4th day at the camp) immediately after finishing each testing period. We also monitored the presence of acute mountain sickness using the Lake Louise Scoring System. Mean SpO2 at 3,650 m increased right after the yoga breathing exercise from 88.60% to 90.35% at T1, and from 88.35% to 90.60% at T2 (T1 p = 0.007, T2 p = 0.004). No significant changes were observed in heart rate or EtCO2. The mean rate of normal control resting breathing was 13/min; the mean rate was 7/min during the yoga breathing. Right after Maheshwarananda’s modified bhujangini pranayama hypobaric hypoxemia decreased as measured by SpO2, whereas EtCO2 and heart rate stayed comparable with the control resting breathing.
CIRCULAR ECONOMY STRATEGIES FOR REDUCING FOOD WASTE IN SCHOOLS: A SYSTEMATIC LITERATURE REVIEW
Authors: Dekšne Juta , Litavniece Lienite , Lonska Jelena , Zvaigzne Anda
Published: November 2023

Purpose and aim of the study: As the transition to a circular economy (CE) and the reduction of food waste is a priority strategic goal for policy planning at global and European Union (EU) level, but food waste in catering has become a major sustainability issue, the aim of the paper is to identify CE strategies to reducing food waste in schools based on a systematic literature review.Design / Methodology / Approach: The research employed qualitative methods: five-step systematic literature review methodology by Denyer & Tranfield, (2009), analysis and synthesis, as well as the monographic method. The literature was selected using the databases Google Scholar, MDPI, ScienceDirect and Scopus.Main Findings: Based on the systematic literature review, approaches for implementing CE strategies to reduce food waste in school canteens were discovered.Originality: This study provides a new perspective on the implementation of CE “R strategies” to reduce food waste in schools.Implications: The results of the study can be a basis for school and canteen administration to implement CE policies and waste management practices that will promote responsible food consumption and support sustainable food consumption and waste reduction strategies, and create added value for school canteens, the environment and society in general.
Preparing Students as global citizens through strengthening state defense attitudes and actions
Authors: Mahpudz Asep , Riandhana Taufiq Eka , Alanur Shofia Nurun , Syuaib Dahlia
Published: November 2023

Learning Citizenship Education in Higher Education faces challenges in the dynamics and global developments. One of the challenges faced in interpreting state defense for students who are young citizens. This article aims to conceptually analyze the steps to prepare students as young citizens as part of global citizens through strengthening awareness of defending the State. This study uses a quantitative descriptive research approach. Data collection techniques by distributing questionnaires randomly via google form to students of Tadulako University class 2018, 2019, and 2020 who have studied Citizenship Education. The results of the questionnaire were analyzed by percentage. The study results show that state defense's values, attitudes, and actions can be integrated into the learning of Citizenship Education in Higher Education. This is a step to strengthen students' cognitive, affective, and psychomotor aspects. That state defense is a form of student love as citizens of the State. The learning process of Citizenship Education in Higher Education, which discusses the material of state defense, is seen by students as very positive/very good and positive/good.
Student team achievement division model assisted by card media in social studies learning
Authors: Sulfemi Wahyu Bagja
Published: November 2023

The research aims to see how far the use of the STAD model assisted by card media improves learning outcomes and students' activeness and interest in learning. The method used was remedial action or classroom action research. The subjects were teachers and fifth-grade students at Pasirgunung Selatan 4 Elementary School, Depok, totaling 38 participants. The learning outcomes of the first cycle using the discussion method obtained an average of 69 (58 percent mastery learning) and 25 (66 percent) who actively answered. Cycle 2 using the STAD Model assisted by card media obtained an average of 80, completeness reached 80 percent, and student activity was 32 (84 percent). The results of the study can be concluded that STAD model assisted by by card media increases the class average value, learning completeness, student learning outcomes, student activities, and growth the cohesiveness and student interaction. The use of the STAD model assisted by card media has implications for social studies learning such as resulting data that makes it easy to measure students’ learning outcomes through comparisons between understanding before and after use. In addition, this research has the potential to enhance students' interaction and understanding of complex materials in social studies, as well as develop social and cognitive skills that are important for their development.
Lezbiyen Gey Biseksüel Transseksüeller ve Hasta Hakları
Authors: Yeşiltepe Gözde , Özdemir Mehmet Hakan
Published: November 2023

Objective: The aim of this study is to determine the discrimination faced by LGBT, and violation of their rights based on their gender identity or sexual orientation while receiving health care.
Methods: Our study was conducted as a cross-sectional survey study. LGBT individuals were contacted through the Black Pink Triangle Izmir Association; For Researches On & Against Discrimination Based On Sexual Orientation and Gender Identity. Questions of our survey were compiled from items of Turkish Patient Rights Regulation and questionnaires which were used in “Surveillance Report of Discrimination Based on Sexual Orientation and Gender Identity in Türkiye” study. 
Results: Sixty-three LGBT individuals were included in this study. Forty-four of the participants (69.8%) were homosexual/lesbian or gay, 11 of them were bisexual (17.5%) and eight of them (12.7%) were transgender. 84.1% (53) of the participants had health insurance. We found that transgenders were exposed to discrimination significantly more than bisexuals and homosexuals (p=0.042). Fourteen individuals claimed that they were exposed to discrimination based on their gender identity or sexual orientation: 11 of them were discriminated by physicians (78.56%).
Conclusion: We found that LGBT individuals face discrimination more than the general population and usually receive health care in inconvenient conditions. We believe that starting from health care providers, public awareness should be raised about discrimination rates, and also a health care policy should be developed and an action policy should be planned about the discrimination of LGBT individuals.
A Case of Nonsteroidal Anti-Inflammatory Drug-Induced Anaphylaxis Confirmed by Skin Testing
Authors: Lee Jaechun
Published: November 2023

Nonsteroidal anti-inflammatory drugs (NSAIDs) are collectively a major culprit of drug-induced hypersensitivity. No reliable diagnostic tests, other than a direct challenge, are available for detecting the hypersensitivity. Cross-reactivity among NSAIDs that inhibit cyclooxygenase-1 is common. However, in rare cases, the mechanism underlying hypersensitivity can be understood from the immunological point of view, without involving cross-reactivity of NSAIDs or even with a positive skin test for an NSAID. A 55-year-old woman was referred to the Emergency Department for anaphylaxis. She suffered from generalized hives, chest tightness, and hypotension a few minutes after intramuscular injection of diclofenac. One year ago, she had experienced a similar reaction after intramuscular injection of aceclofenac. Thereafter, she had been taking naproxen as needed to relieve her osteoarthritis pain, without having an adverse reaction. To confirm drug hypersensitivity and to find alternative drugs, provocation tests were performed with acetaminophen, celecoxib, and lysine-aspirin. All tests were negative, and a skin prick test with diclofenac was also negative. However, intradermal injection of 0.05 mL (37.5 mg/mL) diclofenac provoked an anaphylactic shock and resulted in her admission. Here, we report a rare case of single NSAID-induced anaphylaxis, which was only triggered by acetic acid derivatives of NSAIDs, presumably by an immunoglobulin E-mediated reaction.
Weight gain in low-birth-weight newborns and associated factors in Central Benin settings
Authors: Sossa Jerome Charles , Agossadou Donelle , Azandjeme Colette , Metonoou Clemence , Kedoté N. Marius
Published: November 2023

Background: There is an association between low birth weight (LBW) and neonatal morbidity and mortality. The aim of the study was to identify associated factors with low 4-week weight gain among low-birth-weight newborns benefiting from the "optimized mother-newborn care model" within Bohicon health district in Benin.
Methods: This was a retrospective, analytical study of 124 low-weight newborns benefiting from the "optimized mother-newborn care model", monitored for four weeks, and their mothers. Data on newborns and mothers as well as on the healthcare system were gathered through documentary review and interviews. Logistic regression was used to investigate associated factors with weight gain.
Results: Of the 124 newborns monitored, more than half (54.84%) were female, their average birth weight was 2110.24±217.05 grams, and 103 (83.06%) reached the weight threshold of 2500 grams after four weeks. The mean age of the 101 mothers surveyed was 23.47±5.23 years. High household size (OR=5.65; CI95%: [1.04-30.71]), absence of home visits by community health workers (OR=10.93; CI95%: [1.54-77.14]), breastfeeding by expressing milk directly from the breast into baby’s mouth (OR=13.90; CI95%: [2.57-74.97]) and non-consumption of hindmilk by the newborn (OR=10.93; CI95%: [1.72-47.08]), were associated with weight gain in these low-weight newborns.
Conclusions: The "optimized mother-newborn care model" appears to improve weight gain in low-birth-weight newborns. Taking into account the factors associated with low weight gain in low-weight newborns could improve the effectiveness of the implemented model in this health district.
A retrospective analysis of electrical burn injuries
Authors: Kamble Pravin B. , Kshirsagar Hemant S.
Published: November 2023

Background: Our life is running at a fast pace holding hands of the hi-tech innovations in this ever-developing scenario. Electricity runs the show of the whole technology is potentially dangerous commodity to handle in daily life. Hence, electric burn injuries have been a public health threat. Electrical burns are less prevalent but are the most disastrous. Electrical burn injuries are considered as a unique form of trauma where in morbidity and mortality rates are much higher compared to the other thermal burns. This study is a retrospective analysis of electrical burn injuries that provides an insight to all facts regarding the electric burn injuries.
Methods: This paper is structured upon the patients with electrical burn injuries who were admitted to the hospital. The medical data of all burn patients admitted to our hospital between March 2011 to January 2023 were evaluated for inclusion. Incusion criteria were age 18 years old and above. The patients were divided into two age groups: 18-45 years as younger age and above 45 years old as elder age.
Results: Out of 82 occurrences of electrical burns caused by workplace dangers, 80 involved men. Male patients ranging age from 18 to above 45 years were present, 12 adults above the age of 45 years were there. Accidental electric shocks caused by low-voltage home appliances struck two elderly patients and two female patients.
Conclusions: The cause of electrical burn incidences was work related. The common patient population was consisted of electrical- mechanical workers, industrial workers, agriculture field worker, and construction workers.
A study of sleep duration, body mass index and blood pressure in an adult Kashmiri population
Authors: Tanvir Masood , Abida Mir , Nazeer Masarat
Published: November 2023

Background: Sleep is influenced by the circadian rhythms (regular body changes in mental and physical characteristics that occur in the course of about 24 hours). Lack of a good night’s sleep results in a variety of negative health and cognitive issues, which makes it critical to study the prevalence of sleep deficiency and its effects on an individual’s physical and mental health. Aim of study was to access the association of sleep duration with body mass index and blood pressure in an adult Kashmiri population.
Methods: The present study was done in the Postgraduate Department of Physiology, Government Medical College and Associated Hospitals, Srinagar. This study was done on 500 subjects and it was an observational, cross sectional study.
Results: The prevalence of overweight/obese among short sleepers was quite high at 34.4% as compared to 11.7% and 15.2% among normal sleepers and long sleepers respectively. Among short sleepers 0% participants were hypotensive 47.5% were normotensive, 52.4% were prehypertensive/hypertensive.
Conclusions: In conclusion, this study showed a statistically significant increase in the prevalence of elevated blood pressure and overweight/obese subjects among short sleepers. There was an inverse relationship of prevalence of overweight/obesity and elevated blood pressure with short sleep duration. Our study also showed a statistically significant increase in the percentage of prehypertension/hypertension among overweight/obese people with a p value of <0.001 and CHI square of 43.964.
Assessment of learning preferences among medical students
Authors: Krishnan Malavika , P. Sawant Dessai Bhargav , K. Shah Hemangini
Published: November 2023

Background: Facilitating learning, or the development of knowledge, skills, attitudes, beliefs, and habits, is what education is all about. The learning style of an individual refers to how they prefer to gather, process, memorize, and recall information. One student may adopt one or many modes of knowledge acquisition. Academics consider learning style as a factor influencing students’ learning as a result of personal preferences for physical, social, and environmental components during the learning process.
Methods: The cross-sectional study was conducted from July to September 2022, at Goa Medical College. The student’s preferred method of learning was ascertained using the VARK questionnaire which consisted of 16 questions in the VARK questionnaire. Each question offers 4 options, which correlate to the preferences for the 4 sensory modalities. The students were told to select the response that best reflected their preferences.
Results: A total of 867 medical students completed the questionnaire. Among the students 368 (41%) preferred unimodal learning style (either visual, auditory, reading/writing, or kinesthetic), 173 (20%) preferred usage of bimodal learning style, 126 (15.8%) trimodal and 200 (23.2%) quadrimodal learning style.
Conclusions: There is a variety of learning styles present in the classroom, and there are some students who are not addressed by the standard lecture format. Furthermore, this study demonstrated that students prefer multimodal methods. It is the responsibility of the instructor and the student to be aware of student learning style preferences to improve learning. As instructors, we need to assess and understand how to reach all students by understanding how to present information in multiple modes.
Stress and burnout among first year undergraduate medical students of a private medical college: a cross-sectional study
Authors: Akham Ngamba , Goutam Soram , Gambhir Singh Toijam
Published: November 2023

Background: Stress can be considered as a double-edged sword. Various studies have provided evidence of stress amongst medical students. There have been no studies regarding prevalence of various stress factors among the medical students of the only private medical college in Manipur.
Methods: A cross-sectional study was conducted at Shija Academy of Health Sciences, Langol amongst the first MBBS Batch 2022. Convenience sampling method was adopted. medical students stress questionnaire was used for assessing Stress and Maslach burnout inventory-student survey was used for assessing Burnout of the medical students.
Results: A total of 148 medical students participated. For stress predictor domains, the academic related stressor was found to have the highest mean score (2.30±0.65). There were statistically significant associations between the social related stressor score with location of home of students and academic related stressor with self-graded academic performance. There was also significant association between group activities related stressor and self-graded academic performance of students. for burnout domains, the employment/occupational exhaustion had the highest mean score (26.54±9.37). Statistically significant associations were found between depersonalization with gender and location of home of students, and occupational exhaustion with self-graded academic performance of students.
Conclusions: This study reveals the need for stress management modules development for students with special focus on academic and social related stressors.
Prevalence and socio-demographic causal factors associated with use of various psychoactive substances in patients seeking treatment from a deaddiction centre of a tertiary-care hospital in North India
Authors: Narvariya Ashish , Sharma Dinesh Dutt , Batra Surbhi
Published: November 2023

Background: Substance abuse is a quiet, slowly expanding epidemic in any community. We sought to analyze the patterns among substance users seeking treatment from the community. Aim was to determine the sociodemographic causal factors and prevalence of substance use of those seeking treatment in the deaddiction centre of tertiary care hospital for one year.
Methods: 670 patients of all age groups with substance dependence enrolling for treatment during 1 year period for the first time in a deaddiction centre of a tertiary-care hospital in north India were retrospectively evaluated. Data was coded and analyzed using SPSS 20.
Results: Male subjects (97.3%) were predominant; with substance use being most prevalent among 31-40 years (31.6%). 43.9% subjects were educated upto higher secondary level. Tobacco (76.4%), alcohol (73.9%), cannabis (30%), opium (13.3%), volatile solvents (5.1%), and sedatives-hypnotics (4%) were the most prevalent substances used. 5.8% subjects were actively injecting drugs and had multiple high-risk behaviors. One-tenth subjects were found positive out of 9.4% that were screened for human immunodeﬁciency virus. Co-morbid mental illnesses like bipolar disorder (6.11%), Schizophrenia (5.8%), depression (2.8%), and somatoform disorder (2.8%) & medical illnesses like Hypertension (12.1%) and alcoholic liver disease (4.32%) were also seen. History of previous treatment and prior hospitalization for deaddiction was present in 26.3% and 11.6% subjects respectively.
Conclusions: Among the at-risk population in the community, the parameters and causal factors associated with psychoactive substance users presenting to a deaddiction centre in tertiary care, need to be prioritized.
Estratégias Pedagógicas para a Construção da Competência Socioafetiva Empatia na Educação a Distância
Authors: Oliveira Ariane Wisnieski de , Schorn Gabriella , Amaral Karen Priscilla Severo , Longhi Magalí Teresinha , Behar Patricia Alejandra
Published: November 2023

O artigo tem como objetivo verificar a aplicação de estratégias pedagógicas que estejam alinhadas à construção da Competência Socioafetiva Empatia no Ensino Superior de cursos de Educação a Distância. O levantamento teórico foi realizado por meio de publicações sobre o tema e os dados foram coletados por meio de questionário direcionado a professores com perguntas abertas e fechadas, sendo analisado ​​por meio da escala likert de concordância. Os resultados foram avaliados seguindo as premissas da análise de conteúdo. Após o recebimento e análise das respostas, constatou-se que há necessidade de avançar em pesquisas que possibilitem ao professor maior conhecimento sobre a construção da Competência Socioafetiva Empatia na Educação a Distância. No entanto, os resultados apontaram que o professor apresenta interesse e preocupação em relação ao assunto, pois está atento às necessidades dos seus alunos, tanto coletiva quanto individualmente. Observa-se também que as estratégias pedagógicas, mesmo não sendo diretamente direcionadas à Competência Socioafetiva Empatia, em muitos casos, cumprem essa função, estabelecendo condições para que os alunos construam conhecimentos, habilidades e atitudes neste sentido.
 
Palavras-chave: Educação. Competência. Empatia.
Morphometry of the Samalayuca dunes, northern Chihuahua, Mexico
Authors: Domínguez Acosta Miguel , Langford Richard P. , Gill Thomas E.
Published: November 2023

The Samalayuca Dunes (SMD) (Médanos de Samalayuca), Chihuahua, México, are one of México’s largest and least studied dune fields, now managed as a Protected Area for their ecological characteristics. We present a morphometric characterization of the dune field based on remote sensing and field studies, to advance understanding of its physical environment. SMD’s generally-fine sands originate from shoreline deposits of Paleolake Palomas, transported eastward (downwind) along an aeolian corridor, accumulating primarily as echo dunes upwind of the sierras of Samalayuca and Presidio. A complex wind regime, with northerly and southerly winds complementing regionally-prevailing southwesterlies, modified by topographic effects, shapes the SMD’s morphology. The sand sea covers ~139.7 km2, with ~113.8 km2 in the main eastern body and ~25.9 km2 in a northwestern subfield. We describe six major dune forms: north to south straight-crested dunes, east to west straight-crested dunes, star dunes, vegetated parabolic dunes, relict transverse dunes, and “megastar” (draa) dunes. Mean interdune centroid spacing is 76.5 m. The active dunes, previously described as an “aklé” pattern, are predominantly straight-crested dune sets oriented near-perpendicular to each other with general north-south and east-west crest orientations, 4-5 m high, spaced ~67 m apart for north-south trending crests and ~53 m for east-west trending crests, representing a nearly perpendicular interference pattern in some locations. The active dunes are superimposed in a compound and complex arrangement on relict remnants of much larger north-northwest trending transverse dune ridges fanning out from south to north-northwest, spaced approximately ~1 km apart and ~50 m high. The easternmost dune ridge contains an active set of at least 15 active megastar and reversing dunes up to 120 m tall, increasing in size and complexity from south to north. As a protected area with historical and ecological value, additional geologic investigations should be performed at the SMD, to help conserve this remarkable geologic feature.
A practical guide to ore microscopy by Ricardo Castroviejo (Book review)
Authors: Proenza Joaquín A.
Published: November 2023

Ore microscopy, based on reflected light, is the most appropriate and widely used technique for the identification and characterisation of ‘opaque’ minerals in polished sections (blocks or thin sections). This methodology is essential in exploration, characterisation and evaluation of ore deposits. Moreover, it is helpful in petrographic studies of rocks containing opaque minerals and the characterisation of synthetic solids, as well as in mineral processing, metallurgical testing and environmental impact of mining exploitation.
The EPOR/CD131 heteroreceptoragonist has an endothelioprotective effect against the background of pulmonary hypertension caused by monocrotalin
Authors: Korokina Lilia V.
Published: November 2023

Introduction: The abnormal increase in pulmonary pressure observed in pulmonary arterial hypertension (PAH) is a consequence of increased pulmonary vascular resistance due to progressive loss and obliteration of pulmonary arteries. The initial trigger is a combination of factors that lead to endothelial damage and impaired vascular regeneration. Aim: research the possibilities of pharmacological correction of pulmonary arterial hypertension induced by monocrotalin using the EPOR/CD131 heteroreceptor agonist with the laboratory code EP-11-3.

Materials and Methods: The study of pharmacological activity on a model of monocrotaline induced PAH was carried out on male Sprague-Dawley rats weighing 180-220 grams. Monocrotaline (MCT) pulmonary hypertension was simulated in 30 animals using subcutaneous injection of MCT at a dose of 60 mg/kg. Seven days after the injection of MCT, the administration of the studied compounds began. The erythropoietin derivative with the laboratory code EP-11-3 and pHBSP administered subcutaneously at a dose of 25 mcg/kg once every 3 days for 21 days.

Results: On the model of monocrotalin-induced PAH, it was shown that the erythropoietin derivative with the laboratory code EP-11-3 has a pronounced endothelioprotective effect, reducing the coefficient of endothelial dysfunction, statistically significantly increasing the expression of VEGF-R2 mRNA and reducing the expression of SDF-1 mRNA, reducing the concentrations of CT-1 and PNP, and reducing the signs of remodeling of the heart and pulmonary vessels.

Conclusion: Erythropoietin derivative with laboratory code EP-11-3 has an endothelioprotective effect and reduces the manifestations of vascular remodeling in pulmonary hypertension caused by monocrotalin.
THE RESULTS OF THE INTRODUCTION OF DISTANCE LEARNING TECHNOLOGIES ON THE EXAMPLE OF THE INDICATORS OF THE STATE FINAL CERTIFICATION OF STUDENTS OF THE FACULTY OF DENTISTRY OF USMU FOR 2019, 2020 AND 2022
Authors: Zholudev Sergey , Kozmenko Anastasia , Dregalkina Anna , Gainetdinov Maksim
Published: November 2023

The educational process has undergone significant changes throughout the history of mankind. Over the past few years, in connection with the COVID-19 pandemic, a model of distance and mixed learning format has been integrated into the educational activities of universities, implying the use of distance educational forms. To assess the effectiveness of this model of education, it is necessary to analyze the final academic performance of a graduate student, his readiness for practical activity, possession of a certain set of skills and abilities in comparison with the classical model of education. In the course of this study, it was found that the academic performance of students of the Faculty of Dentistry according to the results of the state final certification, when comparing the classical model of education with distance learning, remains at a high level: there are no unsatisfactory results in all three stages of certification, high rates of obtaining positive grades by certified students remain, which indicates the correct choice of the trajectory of the educational process.

Subject. Results of the state final certification at the Ural State Medical University in 2019, 2020 and 2022.

Objectives. Comparative analysis of the results of the training of graduates of the Faculty of Dentistry in various training conditions.

Methodology. The data of the results of the State final certification of students of the Faculty of Dentistry for the period in 2019, 2020 and 2022 were studied. The selected time period includes the period of preparation of students in the conditions of a pandemic using various learning technologies.

Results. In the analyzed period, the indicators of the state final certification were consistently high and equivalent relative to the total number of graduates, regardless of the form of study. When comparing all formats of the educational process, according to the results of the certification, there were no unsatisfactory results, which indicates the effectiveness of both the classical form of full-time education and the mixed form of the educational process in the distance format.

Conclusion. Given the similarity of the results of the final certification, we can conclude about the effectiveness of forms of distance education along with classical ones.