bluuebunny/crossref_metadata_2025 huggingface dataset:
ปัจจัยที่ส่งผลให้เกิดการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ กรณีศึกษา กัญชง ภายใต้การบริหารงานของ สำนักงานคณะกรรมการป้องกันและปราบปรามยาเสพติด (สำนักงาน ป.ป.ส.)
Authors:   , วัชระคิรินทร์ ปานธิดา
Published: June 2023

การวิจัยครั้งนี้มีวัตถุประสงค์เพื่อศึกษาปัจจัยที่ส่งผลให้เกิดการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ กรณีศึกษา กัญชง วิเคราะห์ปัญหาและอุปสรรคที่ส่งผลต่อการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ และสังเคราะห์แนวทางการพัฒนาการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ การวิจัยใช้แนวทางเชิงคุณภาพ ด้วยการค้นคว้าข้อมูลจากเอกสารทางวิชาการ นโยบายและกฎหมายด้านยาเสพติด ใช้เทคนิควิจัยการสัมภาษณ์ โดยสัมภาษณ์เจ้าหน้าที่ของสำนักงาน ป.ป.ส. ที่ทำงานในการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ รวมทั้งสิ้น 20 คน จากผลการศึกษาพบว่า ปัจจัยด้านทิศทางการปรับเปลี่ยนของนโยบายยาเสพติดโลก ปัจจัยด้านผู้บริหารฝ่ายการเมือง ปัจจัยด้านผู้บริหาร ป.ป.ส. ปัจจัยด้านผู้ปฏิบัติงาน ป.ป.ส. ปัจจัยด้านกลุ่มทุน ปัจจัยด้านเกษตรกร และปัจจัยด้านกฎหมาย เป็นปัจจัยที่ส่งผลให้เกิดการขับเคลื่อนนโยบายยาเสพติดสู่พืชเศรษฐกิจ กรณีศึกษา กัญชง โดยทุกปัจจัยจะส่งผลต่อกันในลักษณะ 3 ระดับ ได้แก่ ระดับที่ 1 กระแสปัญหา ส่งผลต่อระดับที่ 2 กระแสนโยบายและการเมืองของชนชั้นนำ และส่งผลต่อระดับที่ 3 การตอบสนองนโยบายของ สำนักงาน ป.ป.ส. ปัญหาและอุปสรรคในการขับเคลื่อนกัญชงสู่พืชเศรษฐกิจ ประกอบด้วย กฎหมายที่ไม่เอื้ออำนวยในการขับเคลื่อนกัญชงสู่พืชเศรษฐกิจ การขาดหน่วยงานหลักในการผลักดันกัญชงสู่พืชเศรษฐกิจ และการขาดองค์ความรู้เกี่ยวกับกัญชง ทั้งนี้ ข้อเสนอแนะ คือ ควรมีแนวทางการพัฒนาด้านผู้บริหาร ควรให้การผลักดันนโยบายส่งเสริมกัญชงให้เป็นพืชเศรษฐกิจ ด้านผู้ปฏิบัติงานต้องทำงานเชิงรุกและขับเคลื่อนนโยบายให้บรรลุตามเป้าหมาย ด้านกลุ่มทุน ความรู้เกี่ยวกับระเบียบ การอนุญาต การผลิต และกระบวนการผลิต ควรมีการอบรมแก่ผู้เกี่ยวข้องเพื่อให้สอดคล้องกับกฎหมาย ด้านเกษตรกร ควรศึกษากฎหมายกัญชงให้ชัดเจน และปฏิบัติตามกฎหมายอย่างเคร่งครัด ทั้งนี้ หน่วยงานหลัก ควรเป็นสำนักงาน ป.ป.ส. สำนักงานสภาพัฒนาการเศรษฐกิจและสังคมแห่งชาติ กระทรวงอุตสาหกรรม และบูรณาการร่วมกับหน่วยงานที่เกี่ยวข้อง
معوقات الاستثمار في اليمن والسياسات المقترحة لتوفير بيئة استثمارية محفزة
Authors: المكردي محمد علي
Published: June 2023

هدفت الدراسة إلى تحليل البيئة الاستثمارية في اليمن؛ للوصول إلى معوقات الاستثمار واستعراض أهم الإصلاحات التي تبنتها ونفذتها الحكومات المتعاقبة؛ بهدف توفير البيئة الاستثمارية الجاذبة للاستثمار، كما هدفت إلى دراسة الوضع الراهن للاستثمار في اليمن وتحديد أهم المعوقات التي يعاني منها واستخدمت الدراسة المنهج الوصفي التحليلي، وقد خرجت بمجموعة من النتائج كان من أهمها أنه على الرغم من توافر بعض المقومات المحفزة على الاستثمار في اليمن، والمساعي التي قامت بها الحكومات اليمنية المتعاقبة لتوفير البيئة المشجعة له، فإن البيئة الاستثمارية ظلت تعاني من الضعف الشديد في كثير من الجوانب، مما أثر سلباً على حجم الاستثمار الوطني من جانب وتدفق الاستثمارات الأجنبية من جانب آخر، وهذا يتطلب من الحكومة اليمنية صياغة سياسة استثمارية تساعد على تشجيع المستثمر الوطني، وتوفر للمستثمر الأجنبي البيئة المناسبة التي تعين على تدفق الاستثمارات الأجنبية ، فاليمن تتمتع بتوافر الموارد الطبيعية التي لم تستغل إلى اليوم، بالإضافة إلى توافر العنصر البشري النشط والمؤهل، كل ذلك سيعزز من دور الاستثمار في عملية النمو والتنمية الاقتصادية في اليمن.
Tracking of Formed Crystalline Phases in the Binary Silver Tellurite Glass-ceramics
Authors: El Zaibani M. El Zaibani , Altawaf A. Altawaf , El Agammyc E. F.
Published: June 2023

Glasses and glass-ceramics based on silver tellurite system xAg2O·(100-x)TeO2 (0 £ x £ 60  mol%) were prepared by melt-quenching method. The structure of the studied glasses and glass-ceramics was investigated by several techniques. XRD patterns reveal the existence of only one glassy region at 20 < x ≤ 30 mol% with two crystalline a-TeO2 and Ag2TeO3 phases that formed separately in the prepared samples below 20 and beyond 30 mol% Ag2O, respectively. The peaks intensity corresponding to the crystalline a-TeO2 and Ag2TeO3 phases was found to decrease and increase with Ag2O content, respectively. This may be correlated with changes in the concentration of   and  units that, respectively, build up the crystalline a-TeO2 and Ag2TeO3 phases. In the glassy region, there is no crystalline phase, which may be attributed to the abundance of the deformed  units that build up the glassy phase, and the concentrations of  and  units are neglected in this region. SEM and TEM micrographs and the related electron diffraction patterns (EDP) confirmed the formation of crystallized clusters in Ag2O-rich glasses.
The boundary of love: art, paranoia and deadlock
Authors: Fjeld Torgeir
Published: June 2023

The Norwegian-Australian artist Bjarne Melgaard has become known for his lavish, hedonistic displays that defy all norms associated with sexuality, substance abuse and art. Claiming that his art does not need to be compelling, since a Melgaard painting is “not about what we observe, but a painting that observes us,” Melgaard radically reformulates the surrealist posture in a way that obliterates the artist as subject. When Melgaard admits to terrible pangs of paranoia we should not be surprised that his projected new home carries the title “A house to die in,” echoing both the artist’s creative vision and his self-perception as a mortal subject. Originally situated on the ground where the progenitor of Norwegian plastic arts, Edvard Munch, lived and drew his famous oak trees, it generated lively debate about the respective artists’ place in Norwegian cultural history and the way they relate to their natural and social contexts. This paper sets out to understand Melgaard’s art in light of three relations between art and its creative subject. While to Jacques Lacan we relocate ourselves as whole subjects when we reaffirm the father as law-giving instance, Martin Heidegger’s suggestion was that the subject can truly only encounter itself in so far as it is ecstatically outside itself. Ultimately, Melgaard’s destiny turns out to be analogous to that of a dominant trend in contemporary art as such. As Slavoj Žižek points out, his kind of opportunistic, permanent transgressivity can only lead to dullness and deadlock. Can the end of Melgaard’s personal housing project usher into a new era beyond this deadlock?
Tinjauan yuridis Wanprestasi dalam perjanjian kredit dengan Jaminan Fidusia
Authors:   Universitas Tompotika Luwuk, Amatahir Zulharbi
Published: June 2023

Tujuan dari penelitian ini yaitu untuk mengetahui jaminan fidusia dalam perjanjian kredit. Metode penelitian yang digunakan yaitu yuridis normatif, artinya permasalahan yang diangkat, dibahas dan diuraikan dalam penelitian ini difokuskan dengan menerapkan kaidah-kaidah dalam hukum positif. Jaminan fidusia itu sendiri adalah hak-hak jaminan atas benda bergerak, baik yang berwujud maupun yang tidak berwujud, dan benda tidak bergerak, khususnya bangunan yang tidak dapat dibebani hak tanggungan yang tetap berada dalam penguasaan pemberi fidusia, sebagai jaminan bagi pelunasan utang tertentu yang memberikan kedudukan yang diutamakan kepada penerima fidusia terhadap kreditor lainnya. Jaminan fidusia merupakan perjanjian ikutan dari suatu perjanjian pokok yang menimbulkan kewajiban bagi para pihak untuk memenuhi suatu prestasi.
Gomidas’ın Türkçe-Kürtçe-Ermenice Derlemelerindeki Dans Ezgilerinin Analizi
Authors: GÜVENER Duygu , GÜRAY Cenk
Published: June 2023

Gomidas Vartabed, Osmanlı İmparatorluğunun son döneminde Türkiye’de halk müziği derleme çalışmalarını başlatan ve geniş bir müzik malzemesi üreten öncü bir müzik araştırmacısı olarak değerlendirilebilir. Halk şarkıları ile ilgili derleme çalışmalarının sayısındaki artış, on dokuzuncu yüzyılda Avrupa ve Osmanlı İmparatorluğunda ortaya çıkan milliyetçilik ve aydınlanmacılıkla ilgilidir. Gomidas, on dokuzuncu yüzyılda başlamış olan folklor hareketinden etkilenerek halk ezgileri derlemiştir. Derlediği eserler için çoksesli düzenlemeler yapmış, müzikolojik makaleler yazmıştır. Öğrencilerini derleme çalışmaları yapmaları konusunda desteklemiştir. Tiflis’te ve Berlin’de aldığı Batı müziği ve müzikoloji eğitiminin de katkısıyla çoksesli korolar kurmuş, Avrupa, Ermenistan ve Kafkasya şehirlerinde çok sayıda konser vermiştir. Dini müzik alanındaki bestecilik çalışmalarını dönemin müzik anlayışına göre din dışı müzik alanında da sürdürmüştür. Gomidas’ın derlemeleri Ermeni müziğiyle sınırlı değildir. Anadolu’da yaşayan farklı halkların kültür mirasını ortaya çıkarmak için de çaba sarf ettiği görülmektedir. Kayıt olanaklarının yeterli olmadığı bir dönemde önemli eserler bırakmış, kendinden sonraki araştırmacılara önderlik etmiştir. Geleneksel Ermeni müziğini tanımlamak ve özgün bir Ermeni müziği yaratmak konusundaki çabası, dönemin siyasal iklimiyle uyumlu bir görünüm sergilemektedir. O dönemde halk ezgileri, hem kültürel kimliğin bir göstergesi, hem de Batı kültürüyle buluşmanın bir yolu olarak görülmüştür. Gomidas’ın müzik araştırmaları, halk müziği derlemeleri, makaleleri, çoksesli koro yapıları, Ermeni müziğinin on dokuzuncu yüzyıl sonunda başlayan folklor hareketini ve müzik anlayışını yansıtması bakımından önemlidir. Gomidas, Doğu müziğinin Batı’ya tanıtılmasında aktif bir görev üstlenmiştir. Gomidas’ın derlemeleri içinde dans ezgileri önemli bir yer tutar. Dans ezgileri köylünün günlük yaşamıyla yakından ilgili çok katmanlı ve zengin bir kültür olarak görülür. Dans ezgileri, Gomidas için Ermeni müzik gelenekleri ve Anadolu müzik kültürünü anlamanın temel aracı olmuştur. Bu çalışmanın amacı, Gomidas Vartabed’in derlediği Ermenice, Türkçe, Kürtçe eserlerin yer aldığı halk müziği koleksiyonundan seçilen dans ezgilerini makamsal ve ritimsel özellikleri yönüyle incelemek ve ait olduğu coğrafyanın ezgi kalıplarına uygun olarak tekrar düzenlemektir. Bu yolla Anadolu’nun kültürel belleğine ait olan seslerin yeniden toplumsal belleğe kazandırılması hedeflenmiştir.
THỰC TRẠNG CÔNG TÁC KHÁM, CHỮA BỆNH BẢO HIỂM Y TẾ QUÂN NHÂN TẠI SƯ ĐOÀN X., TỪ NĂM 2020-2022
Authors: Lê Dũng , Đỗ Văn Hùng , Trịnh Nam
Published: June 2023

Mục tiêu: Đánh giá thực trạng công tác khám, chữa bệnh bảo hiểm y tế quân nhân tại Sư đoàn X.
Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang công tác khám, chữa bệnh bảo hiểm y tế quân nhân tại Sư đoàn X (gồm 1 bệnh xá sư đoàn và 3 bệnh xá trung đoàn), từ năm 2020-2022.
Kết quả: Các bệnh xá trung đoàn thuộc Sư đoàn X. đều chưa có đầy đủ yếu tố được phép hoạt động khám, chữa bệnh bảo hiểm y tế độc lập mà thực hiện khám, chữa bệnh bảo hiểm y tế cho quân nhân thông qua đầu mối được phép hoạt động là bệnh xá sư đoàn. Số lượng bác sĩ công tác tại các bệnh xá Sư đoàn X. đã có chứng chỉ hành nghề khám, chữa bệnh là 3/13 người (chiếm 23,1%). Tỉ lệ nhân viên quân y tại các bệnh xá thuộc Sư đoàn X. đã có chứng chỉ hành nghề khám, chữa bệnh là 78,4%. Phần lớn quân nhân thuộc Sư đoàn X. đều đăng kí khám, chữa bệnh ban đầu tại bệnh xá đơn vị. Tất cả các bệnh xá thuộc Sư đoàn X. đều chưa thực hiện được đầy đủ các kĩ thuật chuyên môn theo danh mục kĩ thuật khám bệnh, chữa bệnh bảo hiểm y tế. Từ năm 2020-2022, trung bình một ngày, mỗi bệnh xá thực hiện khám bệnh cho xấp xỉ 2 lượt người, nhận điều trị xấp xỉ 1 lượt người; tỉ lệ sử dụng giường, tỉ lệ khỏi ra bệnh xá, tỉ lệ chuyển tuyến sau tại các bệnh xá trung đoàn nghiên cứu đều cao hơn so với các tỉ lệ này ở tuyến bệnh xá trong toàn quân.
LO ÂU VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở 281 BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÍP 2 ĐIỀU TRỊ TẠI BỆNH VIỆN TIM HÀ NỘI, NĂM 2022
Authors: Lê Thị Thanh Bình
Published: June 2023

Mục tiêu: Xác định tỉ lệ lo âu và một số yếu tố liên quan trên bệnh nhân đái tháo đường típ 2.

Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang 281 bệnh nhân đái tháo đường típ 2, điều trị nội trú tại Bệnh viện Tim Hà Nội, năm 2022. Sàng lọc lo âu bằng thang đánh giá lo âu HADS (Hospital anxiety and depression scale).

Kết quả: Trạng thái lo âu xuất hiện trên 51,2% bệnh nhân nghiên cứu. Một số yếu tố liên quan đến lo âu trên các đối tượng nghiên cứu gồm: trình độ học vấn (OR = 3,58; 95%CI: 1,57-8,17); vai trò của đối tượng nghiên cứu trong gia đình (OR = 2,53; 95%CI: 1,33-4,84); điều trị đái tháo đường nội trú (OR = 3,03; 95%CI: 1,60-5,76); nhu cầu hỗ trợ (OR = 5,01; 95%CI: 2,01-12,53).

Kết luận: Bệnh nhân đái tháo đường típ 2 có khả năng mắc lo âu khá cao. Cần có biện pháp sàng lọc để phát hiện và điều trị kịp thời.
Face Mask Detection Using Haar Cascades Classifier To Reduce The Risk Of Coved-19
Authors: Zeebaree Imad Majed , Kareem Omer Sedqi
Published: June 2023

The global epidemic causes extensive damage. Several sectors, including tourism and recreation, have been halted. Since these projects require work together in close contact, it increases the danger of infection. To reduce the spread of COVID-19, keep a safe distance from others and always wear protective clothing. In light of this, we have developed COVID Vision, a system that uses Haar cascades as a classifier for a face mask detector. This will reduce reliance on employees while maintaining COVID-19 criteria. COVID Vision can determine if someone is wearing a mask or covering their lips live. According to the findings, the suggested system correctly displays the output result of human face detection within a range of 0.6 to 1.35 metres away, in lighting conditions ranging from medium to normal, and with facial angles falling within a range of ±40°. Face accessories are allowed on targeted photos as long as they don't cover the face. In conclusion, this approach may reduce the cost of real-time identity verification labour.
Hubungan Perilaku Kepatuhan Perawat dengan Penerapan Standar Operasional Prosedur (SOP) Kejadian Risiko Jatuh pada Pasien Anak
Authors: Muh. Jumaidi Sapwal  , Wahyuni Puri , Fahrozi Lalu Aries
Published: June 2023

One thing that often happens to pediatric patient is falling. In Indonesia, it is reported that the incidence of falling patients is recorded at 14%, whereas to achieve patient safety is supposed to be 0% of falling patient’s accidence. Children patient who are in health care facilities have a 100% potential risk of falling. To get safety and comfort during the nursing care process, nurses must adhere on fall risk Standard Operating Procedure. This research is a quantitative study by using descriptive correlative with cross sectional design.  The samples are 18 respondents for nurses and 18 children patients who are treated in the pediatric room. The Data were collected by using an observation sheet that was carried out on October 2020.  Spearman rank statistical analysis was used to see the relationship between the compliance behaviour of nurses in implementing standard operating procedures (SOP) on the incidence of falling risk on children patient. The results of the study showed that there is no relationship between the compliance behaviour of nurses in implementing standard operating procedures (SOP) on the risk of falling patients in the pediatric room at Dr. R. Soedjono Selong hospital with a value of p is 0.608. In conclusion, that there is no relationship between the compliance behaviour of nurses in implementing standard operating procedures (SOP) on the risk of falling patients in the pediatric room. Whereas it was found that nurses' compliance with the standard operational procedure for the incidence of fall risk was 17 people in the moderate category.
Faktor-Faktor yang Mempengaruhi Pemberian ASI Eksklusif di Kelurahan Tegal Ratu Wilayah Kerja Puskesmas Ciwandan
Authors: Irianti Susi , Lusiana Norma , Hidayat Annisa Nurhayati
Published: June 2023

Air Susu Ibu (ASI) diberikan 1 jam pertama setelah lahir tanpa makanan dan minuman tambahan selama 6 bulan pertama yang terbukti meningkatkan kualitas kesehatan dan keberlangsungan hidup anak. Pemberian ASI Eksklusif masih menjadi permasalahan untuk Puskesmas Ciwandan berdasarkan data cakupan pencapaian ASI eksklusif tahun 2021 belum mencapai target yang sesuai yaitu sebesar 43,2% dari target 60%. Cakupan pencapaian ASI eksklusif di  Kelurahan Tegal Ratu tahun 2021 paling rendah se-Kecamatan Ciwandan sebesar 30,7%. Penelitian ini bertujuan untuk menganalisa faktor-faktor yang memengaruhi pemberian ASI eksklusif di Kelurahan Tegal Ratu wilayah kerja Puskesmas Ciwandan. Penelitian ini menggunakan metode kuantitatif dengan disain potong lintang dengan mengambil data dari ibu yang mempunyai bayi usia 6 bulan sampai dengan usia 1 tahun di Kelurahan Tegal Ratu (n=72). Analisa dilakukan menggunakan chi-square dengan pemberian ASI eksklusif sebagai variabel dependen dan sebagai variabel independen adalah karakteristik responden (pendidikan, pekerjaan), pengetahuan dan peran petugas. Hasil penelitian univariat menunjukkan pemberian ASI eksklusif sebagian besar tidak ASI eksklusif (63,9%), tingkat pendidikan rendah (87,5%), tidak bekerja (70,8), pengetahuan baik (68,1) dan peran petugas baik (55,6%). Analisa uji chi square menunjukan ada hubungan yang signifikan p value (<0,05) antara pemberian ASI eksklusif dengan Pendidikan p=0,002, pekerjaan p=0,004, pengetahuan p=0,007 dan peran petugas kesehatan p=0,000. Hasil ini mengindikasikan perlunya optimalisasi peran petugas dalam memberikan KIE (Komunikasi, Informasi dan Edukasi) tentang ASI eksklusif.
Pengaruh Konsumsi Pisang Ambon terhadap Tekanan Darah Lansia Penderita Hipertensi di Wilayah Kerja Puskesmas Wanasaba
Authors: Khairari Nandang DD , Nurlaili Baiq Subli , Aupia Anatun
Published: June 2023

Latar Belakang : Hipertensi merupakan penyakit multifaktorial yang muncul oleh karena interaksi berbagai faktor. Peningkatan umur akan menyebabkan beberapa perubahan fisiologis. Tekanan darah akan meningkat setelah umur 45-55 tahun, dinding arteri akan mengalami penebalan karena adanya penumpukan zat kolagen pada lapaisan otot, sehingga pembuluh darah akan berangsur-angsur menyempit dan menjadi kaku. Tujuan : Untuk mengetahui adanya Pengaruh Konsumsi Pisang Ambon Terhadap Tekanan Darah Lansia Penderita Hipertensi. Metode : Penelitian ini merupakan penelitian Quasi   Eksperimen dengan desain Pretest and Posttest with control group design dan menggunakan teknik simple stratified Random sampling (pengambilan sampel acak berstrata). Hasil : Berdasarkan uji statistik uji test Wilcoxson hasil penelitian ini menunjukkan adanya penurunan tekanan darah setelah menkonsumsi pisang ambon yakni nilai p untuk tekanan darah systole pada kelompok eksperimen yaitu 0,001 (p < 0,05) dan nilai p untuk tekanan darah diastole yaitu 0,021 (p < 0,05). Hal ini menunjukkan bahwa ada perubahan yang signifikan terhadap tekanan darah setelah mengkonsumsi pisang ambon sehingga Ho ditolak dan Ha diterima. Kesimpulan : Diharapkan penelitian ini dapat dijadikan sebagai referensi dan digunakan bagi mahasiswa dalam bidang kesehatan yaitu pemberian terapi alternatif konsumsi pisang ambon terhadap penurunan tekanan darah bagi penderita hipertensin
Hubungan Tingkat Pendidikan dengan Perilaku Kepatuhan 3M dalam Upaya Pencegahan Penularan COVID-19 pada Era New Normal
Authors: Sasteri Yuliyanti  , Supriadi Supriadi , Suhaemi Suhaemi
Published: June 2023

Background: Corona Virus Disease or Covid-19, appeared for the first time in Wuhan City of China in 2019. The spread of the corona virus from human to other humans is very quick and aggressive. The most effective way to overcome and prevent this pandemic is to break the chain of Covid-19 transmission by implementing 3M's health protocols in a disciplined manner. Purpose: To find out the relationship between education level and 3M's compliance behaviour in a way to prevent the transmission of Covid-19 in the New Normal Era at the Sakra Health Centre.Methods: This research was conducted by using a quantitative observational analytic approach with a cross-sectional design. The sample was 100 respondents who visited the Sakra Health Centre by using the accidental sampling technique. The Analysis of the data was Rank Spearman.Results: The highest level of community education in this study was from the secondary education level group, as many as 44 respondents (44%). The highest level of community compliance in this study was from a group that had a moderate level of compliance as many as 40 respondents (40%). Based on the results of statistical tests using the Spearman Rank test, a significant value was obtained for p value = 0.000 <0.05 with a value of (r) rho = 0. 724. Conclusion: There is a significant relationship between education level and 3M's compliance behaviour in way to prevent Covid-19 transmission in the new normal era at the Sakra Health Centre.
Faktor-Faktor yang Berhubungan dengan Kejadian Stunting di Desa Aik Dewa Wilayah Kerja Puskesmas Pringgasela Utama
Authors: Fibrianti  , Sari Jusmala
Published: June 2023

Background: Stunting is a chronic malnutrition problem caused by a lack of nutritional intake for a long time, this causes future problems, namely experiencing difficulties in achieving optimal physical and cognitive development and to find out factors related to the incidence of stunting in Aik Dewa Village, the working area of ​​the Pringgasela Utama Health Center in 2022. Methods: This research method is a quantitative study, with a cross-sectional design approach. The population in this study were all mothers who had stunted toddlers aged 24-59 months, totaling 20 people during February 2022 in Aik Dewa Village, Pringgasela Utama Health Center Working Area, using Total Sampling. The independent variables in this study were age of marriage, history of exclusive breastfeeding, and history of LBW. The dependent variable in this study is the incidence of stunting. The data analysis used is univariate and bivariate. Results: The results showed that there was a relationship between history of exclusive breastfeeding (p-value 0.002), history of LBW (p-value 0.00), age at marriage (p-value 0.005) and stunting. Conclusion: There is a relationship between a history of exclusive breastfeeding, a history of LBW and a history of age at marriage with the incidence of stunting in Aik Dewa Village, the working area of ​​the Pringgasela Utama Health Center in 2022.
Hubungan Kecanduan Game Online terhadap Perilaku Sosial Remaja di Desa Anggaraksa
Authors: Syarif Hidayatullah  , Anatun Aupia  , Dina Alfiana Ikhwani  , Sasteri Yuliyanti
Published: June 2023

ABSTRAK

Kecanduan game online merupakan suatu pola perilaku permainan yang terhubung ke internet secara terus-menerus dan berulang hingga kehilangan kontrol diri, minat dan aktivitas harian lainnya. Sedangkan Perilaku sosial merupakan aktivitas dalam hubunganya dengan orang lain dan lingkunganya baik teman sebaya maupun orang orang dewasa disekitarnya seperti orang tua, guru, dan saudara-saudaranya.Mengetahui hubungan kecanduan game online terhadap perilaku sosial remaja di Desa Anggaraksa tahun 2022. Penelitian ini menggunakan deskriptif korelatif dengan pendekatan Cross Sectional yaitu melakukan pengamatan sekali terhadap variabel bebas dan variabel terikat pada saat yang sama. Sampel yang digunakan yaitu sebanyak 81 responden dengan tehnik purposive sampling. Analisis data yang digunakan yaitu chi square test. Berdasarkan uji statistik dengan menggunakan chi square test. didapatkan nilai signifikan 0,000 < 0,05 yang berarti H0 ditolak dan Ha diterima. Dengan demikian disimpulkan ada hubungan kecanduan game online terhadap perilaku sosial remaja di Desa Anggaraksa tahun 2022. Berdasarkan hasil tersebut ada hubungan kecanduan game online terhadap perilaku sosial remaja di Desa Anggaraksa tahun 2022 dan diharapkan bagi remaja untuk mengurangi durasi bermain game online . Kata Kunci : Kecanduan Game Online, Perilaku Sosial Remaja

ABSTRACTOnline game addiction is a pattern of game behavior that is connected to the internet continuously and repeatedly until it loses self-control, interests and other daily activities. Meanwhile, social behavior is an activity in relation to other people and their environment, both peers and adults around them, such as parents, teachers, and siblings. to identify the relationship between online game addiction and adolescent social behavior in Anggaraksa Village in 2022. This study uses a descriptive correlation with a cross sectional approach, which is to make observations once on the independent variable and the dependent variable at the same time. The sample used is as many as 81 respondents with purposive sampling technique. Analysis of the data used is the chi square test. Based on the chi square test table above, there is a P-Value of 0.000. because the P-Value value is 0.000 <0.05, which means HO is rejected and H1 is accepted. Thus, it is concluded that there is a relationship between online game addiction and changes in adolescent social behavior in Anggaraksa Village. Based on these results, there is a relationship between online game addiction and adolescent social behavior in Anggaraksa Village in 2022 and it is hoped that adolescents will reduce the duration of playing online games. Keywords: Online Game Addiction, Adolescent Social Behavior
The effectiveness of continuous versus sequential chelation in the removal of smear layer and their influence on push-out bond strength of Bio-C sealer (An in vitro study)
Authors: ADHAM Ayat , ALİ Ahmed
Published: June 2023

Objectives: Successful endodontic treatment outcome requires effective shaping and cleaning of root canals. This study aims to evaluate the smear layer removal after continuous chelation (CC) ) NaOCL\HEDP( and sequential chelation (SC) )NaOCL\EDTA( and their influence on the push-out bond strength (POBS) of Bio-C sealer. Materials and Methods: Palatal roots of the maxillary first molar (n=72) were divided into four groups (n=18) as follows: 3% NaOCL, SC: 3% NaOCL followed by 17% EDTA, CC: 3% NaOCL \9% HEDP and Distilled water. Thirty-two roots (n=8/group) were split longitudinally for smear layer evaluation using SEM. Forty roots were obturated with Guttapercha and Bio-C sealer using a single cone technique. Three sections were taken horizontally from the coronal, middle, and apical third (1.5±0.1 mm thickness) for the push-out test using a universal testing machine. The Kruskal-Wallis and Mann-Whitney tests were used to analyze the SEM data, while the One-way analysis of variance (ANOVA) test and the Tukey test were used to analyze POBS data. Z test to compare failure mode. Results: There was no difference between SC and CC in the smear layer removal at all thirds (p>0.05). The POBS in CC was significantly higher than SC in all thirds (p
Peri-operative Hemodynamic changes and Anxiety in patients undergoing surgical and LASER assisted periodontal therapies- A randomised clinical trial
Authors: SRUTHIMA Nvsg , RAMESH Ksv , M Satyanarayana Raju , GADDE Praveen , PS Gautami
Published: June 2023

Objectives: Hemodynamic changes, such as changes in blood pressure, heart rate, and hypoxia, are observed during surgical procedures and may be related to pre-operative anxiety. As a result, the current study aims to compare the hemodynamic changes, hypoxia, and anxiety in LASER assisted periodontal therapy and surgical periodontal therapy for pocket reduction.

Methods: This single blinded randomized controlled observational clinical trial included 30 patients with Stage II,III and Grade B,C periodontitis randomly allocated to surgical periodontal therapy (SurPT) and LASER assisted periodontal therapy(LAPT) groups. The systolic blood pressure(SBP), diastolic blood pressure(DBP), Pulserate(PR), oxygen saturation (SpO2) were assessed before injection of local anaesthesia (LA), after LA, during and at the end of procedure. Pre-operative anxiety(POA) was assessed using Amsterdam pre-operative anxiety and information scale(APOAI) before starting the procedure. Statistical analysis was done using student t-test for intergroup and repeated measures of ANOVA for intragroup analysis.

Results: SBP and HR were significantly greater in SurPT group at all time intervals compared to LAPT group (P
Effectiveness of an educational intervention in promoting antibiotic awareness among 8th to 10th grade students in Kerala, India
Authors: BALACHANDRAN Parvathy , RAMANARAYANAN Venkitachalam , JAMES Anju
Published: June 2023

Objectives: To assess the effectiveness of a training program on the knowledge, attitude, and behavior of antimicrobial resistance determinants among high school students in Kerala, India.
Methods: This quasi-experimental study was conducted among 8th – 10th grade students for six months in a high school in Kerala, India . This study consisted of a baseline assessment of consenting participants, educational intervention using PowerPoint slides, and post-intervention assessment. Assessments were done using a validated Knowledge, Attitude, and Behavior questionnaire.
Results: Among the 223 eligible students in the selected school, 159 (71.3%) participated in the study. The follow-up rate was 93.08%. Considering a p-value of less than 0.05 to be statistically significant, there was a statistically significant difference in the knowledge (pre-intervention mean score = 6.26 ± 2.06, post-intervention mean score = 7.44 ± 1.81), attitude (pre-intervention mean score = 2.51 ± 1.13, post-intervention mean score = 3.29 ± 1.19), and behavior (pre-intervention score = 4.27 ± 1.40, post-intervention score = 4.74 ± 1.38) of study participants.
Conclusion: Educational intervention based on improving the knowledge, attitude, and practice of school children is an effective strategy to address the growing threat of antimicrobial resistance.
EVALUATION OF THE EFFECT OF DIFFERENT IRRIGATION SYSTEMS ON THE REMOVAL OF INTRACANAL MEDICAMENTS
Authors: HASÇİZMECİ Cihan , BULDUR Burak
Published: June 2023

Objectives: This study aimed to evaluate the effects of different irrigation systems on the removal of intracanal medicament used in regenerative endodonti treatment.
Materials and Methods: Following standardized preparation to obtain an immature tooth model, modified triple antibiotic paste (mTAP) consisting of metronidazole, ciprofloxacin and clindamycin was applied to the root canals of single-rooted human maxillar teeth and waited for three weeks. A total of 50 teeth with standardized preparation and intracanal medicament were randomly divided into five groups according to the irrigation method to be applied (n=10); Group 1: Conventional Syringe Irrigation (CSI), Group 2: Passive Ultrasonic Irrigation (PUI), Group 3: EndoActivator (EA), Group 4: EndoVac (EV) Group 5: Nd:YAG laser (LSR). Following the removal of the mTAP with different irrigation systems, the teeth were divided along their bukko-lingual axis. The impact roots were examined under the stereomicroscope with the 4-grade scoring scale for the presence of residual intracanal medicaments. Scores for coronal, middle and apical regions of each root were recorded.
Results: In terms of total scores, PUI group showed higher intracanal medicament removal efficacy compared to the other groups (p<0.05). In the intra-group comparison of the root canal third, less intracanal medicament was found in the apical third (p <0.05). The highest intracanal medicament removal efficacy was found in PUI and LSR groups in the coronal third, PUI group in the middle third, and PUI and EV groups in the apical third (p<0.05).
Conclusions: Intracanal medicament removal scores were significanlty associated with irrigation system. PUI showed statistically significantly higher intracanal medicament removal efficiency than other irrigation methods. While there was no difference between the coronal and middle thirds, statistically significantly less intracanal medicament removal was found in the apical third compared to the other regions.
Reasons Patients With Primary Progressive Multiple Sclerosis Contact Their Specialist Nurses
Authors: van den Berg Rosaline , Blok Katelijn , Tebayna Nura , Dijk Monique van , Rosmalen Joost van , Beukelaar Janet de
Published: June 2023

BACKGROUND:

Questions asked by patients with primary progressive multiple sclerosis (PPMS) during patient-initiated MS nurse consultations may contain salient information that can help health care providers understand their needs, which, in turn, can help tailor counseling and treatment.

METHODS:

Records of all patients with PPMS visiting the MS center of a large teaching hospital in the Netherlands between January 2007 and January 2021 were studied retrospectively. Number and type (scheduled or patient initiated) of MS nurse consultations, reasons for consultations (in prespecified categories), and frequency of subsequent referrals were registered. Association between factors (living with partner, Expanded Disability Status Scale score, comorbidities, age, sex) and number of patient-initiated consultations was studied using negative binomial regression analysis.

RESULTS:

In total, 98 patients with PPMS were included, with 720 MS nurse consultations during follow-up (median duration, 8.1 years), of which 274 (38%) were patient initiated. Patients had a broad spectrum of reasons to contact MS nurses. The most common categories were treatment (36%) and micturition and defecation (31%). Patients living without a partner (incidence rate ratio, 2.340; 95% CI, 1.057-5.178) and male patients (incidence rate ratio, 1.890; 95% CI, 0.925-3.861) consulted MS nurses more frequently. The MS nurses made 146 referrals (20% of all contacts); 59 were after patient-initiated consultation (22%). The most frequent referrals were to neurologists, urologists, and rehabilitation specialists.

CONCLUSIONS:

Multiple sclerosis nurses have a pivotal role in PPMS care, especially for patients living without a partner and male patients. Recurring questions about (new) treatment options illustrate the pressing need for highly effective treatment. Micturition and defecation problems are also a considerable concern and warrant close monitoring.
Radial solutions for nonlinear elliptic equation with nonlinear nonlocal boundary conditions
Authors: Kossowski Igor
Published: June 2023

In this article, we prove existence of radial solutions for a nonlinear elliptic equation with nonlinear nonlocal boundary conditions. Our method is based on some fixed point theorem in a cone.
Impact of Oral Health on the Oral Health Related Quality of Life (OHRQoL) among Individuals with Intellectual Disabilities in Chennai, India: A Cross-sectional Study
Authors: Subburaman Nivedha , Prashanth Vaishnavi , Mohanraj D , Prabhakar Soundarya , Raja Kumara
Published: June 2023

Introduction: The risk of developing oral diseases is higher among individuals with disabilities compared to those who do not have any form of impairment or disability. Dental caries and periodontal diseases are the two most prevalent diseases among the individuals with disabilities worldwide and dental treatment is considered as the greatest unattended health need and oral diseases can have varying impacts on well-being and life quality of people. Aim: To assess the impact of oral health on the Oral Health Related Quality of Life (OHRQoL) of patients with intellectual disabilities in Chennai, India. Materials and Methods: The present cross-sectional school-based study which was conducted in the Department of Public Health Dentistry, Tagore Dental College and Hospital, Chennai,Tamil Nadu, India, from August 2021 to September 2021. Study was conducted among the parents of 12-25- year-old intellectually disabled individuals studying in special schools in Chennai, India. The estimated sample size was 122 with 95% of power and effect size of 0.3. OHRQoL of the participants with intellectual disabilities was assessed using the short-form versions of the Parental-Caregivers Perceptions Questionnaire (P-CPQ) and impact of Oral health on the family life of participants with intellectual disabilities using Family Impact Scale (FIS). Clinical examination of oral health status was assessed using self-designed proforma based on the World Health Organisation (WHO) basic oral health survey 2013. Data was analysed using Statistical Package for the Social Sciences (SPSS) software version 24.0. Results: The number of participants between 12-18 years was 111 (91%) and 19-25 years was 11 (9%) and 68 (55.7%) were males and 54 (44.3%) were females. The results showed that most of the parents 83 (68.03%) were concerned about their child’s bad breath with regard to P-CPQ and with regard to the FIS highest mean was recorded for child needs more attention from them (2.93±0.89) and sleep disturbances (2.80±0.49) among parents. Most (n=52, 42.6%) of them had decayed teeth compared to filled (n=14, 11.5%) and missing teeth (n=17, 13.9%). Majority (n=83, 68.1%) of the participant had fair oral hygiene. There was a positive correlation of oral symptoms and social well-being with the dentition status, Oral Hygiene IndexSimplified (OHI-S) and gingival index. Conclusion: A positive correlation was recorded between the oral symptoms of P-CPQ with the oral health status of the study population with stronger correlation recorded for oral hygiene. With regard to functional limitation there was a negative correlation with gingival index and for emotional well-being there was a negative correlation with dentition status and gingival index.
Alterations in Liver Enzymes in the Postoperative Period Following Laparoscopic and Open Cholecystectomy: A Prospective Study
Authors: Choudhury Upasana , Dutta Partha Sarathi
Published: June 2023

Introduction: Laparoscopic Cholecystectomy (LC) is one of the most common procedures that is being performed by a general surgeon, and is the treatment of choice for symptomatic gallstone disease. Any abnormalities in the postoperative period because of the procedure is a thing of concern for the operating surgeon. Aim: To compare the changes in the levels of liver enzymes in the immediate and delayed postoperative period following LC and following Open Cholecystectomy (OC) with respect to the preoperative values. Materials and Methods: This was prospective interventional study carried out in the General Surgery wards of Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India, from February 2020 to August 2021. A total of 43 patients who underwent LC and 43 patients who underwent OC were randomly selected from the surgical wards. Their levels of Alkaline Phosphatase (ALP), Aspartate Transaminase (AST), Alanine Transaminase (ALT) and total bilirubin were noted in the preoperative period, 24 hours after the surgery and seven days after the surgery. The changes in the levels of the abovementioned parameters were analysed using paired t-test via International Business Machines Statistical Package for the Social Sciences II (IBM SPSS II) software version 25.0. Results: The mean age of the study participants who underwent OC was 40.98±12.46 years while the mean age for those who underwent LC was 36.42±10.53 years. There was a significant increase in the levels of AST (27.02±7.272 IU/L to 53.70±19.902 IU/L), ALT (26.21±7.399 IU/L to 50.21±14.410 IU/L) and total bilirubin (0.601±0.173 mg/dL to 0.782±0.261 mg/dL) in the immediate postoperative period (24 hours after surgery) (p-value<0.05) among the patients who underwent LC but returned to its baseline preoperative value within seven days of the surgery. No such significant change was noted in the levels of the liver enzymes (AST: 30.93±8.160 IU/L to 32.14±16.988 IU/L, ALT: 31.51±10.762 IU/L to 31.14±10.921 IU/L) among patients undergoing OC. Conclusion: The transient increase in the liver enzymes (AST, ALT and total bilirubin) 24 hours after LC maybe related to the increased intra-abdominal pressure due to CO2 pneumoperitoneum which decreases the venous return and thereby cardiac output, thus leading to tissue ischaemia. Absence of this effect leads to no significant change in the liver enzymes in the postoperative period following OC.
Factors Influencing Arrest Decision-Making in Domestic Violence Cases in Zambia
Authors: Likando Nakena , Simona Simona
Published: June 2023

Domestic violence is among the most prevalent forms of violence globally. It includes physical violence, emotional violence, sexual violence and economic violence. Several studies focusing on arrest decisions are conducted in the West; unfortunately, there is a dearth of studies focusing on domestic violence in Zambia especially on factors that influence arrest decision-making. This study was conceived to examine whether legal and extra-legal factors have an influence on the Zambia police service officers’ decision-making in domestic violence cases reported to them. Data consisting of 1258 cases of domestic violence from 2017-2019 were collected from five urban police stations in Lusaka city. In this study, we used univariate, bivariate and multiple logistic regression analysis to examine police officers’ decision-making in domestic violence cases. Descriptive results show that arrest rates are high in physical violence (13.20%), economic violence (9.46%), sexual violence (5.41%) and emotional violence (3.18%). Whilst the age of the victim, perpetrator ethnicity and the gender of police officers were found to be non-significant, strong predictors of arrest decision-making in a logistic analysis were found to be victim tribe, residential area, perpetrator age and type of domestic violence. Policy strategies and efforts should be channelled towards advocacy and awareness programmes across the communities and should not neglect the participation of victim support unit (VSU) police officers. Therefore, the Victim support unit should be appropriately funded to enhance awareness campaigns and educational programmes. Additionally, the police command should find ways of navigating around victims’ preferences in arrest decisions whilst respecting and upholding human rights and ethical standards.
Educational Game-based Design Training on Newton's Laws for Physics Teachers: A Need Analysis for Module Development
Authors: Low Jie Ying , Balakrishnan Balamuralithara , Yaacob Mohd Ikhwan Hadi
Published: June 2023

Game-based learning (GBL) is one of the approaches that could foster students' learning, motivation and the development of 21st-century skills. Past studies have shown that students face problems learning Newton's laws. Educators are eager to integrate GBL into their teaching but often lack the knowledge and training.

Aims: This study was conducted to identify the problems teachers face while teaching Physics, the implementation level of GBL in Physics classrooms, the need for a training module development and the module's requirements.

Study Design:  Quantitative research design.

Place and Duration of Study: This study was conducted in Malaysia between June 2022 and October 2022.

Methodology: A stratified sampling method was used, involving 338 secondary school Physics teachers in Malaysia answering an online need analysis survey. Quantitative data were analysed using SPSS software to obtain the percentage, mean and standard deviation.

Results: The findings showed that the significant challenges faced were a lack of experience in implementing GBL in teaching Newton's laws, students' low motivation and insufficient time. Subsequently, the results showed an inadequate implementation level of GBL in teaching Physics. The findings also revealed a need for developing a training module that could assist teachers in designing educational games and implementing GBL in teaching Newton's laws. The requirements of the module were identified in this study.

Conclusion: The data obtained from this study will be used to design and develop an educational game design training module that meets the teachers' needs and thereby help them to create educational games and implement GBL better.
Feasibility of Fishing Business with Purse Seine in Gentuma, North Gorontalo, Indonesia
Authors: Nurlaela Eli , Husen Eddy Sugriwa , H. Moh Rifki , Muallim Rahmat , Choerudin Hery , Sudrajat Danu , Mudzakir Abdul Kohar
Published: June 2023

The Purse Seine becomes a fishing gear commonly used by fishermen in Gentuma, North Gorontalo. A business feasibility analysis needs to be carried out to assess business opportunities to consider whether the business is feasible to continue or not. The components analyzed include Payback Period, Revenue Cost Ratio, Break Even Point and Return on Investment. This study aims to analyze the feasibility of the business of fishing for purse boats in North Gorontalo Gentuma. This research is based on a case study on MV. Inka Mina 730 operating in Gentuma waters, North Gorontalo. Based on the calculation of financial analysis indicators on MV. Inka Mina 730, obtained profit/loss analysis results of Rp. 388,287,988, R/C Ratio obtained 1.46, Payback Period analysis results of 4,12 means that to return the investment value it takes an interval of 4,12 years, while the BEP value is  Rp. 3.220,383,810, then also obtained a BEP (kg) value of 236,382 kg, and a ROI (Return on Investment) calculation of 24%. The purse seine fishing business in Gentuma, North Gorontalo, Indonesia is feasible and profitable based on the NPV, IRR, and B/C ratio, with return on capital included in the fast return on capital category.
Assessment of the Characteristics of Slum in the Core of Akure, Nigeria
Authors: Ayejugbagbe Joshua Seyi
Published: June 2023

This paper examined the characteristics of slum in the core of Akure, Nigeria, with a view to suggesting means of correcting the abnormalities caused by the slum environment. A sample size of 350 households amounting to 5% of the household population was randomly selected across eight selected neighbourhoods in the study area for questionnaire administration. Personal interview was conducted with the residents while field observation was made on the condition of the environment. Google Earth imagery was digitized to ascertain the number of buildings in the environment. Secondary data were collected from relevant journals, articles and textbooks. Data collected using the questionnaire was coded into the IBM Statistical Packages for Social Sciences (SPSS) version 23, where it was analyzed with the use of descriptive statistics such as frequency distribution and percentage. The results of the analysis were presented in Tables. Findings revealed that majority of the houses in the study area were informal. Majority of the buildings were old and dilapidated. Residents of the study area mostly use poorly maintained shared pit latrine as means of convenience. Residents engage in dumping wastes in open spaces and drains. Majority of the buildings in the study area were in an extreme poor condition. The study therefore proposed urban renewal exercise to take place in the slum environment; constant sanitation routine checks, legislation by the State House of Assembly to guide urban sanitation and public enlightenment of the residents to be aware of the need to ensure a safe and clean environment.
Survey of Multidrug Resistanct Bacteria in Patients with Lower Respiratory Tract Infection Attending Some Hospitals in Kebbi State, Nigeria
Authors: Kalgo Zaharaddin M. , Amin Binta M. , Muhammed Bashir
Published: June 2023

The rise in multidrug resistance is a growing public health concern among agents of respiratory tract infection, which is responsible for morbidity, mortality and costs in Africa. This study was designed to survey for multidrug resistant bacterial pathogens in patients with lower respiratory tract infection (LRTI) attending some hospitals in Kebbi State, Nigeria. Three hundred and fifty sputum samples were collected from patients with the symptoms of LRTI attending six different hospitals in Kebbi State. The samples were all screened for bacterial pathogens using standard microbiological techniques. The bacterial isolates were identified using conventional biochemical tests and then confirmed using commercial biochemical test kit (MICROBACT) according to manufacturer’s instruction. Antimicrobial susceptibility tests were determined using disc diffusion method to detect resistant isolates as well as multidrug-resistant (MDR) isolates. The overall incidence of multidrug-resistant isolates in this study was 39.8%. High level of MDR was observed among Staphylococcus aureus (28.0%) and then Klebsiella pneumoniae (21.0%). MDR were also detected amongst Aeromonas hydrophila (11.6%), Pseudomanas aeruginosa (11.6.0%), Klebsiella oxytoca (11.6%), Burkholderia pseudomallei (7.1%)  Escherichia coli (4.7%) and Acinetobacter baumannii (4.7%). In conclusion, MDR isolates were predominately isolated among Staphylococcus aureus and Klebsiella pneumoniae. Indiscriminate use of antibiotics remains the risk factor for developing multidrug resistance isolates.