bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of the Effect of E-Service Quality on E-Commerce Customer Satisfaction and Loyalty
Authors: Wisnel Wisnel , Wirdianto Eri , Cantika Tara
Published: October 2022

Service quality is a determining factor for the success of an e-commerce business serving its customers, which has an impact on customer satisfaction and loyalty. Therefore, this study aims to measure the service quality of several online e-commerce market-places on customer satisfaction and loyalty in Indonesia. This study focuses on the four most visited e-commerce application providers, namely Lazada, Tokopedia, Bukalapak, and Shopee. The concept of e-servqual and the SEM-PLS analysis method are used in this study. The results show that the variables that have significant effect on customer satisfaction are responsiveness, personalization, and reliability. While the variables that have no significant effect are website usability, information quality, and assurance. Furthermore, the variables that affect customer loyalty and satisfaction are assurance and website usability. Meanwhile, the variables of reliability, information quality, personalization, and responsiveness have no significant effect on customer loyalty.

Kualitas layanan merupakan faktor penentu kesuksesan suatu usaha e-commerce melayani konsumennya yang berdampak pada kepuasan dan loyalitas pelanggan. Oleh karena itu, penelitian ditujukan untuk mengukur kualitas layanan beberapa e-commerce market-place daring terhadap kepuasan dan loyalitas    pelanggannya di Indonesia. Penelitian ini fokus pada empat penyedia aplikasi e-commerce yang paling banyak dikunjungi yaitu Lazada, Tokopedia, Bukalapak, dan Shopee. Konsep e-servqual dan metode analisis SEM-PLS digunakan dalam penelitian ini. Hasil penelitian menunjukkan bahwa variabel yang berpengaruh nyata terhadap kepuasan pelanggan adalah daya tanggap, personalisasi dan keandalan. Sedangkan variabel yang tidak berpengaruh nyata adalah kegunaan website, kualitas informasi, dan jaminan. Selanjutnya, variabel yang mempengaruhi loyalitas  dan kepuasan pelanggan adalah jaminan (assurance), dan kegunaan website (website usability). Sementara itu, variabel keandalan (reliability), kualitas informasi (information quality), personalisasi (personalization), dan daya tanggap (responsiveness) tidak berpengaruh nyata pada loyalitas pelanggan.
Comparison Lift and Drag of Airfoil NACA 1408 Standard and Modification Using Computational Fluid Dynamic
Authors: Usin Usin , Fernanda Yolli , Karudin Arwizet , Kurniawan Andre
Published: October 2022

An airfoil is a geometry shape of an aircraft wing designed to produce high lift force and low drag forces. Study on the air flow and pressure around of the airfoil was important step to analysis lift force and drag force.  Factor affecting the lift force and drag force airfoil are the geometry and dimensions of the airfoil. This study to discus about the modification airfoil NACA 1408 was performed by adding round tip in leading edge to obtain simulate air flow by varying the angle of attack. The result showed that coefficient of lift (Cl) and coefficient of drag (Cd) was calculated from the simulations, data the highest Cl  and Cd were 0.00277 and 0.00025 for the standard airfoil and for modification airfoil were 0.00343 and 0.00064. Based on the test result, the modified airfoil can produce better lift force than the standard shapes  for test speed of 20 m/s.

Airfoil merupakan bentuk geometri sayap pesawat terbang yang dirancang untuk menghasilkan lift force tinggi dan drag force rendah. Studi tentang aliran udara dan tekanan di sekitar airfoil adalah langkah penting untuk menganalisis lift force dan drag force. Faktor yang mempengaruhi lift force dan drag force airfoil adalah geometri dan dimensi airfoil tersebut. Penelitian ini membahas tentang modifikasi dilakukan pada airfoil NACA 1408 dengan menambahkan ujung bulat pada leading edge dan mendapatkan simulasi aliran udara dengan memvariasikan angle of attack. Hasil penelitian menunjukkan bahwa coefficient of lift dan coefficient of drag dihitung dari simulasi, data coefficient of lift dan coefficient of drag tertinggi adalah 0.00277 dan 0.00025 untuk airfoil standar dan untuk airfoil modifikasi adalah 0.00343 dan 0.00064. Berdasarkan hasil pengujian, airfoil modifikasi dapat menghasilkan lift force lebih baik daripada bentuk standar untuk kecepatan uji 20 m/s.
Liquid Level Control System Using Arduino and Matlab-GUI
Authors: Risfendra Risfendra , Jannah Miftahul , Putra Dwi Sudarno
Published: October 2022

Control of the liquid level in the industry is very concerning. Without liquid level control, the output of the liquid level will be different, this will result in a different output that affects the process. However, for monitoring the level and filling of the resulting storage tank, for example, the procedure remains conventional, it's miles essential to reveal the machine in order that paintings may be finished correctly and effectively. This examine proposes tracking the liquid stage machine the usage of Arduino Uno primarily based totally on Matlab Graphical User Interface (GUI). The parameters monitored are the given setpoint and the measured liquid stage withinside the tank. The prototype for tracking the liquid stage machine became made on this examine to be examined at the machine. The effects of the checks finished display that the proposed liquid stage tracking machine has been capable of well reveal stage parameters.

Kendali atau kontrol terhadap level cairan pada industri termasuk salah satu yang sangat diperhatikan. Tanpa kontrol level cairan, keluaran level cairan akan berbeda, hal ini akan menghasilkan keluaran yang beda sehingga mempengaruhi proses. Namun, untuk pemantauan level dan pengisian tangki penyimpanan yang dihasilkan, misalnya, prosedurnya tetap konvensional, maka perlu dilakukan monitoring sistem agar pekerjaan dapat dilakukan dengan baik dan tepat guna. Penelitian ini mengusulkan sistem monitoring level cairan menggunakan Arduino Uno berbasis Graphical User Interface (GUI) Matlab. Parameter yang dimonitor adalah setpoint yang diberikan dan level cairan dalam tangki yang terukur. Prototype sistem monitoring level cairan dibuat dalam penelitian ini untuk diujicobakan pada sistemnya. Hasil pengujian yang dilakukan menunjukan bahwa sistem monitoring level cairan yang diusulkan telah mampu memonitor parameter level dengan baik.
Modification of Kaplan Turbine with Variation of Guide Angle (Guide Vanes) to Generate Electric Power
Authors: Jakfar Amin , Fatah Misbakhul , R Anauta Lungiding Angga
Published: October 2022

Hydroelectric power plant is renewable electrical energy that is needed at this time. One of the hydropower plants that has been designed is the Kaplan turbine, which is intended for the Geladak Kenong river, Pamekasan. The turbine is designed to produce 1000 Watts of power. In the manufacture of the turbine, several variations have been carried out, namely the diameter of the turbine blades, the angle of the turbine blades and the height of the draft tube. However, the power generated is relatively small, which is 416.89 Watts. In this modification, Kaplan turbines will be made with variations in Guide Vanes angles of 15⁰, 25⁰, 35⁰ and 45⁰. Its working principle is optimizing water energy to improve Turbine performance. The method used in this study is to vary the angle of the Guide Vanes which can affect the power generated. The results of the Kaplan Turbine test, the highest power of 521.79 Watt, occurred at a Guide Vanes angle of 25⁰ with a discharge of 0.0152 m3/s and a rotation of 466 rpm. 

Pembangkit listrik tenaga air (PLTA) merupakan energi listrik terbarukan yang sangat dibutuhkan pada saat ini. Salah satu PLTA yang telah dirancang yaitu turbin Kaplan yang diperuntukkan di sungai Geladak Kenong Pamekasan. Turbin tersebut dirancang untuk dapat menghasilkan daya sebesar 1000 Watt. Dalam pembuatan turbin tersebut telah dilakukan pengujian dengan beberapa variasi yaitu diameter sudu tubin, sudut sudu turbin dan ketinggian draft tube. Namun daya yang dihasilkan relatif kecil yaitu sebesar 416,89 Watt. Pada modifikasi ini akan dibuat Turbin Kaplan dengan variasi sudut Guide Vanes 15⁰, 25⁰, 35⁰ dan 45⁰. Prinsip kerjanya mengoptimalkan energi air untuk meningkatkan kinerja Turbin. Metode yang digunakan dalam penelitian ini ialah memvariasi sudut Guide Vanes yang dapat mempengaruhi daya yang dihasilkan. Hasil dari pengujian Turbin Kaplan, daya tertinggi sebesar 521,79 Watt, terjadi pada sudut Guide Vanes 25⁰ dengan debit 0.0152 m3/s dan putaran 466 rpm.
Stress Diagnosis System Using Fuzzy Logic Method
Authors: Rosdiana Rosdiana , Hasibuan Arnawan , Chairani Anggi , Daud Muhammad , Sayuti Muhammad
Published: October 2022

Stress is a response from within the body due to pressure in life that causes fear and anxiety. In previous studies, researchers only used 2 sensors, namely the Pressure sensor (MPX5500DP) and the Temperature Sensor (LM35). The purpose of this research is to develop measurement instrumentation from previous research. This study uses 3 sensors, namely the DS18B20 temperature sensor (oC), pulse sensor (bpm), and the Galvanic Skin Response (GSR) sensor. The method used is the Sugeno fuzzy logic method as parameter measurement and LCD as data display. Media intermediary data transmission using wi-fi ESP8266. The test results with the tool will be compared with the DASS 42 Questionnaire, which is one of the psychological stress measuring tools. From the results of the test tools and questionnaires, the percentage of the average level of conformity is 56%.

Stres merupakan suatu respon dari dalam tubuh karena adanya tekanan dalam hidup yang menyebabkan ketakutan,dan kecemasan. Pada penelitian sebelumnya peneliti hanya menggunakan 2 sensor saja,yaitu sensor Tekanan (MPX5500DP) dan Sensor Suhu (LM35) alat yang dihasilkan kurang akurat. Adapun tujuan penelitian ini adalah untuk mengembangkan instrumentasi pengukuran dari penelitian sebelumnya. Penelitian ini menggunakan 3 sensor yaitu sensor suhu DS18B20 (oC), pulse sensor (bpm), dan sensor Galvanic Skin Response (GSR). Metode yang digunakan adalah metode fuzzy logic Sugeno sebagai pengukur parameter dan LCD sebagai tampilan data. Media perantara pengiriman data menggunakan wi-fi ESP8266. Hasil pengujian dengan alat akan dibandingkan dengan Kuesioner DASS 42 yaitu salah satu alat ukur stress psikolog. Dari hasil uji Alat dan kuesioner maka didapatkan persentase tingkat kesesuaian rata-rata yaitu sebesar 56%.
Product Delivery Distribution Route Design at UD. XYZ Use the Saving Matrix Method to Minimize Distribution Costs
Authors: Billa Asyifa Freda Salsa , Saragih Nova Indah , Muttaqin Prafajar Suksessanno
Published: October 2022

One of the problems that frequently happen in distribution management is the Vehicle Routing Problem (VRP). VRP aims to create an optimal route, which has a minimum total distance to meet consumer demand. This problem is being experienced by UD. XYZ which causes cost overruns. The purpose of this study is to design product distribution routes to minimize distribution costs at UD. XYZ. The method used is a saving matrix with a dynamic program approach, nearest neighbor, and nearest insertion. Furthermore, the analysis of the sensitivity of the load and fuel is carried out. The saving matrix method with a dynamic program approach is able to reduce the distance traveled per week from 184.44 km to 136.65 km. In addition, the dynamic approach is also able to reduce distribution costs by 15.16% or Rp. 36,559.35 per week with distribution costs for the existing condition of Rp. 241.096.60 to Rp. 204.537.25.

Salah satu permasalahan yang sering dialami dalam manajemen distribusi adalah Vehicle Routing Problem (VRP). VRP bertujuan untuk membuat suatu rute yang optimal, yaitu memiliki total jarak minimum dalam memenuhi permintaan konsumen. Permasalahan ini sedang dialami oleh UD. XYZ yang menyebabkan pembengkakan biaya. Tujuan dari penelitian ini adalah merancang rute distribusi produk untuk meminimasi biaya distribusi pada UD. XYZ. Metode yang digunakan saving matrix dengan pendekatan program dinamis, nearest neighbor, dan nearest insertion. Selanjutnya dilakukan analisis sensitifitas muatan dan bahan bakar. Metode saving matrix dengan pendekatan program dinamis mampu memperkecil jarak tempuh per minggu yang semula 184,44 km menjadi 136,65 km. Selain itu pendekatan dinamis juga mampu menurunkan biaya distribusi sebesar 15,16% atau Rp36.559,35 per minggu dengan biaya distribusi kondisi saat ini Rp241.096,60 menjadi Rp204.537,25.
Minimization of PT XYZ Interior Fabric Inventory Costs With Continuous Review (s, S) And Periodic Review (R, s, S) Based on ABC Analysis
Authors: Ayuningputri Athiyyah , Saragih Nova Indah , Muttaqin Prafajar Suksessanno
Published: October 2022

Good inventory management can plan, control, and manage the company's inventory to consumer demand. Poor inventory management has a significant impact on the company. Excess raw materials will affect high inventory costs, and a lack of raw materials will impact dissatisfied consumers. Therefore it is necessary to have a valid inventory policy. This research aims to minimize PT XYZ's inventory costs using the Continuous Review and Periodic Review methods. The research was conducted by taking data from PT XYZ and then doing ABC analysis, normality test, Continuous Review and Periodic Review methods, and sensitivity analysis. The results showed that the most optimal inventory policy for minimizing inventory costs is the continuous review method (s, S). The results of this study can be used as a reference in determining inventory policies to minimize costs. 

Manajemen persediaan yang baik mampu merencanakan, mengendalikan, serta mengelola persediaan perusahaan terhadap permintaan konsumen. Pengendalian persediaan yang buruk sangat berdampak bagi perusahaan. Kelebihan bahan baku akan berdampak pada tingginya biaya persediaan dan kekurangan bahan baku akan berdampak pada tidak puasnya konsumen. Oleh karena itu perlu ada kebijakan persediaan yang tepat. Tujuan penelitian ini untuk meminimasi biaya persediaan PT XYZ menggunakan metode Continuous Review dan Periodic Review. Penelitian dilakukan dengan mengambil data dari PT XYZ lalu dilakukan analisis ABC, uji normalitas, metode Continuous Review dan Periodic Review serta analisis sensitivitas. Hasil penelitian didapatkan kebijakan persediaan dalam meminimasi biaya persediaan yang paling optimal adalah Metode continuous review (s,S). Hasil penelitian ini dapat digunakan sebagai acuan dalam menentukan kebijakan persediaan untuk meminimasi biaya.
Modelo neurofisiológico para la conciencia, la solución de la neurociencia del futuro
Authors: Tobar Molina Marco Antonio
Published: October 2022

OBJETIVO: describir componentes neurofisiológicos de la conciencia METODO: construcción teórica con base a reflexión RESULTADOS: este modelo contempla la experiencia consciente que vive el ser humano, lo que se denomina aspecto fenoménico de la conciencia o los qualia. Cada experiencia consciente instantánea da lugar a una nueva información que al ser procesada, presentada y percibida de nuevo da lugar a una nueva experiencia consciente. Esto genera un proceso cíclico de sucesivas experiencias conscientes que se denominará proceso consciente. CONCLUSIÓN: el proceso neurofisiológico radica en la corteza cerebral la que aporta el elemento de presentación del contenido de la conciencia y los tálamos (y posiblemente los ganglios basales) los que realizan la función de percepción o contemplación del contenido de la conciencia.
Estado emocional de la madre y alteraciones en el perfil biofísico
Authors: González Joachín Claudia Rocío
Published: October 2022

OBJETIVO: describir el estado emocional de la madre y las alteraciones que se presentan en el perfil biofísico del producto materno. METODO: construcción teórica con base a revisión bibliográfica y reflexiones RESULTADOS: el estrés materno y la falta de educación de educación sexual afectan la formación del nuevo ser en crecimiento, tomando en cuenta que la estabilidad materna forma parte de ese desarrollo, es importante lograr una conexión sana e inquebrantable, ya que efectos negativos podría generar dificultades en el aprendizaje, la memoria, atención, y recciones emocionales en el futuro niño. CONCLUSIÓN: la reproducción humana no solo simboliza la unión de dos células llamadas gametos, también significa el milagro de la vida que se traduce en la realidad guatemalteca en muchos niños que necesitan un futuro próspero. El bienestar fetal   es imprescindible para determinar el sufrimiento fetal y poder prevenir daños irreversibles, logrando un niño sano y feliz.
KONKRETIZACIJA USTAVNOG NAČELA SRAZMJERNOSTI OGRANIČAVANjA LjUDSKIH PRAVA
Authors: Rašević Živorad
Published: October 2022

Тhis paper attempts to contribute to the practical and normative explication of the Art. 20 Para. 3 of the Constitution of the Republic of Serbia. This provision is an important novelty in the Serbian constitutional development, envisaging the principle of the proportionality of the human rights` limitations. Utilising dogmatic approach, the nature, scope and structure of this principle are explained, and lege lata interpreted. Besides, the relevant constitutional case-law is analyzed in order to find out how this principle has been understood and applied. It is concluded that wording of the pertinent constitutional provision is too concise and thus incomprehensible and practically unapplicable. Therefore, this paper recommends more precise lege ferenda. At this moment, a wider interpretation is necessary. Therefore, this paper proposes certain theoretical and practical guidelines for the proper use of this complex analytical judicial instrument.
Violencia Intrafamiliar y participación activa de la víctima al momento de determinar la responsabilidad penal
Authors: Ortiz Mabel del Rocío Pimbosa , Montero Vicente Hermógenes Arias
Published: October 2022

Una preocupación constante a nivel mundial y para las organizaciones internacionales es la frecuencia de los casos de violencia intrafamiliar, por lo cual se han establecido políticas públicas con la finalidad de prevenir, sancionar, erradicar  y finalmente proteger a las víctimas; en Ecuador han  existido normativas que regulan los derechos de las dos partes durante el proceso penal,  tanto al victimario como a la víctima, la participación activa de la parte ofendida siempre es importante dentro de estos procesos penales debe ser participativa, con la finalidad de evitar la impunidad, si esto no sucede, la determinación de la responsabilidad del agresor se dificulta por parte del sistema de administración de justicia; considerando este contexto, se plantea como objetivo: analizar desde el punto de vista crítico-jurídico la falta de participación activa de la víctima de violencia intrafamiliar al momento de determinar la responsabilidad del agresor; para dar respuesta al objeto de estudio se recurrirá a la investigación explicativa como método de investigación, y el paradigma cualitativo; los métodos teóricos a utilizar serán el método de análisis y síntesis, el método histórico, y el método exegético, mientras que los métodos empíricos a os cuales se recurrirá serán la encuesta; luego de encuestar a 25 mujeres víctimas de violencia intrafamiliar fue posible evidenciar que muchas de las mujeres que no quisieron responder tenían un menor nivel educativo,  y que en su mayoría  existe los  abandono de procesos.
Analysis indicators of the networks of collaboration for learning in environments virtual
Authors: Aguirre Edith Inés Ruiz , González Rosa María galindo , Cruz Nadia Livier Martínez de la , Ramírez Gerardo Coronado
Published: October 2022

This paper presents the importance of collaborative learning in current education, mainly in higher education, which is where the least research has been done on the use of ICT in the classroom. The experience and use of networks in virtual learning spaces was analyzed in an exploratory way, in order to verify the real advantages of their use and how they favor learning. The research was considered from the training framework of the graduate programs of the Virtual University System. The methodological procedure carried out was to analyze collaboration networks in virtual environments and how they influence the learning of postgraduate students, dimensions and categories were determined. Its approach was both qualitative and qualitative, an intentional sampling was chosen, the dimensions of analysis included collaboration for learning as a central axis.
A 3-states mode lead-acid battery charger simulation for medical applications
Authors: López José Pablo Rodriguez , Sánchez Miguel Ángel Zapata , Utrilla Cristian Geovani Coutiño , Balcázar Arturo Paniagua , Sánchez Adolfo López , Mena Jorge Alberto Briceño
Published: October 2022

The design and simulation of a battery charger is presented, for medical applications using three-state mode charge, containing a Buck converter and a lead-acid battery. Implementing Proportional Integral (PI) controllers, to modify the duty cycle of the Buck converter, in such a way that the battery is subjected to the 3 states during the charging process, the PI controller reference changes for each of the 3 states. In this way the battery is subjected to the 3 states with a single PI controller. In order to predict the current and voltage values ​​to which it would be subjected in the real system in a charging process with this algorithm, it was possible to obtain the battery charge graphs, which describe all the voltage and current values. that the actual battery will undergo in a 3-state charge. Concluding that the charging current is maintained at adequate values, however there is a possibility that in state 2, the voltage exceeds the tolerated overvoltage value, so it is recommended to reduce the voltage reference in state 2.
DEMOGRAPHIC PROFILE AND CLINICAL HISTORY OF NEWLY DIAGNOSED MITRAL STENOSIS PATIENTS
Authors: Awan Romana , Faisal Muhammad , Rizvi Hiba Khairat , Khan Samra , Khowaja Sanam , Ahmed Salik , Jamal Syed Zahid
Published: October 2022

Objectives: The objective of this study was to determine the demographic profile and clinical characteristics of newly diagnosed mitral stenosis (MS) patients.
Methodology: In this descriptive cross-sectional study, patients between 15 to 65 years of age newly diagnosed with MS were included. Data regarding demographic characteristics, clinical presentation, risk factors, predisposing factors, and echocardiographic findings were obtained.
Results: A total of 125 patients were included, overall mean age was 34.12±12.33 years, 61.6% (77) were from rural areas, and 66.4% (83) were females. Only 18.4% (23) confirmed history of rheumatic fever. The most common presenting complaint was dyspnea, 91.2% (114), followed by palpitation, 60.8% (76). Severity of MS was very severe in 8.8% (11), severe in 74.4% (93), and progressive in remaining 16.8% (21). Left atrial thrombus was seen in 8% (10), left atrial smoke in 9.6% (12), and vegetation were seen in 3.2% (4) of the patients. Mean ejection fraction was 54.06±9.5% and 28% (35) of the patients had left ventricular dysfunction. Most common associated valve pathology was aortic stenosis, 75.2% (94), followed by aortic regurgitation, 48.8% (61), and mitral regurgitation, 28.8% (36).
Conclusion: In conclusion, patients newly diagnosed with MS are predominantly females and rural residents with a majority having severe disease. Common clinical manifestation is dyspnea followed by palpitations. History of rheumatic fever was lesser known, hence, mass level screening and awareness programs are needed for the eradication of rheumatic heart disease from our population.
PREVALENCE OF RISK FACTORS FOR ATHEROSCLEROSIS: A SOCIOECONOMIC COMPARISON
Authors: Imran Huffsa , Hameed Imran , Taufiq Haris , Kumari Sapna , Zubair Maryam
Published: October 2022

Objectives: Atherosclerosis, the key pathology for cardiovascular disease, is thought to be a disease of affluent people. This study was designed to estimate risk factor prevalence of atherosclerosis in different socioeconomic classes.
Methodology: Questionnaire-based data was obtained from 395 subjects, divided into three socioeconomic classes according to monthly income (high income, HI: > 100,000 PKR; Middle income, MI: 50,000 – 100,000 PKR; Low income, LI: < 20,000 PKR). Data was collected with regard to hypertension, diabetes, hypercholesterolemia, obesity, smoking, tobacco use, physical inactivity, and dietary habits.
Results: Number of participants was: HI – 115; MI – 119; LI – 161. Mean age of cohort was 35.81 ± 14.29. The three classes showed no significant difference with regard to age and body mass index, BMI (p = 0.055, 0.222 respectively). A statistically significant difference was present with regard to lack of exercise, hypercholesterolemia, hypertension (HTN) and tobacco use (p<0.001, p=0.025, p=0.005, p<0.001 respectively). No significant difference was observed with regard to smoking and diabetes (p = 0.326, .424 respectively). Prevalence of ≥ 3 risk factors was: HI – 12.17%; MI – 14.28%; LI – 11.17%.
Conclusion: Low, middle and high socioeconomic classes showed HTN, lack of exercise and hypercholesterolemia as the most prevalent risk factors respectively. Middle class showed most clustering of risk factors followed by high and low classes. Lack of exercise was the most prevalent risk factor overall, most pronounced in middle class.
SHOCK INDEX-C: A NEWFOUND SPECTRUM OF SHOCK INDEX WITH GREAT ACCURACY TO PREDICT CONTRAST INDUCED NEPHROPATHY IN PRIMARY PERCUTANEOUS CORONARY INTERVENTION COHORT
Authors: Huma Zille , Kumar Rajesh , Qayyum Danish , Awan Romana , Mir Ayaz , Siddiqui Maria Noor , Rahooja Kubbra , Samad Maryam , Chachar Kalsoom , Karera Sanjana , Yaqoob Salma , Rehman Zahid Ur
Published: October 2022

Objectives: This study was conducted to assess the predictive value of Shock Index-Creatinine Clearance (SI-C) for the risk stratification of contrast induced nephropathy (CIN) in patients after primary percutaneous coronary intervention (PPCI).
Methodology: 1150 consecutive patients of STEMI and candidates of PPCI presenting at our tertiary care cardiac center were included in this study. Patients with significant hemodynamic instability, allergic reaction to contrast agent or having exposure to contrast agent within a week prior to PPCI and those requiring renal replacement therapy were excluded from this study. SI-C and Mehran risk scores were calculated and the rise in post procedure serum creatinine level by 0.5 mg/dL or up to 25% from baseline was characterized as CIN. The predictive power of both SIC and Mehran risk score was assessed with help of receiver operating characteristic (ROC) curve analysis.
Results: Out of 1150 participants, 960 were male with a mean age of 55.64 ± 11.45 years. Out of which 113 (9.8%) patients developed CIN.  Area under the cure (AUC) for the prediction of CIN was 0.702 [95% confidence interval (CI): 0.651 to 0.753] for SI-C as against 0.633 [95% CI: 0.574 to 0.692] for Mehran score. SIC also retained its statistical significance as independent predictor of CIN with adjusted odds ratio of 1.01 [95% CI: 1.01 to 1.02] on multivariable regression analysis.
Conclusion: SI-C has demonstrated strong discriminative power to determine the risk of CIN in PPCI setting when compared with Mehran risk score.
IN-HOSPITAL OUTCOMES OF MANUAL THROMBUS ASPIRATION VERSUS PRE-BALLOON DILATATION DURING PRIMARY PCI FOR TOTAL OCCLUSION
Authors: Kumar Dileep , Saghir Tahir , Sial Jawaid Akbar , Kumar Rajesh , Khan Kamran Ahmed , Shah Ghazanfar Ali , Rehman Zahid Ur , Khatti Shahzad , Hussain Afzal , Yasin Umamah , Bai Reeta , Wadhwani Anesh , Qamar Nadeem
Published: October 2022

Objectives: This study was designed to compare the in-hospital outcomes of primary PCI with export vs. primary PCI with the balloon in patients with total occlusion.
Methodology: Consecutive patients with STEMI undergoing primary PCI with TA and pre-balloon dilatation were recruited in 1:1 ratio and post-procedure in-hospital mortality and complication rate (slow flow/no-reflow, contrast-induced nephropathy (CIN), and arrhythmias) were compared. Patients in the TA group were further stratified based on export time (time from onset of chest pain to the use of export) as ≤ 6 hours or > 6 hours.
Results: A total of 200:199 patients were recruited in export and balloon group. Overall complications were significantly higher in balloon group, 39.7% (79/199) vs. 23.0% (46/200); p<0.001, which included slow flow/no-reflow (24.6% vs. 14.5%; p=0.005), CIN (10.1% vs. 4.5%; p=0.022), and arrhythmias (14.6% vs. 5.5%; p=0.006) with in-hospital mortality rate of 3.0% (6/200) vs. 6.0% (12/199); p=0.153. Upon stratifications, outcomes were more favorable  when export time was ≤ 6 hours as compared to > 6 hours with mortality rate of 0% vs. 6.3%; p=0.010 and complication rate of 19.2% vs. 27.1%; p=0.187.
Conclusion: TA in patients with total occlusion was associated with lesser complications and relatively better mortality benefits. The benefits of TA were directly associated with export time. Therefore, timely use of export can be considered in patients with total occlusion.
Active Ageing of Elderly Living in Residential Care Facilities in Malaysia
Authors:   School of Government, University Utara Malaysia, Malaysia
Published: October 2022

The concept of active ageing has gained significance in aging due to the need for integrated approach towards understanding the aged. For this purpose, the data collected from questionnaires distributed to 489 older people living in residential care facilities provided by Government, Non-Governmental Organisations (NGOs), and private sector in Malaysia were analysed quantitatively. Three dimensions of active ageing were assessed, named health, meaningful leisure and social environment. The results provide a comprehensive understanding of elderly and carries various implications for research and policy making.
Implementation challenges of Pradhan Mantri Jan Arogya Yojana: A Cross- Sectional study in Meerut, Uttar Pradesh
Authors: Verma Niharika , Bano Tanveer , Chopra Harivansh , Singh Ganesh , Mittal Chhaya
Published: October 2022

Background: Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana has been launched to provide financial protection expenditure to nearly 500 million vulnerable Indians. For expanding the coverage under the scheme, it is necessary to understand the perspective of health care service providers involved in the scheme. Aim & Objective: To find out the bottlenecks in implementation of PMJAY scheme using empanelled hospitals’ perspective Settings and Design: Cross sectional study Methods and Material: 8 Public and 23 Private hospitals were selected through Simple Random Sampling from the list of PMJAY empanelled hospitals. The PMJAY Medical Officer co-ordinators in the empanelled hospitals were interviewed using a predesigned and pretested questionnaire. Statistical analysis used: Data was analysed using descriptive statistics in Epiinfo software. Results: Among the 31 empanelled hospitals studied, 93.5% were satisfied with the process for empanelment under PMJAY. 64.5% hospitals were not satisfied with the Health Benefit Packages. 77.4% hospitals perceived the PMJAY to be poorer as compared to private health insurance with reasons being poor grievance reprisal, poor claim processing and settlement, denial of reimbursement of health packages, poor rates of health packages and little information about the scheme. Conclusions: Various hurdles are being faced in the implementation of the scheme. There definitely remains a huge scope for further improvements so as to enhance the insurance coverage in the country.
Knowledge, attitudes, and practices towards COVID-19 among blood donors during the COVID-19 outbreak
Authors: Singh Ashutosh , Maurya Pradeep Kumar , Solanki Archana , Chandra Tulika , Sachan Beena
Published: October 2022

Background: Assessments of the blood donors’ knowledge, attitudes, practices, and perceptions of this infection are essential for controlling the spread of COVID-19. Aim and objectives: This study aimed to evaluate the KAP among blood donors towards COVID 19 pandemic and how to increase the number of blood donations during pandemic. Materials and Methods: This study was conducted among 630 blood donors at the Department of Transfusion Medicine, at a tertiary care center in North India. It was an observational study. Statistical analysis: The data were analyzed using Kruskal-Wallis and Mann-Whitney test. To correlate variables Chi-square test was used. Results: The knowledge score of demographic variables marital status, education & occupation showed a significant association, while its association with age, gender, and religion was insignificant. The entire demographic variables under study showed a significant association with Attitude questionnaire 1. According to univariate analysis, the variables Intercept, Unemployed and Physical Labour showed significant impact on knowledge level with the corresponding effect size 0.10 and 0.022. Conclusions: This study reveals that blood donors have good knowledge with positive attitudes and practices. By improving the knowledge with the help of health education platforms, the number of blood donations will also increase.
Effect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centre
Authors: Bharat Abhinav , Verma Vikas , Afaque Syed Faisal , Raikwar Archana , Chand Suresh , Singh Ajai
Published: October 2022

Background: Lockdown imposed to limit the spread of COVID 19 may have had a significant effect on the time to care, demography, injury causation, injury characteristics, volume and nature of admission, management and outcome of paediatric orthopaedic trauma patients. Objective: To document the effect of lockdown on the time to care at KGMU, use of ambulance, volume and type of admissions, demography, injury causation, injury characteristics,  management and outcome of paediatric orthopaedic trauma patients. Methods:. This record review compared age, sex, type of admission, mechanism of injury, injury characteristics, type of treatment, vehicle used for transport, and outcome among patients admitted in pre-lockdown, lockdown and post lockdown.  Results: Lockdown was associated with decrease in the number of cases (p<0.01), increase in the time since injury to reception (p<0.040), a rise in the share of referred admission (p<0.040), time since reception at KGMU, time to definitive care (p<0.001), high energy falls (p<0.001), injuries at home (p<0.001), higher ISS (p<0.001), non operative treatment (p=0.038) and greater use of ambulance  (p=0.003). Conclusion: Lockdown resulted in a significant change in the causation and management of injury, significant delays in timeliness of care, reduction in the volume of admissions, an increase in injury severity and share of referral admissions.
Prevalence of the Non-Communicable disease triad in hilly state of Uttarakhand: Evidences from National Family Health Surveys
Authors: Rana Radhika , Bera Om Prakash , Kumari Lalita
Published: October 2022

India is facing epidemiological transition towards non communicable diseases and morbidities due to NCD triad of obesity, hypertension and diabetes. The risk factors contributing to chronic disease and NCD triad are lifestyle changes, poor dietary habits, lack of physical activity, tobacco/alcohol consumption. These risk factors are however modifiable and preventable. This article reviews secondary data of NFHS-4 and NFHS-5 to analyse trends of obesity, hypertension and diabetes among urban and rural population of Uttarakhand from 2015 to 2021.
Respiratory health of the small scale dairy workers of urban Bhubaneswar, Odisha
Authors: Singh Snigdha , Kar Sonali , Mishra Alpana , Pattnaik Dipti
Published: October 2022

Background: Human in close inhabitation with the cattle due to unventilated or inadequately ventilated establishments or inadequate living space, is always at a risk of sustaining infection from the cattle through different modes of disease transmission. This study hints at the increased incidences in respiratory infections among dairy workers in unorganized and small scale dairy farms due to amendable unhygienic practices. Methods: This survey was part of a larger study, conducted after ethics approval. Number of households involved in dairy work surveyed were 60. From every house, two members actively involved in dairy work were chosen and total respondents were 120. The study tool was a semi structured, mixed questionnaire. Results: 67.5% dairy workers self-reported occurrence of respiratory symptoms which included the complaints like cough,breathing difficulty on exertion. None of the dairy workers were vaccinated against any milk borne disease.Conclusion: The housing, civic amenities accessed by them and their awareness are probably the main reasons for wide variety of self perpetuated practices and deviations of standard requirement.Use of protective gear (gloves,caps,masks) should be strictly emphasized and popularized.
How does Nursing Students Knowledge and Attitude correlate in relation to Rabies? An institutional based Cross-Sectional study in Assam
Authors: Baruah Chetanjit , Singh Sadhna
Published: October 2022

Introduction: Rabies is a vaccine-preventable viral disease. Every year, Rabies causes 18 000-20 000 deaths in India and dogs are responsible for 99 % of all human deaths.Objectives: 1) To assess the knowledge and attitude about rabies among the nursing students.2) To assess whether there is any difference of knowledge and attitude about Rabies among different academic year of the nursing students.3) To assess whether there is any relation between scores of knowledge and attitude.Material & Methods: A cross sectional study was conducted among 142 students of B.Sc. Nursing College, Dibrugarh, Assam in January 2022 using Google form containing pre designed structured closed ended questionnaire by convenience sampling. Knowledge and attitude was assessed by a scoring system. Results were expressed in proportion, percentage, mean, standard deviation. ANOVA and Spearman”s correlation was applied. Results: Mean knowledge & attitude score was 15.7±3.6 and 23.6±2.6.Majority (82.4%) of the students had good knowledge about rabies.Almost all (97.9 %) students had positive attitude towards rabies. There was no significant difference between knowledge score and attitude score among different academic year of the students. Knowledge was positively correlated with attitude of the students.Conclusion: The study revealed good knowledge and positive attitude regarding rabies among the students.
Impact of Celebrity Suicides on mental health of vulnerable population
Authors: Kumar Santosh , Negi Sapna
Published: October 2022

Suicide is culminating into a grave public health concern. Approximately 800,000 people worldwide commit suicide annually, with 3/4th owing to low- middle-income countries.(1) In 2016, the suicide rate in India was 16.5, exceeding the global average of 10.5/1,00,000.(1) Suicide is the deliberate ending of one's own life(2) and primarily done due to persistent sense of despair, depression, drug misuse, and various personal and financial stress factors. One such trigger is suicide by an eminent figure, also known as werthering effect, modelling effect, or copycat suicide. This phenomenon commonly affects the adolescent and younger adults. In India, the 15-29 age group were found most vulnerable.(1) Nearly 5% of consecutive suicides occur after a celebrity death primarily among young, female, and unemployed without being prompted by adverse life circumstances.(3)  Given the global gravity of suicide and India's contribution to it, it is critical to identify the psychopathology and risk factors behind it.
Diabetes Awareness & Its Challenges- A Hammering Issue
Authors: Srivastava Kajal , Borgaonkar Chaitali , Johnson Subhash , Mahajan Anil
Published: October 2022

Diabetes is one of the most common non communicable diseases affecting many people of our country. India being a diabetic capital of world is facing a major epidemic of same. After Covid -19 pandemic its become more evident that person who were having deranged blood sugar level were more at risk of getting infections. So its very important to create awareness of same. According to National Family Health Survey -5 (NFHS-5) men & women with high or very high blood sugar level (>140mg/dl) who are taking medicines were 15.6 % & 13.5% respectively. Females 15 years & above whose blood sugar levels were high or very high were 6.1 & 6.3 % and men with same were 7.3 & 7.2 %(1). These findings were added first time in NFHS survey as more and more population are getting this silent but killer disease. The main risk factors for this disease are very well known like modifiable risk factors are obesity specially central obesity, gestational diabetes, sedentary life style, a highly saturated fat diet, reduced intake of dietary fibers, malnutrition related diabetes, excessive alcohol consumption etc (2).
Urban Transit Projects and Internal Displacement: A study on Kerala's Silverline Corridor
Authors: Noble Vivek
Published: October 2022

A semi-high-speed rail corridor connecting the northern part of Kerala from Kasaragod to the southern part of Kerala in Thiruvananthapuram through a single railway corridor has recently been proposed. The objectives of the project are to advance accessibility and mobility between northern and southern Kerala. Nonetheless, significant protests and resistance have been recorded against the project. Infrastructural projects with no consideration for environmental contexts and vulnerabilities will seriously affect the already vulnerable environment of the state, deepen inequalities and jeopardize the capacities, assets, and activities that sustain the means of living. The objective of the study is to record the impact of large-scale urban transit projects on the environment and people. This paper ponders two questions; firstly, why there are enormous protests and serious resistance against a supposedly valuable infrastructural project? and secondly, can this project, as the protestors reiterate, lead to the internal displacement of people across the eleven districts through which the proposed rail corridor passes? The study suggests a renewed approach that implies a detailed evaluation of the project's feasibility and viability dimensions required to be undertaken before acquiring land and properties from people. The implementation of this policy, in tune with the environmental contexts of the state, is vital to protect livelihoods and promote healthy development.
Assessing Students’ Municipal Solid Waste Recycling Behavior in Putrajaya Malaysia
Authors: Izhar Nurul Ashikin , Yusof Norjan , Akira Haraguchi , Kamari Azlan
Published: October 2022

It is necessary to instill concern about the environment, particularly the management of solid waste among youngsters as habits are easily inculcated at a young age. This study assesses municipal solid waste (MSW) recycling behavior among students in Putrajaya, Malaysia. The data were analyzed using descriptive and inferential analyses. There is a moderate positive correlation between the Theory of Planned Behavior (TPB) and Other Determinant Factor (ODF) with students’ recycling behavior, r=.638. The findings indicate that attitude and subjective norms of the TPB influenced student recycling behavior. In addition, awareness, recycling practices, and situational factors of the ODF influenced students’ recycling behavior. In conclusion, formal education and outsource programs could educate students concerning environmental issues.
Significance of Qualitative Vis a Vis Quantitative approach to Address Poverty. A Review from Malaysian Perspective
Authors: S Gopal Parthiban
Published: October 2022

Traditionally, our understanding of poverty has been based on comparisons of standardized quantitative measures including income and welfare statistics. However, quantitative method alone does not reveal the most subjective elements of poor people’s experiences of poverty. Besides, recent studies show a shift in paradigm towards qualitative methods. This paper attempts to demonstrate that both quantitative and qualitative methods are essential in providing a holistic understanding of poverty. Given the multi-dimensional nature of poverty, quantitative methods need to be complemented with qualitative measures. This paper is conceptual in nature. Based on the content analysis, an extensive review of secondary data was undertaken to examine and understand the rising phenomenon of current paper on poverty in Malaysia. Being a concept paper, the study concludes by providing implication of using both methods in understanding how poverty occurs, why it persists, and how it may be alleviated.
Social Media Political Information Use and Voting Behavior of the Malaysian Youth
Authors: Tan Jue Jun
Published: October 2022

The Malaysian lawmakers approved a legal amendment to lower the voting age from 21 to 18 years old on July 16, 2019. The new policy had empowered the very first batch of the 18 year-olds to cast their vote in the Johor state election which was held on March 12, 2022. Political analysts generally believe that what’s up in the near future would be the General Election 15 (GE15). For the first time ever Malaysians witnessed the transfer of power in the national political landscape since independence, politicians and big data analysts generally hailed the 2018 GE14 a ‘social media election’, given that social media had been used extensively by both the ruling and Opposition coalitions as major campaigning battleground, especially in their efforts to reach and sway the wired young voters. By employing an online self-administered survey questionnaire with 217 Malaysian first-time voters at a local university who rely heavily on social media for political information, this paper aims to learn how do these wired youth make use of social media platforms to learn about politics and observe voting. Findings of the current study suggest that social media political information use does not prompt the wired youth to be more likely to vote, but instead, distracts them from performing voters’ duty. On the contrary, voting behavior is more likely to be predicted by political variables such as party affiliation and political interest. Subsequently, research implications for practice and directions for future studies were discussed.