bluuebunny/crossref_metadata_2025 huggingface dataset:
“A Cross Sectional Study on Association between Serum Vitamin D Status and Insulin Resistance in Polycystic Ovarian Syndrome”
Authors: Shraddha J Sreeja , Hari Anupama
Published: October 2023

Polycystic ovarian syndrome is a common cause of ovarian dysfunction in women with anovulation world wide.50-70% of patients with PCOS exhibit metabolic abnormalities, including poor glucose tolerance and hyperinsulinemia. The prevalence of vitamin D deficiency in women with PCOS is about 67-85 per cent, with serum concentrations of 25(OH) D <20 ng/ml. It is suggested that there is an association between serum levels of vitamin D and metabolic parameters in women with PCOS, including fasting glucose levels, fasting insulin, insulin resistance, high blood pressure, lipid disorders, obesity, fertility and other clinical and laboratory- related parameters associated with PCOS. Given the high prevalence of vitamin D deficiency in the south Indian population, less number of studies, inconclusive studies, especially in the population of women with PCOS, as well as evidence from recent studies indicating a link between vitamin D levels with lab parameters, this study aimed to assess the relationship between vitamin D deficiency and insulin resistance in PCOS. Pearsons correlation showed 0.034 between HOMA IR and vitamin d levels indicating that vitamin d deficiency is associated with more HOMA IR values, the more insulin resistance. Pearsons correlation showed 0.05 between fasting insulin levels and vitamin d levels indicating the vitamin d deficiency is associated with more fasting insulin levels, the more insulin resistance. No significant relation is seen with fasting glucose insulin levels (Pearsons correlation value >0.05). In the study, it was found that a high percentage of PCOS women were vitamin D deficient. The study also showed a significant difference in the values of some clinical and metabolic parameters such as waist circumference, fasting insulin, HOMA-IR, BMI between PCOS women with and without vitamin D deficiency; however, no linear correlation was found between serum levels of vitamin D and baseline variables, except for HOMA IR values, fasting insulin levels, BMI, G120. In conclusion, our data confirm an association between vitamin D deficiency and Insulin resistance in patients with PCOS. Thus, vitamin D supplementation could be a beneficial treatment of PCOS women to abolish insulin resistance and regulate menstrual irregularities.
Vaginal Birth after Caesarean Section: A Study of 60 Patients with Spontaneous Onset of Labor Pain
Authors: Begum Rabeya , Bilkish Umme Sayeeda , Elora Nahid , Chowdhury Nasrin , Akter Habia , Chowdhury Jakia Jahan
Published: October 2023

Background: Most women with a singleton pregnancy of cephalic presentation at 37+ weeks or later who have had a single prior lower segment cesarean delivery, with or without a history of prior vaginal birth, are candidates for planned VBAC and may be offered it for a trial of VBAC. Objective: The objective of this study is to determine the outcome of vaginal birth after caesarean section (VBAC) in a tertiary care hospital in Sylhet. Methods: This prospective study took place between April 2022 and February 2023 and lasted for a total of eleven months. A total of sixty patients were hospitalized in the gynecology and obstetrics department at North East Medical College, all of whom had a history of either one or two previous cesarean sections and were experiencing labor pain. 43 of these patients had their deliveries through the vaginal route. The remainder of the patients had cesarean sections because of fetal distress, scar tenderness, and the patient's wish during 1st stage of labor. Results: The VBAC success rate in this study was 71.67%. Among the 43 patients, the highest number of patients, 51.2%, came from the age range of 28-37 years, followed by 21 patients (48.8%), who were in the age category of 18-27 years. The majority of the patients (24, 55.82%) were in their second pregnancy, with 10 (23.25%) in their third pregnancy and 9 (20.93%) in their more than third pregnancy. Among the 43 patients, 42 (97.7%) had a previous caesarean section, while the remaining 1 patient (2.3%) had two previous caesarean sections. Most patients (58.14%) were admitted to the hospital between 35 and 38 weeks of pregnancy. Among the participants, 97.7% had normal placenta size, 88.4% had average bleeding, 79.1% had clear liquor and 97.7% had no scar rapture. The study shows an extremely low level of complication in VBAC. Conclusion: This study identified that, the success rate of vaginal birth after one caesarean section is very high. An evidence-based systematic review suggested that planned VBAC is a safe and appropriate mode of delivery for the majority of pregnant women with a single previous lower-segment caesarean delivery.
The Effect of Fixed Asset Intensity, Debt Level, Sales Growth, and Profitability on Tax Management (Study on Consumer Non Cyclicals Sector Companies on the Indonesia Stock Exchange (IDX) Period 2019 - 2021)
Authors: Nurtiyas Nurtiyas , Nengzih Nengzih
Published: October 2023

This study aims to analyze the effect of fixed assets intensity, debt levels, sales growth and profitability on tax management. This research uses a quantitative type of research. The data analysis method used in this study is the panel data regression analysis method with eviews 12 software tools. The population of this study is consumer non- cyclicals sector companies listed on the IDX and have released the annual reports during the period 2019-2021. The selection of research samples was based on the non-probability sampling method using a purposive sampling technique. The results of this study concluded that (1) partial fixed assets intensity and debt levels have no significant effect on tax management, (2) sales growth and profitability have a significant effect on tax management, (3) while fixed assets intensity, debt levels, sales growth and profitability have a simultaneous effect on tax management.
Nutritional and Specialty Maize Production, Consumption, and Promising Impact on Ethiopia's Food and Nutrition Security: A Review
Authors: Yadesa Lemi , Diro Debela
Published: October 2023

In this paper, the significance of maize as a staple grain in Ethiopia is reviewed. Additionally, it advances our understanding of the relationship between the nutritional composition of maize and the high incidence of micronutrient deficiencies in Ethiopia. Malnourishment is still a serious problem in the population, especially for women and children. Maize is a crucial crop within cereal crops as it is a significant source of proteins and carbs, delivering 17–60% of people's daily protein needs. Vitamin A has a vital part in human growth, the immune system, and eye, vision, and ocular health. Vitamin A deficiency is the main contributor of blindness worldwide and has been linked to immune system development and cell differentiation. Thus, for good health to be attained, maize kernel contents like carbohydrate, protein, and several micronutrients are vital. In white maize constituted 90% of all maize production in Africa, whereas yellow maize accounted for 90% of global production, implying that there is still a shortage of specialty maize in Africa in particular Ethiopia. In Ethiopia, a variety of technologies have recently been made accessible in terms of maize varieties in the aim to alleviate malnutrition in regions where maize is the primary crop. Nutritious and specialty maize varieties like QPM, PVA, sweet corn, and popcorn are released in Ethiopia, but government and extension sector attention is still needed to promote the technology.
EDUKASI HIJAU SEBAGAI UPAYA MEMBANGUN SUSTAINABILITY AWARENESS MASYARAKAT
Authors: Widianingsih Luky Patricia , Valentina Lilia , Prasasti Anggun , Indrawati Catherine Angeline , Mustikasari Adellia
Published: October 2023

Keprihatinan atas keberlangsungan alam di masa depan sebagai akibat dari praktik individu maupun kelompok industri yang dianggap telah membawa pada dampak tergerusnya keberlanjutan alam melahirkan berbagai upaya-upaya untuk mengatasi problem keberlanjutan tersebut. Hadirlah konsep tentang perekonomian hijau yang memfokuskan pada pengelolaan ekonomi dengan tetap mengakomodir tujuan keberlanjutan didalamnya. Salah satu upaya turunan yang dapat dilakukan dalam mewujudkan perekonomian hijau adalah melalui kebijakan pajak karbon. Implementasi pajak karbon dilakukan sebagai upaya mitigasi perubahan iklim dan mendorong pertumbuhan ekonomi berkelanjutan. Pengetahuan akan isu ini perlu diberikan kepada seluas-luasnya masyarakat sebagai bentuk edukasi hijau agar dapat membuka kesadaran akan misi keberlanjutan. Guna menjangkau masyarakat umum yang lebih luas maka edukasi hijau melalui seminar berbasis web dengan menghadirkan pakar yang kompeten di bidang tersebut dilakukan. Hasil dari kegiatan ini menunjukkan umpan balik positif yang dapat dilihat dari jumlah kehadiran peserta, antusiasme dan keaktifan peserta pada sesi tanya jawab serta skor pre-test dan post-test sebelum dan setelah mengikuti seminar. Dapat disimpulkan bahwa tujuan penyelenggaraan kegiatan edukasi hijau yang dilakukan kepada masyarakat ini telah tercapai, sehingga kedepannya program-program seperti ini dapat dilanjutkan kembali sebagai bentuk upaya meningkatkan literasi keberlanjutan
PENGARUH RENANG GAYA BEBAS TERHADAP KEBUGARAN JASMANI USIA REMAJA 11 – 15 TAHUN
Authors: Nuril Arifianti Maulidiya , Riga Mardhika
Published: October 2023

Jenis penelitian yang akan digunakan dalam penelitian dengan judul “ Pengaruh Gaya Bebas Terhadap Kebugaran Jasmani Usia 11- 15 Tahun “. Penelitian ini berakar dari permasalahan untuk mengetahui pengaruh  renang gaya bebas terhadap kebugaran jasmani. Metode penelitian yang penulis gunakan dalam penelitian ini adalah metode penelitian eksperimen.Dari penjelasan diatas menggunakan metode eksperimen dengan sampel tidak dipisah maksudnya peneliti memiliki satu kelompok (sampel) saja, yang diukur dua kali, pertama diberi pretest (Kebugaran Jasmani) untuk mengetahui hasil awal dari sampel sebelum objek mendapatkan perlakuan (treatment), setelah itu diberi perlakuan (treatment) dan diakhiri dengan pengukuran post test (Kebugaran Jasmani) sehingga dapat diketahui dengan perbedaan hasil akibat perlakuan yang diberikan, (Ali Maksum, 2012:97). Berdasarkan hasil penelitian di atas dapat dinyatakan bahwa terdapat faktor test kebugaran jasmani yang mempengaruhi suatu prestasi dalam olahraga renang. Beberapa faktor tersebut berupa fisik, teknik, dan psikologis. Salah satu komponen signifikan yang dapat mempengaruhi keberhasilan atlet dalam olahraga prestasi adalah psikologis atlet, latihan, persiapan dan juga saat bertanding. Psikologis merupakan struktur dan fungsi aspek psikis, seperti emosi, motivasi, self- efficacy dan beberapa aspek psikologis lainny. Dalam penelitian melalui atlet renang gaya bebas didapati hasil bahwa peningkatan tersebut berpengaruh signifikan dapan mengurangi tingkat test kebugaran jasmani.

Kata kunci: Pengaruh Renang Gaya Bebas, Kebugaran Jasmani
PENGARUH PEER INSTRUCTIONAL FLIPPED PADA PEMBELAJARAN ONLINE UNTUK MENINGKATKAN KEMAMPUAN LITERASI SAINS SISWA DENGAN GAYA KOGNITIF YANG BERBEDA
Authors: Dewi Sukma Handriyati
Published: October 2023

Peneltian ini bertujuan untuk mengetahui efektifitas strategi Peer Instructional Flipped Classroom dibandingkan strategi ekspositori dalam meningkatkan kemampuan literasi sains dalam pembelajaran berbasis e-learning. Penelitian berbentuk eksperimen kuasi dengan factorial 2 x 2.  Subjek penelitian adalah 37 siswa kelas VII SMP yang terdiri atas dua kelas, yaitu kelas yang menerapkan strategi pembelajaran ekspositori, dan yang menerapkan strategi pembelajaran Peer Instructional Flipped Classroom.  Karakteristik gaya kogntif siswa diukur dengan menggunaan Group Embedded Figures Test.  Tes untuk mengukur kemampuan literasi sains dilakukan sebelum dan setelah perlakuan dengan menggunakan analisis varians 2 arah pada taraf signifikansi 5%.  Hasil perhitungan menunjukkan terdapat perbedaan kemampuan literasi sains diantara siswa yang di ajar dengan ke dua strategi tersebut.  Siswa yang belajar dalam pembelajaran e-learning dengan strategi pembelajaran Peer instructional flipped menunjukkan kemampuan literasi sains yang lebih tinggi dari pada siswa yang belajar dengan strategi ekspositori, dalam pembelajaran IPA terintegrasi pada materi Suhu, Kalor dan Perubahannya dalam kehidupan sehari-hari.
LITERASI DIGITAL PADA KURIKULUM MERDEKA BELAJAR BAGI ANAK
Authors: Amelia Rizky Idhartono
Published: October 2023

Kurikulum merdeka belajar merupakan kurikulum yang digagas oleh Pemerintah untuk mengatasi hilangnya pembelajaran (learning loss). Karakteristik utama dari kurikulum merdeka belajar yaitu (1) pembelajaran berbasis projek sebagai pengembangan soft skill dan sesuai dengan karakter pelajar Pancasila, (2) fokus pada materi esensial agar terdapat waktu yang cukup untuk pembelajaran yang mendalam bagi kompetensi dasar seperti literasi dan numerasi dan (3) fleksibilitas untuk guru melakukan pembelajaran yang berdiferensiasi sesuai dengan kemampuan peserta didik dan melakukan penyesuaian dengan konteks muatan lokal. Fokus dalam penelitian ini yaitu tentang literasi yang dikaitkan dengan media digital dengan peserta didik anak tunagrahita. Penelitian ini merupakan penelitian literature review. Dari hasil penelitian disimpulkan bahwa literasi sangat penting dikuasai oleh anak tunagrahita, terutama literasi dasar. Literasi dasar merupakan salah satu karakteristik utama dalam kurikulum merdeka belajar. Guru dapat menggunakan media digital dalam kegiatan belajar mengajar terutama untuk anak tunagrahita.
CRM (Customer Relationship Management) Effect on Increasing Customer Loyalty (Case Study: Bank X – Pasuruan Branch Officer)
Authors: Fauzy Taufik Rachmad , Ristanti Dwi Mei Riya
Published: October 2023

This study analyzes the influence of Customer Relationship Management (CRM) Customer Loyalty on the State Savings Bank in Pasuruan. CRM is explained by identifying indicators, differentiation, interaction and customization. At the same time, the indicators are explained by loyalty, satisfaction, emotional ties, trust, behaviour, and history with the company. The analysis results show the effect of increasing CRM on the absolute loyalty of the State Savings Bank in Pasuruan. CRM influences 92.3%, and other factors outside the model influence 7.7%. The most influential factor interaction on height was 73%, followed by identification at 71.1%, Costumize factor at 61.58% and differentiation factor at 51.8%. The conclusion is that CRM, which is explained by these four factors, greatly influences fostering and increasing customer loyalty. Customers need special attention from bank management in making transactions to meet their needs and other services that can be accessed quickly and easily.
Application of K-Means Clustering for Detection Downy Mildew at Madura Corn Plant Using Digital Image Processing
Authors: Rosyadi NR Imron , Prasetyowati Erwin , Said Badar , Arifin Syaiful , Ridoni Mohammad Syafiir
Published: October 2023

The development and cultivation of corn is necessary in line with the increasing consumption of food ingredients and industrial needs, especially food products made from corn. In the development of maize in Indonesia, the main obstacle is the disturbance of Plant Pest Organisms (OPT), especially diseases, one of which is downy mildew. This disease can be identified by a change in color, so we need a way to find out the difference between the color of healthy leaves and the color of leaves that have changed due to downy mildew. One solution that can be used is image processing. Therefore the aim of this study was to detect downy mildew based on leaf color in corn plants based on digital image processing, to produce precise and objective results. The algorithm used is the K-Means Clustering algorithm. This study uses 50 images of training data and 25 images of test data. Based on the simulation of downy mildew disease identification using K-Means Clustering it achieves an accuracy rate of 85%.
Creation and cost-evaluation of a student-run podcast in ophthalmology
Authors: Ruparelia Sunil , Nguyen Anne X , Xu Haochen , Le Christopher
Published: October 2023

Implication Statement
Podcasts are an increasingly popular medical education modality, especially in surgical fields. However, the cost of developing a high-quality medical education podcast presents a barrier to many content creators. The authors developed the podcast series ‘The Lenspod,’ designed to be a cost-efficient but high-quality education resource in ophthalmology. The REC financial framework has been previously used to estimate the financial costs of technology-based medical education. Using this framework, costs were competitive with other medical education podcasts. It is our hope that similar methodology may be used to create and disseminate future podcasts for medical education.
Inextensible Flows of Space Curves According to a New Orthogonal Frame with Curvature in $\mathbb{E}_{1}^{3}$
Authors: Kızılay Alperen , Yakut Atakan Tuğkan
Published: October 2023

Using a new orthogonal frame with curvature in $E_1^3$ and we put forth a new general formulation for inextensible flows of space curves in this work. We demonstrate presufficient conditions and prove the necessary conditions for inextensible curve flow which is a partial differential equations (PDE) incorporating the curvatures and torsion.
Les solutions fondées sur la nature : quelles recherches pour répondre aux défis de la gestion de l’eau ?
Authors: REY Freddy , FERNANDEZ Sara , RULLEAU Bénédicte , PONS Marie-Noëlle , BERTRAND-KRAJEWSKI Jean-Luc , LAFFORGUE Michel
Published: October 2023

Les solutions fondées sur la nature sont des actions de préservation, de restauration et de gestion durable des milieux, qui font appel au fonctionnement des écosystèmes pour répondre à des défis sociétaux. Ce sont des approches co-bénéfices qui permettent d’apporter un gain pour la nature et un gain pour la société, l’un n’allant pas sans l’autre. Dans le domaine de l’eau, que ce soit pour préserver sa qualité ou réduire les risques naturels inhérents (inondations, crues ou encore sécheresse), il existe tout un savoir-faire permettant de mettre en oeuvre ce type de solution, et les recherches sur cette thématique sont nombreuses. L’objectif de cet article est de faire le point et de mettre en avant les avancées et les questions scientifiques dans ce domaine. Après une description du concept de Solutions fondées sur la nature, et sa déclinaison pour la gestion de l’eau, nous présentons des approches scientifiques pour trouver l’équilibre des gains pour la biodiversité et la société dans le cycle global de l’eau. Un focus est réalisé autour de la question de la préservation de la ressource en eau. L’accent est mis sur les nécessaires questionnements interdisciplinaires et transdisciplinaires qui prévalent dans le domaine de la gestion de l’eau.
Identification of hotspots in synthetic peptide inhibitors of the FOXO4:p53 interaction
Authors: Zhang Ran , Gao Kai , Sadremomtaz Afsaneh , J. Ruiz-Moreno Angel , Monti Alessandra , M. Al-Dahmani Zayana , B. Gyau Benjamin , Doti Nunzianna , R. Groves Matthew
Published: October 2023

Forkhead box protein O4 (FOXO4) plays a pivotal role in cellular senescence by binding to and inactivating p53. Consequently, misregulation of the FOXO4:p53 complex is associated with numerous diseases. Targeting the FOXO4-p53 interface has been achieved using a synthetic D-retro-inverso (DRI) peptide derived from the forkhead-homology domain of FOXO4 (FOXO4-FDH), also known as DRI (FOXO4-FHD residues 91–124). However, a comprehensive understanding of the key amino acids driving the interaction between DRI and p53 remains incomplete. While previous publications have demonstrated a robust interaction between the forkhead homology domain of FOXO4 (FOXO4-FHD) and the transactivation domain of p53 (p53-TAD), emerging evidence suggests that the interaction within the binary complex forms a highly interconnected network, including a predicted interaction between FOXO4-FHD and the DNA-binding domain of p53 (p53-DBD). In this study, we investigated the DRI: p53-DBD interaction by measuring the binding affinities of DRI and the native peptide of FOXO4, from which it is derived, to p53-DBD using microscale thermophoresis and computational modeling. Our in vitro measurements reveal that DRI binds to p53-DBD with high affinity (Kd ~50 nM), while the native peptide exhibits significantly weaker binding affinity (Kd ~2.5 mM), implying distinct modes of interaction. Subsequently, we created an in silico model of the DRI: p53-DBD interaction, which we analyzed to identify potential interaction hotspots. The analysis of this model suggests that a truncated DRI peptide (FOXO4-FHD amino acids 101–109) retains the majority of the binding affinity, as subsequently demonstrated in vitro (Kd ~40 nM). Collectively, this data furnishes molecular-level insights that contribute to the understanding of the interplay of the amino acids between DRI and p53, further supporting the notion of domain rearrangement or refolding during the formation of the FOXO4:p53 complex. In addition, this data provides an additional basis for the design of small molecules aimed at inhibiting this interaction.
Antiplatelet, anticoagulation, and elective aneurysm treatments in neurological patients
Authors: Patel Anjali , Valle Daisy , Patel Drashti , Foreman Marco , Nijhawan Akash , Foster Devon , Nguyen Alexander , Lucke-Wold Brandon
Published: October 2023

Developing more specialized care for neurological disorders, such as aneurysms, arteriovenous malformations, and strokes, can revolutionize patient healthcare and outcomes. With the advent of surgical techniques such as flow diversion, non-stent- and stent-assisted coiling, and catheter embolization for elective aneurysm treatment in neurological patients, the adverse effects and morbidities associated with aneurysms can be reduced. This paper aims to highlight three specific strengths and weaknesses of the newly emerged techniques. Flow diversion devices involve placing a stent in the parent artery, whereas Woven EndoBridge embolization involves manipulation of the wall of the artery without the administration of dual-antiplatelet therapy. In addition to aneurysm treatment, the administration of antiplatelets and anticoagulants is helpful in disrupting the coagulation cascade. As stated in the new and enhanced guidelines released by the American Heart Association, the administration of dual anticoagulants is beneficial to the patients if they have low ischemic severity. Understanding the various benefits and complications associated with each treatment can allow clinicians to gain insight into the potential trajectory of treatment for different patients.
The Grooming of a Chancellor
Authors: Alleyne George
Published: October 2023

The Grooming of a Chancellor is Sir George Alleyne’s autobiography. He was born in 1932 in St Philip, Barbados, the first of the seven children of Eileen, a homemaker, and Clinton Alleyne, a schoolmaster. With his signature charm, Alleyne recounts his experiences from primary and secondary school in racially divided Barbados to gaining a Barbados Scholarship to study medicine at the fledgling University College of the West Indies at Mona, Jamaica. Here he met and married a Jamaican woman, Sylvan Chen, and was socialized permanently as a West Indian. The process of that socialization and the intellectual environment of those early days at Mona would influence the rest of his life. Alleyne enjoyed a stellar academic career with prolific research output, and he remained for many years at the University of the West Indies, where he became a professor of medicine and had an enduring impact on generations of students. He entered the field of international health through the Pan American Health Organization, of which he became director – the first Caribbean national and non-Latin to do so. Alleyne recounts highlights of his management approach and the commitment to equity which characterized his terms of office. The work of international bodies is often bound up in politics, but he navigated these and influenced the discourse at the highest levels. He had a strong commitment to and was active in Caribbean health, especially HIV/AIDS awareness, prevention and control. In 2003, Alleyne returned to the University of the West Indies, his Capistrano in the Caribbean, as chancellor, and for fourteen years he executed the functions of that office in a manner that enhanced the public persona of his alma mater. His has been a remarkable journey, one he shares with readers through his memories and personal reflections.
Influence of Principals’ Classroom Observation on Academic Performance in Public Secondary Schools in Kuresoi North Sub-County, Kenya
Authors: Too Cheruiyot Fredrick , Cheboi Stephen Tomno
Published: October 2023

The academic performance of candidates at the KCSE level in Kuresoi North Sub County for the last four years has been low. The low performance has denied students an opportunity to further their studies and realise their dreams. It is for this reason that this study is set to examine the influence of principals’ classroom observation on academic performance in public secondary schools in Kuresoi North Sub-County, Kenya. The study was informed by Symbolic Interactionism Theory by Blumer (1969). The study employed a mixed-method approach where a descriptive survey design was used. A total of 2,767 form four students, 58 form four class teachers, and 23 principals constituted the population of the study. The sample population was obtained using a stratified simple sampling procedure to obtain 22 principals from sampled schools. To draw a sample of 337 students and 50 class teachers, simple random sampling was used. Questionnaires and interview schedules were the main research instruments for collecting data for the study. The instrument reliability was determined by piloting at two secondary schools (5%), whereby the data obtained during piloting was analysed, and Cronbach’s coefficient alpha of 0.82 was determined. Quantitative data collected was analysed using SPSS 23, while qualitative data was discussed thematically. The analysed data were presented in pie charts, bar graphs, and means and standard deviations worked out for quantitative data. The study found that most principals move around the classrooms observing teaching activities as well as giving guidance during classroom observation. The study recommended that principals ought to regularly check the students’ exercise books. The results of this study will be useful to the various education stakeholders in Kuresoi North Sub-County in identifying the possible influence of principals’ supervision roles on the academic performance of form four candidates in Kuresoi North Sub-County, Kenya
Factors Causing Time and Cost Overruns of Construction Projects in Malaysia
Authors: Omran Abdelnaser , Saleh Mohamed Saad Hamad , Gebril Abdelwahab Omran
Published: October 2023

Cost overrun is a problem that the construction industry faces in many countries, including Malaysia. It is a significant problem in Malaysia because most Malaysian construction projects have seen cost overruns of between 5 and 10% of the overall contract sum. This study aims to look at the factors that could lead to time and cost overruns in Malaysian construction projects. This study's objective was accomplished by using a quantitative approach to gather data which involved the use of questionnaire surveys. The study employed a stratified random selection method for the collection of information from the contractors working in the Ipoh region who have a current registration with the Pusat Khidmat Kontraktor (PKK) and the Construction Industry Development Board (CIDB) and are mainly based in the city of Ipoh. The results showed that “lack of experiences of project type”, “delays in issuing information to the contractor during projects”, “improvements to standard drawings during construction”, “omissions and errors in the bills of quantities”, and “inaccurate quantity take-off” are the top 5 factors causing time and cost overrun in the city of Ipoh, Malaysia.
Labor Risks in the Health of Banana Workers and their Effect on Socialization through Visual Media
Authors: Manjarrez Fuentes Nelly Narcisa   , Campos Cárdenas Justo Eliecer , Ortega Manjarrez Verónica Alexandra , Egas Loor Marianela Antonia
Published: October 2023

This article presents the results of research conducted in ten banana farms in the northern of the Los Ríos, Ecuador. The objective was to identify the occupational hazards to which workers are exposed that affect the safety and health of agricultural workers. The methodology used was a mixed approach; the Matrix of Labor Risks of the Ministry of Labor Relations of Ecuador (MRL) was applied to 298 workers, which establishes the guidelines to identify, evaluate and control risks. Also, the matrix GTC 45 was applied, to identify from the care of cultivation, harvesting and packing of twenty-four jobs.
Homicide Potrayed as Natural Death: A Case Report
Authors: Kandhimalla Ambica  , Abhijit Subhedar
Published: October 2023

In any case of homicide, the primary evidence is the dead body of the victim bearing physical evidence of violence.Sometimes murderer tries to conceal the crime by secret disposal of the body or in certain instances by portrayingit as a natural death. A meticulous medico-legal autopsy acts as a connecting bridge between the crime and theinvestigating authorities to reach the perpetrator.In thiscase victim is a 26-year-old pregnant female and theperpetrator- her husbandwho smothered her and tried to escape by employing the latteri.e., in the name of heartattack
Autopsy-Based Study of Snakebite Fatalities in Guntur Region: A Comprehensive Two-Year Analysis
Authors: Katta Sri Ram  , Y.K.C.Rangaiah  , L. Ananda Kumar  , Mahesh Mandala  , Maddirala Abhinay  , Mohammed Ajas Khan  , Kattamreddy Ananth Rupesh
Published: October 2023

Background: Snakebite envenomation remains a critical public health concern in India, with its substantialmorbidity and mortality burden. Addressing this issue is imperative, as snakebite-related deaths are preventableand yet disproportionately affect vulnerable populations in rural India.Materials and Methods: This autopsy-based study aimed to assess the prevalence and characteristics of lethalsnakebite cases in the Guntur region, Andhra Pradesh by considering case data, autopsy findings and ancillaryinvestigation findings. Additionally, an attempt was made to recommend preventive measures and raise awarenessamong the local population regarding snakebite prevention.Results: Snakebite incidents were more common among males who belonged to the agricultural workforce. Thesebites predominantly occurred during the rainy season and during daylight hours. The majority of victims werefrom rural areas, and the incidence was higher among younger individuals. Most of the bites were localized onthe lower extremities. Additionally, a significant number of victims experienced fatal outcomes within six hoursof envenomation.Conclusion: Snakebite is a highly neglected tropical disease but a preventable one. The Indian government is givingpriority to snakebite venomics, proteomics, and the application of recombinant DNA technology for developingantivenoms, diverging from conventional animal-derived sources. Given the wide-ranging biogeographicdistribution of venom type in venomous snakes, a re-evaluation of the ‘big four’ strategy is being advocated,promoting alternative methods for effective antivenom production.
Core to Skin Temperature Gradient in Septic Shock Patients and its Impact on Mortality: A Review
Authors: Pradeep kumar Yadav  , Rajiv Ratan Singh  , Mousami Singh  , Sachin Kumar Tripathi  , Anoop Kumar Verma
Published: October 2023

Sepsis is a life-threatening organ dysfunction resulting from a dysregulated host response to infection, consistentwith the Sepsis-5 consensus definition. Septic shock should be defined as a subtype of sepsis in which particularlysevere circulatory, cellular, and metabolic abnormalities are associated with a higher mortality risk than sepsisalone. Infection-induced release of bacterial toxins, inflammatory mediators, cytokines, and vasoactive substancesincreases capillary permeability and leads to extensive plasma leakage, resulting in insufficient effective circulatingblood volume and microcirculatory dysfunction., can cause electrolyte imbalances, acidosis, and other changes inthe internal environment. Septic shock is associated with alterations in peripheral blood flow, and core-to-skintemperature gradients depend on cutaneous blood flow and microcirculatory function. Infrared thermography isa non-invasive technique that uses an infrared camera to record the infrared radiation emitted by the body, fromwhich temperature is derived. We, therefore, hypothesized that high core-to-skin temperature gradients correlatewith septic shock and mortality.
Guillain Barre Syndrome following Electrical Burn Injury: A Case Report
Authors: Rajiv Ratan Singh  , Anoop Kumar Verma  , Sachin Kumar Tripathi  , Mousami Singh  , Pradeep kumar Yadav
Published: October 2023

GuiIlain-Barre syndrome is an idiopathic acute or subacute inflammatory demyelinating polyneuropathy withascending and often bilaterally symmetrical paralysis. The diagnosis is made on the basis of clinical presentationwhich is mostly acute flaccid paralysis, and electrochemical analysis. We present a case of electrical burn injuryfollowed by GB Syndrome like features. Patient received the standard treatment of GB Syndrome that is I/Vimmunoglobulins and physiotherapy besides ventilatory support and supportive treatment of electrolyte andfluid management. He was discharged satisfactorily after two months of management in the hospital
Histopathological Spectrum of Findings in Liver in Autopsy Cases: A Case Study in Tertiary Centre
Authors: Neetika Kaushal  , Aditi Mehra  , Shivesh Devgan
Published: October 2023

Background: Liver is the most vulnerable and major organ in our body which undergoes variety of insultslike metabolic, toxic, microbial and circulatory disturbances. Liver is the site of many diseases which becomesymptomatic while some are diagnosed only on autopsy.It is beneficial for clinician and pathologist to reachaccurate diagnosis through histopathological examination of liver and determine the involvement of liver inautopsy cases.Methods: A prospective study was conducted in the Department of Pathology, Government Medical College,Amritsar from January 2021 to December 2022. One hundred liver specimens were studied in autopsy cases ofdifferent age groups received in department of Pathology. Gross examination of liver specimen was done and.Hand E stained slides were subjected to microscopic examination. The aim of the study was to see the prevalenceof liver diseases in medicolegal autopsies and their histopathological examination.Conclusion: In our study number of males was more than females. Liver congestion was the most common findingin our study followed by fatty liver. Alcohol intake was the common findings in large number of autopsy cases.
Road Traffic Injury Trends in Lucknow Region: A Retrospective Observational Study
Authors: Rajiv Ratan Singh  , Richa Choudhary  , Sachin Kumar Tripathi  , Pradeep kumar Yadav
Published: October 2023

Introduction: Over the last few decades, road accidents have become one of the biggest problems worldwide.Despite improved road infrastructure and potential measures to address the problem, developing countriesare experiencing an alarming increase in morbidity and mortality from accidents for pedestrians, drivers, andpassengers. Most of the cars involved in accidents involved pedestrians and passengers. Pillion riders are the mostcommon. To find ways to prevent these traffic accidents, this study aims to identify many types and patterns inpedestrian, driver, and passenger accidents.Aim: To understand the pattern of Injuries in Road Traffic Accidents and to prevent associated morbidity andmortality.Method: 1085 instances in all were utilized for the investigation, and information was gathered from the Dr.Ram Manohar Lohia Institute of Medical Sciences Emergency Department, records, and police records for the sixmonths from October 2022 to March 2023.Result: Male Pillion Riders of the group of 15-35 years without wearing Safety precautions and having been drunkwere most common among the affected.Conclusion: Education, adherence to traffic regulations, road improvement, and instruction on safety precautionslike wearing helmets or seat belts while traveling can minimize the risk associated with RTA.
Medico-legal profile among the victims of firearm injury cases at SMS Hospital, Jaipur
Authors: Siddharth Vijay Vergia  , Priyanka Sharma  , P.C Meena  , Ravi Kant Saini  , Jitendra Kumar Gupta  , Priyank Gupta
Published: October 2023

Background: Injury from a firearm (FA) is a major public health concern that presents significant economic andmedical challenges. Death rates from firearm injuries have dramatically increased as a result of easy access tofirearms and political and social unrest.Aims & objective: Assessment of medico–legal profile among the victims of firearm injury cases at SMS Hospital,Jaipur.Material & methodology: A prospective cross-sectional descriptive study with inclusion and exclusion criteriawas carried out. The study included 80 cases of gun injury. From June 2021 to August 2022, the SMS MedicalCollege and Attached Group of Hospitals, Jaipur, conducted the current study on cases of firearm-related injuriesthat were either treated or autopsied.Result & observation: The majority of the subjects in the current study 75 (93.75%) were the victims of attemptedmurder. Nearly half 39 (48.75%) of all firearm shots were made from a distance. In the current study, tattooingaffected 25 subjects, blackening affected 24 subjects, and singeing affected 16 subjects overall.Conclusion: empty mind devil’s house it is a famous old proverb that’s why we must encourage young peopleand adults to work for a living. The reduction of firearm injuries may be facilitated by the growth of a stable socialenvironment, political stability, and strict regulation of the production, sale, and renewal of licences for weapons.periodic inspection of manufacturing units and manufactured weapons will reduce accidental firearm injuries.
Efficiency Improvement of Legal Proceedings Under Anti-Money Laundering Laws by Employing Digital Forensic Evidence
Authors: Thammanoon Kongrat  , Woratouch Witchuvanit
Published: October 2023

This research aims tostudy obstacles, problems,and approaches to increase the efficiency of proceedings by usingdigital evidence according to the Anti-money Laundering Law.It uses qualitative measure. Key informants in theresearch consist of (1) specialist of Civil Servant Group, Anti-Money Laundering Office (Computer Academician),(2) specialist of Civil Servant Group, Anti-Money Laundering Office (Litigation Division Officers), and (3)prosecutor officers of the Attorney General. And this research uses snowball sampling to collect data via semistructuredInterviews; data are analyzed by content analysis method. The research indicated that the problemsof property legal proceedings under anti-money laundering laws using digital forensic evidence consist of anoperation, and an expansion of the investigation of property proceedings under anti-money laundering laws.There were suggestions as follows: The Anti-Money Laundering Office should formulate policies, strategies, andoperational plans to support the proceedings. And it should establish standards for digital evidence accreditationin line with central standards in order to incorporate digital evidence into the case files, thus significantly increasingthe efficiency of litigation.
Kelimpahan Jamur Non-Patogenik Pada Rhizosfer Daerah Endemik Patogen Magnaporthe grisea Penyebab Penyakit Blas Pada Tanaman Padi (Oryza sativa L.)
Authors: Rahman Faqih Aulia , Safni Irda , Lisnawita Lisnawita
Published: October 2023

Penelitian ini bertujuan untuk mengetahui kelimpahan jamur yang terdapat pada rhizosfer daerah endemik patogen Magnaporthe grisea penyebab penyakit blas pada tanaman padi. Penelitian ini merupakan penelitian awal yang dimulai dengan melakukan kegiatan survei pada beberapa lokasi endemik dan menentukan lokasi yang paling tepat dijadikan sebagai lokasi pengambilan sampel tanah untuk mendapatkan kelimpahan jamur non- patogenik. Dari 3 lokasi yang dilakukan survei, diantaranya Sukamandi Hilir, Sendayan dan Secanggang diketahui bahwa daerah Sendayan merupakan lokasi yang paling tepat untuk dijadikan sebagai lokasi penelitian sebab terdapat gejala serangan blas pada tanaman padi di seluruh lahan budidaya padi. Setelah dilakukan pengambilan sampel secara acak spesifik lokasi, selanjutnya dilakukan purifikasi pada jamur yang terdapat pada sampel tanah yang telah dihomogenkan. Pengujian patogenisitas pada jamur dilakukan dengan mengisolasi jamur yang dibiakkan pada media PDB ke irisan kentang yang telah dilakukan sterilisasi permukaan. Kesimpulan penelitian ini adalah 1) Terdapat 13 isolat jamur pada lokasi penelitian, 2) Setelah dilakukan identifikasi secara morfologi mikroskopik dan makroskopik ditemukan 3 genus jamur yang terdapat pada rhizosfer daerah endemik blas, diantaranya Aspergillus, Penicillium dan Mucor, 3) Aspergillus merupakan genus jamur yang paling berlimpah pada daerah endemik blas padi.
Aplikasi Pupuk Organik Cair dan Pupuk NPK untuk Meningkatkan Karakter Agronomis Tanaman Kedelai Hitam
Authors: Setianingrum Ayu , Nugrahani Pangesti , Makhziah Makhziah
Published: October 2023

Permintaan terhadap kedelai terus meningkat seiring dengan pertambahan penduduk dan kesadaran yang semakin tinggi mengenai manfaat makanan nabati yang kaya protein, namun produksi kedelai masih tidak mencukupi, sehingga perbaikan teknik budidaya perlu dilakukan. Tujuan penelitian adalah untuk mengetahui pengaruh pupuk dan pupuk NPKterhadap pertumbuhan serta perkembangan tanaman kedelai hitam (Glycine max L. Merrill). Percobaan menggunakan Rancangan Petak Terbagi (RPT) dengan 2 faktor perlakuan yang diulang 3 kali. Faktor pertama adalah konsentrasi pupuk organik yang terdiri dari 4 taraf (0, 2, 4 dan 6 mL.L-1) dan sebagai faktor kedua pupuk anorganik NPK terdiri dari 3 taraf (3, 6 dan 9 g.tanaman-1). Hasil pengamatan perlakuan interaksi 4 mL.L-1 air dan 9 g.tanaman -1 menunjukkan pengaruh sangat nyata pada parameter jumlah bunga. .Perlakuan tunggal pupuk organik cair konsentrasi 4 mL.L-1 air menunjukkan pengaruh terbaik pada parameter jumlah bunga, sedangkan pada perlakuan tunggal pupuk NPK dosis 6 g.tanaman -1 merupakan perlakuan terbaik pada parameter seluruh parameter kecuali berat biji per tanaman. Hasil dari penelitian menunjukkan perlunya dilakukan penelitian lanjutan untuk memperoleh pertumbuhan dan hasil kedelai hitam yang sesuai.
Sharecropping and Production Risk of Rice Farming
Authors: Zakaria Redini Shaqilha , Rachmina Dwi , Tinaprilla Netti
Published: October 2023

Sharecropping is a form of cooperation between landowners and tenants. Two types of sharecropping systems for rice farming in Bone District, South Sulawesi, impact income and production risks. This study aims to (1) analyze the implementation of the sharecropping system and (2) analyze income and production risk. This study used primary data from 117 Berebbo sub-district, Bone district farmers. Data were analyzed using income analysis and production risk. The results showed that the sharecropping system has been implemented traditionally according to customs and is not guided by Law No. 2 of 1960 about the sharecropping system. The sharecropping system has survived to this day because, in addition to improving the economy, it also strengthens farmers' social relations through honesty, trust, and helping each other.  There are two types of sharecropping of grain; type 1 is 1:2, and type 2 is 1:1. In type 1, the landowner only provides the land, while in type 2, the landowner provides the land and shares the cost of fertilizers, pesticides, and transportation. The profit of farming using type 2 is higher than type 1, but the risk level of type 2 is also higher than type 1. But the landowner gets a higher profit than tenants because the output distribution is grain without considering farming costs. The output should share the profits to provide justice for both parties. The results of this study can become literature for future researchers to study production risks in sharecropping systems.
The Effect of Application of Diplazium Esculentum Leaf Extracts and GA3 on the Berry Quality of Grape (Vitis Vinifera L.) Cultivar of ‘Prabu Bestari’
Authors: Astawa I Nyoman Gede , Dwiyani Rindang , Mayadewi Ni Nyoman Ari , Manulang Prila Kartika , Astiningsih Anak Agung Made
Published: October 2023

This study investigated the effect of extract of Diplazium esculentum leaves and GA3 on the berry quality of Vitis vinifera c.v. Prabu Bestari. The objective of this research was to find out the effect of the application of D. esculentum leaf Extract and GA3 on the berry quality of grape c.v. Prabu Bestari. This study was conducted in the Vineyard at the Experimental Station of the Faculty of Agriculture, Udayana University during April to October 2021. A total of five different treatments were applied on inflorescences of grape (by dipping them), i.e. T0= control, only distilled water; T1 = 200 cc leaf extract was diluted with distilled water in to 1 L (200 cc L-1); T2=400 cc L-1; T3 = 600 cc L-1; T4= 500 ppm GA3 (as control positive). There were five treatments arranged in a randomized block design with 6 repetition.  The results showed that all treatments were not able to induce seedless, as seeds still presented inside berries, however, the number of seeds in the treatment of 500 ppm GA3 reduced significantly compared to other treatments.  Weight per seed decreased significantly at 400 cc L-1 D. esculentum extract, 600 cc L-1 D esculentum extract and 500 ppm GA3.
Inventarisasi dan Karakterisasi Morfologi dan Agronomi Tanaman Nanas (Ananas comosus (L.) Merr) pada Beberapa Sentra Produksi di Pulau Jawa, Indonesia
Authors: Prasetyo Henrietto Innosensius , Wijana Gede , Darmawati Ida Ayu Putri
Published: October 2023

Persebaran nanas umumnya sangat berkembang pesat di Indonesia khususnya Pulau Jawa. Pengetahuan dan pemanfaatan hasil di beberapa sentra produksi yang masih minim menyebabkan inventarisasi dan karakterisasi tanaman nanas perlu dilakukan. Penelitian ini bertujuan untuk mengetahui lokasi sentra produksi beserta karakter yang terdapat pada suatu varietas nanas dan pemanfaatan hasil tanaman. Informasi tentang keberadaan tanaman nanas ini dapat dilakukan dengan kegiatan inventarisasi. Tahap selanjutnya adalah kegiatan identifikasi. Identifikasi merupakan suatu kegiatan karakterisasi pada suatu tanaman. Kegiatan karakterisasi ini meliputi identifikasi berdasarkan karakter morfologi dan agronomi. Data hasil pengamatan ditabulasi dan ditampilkan dalam bentuk tabel beserta gambar yang dijelaskan secara deskriptif. Hasil penelitian menunjukkan penghasil buah terbanyak terdapat di empat kabupaten di Pulau Jawa. Tanaman nanas yang ditemukan dibudidayakan secara intensif mulai dari pembibitan, penanaman, pemeliharaan, pemanenan, dan pascapanen. Tanaman nanas yang dibudidayakan di Kabupaten Subang adalah Nanas Subang, Kabupaten Bogor adalah Nanas Gati dan Nanas Kapas, Kabupaten Pemalang adalah Nanas Madu, dan Kabupaten Kediri adalah Nanas Madu dan Pasir Kelud 1. Berdasarkan hasil karakterisasi Tanaman Nanas Subang dan Nanas Pasir Kelud 1 dikategorikan Varietas Cayenne dengan ciri buah besar, rasa manis asam, banyak mengandung air, mata lebar dan daun tidak berduri.  Sementara itu, Nanas Gati, Nanas Kapas, Nanas Madu Pemalang, dan Nanas Madu Kediri dikategorikan Varietas Queen dengan ciri buah kecil, rasa manis, sedikit air, mata menonjol, dan daun berduri. Selain dijual dan dikonsumsi dalam bentuk segar, buah nanas juga berpotensi untuk dikembangkan sebagai bahan olahan seperti keripik nanas, manisan, wajik, dan dodol.