bluuebunny/crossref_metadata_2025 huggingface dataset:
Hepatomegaly and jaundice as the presenting symptoms of systemic light-chain amyloidosis: A case report
Authors: Zhang Xu , Tang Fei , Gao Yan-Ying , Song De-Zhao , Liang Jing
Published: February 2024

BACKGROUND

Light chain (AL) amyloidosis is a plasma cell dyscrasia characterized by the pathologic production and extracellular tissue deposition of fibrillar proteins derived from immunoglobulin AL fragments secreted by a clone of plasma cells, which leads to progressive dysfunction of the affected organs. The two most commonly affected organs are the heart and kidneys, and liver is rarely the dominant affected organ with only 3.9% of cases, making them prone to misdiagnosis and missed diagnosis.

CASE SUMMARY

A 65-year-old woman was admitted with a 3-mo history of progressive jaundice and marked hepatomegaly. Initially, based on enhanced computed tomography scan and angiography, Budd-Chiari syndrome was considered and balloon dilatation of significant hepatic vein stenoses was performed. However, additional diagnostic procedures, including liver biopsy and bone marrow-examination, revealed immunoglobulin kapa AL amyloidosis with extensive liver involvement and hepatic vascular compression. The disease course was progressive and fatal, and the patient eventually died 5 mo after initial presentation of symptoms.

CONCLUSION

AL amyloidosis with isolated liver involvement is very rare, and can be easily misdiagnosed as a vascular disease.
Prolonged intensive care: muscular functional, and nutritional insights from the COVID-19 pandemic
Authors: Martínez-Camacho Miguel Ángel , Jones-Baro Robert Alexander , Gómez-González Alberto , Lugo-García Dalia Sahian , Astorga Pía Carolina Gallardo , Melo-Villalobos Andrea , Gonzalez-Rodriguez Bárbara Kassandra , Pérez-Calatayud Ángel Augusto
Published: February 2024

During the coronavirus disease 2019 (COVID-19) pandemic, clinical staff learned how to manage patients enduring extended stays in an intensive care unit (ICU). COVID-19 patients requiring critical care in an ICU face a high risk of experiencing prolonged intensive care (PIC). The use of invasive mechanical ventilation in individuals with severe acute respiratory distress syndrome can cause numerous complications that influence both short-term and long-term morbidity and mortality. Those risks underscore the importance of proactively addressing functional complications. Mitigating secondary complications unrelated to the primary pathology of admission is imperative in minimizing the risk of PIC. Therefore, incorporating strategies to do that into daily ICU practice for both COVID-19 patients and those critically ill from other conditions is significantly important.
ACULOPS CANNABICOLA (FARKAS) (ACARI: ERIOPHYOIDEA): A NEW INVASIVE PEST OF CANNABIS SATIVA IN PUERTO RICO
Authors: Cabrera-Asencio Irma , Estévez de Jensen Consuelo
Published: February 2024

ACULOPS CANNABICOLA (FARKAS) (ACARI: ERIOPHYOIDEA): A NEW INVASIVE PEST OF CANNABIS SATIVA IN PUERTO RICO
IMPLEMENTASI METODE SERVQUAL DALAM MENGUKUR TINGKAT KEPUASAN PASIEN TERHADAP KUALITAS PELAYANAN RAWAT JALAN Studi Kasus: Puskesmas Maubesi
Authors:   Universitas Timor, Salu Yoana Fransiska De Cantal , Nababan Darsono , Seran Krisantus Jumarto Tey
Published: February 2024

The service quality of a Community Health Center does have a great impact on the patients' satisfaction. The Maubesi Community Health Center is one of the health services centers in Maubesi Village which serves a number of six surrounding villages. Given that many patients are making use of this health center, the service quality of the medical staff is of course quite essential. Patients' satisfaction is the primary factor which becomes the image benchmark of a community health center. Up to now, patients' satisfaction is measured in the conventional way, namely by writing on papers. The use òf paper certainly makes it hectic when the time for data compilation and analysis processing is due. To overcome this problem, the researcher developed a website-based information system (SISKESAN) to measure patients' satisfaction level at Maubesi Community Health Center. SISKESAN was developed based on website, to make it easy whenever and wherever the data is to be accessed. The system employs Service Quality Method (Servqual) to measure patients' satisfaction level using hope and fact values. To set up this system the researcher made use of Waterfall Method known as measurable gradual stages. By implementing SISKESAN at Maubesi Community Health Center, the patients' satisfaction level becomes easier in measurement. Patients can easily access the website and fill in the questionnaires prepared in the system. The result can be straightly seen by the staff in charge and it will become the benchmark for future policy making.
MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT
Authors:   Universitas Methodist Indonesia, Pakpahan Edwin Anto , Pratiwi Annisa Nola ,   Universitas Muhammadiyah Sumatera Utara, Putri Frisca Indriani , Harahap Putri Yana , Gunawan Qibran Aziz , Siregar Anandya Annisa Amri
Published: February 2024

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.
EVALUASI PENGGUNAAN QRIS MENGGUNAKAN MODEL UTAUT PADA ERA PERKEMBANGAN FINTECH
Authors:   Universitas Harapan Bangsa, Ariyanto Arif Setia Sandi , Yuttama Faizal Rizky , Slamet Slamet
Published: February 2024

Technological developments in the financial sector are growing very quickly, with the emergence of QRIS technology making non-cash transaction processes even easier. This platform can be used for almost all financial services. The author carried out this test to identify the influence between performance expectancy, social influence and facilitating conditions on behavioral intention to use QRIS in MSMEs in Banyumas Regency through Rumah BUMN Purwokerto using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. This test uses a data source totaling 99 respondents. Instrument validity and reliability tests were carried out using WarpPLS 8.0 software. The test results concluded that performance expectancy and facilitating conditions influenced the behavioral intention to use QRIS, while social influence did not influence the behavioral intention to use QRIS among MSMEs in Banyumas Regency.
PERANCANGAN SISTEM PREDIKSI KEBUTUHAN STOK DARAH BAGI ORGANISASI NON PROFIT MENGGUNAKAN METODE FUZZY MAMDANI
Authors:   STMIK TIME, Edi Edi
Published: February 2024

A non-profit organization is a nonprofit organization formed with the aim of providing assistance, and it does not seek profit in its activities. In addition to organizing blood donation campaigns, non-profit organizations often help hospitals in need of blood by providing the necessary blood supply through the Indonesian Red Cross (PMI). However, the problem faced is that the availability of blood stock is often depleted during urgent situations, resulting in the inability to fulfill the hospitals' blood requests. Therefore, as a solution to address the challenges faced by non-profit organizations, the development of an information system for predicting blood stock requirements is necessary to determine whether there is a need to replenish the blood stock in the following months. In this research, the developed blood stock prediction system implements the Fuzzy Mamdani method. The research results indicate that the Fuzzy Mamdani method, in predicting blood stock requirements, has achieved a satisfactory level of accuracy. Although a limited number of rules, specifically 24 rules, were processed, this method was able to provide predictions that closely approximated the actual requirements. However, it should be noted that the accuracy level can be further improved by adding more comprehensive rules and using a wider dataset.
ANIMASI PEMBELAJARAN SISTEM PENCERNAAN PADA MANUSIA BERBASIS MULTIMEDIA DI SD NEGERI NO 034820 LAU PETUNDAL
Authors:   Universitas Methodist Indonesia, Sihotang Alpredo , Jamaluddin Jamaluddin , Lumbantoruan Gortap
Published: February 2024

The objective of this study is to create and assess an interactive educational animation about the human digestive system for elementary school students at SD Negeri No 034820 Lau Petundal. The development method uses a multimedia approach that involves designing, producing, and testing animations as learning tools.The results showed that the multimedia-based learning animation of the digestive system was able to improve students' understanding of the material. Thus, This educational animation serves as a viable alternative to effectively facilitate the learning process about the digestive system in elementary school students, contributing to the development of education that is more interesting and easy to understand.
ENHANCING EFL (ENGLISH AS FOREIGN LANGUAGE) STUDENT’S PUBLIC SPEAKING ABILITY THROUGH PRE-TEACHING VOCABULARY
Authors:   Universitas Budi Darma, Ramadhani Putri
Published: February 2024

The aim of this research is to investigate the effectiveness of pre-teaching vocabulary taught in the class by English lecturer towards the first semester students of Computer Informatics who are the users of English as Foreign Language (EFL students). The students are treated by pre-teaching vocabulary method in three stages they are introduction stage, content or body stage, and the conclusion stage. Pre- teaching vocabulary taught by the lecturer in every stage aimed to ease the students to comprehend the presentation step by step before doing English presentation in front of the class as the public speaking assignment. The data collection techniques in this research are observation and practice assessment. The result of this research shows that pre-teaching vocabulary method taught in the class for the first semester students significantly enhance the ability of student’s English public speaking in presentation assignment. Students are more confident enough to perform English presentation in front of the class because the topic assigned by the lecturer has been clearly explained and the students are easier to join words by words or phrase by phrase into a short presentation.
THE TRANSFORMATIVE POWER OF ARTIFICIAL INTELLIGENCE (AI) TO ELEVATE ENGLISH LANGUAGE LEARNING
Authors:   Universitas Budi Darma, Ulfa Kurnia
Published: February 2024

The article delves into the transformation impact of Artificial Intelligence (AI) on enhancing students’ proficiency in learning English language. Recognizing the global importance of English proficiency, educators are increasingly turning to AI as a powerful tool to revolutionize language education. The integration of AI brings forth personalized learning paths, intelligent tutoring systems, gamification strategies, language learning apps, and automated assessments. These advancements cater to individual learning needs, provide real time feedback, foster engagement through gamified experiences, and offer accurate assessments of language skills. The synergistic relationship between AI and language education represents a paradigm shift in the ways students acquire and master the English language, positioning them for success in an increasingly interconnected world.
WILLINGNESS TO COMMUNICATE PRACTICES: A CASE STUDY IN INDONESIAN EFL CLASSROOM
Authors:   Universitas Muslim Nusantara Al Washliyah, Lubis Nazriani , Lubis Asnarni
Published: February 2024

This present study aims to discuss Willingness to Communicate (WTC) practices by Indonesian EFL students in tertiary level. activity of EFL students carrying out WTC practices. The idea of WTC becomes the influential factors underlying EFL students’ involvement and participation with in the certain topics and certain situation. This study applied qualitative research method with thematic analysis approach, and two participants with specific criteria were chosen to answer the semi-structure interview. The emerging data was classified to drawing two themes; engaging with others in the classroom, and engaging with others outside the classroom. Responding to the practices of WTC carried out by Indonesian EFL learners, the fundamental factor underlying EFL learners’ WTC is the situation-based activity.
PENGARUH TINGKAT PENGANGGURAN TERBUKA DAN INFLASI TERHADAP PDRB RIIL TAHUN 2002–2022 KOTA MEDAN
Authors:   Universitas Methodist Indonesia, Siregar Selamat
Published: February 2024

The purpose of this research is the influence of inflation and open unemployment rate on the growth of Real GRDP of Medan City. The sample used is the data of inflation variable and open unemployment rate variable and Real GRDP growth variable of Medan City from 2007 to 2022. The results of the study obtained that the inflation variable has no significant effect on the growth of Real GRDP of Medan City, the open unemployment rate variable has no significant effect on the growth of Real GRDP of Medan City, together the inflation variable and the open unemployment rate have no significant effect on the growth of Real GRDP of Medan City. and the influence of the inflation variable and the open unemployment rate variable on the growth of Real GRDP is 3.5%, the remaining 96.5% is explained by other variables or factors not discussed in this study.
PEMBELAJARAN PENDIDIKAN PANCASILA DAN KEWARGANEGARAAN BERBASIS AUGMENTED REALITY (AR) PADA KELAS VII DI SMP SWASTA ALWASLIYAH PINANG BARIS
Authors:   Universitas Negeri Medan, Pranata Dwi Agus , Jamaludin Jamaludin , Yunita Sri
Published: February 2024

This learning is considered very boring because this learning always uses the lecture method without any learning improvisation that can increase students' desire to learn. This education aims to see how students respond and their learning level using the augmented reality method. The method used in this research is a qualitative method where the researcher gives pretest questions before the learning is implemented and a post-test after the learning is implemented to see the participants' knowledge increase. educate. It turns out that augmented reality-based learning can increase students' knowledge and students understand more about the implementation of Pancasila values both in everyday life in society and in school life.
PERBANDINGAN ALGORITMA C4.5 DAN NAIVE BAYES UNTUK MEGUKUR MINAT PENJUALAN SEPATU
Authors:   STIKOM Tunas Bangsa, Lubis Nur Azizah , Safii M. , Alfina Ommi ,   Universitas Potensi Utama
Published: February 2024

The Second Gangbrand shoe shop is one that sells second-hand shoes or what you could also call quality and original second-hand shoes that have certain brands at affordable prices that are cheaper than the original price. This research aims to measure the level of customer interest by comparing the C4.5 algorithm method and the Naive Bayes algorithm. The data source was obtained from second gangbrand stores which were taken based on customer interest. So it is necessary to carry out data analysis to classify customer interest data using the C4.5 and Naive Bayes algorithms to compare accuracy and precision which are the benchmarks in this research. Calculations in this research were carried out manually using Microsoft Excel according to the C4.5 and Naive Bayes algorithm calculation models and then evaluated using the Rapidminer 10.3 tool which was used to help determine accurate values. After conducting research testing, the C4.5 algorithm received an accuracy value of 60.00% and a precision of 50.00%, while the Naive Bayes algorithm received an accuracy value of 60% and a precision of 33.33%. So it can be concluded that the two algorithms have the same accurate accuracy value, but in terms of precision value the C4.5 algorithm is superior in determining customer interest recommendations. It is hoped that the results of this research can provide input and information for future researchers.
Barracks and fortresses. A comparative review of the military architecture of Hungary and the Russian Far East
Authors:   Pacific National University, Ivanova Alina P. , Csanádi Gabor ,   Eötvös Loránd University, Stelmakova Tatiana O. ,   Pacific National University
Published: February 2024

The article, written within the framework of the Russian-Hungarian project “The Architectural Image of the Motherland: Budapest-Petersburg-Harbin”, is devoted to the architecture of fortifications and garrisons. In the first, Hungarian, part, the role of fortress architecture in the formation of national identity and (using two examples) the architecture of barracks are reviewed. The main goal of the second, Far Eastern Turkestan, part is to identify the role of garrison towns as a “civilization matrix” that transmits the culture of the metropolis to the outskirts of the empire. In the third part, the topic of fortresses and military settlements is addressed using the example of Port Arthur and the project of “soldiers’ settlements” along the Chinese Eastern Railway.
“New urban planning policy” in the Rostov region
Authors:   Regional research and design institute of town planning, Sadkovskaya Oxana Ye.
Published: February 2024

The introduction of a "new urban planning policy" into practice must be taken into account in territorial planning documents. According to the Strategy for the Development of the Construction Industry and Housing and Communal Services of the Russian Federation until 2030, a unified urban planning policy is envisaged for urban agglomerations and centers of rural agglomerations. The main structural elements of the new urban planning policy will be urban and rural agglomerations. To form long-term development plans for urban and rural agglomerations, software-based delimitation is necessary, especially in the Rostov region. Competent planning taking into account the specifics of how state development programs operate will contribute to the attraction and effective use of funds at the regional level. The programming of territory development is seen as another factor to consider when delimiting agglomerations. The article is based on the results of a study carried out by the Rostov Region’s RNIiPI Planning Institute in 2023 within the framework of the research and development project "Improving Settlement Systems of the Rostov Region (a study into the possibility of creating urban agglomerations on the basis of the East Donbass and Volgodonsk Settlement Systems)" commissioned by the Ministry of Construction of the Rostov Region. The purpose of the study was to amend the Territorial Planning Scheme of the Rostov region and work out recommendations for making corrections to the "Settlement System" chapter of the Strategy for Socio-Economic Development of the Rostov region.
A comprehensive study of the city's green infrastructure. The case of Yekaterinburg
Authors:   Ural State University of Architecture and Art, Gushchin Alexander N. , Divakova Marina N. ,   Ural State University of Architecture and Art, Musaev Timur I. ,   Unified Institute of Spatial Planning of the Russian Federation
Published: February 2024

The subject of the study is green city infrastructure. The content of the concept ‘green infrastructure’ is expounded, and the reasons why the term ‘green infrastructure’ is now mostly used. Special attention is paid to the structural properties of the green infrastructure, in particular to the main element that ensures its sustainability - the green framework. As a case in point, we considered the condition of the green infrastructure framework in the city of Ekaterinburg. Issues around the green infrastructure framework were identified and described regarding its structural properties. Long-term risks arising from the mismatch between the structural properties of the green infrastructure framework and the needs of city development are assessed. The novelty of the study lies in the fact that we used not only the traditional methods such as mapping, graphical analytic technique, and photo surveying, but also new modern approaches such as geo-referenced data, multispectral space images from which different indices are calculated, in particular combinations of images in different channels. The article shows how different indices can be applied and used to analyze green infrastructure. It is concluded that in a number of cases it is the use of geo-referenced data that allows obtaining unique information about the condition of the green infrastructure and the causes of long-term changes occurring in it. All the identified regularities are used to evaluate the design decisions laid down in the general plan of the city to forecast risks and create recommendations that contribute to the sustainable development of green infrastructure.
Development of a system of green spaces in a small city using the example of Chistopol
Authors:   Kazan State University of Architecture and Engineering, Ismagilova Svetlana Kh. , Zakieva Liliya F. ,   Kazan State University of Architecture and Engineering
Published: February 2024

The development of a system of green spaces in small historical cities is considered on the example of the city of Chistopol. Based on urban planning analysis, the features of the city’s green infrastructure were identified, and the specifics of its functional planning and landscaping were determined. The characteristic techniques employed in arranging the components of the system of green spaces are highlighted. The result of the study is a functional planning model for development of landscaping infrastructure, which was tested in the central part of Chistopol.
Improvement of the urban environment as a tool for improving public health
Authors:   LLC «Neoconsultinggroup», Vitiuk Ekaterina Yu.
Published: February 2024

Improvement of residential environments should be integrated into the system of measures to improve the health of the population taking into account the regional characteristics of a particular area and available resources through the methodology of passive healing. The article proposes ways for such integration and provides specific examples of their implementation in practice in Sverdlovsk region municipalities. This approach illustrates the synergistic approach to the implementation of the national project "Housing and Urban Environment" and increases the effectiveness of space in terms of positive effect on the population.
Laying groundwork for the development of a salutogenic architecture design method in the context of physical activity
Authors:   Kazan State University of Architecture and Engineering, Galieva Elina A. , Zabruskova Marina Yu. ,   Kazan State University of Architecture and Engineering
Published: February 2024

The purpose of the research work is to model behavior control through spatial organization for developing a method of salutogenic architecture design. At this stage of research, we use an interpretive method to summarize interdisciplinary knowledge about the influence of spatial organization on human behavior and the psychophysiology of space perception in the context of behavioral choice in order to identify spatial configurations that promote salutogenic behavior. The main conclusions of the research work are presented as generalized principles of architectural environment development that promote increased motor activity. The results of the study open further research venues for the development of the above-mentioned design method.
Innovative solutions for agro-industrial complexes in extreme conditions
Authors:   Kazan State University of Architecture and Engineering, Polyashchenko Irina I. , Krasnobaev Ivan V. ,   Kazan State University of Architecture and Engineering
Published: February 2024

The article discusses the spatial and architectural organization of agro-industrial complexes of different levels of equipment on the example of domestic and foreign experience. The existing technological chains of production solutions used in the following crop complexes are also analyzed. Specific examples of Russian practices in the field of agrarian economy are given, not so much in normal climatic natural conditions, but in remote harsh and remote regions of the country. The article presents foreign illustrative examples of agro-industrial complexes, unusual for Russian experience in terms of external and internal technical content.
Legal Issues Involved in Electronic Payments System in India
Authors:   Professor and Head, Department of Commerce and Management, Govt. PG College, Sampla, Haryana, India, Lal Rohilla Dr. Roshan
Published: February 2024

The Indian economy has developed rapidly after the induction of digital interfaces in commerce, trade, and industry particularly after the popularisation of electronic payment systems or digital banking. Since 2016 when the Government of India announced demonetization, electronic payments have been rising and are expected to continue in the future because the government has promoted these types of payments. Internet penetration in India was 47 percent in 2022 and it was more than 100 percent in urban areas as compared to rural areas, now with the expansion of the information technology-enabled generation which is using digital modes of payments more in their daily transactions has resulted in more than 140 crore rupees each day through various methods of digital prevailing in India. State Governments are also prioritizing and making more efforts to ensure that the unprivileged people should have to be provided access to web services so that they may also make payments conciliatory through this method. Resultantly, there are 103 billion digital transactions worth Indian rupee 166 trillion in the financial year 2023. It is also expected that digital transactions will also rise to 411 trillion by the year 2027. Consequently, on advent of high tech system of fund transfer and its enormous use several cases of fraud have also been taking place on daily basis. The legislation has enacted various laws in connivance with the global laws, to resolve the problem, but they are still prevailing. The present study has been conducted to identify the legal issues and the results arising from these issues and to recommend some pathways to recover from these obstacles. This study further explains the further way to improvement in fund transfer and making payments using digital mode. Consequently, it is found that the present legal system does not have sufficient provisions to stop such fraud, and blockage of money with the UPI, payment gateways, banks, and merchants. There is no single online solution to these problems. The banking ombudsman is working on resolving some of the issues, but due to the red tapism, such transactions of payment failure and fraud websites could not be resolved. Sufficient amendments dealing with such transactions have not been incorporated in the present Consumer Protection Act. Hence, it is recommended that there should be a virtual hearing in the office of the ombudsman as well as in the court of President Consumers Protection.
Determining The Contract Service Strategy at Coal Terminal Maintenance to Address Contractor’s Inability to Maintain Availability of Fixed Plants in Supporting Shipments Activities at PTKPC a Case Study PTKPC, East Kutai, East Kalimantan, Indonesia
Authors:   School of Business and Management, Institut Teknologi Bandung, Tua Akim , Wasesa Meditya ,   School of Business and Management, Institut Teknologi Bandung
Published: February 2024

PTKPC, a coal producer, was facing challenges due to a permit transition in December 2021 from Coal Mining Contract of Work (PKP2B) to Special Mining Business License (IUPK). This change increases operational costs with added royalty rates, value-added tax, and profit-sharing obligations. To address this issue, the company decided to streamline contractors in each department in all business units, consolidating various tasks under one umbrella contract. The goal is to provide a big volume of work, potentially lowering rates and reducing PTKPC’s operational costs. However, relying on a single contractor for crucial operations, as seen in the Coal Terminal Maintenance Department (CTMD), introduces risks. The sole contract winner, PTPB, struggles to meet obligations since the contract’s initiation on December 1, 2021. The average contract fulfillment since commencement date is 86% of 100% desired target, disrupting fixed plant Coal Terminal maintenance activities. Physical availability is 93%, below the 94% target, increasing CTMD’s maintenance costs by $0.059 per ton. This research seeks to identify the root causes of PTPB’s inability to fulfill contractual duties and explore alternative solutions. and then from all the existing alternatives, what is the best alternative in responding to this condition. Utilizing primary and secondary data from PTPB’s monthly proforma invoices, contract scope, and CTMD’s monthly reports, the research employs methodologies like problem tree analysis and stakeholder analysis to unravel business complexities and identify root cause of the problems. Qualitative data collection methods, including focused group discussions (FGD) and semi-structured interviews, will be used to determine alternatives. These alternatives will be assessed using the Value-Focused Thinking (VFT) methodology. The Analytic Hierarchy Process (AHP) methodology, assisted by the AHP Super Decision application, will determine the best alternative: the “Implementation of Warnings and Penalties to PTPB”. Implementing this alternative demonstrates PTKPC’s commitment to stakeholders, ensuring contractor accountability without disrupting fixed plant maintenance. Penalty funds will support CTMD’s financial viability, funding additional resources for tasks beyond PTPB’s capacity. This strategy may be applied to other contracts within PTKPC.
Anesthetic Management with Intubation in Awake Patient with Ludwig's Angina Using Dexmedetomidine and Ketamine: A Case Report
Authors:   Anesthesiology Resident. Clínica Hospital Mérida, ISSSTE. Facultad de Medicina de la Universidad Autónoma de Yucatán., Esquivel-Diaz Francisco Rodolfo , Hernández-Flores Silvia ,   Anesthesiologist, Clínica Hospital Mérida, ISSSTE. Hospital General Regional No. 12 IMSS, Lic. Benito Juárez., Noguera Echeverría Alexis Emir ,   Surgical Resident. Clínica Hospital Mérida, ISSSTE. Facultad de Medicina de la Universidad Autónoma de Yucatán., Ibarra-Guerrero María Fernanda ,   MD. Universidad Anáhuac Mayab., Islas-Canto Víctor Rodrigo ,   Anesthesiology Resident. Clínica Hospital Mérida, ISSSTE. Facultad de Medicina de la Universidad Autónoma de Yucatán.
Published: February 2024

Introduction: Ludwig's Angina (LA) is a bacterial infection of the submandibular space that can cause airway obstruction. Prompt surgical treatment and antimicrobial therapy are crucial. Airway evaluation is important to identify risk factors for difficult intubation and anatomical distortion that may require awake endotracheal intubation. Case presentation: A 22-year-old female presented to the emergency department with left submandibular pain, edema, increased skin temperature, and erythema with a history of grade III caries of 6 months evolution without treatment. Physical examination revealed extension to the left lateral neck region and mild respiratory distress. Classified as ASA grade III, the patient underwent awake intubation using dexmedetomidine (DXM) and ketamine (KET), followed by balanced general anesthesia for the surgical procedure. Clinical discussion: The patient's condition predicted high difficult airway, therefore awake intubation was performed to maintain spontaneous ventilation and reduce cardiac arrest risk. In this case, DXM was used to avoid anxiety and respiratory depression, while KET was employed for its analgesic, bronchodilator, and tachycardic effects. Conclusion: Ketamine and dexmedetomidine allow adequate spontaneous ventilatory mechanics, without respiratory depressant effect. Further research is needed to find more anesthetic drugs that can be used for intubation without suppressing autonomic ventilation, and to develop guidelines to prevent respiratory depressant effects in patients with LA.
Sociological Insights: Rethinking Decision-making in Evolving Patriarchal Family Structures
Authors:   Post Graduate Student of Institute of Social Science, Dr. Bhimrao Ambedkar University, Agra, Agarwal Sanchita , Arshad Prof. Md. ,   Prof. Of Dept. of Social Science, Institute of Social Science, Dr. Bhimrao Ambedkar University, Agra
Published: February 2024

This research paper delves into the complex interplay between family structures, women's roles, and their agency in decision-making within patriarchal societies. This paper focus on how traditional joint families, with their entrenched gender roles and centralized authority, limit women's participation in household choices. In contrast, nuclear families offer some hope, with greater autonomy and shared decision-making processes opening doors for challenging established norms. Marital status and employment status also emerge as key factors, with unmarried women and employed women demonstrating greater flexibility and influence. Financial autonomy further nuances the picture, showcasing both collaborative approaches and conditional independence for women. Ultimately, the distribution of decision-making power reflects the uneven terrain of gender equality, highlighting the persisting influence of patriarchal structures. This paper underscores the need for dismantling these structures and fostering truly collaborative familial environments to pave the way for a more equitable future for women.
Weaknesses of Household Waste Management Arrangements in Yogyakarta
Authors:   Master of Law Student, Universitas Atma Jaya Yogyakarta, Yogyakarta, Hartono Rudi , SH., LL.M. Dr. H. Rhiti, ,   Lecturer at the Faculty of Law, Universitas Atma Jaya Yogyakarta, Yogyakarta
Published: February 2024

Waste is often a big problem in the environment, especially waste from households. The increasing amount of waste is caused by every human activity which is increasingly numerous and complex. Waste management is considered unsuccessful in Yogyakarta society, especially household waste. Seeing how waste management is not yet good in Yogyakarta requires a more comprehensive study of the applicable regulations so that they can be implemented or not. The formulation of the research problem is what are the legal factors that cause weak household waste management regulations in Yogyakarta. This research applies normative research which uses exploratory technical settings by concentrating on social cases seen from the perspective of norms and facts regarding current problems. Collecting information uses library research methods by using information sources starting from the main important materials, namely Law Number 18 of 2008 concerning waste management, Yogyakarta City Regional Regulation Number 1 of 2022. Lawrence Meir Friedman has the main ideas in his book The Legal System A Social Science Perspective, one of which is that the legal system consists of components, namely structure (legal structure), substance (legal substance), and culture (Legal Culture). Based on the written analysis, it is clear that regulations in waste management, both in the central and regional governments of the city of Yogyakarta, are still lacking in terms of unclear management arrangements, in more detail the process arrangements, disposal arrangements, arrangements for sorting and processing waste independently are not explained in detail, which causes people to remain with the idea that waste can simply be sorted and then thrown into final disposal.
The French Model of Valuation of Agricultural, Forestry or Food Products, As Well as Sea Products
Authors:   Professor-Researcher, ", Ocegueda Gelacio Juan Ramón Gutiérrez ,   C",   , Department of Social Law, Division of Legal Studies, University Center for Social Sciences and Humanities, University of Guadalajara, Jalisco, Mexico.
Published: February 2024

The present research is oriented to the analysis of the Valuation Categories of agricultural products, forestry or food, as well as seafood according to the French model. This will allow us to delve deeper into the Valuation Modalities, the legal nature and functions of the National Institute of origin and Quality, the Application for Recognition in Controlled Designation of Origin, Protected Designation of Origin or Protected Geographical Indication.
The Influence of Financial Performance And Earning Management on Firm Value (Case Study in the Food And Beverage Industry)
Authors:   STIE Malangkucecwara, Terusan Candi Kalasan Street – Malang – 65142, Istutik Istutik , Roswita Hale Erensiana ,   STIE Malangkucecwara, Terusan Candi Kalasan Street – Malang – 65142, Budianto Irawan ,   STIE Malangkucecwara, Terusan Candi Kalasan Street – Malang – 65142
Published: February 2024

This study aims to analyzes the influence of financial performance and earnings management on company value with the research object being food and beverage companies listed on the Indonesia Stock Exchange (BEI) with an observation period of 2017-2021 Secondary data was obtained from the IDX website, five periods of financial reports were obtained from 41 companies, using a purposive sampling technique, only 24 companies remained. The analysis method uses multiple linear regression with the help of the SPSS program. The independent variables in this research are financial performance and earnings management, with firm value as the dependent variable. The results of this research indicate that the financial performance variable has a significant positive effect on firm value. Likewise, the earnings management variable has a significant positive effect on firm value. Companies need to maintain performance and carry out good earnings management so that firm value is also good.
La inclusión del alumnado con TDAH en Educación Física en la formación del profesorado (The inclusion of students with ADHD in Physical Education in teacher training)
Authors: Flores-Tena María José , Deocano Ruiz Yolanda , Llamas Salguero Fátima
Published: February 2024

La formación inicial del profesorado debe centrarse en el desarrollo competencial para que este disponga tanto de los conocimientos necesarios como de las habilidades y actitudes adecuadas. El profesorado de Educación Física debe responder también, en esta línea, a las necesidades de sus estudiantes y debe promover metodologías inclusivas. El objetivo de esta investigación se ha centrado en conocer la percepción que tiene el futuro profesorado de Educación Física sobre la respuesta que desde esta área de conocimiento se puede dar al alumnado con TDAH. La investigación, de carácter cuantitativo, supone un diseño no experimental, descriptivo y correlacional. En la muestra del estudio han participado 400 estudiantes de los Grados de Educación Primaria y Secundaria de España e Inglaterra. Los datos recogidos en el instrumento fueron analizados a través del paquete estadístico Statistical Package for the Social Sciences. Las principales conclusiones confirman que es necesario enfatizar estos aspectos en la formación del profesorado de Educación Física para desarrollar actividades que promuevan un desarrollo positivo a nivel individual, familiar y educativo del alumno con TDAH y aliviar la sintomatología.
Palabras clave: educación física; formación del profesorado; inclusión; percepción; TDAH.
Abstract. Initial teacher training should focus on competency development so that teachers have both the necessary knowledge and the appropriate skills and attitudes. Physical Education teachers must also respond, along these lines, to the needs of their students and must promote inclusive methodologies. The objective of this research has focused on knowing the perception that future Physical Education teachers have about the response that this area of ​​knowledge can give to students with ADHD. The research, of a quantitative nature, involves a non-experimental, descriptive and correlational design. 400 students from Primary and Secondary Education in Spain and England participated in the study sample. The data collected in the instrument were analyzed through the Statistical Package for the Social Sciences. The main conclusions confirm that it is necessary to emphasize these aspects in the training of Physical Education teachers to develop activities that promote positive development at the individual, family and educational level of the student with ADHD and alleviate the symptoms.
Keywords: physical education; teacher training; inclusion; perception; ADHD.
Limitaciones y posibilidades de la clase de Educación Física y Salud en el desarrollo social de estudiantes con necesidades educativas especiales (Limitations and possibilities of the Physical Education and Health class in the social development of students with special educational needs)
Authors: Castillo-Retamal Franklin , Albornoz-Pavez Catalina , González-Arellano Diego , Flores-Cáceres Camila , Becerra-Castro Katalina , Flores-Ferro Elizabeth , Cordero-Tapia Fernanda
Published: February 2024

El objetivo de esta investigación fue conocer el aporte de la clase de Educación Física y Salud (EFS) al desarrollo social de estudiantes con necesidades educativas especiales (NEE). La muestra estuvo compuesta por siete profesores de Educación Física (EF) de una región del centro sur de Chile adscritos a establecimientos educacionales de distinta dependencia administrativa. La investigación es de carácter cualitativa, interpretativa y fenomenológica. El análisis de los datos fue mediante una matriz de sistematización categorizada de tres niveles, apoyada en la indagación de literatura relacionada con el objetivo del estudio. Para el tratamiento de los datos se optó por un análisis de contenido mediante una lógica inductiva de categorización. Los resultados muestran que los profesores concuerdan en que la clase de EFS aporta en el desarrollo social de los estudiantes y que las orientaciones curriculares actuales están desconectadas de la realidad de los mismos. Se concluye que deben buscarse herramientas que permitan la participación y el desarrollo de las habilidades de todo el alumnado a partir de una propuesta curricular orientada a la efectiva inclusión de estudiantes con NEE.
Palabras Clave: Necesidades educativas especiales, educación física, desarrollo social, profesores, inclusión.
Abstract. The objective of this research was to know the contribution of the Physical Education and Health (PEH) class to the social development of students with Special Educational Needs (SEN). The sample consisted of seven Physical Education (PE) teachers from a region of south-central Chile assigned to educational establishments of different administrative dependencies. The research is qualitative, interpretative and phenomenological. The data analysis was through a three-level categorized systematization matrix, supported by the investigation of literature related to the objective of the study. For the treatment of the data, we opted for a content analysis using an inductive logic of categorization. The results show that the teachers agree that the PE class contributes to the social development of the students and that the current curricular orientations are disconnected with the reality of the students with these characteristics. It is concluded that tools should be sought that allow the participation and development of the skills of all students based on a curricular proposal aimed at the effective inclusion of students with SEN.
Keywords: Special educational needs, physical education and health, social development, teachers, inclusion.
The impact of the COVID-19 lockdown on child and adolescent active play in Argentina
Authors: Tuñón Ianina , Laíño Fernando , Weisstaub Gerardo
Published: February 2024

Child and adolescent overweight and obesity are a multifactorial pandemic social problem; however, there is consensus on its link with a higher caloric intake than expenditure. In this context, it is relevant to analyze the propensity to insufficient physical activity in childhood, and in particular the effects of COVID-19 lockdown on active play.
A comparative analysis of the deficit of active play at a prepandemic time and in the period of exit from the strictest isolation in Argentina (2018; 2020) was conducted with 5479 and 3964 observations, respectively, of children between five and 17 years old. The measurements correspond to the Argentine Social Debt Survey (EDSA for its acronym in Spanish) on a national probability sample. First, a descriptive statistical analysis was performed, followed by a multivariate analysis based on logistic regressions.  Active play decreased more among females than males as age and socioeconomic status rose. This decline was prominent among those with less physically active parents, a preference for sedentary screen time, and a lower inclination for structured physical activities. Lockdown measures, particularly in working-class neighbourhoods, appeared to shield children's active play. The pandemic and its restrictions harmed children's well-being through diminished play opportunities, affecting their physical, motor, psychological, and social health. Play is widely recognized as a vital bridge between physical activity and energy expenditure. It notably addresses the rising concern of childhood overweight and obesity. Thus, active play becomes a crucial behavior to promote in all circumstances, aligned with a comprehensive health perspective.
Keywords: active play, childhood and adolescence, integral health, obesity, COVID-19
A QUASI-EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF TOPICAL APPLICATION OF HONEY ON ORAL MUCOSITIS AMONG HEAD AND NECK CANCER PATIENTS UNDERGOING RADIATION THERAPY IN TERTIARY CARE HOSPITAL OF AMRITSAR, PUNJAB.
Authors: kaur Ms. Avneet , gupta Dr. Bhawna
Published: February 2024

Cancer is the leading cause of death around the world. Radiation therapy is made to kill growing cancer cells but certain normal cells get effected too, this damage to normal cell cause side effects of radiation therapy. The most debilitating side effect is radiation induced Oral Mucositis. This is major concern for attention, so there is need to provide conventional therapies to head and neck cancer patients to reduce the severity of oral mucositis. A Quasi-experimental study was conducted to assess the effectiveness of topical application of honey among 60 head and neck cancer patients undergoing radiation therapy at Sri Guru Ram Dass Institute of Medical Science and Research, Vallah, Amritsar, Punjab. Purposive sampling technique was used to collect data. The data wa