bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect Of Subjective Norms, Competence And Professional Code Of Ethics In Increasing Job Satisfaction Through The Mediation Of Motivation Variables In The Professional Association Of The Indonesia Architecture Link
Authors: Handayani Irma Rosalia , Indradewa Rhian
Published: April 2024

In an organization, employee job satisfaction is an important factor in the management of human resources so it must be optimized, because job satisfaction determines the success of the organization's strategic goals and is able to contribute economically. Job satisfaction in an organization needs to be improved considering the current level of competition which is also getting tighter, so it is quite important to conduct research on the factors that affect the job satisfaction of architects. This research aims to analyze and explain the influence of competence on architect's motivation and the influence of professional code of ethics, competence, subjective norms and architect's motivation on architect's job satisfaction. This research uses an explanatory survey method approach with a questionnaire as a primary data collection tool online through google form. The research was conducted on May 20, 2023 until the Questionnaire was distributed to 100 members of the IAI Professional Association-Indonesian Architects Association. Multivariate statistical method namely Partial Least Square-Structural Equation Modeling (PLS-SEM) was used to answer the research hypothesis. The results of the research prove that competence has a positive influence on motivation, competence has a positive influence on job satisfaction, subjective norms have a significant influence on Job Satisfaction and Motivation has a significant influence on Job Satisfaction. While the professional code of ethics does not have a significant effect on Job Satisfaction. The implications of the results of this research for the organization should be able to increase the job satisfaction of architects, that is, by increasing their competence and work motivation. Competence can be done by improving their work skills with a variety of more challenging tasks. The same goes for work motivation, such as giving wide powers to the architect to organize his work team to always coordinate well. As for the organization of IAI as a container of architects' bonds, it should be more active in socializing the public/clients, by educating them on the importance of using the services of certified or licensed architects. For IAI, it should give strict sanctions to its members who practice by violating the code of ethics of the profession of an architect.
Perluasan UTAUT2 Untuk Memahami Continuance Intention Pada Paylater
Authors: Soebekti Bernie , Wijaya Lusyana , Tjahjadi Tiya , Hendriana Evelyn
Published: April 2024

E-marketplace mengadopsi metode pembayaran buy now pay later (BNPL) yang terbukti mampu mendorong peningkatan transaksi penjualan. Namun, konsumen juga dihadapkan pada risiko keamanan transaksi dan data pribadi yang dapat mempengaruhi minatnya untuk terus menggunakan BNPL. Penelitian ini menguji minat konsumen untuk terus menggunakan layanan tersebut dengan berbasis UTAUT2 yang ditambah dengan faktor perceived security dan memasukkan attitude toward using sebagai mediator. Sebanyak 245 pengguna BNPL dipilih sebagai sampel dan datanya diolah dengan PLS-SEM. Hasilnya, attitude toward using terbukti signifikan dalam memediasi pengaruh semua anteseden UTAUT2 dan perceived security terhadap minat untuk terus menggunakan BNPL di e-marketplace.
Rehabilitation after total or hemi elbow arthroplasty: a systematic review
Authors: Hesseberg Karin , Storronning Inger , Sand Silje Mari Urdal , Smedslund Geir
Published: April 2024

Introduction

Total and hemi elbow arthroplasty (TEA/HEA) are relatively uncommon orthopedic procedures, but physiotherapists are involved in both pre- and postoperative treatment of people who undergo TEA/HEA. The purpose of this article is to summarize existing knowledge about the effects of rehabilitation versus standard care after total and hemi elbow arthroplasty (TEA/HEA).

Methods

A systematic literature review was conducted searching Ovid MEDLINE ®, SweMED+, Cochrane, Embase, AMED and PEDro. “The Preferred Reporting Items for Systematic Review and Meta-Analysis” was followed.

Results

No one has studied the effects of rehabilitation after TEA/HEA. The aim of the only study included was to assess the safety and length of hospital stay (LOS) after omission of casting, start of early mobilization and implementation of functional discharge criteria. Results show that the non-casting cohort had a shorter mean LOS (5.4 days) than the index cohort (6.2 days). The cohort with functional discharge criteria had a shorter mean LOS (3.8 days) than the cohort without functional discharge (5.4 days).

Conclusion

Effects of rehabilitation components or programs after TEA/HEA are still unknown. It is important to focus on the lack of evidence in this field, and plan for more studies to come.
Peripheral Nerve Stimulation After Total Knee Arthroplasty and Non-Operable Patella Fracture
Authors: Vu Peter D. , Gul Farah , Robinson Christopher L , Chen Grant H. , Hasoon Jamal
Published: April 2024

Chronic knee pain, affecting over 25% of adults in the United States, has surged by 65% over the past two decades leading to rising functional deficits, mobility problems, and a diminished quality of life. While conservative management with pharmacologic and minimally invasive injections are pursued early in the disease process, total knee arthroplasty for refractory osteoarthritis of the knee is often considered. This procedure usually improves pain and functionality within the first three months. However, a significant portion of patients often suffer from postoperative pain that can become chronic and debilitating. We detail the case of a patient with a previous TKA as well as a non-operable patella fracture who obtained significant relief with PNS despite prior conservative and minimally invasive management.
Osteoarticular TB specimen yield rates. Large joint analysis at a single centre.
Authors: Kgagudi Marule Paul , Hlapolosa Tiego , Jingo Maxwell , Ramokgopa Mmampapatla Thomas , Van Den Berg Eunice
Published: April 2024

Tuberculosis (TB) remains endemic in South Africa. The spine, hip, and knee joints are common extra-pulmonary TB sites. Sound history taking, clinical examination, and basic laboratory and pathological tests remain key important steps in osteoarticular TB diagnosis. In our resources-stricken context cost is everything, if we can make a diagnosis cheaply that would go a long way. The diagnostic yield of standard laboratory tests compared to a real-time polymerase chain reaction (PCR) for osteoarticular TB diagnosis in a single orthopaedic unit has not been analysed. We conducted a retrospective record review of extra-spinal osteoarticular TB infection at our hospital from 01 June 2016 to 31 December 2021. Patient demographics, clinical history, and laboratory test results were analysed. A total of 34 cases were identified, with 32 of the cases being articular and two osseous involvement. The knee was the most common joint affected followed hip joint. Acid Fast Bacilli were detected in 32% of cases with microscopy, while TB culture was positive in 29% of samples. Histopathological examination and real-time PCR diagnosed TB in 66% and 63% of the cases, respectively. Our findings suggest that in the right context of a suggestive history and examination, histological analysis is as good as PCR for diagnosing osteoarticular TB.
Depolarizing Through Deliberation in Civics Education: A Case Study of Like-Minded High School Students
Authors: Winograd Willoughby J. , Siu Alice
Published: April 2024

This article presents a successful example of fostering pluralism by reducing affective polarization through facilitated conversations. Drawing from the results of a Deliberative Polling experiment, this article finds significant depolarization and moderation as a result of deliberation on policy issues by like-minded high school students who predominantly self-identified as liberal. While critics of deliberation are concerned with like-minded participants becoming more extreme and living in echo chambers, this article shows that Deliberative Polling, even among like-minded individuals can depolarize. Deliberation of eighteen economic and healthcare reform proposals by thirty-eight groups of participants demonstrated no systematic trend of group polarization. A split-half experimental design allowed inference that deliberation was not just correlated with but caused decreases in both affective and issue polarization. Remarkably, deliberation not only moderated opinions on the issues deliberated, but also moderated opinions on related issues not deliberated. The deliberation procedures necessary to achieve such an outcome are discussed, including not setting consensus as a goal, providing supplementary information, and moderating discussions. After a literature review, the methods of the experiment are detailed, followed by a discussion of the results and a brief conclusion about future prospects for bridge building.
RANCANG BANGUN ALAT CETAK KUE NASTAR KERANJANG MENGGUNAKAN METODE VDI 2221
Authors: Arif Budi Setiawan  , Yohanes Anton Nugroho
Published: April 2024

UMKM Selera Purbalingga merupakan usaha yang bergerak pada pembuatan produk kue kering seperti contoh nastar cengkeh,nastar kranjang, kue kacang,kue salju, dll. Kondisi produksi saat ini Rp. 50.000.000 / bulan masih berada jauh dibawah target sekitar 50 % dari target omset yang diharapkan Rp. 100.000.000 / bulannya sehingga perlu dilakukan sebuah inovasi untuk dapat memaksimalkan jumlah produksinya. Perancangan bertujuan untuk menganalisa, menilai dan memperbaiki serta menyusun suatu sistem, baik untuk sistem fisik maupun nonfisik yang optimum untuk waktu yang akan datang dengan memanfaatkan informasi yang ada. Metode VDI 2221 merupakan salah satu metode dengan pendekatan sistematis untuk menyelesaikan permasalahan serta mengoptimalkan penggunaan material dan teknologi. hasil spesifikasi rancangan alat dengan material utama besi dengan lebar alat 200 mm,panjang alat 300 mm dan tinggi alat 400 mm serta kapasitas cetak 15 unit. Dan dapat memproduksi 724,313 unit nastar/hari dengan memerlukan waktu kerja 480 menit,waktu kelonggaraan 12,5%, waktu siklus rata-rata 492,33 detik/unit,waktu normal 521,87 detik/unit,waktu standar 596,42 detik/unit
ANALISIS PENGENDALIAN KUALITAS UNTUK MENGURANGI CACAT PRODUK TAS DENGAN METODE SIX SIGMA DAN KAIZEN
Authors: Ari Zaqi Al-Faritsy  , Chelsi Apriliani
Published: April 2024

Pengendalian kualitas mempengaruhi kualitas produk sehingga produk yang akan dijual menjadi lebih baik, sehingga dengan menerapkan metode six sigma dan kaizen diharapkan dapat mengurangi produk cacat. Berdasarkan analisis yang telah dilakukan pada proses produksi tas hitam memiliki tiga jenis cacat produk yaitu cacat jahitan tidak rapi, kain berjamur dan resleting kejahit dengan presentase kecacatan tertinggi jahitan tidak rapi sebesar 58,9%, resleting kejahit 24,1% dan kain berjamur sebesar 17%. Nilai DPMO untuk cacat pada proses produksi tas sebesar 42077,814 dan nilai sigma sebesar 3,28 dan nilai kapabilitas prosesnya yang bernilai Cp= 0,87375 dari hasil tersebut dapat diketahui bahwa proses belum sesuai target. Nilai Cp<1,00 menunjukan bahwa kapabilitas proses masih sangat rendah, sehingga perlu ditingkatkan kinerja melalui peningkatan pada proses. Oleh karena itu UMKM Villa Tas Jaya masih perlu adanya peningkatan kualitas agar memiliki tingkat kegagalan sangat kecil menuju nol (zero defect). Sehingga perlu dilakukan usulan perbaikan guna untuk mengurangi jumlah kecacatan pada produk tas menggunakan metode 5W+1H dan Five Step Plan.
The Basis of Legal Ijtihad in the Umayyah Period
Authors: Setyaningtyas Inas , Fajrin Rara Intan Mutiara , Nabila Riska S  , Abdullah Haidar , Pamuji Ratna Diyah
Published: April 2024

The work of the ulama in developing the study of Islamic law. can be seen from the many famous figures, including two of the four madzhab imams who became the center of knowledge from various Islamic regions at that time, and the contribution of the Umayyad government in bookkeeping and the spread of Islamic knowledge which has been written as one of the golden inks of history in Islam which influenced the rapid development of the knowledge of Islamic law at that time. In the early days of the Umayyad reign, several thought groups emerged which had a huge impact on contributing to the development of Islamic legal thought. which in the following journey turned into a theological school, such as the Khawarij which was a group that left the allegiance of the legitimate government at that time, the Sunnis, the majority of whom remained loyal to supporting the legitimate government, while the Shiites strengthened their existence in politics by developing their teachings and doctrines. These three schools contributed to the development of Islamic legal thought
Adição ao trabalho e engajamento em profissionais de enfermagem com formações paralelas
Authors: Lima Douglas Bertoloto , Freitas Clarissa Pinto Pizarro de , Prata-Ferreira Paula Andrea , Rodrigues Jaqueline de Carvalho
Published: April 2024

O objetivo deste estudo foi analisar as percepções de profissionais de enfermagem que buscam formações paralelas, investigando suas motivações e possíveis associações com estados de engajamento e adição ao trabalho. Trata-se de um estudo descritivo, de abordagem qualitativa, realizado com 20 profissionais de enfermagem atuantes ou não na profissão. Os participantes responderam um questionário sociodemográfico e uma entrevista semiestruturada. Os participantes eram em sua maioria do sexo feminino (80,0%), com uma carga horária de trabalho superior a 40h semanais de trabalho (55,0%) e uma média de 13,5 anos (DP = 5,96) de experiência profissional. Para a análise e o tratamento dos dados qualitativos utilizou-se o software IRaMuTeQ (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires), para a análise textual e sugestão de categorias e temas relevantes. Foi reconhecido o corpus de 20 entrevistas, decomposto em 92 segmentos de texto. Foram reconhecidos 3103 números de ocorrências. O número de hápax reconhecido foi de 691 casos e o número de formas de 796. A análise realizada trouxe a retenção de 79,22 % do corpus e um gráfico composto por seis classes, nomeados conforme suas características. As situações geradoras de motivação para que os profissionais busquem por formações paralelas envolvem a desvalorização profissional, estresse, excesso de responsabilidades, falta de apoio social e altas demandas de trabalho. Melhor percepção de apoio social e comportamentos resilientes estão entre as estratégias mitigadoras a serem adotadas. Compreender os fenômenos da busca por formação paralela e pelo abandono da profissão pelo profissional da enfermagem pode contribuir para traçar estratégias de intervenção individuais e por gestores no contexto laboral.
Desafios emergentes na educação em enfermagem: uma reflexão da defasagem
Authors: Ludugerio Pedro Ivo Torquato , Silva Maria Regina Cavalcante da , Silva Willian dos Santos , Pereira Ione de Sousa , Lopes Bruno Felipe Ferreira , Castro José Yvens Melo de , Souza Junior Francisco Canuto de , Olegário João Paulo da Silva , Andrade Ysmário Francisco Valeriano de
Published: April 2024

INTRODUÇÃO: A enfermagem no Brasil enfrenta desafios significativos, apesar dos avanços notáveis no ensino e na prática profissional. A crescente desvalorização da profissão, lacunas no ensino e restrições impactam a qualidade da assistência e a capacidade do sistema de saúde. A formação em enfermagem é crucial para fortalecer o sistema de saúde, mas enfrenta defasagens, incluindo falta de infraestrutura, desatualização curricular e escassez de recursos humanos qualificados. OBJETIVO: Este artigo visa refletir sobre os desafios emergentes na educação em enfermagem. MATERIAIS E MÉTODOS: O estudo baseia-se em debates entre professores do ensino superior e técnico em enfermagem em uma instituição de Juazeiro do Norte, CE, durante os meses de janeiro e fevereiro de 2024. Foi conduzida uma análise crítica da literatura científica e considerada a experiência pessoal dos autores. RESULTADOS E DISCUSSÃO: A formação pedagógica para docentes de enfermagem no ensino superior é essencial para preparar futuros enfermeiros, requerendo competências específicas e atualização constante. Os desafios incluem a integração de tecnologias educacionais, a diversidade cultural dos estudantes e a dicotomia entre ensino e assistência. A construção da identidade profissional do docente também é influenciada por sobrecarga de tarefas e falta de reconhecimento institucional. CONSIDERAÇÕES FINAIS: A reflexão sobre os desafios enfrentados pela docência em enfermagem destaca a necessidade de formação abrangente e contínua para preparar os profissionais para as complexidades da prática docente. Este estudo contribui para subsidiar programas de formação e reorganização de conceitos, reconhecendo a complexidade do processo de formação docente e seus desafios contemporâneos.
Successful desensitization to atezolizumab-induced near-fatal anaphylaxis in patients with hepatocellular carcinoma: A case report and literature review
Authors: Oh Ji Hyun , Seo Kwang Il , Kim Hee-Kyoo , Choi Gil-Soon
Published: April 2024

Atezolizumab, a humanized antiprogrammed death ligand 1 monoclonal immunoglobulin G1 antibody, is a targeted therapeutic drug known as an immune checkpoint inhibitor. It is currently used to treat various types of cancer, including unresectable hepatocellular carcinoma (HCC), nonsmall cell lung cancer, urothelial cancer, and breast cancer, and is becoming a therapeutic option in the forefront of oncology treatment. However, it may sometimes lead to undesirable adverse reactions owing to the activation of immune responses in various organs. Cutaneous adverse reactions to atezolizumab are well known; however, cases of anaphylaxis are very rare. In this report, we present the first case of HCC who experienced near-fatal anaphylaxis to atezolizumab in South Korea.
A Comparison of Pipa Performance Between Modern Chinese and the Sui and Tang Dynasties Taking China and Japan as Examples
Authors: Zhou Yanran
Published: April 2024

The Tang Dynasty was the heyday of Ancient China, especially Chinese music. Because of enhanced international communications, Chinese music has been diffused to adjacent East Asia countries, including Japan. To be specific, this paper mainly takes pipa as an example to explore comparisons and contrasts between Chinese ancient and modern music; Chinese and Japanese musical development; also, in the dynasties of Sui and Tang. In this research paper, Pipa music is the main research object; its history, appearance, and usage are all discussed and compared. The central question is how the differences between Chinese pipa and Japanese pipa happened in history and culture. This paper uses qualitative research and comparing papers on the same topic. Based on this research, Pipa music between the Sui Tang period and the Modern period are different in appearance, sound effects, and grasping manipulations.
Heidegger's Call for Conscience A Preliminary Exploration of Heidegger's Existentialist Ethics
Authors: Wu Jingshuang
Published: April 2024

Conscience is generally regarded as a certain definite concept and directly applied to the discussion of ethical issues. However, Heidegger, starting from the fundamental ontology, re endowed the ontological significance of conscience. Heidegger also gave ethical significance to the call of conscience due to the foundational role of foundational ontology. This article will first elaborate on the relationship between Dasein and Falling in Being and Time, explaining that Dasein is "Being in the World", and Falling is the inauthentic existence of Dasein. Secondly, in order to achieve authentic existence, people need to turn to the discussion of conscience. Heidegger's conscience is the conscience of existentialism, which means that people need to be aware of their own guilt. This guilt means that existence is a free existence, and on this basis, through resoluteness, people can realize the call of conscience. At the same time, Heidegger's discussion of this issue involves a discussion of ethical ontology, which has a different ethical significance from normative ethics in terms of the authentic existence.
Linguistic Imperialism as a Tool in Cultural Hegemony: Language Decline and Revitalization of Indigenous Communities in Canada
Authors: Liu Yiran
Published: April 2024

This paper provides an in-depth analysis of linguistic imperialism and its relationship to cultural hegemony, with a specific focus on Indigenous communities in Canada. Linguistic imperialism is defined as the suppression and marginalization of other languages by a dominant language, often stemming from historical colonization, which results in the imposition of cultural hegemony on diverse cultural groups. To analyze this noteworthy phenomenon, Edward Said's theory of Orientalism is applied in the paper. Furthermore, the study not only emphasizes the negative impact of linguistic domination but also proposes various methods with the aim of reversing language shift and fostering cultural and linguistic vitality. By analyzing the case of the Inuit community in Canada and introducing methods such as language revitalization programs, this paper presents strategies to counter the influence of linguistic imperialism, aiming to contribute to the creation of a more inclusive environment so as to safeguard linguistic and cultural diversity.
Enhancing English Oral Proficiency of Chinese College Students: Curriculum Design Through the Communicative Approach Perspective
Authors: Zhang Herong
Published: April 2024

In the context of global communication and individual development, English has evolved into a universal lingua franca, playing a crucial role across various fields worldwide. Proficiency in spoken English is indispensable for the academic journey of Chinese college students. However, the current status of Chinese college students' spoken English proficiency reveals that there are still some aspects that need improvement. The communicative approach, recognized as an advanced language teaching methodology, proves to be instrumental in enhancing students' oral proficiency in English. This paper adopts the communicative approach perspective, employing a case study focused on a specific section of a Chinese students' English textbook. The study delves into the teaching path of "create-experience-practice-achieve". Building upon this teaching framework, a concrete teaching plan is designed, followed by an analysis and reflections, aiming to provide reflective insights as a practical reference for college-level oral English instruction. The ultimate goal is to contribute to the enhancement of college students' oral English proficiency.
Influencing Factors to Overeating in Restrained Eaters: An Analysis Based on Specific Occupation
Authors: Liao Chenyu
Published: April 2024

Driven by the mainstream aesthetic in society, many people have begun to restrict their diet in pursuit of a better shape. Especially for specific occupations, such as dancers and figure skaters, the requirement of their careers has led to long-term restrained eating to keep a low BMI. However, a large proportion of people fail to restrict their diet or even develop eating disorders such as overeating at the end.Given the necessary restrained eating needs of specific occupation, the reasons why they may still break the dietary boundaries deserve to be investigated.Based on the definitions of restricted eating and overeating, this study summarizes previous research on overeating in restrained eaters, including psychological factors, attentional bias for food cues, lack of inhibitory control, and self-regulatory resource depletion. Then this study consider the particularity of specific occupations, including the influence of peer evaluation and repeated body surveillance, trying to conduct detailed analysis and reasonable inferences on specific influencing factors.Finally, based on the discussion, the study provides possible suggestions for the intervention of overeating and also directions for future empirical research.
Pengaruh Mutu Pelayanan Kesehatan Terhadap Tingkat Kepuasan Peserta JKN di Puskesmas Oesapa Tahun 2022
Authors: Dominika Priska Tsu  , Tadeus A.L. Regaletha  , Yoseph Kenjam
Published: April 2024

Patient satisfaction is one of the important elements to measure the health services quality. This is so that health care facilities can remain standing and continue to grow in providing health service to the community. National health insurance is a government program that aims to provide health insurance for all Indonesian people. The purpose of the research was to determine the effect of the health services quality on the satisfaction level of participants in the national health insurance at the Oesapa Public Health Center. This type of research is quantitative research using cross sectional research design. The total population is 833 who are participants of the national health insurance. The number of samples is 138 with the sampling technique is purposive sampling. Data collection was done bye interview using a questionnaire. The statistical test used is simple linear regression analysis. The result of the research indicate that there is a significant influence between the health services quality in the dimension of tangible (p value = 0,000), reliability (p value = 0,000), responsiveness (p value = 0,000), assurance (p value = 0,000) and empathy (p value = 0,000) for the level of satisfaction of national health insurance at the Oesapa Public Health Center in 2022. It is recommended for Oesapa Public Health Center to maintain the health services quality so that it remains good and continues developed so that patients who use health facilities are satisfied with the quality of services provided.
Penerapan Terapi Musik Terhadap Penurunan Tingkat Halusinasi Pendengaran pada Pasien Gangguan Jiwa di Rumah Sakit Jiwa RSJD Dr. RM Soedjarwadi Klaten Provinsi Jawa Tengah
Authors: Anis Anggoro Wati  , Sitti Rahma Soleman  , Wahyu Reknoningsih
Published: April 2024

Hallucinations are one of the symptoms of mental disorders in which the patient experiences changes in sensory perception, feels false sensations in the form of sound or without real stimulation. One way to reduce the impact of auditory hallucinations is by providing music therapy. Purpose To find out the results of the implementation of the application of music therapy to the level of auditory hallucinations at Rsjd Dr. RM. Soedjarwadi, Central Java Province. Methods The research design was conducted on 2 female respondents by way of pretest posttest with the action of Mozart music therapy for 10-15 minutes and using interviews and providing AHRS observation sheets. The results of 2 respondents before music therapy were in severe auditory hallucinations, namely Mrs.S with a score of 24 and Mrs. SR 27. Then the auditory hallucinations of 2 respondents after music therapy were in mild and moderate hallucinations with a score of Mrs.S 7 and Ny. Sr 12. There are differences in the development of respondents with auditory hallucinations before and after the music therapy intervention. Conclusion There are differences in development before and after music therapy is carried out in hallucinatory patients.
Integration of Intrinsic and Extrinsic Motivation in Second Language Acquisition: Magnetism as a Proposed Theory
Authors: Wannas Amr Selim , Alshaye Rasha Abdullah
Published: April 2024

Language learning motivation is significantly shaped by both external and internal factors, influencing the learning process in either a positive or negative manner. These factors span educational and environmental domains, particularly in a demotivated learning society. Thus, this paper introduces a theory that combines intrinsic and extrinsic motivation components, aiming to attract learners to language learning, given its relevance to knowledge across diverse domains and global understanding. This theoretical paper not only offers an overview of previously proposed theories, assessing their merits and limitations but also delves into the conceptualized components of the new theory, Magnetism, along with its foundational principles. Magnetism comprises two intricately linked major components elucidating intrinsic and extrinsic motivation, detailing their interaction, mutual influence, and their role in fostering a positive attitude toward language learning. Additionally, the paper delineates three types of relationships that connect the components and their constructs to each other and to the overall framework.
Incidence and Risk Factors for Acid-fast Bacillus/Fungal Culture Positivity in Primary, Conversion, and Revision Hip and Knee Arthroplasty
Authors: Oetojo William , Feffer Marina , Wesolowski Michael , Hopkinson William J. , Brown Nicholas M.
Published: April 2024

Introduction:

Previous literature has reported minimal incidences of positive fungal/AFB cultures, questioning the routine use of these tests. With growing concern for excessive use, predictive factors for patients at higher risk for intraoperative AFB/fungal infections would help surgeons limit unnecessary testing. This study evaluates the positivity rate and predictive factors of positive fungal and/or acid-fast bacillus (AFB) cultures after primary, conversion, or revision hip and knee arthroplasty.

Method:

Two hundred thirty-eight knee and hip procedures were done between January 2007 and 2022 where intraoperative AFB/fungal cultures were obtained. Procedures included primary total knee arthroplasty, primary total hip arthroplasty, conversion, first of two-stage, second of two-stage, irrigation and débridement polyexchange, and aseptic revision. Positivity rates of intraoperative AFB/fungal cultures were calculated as binomial exact proportions with 95% confidence intervals and are displayed as percentages. Univariable generalized linear mixed models estimated the unadjusted effects of demographics, individual comorbid conditions, and procedural characteristics on the logit of positive AFB/fungal cultures.

Results:

Two hundred thirty-eight knee and hip procedures recorded an overall positivity rate of 5.8% for intraoperative AFB/fungal cultures. Aseptic revisions showed the lowest rates of positivity at 3.6%, while conversions showed the highest rates of positivity at 14.3%. The positivity rates are highest among patients who are male (9.0%), of Hispanic origin (12.0%), with body mass index <30 (6.4%), and a Charlson Comorbidity Index <5 (6.1%). History of a prior infection in the same surgical joint showed statistically significant influence of odds of culture positivity with an odds ratio of 3.47 (P-value: 0.039). Other demographic factors that we investigated including age, sex, race, ethnicity, body mass index, and Charlson Comorbidity Index did not show any notable influence on AFB/fungal positivity rates.

Conclusion:

These results suggest utility in obtaining routine intraoperative AFB/fungal cultures, given the relatively high positivity and poor predictive factors.
A influência da pandemia de Covid-19 sobre os pedidos de acesso à informação ao governo federal
Authors: Oliveira Júlio César Matos de
Published: April 2024

O artigo investiga a influência da pandemia de COVID-19 sobre os pedidos de acesso à informação ao Governo Federal. Para alcançar os objetivos da pesquisa foram utilizados os dados dos pedidos de acesso à informação, entre 2015 e 2021, disponibilizados pela Controladoria-Geral da União – CGU. Os resultados indicaram que a pandemia de COVID-19 possivelmente influenciou no aumento dos pedidos de acesso à informação ao Governo Federal no período analisado, em especial para o Ministério da Cidadania e para a Caixa Econômica Federal. Sugere-se que o motivo para o aumento tenha sido as dúvidas da população acerca do auxílio emergencial. Além disso, sinaliza-se que a pandemia tenha influenciado os pedidos de acesso à informação para a Agência Nacional de Vigilância Sanitária – ANVISA - e o motivo, aventa-se, ter relação aos imunizantes utilizados pelo Brasil no programa de vacinação.
Penerapan Strategi Pembelajaran Card Sort dalam Meningkatkan Hasil Belajar Biologi pada Konsep Sistem Pencernaan Manusia
Authors: Sunarmin Wa Ode , Natsir Nur Alim , Rijal Muhammad
Published: April 2024

This study aims to determine the application of card sort learning strategies in improving biology learning outcomes on the concept of the human digestive system of grade VIII students at SMP Negeri 6 Seram Barat. The type of research used in this study is Classroom Action Research. Activities carried out in each cycle include planning, implementation, observation, and reflection. The subjects in this study were grade VIII2 students at SMP Negeri 6 Seram Barat with a total of 33 students. To obtain data on learning outcomes, it is necessary to use instruments in the form of tests and observation sheets. This research is said to be successful if, the learning outcomes achieved by students in the implementation of the test have reached the Minimum Completeness Criteria, namely individually, namely student test results have reached a value of 67 and classically student learning completeness has reached 75%. The data analysis technique used by the authors in this study is descriptive analysis.  Based on the results of the study, it can be concluded that learning using the card sort method on digestive system material in humans can improve student learning outcomes in grade VIII SMP Negeri 6 Seram Barat
Cost variation analysis of various oral cephalosporins available in the Indian market
Authors: G Lohith , V Sanjana , R Veena , P Shanmukananda
Published: April 2024

Background: Cephalosporins stand as one of the most frequently prescribed antibiotics for combating infectious diseases. This group has proven to be effective in the treatment of both gram positive and gram negative infections. Analysis of price discrepancies among various brands of oral cephalosporins. Offers guidance for prescribing cost-effectively, which turns out to be beneficial for both the patient and the prescribing physician. A cost-effective prescribing pattern ensures good patient compliance and better treatment outcome.

Aims and Objectives: The objectives of the study were to analyze price variation of various single oral cephalosporin formulations available in the Indian market.

Materials and Methods: The prices of oral cephalosporins, produced by different pharmaceutical companies in India, with the same strength, were acquired from the current index of medical specialties, January-April 2023. The cost of generics was obtained from the official website janaushadhi.gov.in. The disparity between the highest and lowest prices of the identical formulation manufactured by different companies, the difference between the maximum and minimum prices of brand-name versus generic versions of the identical formulation, as well as the cost ratio and percentage cost variation, were computed.

Results: Total number of brands range from 3 to 79 for various drugs. A large price variation was seen across the different brands. The maximum price variation 521.11% was seen with 100 mg of Cefixime and minimum price variation of 14.13% was seen with 125 mg of cefdinir.

Conclusion: With the high variation in prices seen among the different drugs it is important to consider the affordability of the patient before prescribing the drug to ensure completion of the course and better treatment outcome.
Comparative financial performance analysis of commercial banks in India
Authors:   Institute of Management and Commerce, Srinivas University, Mangaluru, India, Chethanraj Chethanraj , F Sayyad Jafar C. ,   Government First Grade College, Belthangady, India
Published: April 2024

Commercial banks are financial institutions that perform the functions of accepting deposits from the general public and giving loans for investment with the aim of earning profit. These banks play a key role in the growth and development of an economy. In India, commercial banks are broadly classified into public sector commercial banks, private sector commercial banks, and foreign commercial banks. In the present study, the researchers have made an attempt to examine the financial performance analysis of public sector and private sector commercial banks in India. The study covers the top five public sector commercial banks and the top five private sector commercial banks. The study is based on secondary data extracted from books, journals, financial statements of the banks under study, and other websites. The study period is 5 years—from March 2019 to March 2023. Financial performance and Market capitalization parameters along with key banking ratios were used for the analysis and ajudgmental sampling technique was used for selecting the sample.
Abattoir Effluents’ Impacts on the Badri Nullah Stream’s Water Quality
Authors: Arshad Ali  , Anis Safir  , Mahwish Ahmed Alvi  , Hizbullah Khan  , Azam Tariq  , Fawad Islam
Published: April 2024

This investigation focuses on the Badri Nullah stream's water quality in the Swabi region. The study was conducted concerning effluents released from a nearby Abattoir (slaughterhouse). A total of five samples were taken, two were upstream and two were downstream and one was in the midstream near to slaughterhouse. Different physiochemical parameters were analyzed to find the water quality in both upstream and downstream locations. The results showed that the electrical conductivity, alkalinity, chloride, and sulfide slightly increased in concentration in downstream locations. The highest values for the above four were, E.C (1320 μS/cm),440 mg/l of alkalinity, sulfur 2 mg/l, and 48.05 mg/l of chloride for downstream samples. All the parameters were then compared with the WHO, NEQS, and many other international standards, in which the majority of them were within permissible limits, while some were exceeding the permissible limits. Which may cause health and other environmental concerns.
O IMPACTO DO METILFENIDATO (MPH) NO SISTEMA NERVOSO CENTRAL RELACIONADO AOS ESTUDANTES DA ÁREA DA SAÚDE
Authors: Correia Alissa Paglioco , Kleiner Ana Clara Haluch Maoski , Carvalho Naiara Zanquetta , Macuch Regiane da Silva
Published: April 2024

Este estudo teve como objetivo avaliar o uso da medicação Metilfenidato (Ritalina®) em acadêmicos da área da saúde, bem como os efeitos que essa medicação pode causar no sistema nervoso central. Essa pesquisa  tem o intuito de mostrar a importância do uso correto da medicação e mostrar as reais consequências frente ao uso indevido. Foi realizado um estudo de revisão de literatura integratva, por meio das bases de dados, SCIELO (Scientific Eletronic Library On-line), PUBMED e Google Acâdemico, com artigos referentes aos ano de 2018 à 2023 e revistas com qualis capes superior à A3 a partir das Palavras-chaves: "Estudantes Universitarios"; "Ritalina"; "Metilfenidato"; "Pílula da inteligência"; “Automedicação”,  relacionados aos temas e pesquisadas de forma isolada e agrupadas entre si. As consequências do uso do metilfenidato são de abuso e dependência, mascaramento de doenças evolutivas, principalmente as de saúde mental como ansiedade e síndrome do pânico, diminuição do apetite e diminuição do sono. Podem surgir problemas   cardiovasculares pontuais e transitórios, como aumento da pressão sistólica, frequência cardíaca e respiratória, além de óbito, caso o usuário tenha problemas cardíacos pré-existentes. O uso da Ritalina® por tempo indeterminado e indiscriminado, também pode gerar consequências neurológicas, físicas e mentais, o que nos leva a repensar sobre a ingesta e venda dessa medicação para públicos como universitários. Além de que a receita e o acompanhamento médico correto são indispensáveis na manutenção da segurança dos consumidores dessa medicação.
PLANEJAMENTO E REABILITAÇÃO NO FLUXO DIGITAL EM REGIÃO ESTÉTICA
Authors: Santos Leticia Shantala Ramalho Dias dos
Published: April 2024

A reabilitação de região estética é bastante desafiadora, quando tratamos um caso de rebordo atrófico vemos a necessidade de novas abordagens para alcançar o recontorno ósseo e o perfil favorável do tecido mole peri-implantar.
Alternative Methods of thermal Oil Recovery: A Review
Authors: Kairgeldina Leya K. , Sarsenbekuly Bauyrzhan
Published: April 2024

Oil production from fields with hard-to-recover reserves always remains a challenge for the oil and gas industry, mainly due to one special factor – the high viscosity of oil, which implies low mobility of oil in a porous medium. Over time, traditional methods of increasing oil recovery become less effective due to a decrease in readily available oil reserves and the complexity of geological conditions for field development. In this regard, the need to use innovative methods to increase oil recovery is becoming more urgent. In recent decades, research in this area has shown significant progress, various methods have been introduced to reduce the viscosity of oil. One of the most effective and actively developing approaches in this area is thermal methods of enhanced oil recovery. They are based on the injection of thermal energy into the reservoir in order to reduce the viscosity of oil and, consequently, increase mobility, which in turn will greatly facilitate the displacement of oil from the rock to the surface. Despite certain successes achieved in the use of various methods of increasing oil recovery in the production of heavy oil, the problem of finding alternative methods remains relevant. This article presents the review of alternative methods of enhanced oil recovery, including principle of operation of electromagnetic heating of the reservoir, the influence and effectiveness of radio waves and microwave frequencies on the reservoir and the properties of oil, ultrasonic exposure, advantages and disadvantages of alternative methods, comparing them with traditional methods, analyzing the productivity of fields where alternative methods of enhanced oil recovery were used.
Pilot study to assess the feasibility of self-administered, low-dose methoxyflurane for cystoscopic procedures
Authors: Locke Jennifer A. , Neu Sarah , Lawrence Joanne , Herschorn Sender
Published: April 2024

Introduction: Methoxyflurane (MEOF) (Penthrox™) is an inhaled, self-administered, non-opioid analgesic approved by Health Canada for the short-term relief of moderate to severe acute pain associated with trauma or interventional medical procedures. In this pilot study, we evaluated the feasibility of using MEOF as an anesthetic agent in 11 patients undergoing outpatient cystoscopic procedures.
Methods: The average duration of the procedure was 24 (range 20–35) minutes and this included 10 minutes of administration time of the drug and five minutes of wait time before the procedure. The average monitoring time from start to end of the procedure was 23 (range 20–35) minutes and this included 15 minutes of monitoring post-procedure. On a scale of 0–10, patients on average rated the pain 4/10 (standard deviation [SD] 2.6).
Results: Global performance was on average 3/4 (SD 1.3) for the patients and 3/4 (SD 1.1) for the operator. Of the 11 patients, four reported adverse events; two experienced euphoria, one experienced dizziness, and one was unable to tolerate the medication. Two patients noted their adverse events to be of moderate intensity, while the other two were of mild intensity. None of the adverse events was deemed serious.
Conclusions: Our findings in this pilot study provide proof of principle for the design of a randomized control trial to evaluate MEOF as an anesthetic in an outpatient cystoscopic procedural setting. As more urologic procedures are being performed in an outpatient setting, this may offer significant clinical benefit.
Smart Traffic Surveillance: Identifying Helmet-Less Riders and License Plate Recognition with YOLO and OCR Integration using Deep Learning
Authors:   UG Students, Department of Computer Science and Engineering, Sai Rajeswari Institute of Technology, Proddatur, Andhra Pradesh-516360, G. Shaheena
Published: April 2024

Currently, there are a number of issues with Indian traffic laws that can be resolved in a variety of ways. Riding a motorbike without a helmet is against the law and has increased the number of accidents in India. The current method mostly uses CCTV records to monitor traffic offences. When a rider is not wearing a helmet, traffic officers must zoom in on the licence plate and look into the frame where the infraction is occurring. However, because there are more and more traffic infractions and motorcycle ridership every day, this will take a lot of labour and time. What if there was a technology that would automatically search for traffic violations such as riding a motorbike without a helmet? hence, would automatically retrieve the number plate number of the bike. This study has been effectively completed by recent research using KNN, DNN-Classifier, etc. However, there are limitations to these works in terms of speed, accuracy, or efficiency in object identification and classification. The goal of this research project is to develop a non- helmet rider detection system that can automatically identify and retrieve a vehicle's number plate number when a driver fails to wear a helmet. Three-level Deep Learning for Object Detection is the key idea at play here. The items found are a human, a motorcycle at level one using YOLO, a helmet at level two using YOLO, Licence plate at the last level using YOLO. Next, OCR is used to obtain the number plate registration number. All of these methods—especially the section where the number plate number is extracted—are subject to predetermined limitations and conditions. Because video is the work's input, speed of execution is essential. We have developed a comprehensive algorithm for both number plate number extraction and helmet detection using the above-mentioned approaches.
AUTOMATIC SOLAR PANEL CLEANING SYSTEM
Authors:   UG Scholar, Electrical and Electronics Engineering & Bannari Amman Institute of Technology, M Mr. Sudharsan
Published: April 2024

The exponential growth of solar energy as a renewable energy source emphasizes the importance of optimizing solar panel efficiency and maintenance. One critical challenge for solar cells is the impact of environmental factors, particularly the accumulation of dust and debris on panel surfaces. To solve this problem, our project introduces an automatic cleaning system for solar panels. offers a dual function of user-scheduled cleaning and intelligent automatic cleaning. In addition, the system has a vertical roller brush mechanism that ensures precise and efficient cleaning.The user-scheduled cleaning mode provides a flexible interface that allows users to customize cleaning schedules according to individual preferences and usage needs.Intelligent automatic cleaning mode marks a paradigm shift in solar panel maintenance. Using advanced sensors such as light sensors and a real-time clock, the system calculates the capacity of the solar panels in real time. This data-driven approach intelligently schedules cleaning cycles, dynamically adapting to actual maintenance needs. Light sensors measure the intensity of sunlight, while a real-time clock ensures accuracy and adapts cleaning processes to environmental and seasonal changes. .Key Words: Solar panel, cleaning,Scheduling,Sensor operation,Automatic.