bluuebunny/crossref_metadata_2025 huggingface dataset:
Competitividad en las empresas exportadoras de tomate sinaloense
Authors: Marañón Lizárraga Ivette Selene , Aguirre Ochoa Jerjes Izcoatl
Published: August 2024

El artículo se enfoca en la identificación de los factores clave que afectan la competitividad de las empresas que exportan tomates en Sinaloa, México. Se realizó una revisión de la literatura para seleccionar las variables relevantes, entre las cuales se incluyen calidad, precio, mano de obra, tecnología, canales de distribución, mercado, gobierno y gestión ambiental. Se desarrolló un instrumento de medición con 49 ítems, el cual se aplicó a puestos clave en estas empresas. La validez del instrumento se evaluó utilizando el coeficiente Alfa de Cronbach, y se realizó un análisis estadístico inferencial para determinar las tendencias de los datos. Además, se llevó a cabo una regresión lineal múltiple para evaluar la relación entre las variables. Los resultados indican que todas las variables tienen un impacto positivo y significativo en la competitividad de estas empresas en el mercado de exportación, destacando especialmente la calidad y la mano de obra como factores más influyentes.
Bebek Ruh Sağlığı Polikliniğine İleri Değerlendirme Amacıyla Yönlendirilen Hastaların Değerlendirilmesi
Authors: Coşkun Fatma , Kaya Mustafa Kubilay
Published: August 2024

Amaç: Beyin gelişimiyle ilgili yapılan çalışmalar yaşamın ilk yıllarının yaşamın diğer tüm zamanlarından anlamlı derecede önemli olduğunu göstermektedir. Konuşma, öğrenme ve sosyal iletişim becerilerini etkileyen nörogelişimsel bozuklukların ilk belirtileri bebeklik ve erken çocukluk döneminde görülmekte ve sıklıkla okul öncesi dönemde tanı konmaktadır. Yaşamın erken dönemi, yaşamın diğer dönemlerine göre dış çevreye oldukça bağımlı olunan bir dönemdir. Bu dönemdeki deneyim-ler ve gelişen psikiyatrik bozuklukların beyni şekillendirerek yaşam boyu ruh sağlığını, davranışları ve öğrenmeyi etkilediği belirtilmektedir. Küçük çocukların beyinleri çevresel strese karşı son derece esnek olduğu için daha sonraki müdahalelere göre, bu dönemde yapılan müdahalelerin daha etkili olduğu ve geri dönüşün ilk yıllarda en yüksek olduğu belirtilmektedir. Bu çalışmada, bebek ruh sağlığı polikliniğine ileri, ayrıntılı değerlendirme için yönlendirilen bebek ve küçük çocukların, klinik, sosyodemografik ve günlük ekran kullanım özelliklerinin geriye dönük olarak değerlendirilmesi amaçlanmıştır.
Materyal ve metod: Çalışmamıza bebek ruh sağlığı polikliniğine ayrıntılı değerlendirme amacıyla yönlendirilen 0-6 yaş arası 175 bebek ve küçük çocuk dahil edilmiştir. Hastaların sosyodemografik, klinik özellikleri ve DSM-5’e göre psikiyatrik bozukluk tanılarını içeren klinik dosyaları geriye dönük olarak değerlendirilmiştir.
Bulgular: Değerlendirilen hastaların %80’i (n=140) psikiyatrik bozukluk tanısı almıştır. Hastaların ortalama tanı alma yaşı 32,06 ay (SS=10,66) olarak bulunmuştur. Hastaların %49,7’si (n=87) Otizm Spektrum Bozukluğu (OSB), %12’si (n=21) Entelektüel Yeti Yitimi (EYY), %8,6’sı (n=15) İletişim Bozukluğu (İB), %5,1’i (n=9) EYY+OSB, %4,6’sı (n=8) EYY+İB tanısı almış ve hastaların %5,1’inde (n=9) psikiyatrik bozukluk tanısı almasa da silik otizm belirtileri olduğu saptanmıştır. Hastaların ortalama günlük ekran maruziyet sürelerinin 4,28 (SS=2,64) saat olduğu bulunmuştur.
Sonuç: Bebek ve küçük çocukluk dönemi beyin gelişimi açısından en temel ve en kritik dönemdir. Bu dönemde görülen psikiyatrik bozuklukların erken dönemde saptanması ve müdahale edilmesi hem bozuklukların prognozu hem de beyin gelişimini olumsuz etkileyebilecek risk faktörlerinin azaltılması için çok önemlidir. Çalışmamızın bebek ve küçük çocuk ruh sağlığı alanında yapılacak çalışmalar ve müdahale yöntemlerinin geliştirilmesi konusunda katkı sunacağı düşünülmektedir.
Comparison of the Distance of the Erector Spinae Muscle from the Skin at Different Thoracal Levels and Different Positions Under Ultrasonography
Authors: Satıcı Muhammed Halit , Binici Orhan
Published: August 2024

Background: The erector spinae plane block can be executed at various thoracic levels and in different positions. Our study aimed to determine the optimal distance of the erector spinae muscle from the skin and to identify the best ultrasonography imaging quality across different thoracic levels and positions.
Materials and Methods: The erector spinae muscle was located using a high-frequency 10-15 MHz linear ultrasound probe at distinct thoracic levels (T1-T2, T5-T6, T11-T12) and in various positions (lateral, sitting, and prone).
Results: The proximity of the erector spinae muscle to the skin was found to be significantly closer at the T5-T6 level compared to the T1-T2 and T11-T12 levels (p = 0.001; p < 0.01). In the prone position, the distance of the erector spinae muscle to the skin was significantly lower than in the lateral and sitting positions (p = 0.001; p < 0.01).
Conclusions: In an ESPB to be applied at the T5-T6 thoracal level and in the prone position, the erector spinae muscle is closer to the skin, and the ultrasound image is better.
jovens por eles mesmos
Authors: Tessaro Luiz Gustavo Santos , Teixeira Patrícia Espíndola de Lima , Bonhemberger Marcelo
Published: August 2024

Neste estudo, objetivou-se compreender o ser jovem na contemporaneidade a partir da visão de estudantes do Ensino Médio. Foram utilizados dados de uma pesquisa maior, que contou com dez grupos focais com estudantes brasileiros. Utilizou-se Análise Textual Discursiva para avaliação dos achados. Participaram 80 estudantes oriundos de colégios e unidades sociais de uma rede de ensino privada, habitantes de distintas regiões do país. Os resultados demonstraram que, para a amostra pesquisada, ser jovem era vivenciar pressão por desempenho, por desenvolvimento de um futuro profissional e pela mudança da sociedade. Além disso, envolvia desenvolver autoconhecimento, ser crítico e socialmente responsável, enfrentar riscos e desafios e conquistar autonomia. Os resultados foram discutidos a partir de uma fundamentação gestáltica e fenomenológica. As conclusões apontam para a diversidade e potência das experiências juvenis na contemporaneidade e levantam questionamentos sobre os impactos na clínica psicológica.
The Meaning of Suhbah Tijaniyah Tariqa in Building Adab
Authors: Islam Muhammad Thoriqul , Nasution Khoiruddin
Published: August 2024

One of the impacts of current technological developments is the need for exemplary student behaviour in thinking, behaving, speaking, and acting. As a result, it will have an impact on reducing student morals. This factor is triggered by various life problems, such as anxiety, anxiety, and stress, which are caused by the lack of teacher supervision. In Sufism terms, this teacher's observation is called suhbah. Suhbah is a concept in Sufism that examines the relationship between murshid and student. This concept is implemented through the practices of mujahadah and riyadah, where the guidance of a murshid guides students through a spiritual journey to the level of Ihsan. These Sufism teachings can be obtained through a Sufistic approach, which emphasizes the development of spiritual education, known as tarbiyah rûhiyyah. This research focuses on the meaning of suhbah of the Tijaniyah Tariqa in building adab. This qualitative research uses the literature review method, collects data through journals, books, and documentaries, and then analyzes it using thematic analysis techniques. Interviews were also conducted with the trek at murshids and observations at the research site where they (the tarekat followers) carried out the amaliyah of wirid lazimah, wazifah, and hailalah. The results of the research show that subah in the Tijaniyah Tariqa can be interpreted as a special relationship between the murshid and the disciple, which involves spiritual aspects such as spiritual initiation, the use of akhirah, and the process of self-purification through the practices of wirid lazimah, wazifah, and hailalah. This concept emphasizes the transformation of adab values as the primary key to achieving ma'rifatullah based on a vertical and horizontal approach based on the values established by its founder, Ahmad Tijani.
Moderation Islamic Spiritual Values in Social Entrepreneurship Learning Models
Authors: Nugroho Arif Julianto Sri , Marjukah Anis , Haris Abdul , Jati Agung Nugroho , Santoso Gunawan Budi
Published: August 2024

This research tests the dependent variable of business longevity among social micro-business actors, influenced by three independent variables: attitudinal values, self-efficacy, and cognitive dissonance, with the moderating variable of Islamic spiritual values. The goal is to develop a social entrepreneurship learning model for students based on local wisdom and values. The research model modifies the theory of planned behavior by enhancing the attitude concept and adding moderating variables, including Islamic spiritual values. Quantitative survey research employing purposive sampling was conducted with 200 adult Muslim social micro-business actors in the Klaten area. Structural Equation Model tests reveal direct influences of attitude values, self-efficacy, and cognitive dissonance on business longevity. The moderation test for Islamic spiritual values strengthens attitude and self-efficacy while weakening cognitive dissonance. Managerial implications suggest strategies to enhance the Islamic spiritual value ethos. Future sustainable activities include developing learning model textbooks for students based on local wisdom values to reinforce attitude values and self-efficacy and mitigate cognitive dissonance concerning business sustainability. The findings indicate a moderate level of religiosity in the Klaten Regency area, hindering the moderating role of Islamic spiritual values.
Islamic Traditional Education: A Comparative Perspectives from Nigeria's Makarantar Allo to Indonesia's Pesantren
Authors: Nasir Muhammad Muhammad
Published: August 2024

This study examines the historical evolution of Makarantar Allo in northern Nigeria and Pesantren in Indonesia, comparing their structures and operations across colonial, post-colonial, and contemporary periods. The focus on these institutions is driven by their similarities and the potential application of Indonesia's Islamic educational standards to enhance Nigeria's existing system. Incorporating a mixed-methods approach, this study collected primary data through interviews, focus group discussions and participant observations in Indonesia while engaging in the Makarantar Allo setting in Nigeria. Secondary data, consisting of historical facts, were gathered through document analysis. The analysis involved qualitative methods, verified through triangulation and cross-referencing with historical records. The research provides insights into the efficacy of Islamic education in Indonesia and Nigeria, highlighting differences and similarities. Pesantren in Indonesia operates centrally regulated, while Nigeria's Makarantar Allo is decentralized and unfunded. The comparative analysis suggests potential lessons for Nigeria's policymakers to improve the structure of Makarantar Allo based on the centralized Indonesian model, offering valuable standards for similar institutions with similar objectives in other Muslim countries. This research addresses a gap in the existing literature by comparing two traditional institutes, Makarantar Allo and Pesantren. The study explores their evolution, analysing their histories, curricula, teaching methods, structures, and challenges. This comparative pattern contributes to the novelty of the research, providing valuable insights into the unique characteristics and shared aspects of these traditional Islamic education systems.
Evaluation of Primary School Inclusive Education Curriculum Based on Context, Input, Process, and Product (CIPP) Model
Authors: Indrianto Nino , Nurdin Arbain
Published: August 2024

This research aims to provide a descriptive overview of the results of the analysis regarding the suitability of inclusive education curriculum and to evaluate the impact on MI Al-Ma'arif 02 Jombang Jember and SD Al-Irsyad Al-Islamiyah Jember based on the CIPP model, as well as a comparison between these two institutions. The approach used is a qualitative approach with a multicase study method. Informant selection was done using a purposive technique. Data collection techniques included observation, interviews, and documentation. Data analysis was conducted using the Miles, Huberman, and Saldana model, which involves data condensation, data presentation, verification, and conclusion drawing. The study results show that these two elementary educational institutions have similarities and differences related to the suitability of the inclusive education curriculum that the institutions have implemented based on the program evaluation model, namely the CIPP model. Similarities are found in the context and product aspects. Meanwhile, differences can be found in the input aspect because the madrasah still needs accompanying teachers and inadequate infrastructure. Then in the process aspect, it was found that elementary schools implement more diverse learning models based on the abilities and characteristics of students with special needs. It should be noted that this research is limited to aspects of the inclusive education curriculum at the basic education level. The findings of this research method provide originality in the form of the CIPP model which can be used as a case study analysis approach. Scientifically, by evaluating the educational curriculum, these findings provide a lot of input for improving education in the future, especially in inclusive education.
Dhikr Therapy: Overcoming Life Anxiety with Islamic Counseling Based on QS Ar-Ra'd Verse 28
Authors: Indriani Tiya , Jarkawi Jarkawi , Ridhani Akhmad Rizkhi
Published: August 2024

This research aims to conduct a literature review regarding the effectiveness of dhikr-based Islamic counseling in overcoming life anxiety based on the Al-Qur'an Surah Ar-Ra'd verse 28. The literature research method applied is statements and checklists, using the "Preferred Reporting Items" approach. for Systematic Reviews and Meta-Analysis" (PRISMA). Data and data sources were obtained through a literature search for articles from Google Scholar. The data collection technique is carried out by selecting studies that meet the specified criteria. Data analysis was carried out by utilizing keywords such as "Q.S. Ar-Ra'd verse 28", "Life Anxiety", and "Stages of Individual Counseling". The results of the research show that Islamic counseling which integrates dhikr based on verse 28 of Surah Ar-Ra'd is able to provide calm, peace and tranquility in the heart as a soother for the soul. Individual counseling stages that use the dhikr words Istigfar, Tasbih, Tahmid, Takbir, Tahlil, and Asmaul Husna can generally be applied in Islamic counseling, with the possibility of applying dhikr bi al nafs. This research develops the concept of Islamic counseling by exploring Islamic values contained in verse 28 of Surah Ar-Ra'd, aiming to reduce life anxiety in each individual.
Acculturation of Aluk Todolo Culture and its Implications for Child Education in Muslim Rural Families
Authors: Pasulle Sonne , Pirol Abdul , Nawas M. Zuhri Abu
Published: August 2024

Aluk Todolo, customary teaching in the rural area of Bastem Utara, constitutes a legacy of a tradition different from Islamic teachings but with values that significantly contribute to children's education in Muslim families. This research uses a qualitative method with a phenomenological approach. The research location is in Dampan Village, North Bastem District, Luwu Regency, South Sulawesi Province. The research subjects involved traditional leaders, Islamic religious leaders, and Muslim families who were selected randomly. Data collection was carried out through observation, in-depth interviews and documentation. Data analysis is done by organizing, interpreting and presenting the data narratively, followed by drawing conclusions. The validity of the data is maintained through the application of source triangulation. The research findings reveal that integrating Aluk Todolo cultural practices in educating Muslim families in Dampan Village fosters moral values and social harmony. Massipa' Namadarana (noble character) and Situtu Nene' (lineage) combine local traditions with religious teachings, strengthen family ties, and promote tolerance. The Rambu Tuka' ceremony (thanksgiving ceremony) displays the unity of culture and religion, enriching the education and life of Muslim families. These findings highlight the importance of integrating local cultural values and religious teachings in building a harmonious, tolerant, inclusive society. This provides insight for policymakers and educational practitioners to adopt educational approaches based on the richness of local culture while promoting universal values of tolerance and cooperation. This study highlights the importance of preserving religious traditions and rituals as an effective tool for promoting diversity and shared understanding in a pluralistic society.
Folklore and Education: The Kesah Pang Alui in the Interior of West Kalimantan
Authors: Syahrani Agus , Yusriadi Yusriadi , Asfar Dedy Ari , Anderbeck Karl
Published: August 2024

This study aims to analyze the relationship between folklore and education. What cultural values can be used for educational purposes, and how can they be used? The data is taken from the story of Pang Alui, a folklore of people in the interior of Kapuas Hulu, West Kalimantan. This story is an archive of researchers' oral literature research from 1996 to 1997. Interviews with several people were also conducted to get their views on the values of the folklore for the education of the younger generation. Folklore has a lot of value in learning. There are educational values, among others: persevering, learning and meticulous, cooperation and willingness to share. More than that, folklore is also meaningful in terms of language and cultural information. Given its proximity to society, folklore can serve as a pedagogical resource in an educational environment, both in specialized subjects and integrated into other lessons. This study has implications for the awareness of all parties to pay attention to the existence of folklore in the community; teachers utilize the material, students become closer to cultural heritage, researchers do documentation, and stakeholders maintain the continuity of the literature. This study has important significance in looking back at the relationship between folklore and education, in particular, in reaffirming that folklore must be documented and inherited. The inheritance can be done through educational institutions.
Constructing Education in Sustaining Islamic Values Based on Local Culture Among the Fisherfolk Community
Authors: Subekti Sadin , Hilmy Masdar
Published: August 2024

This research aims to explore and develop Islamic education rooted in local culture among the fishing community on the North Coast of Gresik. The research method used is a qualitative approach with an ethnographic type. The data collection techniques include participant observation, in-depth interviews and documentation studies. This study adopts the taxonomic analysis developed by Spradley, which provides for taxonomic, semantic, componential, and cultural theme analyses. The data validation technique uses triangulation. Research findings show that constructing Islamic values ​​with local traditions in education among fishing communities can strengthen their religious and cultural identity and enrich their educational experience. This research also found that active participation and awareness of the fishing community regarding the urgency of Islamic education can increase their involvement in the learning process. This research argues that an Islamic education approach based on local culture will be able to encourage strengthening the relationship between the younger generation and the traditions and values ​​inherited from their ancestors. The limitation of this research is that it does not yet explain the challenges of the digital revolution in the local cultural context. The main contribution of this research is to provide a theoretical and practical basis for the development of Islamic education that is more inclusive and relevant to the local social and cultural context by emphasizing local wisdom as a source of strength and sustainability of Islamic education.
Development of Google Sites-Based Learning Media for Islamic Education Learning in Elementary Schools
Authors: Aeni Ani Nur , Abdullah Mulyana , Fitriyatunnisa Fifit , Wulan Neng , Zahra Santika Az
Published: August 2024

This study aims to develop a Google Sites-based learning media called ATM-KU (Praiseworthy Morals Building Noble Morals) for grade II elementary school students in Islamic religious education. Google sites-based learning media ATM-KU aims to improve moral understanding in a fun and interactive way, addressing the challenge of teaching morals to primary school students, which is often considered boring. By utilising Google Sites, it is hoped that students will be more interested and actively involved in the learning process. The primary goal is to create a compelling and exciting learning medium to increase students' interest and understanding of morals in Islamic Religious Education. This study uses the Research and Development (R&D) method with the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. Literature studies and observations are conducted in the analysis stage to understand students' needs. An attractive and child-friendly user interface, features, and interactions are developed at the design stage. In the development stage, content and features are created according to the design, followed by initial testing. During implementation, Google Sites is used in the classroom learning process. At the evaluation stage, student responses are collected through questionnaires to assess the effectiveness of the media. The results show that ATM-KU effectively increases students' interest in Islamic Religious Education, especially in the material "Let's Have a Commendable Character!" Students responded positively to this media. However, the research is limited to one class, indicating the need for broader implementation. These findings demonstrate the originality of combining Google Sites technology with interactive methods for teaching morals.
Concept of Independent Character Based on Pathfinder (Cross Case Study)
Authors: Hidayat Samsul , Cholily Yus Mochamad , Khozin Khozin , Ikhwan Afiful
Published: August 2024

This research aims to analyze the concept of independent character by looking at it from a scouting perspective. This research explains how scouting and Hisbul Wathan explain the idea of independent character. A qualitative approach was used to describe this study by taking a cross-case study type with the study locus in two different institutions that implement the character of independence through scouting education. Data collection techniques through interviews, observation, and documentation. Data analysis techniques use data condensation, data presentation, and conclusions. This research reveals that the concept of independent character based on scouting grows together with the education and routine training of Hizbul Wathan and Scouts. The thoughts of KH. Ahmad Dahlan inspired the idea of independence in Hizbul Wathan. Ahmad Dahlan is a responsible, skilled, independent and disciplined human being. The concept of independence in Scouting follows up on the Minister of Education and Culture of the Republic of Indonesia Regulation Number 23 of 2015 concerning the Development of Character. The limitation of this research is that it focuses on scouting to explain the concept of independence. Meanwhile, originality lies in the scouting movement as an independent character education concept.
ANALISIS STRATEGIS KEBIJAKAN HILIRISASI MINERAL: Implikasi Ekonomi dan Pengaruhnya terhadap Perekonomian Indonesia
Authors: Wau Ferdinand Tharorogo , Kiton Mario Andrias , Wau Marselino , Fau Jhon Firman
Published: August 2024

Mineral downstreaming is a strategic policy aimed at increasing the value-added of mineral products and optimizing the utilization of natural resources. This policy aims to reduce the export of raw ore and increase the production of finished goods domestically, which has significant potential to secure national foreign exchange reserves and strengthen Indonesia's competitiveness in the global market. This study aims to analyze the implications and impacts of mineral downstreaming policy on the Indonesian economy. The method used is a literature review with a qualitative descriptive approach. The research findings indicate that by promoting further processing and innovation in technology development, nickel downstreaming not only has positive economic impacts through increased revenues in the non-oil and gas sector and corporate contributions to government revenues but also significantly contributes to environmental sustainability. The development of nickel downstream industries not only creates new job opportunities and reduces unemployment rates but also stimulates growth in related industries and enhances the demand for domestic technology.
Irony in 'Morte e vida Severina' (1956), by João Cabral de Melo Neto
Authors: Santana Siqueira Joelma , Marcel Moyano Thiago
Published: August 2024

Não se aplica.
SISTEM INFORMASI INVENTARISASI DAN PEMINJAMAN BARANG BERBASIS WEBSITE PADA JURUSAN TEKNIK JARINGAN KOMPUTER DAN TELEKOMUNIKASI SMK NEGERI BALI MANDARA
Authors: Luh Putu Cintya Prabandari  , Anak Agung Ngurah Adhi Jaya  , Putu Maha Putra
Published: August 2024

SMK Negeri Bali Mandara merupakan salah satu sekolah yang mendapatkan anggaran dari Pemerintah Provinsi Bali Melalui APBD atau Anggaran Pendapatan Belanja Daerah yang dimana mengharuskan melakukan pencatatan dan pendataan barang-barang tersebut sebagai bentuk pertanggung jawaban SMK Negeri Bali Mandara Terhadap anggaran yang diberikan Pemerintah Provinsi Bali. Namun inventarisasi pada Jurusan Teknik Jaringan Komputer dan Telekomunikasi masih terdapat beberapa permasalahan yang dimata hal tersebut menjadi landasan di bangunnya Sistem Informasi Inventarisasi dan Peminjaman Barang pada Jurusan Teknik Jaringan Komputer dan Telekomunikasi SMK Negeri Bali Mandara. Pencatatan manual adalah dimana semua inventarisasi barang dan proses peminjaman barang dilakukan dalam bentuk formulir dan dilakukan oleh manusia. Hal ini menyebabkan resiko kehilangan dan kesalahan data lebih besar, sedangkan kalau ditelaah lebih dalam banyak hal juga yang dihabiskan dari segi sumber daya manusia, waktu pengerjaan, tenaga yang dikeluarkan, dan pembengkakan tempat penyimpanan. Dengan adanya sistem informasi ini diharapkan pengelolaan Inventaris Barang pada Jurusan Teknik Jaringan Komputer dan Telekomunikasi dapat dikerjakan dengan efektif, efisen dan kompatibel, sehingga data dapat dikelola dengan baik dan diakses kapanpun dan dimanapun.
The Economic and Financial Performance of Tour Operators in Italy, France and Spain: Some Comparative Evidence*
Authors: Migliaccio Guido , Calvanese Maria
Published: August 2024

Purpose. This article describes and evaluates the economic and financial dynamics of tour operators over the last decade in Italy, France and Spain, three European countries where tourism is relevant. Methodology. The balance sheets of a sample of 4,044 tour operators (1,043 Italian, 2,340 French, 661 Spanish) over the period between 2012 and 2021 were examined. The average trend of two indices is illustrated: the Return on Assets (ROA) and the Current Ratio. The data were subjected to extensive statistical processing. To compare differences between countries, Anova and, where necessary, Tukey-Kramer methods were used. Results. The lowest ROA values characterise Italy. In France and Spain, ROA has higher values with peaks, for Spain, of up to 10%. In 2020, it has negative values everywhere due to the pandemic. In 2021, on the other hand, it has positive values due to the general recovery of tourism. The nations have similar values. Other evidence is typical of the current report: France, in 2021, has an abnormal peak of 14%, after many stable years. Spain has shown a progressive increase in recent years. Italian values do not show any notable variations. The trends, which are globally similar in the three countries, are difficult to interpret and require further investigation. Implications. The survey enriches the modest international economic literature on tour operators. It is useful for those in the industry and for public authorities wishing to stimulate tourism.
Methodological Problems of Assessing the Effectiveness of Public Administration of Socio-Economic Development
Authors: Bukhovets Tatyana
Published: August 2024

The need for theoretical, methodological and scientific substantiation of new ways to improve the effectiveness of public administration as well as for the development of a single comprehensive methodological approach to its assessment increases every year in the context of increasing demands of society to the quantity and quality of services provided by the state and the effectiveness of decisions taken by state bodies at the national and local levels. The purpose of the study is to identify the main problems and justify the methodological provisions for assessing the effectiveness of public administration. The study is based on the application of general scientific and special methods, as well as interdisciplinary approach, taking into account the provisions of the history and theory of public administration, economic science, political science, sociology, statistical theory, theory of regional studies, etc. The author develops the comprehensive methodological approach to assess the effectiveness of public administration, taking into account its multifaceted nature and complexity. The approach presents a toolkit and a step-by-step algorithm for assessing the effectiveness of public administration. It formulates the fundamental principles of assessment, substantiates the need to determine the object of assessment and type of effectiveness, which determine the specific purpose and objectives of assessment, as well as the relevant criteria, indicators and methods. At the last stages of the assessment, emphasis is placed on the importance of correct and accurate interpretation of the results obtained and the development of recommendations to eliminate identified bottlenecks and improve the effectiveness of public administration.
Determinants of Unmet Healthcare Needs in the European Union Countries
Authors: Gutium Tatiana , Gojaeva Elmira
Published: August 2024

The population's access to quality medical services is one of the indicators that reflects the country's level of development from a social point of view. The quality of life of citizens largely depends on their health status. No matter how rich he may be, a sick person cannot fully enjoy life. The rate of population aging in the EU countries is high; with age, chronic diseases appear, and the need for medical care increases. Therefore, the object of study, “unmet need for medical examination and care,” is relevant. The study's main objective is to verify the hypothesis that the number of practicing doctors, dentists, and the number of hospital beds influence the “unmet need for medical examination and care,” and by applying software EViews 9.5 it was established the type of correlation between the endogenous variable “unmet need for medical examination and care” and the exogenous variables: the number of practicing doctors, dentists and the number of hospital beds. Regression analysis was applied to achieve the proposed goal. The indicator “unmet need for medical examination and care” indicates that citizens’ dissatisfaction with the medical services provided in every second member state of the European Union has increased over the past five years. However, in other EU countries, the number of people satisfied with the availability and quality of health services is growing. In most EU countries, except four countries, the number of hospital beds per hundred thousand inhabitants and hospitals has decreased in the last twelve years. Despite the surge in the disease during the COVID-19 pandemic, the downward trend continues. Thus, in some EU countries, there is a steady downward trend in patient satisfaction with accessibility and quality of medical care. The results obtained in this study allow us to accept the hypothesis that the number of practicing doctors, dentists, and the number of hospital beds influence the “unmet need for medical examination and care.” It was also determined that in comparison with other countries, in the case of France, the regression coefficient between the number of doctors and the “unmet need for medical examination and care” is the largest (by module).
PENGARUH RETURN ON EQUITY DAN NET PROFIT MARGIN TERHADAP NILAI PERUSAHAAN PADA PERUSAHAAN PERTAMBANGAN SEKTOR BATU BARA YANG TERDAFTAR DI BEI
Authors: Ganiah Maulany Siti
Published: August 2024

The purpose of this study was to determine the effect of return on equity and net profit margin on company value in the Coal Mining Sub-Sector Companies listed on the Indonesia Stock Exchange for the period 2014-2018. This research method uses a quantitative approach with multiple regression analysis. The source of this research uses secondary data sourced from the financial statements of the Coal Mining Sub Sector Company listed on the Indonesia Stock Exchange. The sample of this study was 19 companies using purposive sampling techniques. The results of this study indicate that partially Return on Equity has a significant effect on Company Value while Net Profit Margin does not have a significant effect on Firm Value. Simultaneously, the results obtained that Return on Equity and Net Profit Margin have a significant effect on Company Value, where the coefficient of determination is 0.117 shows that Return on Equity and Net Profit Margin gives a diversity of 11.7% to Firm Value, while the rest is 88.3 % is influenced by other factors not observed in this study.
Keywords: Return on Equity, Net Profit Margin, Company Value
PENGARUH KOMITE AUDIT DAN FEE AUDIT TERHADAP KUALITAS AUDIT PADA PERUSAHAAN BUMN DI INDONESIA
Authors: Riswandi Pedi , Yuniarti Rina , Subandrio Subandrio
Published: August 2024

This study aims to analyze and determine the effect of good corporate governance and audit fees on audit quality in state-owned companies listed on the Indonesia Stock Exchange in 2018-2023. This type of research is quantitative research. The sampling technique uses purposive sampling techniques with a total research sample of 75 companies. This research uses secondary data obtained through the company's annual report and financial statements during the 2018-2023 period. The analysis technique used is logistic regression analysis. The results of the study using SPSS version 25 showed that: (1) Audit committee has a negative and insignificant effect on audit quality, (2) Audit fees have a positive and significant effect on quality.
Keywords: Institutional Ownership, Audit Committee, Audit Fee, Audit Quality.
ACUTE PAIN ASSESSMENT IN NONVERBAL SEDATED PATIENTS IN THE EARLY POSTOPERATIVE PERIOD
Authors: Sharma Archana , Sharma Akshita , Devani Kavin , Aarti Aarti
Published: August 2024

Background: Acute pain management is based on self-reporting of pain, leading to inadequate treatment in patients who cannot vocalise their pain
due to sedation or mechanical ventilation in the postoperative period. We designed this study to compare and assess the use of two behavioural pain
scales, Critical Care Pain Observation Tool (CPOT) and Non-verbal Pain Scale-revised (NVPS-R) in such patients. A prospective, Method:
observational study was conducted on 94 adults who underwent major abdominopelvic surgeries, unable to verbalise pain in early postoperative
period (2 hours) after arrival to Post Anesthesia Care Unit (PACU). The sedation level of patients was evaluated rst by using Richmond Agitation
Sedation Scale (RASS); if RASS scores were -4 to -1, then the pain was scored using both scales, i.e. CPOT and NVPS-R, at 7-time points
(0,15,30,45,60,90 minutes of arrival to PACU). Both pain scores showed signicant pain in >80% of pa Results: tients for rst 45 minutes, peaking
at 30 minutes, after arrival to PACU and decreased thereafter. However, only 34% received analgesia, while 46% of patients were not treated for
pain. Both scales exhibited a strong correlation at all time points. CPOT, using vocalisation parameter, is a better indicator of acute pain as the
physiological parameters of NVPS-R were inconsistent with signicant pain on the scales. Either CPOT Conclusions: or NVPS-R can assess pain
in sedated patients in the early postoperative period. However, CPOT is more reliable with vocalisation indicator, whereas physiological indicators
of NVPS-R can be inuenced by other factors besides pain.
A RETROSPECTIVE STUDY ON DIAGNOSTIC TRIAD AND MULTIFACTORIAL CAUSATION OF FUNGAL RHINOSINUSITIS IN THE ERA OF COVID 19
Authors: Doifode Parag Vasantrao , Chaurpagar Khandare Rajeshree , Muneer Mohammed Badarul
Published: August 2024

Background: The importance of this study is due to the outbreak of epidemic (AIFRS) in the COVID-19 pandemic, even in immunocompetent
patients. A retrospective single-center study carried out in a tertiary care hospital, AKOLA. Study Methods: Conducted in patients with or without
a history of COVID-19 who are clinically and radiologically suggestive of acute fungal rhino sinusitis. Data collected by interviewing the patient
admitted to the ward during the period of July 2020 to July 2022 and from medical case records. All data analysis completed using a simple
analytical method. The total number of enrolled patients is 166 and we did our study in 150 patients Results: as rest of them did not t into the
inclusion criteria. The epidemic emerged due to multifactorial causes, including medical and environmental factors (temperature and humidity).
The most common cause was COVID-19 infection in the background of anemia, thrombocytosis, and lymphocytopenia. We had 98
histopathologically proven cases of mucormycosis and 9 cases of mixed fungal infection. And the sensitivity and specicity of HPE were 94.8%
and 100%, respectively. We present a broad concept of the range of diseases (acute, granulomatous, a Conclusion: nd chronic invasive fungal rhino
sinusitis) that have been linked to the host immune response during the COVID-19 pandemic. A high index of clinical suspicion and
multidisciplinary approach will aid in the diagnosis of AIFRS and enable early management to reduce morbidity and mortality.
BUDD CHIARI SYNDROME: VARIOUS CASE PRESENTATION
Authors: J Upadhyay Kamlesh , K Shah Nilima , T Amin Hardik , Baria Rahul , Patel Mayank
Published: August 2024

Budd-Chiari syndrome (BCS) is a heterogeneous group of complete or
partial hepatic venous tract outow obstruction conditions, regardless
of the type of mechanism. The hepatic venous outow obstruction
leads to increased hepatic sinusoidal pressure which results in liver
congestion and portal hypertension,which leads to hepatocyte hypoxia
and dysfunction. If the condition remains under-recognized and the
obstruction is not corrected in a timely manner, this can lead to
hepatocyte necrosis, progressive centrilobular brosis, nodular
[1-4]. regenerative hyperplasia, and ultimately cirrhosis One or more
underlying prothrombotic conditions are observed in at least 75% of
(5,6). patients with primary BCS The systemic prothrombotic conditions
are divided into acquired and inherited types. Acquired causes
primarily include myeloproliferative neoplasms (MPNs),
hyperhomocysteinemia, Paroxysmal Nocturnal Hemoglobinuria
(PNH) and Behçet's syndrome, etc. Inherited causes primarily include
factor V Leiden mutation, G20210A prothrombin gene mutation and
inherited protein C, protein S, and antithrombin deciencies.Most
common acquired causes of primary BCS are BCR-ABL negative
MPNs, including polycythemia vera, essential thrombocythemia, and
(7,8). idiopathic myelobrosis
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES) IN A CHILD WITH SLE
Authors: Gurushekar Anne Prewina
Published: August 2024

Posterior reversible encephalopathy syndrome (PRES) is a clinical
condition that is characterized by intense headache and neurological
decits which are attributed to the vasogenic edema that occurs in the
posterior cerebral cortex involving the occipital and parietal lobes
INSIGHTS INTO MEDULLARY CARCINOMA THYROID: A CASE SERIES AND REVIEW OF THE LITERATURE.
Authors: Kumar Durgesh , Agarwal Priyank , Neharika Neharika , Singhvi Tanvi , Verma Ankur
Published: August 2024

Objective:To study the mode of clinical presentation, the role of tumor markers serum calcitonin and CEAin diagnosis and follow-up, and Surgery
as a “curative” modality in treatment. Methods: In a retrospective analysis, 12 patients with medullary carcinoma thyroid who underwent surgical
intervention between 2012 and 2015 at a tertiary care institute were included. Their medical records were retrieved and their follow-up records
were analysed. Results: Surgical management with more of a radical approach than conservative gives better results and low recurrence in
patients with medullary carcinoma thyroid. Tumor markers serum calcitonin and CEA were found to be reliable markers in the diagnosis and
follow-up of patients with MTC. Conclusion: Medullary carcinoma thyroid, though rare and aggressive thyroid carcinoma can be cured with
appropriate surgical management. The most common mode of clinical presentation in a case of medullary carcinoma thyroid is goiter. Serum
calcitonin and CEA are reliable markers in establishing the diagnosis and during follow-up. Adjuvant radiotherapy can be offered for high-risk
diseases.
EMPHYSEMATOUS PYELONEPHRITIS: OUR EXPERIENCE IN 2 YEARS AT AL AMEEN MEDICAL COLLEGE, VIJAYAPUR
Authors: Kausar Attar Summayya , Kagalkar Suresh , Ramesh Gulla
Published: August 2024

Background: Emphysematous pyelonephritis (EPN) is a rare, severe, and life-threatening infection of the renal parenchyma characterized by gas
formation within the renal tissues and surrounding areas. This study aims to describe the clinical, radiological, and therapeutic characteristics of
patients diagnosed with EPN at Al Ameen Medical College, Vijayapur, over a two-year period. A cross Methods: -sectional observational
descriptive study was conducted involving 18 patients diagnosed with EPN. Data on demographic proles, clinical presentations, radiological
ndings, management strategies, and outcomes were collected and analyzed. The management strategies were categorized into medical and
surgical interventions. Statistical analysis was performed to compare the complication rates between the two groups. The mean age of the Results:
patients was 55.6 years, with equal distribution of males and females. Diabetes mellitus was present in 61.1% of the patients. Clinical presentations
included fever, ank pain, and dysuria. Radiological imaging (CT scans), conrmed the diagnosis by revealing gas formation in the renal
parenchyma. Medical management was administered to 11 patients, while 7 patients underwent surgical interventions. The average hospital stay
was 9.73 days for medical management and 14.29 days for surgical management. Complications were more frequent in the surgical group (71.4%)
compared to the medical group (27.3%), but the difference was not statistically signicant (p-value = 0.177). The overall recovery rate was 100%.
Conclusions: Early recognition and prompt treatment are essential for improving outcomes in EPN. Both medical and surgical management
strategies have their respective roles, and the choice of treatment should be individualized based on the patient's clinical condition. Enhanced
diabetes management and preventive measures against UTI are crucial in reducing the incidence of EPN. Further research with larger sample sizes
and multi-center collaborations is warranted to better understand and manage this rare but serious condition.
THE STUDY OF BACTERIOLOGICAL PROFILE OF DIABETIC FOOT ULCER WITH A SPECIAL REFERENCE TO ANTIBIOGRAM IN AND AROUND PATNA, BIHAR
Authors: Kumari Babita , Smriti Spriha , Kumar Vijay
Published: August 2024

Introduction: Adiabetic foot infection is one of the leading causes of the hospitalisation among diabetic patients. Many studies have reported on
the bacteriology of diabetic foot infections over the past 25 years but the results have been varied. Diabetic foot wounds are commonly infected, and
hence infection leads to the formation of microthrombi causing further ischaemia, necrosis and progressive gangrene. Material and Methods:
Samples were collected from 90 cases of diabetic foot ulcer by using sterile swabs and they were processed as per the clinical and laboratory
standard Institute guidelines. Results: Out of 90 cases of diabetic foot ulcer 50 cases (62. 5%) were monomicrobial and 30 cases (37.5%) were
polymicrobial. In our study gram negative bacilli were isolated in preponderance than gram positive cocci. Among gram negative bacilli the
commonest isolate was pseudomonas spp (36%), followed by E. coli (28%) and Staphylococcus aureus (20%). The antibiotic sensitivity pattern of
the bacteria were also studied. Conclusion: This study showed raised incidence of multidrug resistance isolates from the diabetic foot ulcer cases.
Hence knowledge of antibiotic sensitivity pattern is essential for determining appropriate treatment of diabetic foot ulcer.
Smallholder Farmers’ Attitude and Knowledge of Pesticide Utilization: A Showcase from West Shewa Zone of Oromia, Ethiopia
Authors: Assefa Chernet , Demissie Girma , Diro Samuel
Published: August 2024

The results of this study showed that the majority of the farmers (90 and 57%) reported that pesticides were harmful to human and animal health, respectively. Among 121 respondents 34.7% were not read, understand and follow pesticide labels and instructions and 90% of them were not aware of obsolete pesticides Also, it was found that more than 77% of the respondent stored pesticides in their living room. About 13.1% of the respondents disposed leftover and/or expired pesticide by applying on other untargeted crops and 34.3% of them re-used empty pesticide container for different purpose. Over 83.6% of the respondents’ used one or partial personal protective equipment during handling and spraying of pesticides, while, 16.4% of the respondents did not use any type of PPE. In general, most of the respondents have poor attitudes and practices of pesticide usage and handling which likely expose them to high risk of pesticide. Therefore, regular training on the safe and proper use, handling, storage and disposal of pesticides is required to minimize risks to health and environment.
Dari Kristopraksis ke Antropopraksis: Inkarnasi, Sejarah, dan Menjadi Manusia melalui Lensa Kaum Miskin dalam Teologi Ignacio Ellacuría, S.J. dan Daniel Lucas Lukito
Authors: Sasongko Nindyo
Published: August 2024

Artikel ini bertujuan mengaitkan inkarnasi, salib, dan makna menjadi manusia dalam pergulatan demi keadilan. Di tengah kecurigaan sejumlah teolog Amerika Serikat terhadap pemakaian teori-teori turunan Marxis, artikel ini berargumen sebaliknya. Teologi Kristen dapat diperkaya dengan teori-teori ini, sekalipun tampak berlawanan dengan interpretasi Kristen kalangan tertentu. Hal ini disebabkan oleh natur teologi yang interdisipliner, yang selalu berdialog dengan disiplin ilmu yang berbeda. Dengan memfokuskan diskusi pada doktrin inkarnasi dan salib dalam teologi Ignacio Ellacuría, S.J. dan Daniel Lucas Lukito, artikel ini menunjukkan bahwa teolog Kristen dapat memanfaatkan kosakata dan konsep-konsep non-Kristen, termasuk dari pemikir Marxis, untuk membangun teologi kontekstual. Pertama-tama akan ditunjukkan bagaimana pemikir kontemporer seperti Slavoj Žižek, Jürgen Moltmann, Eberhard Jüngel mendiskusikan nisbah inkarnasi dan salib. Ketiganya dipengaruhi oleh Hegel dan teori sosial turunan Marxis. Lalu, artikel ini akan menerangkan bagaimana Ellacuría dan kemudian Lukito memakai kosakata Marxis dan merajutnya dengan doktrin inkarnasi, salib, dan sejarah. Jika Yesus yang tersalib dalam sejarah bersatu dengan kaum miskin maka, di bagian terakhir, kemanusiaan tidak hanya didefinisikan di dalam Kristus, tetapi Kristus juga didefinisikan di dalam kemanusiaan yang tersalib, yaitu “antropopraksis.”