bluuebunny/crossref_metadata_2025 huggingface dataset:
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. M DI KLINIK UTAMA NILAM SARI TEMBILAHAN TAHUN 2022
Authors: Parmiatun Parmiatun , Astuti Haryati
Published: December 2023

Comprehensive midwifery care is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, postpartum, newborn services and family planning services that connect women's health needs in particular and the personal circumstances of each individual aimed at being able to carry out comprehensive midwifery care. The midwifery management approach method with a varney mindset which is outlined in the form of SOAP. The treatment was carried out from 02 April – 18 June 2022 at the Nilam Sari Main Clinic. The subject of care was Mrs. M Age 38 Years G4P3A0H2. In ANC care went well, there was a gap in mothers only getting TT immunization 1 time, and mothers had moderate anemia, less maternal weight gain, LILA small mothers. INC runs well, when I lasts 3 hours, when II 1 hour 25 minutes, when III 14 minutes, and when IV 2 hours, there is a birth canal episiotomy of degree II. The baby was born spontaneously, weighed 2800 gr, body length 48 cm and visited neonates 3 times. The postpartum period runs normally without any complications, 4 visits are made and Mrs.N's family planning care chooses 3-month injectable birth control. It is expected for all health workers to be able to update knowledge and maintain the quality of service by attending seminars related to midwifery.

 

Asuhan kebidanan komprehensif merupakan serangkaian kegiatan pelayanan yang berkelanjutan dan menyeluruh mulai dari kehamilan, persalinan, nifas, pelayanan bayi baru lahir serta pelayanan keluarga berencana yang menghubungkan kebutuhan kesehatan perempuan khususnya dan keadaan pribadi setiap individu yang bertujuan Mampu melaksanakan asuhan kebidanan komprehensif. Metode pendekatan manajemen kebidanan dengan pola fikir varney yang dituangkan dalam bentuk SOAP. Asuhan dilaksanakan tangga 02 April – 18 Juni 2022 Di Klinik Utama Nilam Sari. Subyek asuhan adalah  Ny. M Umur 38 Tahun G4P3A0H2. Pada asuhan ANC berjalan dengan baik, terdapat kesenjangan ibu hanya mendapatkan imunisasi TT 1 kali, dan ibu mengalami anemia sedang, kenaikan BB ibu kurang, LILA ibu kecil. INC berjalan dengan baik, kala I berlangsung 3 jam, kala II 1 jam 25 menit, kala III 14 menit, dan kala IV 2 jam, terdapat episiotomi jalan lahir derajat II. Bayi lahir spontan, berat badan 2800 gr, panjang badan  48 cm dan dilakukan kunjungan neonatus sebanyak 3 kali. Masa nifas berjalan normal tanpa ada penyulit, dilakukan kunjungan sebanyak 4 kali dan asuhan keluarga berencana Ny.N memilih KB suntik 3 bulan. Diharapkan untuk semua tenaga kesehatan untuk dapat mengupdate ilmu serta mempertahankan mutu pelayanan dengan cara mengikuti  seminar yang berhubungan dengan kebidanan.
Recurso tecnológico para la enseñanza del álgebra Booleana en compuertas lógicas. Una propuesta didáctica
Authors: Riofrio Sarmiento Edwin Santiago , Rodríguez Cabrera Nathaly Lizbeth
Published: December 2023

Este trabajo surge con la idea de aplicar una nueva metodología constructivista dentro del aula relacionando los contenidos educativos con la tecnología, para transformar la clase tradicional en una clase dinámica. El objetivo de este estudio fue desarrollar clases de matemática discreta con el uso de un software y valorar los resultados de la incorporación de este recurso. Para esto fueron diseñadas clases en el tema de álgebra booleana que utilizaron el software Logic Friday como apoyo a la clase. Luego se realizó una encuesta a 30 estudiantes de una carrera Técnica en Desarrollo de Software, sobre el uso del software para las clases de diagramas de circuitos y simplificación de estos. Los estudiantes indicaron que no usaban recursos tecnológicos para desarrollar sus clases. Mientras, en las clases donde se usó el software simulador, la explicación del profesor fue mucho mejor en relación con la comprensión de los temas y el aprendizaje de álgebra booleana. Además, indicaron que el software es dinámico, fácil de usar y que mejoraba su comprensión. Como parte de las conclusiones se determina que el uso de recursos tecnológicos en la clase ayuda a mejorar la comprensión de los estudiantes y lograr aprendizajes de calidad.
The Potential for Gender-Based Violence among the Eastern Bantu Ethnic Groups of Kenya: Evidence from Oral Literature
Authors: Mwenzwa Ezekiel , Thuku Pauline
Published: December 2023

Oral literature is a powerful tool for human socialization. It works to perpetuate social relations between men and women, parents and children, and old and young among other dichotomies. It is used to preserve and perpetuate culture hence maintain the status quo despite social costs. When reinforced by associated beliefs, it propagates such practices as Female Genital Mutilation (FGM), spousal battering and forced marriages among others. That the foregoing practices are rampant among many Kenya communitiescannot be gainsaid. While mainstream literature lays blame on drugs, character, economic and other drivers of gender-based violence, this paper provides an alternative to this conventional belief. Through the use of key informant interviews among five (5)community sages and documentary review, this article analysesselected songs, proverbs, oral narratives and sayings used by Eastern Bantu ethnic groups of Kenya and argue that their inter-generational transfer and associated beliefs institutionalize the potential for gender-based violence. From the foregoing, it is important to institute affirmative action measures that respond directly to the needs of the society and in particular to avail self-actualizing opportunities to women in equal measure with men. Key Words: Gender, gender-based violence, oral literature, socialization, violence
Provision of Contextualized Secondary Education in Tanzania for Sustainable Development: Teachers’ and Students’ PerceptionsinDodoma Region
Authors: Ntebi Elkana
Published: December 2023

Contextualized education seeks to make education morerelevant and meaningful by bridging a gap between classroom learning and the world outside. It fosters a more holistic and engaging learning environment, preparing students for success in both academic and real-world setting. This study explored provision of contextualized secondary education in Dodoma; Tanzania for sustainable development by assessing teachers’ and students’ perception. This study employed quantitative approach, applying the descriptive approach. Sample of the study were teachers and students from six secondary schools in Dodoma Region who were obtained through simple random sampling and convenience sampling techniques. Data were collected through questionnaires. The data collected were coded and analysed using SPSS. The findings of the study indicated that there is little contextualised content and pedagogy in teaching and learning in Tanzanian secondary schools. The study concludes, curriculum should include cultural, contextual and non-contextual aspect to enforce meaningful learning. Basing on the findings and conclusion, the study recommends curriculum developers and implementers to reconsider including cultural elements in order to improve contextualized education in teaching and learning for sustainable development. Keywords: Learning, pedagogy, integration, globalisation. contextualised education, sustainable development
Developing a Short-term Study Abroad Survey
Authors: Horness Paul
Published: December 2023

Study abroad programs offer students an exciting and effective way to experience language and culture. It also helps students grow individually. However, administrators need to confirm the program’s goals and objectives. This study examined the construct validity and reliability of a survey, which is the basis of development, conducted in a short-term study abroad program. Three main categories of the study abroad experience were examined: language, culture, and self-development. The results of a principal component analysis and Rasch model analysis indicated that the survey items are functioning appropriately and can be used for the basis in measuring the perceptions of students in a short-term study abroad program. Thus, the survey can help administrators assess their study abroad programs.
POLÍTICAS DE DESARROLO REGIONAL EN LA UNIÓN EUROPEA: UN REFERENTE PARA MERCOSUR 1
Authors: González Román Rodríguez
Published: December 2023

Este artigo pretende apresentar a política levada a cabo pela União Europeia em matéria de correção dos desequilíbrios internos, a título de modelo para uma possível ação similar por parte dos países do MERCOSUL. Ambos processos de integração supra regional nascem em dois momentos históricos distantes e apresentam notáveis diferenças no tocante as suas estruturas econômicas e sociais. Entretanto, mostram certas similitudes quanto ao aparato administrativo de organização interna e uma mais que evidente coincidência nos objetivos perseguidos (uma união aduaneira no seu início). Estas coincidências derivam de que o processo experimentado pela União Europeia é tomado como referência a seguir por parte da nova organização MERCOSUL. Este bloco, como também, o europeu manifesta claros contrastes territoriais internos entre áreas de marcada concentração produtiva, demográfica e político decisória, e uma periferia geográfica e política (caso do Nordeste brasileiro). Se o MERCOSUL se consolida como bloco supra regional e adquire um maior protagonismo político é bem possível que no futuro ponha em marcha ações de desenvolvimento regional planejadas a escala MERCOSUL.
AS NOVAS ESTRATÉGIAS DE DESENVOLVIMENTO ECONÔMICO REGIONAL
Authors: Silva Filho Guerino Edécio da
Published: December 2023

O artigo analisa a adequação das estratégias de desenvolvimento econômico regional implementadas no Nordeste e levanta alguns aspectos considerados cruciais para a efetividade das políticas futuras. O estudo aponta que, dadas as novas características do padrão de crescimento da economia nacional e o baixo nível de escolaridade dos agentes produtivos nordestinos, o efetivo incremento do capital humano será fator condicionante fundamental do sucesso das políticas de desenvolvimento regional a serem adotadas no futuro. Neste sentido, formas complementares de esforço para aumento do capital humano do Nordeste deverão ser tentadas, isto inclui, principalmente, melhorias na provisão de serviços médicos, destacando-se produtos da medicina profilática, bem como incremento da escolaridade e treinamento dos agentes produtivos.
DIMENSÕES DO DESENVOLVIMENTO: TEORIA E PRÁTICA NO NORDESTE BRASILEIRO
Authors: Menezes Adriano Sarquis Bezerra de , Carvalho Eveline Barbosa Silva
Published: December 2023

O estudo tem como objetivo precípuo identificar os principais fundamentos que orientam a formulação de políticas de desenvolvimento no mundo contemporâneo. Analisa como tais políticas influenciam o desenvolvimento econômico sustentável nacional dentro de uma visão dinâmica que atenda aos preceitos de redução das disparidades no nível de renda e da inserção competitiva do país no mercado internacional. Apresenta as principais dimensões do desenvolvimento sustentável que estão sendo trabalhadas no Nordeste brasileiro pelo Banco do Nordeste, destacando o método de atuação em parceria com diversos órgãos das esferas federal, estadual, municipal e com organizações não-governamentais, na busca de promover o desenvolvimento econômico integrado da Região.
Indrianeu
Authors: Indrianeu Tineu , As'ari Ruli , Mulyanie Erni , Rendra Esta
Published: December 2023

Stunting in Tasikmalaya City has increased, one of which is in Gununggede Village, Kawalu District, Tasikmalaya City, there are 75 children experiencing Stunting. Fish nuggets are an alternative food to improve children's nutrition. The aim of the activity is to increase nutritional knowledge and behavior among stunted children among PKK mothers in Gununggede Village as an effort to prevent stunting. Based on the results of the situation analysis in the Gununggede Subdistrict area, information was obtained that the community does not yet understand the dangers of stunting in children and understands that one of the efforts to reduce stunting is by processing high-nutrient foods that children like, one of which is making fish nuggets. Providing education to PKK mothers who act as mediators of family health information in the community is expected to be the first step in solving problems. This training in making fish nuggets was delivered using power point media and direct practice. The participants' positive response to this activity was seen from the participants' activeness during the discussion. Based on the results of pre-test and post-test data processing, which consisted of 10 multiple choice questions, the n-gain value obtained by PKK women in Gununggede Village was 6.3% and 7.1%. This shows that there is an increase in the understanding of PKK mothers before and after providing education. The method used is by providing information on Stunting Prevention material to children. To evaluate the increase in knowledge regarding healthy foods high in fiber, respondents will be given pre- and post-questionnaires during the activity. This service activity will be carried out by PKK mothers in Gunung Gede Village, Kawalu District, Tasikmalaya City.
Upaya Penguatan Kampung KB Melalui Digitasi Informasi program kampung KB Di Desa Jawa Baru Kecamatan Huta Bayu Raja Kabupaten Simalungun
Authors: Batubara Abdinur , Nababan Ramsul , Kabatiah Maryatun , Rachman Fazli , Matondang Muhammad Farouq Ghazali
Published: December 2023

Progam penguatan kampung KB memerlukan inisiasi cerdas oleh pemerintah desa untuk dapat disebarluaskan secara baik. Desa nagori Jawa Baru mengalami kendala yang cukup berat untuk dapat sistem penyebarluasan informasi program penguatan Kampung KB secara adaptif dengan memanfaatkan kecanggihan teknologi. Masalah utamanya adalah desa tersebut tidak memiliki ahli di bidang IT untuk mampu mengembangkan sistem informasi berbasiskan teknologi seperti website. Tim pengabdian dari Universitas Negeri Medan melakukan kemitraan dengan pemerintah Desa Negeri Jawa baru untuk dapat membantu mengembangkan website SID Desa nagori Jawa baru yang merangkum informasi tentang program penguatan Kampung KB. Pengabdian dilakukan melalui tahapan identifikasi masalah, fgd penyelesaian masalah, perancangan solusi, sosialisasi website, pelatihan website, dan evaluasi kinerja. Pada proses pelaksanaannya baik pemerintah Desa maupun masyarakat desa merasa terbantukan dengan keberadaan website SID desa yang merangkum informasi program Kampung KB. Sehingga dengan demikian informasi Desa menjadi lebih transparan dan mudah untuk dikonsumsi oleh masyarakat. Dengan demikian, maka desa nagori jawabaru dapat secara kontributif menjawab tantangan SDGs Desa point ke-18 yaitu “kelembagaan desa dinamis dan budaya desa adaptif” terhadap teknologi.
Pelatihan Quiziz Sebagai Media Interaktif Penunjang Pembelajaran Era 5.0
Authors: Subarkah Pungkas , Marcos Hendra , Arsi Primandani , Lestari Luna Tri , Fiani Okta , Agustina Faoza Lintang , Subehi Nanda Tri
Published: December 2023

The main problem for teachers is the mastery of information technology, added to the administrative burden, making them reluctant to add insights to support learning. Especially at SD N 1 Petir. The implementation method used is preparation, implementation and evaluation. The implementation of this activity runs smoothly starting from opening to closing. The material presented includes the history of quizizz, the usefulness of quizizz, the benefits of quizizz and the features of quizizz. The results obtained after this training were that the teachers conveyed that there was an increase in insight into the use of the quizizz application as an interactive media to support learning.
Pelatihan dan Pendampingan Percepatan Penyusunan Jabatan Fungsional Dosen Universitas Muhammadiyah Sinjai.
Authors: Syamsuddin  , Mukhlis Suardi , Nawir Adi , Hidayat Israt
Published: December 2023

Jumlah dosen tetap di Fakultas Ilmu Sosial dan Ilmu Politik Universitas Muhammadiyah Sinjai berjumlah 65 orang, yang belum memiliki jabatan fungsional sebanyak 21 (32%) Dosen, sedangkan dosen yang memiliki jabatan fungsional Asisten Ahli (AA)  sebanyak 23 (36%) Dosen dan yang memiliki jabatan fungsioan Lektor  sebanyak 21 (32%) dosen. Berdasarkan data tersebut, maka representasi dosen dengan jabatan fungsional masih rendah terutama dosen yang dengan jafung lektor kepala belum ada. hal ini menunjukan bahwa masih terdapat permasalahan terkait jenjang karier dosen di Universitas Muhammadiyah Sinjai yang perlu dicari solusinya. Oleh karena itu, melalui kegiatan pelatihan dan Pendampingan ini bertujuan untuk dapat meningkatkan jumlah dosen yang memiliki jabatan fungsional yang lebih tinggi serta dosen lebih memahami aturan yang ada terkait penyusunan jabatan fungsional dosen.

Adapun metode pendekatan yang kami lakukan untuk menyelesaikan permasalahan mitra adalah melaksanakan kegiatan Pelatihan dan Pendampingan Percepatan Jafung Dosen adalah melalui pelatihan dan pendampingan untuk meningkatkan kualitas dan kuantitas Jabatan Fungsiona Akademik Dosen di Lingkup Fakultas Ilmu Sosial dan Ilmu Politik Universitas Muhammadiyah Sinjai. Adapun hasil dari kegiatan tersebut adalah dari 21 dosen yang belum memiliki jafung dan 23 dosen yang memiliki jafung Asisten Ahli, alhamdulliah tinggal 15 orang yang belum berjafung dan beberapa dosen berhasil menaikkan jafungnya dari Asisten Ahli ke Lektor. Tentunya dengan bertambahnya jafung serta kenaikan jafung akan mempengaruhi kualitas SDM serta Akreditas Program Studi begitupula dengan akreditas Instutusi. Sehingga kegiatan pelatihan yang dilakukan bersama mitra ini menjadi langkah awal untuk terus melakukan kegiatan pelatihan dan pendampingan kepada dosen di Lingkup Universitas Muhammadiyah Sinjai agar dapat meningkatkan jafung hingga ke Jafung Lektor Kepala dan Guru Besar.
Coste de los efectos adversos asociados a enzalutamida o apalutamida en el tratamiento del cáncer de próstata resistente a la castración no metastásico en España
Authors: Anguita Alonso Paloma , González Junco Cristina , Cañete Vinuesa María , Rubio-Rodríguez Darío , Rubio-Terrés Carlos
Published: December 2023

Antecedentes: Enzalutamida (ENZ) y apalutamida (APA) son dos fármacos indicados en el tratamiento del cáncer de próstata resistente a la castración no metastásico (CPRCnm). Los datos clínicos disponibles no permiten demostrar diferencias de eficacia entre ambos. Sin embargo, sí se han observado diferencias en su perfil de efectos adversos (EA).
Objetivo: Comparar el coste de los EA asociados al tratamiento con ENZ y APA en pacientes con CPRCNM.
Métodos: Se realizó un análisis modelizado probabilístico, mediante simulaciones de Monte Carlo de segundo orden, en una cohorte hipotética de 1.000 pacientes con CPRCnm, desde la perspectiva del Sistema Nacional de Salud (SNS) y un horizonte temporal equivalente al seguimiento de los ensayos clínicos en CPRCnm (PROSPER y SPARTAN para ENZ y APA, respectivamente). Se analizó la frecuencia de todos los EA descritos en las fichas técnicas de ambos fármacos de la Food and Drug Administration (FDA) de los EE.UU. Los costes unitarios (€ 2018) se obtuvieron de los precios públicos sanitarios y de estudios españoles previamente publicados. Se realizó un análisis de sensibilidad determinístico, considerando el conjunto de los EA asociados a ENZ observados en los estudios PROSPER (pacientes con CPRCnm) y PREVAIL (pacientes con cáncer de próstata resistente a la castración metastásico, CPRCm).
Resultados: Debido al diferente perfil de seguridad de ENZ, en comparación con APA, en cada paciente con CPRCnm tratado con ENZ se generaría un ahorro de 2.544 € (IC95% 1.640-3.671 €). Considerando el conjunto de efectos adversos de PROSPER y PREVAIL, el ahorro por paciente tratado con ENZ en lugar de APA sería de 2.621 € (IC95% 1.677-3.768 €).
Conclusiones: Según el presente modelo económico, el diferente perfil de seguridad del tratamiento con ENZ, en comparación con APA, tendría un considerable impacto económico sobre el coste de cada paciente con CPRCnm.
Palabras clave: neoplasia de próstata; enzalutamida; apalutamida; reacciones adversas; costes y análisis de costes.
THE ECONOMIC IMPORTANCE OF FISCAL POLICY IN ENSURING FOOD SECURITY AND FOOD SECURITY
Authors: Həsənzadə Esmira
Published: December 2023

Since the day of its existence, human society has needed the consumption of food products in order to ensure the continuity of life activities. For this purpose, in the initial periods, he carried out practical activities aimed at the preparation and breeding of various agricultural and livestock products on this basis. However, over time, the change and development of the society according to the requirements of the time led to fundamental changes in their daily consumption requirements. Therefore, provision of food supply under favorable conditions acts as an important direction of the national food policy of each country. For this purpose, since the support of local product producers in different areas is a tested and efficient world experience, special attention is being paid to the practice of the state supporting local producers through financial instruments in order to ensure modern food security. In this area, directions for improving the financial mechanism are distinguished and the most efficient ones are used.

Purpose: distinguishing food security as an important link of national economic security, justifying that its provision leads to fundamental socio-economic change in the national economy.

Methodology: the methodology of the article is made up of mathematical-statistical analysis, logical sequence, logical judgment and analysis-synthesis methods.

The result of the research: although there are many scientific-theoretical approaches to food safety in modern times, a comprehensive solution to the problem has not been achieved. On the one hand, the increasing number of people in the world, on the other hand, the aggravation of the impact of various negative trends occurring in the environment have led to the emergence of many different obstacles to ensuring food security. Since such obstacles are identified and eliminated in a short period of time, it takes a certain amount of time to achieve the results of the implemented measures.
ENVIRONMENTAL SUSTAINABILITY AS A COMPETITIVE ADVANTAGE OF ENTERPRISE IN THE GLOBAL MARKET
Authors: Eminova Aysel
Published: December 2023

Ensuring the economic, social and environmental aspects of sustainability within the scope of each enterprise’s activity is one of the important issues facing each enterprise. Especially in recent times, the importance given to ecology by customers around the world, their preference for ecologically clean products when choosing goods and products, and their positive attitude towards enterprises that do not harm the environment indicate the increasing importance of environmental sustainability to businesses. In the article, the issues of the enterprise achieving environmental sustainability by choosing the right strategy, thereby increasing the chance to enter new markets, customer satisfaction, productivity, increase in sales volume and obtaining a competitive advantage were involved in the research. It has been emphasized that the enterprises that choose green production have increased their reputation and gained advantage in global markets and among customers with innovative technologies and approaches.

Purpose: is to show that a company’s preference for an ecologically sustainable approach is important not only for the environment and the world, but also for its own sustainable development and future, taking into account that a profit-oriented approach leads to pollution and the depletion of natural resources that business needs.

Methodology: Research and analysis method was used in the research work

The results of the research: As a result of the research, it was concluded that the enterprise’s consideration of environmental issues during its activity, reduction of consumption of natural resources, transition to green production leads to an increase in the reputation of the business among potential customers, entry into new markets and an increase in competitiveness.
IMPACT OF STRENGTHENING PERSONNEL POTENTIAL ON ENTERPRISES' ACTIVITIES IN AN ENVIRONMENT OF INCREASING COMPETITION
Authors: Abbasova Mehin
Published: December 2023

The article envisages the effect of strengthening the potential of personnel, stimulating the labor of personnel, managing personnel and benefiting from this potential at the highest level in the activities of enterprises and organizations trying to gain a competitive advantage in the market economy. The author gave an analysis of the increasing importance of personnel potential for all commercial organizations that are currently trying to adapt to the increased competition in the open market economy.

Purpose – he goal is to assess the increasing importance of personnel potential in ensuring the competitive advantage of enterprises.

Methodology – systematic approach.

Findings – the importance of personnel potential as the most important component of the profitable operation of enterprises was specially emphasized, as a result, the necessity of efficient use of human resources as the main component of profitable activity was emphasized.
SOCIAL ADAPTATION AND EDUCATIONAL PROBLEMS CHILDREN OF REFUGEES AND MIGRANTS
Authors: Javadova Hormat
Published: December 2023

In most cases, migrant children are exposed to socio-cultural risks. In such cases, children do not have the social and psychological conditions they need for normal development. Exacerbation of this or other risk can lead to mental illness, behavioral disorders, drug and alcohol abuse.

Traumatic, stressful situations, such as witnessing death or physical abuse, can affect the health of both adults and children. It is parents and families who reduce the mental stress of children in emergency situations. These children sometimes act unconsciously, are not responsible for their actions, and are pessimistic about the future. They are concerned about the fear of isolation from society and all children who experience psychological shock suffer from the consequences. Besides physical and mental disorders, such children impair cognitive processes and behaviors in society. The situation of refugee children at school often undermines their self-confidence. The lack of knowledge about the language and culture of the new country makes them feel awkward and lag behind other students in learning school subjects. Refugee children’s problems at school can undermine a child’s ability to have positive experiences outside the family.

Education can open the door for refugees to participate fully in the life of the host country. For ordinary migrant workers and their children, studying in a host country teaches them about the society in which they will live, helps them develop their full intellectual potential and promotes social integration.

Purpose – Research and analysis of the problems of social adaptation and education of children of refugees and migrants.
Methodology – a systematic approach, comparative historical analysis, etc. İn the study of such a rather complex problem as social adaptation and the problems of raising children of refugees and migrants used general and special scientific methods.
Results of the research – social workers working with children of refugees and migrants should develop an effective program to study the problems faced by children and provide assistance to them.
ASSOCIATION OF THYROID FUNCTION AND POST TRAUMATIC STRESS DISORDER: A SYSTEMATIC REVIEW
Authors: Prameswari Pretika , Azhari Ririn
Published: December 2023

Background: Numerous studies conducted over the last few decades have shown a negative correlation between post-traumatic stress disorder PTSD and physical health and wellbeing. Thyroid dysfunction may be related to a variety of mental disorders, including PTSD. However, it is still debatable.
The aim: This study aims to investigate association between thyroid function and post-traumatic stress disorder.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up to date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and ScienceDirect, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Results: In the PubMed database, the results of our search brought up 42 articles, whereas the results of our search on ScienceDirect brought up 163 articles. The results of the search conducted by title screening yielded a total 15 articles for PubMed and 10 articles for ScienceDirect. We compiled a total of 14 papers, 11 of which came from PubMed and 3 of which came from ScienceDirect. We excluded 3 review articles, 3 duplicate articles, 1 animal study, and 2 articles having ineligible outcomes data. In the end, we included five research that met the criteria.
Conclusion: PTSD may alter thyroid function but there is scanty evidence regarding their relationship.
The connection between coping with social conflict and the youth’s perception of parental attitudes
Authors: Borecka-Biernat Danuta
Published: December 2023

Cel. Celem badań była ocena postrzeganych postaw rodzicielskich w generowaniu destruktywnej (agresja, unik, uległość) i konstruktywnej (zadaniowej) strategii radzenia sobie młodzieży w sytuacji konfliktu społecznego. Materiały i metody. W badaniach posłużono się Skalą Postaw Rodzicielskich (SPR) Mieczysława Plopy i Kwestionariuszem do badania strategii radzenia sobie młodzieży w sytuacji konfliktu społecznego (KSMK) Danuty Boreckiej-Biernat. Badania empiryczne objęły 893 osoby (468 dziewcząt i 425 chłopców) w wieku 13–15 lat. Wyniki. W świetle przeprowadzonych badań stwierdzono, że destruktywny (agresywny, unikowy, uległy) sposób reagowania adolescentów na napięcie emocjonalne w sytuacji konfliktu społecznego kształtują nieprawidłowe postawy rodzicielskie charakteryzujące się uczuciowym dystansem lub uczuciową koncentracją rodziców w stosunku do dorastającego dziecka, brakiem zrównoważonej więzi emocjonalnej i wysoko postawioną poprzeczką wymagań wraz z przesadną dyscypliną i rygorem. Ponadto analiza materiału badawczego wskazała, że prawidłowe postawy rodzicielskie, przepełnione ciepłem uczuciowym, akceptacją i wsparciem, uznaniem swobody do aktywności z jednoczesnym uszanowaniem indywidualności wyposażają dorastające dziecko w strategię konstruktywną (zadaniową), skuteczną w przezwyciężaniu sytuacji konfliktu społecznego. Wydaje się, że uzyskane informacje mogą być wskazówkami teoretycznymi w opracowaniu strategii wychowawczych mających na celu ukształtowanie jednostki radzącej sobie z konfliktem w sposób dojrzały.
Level of Nurses Knowledge Regarding Heart Failure Education in Three Major Hospitals of Peshawar
Authors: Ghani Shaheen , Ali Niaz , Ghani Nasreen , Khattak Irfan
Published: December 2023

Background: Heart failure poses a significant global health burden, with increasing prevalence and mortality, particularly in low- and middle-income countries like Pakistan. Nurses' knowledge in heart failure management is crucial for effective patient care and education.
Objective: This study aimed to quantitatively assess the knowledge of nurses regarding heart failure education in three major hospitals of Peshawar, Khyber Pakhtunkhwa.
Methods: A cross-sectional study was conducted from November 2015 to April 2016 among 100 registered nurses in the cardiology departments of Lady Reading Hospital, Hayatabad Medical Complex, and Khyber Teaching Hospital, using a multi-stage sampling technique. Data were gathered via a structured questionnaire, categorizing knowledge into "Poor," "Good," and "Very Good."
Results: Of the participants, 57% demonstrated "Very Good" knowledge in heart failure education. Specific findings included 55% incorrectly advising high fluid intake for heart failure patients and 37% underestimating the impact of lifestyle changes and medication adherence on disease management. Additionally, 27% of nurses suggested inappropriate medication use, like NSAIDs for heart failure patients.
Conclusion: While a majority of the nursing staff showed a commendable level of understanding in heart failure education, significant gaps in knowledge were evident. The findings underscore the need for enhanced and continuous education to bridge these gaps and align nursing practices with international standards.
Prognosis of Patients Having Post Traumatic Extra Dural Hematoma with and without Lucid Interval
Authors: Mumtaz Mohammad Daniyal , Bokhari Iram , Akber Rabail , Ali Amjad , Hamid Haris , Daniyal Sanam
Published: December 2023

Background: There is limited research in our country on the prognosis of patients with post-traumatic extradural hematoma, particularly in relation to the presence or absence of a lucid interval. Understanding this relationship is vital for effective surgical planning and family counselling.
Objective: The study aimed to assess the prognosis of patients with post-traumatic extradural hematoma, focusing on the impact of a lucid interval on patient outcomes.
Methods: This retrospective study, approved by the hospital's ethical committee, included 46 patients with post-traumatic extradural hematoma, both with and without a lucid interval. The study variables were age, gender, mechanism of injury, pupillary abnormalities, Glasgow Coma Scale (GCS) score upon admission, and presence of a lucid interval. Patient outcomes at discharge, including mortality, residual disabilities, and functional recovery, were documented. Data analysis was performed using SPSS 23, employing descriptive statistical methods.
Results: The average age of patients was 27.04±7.74 years, with the majority (52.2%) aged between 21 and 30 years. Males constituted 84.8% of the study group. Regarding the GCS score, 23.9% of patients scored below 8. The study found that 37.0% of the patients experienced mortality, 23.9% had residual disabilities, and 58.7% achieved functional recovery. Notably, functional recovery was 50.0% in patients who experienced a lucid interval, compared to 90.0% in those who did not.
Conclusion: The study concluded that patients with post-traumatic extradural hematoma who present without a lucid interval have a better prognosis than those with a lucid interval. The delay in timely management associated with a lucid interval leads to increased morbidity and mortality.
Effect of Aerobic Exercise with and without Strengthening Exercises on Neuropathic Symptoms in People with Diabetic Peripheral Neuropathy
Authors: Naseer Hifza , Umair Javaid Muhammad , Ahmad Khan Moeen , Nadeem Rubab
Published: December 2023

Background: The incidence of peripheral neuropathy among chronic diabetic patients is escalating, with a notable rise observed in Pakistan. This trend has been partly attributed to the predominant reliance on pharmacotherapy, while the role of physical exercise in management remains underutilized. Aerobic exercise is widely recommended in clinical guidelines for the treatment and prevention of diabetic complications, and it is hypothesized that the addition of strength training could yield even more benefits.
Objective: This study aimed to evaluate the effects of combined aerobic and strength training exercises on neuropathic symptoms in patients with diabetic peripheral neuropathy.
Methods: In this randomized clinical trial, 40 patients with diabetic peripheral neuropathy were equally divided into two groups: Group A underwent a combined regimen of aerobic and strength training exercises, whereas Group B engaged in aerobic exercises alone. The effectiveness of these interventions was assessed using the Michigan Neuropathy Screening Instrument (MNSI), Numeric Pain Rating Scale (NPRS), and Clinical Global Impression of Change (CGIC). Data were analyzed using SPSS version 20.0, employing independent t-tests, repeated measures ANOVA, and descriptive statistics for in-depth analysis.
Results: Group A demonstrated a significant reduction in MNSI scores with a mean difference of 1.700 and a p-value < 0.001, indicating a substantial improvement in neuropathic symptoms compared to Group B. While both groups showed significant improvements in NPRS and CGIC scores, the differences were not statistically significant, with p-values of 0.599 and 0.330, respectively, and mean differences of 0.1500 and 0.2500 for NPRS and CGIC. The overall statistical analysis revealed a high significance level (p < 0.001) within both groups in all measured outcomes, suggesting considerable improvements post-intervention.
Conclusion: The addition of strength training to aerobic exercises significantly enhances the reduction of neuropathic symptoms in diabetic patients. However, for pain relief and overall clinical improvement, both treatment approaches—combined aerobic and strength training or aerobic exercise alone—were equally effective.
A Comparative Analysis of Adult Hydronephrosis at a Tertiary Care Hospital: Uncovering Uncommon Etiologies
Authors: Mustajab Mukarram , Sahar Sumayya , Mustajab Kainat , Shaukat Waleed , Khan Ajmal
Published: December 2023

Background: Hydronephrosis, characterized by the swelling of a kidney due to urine buildup, presents varied clinical manifestations and etiologies. Understanding these variations is crucial for effective diagnosis and management.
Objective: This study aimed to analyze the clinical characteristics and associated pathologies of hydronephrosis in a diverse patient population to enhance the understanding and management of this condition.
Methods: A cross-sectional study was conducted at the surgical ward of Mardan Medical Complex and Teaching Hospital from July 2022 to July 2023. A total of 178 patients were included, with a median age of 38 years, exhibiting a slight female predominance. Non-probability sampling was used for patient selection. Criteria excluded patients with conditions like diabetes, hypertension, or cancer. Data on clinical characteristics, including lateralization, nature of hydronephrosis, and associated pathologies, were collected and analyzed using Chi-square analysis in SPSS version 24.
Results: The study found that bilateral hydronephrosis was more prevalent (69%) than unilateral, with a higher incidence of left-sided (62%) involvement. Complete hydronephrosis was observed in 74% of patients, and internal hydronephrosis in 67%. Associated pathologies included urethral strictures (11%) and bladder tumors (2%). The weight distribution varied, with the most common range being 61-70 kg.
Conclusion: The study highlighted the diverse presentation of hydronephrosis in adult patients, with a significant prevalence of complete and bilateral cases. These findings underscore the importance of individualized diagnostic and treatment approaches, emphasizing the need for early intervention. The study also calls for further research to understand the regional variations and underlying causes of hydronephrosis.
Higher education in Cambodia: Engendered, postcolonial Western influences and Asian values
Authors: Keun IM
Published: December 2023

This research identifies the external historical influences on higher education in Cambodia and how this has affected local traditional values and socio-cultural perspectives. It provides an overview of the major contemporary Western neoliberal influences in this context. A critical review of the literature explores how traditional values and practices have interacted with these modern external influences. The paper finds that an emerging hybrid model has evolved in post-conflict Cambodia, formed via different development agendas, reflecting a struggle with traditional values, cultural heritage and history. The paper outlines a policy position for higher learning reform reflecting this hybrid model that advocates for traditional cultural, and historical influences to be promoted alongside a drive for modernization.
The impact of international remittances from migrant workers in South Korea on the livelihoods of rural Cambodian households: A case study of Pea Reang District, Prey Veng Province
Authors: Sokunthea CHAN , Chansok LAK
Published: December 2023

This paper explores patterns in how remittances transferred by Cambodian labour migrants working in South Korea impact the livelihoods of rural households in Cambodia. A mixed-methods research design was used to develop a case study of 69 households in Reap and Roka communes in Pea Reang District, Prey Veng Province. In-depth interviews based on a semi-structured questionnaire were conducted with Cambodian migrant workers in South Korea, the respective commune chiefs, as well as officials from the Ministry of Labour and Vocational Training (MoLVT) in Cambodia. The majority of the Cambodian workers were found to migrate to South Korea by the higher salaries on offer. Other push-pull factors included a lack of local employment opportunities and the experience of poverty. The average annual remittance was found to be 7,000 USD, of which households spent mainly on food, health care, home renovation, education and property, among other expenses. Despite positive short-term impacts, remittances are considered to be an unreliable and insecure source of income if they are not used to invest in longer-term livelihood strategies.aces significant constraints in supplying adequate electricity to its citizens. Currently, energy shortages tend to derive from both limited energy generation and inefficient energy consumption. This research explores alternatives to this situation via the use of innovative technologies. It seeks to integrate solar panels with energy grids in buildings, equipped with online switches for controlling these systems, to save energy. The proposed system uses a combination of on-grid solar systems, the existing grid, systems for data collection, as well as online switches. An experimental model was used to demonstrate that a 130-watt solar panel has the capacity to generate 176.96 kWh per annum, equivalent to 132,720 KHR; if used with IoT devices to collect data to efficiently control the system. This innovative approach enables easy access to clean energy, leading to benefits for the economy, environment and society.
Factors influencing the reduction of plastic bag consumption in Cambodian supermarkets
Authors: Kvanthai ING
Published: December 2023

In 2017, the Royal Government of Cambodia (RGC) introduced Sub- Decree 168 on the Management of Plastic Bags. It legislated that a 0.10 USD fee would be paid by consumers for each plastic bag they were provided at a supermarket. However, the reduction in plastic bag consumption by supermarkets has been quite limited. This paper analyses the factors that influence the reduction of plastic bag use by supermarket customers in Phnom Penh. It considers socioeconomic characteristics, access to information, existing knowledge, attitudes, and practices, as well as the willingness to pay a fee to use a plastic bag. A survey of 403 customers in five supermarkets was conducted to assess these factors. The study reveals that lack of available information, and poor knowledge, attitudes, and practices presented challenges for the goal of reducing plastic consumption in supermarkets. The inconvenience of a reduction in plastic bag use was found to result in negative attitudes towards the fee. Plastic bag consumption remained high at 1 to 7 bags per visit to a supermarket. Willingness-to-pay the scheduled fee was shown to have minimal influence on the number of plastic bags they used. Thus, this study recommends an increase in the fee to 0.125 USD per bag. A binary logistic regression was used to show that greater access to information, as well as changes in knowledge, attitudes, information, would have a significant influence on the reduction of plastic bag use in supermarkets.
Public perceptionsabout the management ofplastic consumptionin Kang Meas District,Kampong Cham Province
Authors: Chivy NAM , Chivy NAM
Published: December 2023

This paper analyzes the knowledge, attitudes, and practices associated with the management of plastic consumption in Kang Meas District, Kampong Cham Province. It describes the negative environmental impacts of plastic consumption and advocates for improved plastic waste management in rural areas of Cambodia. A cohort of 235 households in Kang Ta Noeng and Roka Ar communes was selected to participate in this research. A significant correlation between plastic consumption and indicators such as household income was found. For instance, the higher the household income, the more plastic that each household consumed. To reduce plastic consumption, an adaptation study is required to set an appropriate price for plastic bags that may be enforced by small businesses. Littering on the road or in other public places such as rivers or canals was found to be driven by people's behaviour and lack of knowledge. Households demand better support to meet national policies for waste management, collection and disposal. It is recommended that the management of plastic waste is improved by 1) awareness-raising about issues linked to plastic consumption to improve the attitudes, behaviours and practices of local people 2) the designation and provision of waste disposal sites by local authorities, including community campaigns to manage plastic waste on a commune or village basis, 3) supporting a policy to discourage the use of plastic bags nationwide by charging a fee for their use, 4) providing sufficient budgets for local authorities properly collect and separate plastic for recycling, and 5) include knowledge about the management of plastic consumption in the school curriculum to raise awareness and plastic consumption from an early age.
Preliminary study of colorimetric detection for potential medicinal compounds of Kaempferia parviflorausing phytochemical determination
Authors: Eneang OURN , Viboth LY , Thev POL , Chanchao CHEM
Published: December 2023

Medicinal plants are used in traditional medicine to treat various diseases. They have been utilized to prevent and cure numerous diseases, the treatment of which is established in conventional knowledge practices. K. parviflora is a perennial plant with numerous medicinal properties. This study seeks to conduct a preliminary investigation of traditional medical treatment using K. parviflora, which has been employed for treating hypertension and promoting longevity through overall good health. In its results, this study shows that K. parviflora contains potential medicinal compounds such as flavonoids, phenolics, tannins, and terpenoids. The preliminary colorimetric detection of the K. parviflora extracts provides high confidence in the positive assessment of traditional medical practice. The present investigation suggests that using colorimetric detection for initial screening is acceptable. However, it is strongly recommended that chromatography be used in chemical concentration analysis for further study.
ANALYSIS OF THE APPLICATION OF INCOME TAX ACCOUNTING PPh 21 THE SALARY OF EMPLOYEES AT VITKA POINT BATAM SPBU
Authors: Ita Mustika  , Ferdila  , Khadijah  , Viola Syukrina E Janrosl
Published: December 2023

SPBU Vitka Point is a company engaged in the fuel retail sector in Batam City. SPBU Vitka Point deducts PPh 21 every month from employee income. The goal to be achieved in this study is to analyze whether the calculation, determination, and reporting of PPH 21 Income Tax for employees at the Vitka Point gas station are by the Law on the Harmonization of Tax Regulations No. 7 of 2021 (Chapter III). The research was conducted using descriptive qualitative methods and data collection techniques using observation, documents, and interviews. The Vitka Point gas station uses a withholding tax system withholding tax. The calculation of PPh 21 at the Vitka Point gas station for income received regularly by employees is correct and by the provisions of the applicable Law.