bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Digital Technologies in the Project Management Implementation Based on the Intellectual and Innovative Development of the Enterprise
Authors: Kozlova Inna , Herashchenko Inna , Mazhnyk Lidiia , Samsonenko Nataliia , Velyka Olena
Published: January 2024

Current trends of post-industrial development lead to the intensification of the use of digital technologies in multi-vector processes of social development. The purpose of the study is to substantiate the role of digital technologies in the project management implementation on the basis of intellectually innovative development of the enterprise using the methodology of an integrated approach. The methodological basis of the research is emphasized, which includes the methodology of an integrated approach and the separation of the principles of the application of digital technologies in the implementation of project management, namely, purposefulness, adequacy, systematicity, effectiveness, efficiency, influence, security, viability and social orientation. The advantages of using digital technologies in the project management of enterprises are highlighted for all levels of project management, which includes the upper levels of enterprise management, covering the strategic level of management, project management, which provides direct management of specific projects and the project team, that is, the level of project implementation. The functional tasks of the use of digital technologies in the project management implementation based on the intellectual and innovative development of the enterprise have been clarified.
Rancangan Pembuatan API Website Data Tanaman Obat Dan Langka Kabupaten Kediri
Authors: Busro Shandy Arshad Busro Cahyono , Sucipto  , Rina Firliana  , M Najibuloh Muzzaki  , Anita Sari Wardani  , M Iqbal Khalid  , Adhi Wicak Milbar Gamas  , Heru Setiawan
Published: January 2024

The design of a website for information on medicinal and rare plants in Kediri Regency aims to provide convenience in obtaining information easily and quickly. The design of this website uses the Software Development Life Cycle (SLDC) Waterfall method with the stages of identification, analysis, design, implementation and testing. The web-based Application Programming Interface (API) uses Node.js as a runtime environment for the JavaScript programming language using the Express.js framework. The Application Programming Interface (API) is used as a liaison between the client and server, testing the endpoint Application Programming Interface (API) using Postman tools by displaying the results of the test in the form of data in JSON (JavaScript Object Notation) format which is used to store and transfer data
Pengembangan Game Puzzle Find Grass Menggunakan Algoritma Backtracking
Authors: Yulyanto  , Sugiharto Tito , Maudia Arsyad Fikri
Published: January 2024

Game like a tools of entertainment that is enjoyed and played by many grups ranging from children. teenagers and adults. With the rapid development of technology, games are becoming more practical. For example, nowadays we no need to buy a games console like Playstation to play a games. One of the games that has a good impact to users is a game in the form of education, from the explanation above, idea arises to take research to make a game entitled “Find Grass” based on 3D perspective android. That the concept of each level of the game, user must direct or control the player, namely a rabbit looking for a grass to get to the final destination poin with limited time. In making this game requires a Backtracking Algorithm that can find the fastest path to get to a certain destination poin and later will be applied to the help system in the game. The system development method is GDLC (Game Development Life Cycle) which has stages such as initiation, pre-production , production, beta, release. For application design using UML (Unified Modeling Language ). In addition , the application to create games uses Unity 3D. The final result of the application created is a game that is compatible on smartphone devices with an android operating system at least 5.0 (Lollipop). This game has several menus including the main menu, stage menu consisting of 3 stage guide menu and exit menu.
Penerapan Metode Design Thinking dalam Perancangan UI/UX Aplikasi Mobile SIPROPMAWA
Authors: Ansori Soni , Hendradi Purwono , Nugroho Setiya
Published: January 2024

Sipropmawa is a web-based system designed to manage, monitor, and oversee the online submission of proposals. However, the use of the Sipropmawa website is still suboptimal and lacks attention to user interface (UI) and user experience (UX) design, especially when accessed through mobile devices, resulting in user discomfort when using the application. Therefore, the motivation behind this testing is to update the UI/UX of the Sipropmawa application from a website to a mobile-based application by implementing the design thinking method. The choice was made to adopt a design thinking approach because it emphasizes creativity in creating new solutions and places a strong emphasis on understanding user needs. This study involves the collection and analysis of data, which includes five stages of the design thinking method: empathize, define, ideate, prototype, and testing. The implementation of the design thinking method in the development of the user interface (UI/UX) yields results that can achieve the goals of the method, which is to enhance user satisfaction and utility. In this regard, the support relies on the results of usability testing, which achieved a final score of 86 and obtained a B classification on the rating scale. Thus, this indicates that users highly appreciate the usability of the Sipropmawa mobile application. The UI/UX design of the Sipropmawa application is expected to serve as a model for future development of the Sipropmawa application.
Aplikasi Augmented Reality (AR) Sebagai Media Pembelajaran Sistem Rangka Manusia
Authors: Kaharuddin Kaharuddin , Pernando Yonky , Marfuah Marfuah , KH Musliadi
Published: January 2024

Problems in the Indonesian education system have raised serious concerns over the low quality of education. One of the problems that causes low interest in learning is the lack of interest in the learning media used. Therefore, it is important for schools to create learning conditions that are comfortable, interesting, and provide opportunities for students to participate actively. One solution that can be used is the use of computer-based learning media, such as Augmented Reality (AR), which can increase students' interest in learning. In the context of learning Natural Sciences, understanding the anatomy of the human body is an important aspect. The purpose of this research is to develop an Augmented Reality (AR) application using the Game Development Life Cycle (GDLC) method as a learning medium or introduction to the human skeletal system. This application will be equipped with theoretical materials and 3D-based object views that include the names of related bones. With the development of this application, it is expected to create an interesting and interactive learning experience, increase the effectiveness of the learning process, and avoid boredom for students.
Ontology-Based Physical Exercise Recommender System for Underweight Using Ontology and Semantic Web Rule Language
Authors: Juliant Christhofer Laurent , Baizal Z. K. A. , Dharayani Ramanti
Published: January 2024

Inactive lifestyles and unhealthy diets are often the result of people's busy lives. because of these bad habits, many people are underweight. diet and lack of physical activity are factors that cause underweight. Due to lack of information, people prefer to live lazily and not exercise. To solve this problem, we propose a physical exercise recommendation system that is explicitly designed for Indonesian people who are struggling with underweight. Despite the existence of various research studies advocating for physical activities tailored to individual preferences, there is currently no recommendation system available within a chatbot framework that includes a comprehensive session to be completed, along with specific sets and repetitions for each activity. This research proposes the utilization of ontology and Semantic Rule Web Language (SWRL) to represent and process the knowledge presented, enabling the development of rules for generating physical activity recommendations based on user preferences. By integrating the user profile, ontology, and the rules created, our system recommends physical exercise based on gender, weight, height, activity level, difficulty of movements, and the type of muscle to be trained. From the sample user data obtained, 408 physical exercises menu are recommended. The performance of the system is quite good, together with the validation results from personal trainers, obtained a precision value of 0.8, recall of 1, and f-score of 0.888. Concluding that the system we designed can provide physical activity recommendations in accordance with user preferences.
Pengaruh Work Life Balance dan Burnout terhadap Work Achievement Melalui Motivasi Kerja Sebagai Variabel Intervening
Authors: Vitaningdyah Faradila , Sumartik Sumartik
Published: January 2024

Penelitian ini memiliki tujuan menganalisis pengaruh work life balance, burnout terhadap work achievement melalui motivasi kerja sebagai variabel intervening. Pada penelitian ini metode yang digunakan adalah metode kuantitatif. Pengumpulan data dilakukan melalui teknik kuesioner serta dokumentasi. Jumlah responden dalam penelitian ini yaitu 56 dosen wanita di UMSIDA. Adapun teknik analisis data pada penelitian ini adalah : teknik analisis statistik deskriptif, uji validitas, uji reliabilitas, uji asumsi klasik (normalitas, multikolonearitas, heteroskedastisitas), uji analisis jalur (Path Analysis), dan uji sobel. Penelitian ini memberi hasil yaitu : work life balance tidak dapat berpengaruh langsung terhadap work achievement, burnout dapat berpengaruh langsung terhadap work achievement, work life balance dapat berpengaruh terhadap work achievement melalui motivasi kerja sebagai variabel intervening, burnout tidak dapat berpengaruh langsung terhadap work achievement melalui motivasi kerja sebagai variabel intervening, serta motivasi kerja dapat berpengaruh langsung terhadap work achievement.
Pengaruh Pinjaman Online terhadap Gaya Hidup Mahasiswa Akuntansi di Kabupaten Sidoarjo
Authors: Sugiarto Bagus Bachrul Salam
Published: January 2024

Penelitian ini bertujuan untuk menganalisis Pengaruh Pinjaman Online Terhadap Gaya Hidup Mahasiswa Akuntansi Di Kabupaten Sidoarjo. Metode pengambilan sampel yang digunakan adalah menggunakan perhitungan Rumus Slovin. Selain itu, Peneliti membuat kriteria tertentu siapa yang dijadikan sebagai responden. Kriteria responden yang akan diteliti adalah mahasiswa yang berada di Kabupaten Sidoarjo dan menggunakan Pinjaman Online. Sampel dalam penelitian ini adalah 95 Responden. Data yang digunakan adalah data primer. Metode analisis data yang digunakan dalam penelitian ini adalah Regresi Linear Berganda dengan SPSS 25. Hasil penelitian ini menunjukkan bahwa Pinjaman Online Terhadap Gaya Hidup.  Pinjol adalah bagian dari inovasi di sektor keuangan atau sering disebut juga fintech. Syarat yang begitu mudah untuk mendapatkan akses pinjaman keuangan, membuat berbagai lapisan masyarakat dapat terbantu dengan modal segar dari lembaga penyedia, termasuk di kalangan mahasiswa sekalipun. Bahkan, dengan kemudahan akses pada pinjaman online sering kali pinjol dianggap “kartu kredit” bagi mahasiswa. Dengan adanya kemudahan pinjaman ini maka akan meningkatkan gaya hidup masyarakat.
Avoiding the Weaknesses that can be seen in Writing According to the Size and Shape of the Handwriting of Fourth Grade Students
Authors:   Teacher, Sri Sumanajothi College, Ingiriya, Sri Lanka., Priyangi S P G
Published: January 2024

Focusing on Sri Lankan education in particular, this research investigates remedial teaching programs to overcome deficiencies in handwriting according to the size and shape of students in primary education. In this study, descriptive research methodology is used to collect information about relevant variables in relation to topic-based objectives. By analyzing the information and presenting conclusions and suggestions. This is a sample survey that falls under the survey research category under descriptive research. This study was conducted by analyzing the data obtained by conducting a six-step remedial teaching program and six evaluations to a selected sample to overcome writing weaknesses in terms of handwriting proper size and shape, which is an academic problem that needs to be solved in the field of education. In particular, the results revealed that there is a significant positive relationship between the remedial teaching program and the correction of handwriting impairments. The strong association and positive relationship between the confirms the need for specific treatment to overcome handwriting weaknesses in Sri Lankan education sector to maximize the achievement levels of all students. Sues of remedial teaching methods to overcome handwriting impairments shows significant impact on the development of the field of education. This is confirmed by data analysis and interpretation. The relevance of this research in teaching the development of handwriting skills in education. This confirms the need for specific treatment to overcome handwriting weaknesses in Sri Lankan education sector to maximize the achievement levels of all students.
Analysing Risk & Return Profiles: A Comparative Study of the Indonesian Stock Market against International Benchmarks
Authors:   MBA Candidate, School of Business and Management, Bandung Institute of Technology, Indonesia, Hamonangan Marco David , Sumirat Erman ,   School of Business and Management, Bandung Institute of Technology, Indonesia, Sunitiyoso Yos ,   School of Business and Management, Bandung Institute of Technology, Indonesia
Published: January 2024

The Indonesian stock market, also known as IDX, has emerged as a prominent player in the financial landscape of Southeast Asia. It has attracted the interest of investors who regard it as a potential source of massive returns. Nevertheless, empirical research has consistently demonstrated that developing nations’ stock markets tend to exhibit a notable degree of volatility. This volatility is well recognised for its propensity to amplify risk levels for domestic investors, potentially leading to a decrease in the demand for stock market investments. The observed phenomenon in Indonesia reveals a very low degree of stock market engagement when compared to benchmark nations. This suggests that the high volatility in the market may be a contributing factor. Understanding the risk-return characteristics of the IDX in comparison to recognised benchmark indexes is crucial for making educated investment decisions. This study will conduct a comparative analysis of the risk-return attributes of the IDX in comparison to six well recognised benchmark indexes, specifically the S&P 500 Index, the Straits Times Index, the FTSE 100 Index, the Shanghai Stock Exchange Composite, the BSE Sensex, and the BOVESPA Index. The study employs several risk and return measures, such as standard deviation, coefficient of variation, and the Sharpe ratio, to assess the relative performance of the IDX. The objective of this study is to evaluate the comparative appeal of the Indonesian stock market when compared to international benchmarks, with a specific focus on risk and return. The aim is to determine the optimal level of stock market involvement and the inclination towards risk aversion or risk-seeking behaviour among retail investors in Indonesia.
Yoga and Diabetes: Unveiling the Therapeutic Potential of Kumbhaka Practices in a 60-day Intervention Study
Authors: Shah Namrata , Raj Vibhu Swami , Cecil Mary , Chakraborty Mainak
Published: January 2024

Background: The 21st century has marked an increase in global health challenges due to lifestyle transformations associated with globalization and modernization. Diseases such as mental stress, diabetes, hypertension, and cardiovascular ailments have become prominent, emphasizing the need for effective interventions.Objective: The objective of the study was to assess the potential therapeutic benefits of Kumbhaka, a key component of yoga, in managing type 2 diabetes.Methods: A60-day intervention study was conducted, involving three groups: Group I received allopathic medicine, Group II practiced Kumbhaka exclusively, and Group III served as the control. Various biochemical parameters, including fasting plasma glucose, 2-h postprandial glucose, and hemoglobin A1c, were monitored.Results: Both experimental groups (Group I and II) demonstrated significant reductions in the monitored biochemical parameters. Notably, Group II exhibited better outcomes compared to Group I. In addition, improvements in energy levels and blood pressure were observed in the experimental groups.Conclusion: Kumbhaka therapy demonstrated promising results in managing type 2 diabetes, suggesting its potential as an alternative or complementary approach. Further comprehensive studies with larger sample sizes are recommended for validation and broader applicability
Association of Body Mass Index with Kellgren–Lawrence Grading of Knee Osteoarthritis – A Cross-sectional Study
Authors: Ambily V. R , Krishnan N. Navaneeth
Published: January 2024

Background: Osteoarthritis is the most prevalent form of arthritis causing disability, particularly in elderly population. Aging, female sex, obesity, and possibly nutritional deficiencies trigger the pathogenesis of osteoarthritis. This study aims to identify the association of body mass index (BMI), with knee osteoarthritis grading viewed from Kellgren–Lawrence (KL) criteria in participants with osteoarthritis of the knee joint.Methods: This research is a cross-sectional study using analytical approach in 70 participants diagnosed with Knee Osteoarthritis at Vaidyaratnam Ayurveda College, Ollur, Thrissur. BMI was calculated by measuring the height and weight of participants. Grading of knee OA based on KL criteria was assessed from the antero-posterior X-ray radiograph.Results: Of 70 participants, 81.4% were female and 31.4% were in the age group of 50–55 years, 27.1% in the age group of 61–65 years. Among the total 70 participants, 45.7% belong to overweight category, 28.6% were obese. Knee OA grading based on KL criteria indicates that the most frequent grade is Grade 2 with 34.3% followed by Grade 3 30%. Spearman rank correlation showed a positive correlation between BMI and degree of joint damage, which was statistically significant at 0.01 level (r = 0.491**, P < 0.001).Conclusion: The higher the BMI value, the heavier the grading of OA of the knee
A Comparative Study on the Nutritional Value of Korean Food by Foreigners through Big Data Analysis: Based on the trend analysis of overseas academic research papers
Authors:   The Foodservice Management Society Of Korea, Park Jae-Seok , Cho Jong-Won , Kim Myung-Hee
Published: January 2024

This study identified the trends of overseas academic research papers on Korean food after 'COVID-19' to find out how Korean food was actually affected by COVID-19 and changes in recent trends due to those effects. First, as a result of TF analysis, words related to health care and disease research are derived from the top 10 to 20, indicating that research on health care and disease in Korean food after COVID-19 is active. Second, as a result of conducting TF-IDF on foreign Korean food research from 2021 to 2023, cell (66.0) showed the highest frequency Third, as a result of N-gram analysis of foreign Korean food research from 2021 to 2023, 'covid→19' was derived the highest with connection strength (298). It can be seen that many studies have been conducted for the purpose of patient treatment. As many people are less interested in Korean food due to COVID-19, we suggest practical implications that it is necessary to create an environment in which people are more interested in Korean food by identifying the changing eating behavior of Korean food and preparing measures to minimize risk factors.
Desafíos y soluciones para la efectiva incorporacion de cláusulas sociales a la contratación pública
Authors: GORDO CANO DIANA
Published: January 2024

El trabajo analiza la importancia de la compra socialmente responsable
desde la perspectiva práctica de la validez de los contratos en que se incorpora.
En particular, se trata de analizar el impacto que la inclusión de cláusulas o
criterios sociales van a tener en estos contratos y se ofrecen pautas prácticas para
incluirlas según la fase del contrato en la que se introduzcan. Se estudian especialmente
las limitaciones que los tribunales administrativos de recursos contractuales
imponen a estas cláusulas y la inseguridad que se ha generado, así como
propuestas de solución al respecto.

Sozialki arduratsua den erosketaren garrantzia aztertzen du lan
honek, ikuspegi praktiko hau oinarri hartuta: erosketa mota hori txertatzen duten
kontratuen baliozkotasuna. Zehazki, kontratu horietan klausula edo irizpide
sozialak txertatzeak zer eragin izango duen aztertu nahi da, eta horiek txertatzeko
jarraibide praktikoak eskaintzen dira, kontratuaren zein fasetan sartuko diren
kontuan hartuta. Kontratu-errekurtsoen administrazio auzitegiek klausula horiei
ezartzen dizkieten mugak eta sortu den segurtasun eza aztertu dira bereziki, eta
konponbide-proposamen batzuk eskaintzen dira.

The paper analyzes the importance of socially responsible public
procurement from the practical perspective of the validity of the contracts in
which they are incorporated. In particular, the aim is to analyze the impact that
the inclusion of social clauses or criteria shall have on these contracts and there
are provided practical guidelines for their inclusion depending on the stage of
the contract at which they are introduced. In particular, the limitations imposed
on these clauses by the administrative tribunals for contractual remedies and the
uncertainty that has arisen, as well as proposed solutions, are examined.
Relasi “Dialektik–Etik” Islam-Demokrasi di Indonesia
Authors: Arifin Syamsul
Published: January 2024

Ahmad Syafii Maarif—whose nickname is Buya Syafii—is one of the leading Muslim intellectuals in Indonesia who inherited not only scholarly work, but also an exemplary personality to which he has attached attributes as a national figure. Maarif has come up with various ideas which are spread across various publication platforms such as articles in various leading newspapers and books. Maarif is also active and has an important role in community organizations and government institutions. Maarif was the General Chair of the Muhammadiyah Central Leadership in 1998-2005 and a member of the Steering Committee of the Pancasila Ideology Advisory Board (BPIP). Maarif has also been president of the World Conference on Religion and Peace (WCRP) as a world interfaith forum in New York which promotes religion as an instrument of peace and non-violence. By considering his character and pioneering as one of the leading Muslim intellectuals and figures in Indonesia, Maarif is an interesting and important study subject. This article pays attention to Islamic thought or Maarif Islamic intellectualism which wants to link “dialectically-ethically” between Islam and Indonesianness. Maarif has a strong argument, which starts from reading the Koran, history and the Indonesian context that Islam does not need to be placed in “binary opposition” to political realities that have become the nation’s consensus such as Pancasila. Islam in Indonesia must thus be manifested in performance as an “ethical entity” which will later become a pillar for the realization of a civilized Indonesia. Dialectical-ethical thinking can be seen in Maarif’s arguments against democracy which are explored more in this article
ANALYSIS OF FACTORS INFLUENCING SATISFACTION WITH USING THE MOBILE LAPOR APPLICATION IN INDONESIA
Authors: Wijaya Theresa Karyn
Published: January 2024

The rapid digital growth in Indonesia has prompted the government to leverage digital-based services to address the needs and concerns of its citizens. In this context, the LAPOR (People's Online Aspiration and Complaints Service) mobile application and website have been established as a means for Indonesians to voice complaints, aspirations, and requests for information to government agencies. However, user satisfaction with the LAPOR application has been suboptimal, as evidenced by user ratings and comments on platforms such as Playstore and AppStore. This research aims to identify the factors influencing user satisfaction with the LAPOR mobile application in Indonesia. The study focuses on variables including ease of use, security privacy, system quality, speed of platform response, and attitude toward use. The research methodology involves primary data collection through the distribution of questionnaires via Google Form to Indonesian users residing in specific regions. The validity and reliability of the research are ensured through rigorous testing of dependent, independent, and intervening variables. The findings of the research highlight the significant influence of security privacy on system quality, ease of use on user satisfaction, and system quality on ease of use. These results provide valuable insights for the government of Indonesia to enhance the effectiveness of the LAPOR system in addressing public complaints and aspirations. By addressing these factors, the government can improve user satisfaction and engagement with the LAPOR mobile application, ultimately leading to more effective public service delivery and citizen engagement.

Keywords:

Mobile Application, User Satisfaction, Technology Acceptance Model (TAM), Public Complaints, Indonesia Public Service Delivery
Recidiva ou reação reversa?
Authors: Opromolla Diltor V.A.
Published: January 2024

É descrito o caso de uma mulher de 88 anos, portadora de hanseníase BT que foi internada no Instituto "Lauro de Souza Lima", apresentando grandes placas eritematosas em todo o corpo que apareceram abruptamente. Ela, em 1935, já havia sido  internada neste Instituto apresentando um quadro semelhante, menos intenso e que desapareceu espontâneamente em 2 anos. Na primeira vez puderam ser demonstrados bacilos somente em uma pun cão de linfonodo, mas no segundo surto foram visto bacilos em todas as lesões. Em ambas as ocasiões o exame histopatológico das lesões revelou a presença de granulomas tuberculoides. Geralmente este tipo de fenômeno reacional tem uma duração de vários meses e o intervalo entre um e outro pode oscilar entre dois a tres meses até uns poucos anos(cinco anos em um caso descrito por Wade). Em nosso caso o intervalo entre os dois surtos reacionais foi extremamente longo, 40 anos.Achamos dificil admitir que o too de fenômeno reacional descrito seja devido a uma rein fecção, devido ao too de lesões observadas e o aparecimento de algumas delas junto ao local das lesões regredidas do primeiro surto. Consideramos mais provável que o aparecimento do segundo surto neste caso, está relacionado com a multiplicação de bacilos persistentes que foram destruidos pelo sistema imune, liberando antígenos que desencadearam uma reação de hipersensibilidade retardada cuja expressão clínica foram as lesões cutâneas reacionaisisso poderia explicar qualquer outro surto agudo rotulado como reação reversa que ocorra antes, durante ou após a interrupção da terapêutica. Desta maneira não haveria necessidade em diferenciar reação reversa de recidiva após o término do tratamento e seria então importante reavaliar o real efeito da quimioterapia nesses casos reacionais.
Avaliação da atividade macrofagica na hanseníase virchowiana e tuberculóide
Authors: Foss Norma Tiraboschi , Oliveira Meire Soares de Atafde , Silva Célio Lopes
Published: January 2024

Para avaliaras alterações imunológicas das formas polares da hanseníase investigouse a produção de aTNF (fator de necrose tumoral) "in vivo" e "in vitro' de 31 indivíduos, sendo 11 virchowianos, 10 tuberculóides e 10 controles normais. Células mononucleares aderentes do sangue periférico, foram cultivadas durante 24 horas a 379C em atmosfera contendo 5% de CO2. TNF foi quantificado, através do método ELISA, no sobrenadaste das culturas e no soro dos grupos estudados. Os resultados, em pg/ml, revelaram níveis de aTNF significativamente maiores no soro e nos sobrenadantes de culturas de tuberculóides em relação aos virchowianos e indivíduos normais, indicando a deficiência de macrofagos de virchowianos para o desencadeamento e manutenção da reação imunecelular, favorecendo a disseminação da infecção. Observou-se também, correlação negativa entre os índices baciloscópicos e os níveis de aTNF, sugerindo que quanto maior o fluxo bacilar menor será a atividade macrofágica com conseqüente supressão da resposta imunecelular.
A hanseníase como doença de baixa prevalência
Authors: Virmond Marcos
Published: January 2024

Devido os rápidos avanços no controle da hanseníase obtidos pela introdução da PQT e as positivas modificações que ocorreram nos serviços de saúde, a hanseníase encontra-se em franco declínio de prevalência, permitindo que se tome, nos países endêmicos, uma doença de baixa prevalência no próximos 10 anos. Nesta fase, os elementos de um programa de controle deverão ser modificados ou ter sua prioridade revista. A manutenção de serviços de diagnostico e tratamento, a supervisão, e um atento sistema de vigilância epidemiológica serão fundamentais. Importante o apoio aos Centros de Referência para que se mantenham como reserva de conhecimentos e atuem no desenvolvimento de pesquisas ainda necessárias. A prevenção de incapacidades e a reabilitação assumem papel preponderante, uma vez que nesta fase a hanseníase devera voltar a ser considerada como doença de potencial incapacitante, haverá maior disponibilidade de recursos humanos e materiais para atender uma demanda importante e que não pode ser ignorada. Discute-se também, baseados em dados da literatura, uma estimativa para a magnitude do problema e sugere-se a introdução de novos indicadores.
Fenômeno de Lúcio (eritema necrosante)
Authors: FLEURY Raul Negrão , URA Somei , Opromolla Diltor Vladimir Araújo
Published: January 2024

Uma mulher de 35 anos com hanseníase virchoviana, apresentou lesões características do Fenômeno de Lúcio, que evoluíram com necrose e grandes ulcerações em sua face e membros. Houve infecção secundária com septicemia e choque e a paciente faleceu no décimo dia da  internação. Foram observados focos de necrose e exsudação neutrofílica em granulomas virchovianos em linfonodos e fígado, várias tromboses venosas e broncopneumonia. Os dados desta necrose e os da literatura sugerem que o Fenômeno de Lúcio é um infarto hemorrágico de áreas cutâneas causado pela oclusão de veias de plexos da derme profunda e do tecido subcutâneo, envolvidos previamente pela infiltração virchoviana e bacilos. Os focos exsudativos observados em granulomas virchovianos em linfonodos e fígado, sugerem uma reação tipo 2 com uma evolução subclínica e as alterações exsudativas a nível destas veias podem precipitar sua oclusão total. Um paciente com Fenômeno de Lúcio se comporta como um grande queimado, pois perde água, sais e proteínas pelas ulcerações que apresenta e está sujeito a infecção bacteriana das mesmas. Várias áreas de necrose na derme e subcutâneo podem liberar fatores de coagulação que causam as tromboses encontradas em vários territórios venosos. Não há relação entre os focos de necrose na mucosa gastrointestinal e a hanseníase, e elas são certamente causadas pelo choque.
Reação reversamacular pós-alta de poliquimioterapia multibacilar
Authors: Oliveira Maria Leide W. de , Gomes Maria Katia , Pimentel Maria Inês F. , Castro Maria Cristina R.
Published: January 2024

São apresentados três casos de pacientes portadores de formas multibacilares de hanseníase que apresentaram maculas hipocrômicas, em média seis meses após o término da poliquimioterapia/OMS para multibacilares (MB). Baseados nos exames baciloscópico, histopatológico e na evolução clínica favorável, com ou sem corticoterapia, firmou-se o diagnóstico de reação reversa macular, atípica, para estes casos. Discute-se este diagnóstico, em oposição à hipótese de recidiva de forma PB em pacientes inicialmente MB. Enfatiza-se a necessidade de uma correta caracterização das lesões de reação reversa pós-alta medicamentosa, evitando a reintrodução terapêutica desnecessária.
Paucibacilar ou multibacilar? uma contribuição para os serviços de saúde
Authors: Andrade Vera Lucia Gomes de , Moreira Tadiana Alves , Avelleira João Carlos Regazzi , Marques Alfredo Boechat , Bayona Manuel
Published: January 2024

A principal conseqüência de uma incorreta classificação operacional refere-se aos pacientes MB quando classificados como PB. Esse trabalho tem como proposta estudara aplicabilidade das recomendações da Coordenação Nacional de Dermatologia Sanitária/Ministério da Saúde (CNDS/MS) quanto aos procedimentos para a classificação operacional comparando primeiro os procedimentos para a classificação operacional efetuados pelo Instituto Estadual de Dermatologia Sanitária -IEDS (Centro de referência) com o recomendado pela CNDS/MS. A seguir compara-se a classificação executada pelo IEDS, padrão ouro, com dois diferentes cenários de serviços de saúde do pals e finalmente compara-se os procedimentos da CNDS/MS com os realizados pelos técnicos de saúde do Estado de São Paulo. Esta última comparação foi realizada para demonstrar o grau de aderência dos serviços de saúde do Estado de São Paulo com os procedimentos recomendados pela CNDS/MS. A discordância observada entre a classificarão do IEDS e a preconizada pela CNDS/MS é de 3,5% por conta dos casos dimorfos e indeterminados. Se o resultado da baciloscopia fosse o único critério de alocação, 20% dos MB seriam classificados e tratados como PB, e dos PB 5% seriam tratados como MB. Se o teste com Mitsudina fosse usado como critério isolado dos MB 19% seriam classificados e tratados como PB. Nos PB, 10% seriam tratados como MB. A comparação da classificação do Estado de São Paulo contra a CNDS mostrou uma concordância de 95,8%. Os resultados apontam no sentido de que as recomendações da CNDS/MS contituem-se num método de classificação de casos que prescinde de grande variedade dematerial de consumo, de equipamentos ou técnicasmais elaboradas permitindo que o profissional no nível local decida com segurança se os pacientes são MB e ou PB além de serem plenamente aplicáveis numa grande rede de serviços públicos.
Um dos problemas na classificação da hanseníase
Authors: Opromolla Diltor Vladimir Araújo
Published: January 2024

O autor, admitindo as reações reversas tipo I, como um dos grandes problemas na classificação das formas clínicas da hanseníase, discute a evolução dos conceitos a elas relacionadas desde a era pré-sulfônica até os dias atuais. Considera tanto as reações que ocorrem em casos tuberculóides ou dimorfos já estabelecidos, como aqueles que se manifestam agudamente como a única manifestação da doença, antes, durante ou após o tratamento, como expressões de um mesmo fenômeno, ou seja, uma reação de hipersensibilidade tardia a antígenos liberados pela destruição do M.leprae que estava se multiplicando. Baseado na discussão dos fatos apresentados, propõe uma classificação em que cada forma clínica é imutável e não admite alterações imunológicas durante sua evolução.
Estudo comparativo com dois esquemas poliquimioterápicos (duração fixa) em hanseníase multibacilar - seguimento de 50.32 ± 19.62 e 39.70 ± 19.47 meses
Authors: Gallo Maria Eugênia Noviski , Alvim Maria Fernanda Sardella , Nery José Augusto da Costa , Albuquerque Edson Cláudio Araripe
Published: January 2024

Estudo comparativo da evolução clínica e baciloscópica de 140 casos de hanseníase classificados como multibacilares, divididos em dois grupos e submetidos a dois tratamentos com associação de quimioterápicos com duração fixa. Grupo I: 70 casos submetidos a Rifampicina (RFM) 600 mg e Dapsona (DDS) 100 mg diários auto administrados por 3 meses consecutivos seguidos de DDS - 100 mg diários auto administrados por 21 meses. Grupo II: RFM - 600 mg e Clofazimina (CFZ) 300 mg uma vêz ao mês, supervisionados, associados a DDS - 100 mg e CFZ 50 mg diários, auto administrados com duração fixa de 24 doses supervisionadas. Não foram encontradas diferenças significativas (p > 0.05) na evolução baciloscópica e neuromotora entre os Grupos, na vigência dos tratamentos e no seguimento pós alta por cura. Foi encontrada diferença estatística (p < 0.05) na ocorrência de manifestações reacionais tendo o Grupo I apresentado maior número de casos com reação durante o tratamento e pós alta. Esta diferença foi atribuída a presença da CFZ no esquema terapêutico do Grupo II. O follow-up total do Grupo I foi de 2.110/pacientes ano com média de 50.32 ± 19.62 meses sendo diagnosticado dois casos de recidiva. Em 1 dos casos  rocedeu-se a inoculação da biópsia cutânea para inoculação no coxim plantar do camundongo de acordo com Shepard para verificação da viabilidade bacilar e resistência a RFM e DDS. Os resultados demonstraram bacilos viáveis, susceptíveis as drogas testadas. Este resultado foi confirmado pela evolução clínica e baciloscópica do caso após introdução no esquema poliquimioterápico preconizado pela OMS. Para o Grupo II, submetido ao esquema preconizado pela OMS e o atual em vigência em nosso país, o seguimento total foi de 1.897/pacientes ano, média 39.70 ± 19.47 meses não tendo sido diagnosticada nenhuma recidiva.
The Relationship between the Ego-Identity and Career Maturity of University Students: Mediating Effect of Goal Achievement and Career Education
Authors:   The K Association of Education Research, Kim Mi-Jung
Published: January 2024

This study analyzed the effect of college students’ self-identity on career maturity by mediating goal achievement and career education. The result of the analysis found that subjectivity and initiative, which are self-identities of college students, do not affect career perception, exploration, and planning, which are career maturity. It suggested that the formation of self-identity remained at a low standard for Korean social college students, which remains a possibility that career maturity is not directly correlated with self-identity. For example, they want to set their course of action, decide, act, and take responsibility accordingly, but they need a stable existence to support themselves and rely on due to anxiety about the uncertain future. However, career education in college is not statistically significant in career maturity, which results in completing career and job search courses or participating in job search-related programs has little to do with career maturity. It is necessary to create a decent program that considers each student’s individuality, coordination, efficiency, and satisfaction. In addition to administrative and financial support, individual career guidance should be reconsidered on their practicality. As a result, it was confirmed that alternatives should be presented to form a higher sense of self-identity for college students, and new follow-up studies and programs should be developed to link career education and career maturity in universities.
Impact of Marriage Immigrant Women's Digital Information Capabilities on Daily Life Satisfaction: Mediating Effect of Digital Information Self-Efficacy
Authors:   The K Association of Education Research, Kim Jun-su , Cho Woo-Hong
Published: January 2024

The purpose of this study is to verify the mediating effect of digital information self-efficacy in the relationship between marriage immigrant women's digital information capabilities and their daily life satisfaction. The responses of 563 marriage immigrant women from the marriage immigrant data from the ‘2022 Digital Information Gap Survey’ were used for analysis. A structural equation model was analyzed using SPSS 25.0 and AMOS 24.0, with marital immigrant women's daily life satisfaction as the dependent variable, digital information competency as the independent variable, and digital information self-efficacy as the parameter. As a result of the analysis, first, marriage immigrant women's digital information capabilities had a positive (+) effect on their daily life satisfaction. Second, marriage immigrant women's digital information capabilities had a positive effect on their digital information self-efficacy. Third, marriage immigrant women's self-efficacy in digital information technology had a positive impact on their daily lives. Fourth, it was found that digital information self-efficacy partially mediated the effect of marriage immigrant women's digital information capabilities on their daily life satisfaction. Based on the research results, practical and policy implications were suggested for increasing satisfaction with married immigrant women's daily lives through improving digital information capabilities and digital information self-efficacy.
Classification analysis on whether residents of large cities and local cities experience depression
Authors:   The K Association of Education Research, Lee Dong Su
Published: January 2024

This study attempted to determine the importance of variables that affect whether personal factors and health levels between metropolitan cities and provinces experience depression. The data for this study was used from the Korea Disease Control and Prevention Agency's 2021 Community Health Survey. 4,602 data from metropolitan cities were used, and 19,545 data from metropolitan provinces were used. The big data used in data analysis was subjected to frequency analysis, T-test, variance analysis, and Random Forest analysis, a machine learning technique, using R 4.3.0 for Windows. As a result of the study, there was no problem of overfitting between train and test data, and the classification model of the machine learning technique was found to be at about 94%. As a result of the analysis, the importance of experiencing depression was different between large cities and local cities. It is believed that more efficient policy establishment will be possible by approaching the causes of depression experienced by citizens in the two regions differently.
A Study on the Perception of University Officials on the Allowance of University Education of Foreign Workers(E-9)
Authors:   The K Association of Education Research, Park Misuk , Choi Hee , Chae Bogeun , An Dongkwan
Published: January 2024

The purpose of this study is to explore the perception of university officials on the provision of university education for foreign workers(E-9), and to suggest ways to revitalize foreign workers(E-9) study abroad based on this. For the study, data were collected and analyzed through in-depth interviews with 10 university officials who provide university education to foreign workers(E-9). As a result of the analysis, first, university officials recognized the provision of foreign workers(E-9) study abroad as a desirable decision. The university education of foreign workers(E-9) was a timely decision in a situation where the number of students at junior colleges decreased as Korea's education level increased, and junior colleges were in financial crisis. Second, an operation plan was prepared to conduct industrial consignment education for foreign workers(E-9). They were planning a systematic curriculum suitable for the characteristics of foreign workers based on the educational experience of international students. Third, university officials recognized that foreign workers(E-9) would have a positive ripple effect in various areas, from individuals to schools, businesses, communities, and countries, after receiving university education. Based on these findings, it is necessary to prepare a place for learning where foreign workers(E-9) can cultivate professional knowledge and develop and inspect curriculum suitable for the characteristics of foreign workers. In addition, it is necessary to find a way for foreign workers to use it as a human resource for the local community and the country without leaving the community after graduation. Through this, it is hoped that foreign workers(E-9) will be able to train foreign workers beyond the aspect of the workforce that simply provides labor, transfer Korean technology, and play a role in emerging as a global Korea.
Analysis of Care Needs of Elderly People Using Elderly Welfare Centers
Authors:   The K Association of Education Research, Lee Jun-woo , Kim Hyun-suk , Kang Yi-sul
Published: January 2024

This study used integrated research methods to explore the role of senior welfare centers in implementing the care recognized in the senior welfare field as a service. Because it is not easy to determine what level and scope of care should be provided as a service at senior welfare centers, the role and identity of senior welfare centers need to be redefined in the community care system. Based on this reality, this study was conducted through a mixture of qualitative and quantitative research to examine what care is perceived by those using Senior Welfare Center B and the content of actual care that meets the needs of the elderly. The qualitative study was conducted through FGI and categorized and analyzed using the grounded theory method, and the quantitative study was conducted through statistical analysis after surveying 300 users of B Senior Welfare Center. As a result of the FGI analysis, the active life and health care of the elderly, the active life of the elderly and B elderly welfare center, the active life and social participation of the elderly, the active life and lifelong education of the elderly, and the conclusion of the active life of the elderly were presented as major issues. In the quantitative analysis, the priorities of care services and specific contents of care to be considered were derived. Based on the results of quantitative and qualitative research, the paradigm of care required by the elderly party was examined, and the role of elderly welfare center for the elderly to practice social and cultural care was suggested.
Urinary Tumor DNA-Based Diagnosis and Surveillance for Nonmuscle-Invasive Bladder Cancer—Current Landscape and Future Directions
Authors: Shiang Alexander , Nawaf Cayce , Chauhan Pradeep S. , Chaudhuri Aadel A. , Smith Zachary L. , Agarwal Gautum
Published: January 2024

Bladder cancer has a significant impact on patients, in terms of both morbidity and financial burden. This is especially true for patients with nonmuscle-invasive bladder cancer, who undergo long-term surveillance via cystoscopy and imaging, resulting in significant costs and risks. To address this issue, urinary tumor DNA analysis, or “urinary liquid biopsy,” has emerged as a potential solution to reduce the testing burden and mitigate many of the costs and risks. Over time, urinary tumor DNA analysis has undergone several refinements. However, existing FDA-approved urinary biomarker assays currently lack the sensitivity and specificity to significantly impact clinical decision-making. Subsequent iterations of these technologies have attempted to bridge this gap by improving their diagnostic accuracy, and ultimately, clinical utility. Here, we discuss the current role as well as future directions of urinary tumor DNA analysis for the detection and long-term surveillance of nonmuscle-invasive bladder cancer.