bluuebunny/crossref_metadata_2025 huggingface dataset:
KEBIJAKAN ALIH MANFAAT COVID-19 DALAM MANFAAT JAMINAN KESEHATAN NASIONAL
Authors: Kusila Gilbert Renardi , Suparniati Endang , Ardyanto Tonang Dwi , Pardede Donald , Hafidz Firdaus , Baros Wan Aisyiah , Revelino Dedy , Dhanalvin Erzan , Saut Benyamin , Jaya Citra , Oktavia Ayunda
Published: December 2022

Sejak terjadinya pandemi Covid-19 pada akhir Januari 2020, Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan sebagai pembayar memiliki bagian penting dalam penanganan Covid-19,  yaitu dengan melakukan proses verifikasi klaim kasus Covid-19 sedangkan pembiayaan dilakukan oleh Kementerian Kesehatan. Namun demikian, tidak menutup kemungkinan adanya pengalihan manfaat Covid-19 pada manfaat Jaminan Kesehatan Nasional (JKN) di masa endemi. Oleh karena itu, penelitian ini bertujuan untuk mengevaluasi layanan dan memperoleh rekomendasi kebijakan alih manfaat Covid-19.  Penelitian kualitatif melalui focus grup discussion dilakukan pada bulan September 2021 bersama pengambil kebijakan, klinisi, penyintas Covid-19, dan BPJS kesehatan. Hasil dari studi kualitatif menunjukkan bahwa masih banyak kendala dalam proses layanan. Oleh karena itu perlu diatur dengan ketentuan regulasi pelayanan. Adapun terkait proses klaim, fasilitas kesehatan merasa kesulitan atas perubahan regulasi yang dinamis selama pandemi. BPJS kesehatan memerlukan kepastian kebijakan penetapan berakhirnya masa pandemi. Jika menjadi manfaat Covid-19 dialihkan kepada JKN pasca pandemi, maka sumber pembiayaan mungkin hanya dilakukan melalui konversi iuran saja namun juga ada opsi dana pendampingan dari pemerintah. Dari segi tarif perlu dilakukan perhitungan biaya sesuai paket manfaat yang telah disepakati melalui INA CBG. Diperlukan persiapan bertahap dan matang untuk pelaksanaan alih manfaat Covid-19 dalam manfaat JKN.
Smoking prevalence and associated factors among university students: Smoking-Related family behaviors, knowledge, attitudes and socioeconomic status
Authors: Aboufatima Rachida  , Laadraoui Jawad  , Moubtakir Soad  , Sokar Zahra  , Chait Abderrahman
Published: December 2022

The purpose of this study was to determine the prevalence of tobacco use and examine the differences in smoking-related knowledge, attitudes, and behaviors among university students in Morocco. A questionnaire was administered randomly to a representative sample of 810 students. The age range of the participants was 18 and 38 years and the mean age was 21 years. Participants were asked to complete self-administered questionnaires about sociodemographic characteristics, smoking-related family and university environments, smoking-related knowledge and attitudes, and smoking behaviors. A total of 800 students (98.77%) completed and returned the questionnaire. The prevalence of tobacco consumption was 17%. Smoking prevalence was higher for males and those aged between 18 and 20 25 years. Specialty and education were significantly associated with cigarette smoking behavior. The high prevalence of smoking among the student’s means that prevention measures are essential; this requires increasing self-esteem and evaluating intervention programs implemented before smoking the first cigarette.
Detection and mass spectral characterization of carbofuran and its degradation product
Authors: Sridhar L  , Sudhaker S
Published: December 2022

Carbofuran is an N-methyl carbamate pesticide that is extensively used to control insects and nematodes on a range of farming crops because of its wide-ranging biological activity & relatively low persistence when compared to other pesticides. It is highly toxic to birds, mammals, fish and wildlife due to its anticholinesterase activity. In humans, Carbofuran is associated with endocrine disrupting activity, reproductive disorders, cytotoxic and genotoxic abnormalities. In biological and environmental conditions Carbofuran tend to undergo degradation. The screening, identification and characterization of the Carbofuran and its degradation product in biological samples are an important task in the area of forensic toxicology. In a case study Carbofuran and its degradation product Carbofuran phenol were detected and identified by Gas Chromatography Mass Spectrometry. The present study deals with the successful detection & characterization of the Carbofuran and its degradation product under positive ion Electron Ionization (EI) mass spectrometry. The EI mass spectra of the Carbofuran and its degradation product showed the stable molecular ion [M+•] peaks in addition to the other diagnostic fragment ions that enable unambiguous identification of Carbofuran and its Carbofuran phenol. The general fragmentation patterns of these two compounds are discussed in detail. Carbofuran showed an ion at m/z 164 as the base peak corresponds to loss of Methylisocyanato group (CH3NCO) from the [M+•] ion, which was formed by the Mclafferty rearrangement. Carbofuran phenol showed a more stable Molecular ion [M+•] peak compared to Carbofuran and showed a major peak at m/z 149 corresponds to the loss of methyl group from the [M+•] ion. The detection and identification of these compounds will be an invaluable support during investigation and in conviction of criminal cases in courts of law in Carbofuran poisoning cases.
Challenges Imposed by online-based learning on acquiring clinical knowledge and skills
Authors: Firdous Jahan  , Mohammed Al Azri  , Arwa Hilal Salim Al Azri  , Laila Alwahaibi  , Muhammad Siddiqui
Published: December 2022

Background; Medical students in clinical years are supposed to be independent, self-directed learner to motivate in depth learning. In response to COVID-19, medical education faculty have quickly transitioned to online formats that include COVID-19 crisis. The main purpose of this study was to assess the experience of clinical years’ students with online-based learning during the COVID19 pandemic. Method; A cross sectional survey based study was carried out in two medical colleges. Data was collected on self-administered questionnaire satisfaction regarding clinical knowledge and skills gained via online-based learning. Statistical analysis was performed using SPSS (IBM SPSS Statistics 20.0). Data were expressed in frequencies, mean and percentages. Results; Total 210 participants 50% from NUST and SQU, 71% female. Half of study participants (NUST-52.4% and SQU-60.0%) found online teaching ineffective. More than half of students (60.5%) experienced poor internet access. A total of 22.9% of students agreed and 50.5% of students were some extent agreed that they were able to achieve their objectives. More than two third (83.8%) or NUST and 61% of SQU students did not manage to achieve practical skills. In the questionnaire response, 88.6% of NUST and 69.5% of SQU students believed that online teaching is not sufficient to prepare clinical years students to become skilled future doctors. A significant difference (p-0.001) was observed between NUST and SQU student’s responses. Conclusion; Medical students in clinical years need in depth learning with maximum hands on practice. The webinar teaching has impact on medical student education, affecting the practice and training. Students believed that online teaching in its current form is not sufficient to prepare clinical years students to become skilled future doctors.
DRY MATTER ALLOCATION AND GRAIN YIELD OF WHEAT AS INFLUENCED BY SOLAR RADIATION LEVEL AND PLANT DENSITY
Authors: Hossain Md. Imran , Hasan Khalid , Ali Md. Yasin , Kabir Md. Yamin
Published: December 2022

An experiment was conducted from November 2018 to March 2019 to identify the effect of radiation levels and plant population on dry matter allocation and yield of wheat with the variety ‘BARI Gom 25’. The study was set out in the Randomized Complete Block Design with four radiation levels (full sunlight, 75% light, 55% light and 25% light) and three plant densities (160 plants m-2, 200 plants m-2, 230 plants m-2) that replicated thrice. Full sunlight or 75% light in combination with optimal plant density (200 plants m-2) resulted maximum culm dry weight, leaf dry weight, spike dry weight and total dry matter weight plant-1. The numbers of filled grain and unfilled grain plant-1 and yields of grain and straw m-2 were the highest from the above-mentioned combination. The lowest dry weights for culm, leaf, spike, and total dry matter and minimum grain yield and straw yield were obtained from 25% light either alone or in combination with any plant densities indicating the profound influence of light on dry matter production and grain yield of wheat. Therefore, reduced light (up to 25%) and optimal plant density can ensure wheat production without significant yield loss. This finding suggests possibility of wheat cultivation in agroforestry system and light limiting areas in Bangladesh and other parts of the world.
Tiempo entre el Uso de Tacrolimo y el Nivel Sérico Objetivo en Pacientes Después de un Trasplante Hepático en Adultos
Authors: Alves Paola Hoff , Sampaio Vittoria , Araújo Alexandre de , Tortato Caroline , Silva Mário Reis Álvares da
Published: December 2022

Introducción: El tacrolimo es uno de los inmunosupresores más utilizados en pacientes postrasplante hepático y suele existir una amplia variación en su nivel sérico. Es fundamental evaluar el tiempo medio para alcanzar el nivel sérico (NS) objetivo de tacrolimo después del trasplante de hígado, ya que los niveles muy bajos aumentan las posibilidades de rechazo del injerto y los niveles muy altos se asocian con toxicidad. Metodología: Estudio observacional de cohorte retrospectivo realizado en el Hospital de Clínicas de Porto Alegre. Se incluyeron pacientes trasplantados de hígado entre diciembre de 2012 y diciembre de 2017 en uso de tacrolimo oral. Los pacientes que alcanzaron un nivel sérico entre 6 y 8 ng/mL durante el mes 1 posterior al trasplante se consideraron un nivel sérico objetivo. Resultados: el 78% (67/87) de los pacientes alcanzaron el NS objetivo dentro de los 10 días posteriores al trasplante hepático. Los pacientes que experimentaron rechazo más de 1 año después del trasplante tardaron alrededor de 9 días en alcanzar el SL objetivo durante la hospitalización-índice frente a los 7 días de los pacientes que no experimentaron rechazo. Conclusión:Nuestro estudio, al considerar valores objetivo terapéuticos entre 6-8 ng/mL en pacientes postrasplante hepático inmediato, mostró que esta población realizó un tiempo promedio que parece determinar un buen pronóstico ya que en menos de 2 semanas el 78% de los pacientes alcanzaron el objetivo de NS cercano al recomendado.
State Support of Entrepreneurial Activity During the War in Ukraine
Authors: Hordiienko Yevheniia , Prykhodko Olga
Published: December 2022

Ukrainian business found itself in an extremely difficult situation, as the full-scale invasion of Russia is causing severe consequences for the business sector, which has not actually recovered from the quarantine restrictions associated with the pandemic. At the same time, in modern realities, the work of entrepreneurs in all spheres of life is more important than ever for the state. The article analyzes the structural changes that took place in the sphere of medium and small business. The expediency of strengthening the role of the state in the system of regulation and stimulation of business development was proven. Analytical data reflecting the state and structure of the economy sector represented by small and medium-sized businesses were studied. So, the following series of trends were revealed. Relocation is possible and not typical for all types of economic activity, according to the principle of expediency of transportation, enterprises can be distinguished: those that have moved, those that work in a hybrid mode, and those that have remained in the primary place of activity. During the war, most of the registered business entities are non-profit entities (charitable foundations, public organizations). The following areas of state support for business entities were singled out: fiscal (cancellation and postponement of taxes), informational and organizational (organization, relocation support, liberalization of business activity inspections, payments for employment of internally displaced persons) and financial (provision of business loans at a rate of 0% and their repayment at the expense of the state; special attention in this context is paid to subjects of foreign economic activity). In addition, several grants from the state and international organizations have been offered to business representatives. So, it was determined that the state applies a whole set of measures aimed at maintaining economic stability in the state.
Observations on dwindling population of Arnebia euchroma- A critically endangered taxon in Himachal Pradesh
Authors: Singh K. , Lal Brij , Todaria N.
Published: December 2022

Present communication highlights the current population status of Arnebia euchroma (Royle ex Benth.) Johnston in cold desert areas of Himachal Pradesh. In order to assess the population structure of A. euchroma, various ecological surveys were carried out in the entire Spiti sub-division of Lahaul-Spiti District, Himachal Pradesh, where it is found naturally distributed in two different protected areas namely Pin Valley National Park and Kibber Wildlife Sanctuary. Population density (individuals/m2) and frequency (%) estimated using random quadrat sampling were observed higher in Kibber Wildlife Sanctuary in comparison to Pin Valley National Park. A comparison of the present data with the earlier reports from the study area shows a significant decline in the population of this valuable species.
A critical assessment of changes in climate predicted by four GCMs under different RCP scenarios in Punjab (India)
Authors: Kaur Jatinder , Kaur Prabhjyot
Published: December 2022

The projected temperature, rainfall and solar radiation derived from four General Circulation Models namely CSIRO-Mk3-6-0, FIO-ESM, IPSL-CM5A-MR and Ensemble model under four RCP (Representative Concentration Pathways) scenarios were analyzed on annual basis for four agro-climatic zones of Punjab. The inherent bias in the simulated data was corrected by the difference method at monthly scale for maximum temperature, rainfall and at daily scale for solar radiation. In general, the temperatures are expected to increase linearly in future while the solar radiation and rainfall would decrease under the four RCP scenarios. Amongst the four models, the maximum temperature is predicted to increase from the baseline during mid/end century by 0.5 to 1.2/1.6 to 2.6 °C and minimum temperature is predicted to increase from the baseline during mid/end century by 1.1 to 2.6/2.7 to 4.1 °C by CSIRO-Mk3-6-0, respectively followed by IPSL-CM5A-MR model in decreasing order. The solar radiation predicted by four models is predicted to decrease from baseline during mid/end century by 0.5 to 1.1/0.3 to 1.2 W/m2 and rainfall during mid/end century by 96 to 558/59 to 530 mm by CSIRO-Mk3-6-0, respectively followed by FIO-ESM model in decreasing order. The highest/lowest maximum temperatures were predicted by four models under four RCP scenarios were 32.9 °C (Bathinda)/30.5 °C (Ludhiana), highest/lowest minimum temperature were 20.8 °C (Patiala)/17.9 °C (Amritsar), highest/lowest solar radiation 15.9 W/m2 (Amritsar and Bathinda)/14.9 W/m2 (Amritsar) and highest/lowest rainfall 659 mm (Amritsar)/346 mm (Abohar), respectively.
Prediction of tropical cyclone induced rainfall variability over East coast of India using satellite measurements
Authors: SP VIJAYALAKSHMI
Published: December 2022

Rainfall intensity due to cyclonic events is very high compared to the monsoon rain, causing heavy damage to the lives of humans and cattle and another severe bruise. To minimize such damages, accurate prediction of rainfall is necessary. Adequate knowledge about the spatial distribution of precipitation and its temporal variation is essential for any analysis. The study aims at predicting the rainfall resulting from the tropical cyclone (TC) to help any relief activity or preparation of disaster mitigation plans.
The detailed definition, classification, and conditions necessary for the cyclone to occur are discussed in the study to know how a hurricane originates, grows, and dissipates.  GIS-based mean rainfall along the track of TC is derived from TRMM-3B42 data to develop a relationship between the cyclonic parameters and rainfall.  
This correlation helps to assess its impact and behaviour. A generalized regression model is developed with the sensitive parameters of TC-induced rainfall and cyclonic variables like wind speed, location, pressure, and precipitation to predict future events with predictors as the cyclonic parameters and rainfall as the response.
 
Rainfall variability from 2008-2017 is analyzed.  2/3rd of the data (from 2008 -17) is used in analyzing part and the remaining for validation.  The prediction for the GAJA cyclone resulted in a correlation value of 0.8 and 0.72 for the 16th and 17th of November 2018. The results show that the predicted value is almost the same as the actual value of rainfall that has occurred.
Relationship of Surface Ozone (O3) with its precursors and meteorological parameters over New Delhi, India
Authors: SINHA PRIYANKA , Singh Siddharth , SAROJ POOJA
Published: December 2022

In the present study, continuous measurements of Surface Ozone (O3), Oxides of Nitrogen (NOx (NO+ NO2)), and carbon monoxide (CO), monitored at five different locations in Delhi National Capital Region have been studied for the period 2013 – 2019. The five monitoring locations used are namely IMD Lodi Road, IGI Airport Palam, CV Raman Dheerpur, CRRI Mathura Road, and NCMRWF Noida. The average hourly concentration of O3, NO, NO2, CO, NOx (NO + NO2), and OX(NO2 +O3) are found in the range of  32.44 ppb to 36.57 ppb, 19.46 to 28.09 ppb, 20.83 to 26.89 ppb,1.67 to 1.89 ppm,43.04 to 54.99 ppb, and 54.06 to 60.99 ppb respectively during the study period. Diurnal variation of NOx and CO Concentrations show higher values during the morning (0600-0900h) and late evening (1900-2400h) hours while the highest concentrations of ozone have been observed during afternoon hours. The relationship between NO, NO2, and surface O3 as a function of NOx has also been examined during daylight hours (0500hrs IST to 1900 hrs IST) and chemical coupling of the three species i.e. NO, NO2 and O3 have been studied. The ground-level concentration of Ozone has been found to decrease with increasing NOx concentration during the daytime. The variations in concentrations of oxidants (NO2 + O3) with the concentration of [NOx] have been studied to examine the contributing pollution sources of oxidants at all the study sites. The average rate of change of O3 concentrations (dO3/dt) has been examined at all five locations. The monthly and diurnal variation of oxidants [OX] at all the study locations has shown a strong positive correlation with temperature whereas a negative correlation with humidity.
Educação financeira: um estudo das ações desenvolvidas na semana maringaense de educação financeira
Authors: De Lima Luiza Berto , Sela Vilma Meurer , Greatti Ligia
Published: December 2022

A presente pesquisa tem por objetivo analisar as ações realizadas pelo Prosperingá na Semana Maringaense de Educação Financeira no município de Maringá-PR. A pesquisa se caracterizou como um estudo descritivo-qualitativo. A coleta de dados ocorreu de forma indireta, realizada por meio da pesquisa documental, utilizando-se de documentos fornecidos pelos diretores do Conselho de Desenvolvimento Econômico de Maringá (instituição responsável pelo programa Prosperingá), reportagens divulgadas pela mídia impressa e eletrônica, bem como por meio de informações nos sites das organizações diretamente relacionadas com o evento. Os dados foram analisados por meio da análise de conteúdo. O estudo mostrou que o programa, por meio de suas ações realizadas, apresentou grande relevância para a população maringaense, tendo em vista que proporcionou conhecimentos sobre educação financeira para um público de mais de oito mil pessoas, podendo trazer excelentes benefícios para a vida dos indivíduos, bem como para o desenvolvimento social e econômico do município.
Diagnostic Accuracy of Ultrasound for Benign and Malignant Hepatic Masses Taking Computed Tomography as Gold Standard
Authors: Aslam Ariba , Nazir Memona , Zain ul Abidin Syed , Fatima Zareen , Yousaf Farooq Syed Muhammad , Zia Saad , Ahmad Waqar , Adrees Nadia , Naeem Savaira , Imtiaz Areej , Fatima Manahil , Rita Ujala
Published: December 2022

Detection of benign and malignant liver masses is very important for the treatment. Objectives: To determine the diagnostic accuracy of ultrasound for hepatic masses taking computed tomography as gold standard Methods: It was cross a sectional analytical study to.it involves 266 patients suffering from hepatocellular cell carcinoma age group 45 to 65 years visiting Department of Radiology THQ Hospital Hazro, both genders were included. Consecutive sampling method was used. The collection of data was done through questionnaire and analysis by using SPSS version 25. Results: This study enlisted the participation of 261 patients. The average age of all patients was 59.28 14 years, with a range of 45 to 65 years. It describes that the total number of true positive disease were 228 which was also detected on ultrasound. However, the occurrence of HCC is highest on CT scan when compared with adenoma and hemangioma. There were 28 patients with multiple lesions, with 71.4 % being malignant and 28.6 % being benign. On the other hand, 22 individuals had a single lesion, of which 36.4% were malignant and 63.6 % were benign (p 0.001). CT had a sensitivity of 96 % to diagnose a malignant lesion, a specificity of 88.4 %, an accuracy of 95.78 %, a positive predictive value of 98.70 %, and a negative predictive value of 73.33 %. Conclusions:  The results of the present study therefore  concluded that CT is a useful  modality for the diagnosis of malignant liver masses.Ultrasound had high sensitivity, specificity for the hepatic masses. females were more effected than males. Among hepatic masses, HCC is the commonest.
Frequency of Bleeding Duodenal Ulcer in Patients Presenting with Upper Gastrointestinal Bleeding
Authors: Fahim Muhammad , Sohail Muhammad , Sajjad Khan Muhammad , Khan Fahim Ullah , Ur Rashid Salman , Akhter Shakeel
Published: December 2022

Acute upper gastrointestinal bleeding is a well-known complication of peptic ulcers and erosions. The prevalence of Upper Gastrointestinal bleeding ranges from 48-160 patients per 100,000 people, with consistent reports of higher incidence among elderly and men. Objective: To determine the incidence of duodenal ulcer bleeding in patients admitted to the tertiary care hospital with bleeding from the upper gastrointestinal tract. Methods: The study included 270 patients, 20 to 70 years of age, of both sexes with upper gastrointestinal bleeding within 24 hours of symptom onset. A detailed interview and complete physical examination were performed. Endoscopic examination protocols were followed and accomplished within 48-hrs of the start of symptoms as bleeding. All of the above information, including age, sex and duodenal ulcer, was documented in a formerly designed proforma. The data were analyzed and entered in SPSS 22.0.  Results: The mean age and SD were 54.5 + 10.54. 110 (40.74%) patients were 20-45 years old and 160 (59.25%) subjects were 46-70 years old. 190 (70.37%) patients were male and 80 (29.62%) females. While in this study duodenal ulcer was seen in 64 (23.70%) patients, 206 (76.29%) patients did not have duodenal ulcer. Conclusions: Upper Gastrointestinal bleeding is secondary to duodenal ulcers due to an increase in early readmissions over time, as observed in this local population, resulting in a higher incidence of duodenal ulcers in our local population.
Knowledge, Attitude, and Perception of Women Regarding C-Sections during their Antenatal Period
Authors: Jamil Komal , Baqir Syeda Rida , Aslam Shafaq , Iqbal Rasheed , Ilyas Yumna , Fahim Muhammad Faisal
Published: December 2022

C-Section is a surgical procedure in which a mother gives birth to a child through the abdomen by the incision of the uterus. The prevalence of CS globally is 30 to 40 percent. Objective: To find out the knowledge, attitude, and perception of women regarding C-Section during their Antenatal period. Methods: The cross-sectional survey was conducted among married women. The sample size of 537 women from 18 to 35 years of age group was collected from seven districts of Karachi. A validated questionnaire is used which was comprised of demographics, and some questions related to their knowledge, perception, attitude towards their experience of CS, and views regarding Normal delivery. Data were analyzed by SPSS version 23.0. Results: A total of 537 reproductive women were recruited through a google doc survey. The mean age of these women was found to be 27.32±4.3 (18-35 years). Majority of participant belongs to south part 131(24.4%). Majority of participants were graduate 110(20.5%) and post graduates 122(22.7%). Almost half 55.5 % female were working women. Majority of females 235(43.5%) have their 2nd pregnancy. Most of them have 1 child (47.9%). 50.0% have history of still birth. At some level of education, knowledge is meaningful. Working women also had significant knowledge. Conclusion: Districts, education level, and occupational status all are directly proportional to the preference of CS in women as observed in this study.
Frequency of Port Site Infection After Laparoscopic Cholecystectomy
Authors: Bilawal Khan Muhammad , Khan Ajmal , Ahmad Khan Zakir , Khan Kamran , Waqas Khan Muhammad , Rehman Karishma
Published: December 2022

Cholangitis is an inflammation of the biliary tree due to Gallstones. The port region is susceptible to postoperative infections when a patient has excessive wounding and a microorganisms isolated from spontaneously procured tissue or fluid inside the upper cut. Objectives: To analyze the frequency of port site infection (PSI) and to assess variables influencing PSI following laparoscopic cholecystectomies. Methods: This research was carried during 2022 in two hospitals in Peshawar(Pakistan). Only 55 of the 907 patients who had PSI after going through LC surgeries were included and were kept under observations for six months. Data were collected by questionnaire, imported into the SPSS for statistical analysis. Descriptive statistics and Chi-square test were used for association between variables. Results: 34 patients out of 55 had CC, whereas 21 patients underwent surgery following an AC and became infected. Following LC, PSI frequency were lower than after open cholecystectomy. Majority of patients were women. Only five patients, based on the PSI, got an infection at the lateral ports, whereas 11 patients and 39 patients respectively, developed infections at the umbilical and epigastric ports. PSI came from majority of the female patients showing a significant association in frequency of PSI in relation to gender. Conclusion: Females tend to have high PSI rates and frequent epigastric port PSIs.
A Baseline Assessment of the Total Quality Management Pillars of Commitment to Quality, Customer Satisfaction and Continuous Improvement in a Manufacturing Concern
Authors: Agotilla Eileen B , Agustin Jervis Anthony R
Published: December 2022

The study intends to contribute to the field of TQM by exploring the relationship between commitment to quality and continuous improvement and giving emphasis on customer satisfaction on how it acts as a mediator. A survey instrument was adopted from Goh (2000) and used to obtain required information on the independent and dependent variables in assessing the level of TQM implementation in a manufacturing company at Quezon City, Philippines as primary respondents in which data were collected using the online platform. Data were analyzed using Factor analysis and a Partial Least Square Structural Equation Modeling (PLS-SEM) using the SmartPLS 3.0 software for the hypothesis testing and measurement of model fit for the structural model. The questionnaire measures the respondents’ perception on rating the company’s performance against each pillar with a total of 23 scale items that are rated on a 5-point Likert scale. As a whole, the constructs on customer satisfaction and continuous improvement have a significant relationship. Further research is needed to explore other mediating factors, components, and segments under each construct that are restricted on the instrument. Additionally, management direction in shaping organizational values and establishing a framework to bring about change will encourage all employees to participate in this process and may impact the outcome of TQM success are restricted on the instrument.
Determination of severity of premenstrual syndrome among vegetarian and non-vegetarian women
Authors: Ghosh Suparna , K Roopashree , Ragothaman Prithika , Vashishtha Saumya
Published: December 2022

Background: Premenstrual syndrome (PMS) is a condition that most women experience during the luteal phase of their menstrual cycle. It usually abates at the commencement of the periods. During this period, apart from physical discomfort, some women experience psychological and behavioral changes as well, which can disturb their lives. Various studies have been conducted on PMS and its effect on an individual with respect to body mass index and exercise, but very few studies are available on the association of diet with PMS. Therefore, we are evaluating the relationship between dietary pattern and PMS morbidity.

Aims and Objectives: The aims of this study were to determine the prevalence of PMS and its severity in different age groups of women and compare its association with vegetarians and non-vegetarians.

Materials and Methods: This is a cross-sectional study conducted among the staff and students of East Point College of Medical Sciences and Research Center. Data were collected using a well formulated, structured, and pre-tested questionnaire, which had questions on diet patterns and PMS symptoms.

Results: PMS was found to be more prevalent in young women (18–25 years) (57%) compared to older women (26–49 years) (43%), and the symptoms were slightly more severe among vegetarians (9%), compared to non-vegetarians (5%). There was no correlation between severity and body mass index.

Conclusion: PMS is one of the most common gynecological complaints in young women. Although PMS is not a serious disorder, it can definitely change the quality of life for many women and affect their mental health and productivity. Creating awareness among young adolescents to lead a healthy lifestyle with changes in their diet and physical activity can improve the condition.
Estrategia pedagógica para la enseñanza de la educación ambiental y de la tradición cultural mediante el sistema de compostaje en la huerta escolar de las instituciones educativas en el Distrito de Buenaventura
Authors: Mendoza Hernández Martha Alicia , Ruiz Sinisterra Derlys María , Moran Rosero Esther Millerlay
Published: December 2022

El presente artículo está basado en la investigación desarrollada durante los años 2021-2022 en las instituciones educativas del Distrito de Buenaventura, cuyo objetivo pretendió la implementación de una huerta escolar con sistema de compostaje, como elemento clave para fortalecer el proceso de formación de la educación ambiental y el rescate de la tradición cultural en las instituciones educativas Niño Jesús de Praga y Raúl Orejuela Bueno en el Distrito de Buenaventura. El enfoque cualitativo permitió la utilización en tanto instrumentos de cuestionarios con preguntas abiertas (al principio y final de la investigación). La muestra estuvo determinada por 24 estudiantes de los grados tercero de primaria y decimo. Desde esta lógica, se reconoció que la huerta escolar se tomó como un factor clave para el rescate de la tradición cultural agrícola, con la que se logra un cambio de mentalidad y empoderamiento, favoreciendo el medio ambiente y a los seres humanos a través de las buenas prácticas.
Revocatorias de los actos administrativos que otorgan títulos de propiedad a predios rurales por una errada recolección de información probatoria mediante el método de barrido predial
Authors: Moreno Calderón William Samir
Published: December 2022

La reforma rural ha sido frecuentemente concebida como una ambición de la institucionalidad y la sociedad colombiana, puesto que el agro ha sido históricamente ignorado, silenciado y maltratado por parte de algunos sectores comunitarios, esto como consecuencia de la posición dominante del sector empresarial, que ha reducido la importancia del trabajador agrario al lesionar sutilmente sus derechos y oportunidades (Presidencia de la República, s. f.)  En efecto, el derecho agrario ha sido abstraído del derecho privado, específicamente del derecho civil, sufriendo un proceso de constitucionalización con miras a generar una legislación mucho más proteccionista, siendo necesario que el Estado equilibre la economía rural con la urbana, permitiéndose el establecimiento de un plano de equilibrio entre las oportunidades empresariales y las campesinas. Por tanto, el surgimiento de la firma de los acuerdos de La Habana, donde se concretó la terminación del conflicto armado entre el Gobierno de la Republica y las Fuerzas Armadas Revolucionarias de Colombia (F.A.R.C). Así, se decretó la institucionalización de una reforma rural en aras de otorgar mayores y mejores oportunidades al agro colombiano. En ese orden de ideas, mediante el Decreto Ley 902 del año 2017 se adoptan medidas para facilitar la implementación de la Reforma Rural Integral contemplada en el Acuerdo Final, esto en materia de tierras; específicamente para determinar el procedimiento para el acceso y formalización a través del Fondo de Tierras. Por otro lado, se promovió un proceso de formalización de tierra que ya había iniciado mediante una legislación anterior con el propósito de reconocer la titularidad de los predios trabajados por los campesinos, siempre y cuando dicho reconocimiento no afecte la propiedad privada y los derechos legalmente reconocidos a terceros (Presidencia de la República, 2017).
Propuesta de un programa de etnoeducación ambiental en las instituciones educativas del Distrito especial, industrial, portuario, biodiverso y ecoturístico de Buenaventura, Colombia
Authors: Oyaga Martínez Rafael Fernando , Quiñonez Gamboa Luz Daly Erika , Quiñones Gamboa Bertha Milena
Published: December 2022

Se realizó un estudio en la Institución Educativa San Rafael del Distrito Especial de Buenaventura durante los años 2020-2021, cuyo propósito se centró en el diseño de un programa de etnoeducación ambiental que buscó impulsar los saberes locales y el aporte cultural a la construcción de una visión educativa, fundamentada en la protección y cuidado del territorio. La Investigación fue de carácter cualitativo, con enfoque étnico, en esta se realizaron las siguientes etapas: a) la identificación del concepto de etnoeducación ambiental en la comunidad educativa; b) revisar la inclusión curricular del concepto y c) la construcción de una propuesta curricular como resultado del trabajo de campo. En ese orden de ideas, se pudo verificar que, aunque la etnoeducación se trabaja dentro de la institución educativa, esta se remite al mero activismo, y que no está involucrada dentro del marco de un proyecto sistemático. En relación con lo anterior, la investigación construyó la propuesta de inclusión curricular desde la etnoeducación, de tal modo que fuera integrada en forma transversal para toda la institución educativa y sus áreas de enseñanza.
The Sir Syed and independence movement
Authors: Muhammad Tariq
Published: December 2022

In 1857 war of Independance ,Bahadur Shah Zafar`s defeat and the British`s victory had averted the entire scenario of sub-continent.It resulted that the rulers were became the slaves who were striving hard to secure their lives.The same history was repeated their subject too.The Muslims of sub-continent faced every type of torture and injustice.The Muslims were thrown to the jails, the scaffolds were made ready to hangout them.The Muslim families were suffering from financial crunch and the worst circumstances .It seemed that doom and depressionwere made finalized.Among these dejected circumstances,Sir Syed emerged as a Masiha of knowledge and wisdom stood stalwort in front of British.This article enlightens the services of Sir Syed for Freedom Movement.
The Sir Syed is the founder of Modern Thought and Development.
Authors: Dr Asima Rani  , Sindhu Dr. Aqsa Naseem
Published: December 2022

Abstract:

The character of Sir Syed Ahmed Khan is that of a thinker and reformer as well as a mujahid who seems to fight jihad with a pen instead of a sword. To achieve the goal, he not only gave the degenerate nation a new direction of thought and action with his insight and intelligence, Rather, they were attracted towards the acquisition of modern sciences in order to regain their lost position and join the honorable nations.Sir Syed awakened the sleeping nation with his dedication, sincerity, selflessness and intellectual and practical power and led them on the path of knowledge and action. Knowing modern scientific and English sciences as the cause of development, Sir Syed made it necessary to acquire these sciences and tried to harmonize Islam and religious sciences with the latest ideas and philosophies that continue to this day.The publication of Tehzeeb-ul-Ikhlaq and the establishment of the Muhammadan Anglo-Oriental College were Sir Syed's modern ideas and views. It is a proof of this. Through this paper, Sir Syed's modern thought and vision will be presented, which can be a beacon for a nation even today.
Application of (SCS-CN) Method in Runoff Estimation in Qoratu Watershed Using (GIS & RS) Techniques
Authors: Nasraldin M.Amim Hemin , Jumaa Darwish Azzadeen
Published: December 2022

The method of Soil Conservation Service Curve Number (SCS-CN) was applied to assess runoff in Qoratu Watershed, Garmian Administration, (NE-Iraq). Digital Elevation Model (DEM-12.5m) and (Landsat OLI) were both utilized as the stuff of Geographic Information System (GIS) and Remote Sensing (RS) techniques analyzed to obtain accurate hydrological data. Qoratu watershed is a mutual (Iran-Iraq) watershed located within the Iraqi Kurdistan Region adjacent to the Sirwan River. Topographically, the study area is known as the sub-mountain area of the Kurdistan Region. At its sixth order, the watershed drains into the Sirwan River. The total area of the Qoratu watershed Was found to be (808.34 Km2); so, approximately (44.9%) of this area is located within the Iraqi Kurdistan Region. This study aimed to (i) Estimate the Runoff of the Qoratu watershed for dam construction purposes, (ii) estimate the water harvest of the Qoratu sub-watershed to achieve the best state of water management in the study area, (iii) estimate groundwater levels rise, and (iv) to control floods during the rainy season. The study concluded that the water inflow is high; thus, the possibility of constructing a dam and/or ponds in the area is beneficial.
Feedback and formative assessment in Competency by Design: The experience of residents and supervisors within a urology training program
Authors: Aube-Peterkin Melanie , Ehlebracht Alexa , Petrella Francis
Published: December 2022

Introduction: Competency by Design (CBD) is a form of competency-based medical education implemented in Canadian urology programs since 2018. Regular, multimethod assessments and formative feedback via Entrustable Professional Activities (EPAs) are the cornerstones of CBD. Increased personalized and regular feedback are the top perceived benefits of CBD by both residents and supervisors; however, evidence shows that in practice, constant feedback-seeking is burdensome, and increased quantity of feedback does not equal increased quality. The experience of CBD implementation has not yet been studied in surgical programs. Our aim was to examine how supervisors and residents have experienced the integration of formative assessment and feedback since the implementation of CBD in a surgical training program.
Methods: Using data from focus groups, a qualitative phenomenological analysis based on the experiences of the residents and supervisors in a urology residency program was performed.
Results: Residents and supervisors felt that CBD allowed for better tracking of resident performance and increased quantity of feedback; however, increased workload, delayed completion of EPA assessments, lack of direct observation in non-surgical activities, variable supervisor guidance, and lack of understanding of CBD were cited as barriers to providing proper feedback and formative assessment.
Conclusions: The participants experienced a lukewarm transition in feedback and formative assessment practices with CBD. As with every process of change, these growing pains may eventually result in meaningful practice improvements and incorporation of a CBD culture into everyday learning activities.
Use of timed alarm device for pediatric daytime urinary incontinence: Meta-analysis of comparative studies
Authors: Chua Michael , Rickard Mandy , Kim Jin Kyu , Brownrigg Natasha , Dos Santos Joana , Aba Luzelle Kate , Lorenzo Armando , Mistry Niraj
Published: December 2022

Introduction: This meta-analysis aimed to determine the comparative effectiveness of timed alarm device-assisted urotherapy vs. standard urotherapy alone in managing pediatric daytime urinary incontinence (pDUI).
Methods: A systematic literature search was performed in December 2021, with an update search in July 2022. Comparative studies assessing the pDUI treatment effectiveness of timed alarm device-assisted urotherapy vs. urotherapy alone were identified and evaluated according to Cochrane collaboration recommendations. The assessed outcome includes pDUI complete response and adherence rates. Relative risk (RR) with 95% confidence intervals (CI) was extrapolated. A random-effects model was used to pool effect estimates. Heterogeneity was assessed with sensitivity and subgroup analysis performed according to study design and comparative group characteristics. GRADE criteria were used to assess evidence certainty. PROSPERO (CRD42022299173).
Results: Four studies (three randomized controlled trials [RCTs] and one retrospective cohort) with 635 cases were included. The pooled effect estimates of pDUI complete response showed no differences between intervention groups (RR 1.20, 95% CI 0.81, 1.76). Pooled effect estimates for treatment adherence were generated from two studies, which showed significantly better adherence for the timed-alarm device group (RR 2.97, 95% CI 1.46, 6.06). Significant interstudy heterogeneity was noted; the source is likely from the study design and comparator device characteristics. The quality of evidence was assessed to be of very low certainty.
Conclusions: Based on very low certainty evidence, timed alarm device-assisted urotherapy does not seem to have the advantage of complete treatment response over standard urotherapy alone in managing pDUI; however, a timed-alarm device is likely able to improve urotherapy treatment adherence.
Li Herêma Culemêrgê Hesaba Hesabdaran û Miştê
Authors: ENGİN Kerem
Published: December 2022

Teqwîm di jiyana civakan da cihekî girîng digire. Civakan çalakiyên xwe yên jiyanê li gor guhertina dem û wextan bi kar înane. Guherîna wextên salê li ser xebat û kedkarîya civakan yên debarî bandorek zêde çêkiriye. Her herêmekê li gor teqwîmekê hesaba xwe ya sal û wextan pêk înaye. Herêma Culemêrgê jî li gor teqwîma Rûmî hesaba xwe bi kar înaye. Hesapadarên Herêma Culemêrgê çalakiyên aborî, rênçberî û kedkariyê li dûv rewşa demsalan bi cih înaye. Serê salê û heta dawiya salê li gundan û heta bajaran civaka Kurdan jî li gor hesaba hesabadarên xwe ji bo jiyanê xwe amade kirîne. Koçeran, gundîyan û kesên li nav çiyayên asê jiyana xwe domandî, roj û heyv û stêrk ji bo xwe kirîne nîşane. Wextên salê bi hişyarî û dîqet hesab kirîne. Pêwîst bû berbihar, cotyarî, gîyadûrîn, malbarkirin, berxbir, giyakêşan, dexildûrîn, bêder û heta dawet û şahîyan jî di wextê xwe da hatibane kirin. Heke ev xebatê di wextê xwe de nehatibane kirin, wê salê ew dê bikevine di nav alozîyê de û ji ber sermahîyê û birsîtiyê jiyana xwe ji dest bidin. Mal û heywanên wan ne bêne telîftin. Derheqê barîna befir û baranê, firtone û barovê de hesabdaran texmînên xwe kirîne. Ji bo hesabkirina dem û wextan û debarê mezinan gelek gotin û serpêhatî veguhastîne. Hesabadarên xwecihiyên Culemêrgê jî li gor erdnigarî û rewşa hewayê herêma xwe hesab û texmînên xwe kirine. Li ser vê hesabdariyê di lîteratûra Herêma Culemêrgê da çandeke qedîm hatîye avakirin. Em dê di vê xebata xwe da behsa hesaba hesabdarên Herêma Culemêrgê û ew gotinên mezinan yên derheqê vê mijarê de gotin bikin.
Counseling about MP-ASI to Mothers for Improving Children's Nutritional Status
Authors: Maya Sari  , Maimunah R  , Nopitayanti Br Sitorus
Published: December 2022

MP-ASI plays a role important in support Child growth . If mom not quick introduce MPASI with the right way for children moment he enter 6 months old , growing the flower can just disturbed . Activity MP-ASI socialization to mothers for Improving the Nutritional Status of Children carried out on day Tuesday, November 22, 2022 at the Village Office Dewi Sri District sea tador . Destination beginning MPASI socialization is for give understanding to women in the village area goddess sri that so important quality nutrition given to child ages 6-24 months as MPASI because in Century it's exclusive breastfeeding just no enough Fulfill nutrition child for grow and develop optimally. Reluctantly increasing knowledge moms  regarding MPASI which is very important for the golden age child in grow and develop optimally. So will many mothers who will give solids in the right way, and follow existing rules like give eat appropriate time it means given when child already ready for eat, with sufficient nutrition  from various menu options and types rich food carbohydrates , proteins and fats. And all his served in circumstances hygienic and processed by the mother yourself and given in a manner responsive .
Socialization of the Utilization of Google Sites as a Promotional Media for Lasak Donuts in Medan City
Authors: Atika Aini Nasution  , Baginda Harahap
Published: December 2022

This dedication is an attempt to improve the quality of marketing during the pandemic era as a form communication independence. This dedication aims to create Online-based promotional media during a pandemic, as well find out the response to the use of online promotion-based google sites as a promotional medium for Lasak Donuts during the pandemic. This service is a type of development service using the ADDIE model, which has gone through the validation stage by involving three validators namely (material experts, media experts promotion and IT experts), then use response involves visitors and consumers. Based on the results of the service of material experts, media promotion experts and IT experts are considered very good with the average value of material experts is 88%, media promotion experts are 89%, IT expert 96%. Visitor and consumer response to usage learning media google sites are very good criteria with get an average teacher score of 98% and students 84%. It can be concluded that the Use of Google Sites is Online Based learning as a promotional medium for Lasak donuts is stated to be very good with usage responses positive as a learning medium during a pandemic.