bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic Workup of Pleural Effusion and Medical Thoracoscopy –Current Status
Authors: Luhadia Atul
Published: December 2022

Pleural effusion is a common clinical problem with diverse aetiologies accounting for around 4 patients in pulmonary practice. Pleural effusion results from an abnormal accumulation of fluid due to excessive production or decreased pleural fluid absorption and can be transudative or exudative depending on the fluid composition. Proper diagnostic workup of all pleural effusion cases must be done so that proper cause may be established and adequate treatment may then be started. About 20 to 25 of pleural effusion cases remain undiagnosed despite repeated thoracocentesis and closed pleural biopsies. Medical thoracoscopy is a minimally invasive procedure that allows complete visualization of the pleural space enabling the diagnostic and therapeutic procedures like pleural biopsy and talc insufflation for pleurodesis to be performed safely. Thoracoscopy increases the diagnostic yield in undiagnosed pleural effusion as it allows inspection of the pleural surfaces and permits pleural biopsy under direct visualization. The diagnostic yield of thoracoscopy in malignant and TB pleural effusion ranges from 91 to 95 and 93 to 100 respectively. The traditional instrument used for thoracoscopy has been the rigid thoracoscope. Development of the technique of semi-rigid thoracoscopy provided an alternate method to access the pleura using a scope which essentially resembles the flexible bronchoscope. Semi-rigid thoracoscopy is a safe and efficacious procedure in patients with undiagnosed pleural effusion. This article focuses on the simplified way on how to approach a case of pleural effusion with a simplified algorithm and also on the diagnostic and therapeutic utility of medical thoracoscopy.
Smoking Is Injurious to Pulp
Authors: D’souza Nikitha , P Ashwini , Bhagat Pooja , N S Priya
Published: December 2022

Smoking is a worldwide menace that is harmful to health and casts its shadow on the dental pulp as well. Detrimental effects of nicotine and other tobacco compounds on the dental pulp may compromise diagnosis treatment outcome healing as well as regeneration. This article aims to highlight the negative influence of smoking on the dental pulp and its implications on dental procedures and its outcomes.
Hutchinson-Gilford Progeria Syndrome: Case Report of a Rare Devastating Malady
Authors: Bagri Neha , Dash Sanket , Misra Ritu
Published: December 2022

Hutchinson-Gilford Progeria Syndrome HGPS is a rare devastating malady presenting with amalgam of stunted growth skeletal anomalies premature ageing and dermatological changes. We present a case of a 10-year-old boy with classical clinical and imaging findings of this particular genetic disease along with description of considerable differential diagnosis. He had distinctive facial morphology with a gigantic head slender nose with pointed tip small-sized chin abnormal dentition coxa valga deformity and sclerodermatous changes. The key teaching points for radiological diagnosis of an ultra-rare premature aging syndrome - Hutchinson-Gilford progeria syndrome with captivating illustrations have been presented. Sufficing knowledge of the imaging findings explicitly helps in excluding other premature ageing syndromes at diagnosis.nbsp
Efficacy of Different Doses of Intrathecal Chloroprocaine as Anaesthetic for Ureterorenoscopic Lithotripsy
Authors: Livia Saldanha Felicita , S Balakrishna Achar P , T Gurumurthy , Acharya Manasa
Published: December 2022

Background amp Aims Ureterorenoscopic URSL surgeries for ureteric calculus are frequently done under spinal anaesthesia SA. Bupivacaine use related prolonged action and lignocaine caused transient neurological deficits prompted us to study preservative free 1 chloroprocaine a short acting local anaesthetic for URSL.Methods In this observational study after Institutional Ethics Committee approval 105 patients of either sex of ASA I and II in the age group of 18 to 60 years undergoing URSL under SA were enrolled. The subjects were to receive intrathecal chloroprocaine 40 45 and 50 mg respectively Group AB amp C. With monitoring and crystalloid preloading the study drug was given intrathecally. Haemodynamics sensory and motor blocks were assessed as per protocol along with procedure related complications and were documented. Data was analysed using ANOVA and post hoc analysis by Bonferroni test with stata version 14. p value lt0.05 was considered statistically significant.Results The three groups were comparable demographically and for surgical duration. The onset peak sensory block level onset of motor block perioperative haemodynamics were comparable between the groups p gt0.05. Group C had prolongation of sensory motor blockade 100.14plusmn6.58 min amp 86.14plusmn3.85 min and needed more time 140.14plusmn10.56 min for complete recovery of sensory blockade and discharge compared to group A and B which was statistically significant plt0.001.Conclusions 1 chloroprocaine can be safely administered intrathecally for URSL in dose range of 40-50 mg
Isolation and Molecular Characterization of Multi Drug Resistant Gram-Negative Bacteria from Clinical Samples in Tertiary Care Hospital, South India
Authors: Siddappa Ravi Giriyapur , Ellappan Kalaiarasan , Belgode Narasimha Harish , Manohara Rudresh Shoorashetty
Published: December 2022

Background and Aims Emergence of multi drug resistant MDR gram negative bacteria GNB is a serious threat and major challenge encountered by healthcare professionals. This study aimed to evaluate the distribution of antimicrobial resistance patterns in drug resistant GNB isolated at tertiary care hospital.Methods A total of 934 GNB strains were included in this study. Bacterial identification and disk diffusion testing were performed using standard microbiological techniques. Phenotypic detection of ESBL was assessed using double disk synergy test. Multiplex PCR assay was optimized to detect NDM-1 OXA-48 VIM IMP and KPC genes in carbapenem resistant GNB.Results The most common GNB identified were E. coli n46449.7 K. pneumoniae n13714.7 Acinetobacter Sp n13114 P. aeruginosa n11212 and Enterobacter Sp n313.3. Out of 934 isolates 808.6 were resistant to all tested antibiotics including carbapenems fluoroquinolones and aminoglycosides with high rate of resistant among Acinetobacter sp n454.8. On the other hand among 16818 carbapenem resistant isolates NDM-1 was most predominant in E. coli n2313.7 followed by K. pneumoniae n169.5 Acinetobacter Sp. n158.9 and P. aeruginosa n84.8. OXA-48 was most common in Acinetobacter Sp. n4124.4 followed by E. coli n74.2 and K. pneumoniae n63.6. Among 221 23.7 ESBL producing GNB E. coli n16717.9 was most common followed by K. pneumoniae n303.2 and Acinetobacter Sp n91.Conclusions The occurrence of bacterial infections caused by MDR-GNB and carbapenem resistant GNB infections is high. It is important for clinicians to evaluate and focus on the risk factors associated with the acquisition of MDR and carbapenem resistant organisms in hospital environment.
Comparison of Pre-Operative Ultrasound Guided Fascia Iliaca Block and Quadratus Lumborum Block for Reduction of Pain During Positioning for Spinal Anaesthesia and Post-Operative Analgesia in Patients with Femoral Neck Fracture
Authors: R Nisarga , Kannan Sudheesh
Published: December 2022

Background and aims Fascia iliaca block FIB provides analgesia in lower limb surgeries. However efficacy of quadratus lumborum block QLB for post-operative analgesia in lower limb surgeries is less explored. The present study was designed to compare efficacy of QLB with FIB to facilitate positioning for spinal anaesthesia SAB and post-operative analgesia in patients with femoral neck fracture.Methods Fifty patients were assigned to one of the two groups group A receiving FIB n25 and group B receiving QLB n25. Both the groups received bupivacaine 0.125 30 mL 20 minutes before SAB. Visual analogue pain scale VAS after block during positioning for spinal anaesthesia and during post-operative period were recorded. SAB was administered with 0.5 heavy bupivacaine 10 mg. Post-operative duration of analgesia and rescue analgesics required for 24 hours were recorded. Statistical evaluation of data was done using IBM SPSS version 22 software. Quantitative data was assessed by Shapiro Wilk test Chi-square Fisher Exact test Student t test Mann Whitney U test. Paired t test was used for intra group comparison. Appropriate tests were applied p value lt 0.05 was considered as statistically significant.Results Demographic parameters were comparable. VAS scores at baseline and 20 minutes after block and duration of analgesia were comparable. The requirement of rescue analgesia PCT in the post-operative period for 24 hours was 2666.66plusmn866 mg in group-A and group-B required 3111.11plusmn600.9 mg p0.22 and second rescue analgesic tramadol in group-A and B were comparable p0.34. But reduction in VAS score at the time of positioning for SAB was higher in group-B p0.003 Group-A 5.66 plusmn 0.86 Group-B 6.55plusmn1.13. No significant side effects were noted in both the groups.Conclusion QLB was associated with marginally better reduction in pre-operative pain compared to FIB during positioning for spinal anesthesia but did not prolong duration of post-operative analgesia or decrease the analgesia requirement.
refus de se taire : L’écriture de la maladie comme travail féministe
Authors: Current Emily
Published: December 2022

À travers l’étude de deux autopathographies, Petite de Geneviève Brisac et Hors de moi de Claire Marin, cet article propose de réfléchir à une écriture féministe de la maladie. Dans un premier temps, nous examinons les façons dont Brisac et Marin dévoilent et dénoncent une médecine hostile aux femmes. Nous réfléchissons ensuite aux contraintes éthiques que les auteures doivent affronter lorsqu’elles relatent leur souffrance. Ancrée dans le féminisme « rabat-joie » (concept articulé par Sara Ahmed et revisité par Erin Wunker), cette réflexion soutient la littérature fournit un lieu essentiel où les écrivaines malades ou guéries peuvent refuser un silence qui leur est imposé à la fois par l’établissement médical et par la société en général. En refusant une pression vers le bonheur et vers le silence, des auteures telles que Brisac et Marin peuvent entreprendre le devoir féministe de dévoiler et dénoncer les oppressions qui les font souffrir.
dispositifs scénographiques de la rupture post-exotique dans Écrivains d’Antoine Volodine
Authors: Ngadi Maïssa Laude
Published: December 2022

Nous prenons Écrivains d’Antoine Volodine comme corpus paradigmatique pour traquer les dispositifs scénographiques illustrant des changements dans l’approche du roman exotique. Les quatre dispositifs retenus pour justifier l’invention de l’étiquette post-exotique (une réaction contre la littérature dominante, un processus de démarcation des groupes et écoles littéraires, une posture d’écrivain mineur et une impossibilité des personnages à accéder à l’espace extérieur dans la fiction) sont corrélatifs à un ensemble de conditions socio-historiques, littéraires et médiatiques d’une part, et à une démarche de singularisation par laquelle l’auteur recherche la reconnaissance et la visibilité dans l’espace littéraire d’autre part.
Introduction
Authors: Dusowoth Sushma , Booluck-Miller Pooja
Published: December 2022

Au printemps 2021, lors du Congrès des sciences humaines à l’Université d’Alberta, nous avons réuni plusieurs chercheurs pour un atelier intitulé « La femme insulaire : du nord au sud, histoire de permanence et de renouvellement » afin d’étudier comment l’héritage colonialiste et/ou esclavagiste des îles a contribué à perpétuer l’image dévalorisante de la femme îlienne, qu’elle soit d’origine autochtone, déplacée ou migrante. Dans le sillage de cette conférence, nous avons recueilli quatre articles traitant l’affranchissement des auteur.e.s insulaires qui cherchent dans l’exploitation de « leur espace littéraire propre » (Paré) un moyen de créer un lieu propice pour renouveler l’image de la femme, questionner les relations politiques, économiques et sociales entre le nord et le sud, le local et le global.
Représentation contemporaine de la femme mahoraise dans l’archipel des Comores : une lecture du roman Mon mari est plus qu’un fou : c’est un homme de Nassur Attoumani
Authors: Dusowoth Sushma
Published: December 2022

L’image de la femme îlienne a souvent été associée à des stéréotypes réducteurs la représentant dans une position de victime battue, maltraitée et exploitée. Pour se démarquer de cette représentation, l’auteur Nassur Attoumani propose une nouvelle approche en dépeignant la femme insulaire contemporaine sous de nouveaux jours dans le roman Mon mari est plus qu’un fou : c’est un homme. Cette étude montre comment après s’être soumise à l’autorité patriarcale, la femme mahoraise rejette la domination masculine et revendique son agentivité pour reprendre sa destinée en main.
Voix et silence : Le silence des Chagos de Shenaz Patel et L’exil selon Julia de Gisèle Pineau
Authors: Booluck-Miller Pooja
Published: December 2022

La prise de parole des femmes face au mutisme imposé par des systèmes oppressifs retient l’attention des écrivains insulaires. Dans Le silence des Chagos et L’exil selon Julia, Shenaz Patel et Gisèle Pineau inversent et contestent la représentation littéraire des femmes îliennes, qui se limite à la sexualité, à la violence et à l’humiliation. Cette étude porte ainsi un regard critique sur les modalités d’affranchissement et de libération des personnages migrantes qui utilisent la mémoire pour reconstruire l’identité perdue de leur communauté.
Réflexions au sujet de la représentation du pouvoir dans Patira de Raoul de Navery
Authors: Legault Suzanne
Published: December 2022

Je me propose d’explorer, des décennies plus tard, les raisons pour lesquelles j’ai tant aimé, vers mes dix ans, Patira, un roman du dix-neuvième siècle. Un aspect de la notion du pouvoir telle qu’élaborée par Pierre Bourdieu oriente cette relecture : le rapport entre dominés et dominants. L’autrice, ses personnages et la lectrice que je fus ont dû composer avec les contraintes des valeurs dominantes de leur époque. Ce livre, surtout destiné à la jeunesse, demeure un excellent exemple de l’œuvre de l’écrivaine Raoul de Navery et de sa contribution prolifique aux romans-feuilletons.
Postures de l’immigré et représailles littéraires dans Le thé au harem d’Archi Ahmed de Mehdi Charef
Authors: Sidri Samira
Published: December 2022

Acculés à vivre dans les banlieues, les immigrés maghrébins en France, à partir des années cinquante, ont subi l’ostracisme infligé par leurs hôtes sur la terre d’accueil. Relégués aux bancs de la société, certains de leurs enfants, traumatisés, ont choisi la voie de l’écriture pour ébruiter leur détresse et réclamer une certaine visibilité. Aux prises avec l’aliénation et la stigmatisation, ces écrivains natifs ou immigrés ont mis leur plume au service de leurs doléances. Mehdi Charef fait partie de ceux qui ont été contraints de s’exiler pour rejoindre leurs parents, partis travailler dans l’hexagone. Dans Le thé au Harem d’Archi Ahmed (1983), il évoque les tribulations des banlieusards de Nanterre et déploie une stratégie scripturaire de sorte à ternir l’image de l’ancien conquérant, tout en amorçant des représailles littéraires implicites contre la femme française, et par métonymie, la France.
Enfer ou forge : d’où revient le Victor Hugo de l’exil ?
Authors: Faye Moustapha
Published: December 2022

Lorsque Victor Hugo débarque à Paris en 1870, son retour sur sa terre natale est célébré comme un triomphe dionysiaque par un peuple qui vit le retour du fils sous le mode du fantasme biblique. Dix-neuf années se sont passées depuis décembre 1851 lorsque la figure tutélaire de Paris a fui la capitale avec un faux passeport pour se réfugier en Belgique. Hugo était convaincu que la révolte populaire était en marche qui allait bouter hors de France l’usurpateur. Mais Louis-Napoléon sort renforcé de la tempête et Hugo est confronté à la situation qu’il redoutait le plus : être coupé de sa patrie. Alors que Jean Valjean passe, lui aussi, dix-neuf ans de bagne pour avoir cherché à sauver ses neveux, on estime l’étendue du traumatisme de celui pour qui de telles contradictions ne pourraient se soutenir que sur les pilotis d’un roman aux accents néo-burlesques. Mais une fois au cœur de l’exil, Hugo est métamorphosé, semblant sortir d’une chrysalide l’ayant longtemps emprisonné.
répercussions de la langue française sur Malika Mokeddem, écrivaine algérienne francophone : du conflit identitaire à l’exil
Authors: Arezki Dalila
Published: December 2022

Cet article observe l’impact de la langue française, la langue de l’Autre, pour laquelle a opté Malika Mokeddem, écrivaine algérienne francophone de la période postcoloniale, sur son vécu culturel et son choix de l’exil en pays étranger, selon ses aspirations. L’article prend appui sur ses principaux ouvrages, à savoir : L’interdite, Mes hommes, La désirante.
Model Pengembangan Sistem Informasi Akuntansi Piutang Untuk Jasa Perhotelan
Authors: Rofiudin Muhammad , Juniarsa Nurtjahja
Published: December 2022

This study aims to produce a design model of the Hotel Receivables Standard Operating Procedure (SOP) as the application of the Accounting Information System to improve effective internal control at PT Royal Orchid Garden in Batu City (ROG Hotel). This study uses a qualitative approach that leads to the case study method with the interpretive paradigm. Techniques for collecting data through interviews and studying documents relating to the flow of management of accounts receivable, especially related to sales services of hotel and restaurant rooms on credit. As well as making direct observations on the manual inputting process of selling rooms and restaurants at the ROG Hotel. Based on the findings of the field it can be seen that the ROG Hotel has computerized accountingbased accounting procedures, the Myoh Back Office program, but it has not been implemented properly. This research resulted in a proposed improvement through the development of a draft SOP for accounts receivable management and a manual software module to improve the Myoh Back Office program. A total of 20 SOPs for Hotel Receivables Accounting, 5 SOP Accounting Flowcharts Sales and Hotel Billing and 5 Accounting Software Manuals Receivable generated, so it is expected to become a standard guideline for hotel operations so that the management of hotel and restaurant room services can run well.
Pengaruh Corporate Social Responsibility Terhadap Nilai Perusahaan Dengan Profitabilitas Sebagai Variabel Moderasi (Studi Empiris Pada Perusahaan Sektor Pertambangan Batubara Yang Terdaftar di Bursa Efek Indonesia Periode Tahun 2017-2018)
Authors: Kholida Nabila , Susilo Dwi Ermayanti
Published: December 2022

Disclosure of the implementation of CSR is useful for making financial reports and analyzing the extent to which the company cares about running its business. The higher the level of profitability achieved by the company, the stronger the relationship between social disclosure and company value.  This study aims to determine whether Corporate Social Responsibility influences the value of the company in the coal sector companies listed on the Indonesia Stock Exchange and knows whether profitability can strengthen the effect of Corporate Social Responsibility on the value of the company in coal mining sector companies listed on the Indonesia Stock Exchange This research includes quantitative descriptive research. The population and sample of this study are annual report data and financial reports on financial statements of coal mining sector companies listed on the Indonesia Stock Exchange for the period 2017-2018. The analysis uses path analysis (path analysis) which is assisted by WarpPLS software. Partial Least Square (PLS).The results of the study show that Corporate Social Responsibility has no effect on company value and Profitability as a moderating variable turns out to be able to moderate (strengthen) the relationship of CSR with company value.
Meningkatkan Kemampuan Softskill Dalam Berwirausaha
Authors: Diandra Didip
Published: December 2022

Entrepreneurship trend tend to shift from time to time based on the development of technology, which must be adapted by entrepreneur not only to acquire hardskills but also softskills. Softskills competences allows someone to compete in the business force. This paper aims to provide a proposition on how to enhance the softskills in entrepreneurship based on the work of Utomo (2010). This paper analyze the information form the business entrepreneur and the previous research related to the subject. The result of analysis shows the responsibility, commitment, risk-taking, and action oriented contributes significantly toward enhancement of softskills in entrepreneurship
Memajukan Produk BUMDes Di Era Pemasaran Digital BUMDes Loh Jinawi
Authors: Sucipto Hadi , Lailani Lufi
Published: December 2022

BUMDes adalah Badan Usaha Milik Desa yang dikembangkan oleh warga setempat. Yang bertempatkan di Desa Galengdowo, Kecamatan Wonosalam, Jombang dengan diprakarsai oleh pemerintah pusat langsung dan ditindaklanjuti oleh pemerintah daerah Jombang, dengan pemberian dana stimulus sebesar Rp. 100.000.000,00 untuk setiap desa, termasuk desa Galengdowo yang terletak di kecamatan Wonosalam, Jombang dengan membentuk Badan Usaha Milik Desa (BUMDes) yang bernama Loh Jinawi dengan jenis usaha Kopeasi simpan pinjam, Pasar desa, Desa wisata, Hipam (Air minum), Susu Sapi . Dalam hal ini Pihak BUMDes ining mengembangannya olahan susu sapi, maka untuk itu penulis bersama team mahasiswa yang sedang melaksanakan Kuliah Kerja Nyata (KKN) di desa Galengdowo melakukan kegiatan untuk lebih meningkatkan sekaligus memperluas pemasaran dan memajukannya produk unggulan desa melalui pemasaran digital. Dalam meningkatkan dan memperluas pemasaran secara digital tersebut maka ada beberapa pemasaran melalui (Shoppe, Instagram, Facebook dan Wa Bussines). Kegiatan tersebut telah diselesaikan dengan baik oleh penulis bersama team mahasiswa KKN. Kegiatan ini akan dilanjutkan pada semester genap tahun akademik 2021/ 2022 dengan sasaran kegiatan adalah meningkatkan pemasaran secara digital.

Kata kunci: BUMDes Galengdowo, Loh Jinawi, Pemasaran Digital.
Pengembangan Badan Usaha Milik Desa (Bumdes) Berbasis Online Marketing Sebagai Acuan Perekonomian Di Wonomerto Wonosalam
Authors: Ali Nur , Rozikin Muhammad
Published: December 2022

Abstrak

Badan Usaha Milik Desa (BUMDes) Benowo Wonomerto, Kec. Wonosalam memiliki 5 sektor unit yaitu, wisata sumber biru, agen pos, simpan pinjam (saat ini hanya pinjam saja), peternakan (penggemukan sapi dan pertanian (pembibitan). Seiring berjalannya waktu BUMDes Benowo Wonomerto mengalami kesulitan dalam bidang pengurusan status badan hukum dan dalam mengembangkan digital marketing. Untuk itu kami dari kelompok dua yang melaksanakan Kuliah Kerja Nyata (KKN) di BUMDes Benowo Wonomerto menyusun program kerja demi membantu BUMDes dalam menyelesaikan masalah yang terjadi. Program kerja yang kami susun terdiri dari 1. Membuat seminar secara online tentang pajak dan status badan hukum, 2. Membuat akun sosial media untuk BUMDes Benowo Wonomerto agar dapat memperluas pasar. Kegiatan ini dilakukan dengan fokus utama pada digital marketing. Kegiatan Kuliah Kerja Nyata (KKN) dilaksanakan pada akhir semester genap tahun ajaran 2020/2021.

Kata kunci : BUMDes Benowo, digital marketing, badan hukum
Penerapan Digital Marketing Sebagai Strategi Pemasaran Produk Batik Menco Badan Usaha Milik Desa (BUMDes) Bhakti Mulur Sumbergondang
Authors: Rohim Abdul , Subagyo Joko Muji , Kurniawan Rangga Adi
Published: December 2022

Abstrak

Trend pemasaran beralih dari konvensional offline menjadi digital online. Konsep digital marketing bagi para pelaku usaha yaitu dapat memasarkan produknya dari mana saja dan kapan saja melalui internet. Kondisi BUMDes Bhakti mulur bisa dikatakan sehat, tetapi untuk masalah pemasaran produk batik menco belum go digital. Fokus masalah yang diangkat, yaitu: (1) Bagaimana strategi pemasaran Batik Menco melalui Digital marketing yang dilakukan oleh BUMDes Bhakti Mulur Sumbergondang dalam memasarkan produknya. (2) Bagaimana kendala dan manfaat penerapan digital marketing Batik Menco bagi BUMDes Bhakti Mulur Sumbergondang. Untuk pemecahan masalah tersebut, artikel ini menggunakan jenis kualitatif yang berguna untuk memberikan fakta dan data mengenai penerapan digital marketing product Batik Menco BUMDes Bhakti Mulur Sumbergondang. Dari hasil artikel ditemukan bahwa strategi pemasaran melalui digital marketing sangat membantu bagi pemasaran produk Batik Menco melalui Instagram dan makerplace. Kendala dan manfaat penerapan digital marketing berkaitan dengan bauran pemasaran 4P (products, prices, locations and promotions). Saran bagi BUMDes Bhakti Mulur Sumbergondang yakni tetap menjalankan aktivitas pemasaran, baik konvensional maupun digital dengan konsisten, terutama mengenai Digital Marketing bisa dikembangkan lagi dalam pengelolaannya karena selama ini masih dalam tahap pembelajaran mengenai digital marketing.

Kata Kunci : Digital Marketing, BUMDes Bhakti Mulur Sumbergondang
The Effect Of Reward And Punishment On Work Discipline Of Nursing Services Employees At Nahdlatul Ulama Hospital Jombang
Authors: Indrawati Nofia , Bey Mohammad Thamrin
Published: December 2022

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The Effect Of E-Wom And Reliance To Purchase Decision On Shopee
Authors: Fitriany Intan , Nurali Nurali
Published: December 2022

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The Effect Of Work Discipline And Competency On Employee Performance At PT Citra Bumi Raya
Authors: Ardiansa Rizky , Astutik Mardi
Published: December 2022

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Yenidoğan yoğun bakım ünitesinde çalışan sağlık personelinin ekstravazasyon bilgi birikimi ve yönetimi
Authors: ORMAN Ayşen , ÇELİK Yalçın , ÖZEL ERÇEL Nihan
Published: December 2022

Amaç: Yenidoğan yoğun bakım ünitesinde çalışan hemşire ve doktorların damar yoluna bağlı ekstravazasyon bilgi birikimi ve yönetiminin incelenmesi hedeflenmiştir. Bu çalışma ekstravazasyon bilgisini ve yönetimini değerlendiren ilk anket çalışmasıdır. Yöntem: Kesitsel anket çalışması olarak tasarlanan bu araştırmaya yenidoğan yoğun bakım ünitesinde görev alan 300 sağlık çalışanı dahil edilmiştir. Yenidoğan sağlık çalışanlarına pandemi sürecinin gerekliliği nedeni ile mobil telefonlara, mail adreslerine “Google Forms” aracılığıyla hazırlanan 28 soruluk anketin yer aldığı formun sayfa uzantısı gönderilerek doldurulması sağlanmıştır. Bulgular: Çalışmaya katılan sağlık çalışanları, ekstravazasyon gelişimi ve sağlık bakımı ile ilgili en önemli risk faktörünün yüksek riskli ilaçlar verilirken yetersiz takip yapılması (%51.7, p=0.028) idi. Bebek ile ilgili risk faktörünü ise prematürite (%33.3) ve hipotansiyon/hipoperfüzyon (%34.7) olarak belirledi (p<0.001). Ekstravazasyon tedavisinde ilk yaklaşım infüzyonun durdurulması ve damar yolunun çekilmesi oldu (p<0.001). Sağlık çalışanlarının meslek hayatları boyunca %91.6 oranında ekstravasyon, %58 oranında ise uzuv kaybı veya plastik cerrahi tedavisi gerektirecek kadar ciddi komplikasyonlar ile karşılaştıkları görüldü. Sonuç: Yenidoğan yoğun bakım ünitesinde çalışan tüm sağlık çalışanlarına hizmet içi eğitime devam edilerek bilgilerin güncelliği sağlanmalı, farklı yaklaşımların önüne geçmek için ekstravazasyon tedavi protokolleri geliştirilmelidir.
Hemşirelik öğrencilerinin sosyo-demografik özellikleri ve yeme tutumlarının ortoreksiya nevrozaya etkisi
Authors: KAPLAN SERİN Emine , IŞIK Kevser , YILDIZ KARADENİZ Ebru
Published: December 2022

Amaç: Bu araştırma hemşirelik öğrencilerinin sosyo-demografik özellikleri ve yeme tutumlarının ortoreksiya nevrozaya etkisinin belirlenmesi amacıyla yapıldı. Yöntem: Tanımlayıcı tipte yapılan araştırmanın evrenini KSÜ Sağlık Bilimleri Fakültesi Hemşirelik bölümünde öğrenim gören tüm öğrenciler oluşturdu. Örneklemi ise araştırmaya katılmayı kabul eden 164 öğrenci oluşturdu. Veriler Google form aracılığıyla tanıtıcı anket formu, yeme tutumu ölçeği ve orto-15 ölçeği kullanılarak toplandı. Bulgular: Araştırmaya katılan öğrencilerin %58.5’inin düzenli yemek alışkanlığının olduğu, %70.7’sinin öğün atladığı, yeme tutumu ölçek puanı ortalamasının 37.98 ±3.46, Orto-15 ölçeği puan ortalamasının ise 37.97±3.45 olduğu belirlendi. Sonuç: Öğrencilerin beden kitle indeksinin normal aralıkta olduğu ancak yeme davranış bozukluğu riskinin yüksek olduğu, ortoreksiya nevrozaya yatkınlıklarının da normal olduğu belirlendi.
Rational Choice Theory: Reasons behind the Philippines-China Collaboration during Covid-19 Pandemic
Authors: Christiana Evita
Published: December 2022

Relations between the Philippines and China are filled with conflict and cooperation. The conflict between the two countries can be seen from the conflict in the South China Sea, while the cooperation between the Philippines and China can be seen in the form of investment, loans, and others. With these dynamics, the author then finds an anomaly related to why the Philippines, which is in conflict with China in the South China Sea still wants to cooperate with China during the pandemic of COVID-19. Through this research, the author aims to find out the reasons behind the Philippines' desire to cooperate. The author then argues that the cooperation happens because of the material benefits that the Philippines has received and the benefit of social relations. In doing this research, the author uses rational choice theory from a journal written by Linda K George. By using rational choice theory, the author will further review what choices the Philippines faces so that it prefers to cooperate with China.
The Role of Negative Ties in Understanding the Link Between Social Networks and Organizational Creativity
Authors: Paşamehmetoğlu Ayşın
Published: December 2022

The aim of this study is to develop propositions for determining the relationship between negative ties of social networks and organizational creativity and to examine the effects of organizational networks on organizational creativity from an interpretative research perspective by considering negative bonds. Firstly, the basic information in the literature on organizational change and organizational networks was examined. Then, propositions were developed for determining the relationship between social networks and organizational creativity by considering the negative ties. To be competitive, organizations must also be innovative, making organizational creativity a crucial capability. Accordingly, the past decade has seen increasing attention among scholars in the field of creativity. Most of the organizational network studies focus on positive ties and relations obtained through ties that reflect relational forces and they ignore the differential factors that arise as a result of negative ties. In this context, the importance of negative ties was discussed. The interpretative approach tries to find answers to research questions with theoretical explanations in cases where there is not much information about the concept for the first time to reveal the theoretical relationship of the concepts specified in the current literature.
Organisational Leadership on Implementation of Strategic Plansin Tanzania sLocal Government Authorities
Authors: Namuındu Jabir , Shıllıngı Venance , Mwakasangula Eliza
Published: December 2022

The study determinethe the influence of organisational leadership on the implementation of strategic plans in Tanzania’s Local Government Authorities (LGAs). The study used Pragmatism as the philosophywhere a survey designwas adopted using mixed methods particularly explanatory sequential strategy and time horizon was cross-sectional which allowed data to be collected at a single point of time. Both quantitative and qualitative methods and tools were applicable to triangulate the study finding.The samplesize of155respondents drawnfrom target population of 290employees inselected five (5) localgovernment Authorities in Morogoro Region. Data werecollected using questionnairesand interviews; and thereafter quantitative data analysed through descriptiveand inferentialstatisticswhile qualitative data were analyzedthrough content analysis.Thestudy revealed that, organisational leadership contributes about 27.5% of all initiatives on implementing strategic plans in Local Government Authorities while 72.5% is explained by other factors which were not studied.Therefore, organisational leadership do influence impleimentation of strategic plans in Tanzania’s LGAs; and hece, LGAs should encourage leadership that may create effective implementation of strategies by imparting skills on supervising and coordinating subordinates in their organization.
Performance Implications of Manpower Development in Nigeria Public Sector: A Case of Non-Academic Staff of Universities in Ekiti State
Authors: Bankole Oluwole Adeniyi , Adeyemı Olatunji Olaitan
Published: December 2022

The study focused on the relationship between manpower developmentand performance with special reference to non academic staff of universities in Ekiti State. A descriptive survey research design was adopted for the study. The population of the study comprisednon academic staff of the three public universities (Ekiti State University, Ado-Ekiti, Bamidele Olumilua University of Education, Science and Technology Ikere-Ekiti, Federal University, Oye-Ekiti) in Ekiti State. The sample size was 363. Primary data used for the study were gathered through the administration of structured questionnaire to the respondents. The data retrieved were analysed using Pearson Product Moment Correlation. The study found that there is significant relationship between coaching, job rotation, workshop and seminar, committee or work group method, in service training, vestibule training method and performanceat 0.05 level of significance. The study concluded that there is significant relationship between manpower development and performanceof non academic staffin Ekiti State.
Transitioning Environmental Governance In Aotearoa: Tikanga Māori And A Political Ethic Of Care
Authors:   , Tapsell Ellen
Published: December 2022

This thesis outlines the important roles that tikanga and care ethics have in the governanceof our environment. Current governing practices and systems in Aotearoa are deeply intertwined with colonial histories and ideologies that can devalue care, tikanga and reciprocal relationships. However, as environmental threats increase globally and locally, new ways of relating to and governing our environments are necessary (IPBES 2019; Te Mana o Te Taiao 2020). Indigenous knowledge and legal concepts are pivotal to more holistic governance of the environment and in Aotearoa, this often includes tikanga Māori. This thesis explores the need to decolonise governance systems and ideologies of care to ensure better relationships with the environment and between Te Tiriti o Waitangi partners in Aotearoa. I argue a political ethic of care is needed within environmental governance to ensure that relationships are balanced, and power, privilege and history are not ignored or maintained in the process of transitioning environmental governance into a more relational and tikanga Māori informed system. I recommend a Political Ethic of Care Toolbox to be used in environmental policy and planning by decision-makers working in environmental governance.
Penurunan Tekanan Darah Pada Pasien Hipertensi Dengan Menggunakan Terapi Murotal
Authors: Fitriyadi Muhamad , Setyawati Dewi
Published: December 2022

Hipertensi merupakan penyakit tidak menular yang menyebabkan kematian di dunia. World Health Organization (WHO) mengestimasikan prevalensi hipertensi secara global sebesar 22 % dari total penduduk dunia. Dari sejumlah penderita, kurang dari seperlima yang mengendalikan tekanan darah. Hipertensi merupakan meningkatnya tekanan darah ≥140/90 mmHg. Pengobatan non farmakologis adalah menciptakan keadaan rileks. Mendengarkan Al Qur’an diyakini mendatangkan ketenangan jiwa dan mempengaruhi respon fisiologis termasuk tekanan darah. Studi ini menjelaskan perubahan terapi murotal Al Qur’an terhadap penurunan tekanan darah pasien hipertensi. Studi ini menggunakan metode deskriptif dengan pendekatan asuhan keperawatan, subjek berjumlah 2 pasien yang mengalami peningkatan tekanan darah. Instrument yang digunakan untuk mengukur tekanan darah yaitu sphygmomanometer digital yang sudah dikalibrasi, mendengarkan murotal melalui Mp3 surat Al-Kahfi ayat 1-28 yang dilantunkan Muzammil Hasballah dengan headphone menutup seluruh telinga dengan diameter 7 cm, kemudian responden tidur berbaring rileks mata terpejam mendengarkan lantunan ayat suci selama 15 menit selama 3 hari setelah sebelumnya minum obat amlodipin 10 mg  jeda waktu 2 jam dan tekanan darah diukur sebelum dan sesudahnya dan mendapatkan hasil penurunan tekanan darah sistolik 56 mmHg dan diastolik 36 mmHg. Simpulan studi ini adalah  terapi murotal dapat menurunkan tekanan darah pada pasien hipertensi.
Penerapan Kompres Hangat Untuk Menurunkan Suhu Tubuh Pada Anak Dengan Hipertermia
Authors: Faridah Ida , Soesanto Edy
Published: December 2022

Demam pada anak merupakan akibat dari perubahan pada pusat panas (termoregulasi) di hipotalamus, demam dapat membahayakan keselamatan anak jika tidak ditangani dengan cepat dan tepat akan menimbulkan komplikasi lain seperti, hipertermi, kejang dan penurunan kesadaran. Penerapan kompres hangat ini merupakan salah satu terapi komplementer yang dapat diberikan untuk memban­tu mengendalikan dan menurunkan suhu tubuh Penelitian ini bertujuan untuk mengetahui pengaruh kompres hangat terhadap penurunan suhu tubuh pada pasien dengan hipertermia.Studi kasus ini menggunakan metode deskriptif. Sampel diambil 2 anak yang mengalami febris >38,5 ºC dan dikelola selama 3 hari dengan pemberian tindakan keperawatan berupa terapi pemberian kompres hangat  dengan frekuensi 2 kali/hari selama 10 menit saat demam. Pengumpulan data menggunakan buku status, wawancara, observasi dan metode proses keperawatan. Bahan yang di gunakan menggunakan air hangat suhu 36,5ºC-37,5ºC dengan termometer air, menggunakan waslap dan alat untuk mengukur suhu tubuh menggunakan termometer digital. Terdapat penurunan suhu tubuh pada 2 responden yang mengalami hipertermia menggunakan terapi kompres air hangat selama 3 hari pada responden 1 39,3ºC menjadi 37,3º dan pada  responden ke 2 terjadi penurunan suhu dari suhu awal 38,5 ºC setelah 3 hari menjadi 36,6oC. Hasil perawatan menunjukan bahwa terjadi penurunan suhu sesuai target yang ingin di capai menjadi suhu normal. Terapi kompres hangat efektif untuk menurunkan suhu tubuh yang dialami anak hipertermia
Penurunan Rasa Haus Pada Kasus Penyakit Ginjal Kronik Yang Menjalani Hemodalisa Dengan Sipping Ice Cube Therapy
Authors: Rahayu Farida Adi , Sukraeny Nury
Published: December 2022

Penyakit ginjal kronik merupakan gangguan dengan etiologi yang sangat luas dan komplek. Kasus penyakit ginjal kronik yang menjalani hemodialisa harus mematuhi diet, minum obat, dan pembatasan cairan. Mengulum es batu dinilai efektif untuk mengurangi rasa haus pada kasus penyakit ginjal kronik yang menjalankan hemodialisa. Studi ini bertujuan untuk mengetahui penurunan skala rasa haus pada kasus penyakit ginjal kronik yang menjalani hemodialisa dengan tekhnik sipping ice cube therapy. Metode studi kasus dengan pendekatan asuhan keperawatan kasus penyakit ginjal kronik yang menjalani hemodialisa yang mengalami rasa haus. Kasus diambil sebanyak 2 kasus kelolaan yang diberikan intervensi sipping ice cube therapy. Pengukuran skala haus dengan visual analogue scale for assessmest of thirst (VAS) sebelum dan sesudah dilakukan sipping ice cube therapy pada kedua kasus sebelum menjalani hemodialisa. Ada penurunan rasa haus secara signifikan dari kedua kasus. Pada kedua kasus terjadi penurunan skala haus yaitu dari skala haus berat menjadi  haus ringan. Sipping ice cube therapy terbukti efektif menurunkan rasa haus pada kasus penyakit ginjal kronik yang menjalani hemodialisa.
Rendam Kaki Menggunakan Air Hangat pada Lansia dengan Hipertensi
Authors: Nurapiani Tari , Mubin Mohamad Fatkhul
Published: December 2022

Proses penuaan secara degeneratif yang akan berdampak pada perubahan-perubahan pada diri manusia tersebut, tidak hanya perubahan fisik, tetapi juga kognitif, perasaan, sosial dan seksual. Salah satu masalah kesehatan yang sering terjadi pada lansia adalah hipertensi atau tekanan darah tinggi. Hipertensi menjadi masalah kesehatan masyarakat  yang  serius,  karena  jika  tidak terkendali akan berkembang dan menimbulkan  komplikasi  yang  berbahaya. Terapi rendam kaki menggunakan air hangat  adalah salah satu penanganan non-farmakologi. Tujuan dari penerapan ini adalah mengetahui tingkat efektifitas terapi rendam kaki menggunakan air hangat dapat menurunkan hipertensi pada lansia. Studi kasus ini menggunakan metode deskriptif. Sampel diambil 2 lansia dan dikelola selama 3 hari dengan pemberian tindakan keperawatan berupa terapi rendam kaki menggunakan air hangat dengan frekuensi 1 kali/hari selama 20 menit. Pengumpulan data dengan wawancara dengan keluarga, observasi dan pengukuran tekanan darah menggunakan sphymomanometer digial. Setelah dilakukan implementasi ada perbedaan sebelum dan sesudah dilakukan intervensi pemberian terapi rendam kaki menggunakan air hangat terjadi penurunan tekanan darah pada lansia hipertensi. Rata-rara penurunan pada ke 2 lansia yang dilakukan implementtasi selam 3 hari yaitu sistolik 10,5 mmHg diastolik 7 mmHg dan MAP 8,5 mmHg. Terapi rendam kaki menggunkan air hangat efektif menurunkan tekanan darah yang dialami lansia.
O edukację jako podmiot samoregulacji społecznej
Authors: Kwieciński Zbigniew
Published: December 2022

Tekst zawiera analizę związków masowego wybuchu społecznego protestu w
sierpniu 1980 roku, jego przyczyn oraz implikacji dla demokratycznych
przemian społeczeństwa polskiego oraz dla zmiany funkcji edukacji z
instrumentu autorytarnej władzy na ważny podmiot samoregulacji społecznej.
Próba jego wydania w książce „Konieczność – niepokój – nadzieja” skończyła
się niepowodzeniem. Najpierw tekst ten został okrojony przez cenzurę, a
następnie na  początku stanu wojennego w styczniu 1982 roku wydawca prawie
cały nakład książki (ponad 10 tysięcy egzemplarzy) przekazał na
zniszczenie.
Powrót do systemu? Dyskusja redakcyjna wokół tekstu Zbigniewa
Kwiecińskiego z 1980 roku
Authors: Rutkowiak Joanna , Stankiewicz Łukasz , Stańczyk Piotr , Starego Karolina , Szkudlarek Tomasz
Published: December 2022

Dyskusja zorganizowana przez redakcję „Ars Educandi” dotyczy aktualności
diagnoz społecznego kryzysu w czasie upadku systemu komunistycznego w
Polsce. Wydany w 1980 roku tekst Zbigniewa Kwiecińskiego stał się pretekstem
do rozważań na temat podobieństw i różnic tamtego systemu do obecnej formy
autorytaryzmu w Polsce, do pytań o logikę kryzysu, o relacje społecznych
emocji do struktury społecznego systemu oraz o to, czy posługiwanie się
figurą systemu społecznego nadal jest zasadne.
Autoetnografia trudów macierzyństwa
Authors: Szczepaniak Colette
Published: December 2022

Artykuł jest autoetnograficznym badaniem społeczno - kulturowej
perspektywy po- nowoczesnego macierzyństwa. Macierzyństwa jakich wiele:
uwikłanego w stereotypy, osądy i przekazy medialne oraz rady, dostępne od
ręki w każdej telewizji, radiu, na forach dla rodziców. Stosując przyjętą
metodę kieruję się w stronę indywidualnego i subiektywnego doświadczenia
życiowego kobiety, które zdaje się wymykać jakimkolwiek ustaleniom naukowym.
Chcąc ukazać środowisko, w którym się wychowałam i kulturę, w której
funkcjonuję jako matka przeanalizowałam doświadczenia, które były
najtrudniejsze w początkach macierzyństwa. Treści odnoszące się do
perspektywy społeczno - kulturowej zapisane są w tekście kursywą. Sytuacje
trudne opisane w artykule nie dają powodów do tego, żeby definciować moje
macierzyństwo jako trudne ale przedstawiają codzienność wielu innych,
zwykłych, kochających, zmęczonych, wątpiących w siebie matek. A każda z nich
zasługuje na pomoc  ze strony systemu, zasugerowaną w ostatniej części
artykułu.
Ku inżynierii społecznej
Authors: Kowzan Piotr
Published: December 2022

Artykuł proponuje odejście od kultywowania wiedzy ogólnej w pedagogice
na rzecz inżynierii społecznej. Rozważane są w nim propozycje transformacji
wiedzy pedagogicznej w celu uczynienia jej komunikatywną poza obszarem
humanistyki. Celem tych transformacji jest optymalizacja i uproszczenie
wiedzy do poziomu umożliwiającego adeptom majsterkowanie. Zaproponowane
rozwiązanie polega na: 1) wyprowadzaniu naukowych uzasadnień z tego, co
pedagogicznie niemożliwe; 2) matematyzacji języka opisu; 3) tworzeniu
zestawów procedur wymagających minimalnej wiedzy i do minimum ograniczającej
działania osób dorosłych.
DOMESTICATION AND CONSERVATION OF ENDANGERED MEDICINAL FLORA AT TWO AGRO-ECOLOGICAL ZONES OF PAKISTAN.
Authors: Fawad Muhammad
Published: December 2022

Northern Pakistan is known for its rich medicinal flora however, more than 150 species are at a greater risk of becoming endangered, mainly due to natural disaster, climate change, nomadic grazing and over harvesting for its ethno-botanical use. Proper domestication and conservation measures is necessary to conserve the medicinal flora. Experimental trials to examine the growth of medicinal plants in the location: Swat and Chitral, wild habitats, fertilizer and control (no fertilizers). Data show that various treatments significantly effected plant Height (cm), plants density m-2, root yield kg ha-1, and Income Rs ha-1 in both the locations. The economical analysis of the data revealed that the maximum income for Glycyrrhiza glabra (840,000 PKR ha-1) and Trillium govanianum (481,325 PKR ha-1) was recorded in NPK applied plots. Simlalry, minimum (220,000 PKR ha-1) for Glycyrrhiza glabra and (104,854 PKR ha-1) recorded for Trillium govanianum in their wild habitat in both the locations. Likewise, maximum morphological growth, yield and income of medicinal plants in Swat valley was higher than Chitral. Furthermore, the production of the medicinal plants in wild habitat is comparatively lower and thus improved production technology is suggested to get higher yield. The findigs revealed that Swat valley is most suitable and productive for the cultivation of medicinal plants as compared to the location Chitral. In addition, growing medicinal plants will be popularized among the farming communities of Pakistan and the gerplasm of these endangered species will be conserved for future use.
Key words: Medicinal plants, Endangered wild flora, domestication, cultivation, conservation.
INVESTIGATING LOW DOSE OF WEED MEDIATED SILVER NANOPARTICLES AGAINST PATHOGENIC BACTERIA
Authors: Pasha Rida , Ali Syeda Hafsa , Ali Syeda Ayesha , Mehak Rabail
Published: December 2022

Weeds are undesirable and unpleasant plants with robust growth. Around 18,000 weed species outcast native biodiversity and responsible for tremendous economic losses. Plants were used to treat numerous ailments since ancient times. Antimicrobial resistance (AMR) is an emerging global health problem, where approximately 700,000 people lose their life each year from AMR infections. Minimum inhibitory concentration of Biogenic silver nanoparticles against pathogenic bacterial strain has not been reported previously. This study aims to elucidate lowest biogenic Alkanna tinctoria mediated silver nanoparticles dose to treat bacterial infections. Qualitative phytochemical analysis performed using standard tests. The synthesized silver nanoparticles were characterized visually, UVâ€“Vis spectroscopy and using X-ray diffraction. Minimum inhibitory concentration of biogenic silver nanoparticles was tested against gram positive (S. aureus) and gram-negative bacteria (E. coli). Alkanna tinctoria leave were positive for alkaloids, carbohydrate, saponins, amino acids, and fixed oil. The synthesized silver nanoparticles were in range of 60 to 73nm. Silver nanoparticles significantly affected E. coli as compared to S. aureus. The MIC for E. coli was recorded as 46.87 Î¼g/mL and 93.75 Î¼g/mL was effective against S.aureus. Search of naive plants as novel therapeutic agents along with nanotechnology can bring revolution in the field of drug development and medical sciences.