bluuebunny/crossref_metadata_2025 huggingface dataset:
THE INFLUENCE OF COMPETENCY-BASED CURRICULUM PROMOTED STUDENTS’ INNOVATIVENESS IN SELECTED GOVERNMENT-AIDED SECONDARY SCHOOLS OF WAKISO DISTRICT, UGANDA. A CROSS-SECTIONAL SURVEY.
Authors: Katurebe Benon , Nalukwago Harriet
Published: April 2024

Background
The study aims to establish a competency-based curriculum on students’ innovativeness in selected government-aided secondary schools of Wakiso District, Uganda.
Methodology
The study applied descriptive research design with qualitative and quantitative research approaches. Data was collected randomly from 10 head teachers, 30 class teachers, and 120 students using a self-administered questionnaire and a key informant interview guide.
Results
According to the study results, competency-based curriculum implementation was highly promoted or highly promoted students’ innovativeness in selected government-aided secondary schools of Wakiso District, Uganda. Through a competency-based curriculum, students became more innovative and creative. When students were instructed on competency, they were more likely to develop new problem-solving abilities, understand challenges that are prominent in the real world, become more competent in the use of technological gadgets like computers, and develop the ability to come up with alternative ways of addressing their problems. Therefore, a competency-based curriculum highly promoted students’ innovativeness in selected government-aided secondary schools of Wakiso District, Uganda. Thus a lot of support should be given to such schools to have competent students who will help in the development of the country. There was a high positive linear relationship between competency-based curriculum and students’ innovativeness.
Conclusion
Similarly, it was confirmed that a competency-based curriculum highly promotes students’ innovativeness in selected government-aided secondary schools of Wakiso District, Uganda.
Recommendation
The school administration should work hard towards ensuring that they offer necessary support to teachers, not only that but the teachers should be involved so much in the innovativeness of the students to give them an upper hand in whichever invention they may have come up with in the CBC. In addition, there should be rewards for best-performing teachers and students as a form of motivation to enhance the CBC in secondary schools.
Practices of diarrhoea disease prevention measures among caregivers in Nyalenda, Kisumu County
Authors: Okeyo Frida Adhiambo , Nyangechi Edna , Guyah Bernard
Published: April 2024

This study aims to assess the practice of diarrhoea disease prevention measures among caregivers to enhance the effectiveness of prevention strategies. Diarrhoea disease poses a significant health risk, particularly among children, and caregivers play a crucial role in preventing its occurrence. However, the actual practice of diarrhoea disease prevention measures among caregivers is not well understood. Understanding the current practices and identifying areas for improvement can inform targeted interventions and educational programs to enhance the effectiveness of prevention strategies. This study employed a quasi-experimental design with mixed methods analysis. A sample of 302 households with caregivers of children aged 6-24 months. In-depth interviews and structured questionnaires were employed for data collection entered into SPSS. Descriptive analysis, multivariate logistic regression, independent samples t-test, chi-square test, and qualitative thematic analysis were employed for data analysis. The findings revealed the level of adherence to preventive measures among caregivers and identified specific areas where improvements are needed. The study contributes to the understanding of caregivers’ practices in preventing diarrhoea diseases and highlights the necessity for targeted interventions to improve adherence to preventive measures. By identifying specific areas for improvement, healthcare providers and policymakers can design educational programs and interventions that address the gaps in practice, ultimately reducing the incidence of diarrhoea diseases among children. The study recommends incorporating visual charts as an intervention strategy to improve caregivers’ practice of diarrhoea disease prevention measures. Visual charts can effectively enhance adherence to preventive measures among caregivers, ultimately reducing the prevalence of diarrhoea in children.
PENERAPAN PELATIHAN CDOB DI PT. MILLENNIUM PHARMACON INTERNATIONAL TBK. IMPLEMENTATION OF CDOB TRAINING AT PT. MILLENNIUM PHARMACON INTERNATIONAL TBK
Authors: Sianipar Artha Yuliana , Tarigan Modesta Hamoni
Published: April 2024

Abstrak laporan praktek kerja pendidikan profesi apoteker pada Pedagang Besar Farmasi (PBF) di PT. Millennium Pharmacon International Tbk., cabang Medan, fokus pada studi kasus Praktik Distribusi Obat yang Baik (CDOB). Praktek kerja ini bertujuan untuk meningkatkan pemahaman dan keterampilan praktisi dalam memastikan pendistribusian obat sesuai dengan standar yang telah ditetapkan untuk menjaga mutu dan integritas produk farmasi. Melalui serangkaian pelatihan CDOB, para praktisi mengajarkan tentang peraturan, standar operasional prosedur (SOP), serta pengelolaan dan penyimpanan obat yang baik. Evaluasi kerja praktek ini menunjukkan peningkatan yang signifikan pada pengetahuan dan keterampilan praktik, khususnya pada aspek pengelolaan stok, pemantauan suhu, dan penanganan produk sesuai spesifikasi. Hasil tersebut menunjukkan pentingnya pelatihan CDOB dalam memastikan distribusi obat yang efektif dan efisien di PBF, serta kontribusinya dalam mendukung upaya penjaminan mutu produk farmasi di Indonesia.
IDENTIFIKASI DRUG RELATED PROBLEM (DRPs) PADA PASIEN DISPEPSIA DI KLINIK UTAMA NEHEMIA MEDAN
Authors: Br Ginting Grace Anastasia , Surbakti Christica Ilsanna , Marbun Eva Diansari
Published: April 2024

Dispepsia menggambarkan suatu keluhan atau kumpulan gejala (sindrom) yang terdiri dari nyeri atau rasa tidak nyaman pada daerah epigastrium, mual, muntah, kembung, cepat kenyang, rasa penuh, bersendawa, dan rasa terbakar di dada. Identifikasi Masalah Terkait Obat dalam pengobatan penting dilakukan untuk mengurangi angka kesakitan, kematian, dan biaya terapi obat. Hal ini akan sangat membantu dalam meningkatkan efektivitas terapi obat, terutama pada penyakit yang memerlukan pengobatan jangka panjang. Penelitian ini merupakan penelitian deskriptif, dengan pengumpulan data retrospektif kemudian dikaji dan dianalisis. Data yang diperoleh berupa rekam medis pasien dispepsia. Penelitian ini bertujuan untuk mengetahui terjadinya Drug Associated Problems (DRPs) pada pasien dispepsia di Klinik Utama Nehemia Medan pada bulan Januari sampai Maret 2023. Berdasarkan hasil penelitian yang dilakukan terhadap 68 pasien, terdapat 3 pasien (4,41%) yang mengalami DRP, sedangkan 65 pasien (95,59%) tidak mengalami DRP dengan kategori DRP berhubungan dengan interaksi obat yang tidak diinginkan.
Geospatial Analysis of Artisanal Refineries Distribution Pattern in the Central Niger Delta, Nigeria
Authors: P. Ikezam , A. Kika H.
Published: April 2024

The study examined the geospatial analysis of geospatial analysis of artisanal refineries distribution pattern in the Central Niger Delta, Nigeria. The study made use of locational data obtained as secondary data from National Oil Spill Monitor and National Oil Spill Detection and Response Agency. Geographic analyses such as nearest neighbour analysis, directional distribution (Standard deviation ellipse), and Mean Center were carried out. Descriptive statistics involving spatial extent, frequency and percentage were employed for the data analysis. The results showed that that a total of 1476 artisanal sites were discovered in the Central Niger Delta. Of this total 55.35% (817) were found in Bayelsa State, 5.49% (81) were found in Delta State and 39.16% (578) were found in Rivers State. The nearest neighbour analysis showed that the distribution pattern of artisanal refineries was significantly clustered in Bayelsa State (Z= 47.5252, p=0.000); Delta State (Z= -10.129, p=0.0000); Rivers State (Z= -35.13333, p=0.0000) and the entire Central Niger Delta (Z= -59.8222, p=0.0000). The mean center of the distribution of artisanal refineries in Bayelsa State was found in Southern Ijaw LGA, Delta State in Uvwie LGA, Rivers State is found in Ikwerre LGA, and the entire Central Niger Delta was found in Ogbia LGA. The directional distribution standard deviation ellipse covered 58.49% in Bayelsa State, 35.06% in Rivers State and 6.35% of dispersion in Delta State. The study can be concluded that the spatial distribution pattern of artisanal refineries in the entire Central Niger Delta was clustered in nature and Bayelsa and Rivers States were more affected. It is recommended to among others that more studies should be done on the proliferation of artisanal refineries in the study area and entire Niger Delta so that the environmental effects resulting from artisanal refinery activities are reduced to the barest minimum.
THEORETICAL PERSPECTIVES ON DIGITAL TRANSFORMATION IN FINANCIAL SERVICES: INSIGHTS FROM CASE STUDIES IN AFRICA AND THE UNITED STATES
Authors: Temitayo Oluwaseun Jejeniwa  , Noluthando Zamanjomane Mhlongo  , Titilola Olaide Jejeniwa
Published: April 2024

This review paper explores the theoretical perspectives on digital transformation in financial services, with a focus on insights from Africa and the United States. It delves into key theories and models such as the Diffusion of Innovations Theory, the Technology Acceptance Model (TAM), and the Unified Theory of Acceptance and Use of Technology (UTAUT), and their application to understanding the adoption and impact of digital technologies in financial services. The paper highlights the challenges faced by financial institutions, including regulatory hurdles, cybersecurity threats, and technological disparities, while also discussing the transformative opportunities digital transformation presents for enhancing service delivery and financial inclusion. A comparative analysis reveals how these theoretical frameworks apply across different regions, emphasizing the need for continuous theoretical development to navigate the evolving digital financial landscape.
Keywords:  Digital Transformation, Financial Services, Theoretical Perspectives, Comparative Analysis.
THE ROLE OF ETHICAL PRACTICES IN ACCOUNTING: A REVIEW OF CORPORATE GOVERNANCE AND COMPLIANCE TRENDS
Authors: Temitayo Oluwaseun Jejeniwa  , Noluthando Zamanjomane Mhlongo  , Titilola Olaide Jejeniwa
Published: April 2024

This comprehensive review delves into the pivotal role of ethical practices in accounting, specifically focusing on corporate governance and compliance trends. Ethical considerations in accounting are not merely regulatory checkboxes but constitute the moral compass guiding financial professionals towards transparency, integrity, and accountability. The review provides a glimpse into the core themes explored in this review. The contemporary business landscape is marked by increased scrutiny of ethical practices within accounting frameworks. This review navigates the intricate interplay between ethical considerations, corporate governance structures, and compliance trends that collectively shape the ethical fabric of financial reporting. Examining corporate governance practices reveals their intrinsic link to ethical conduct in accounting. Effective governance structures serve as bulwarks against financial improprieties, fostering a culture of responsibility and ethical decision-making. The review scrutinizes evolving corporate governance models, their impact on financial transparency, and the role they play in mitigating risks associated with unethical accounting practices. Compliance trends, both globally and regionally, are explored to understand the ever-evolving regulatory landscape. Stringent compliance requirements act as safeguards, ensuring adherence to ethical standards. This review investigates how organizations navigate the complex web of regulatory frameworks, emphasizing the importance of proactive compliance measures in upholding ethical standards and fortifying the trust of stakeholders. Ethical considerations are not confined to regulatory frameworks; they permeate the organizational ethos, influencing decision-making at every level. The review delves into case studies and real-world examples to illustrate the tangible consequences of ethical lapses, emphasizing the need for a robust ethical foundation in accounting practices.  In conclusion, the review underscores the indispensable role of ethical practices in accounting, illuminating the symbiotic relationship between corporate governance, compliance trends, and ethical conduct. As businesses navigate an era of increased accountability, understanding and embracing ethical imperatives in accounting emerge not only as legal mandates but as essential components for sustaining trust, fostering transparency, and fortifying the integrity of financial reporting practices.
Keywords:  Ethical Practices, Accounting, Corporate, Governance, Compliance.
LEVERAGING WORKFORCE ANALYTICS FOR SUPPLY CHAIN EFFICIENCY: A REVIEW OF HR DATA-DRIVEN PRACTICES
Authors: Olufunke Olawale  , Funmilayo Aribidesi Ajayi  , Chioma Ann Udeh  , Opeyemi Abayomi Odejide
Published: April 2024

This study explores the pivotal role of HR analytics in enhancing supply chain management (SCM) efficiency, marking a significant shift from traditional HR practices to data-driven decision-making. The main objective was to bridge the gap between HR analytics and SCM performance, highlighting the transformative potential of integrating advanced data analysis in workforce management to optimize supply chain operations. Employing a systematic literature review and content analysis methodology, this research meticulously analyzed peer-reviewed articles, conference papers, and scholarly books from prominent databases. The search strategy was comprehensive, incorporating a broad spectrum of relevant keywords to ensure the inclusion of significant studies that address the integration of HR analytics into SCM. Key findings underscore the transformative power of HR analytics in SCM, revealing that data-driven HR practices significantly contribute to operational efficiency, strategic decision-making, and enhanced competitive advantage. Advanced analytical tools, such as AI, machine learning, and predictive analytics, have been identified as critical in optimizing workforce performance and aligning human capital with supply chain objectives. The study concludes with actionable recommendations for practitioners, leaders, and policymakers, emphasizing the importance of robust data governance, cross-functional collaboration, and the development of analytics competencies. It also outlines emerging challenges and opportunities in leveraging workforce analytics, suggesting directions for future research, particularly in exploring the strategic impacts of HR analytics on supply chain resilience and sustainability. This research contributes to the growing body of knowledge on the strategic integration of HR analytics in supply chain management, offering a roadmap for organizations seeking to enhance supply chain efficiency through data-driven HR practices.
Keywords: HR Analytics, Supply Chain Management, Data-Driven Decision-Making, Workforce Optimization.
CONFLITO INTERNO INTERNACIONALIZADO: A HISTÓRIA DA PROTEÇÃO INTERNACIONAL DOS DIREITOS HUMANOS
Authors: Sá Narjara Pires de Carvalho e , França Mhardoqueu Geraldo Lima
Published: April 2024

O presente trabalho analisa os desenvolvimentos conceituais e práticos e as limitações remanescentes, legais ou políticas, na proteção global dos direitos humanos com o objetivo de destacar o contínuo desenvolvimento dos instrumentos disponíveis - acordos centrais - e o papel das conferências e regionais de direitos humanos. A metodologia usada é de revisão bibliográfica baseada em pesquisa de textos, artigos, teses e documentos pertinentes ao tema Direitos Humanos, analisados e selecionados através das plataformas de buscas e Scielo, nos idiomas, português, inglês e espanhol.
ENGAJANDO ALUNOS COM METODOLOGIAS ATIVAS: O PAPEL DA INSTRUÇÃO ENTRE PARES
Authors: Santos Silvana Maria Aparecida Viana , Franqueira Alberto da Silva , Viana Silvanete Cristo
Published: April 2024

Este estudo abordou a implementação da instrução entre pares no ensino superior, focando no uso de ferramentas de colaboração online para promover uma aprendizagem mais ativa e participativa. O objetivo geral foi compreender como essa metodologia pôde ser efetivamente aplicada, tanto em ambientes presenciais quanto online, para engajar os alunos e desenvolver habilidades sociais e emocionais. Através da análise de literatura relevante, identificou-se que a instrução entre pares, apoiada por tecnologias digitais, facilitou a criação de um ambiente educacional interativo, onde os estudantes participaram ativamente na construção do conhecimento. Além disso, as ferramentas online ampliaram as possibilidades de interação, contribuindo para o desenvolvimento de habilidades essenciais. Contudo, a implementação enfrentou desafios, incluindo a necessidade de adaptação dos educadores e o acesso desigual às tecnologias. Concluiu-se que a instrução entre pares representou uma metodologia promissora para o ensino superior, requerendo uma mudança cultural nas instituições educacionais para alcançar seu potencial pleno.
FEMINICÍDIO E OS ASPECTOS RELACIONADOS A VIOLÊNCIA DE GÊNERO
Authors: Santos Luiz Ricardo dos
Published: April 2024

O ato de feminicídio tardio é considerado um crime hediondo que é tratado por legislação específica. No Brasil, o reconhecimento e a condenação do feminicídio como crime distinto ocorreram há relativamente pouco tempo, especificamente em 2015. Com a implementação da Lei nº 13.104/15, conhecida como Lei do Feminicídio, o Código Penal Brasileiro foi alterado para incluir um novo agravante para homicídio: feminicídio. Este termo refere-se ao ato de matar uma mulher como resultado de discriminação de gênero, decorrente das expectativas e normas sociais de longa data impostas às mulheres no âmbito das relações patriarcais de gênero. No Brasil, a desigualdade de gênero se manifesta de forma explícita, evidente por meio de diversas formas de violência contra as mulheres, desde a moral e psicológica até a física e sexual. A manifestação mais extrema desta desigualdade é o feminicídio, que não é uma ocorrência isolada, mas sim um padrão contínuo de violência. O feminicídio, tal como definido neste contexto, refere-se ao ato de causar intencionalmente a morte de uma mulher apenas com base no seu gênero, o que desempenha um papel significativo na perpetração do crime. Essa ocorrência é resultado de uma convergência de fatores de gênero, raciais e socioeconômicos.
O USO DO DOMINÓ COMO RECURSO DIDÁTICO PARA O ENSINO DE DIVISÃO CELULAR: UM ESTUDO COM ALUNOS DO 1º ANO DO ENSINO MÉDIO DE UMA ESCOLA DA REDE FEDERAL EM FLORIANO – PI
Authors: Melo Ana Valéria Borges de Carvalho , Sousa André Augusto dos Santos , Carvalho Debora Cristina de Oliveira , Silva Eliza Maria Andrade da , Silva Maria Luiza de Sousa , Sousa Taís Ribeiro de , Lima Michelle Mara de Oliveira
Published: April 2024

Ao analisar o cenário social atual, torna-se evidente que o entendimento de conceitos fundamentais das Ciências da Natureza, especialmente da Biologia, é crucial para a construção de uma sociedade mais equitativa, sustentável e voltada para o futuro. No entanto, o ensino desses conceitos enfrenta desafios que demandam atenção e estudos por parte da comunidade científica. Em particular, é necessário desenvolver e validar ferramentas e atividades que auxiliem no ensino de conceitos básicos de citologia, com destaque para o estudo da divisão celular. Nesse contexto, este trabalho tem como objetivo geral identificar as contribuições do uso do dominó pedagógico no ensino de divisão celular para alunos do 1º ano do Ensino Médio. A pesquisa adotou uma abordagem qualitativa, realizada por meio de um estudo de caso embasado na etnometodologia, utilizando como instrumentos a Observação Participante e o registro fotográfico. Os resultados demonstraram que a utilização do jogo teve um impacto significativo no interesse e na participação dos alunos durante o processo de aprendizagem. A abordagem prática e dinâmica do jogo despertou a curiosidade dos estudantes, levando-os a se envolver ativamente e a desenvolver uma compreensão mais profunda dos conceitos de divisão celular. A visualização concreta das etapas do processo celular também facilitou a assimilação do conteúdo.
Auroral breakup detection in all-sky images by unsupervised learning
Authors: Partamies Noora , Dol Bas , Teissier Vincent , Juusola Liisa , Syrjäsuo Mikko , Mulders Hjalmar
Published: April 2024

Abstract. Due to a large number of automatic auroral camera systems on the ground, image data analysis requires more efficiency than what human expert visual inspection can provide. Furthermore, there is no solid consensus on how many different types or shapes exist in auroral displays. We report the first attempt to classify auroral morphological forms by an unsupervised learning method on an image set that contains both nightside and dayside aurora. We used 6 months of full-colour auroral all-sky images captured at a high-Arctic observatory on Svalbard, Norway, in 2019–2020. The selection of images containing aurora was performed manually. These images were then input into a convolutional neural network called SimCLR for feature extraction. The clustered and fused features resulted in 37 auroral morphological clusters. In the clustering of auroral image data with two different time resolutions, we found that the occurrence of 8 clusters strongly increased when the image cadence was high (24 s), while the occurrence of 14 clusters experienced little or no change with changes in input image cadence. We therefore investigated the temporal evolution of a group of eight “active aurora” clusters. Time periods for which this active aurora persisted for longer than two consecutive images with a maximum cadence of 6 min coincided with ground-magnetic deflections, and their occurrence was found to maximize around magnetic midnight. The active aurora onsets typically included vortical auroral structures and equivalent current patterns typical for substorms. Our findings therefore suggest that our unsupervised image clustering method can be used to detect auroral breakups in ground-based image datasets with a temporal accuracy determined by the image cadence.
No detectable influence of the carbonate ion effect on changes in stable carbon isotope ratios (δ13C) of shallow dwelling planktic foraminifera over the past 160 kyr
Authors: Köhler Peter , Mulitza Stefan
Published: April 2024

Abstract. Laboratory experiments showed that the isotopic fractionation of δ13C and of δ18O during calcite formation of planktic foraminifera are species-specific functions of ambient CO32- concentration. This effect became known as the carbonate ion effect (CIE), whose role for the interpretation of marine sediment data will be investigated here in an in-depth analysis of the 13C cycle. For this investigation, we constructed new 160 kyr long mono-specific stacks of changes in both δ13C and δ18O from either the planktic foraminifera Globigerinoides ruber (rub) or Trilobatus sacculifer (sac) from 112 and 40 marine records, respectively, from the wider tropics (latitudes below 38°). Both mono-specific time series Δ(δ13Crub) and Δ(δ13Csac) are very similar to each other, and a linear regression through a scatter plot of both data sets has a slope of ∼ 0.99 – although the laboratory-based CIE for both species differs by a factor of nearly 2, implying that they should record distinctly different changes in δ13C, if we accept that the carbonate ion concentration changes on glacial–interglacial timescales. For a deeper understanding of the 13C cycle, we use the Solid Earth version of the Box model of the Isotopic Carbon cYCLE (BICYLE-SE) to calculate how surface-ocean CO32- should have varied over time in order to be able to calculate the potential offsets which would by caused by the CIE quantified in culture experiments. Our simulations are forced with atmospheric reconstructions of CO2 and δ13CO2 derived from ice cores to obtain a carbon cycle which should at least at the surface ocean be as close as possible to expected conditions and which in the deep ocean largely agrees with the carbon isotope ratio of dissolved inorganic carbon (DIC), δ13CDIC, as reconstructed from benthic foraminifera. We find that both Δ(δ13Crub) and Δ(δ13Csac) agree better with changes in simulated δ13CDIC when ignoring the CIE than those time series which were corrected for the CIE. The combination of data- and model-based evidence for the lack of a role for the CIE in Δ(δ13Crub) and Δ(δ13Csac) suggests that the CIE as measured in laboratory experiments is not directly transferable to the interpretation of marine sediment records. The much smaller CIE-to-glacial–interglacial-signal ratio in foraminifera δ18O, when compared to δ13C, prevents us from drawing robust conclusions on the role of the CIE in δ18O as recorded in the hard shells of both species. However, theories propose that the CIE in both δ13C and δ18O depends on the pH in the surrounding water, suggesting that the CIE should be detectable in neither or both of the isotopes. Whether this lack of role of the CIE in the interpretation of planktic paleo-data is a general feature or is restricted to the two species investigated here needs to be checked with further data from other planktic foraminiferal species.
Snakes, dragons, and hydras: the Indo-European terminology for serpent
Authors: Fagiolo Virna , Ayora Estevan Daniel , Ngomo Fernandez Esteban
Published: April 2024

The article deals with an analysis of some Indo-European words for serpent from a linguistic and philological point of view. We offer an overview of the most debated Indo-European roots from which nouns for serpent developed, and we hypothesize that the terms derived from roots such *V(n)gwhi-, *serp-, *dr̥k̑-, etc. are not to be regarded as synonymous units. Rather, they seem to designate different kinds of serpents. Indeed, the great number of words for this animal seems to be due to a taboo mechanism that enriched the terminology referring to the snake. Thanks to this kind of analysis, it appears possible to find numerous parallels between the Indo-European cultural traditions taken here into account.
La historiografía de la literatura griega y su relación con los autores modernos: crítica al idilio y canonización de la novela
Authors: García Jurado Francisco
Published: April 2024

A lo largo del siglo XIX se crea una nueva forma de acercamiento a la cultura y el pueblo griegos mediante el estudio de la historia de su literatura, desde los orígenes hasta las primeras manifestaciones neohelénicas. Los manuales de literatura griega constituyeron un nuevo género académico que, en lo que a España respecta, inauguró Braulio Foz (1849). Gracias a tales manuales se configuró una relación novedosa con los modernos creadores literarios, menos profunda, pero más panorámica. Vamos a estudiar concretamente cómo el idilio pasó de ser considerado desde su inicial contexto lírico a la novela en prosa. Así las cosas, veremos cómo el ya citado Braulio Foz critica los juicios de un divulgado manual francés, el de Alexis Pierron, acerca de los poetas Bion y Mosco como autores poco representativos del idilio, al tiempo que se hace eco de los juicios del autor francés sobre Longo y sus traductores galos. Otro caso notable es la relación de amistad que Juan Valera mantiene con Salvador Costanzo, quien sigue los juicios de Pierron. En la línea de la crítica francesa, Valera va a ofrecer unas importantes consideraciones acerca de la novela de Longo, que califica como «idilio en prosa». Leopoldo Alas “Clarín”, por su parte, destaca como alumno del catedrático Alfredo Adolfo Camús, quien sigue las ideas de Franz Ficker. “Clarín”, asimismo, refleja en su obra una nueva consideración de la novela griega en clave de «novela geográfica». En cuarto lugar, revisaremos los juicios de Ángel Ganivet, alumno de González Garbín, en torno a la novela de Longo, juicios que se muestran claramente deudores de las ideas de Valera. Finalmente, veremos el cambio de rumbo que marca el manual de literatura griega de Gilbert Murray y su relación con Unamuno.
Herodiano 1.3.2-5: Marco Aurelio y las imágenes de tiranía. Una nueva interpretación de un discutido pasaje
Authors: Iglesias-Zoido Juan Carlos
Published: April 2024

El objetivo del presente trabajo es analizar la función retórica que desempeña este pasaje en la Historia de Herodiano como parte del engarce narrativo del último discurso pronunciado por Marco Aurelio y ofrecer una interpretación del auténtico significado de las ‘imágenes de tiranía’ (τυραννίδος εἰκόνας) que pasaron por la mente del emperador antes de su muerte.
A survey of current practices in post-polypectomy surveillance in Korea
Authors: Kim Jeongseok , Gweon Tae-Geun , Kwak Min Seob , Kim Su Young , Kim Seong Jung , Kim Hyun Gun , Kim Eun Ran , Hong Sung Noh , Kim Eun Sun , Moon Chang Mo , Myung Dae Seong , Baek Dong Hoon , Oh Shin Ju , Lee Hyun Jung , Lee Ji Young , Jung Yunho , Chun Jaeyoung , Yang Dong-Hoon ,   on behalf of the Intestinal Tumor Research Group of the Korean Association for the Study of Intestinal Diseases (KASID)
Published: April 2024

Background/Aims: We investigated the clinical practice patterns of post-polypectomy colonoscopic surveillance among Korean endoscopists.Methods: In a web-based survey conducted between September and November 2021, participants were asked about their preferred surveillance intervals and the patient age at which surveillance was discontinued. Adherence to the recent guidelines of the U.S. Multi-Society Task Force on Colorectal Cancer (USMSTF) was also analyzed.Results: In total, 196 endoscopists completed the survey. The most preferred first surveillance intervals were: a 5-year interval after the removal of 1–2 tubular adenomas < 10 mm; a 3-year interval after the removal of 3–10 tubular adenomas < 10 mm, adenomas ≥ 10 mm, tubulovillous or villous adenomas, ≤ 20 hyperplastic polyps < 10 mm, 1–4 sessile serrated lesions (SSLs) < 10 mm, hyperplastic polyps or SSLs ≥ 10 mm, and traditional serrated adenomas; and a 1-year interval after the removal of adenomas with highgrade dysplasia, >10 adenomas, 5–10 SSLs, and SSLs with dysplasia. In piecemeal resections of large polyps ( > 20 mm), surveillance colonoscopy was mostly preferred after 1 year for adenomas and 6 months for SSLs. The mean USMSTF guideline adherence rate was 30.7%. The largest proportion of respondents (40.8%–55.1%) discontinued the surveillance at the patient age of 80–84 years.Conclusions: A significant discrepancy was observed between the preferred post-polypectomy surveillance intervals and recent international guidelines. Individualized measures are required to increase adherence to the guidelines.
Decoding Factors Influencing Mental Health Help-Seeking in Asian International Students: A Correlational Survey Study
Authors: Xu Yuanruo
Published: April 2024

This study investigates the effects of gender, age, perceived socioeconomic status, and attitudes toward mental health treatment, alongside the awareness and accessibility of mental health services, on the propensity of Asian international undergraduate and graduate students in U.S. colleges to seek mental health support. Utilizing an online survey, responses from a diverse group of 116 participants, aged 18 and above, from universities across the nation were examined through correlation analysis. Findings indicated no significant gender differences in attitudes toward mental health treatment. However, factors such as higher educational level, superior socioeconomic background, longer U.S. residency, and increased awareness and accessibility of mental health services positively influenced attitudes. This quantitative study extends previous qualitative research addressing similar questions, filling a gap by offering broader empirical insights into this population’s mental health service utilization. The outcome underscores the need for university counseling centers to develop targeted interventions that acknowledge the needs of Asian international students. Future research should explore the longitudinal impacts of these factors on mental health help-seeking behaviors to inform ongoing service improvement.
The Mediating Roles of Smartphone Addiction and Resilience in the Relationship Between Triangling and Differentiation of Self
Authors: Kurşuncu Mustafa Alperen
Published: April 2024

The current study aimed to investigate the mediating role of smartphone addiction and resilience in the relationship between triangling, and differentiation of self. The sample consisted of a total of 536 university students from 32 universities, and data were gathered using Triangular Relationship Inventory (TRI), Differentiation of Self Inventory Short Form (DSI-SF), Smartphone Addiction Scale-Short Version (SAS-SV), Brief Resilience Scale (BRS), and Demographic Information Form. Findings indicated that the path of triangling to smartphone addiction to resilience explained 45% of the variance in differentiation of self. Smartphone addiction has mediated the relationship between triangling and differentiation of self. However, resilience was not a significant mediator in the relationship between triangling and differentiation of self- we delineated our findings in the light of literature. Strategies (i.e., de-triangling) may help university students to overcome SPA, resulting in greater resilience and DoS.
UJI EFEKTIVITAS ANTIOKSIDAN DARI KOMBINASI EKSTRAK DAUN STEVIA (Stevia rebaudiana (bertoni) bertoni) DAN DAUN TEH HIJAU (Camellia sinensis (L.) Kuntze) DENGAN MENGGUNAKAN METODE DPPH (1,1- Difenil-2-Pikrilhidrazil)
Authors: Samosir Sri Rezeki , Auliafendri Novycha , Naibaho Marlina Iva
Published: April 2024

The stevia plant is known to have various benefits in the pharmaceutical field and is used as a health medicine because of its antioxidant, antifungal and non-carcinogenic effects. Green tea is a plant that contains various antioxidant compounds that are beneficial for health. The aim of this research is to determine whether the combination of stevia leaf extract and green tea leaves is effective as an antioxidant. Ethanol extract of stevia leaves and green tea leaves is made by maceration with 96% ethanol solvent, combination extract has blackish green. The ethanol extract of stevia leaves and green tea leaves was screened for phytochemical compounds. Antioxidant effectiveness was tested using the DPPH (1,1 Diphenyl-2-Picrylhydrazyl) method, with varying concentrations of 10 ppm, 20 ppm, 30 ppm, 40 ppm and 50 ppm. Then Antioxidant activity test by DPPH measured using a UV-Vis spectrophotometer. The results of screening for phytochemical compounds show that stevia leaf extract contains alkaloids, saponins, flavonoids and tannins. Meanwhile, the results of screening for phytochemical compounds in green tea leaf extract contain alkaloids, steroids, saponins, flavonoids and tannins. The research results showed that antioxidant levels in the combination of Stevia leaf extract and green tea leaves with concentrations of 10 ppm, 20 ppm, 30 ppm, 40 ppm, 50 ppm with a ratio of (1:1) had an IC50 analysis result of 10 ppm of 19.90 mg/L, 20 ppm is 12.90 mg/L, 30 ppm is 9.60 mg/L. 40 ppm is 6.80 mg/L. 50 ppm is 6.60 mg/L where a concentration of 50 ppm is classified as a very strong antioxidant. The antioxidant effect of the combination of stevia leaf extract and green tea leaves is still higher than vitamin C. The combination of stevia leaves xtract and green tea leaves has antioxidant effectiveness.
GAMBARAN TINGKAT PENGETAHUAN MAHASISWA PROGRAM STUDI SARJANA FARMASI TENTANG OBAT GENERIK DAN OBAT PATEN DI UNIVERSITAS IMELDA MEDAN
Authors: Samgryce Siagian Hartika , Samosir Sri Rezeki , Gultom Roby Pahala Januario
Published: April 2024

Obat Generik adalah obat dengan nama resmi International Non Propietary Name (INN) yang ditetapkan dalam Farmakope Indonesia atau buku standar lainnya untuk zat berkhasiat yang dikandungnya. Obat paten adalah obat baru yang ditemukan berdasarkan riset industri farmasi yang diberi hak paten untuk memproduksi dan memasarkannya setelah melalui berbagai tahapan uji klinis. Mutu obat generik tidak berbeda dengan obat paten karena bahan bakunya sama. Pada umumnya konsumen atau masyarakat lebih tertarik untuk mengkonsumsi produk obat bermerek/produk dagang dibandingkan produk generik, hal itu disebabkan adanya anggapan bahwa obat generik mutunya lebih rendah daripada produk yang bermerek/dagang. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat pengetahuan mahasiswa sarjana farmasi di Universitas Imelda Medan tentang obat generik dan obat paten. Metode yang digunakan adalah metode deskriptif dengan menggunakan kuesioner dibagikan kepada responden. Sampel berjumlah 67 mahasiswa aktif dari tingkat 1, 2, 3 dan 4. Teknik sampling dalam penelitian ini menggunakan metode probability sampling yaitu stratified random sampling. Analisa data dilakukan secara deskriptif dengan menampilkan persentase tingkat pengetahuan 76-100% tingkat pengetahuan baik, 56-75% tingkat pengetahuan cukup dan <55% tingkat pengetahuan kurang. Hasil penelitian menunjukkan bahwa gambaran pengetahuan mahasiswa sarjana farmasi tentang obat generik dan obat paten di Universitas Imelda Medan dikategorikan baik. Hal ini disebabkan dari data yang diperoleh sebanyak 66 responden (98,5%) memiliki pengetahuan baik dan 1 responden (1,5%) memiliki pengetahuan cukup.
Tinjauan Karakteristik Sumber Daya Manusia Di Unit Rekam Medis Dalam Meningkatkan Efisiensi Dan Efektivitas Pelayanan Di UPT Puskesmas Kedai Durian Tahun 2022
Authors: Melati Hutauruk Puput , Ritonga Abdul Malik , Nazara Yasrius
Published: April 2024

To manage a medical records unit and produce quality health information, adequate resource support is needed, including human resources, facilities and infrastructure. The aim of this research is to determine the management of human resources in the medical records unit in improving the efficiency and effectiveness of services at the UPT Puskesmas Kedai Durian. This research uses a descriptive qualitative research type with a cross sectional approach where data collection was carried out by interviews in September 2022 with employees of the medical records unit at the Toko Durian Health Center, Medan City with the number of officers in the medical records unit being 4 people, including 1 D3 medical records person, 1 person D3 nursing, 1 person D4 midwifery, and 1 person S1 nursing. Based on research results, in managing human resources in the medical records unit to improve the efficiency and effectiveness of services at the UPT Puskesmas Kedai Durian, the majority of employees in the medical records unit do not have a medical records background and have never attended previous training. In conclusion, the UPT of the Kedai Durian Health Center in Medan City is still not efficient and effective in providing services in the Medical Records Unit.
Tinjauan Pemberian Kompensasi Terhadap Produktifitas Kerja Petugas Rekam Medis Di Rumah Sakit Tere Margareth Tahun 2022
Authors: Putriana Angelia , Erlindai Erlindai , Febryo Siburian
Published: April 2024

An employee can be said to be productive if he is able to produce goods or services as expected in a short or precise time. The population of this study is medical records officers in the medical records room at RSU Tere Margareth. The sample size is 5 RM employees. The instrument in this research used interviews with respondents who were RM officers at RSU Tere Margareth. The research results showed that the distribution of respondents' answers based on interviews showed that the identification of the Main Duties of Officers in the Hospital Medical Records Unit. Tere Margareth already has a medical record service manual No. Kep/095/I/2019 as follows regarding working time arrangements at Tere Margareth Medan Hospital, divided into 2 work shifts. The performance of medical records officers at Tere Margareth Hospital has two meanings, where first, compensation and performance are directly proportional to the implementation of the quality of work of medical records officers, where from the results of interviews it was found that officers felt very happy, enthusiastic and eager to carry out their responsibilities if their work compensation was increased. However, in the second aspect, whether or not there is compensation for medical records officers, they are still enthusiastic about doing their work because it is their responsibility to do daily work without having to be lured by high compensation. This indicates that awareness of the work responsibilities of medical records officers in Tere Margareth Hospital is good. Based on the results of the research conducted, it can be concluded that RSU.Tere Margareth should pay attention to officer compensation, so that it can help in increasing the productivity of medical records officers at Tere Margareth Hospital, Medan City and officers must also be aware that without compensation, officers continue to work and are responsible for his job.
Implementasi Standar Interoperabilitas HL7-FHIR Pada Pertukaran Rekam Kesehatan Elektronik di Puskesmas
Authors: Riska Pradita  , Fitriana Syarah Mazaya
Published: April 2024

Latar belakang: Sistem elektronik yang digunakan dalam penyelenggaraan Rekam Kesehatan Elektronik (RKE) harus memiliki kemampuan kompatibilitas dan/atau interoperabilitas. Dalam interoperabilitas RKE pada Fasilitas Kesehatan harus menggunakan platform layanan interoperabilitas data kesehatan yang dikelola oleh Kementerian Kesehatan yaitu Health Level Seven International-Fast Healthcare Interoperability Resources (HL7-FHIR). Penggunaan HL7-FHIR salah satu contohnya pada Apple yang menghubungkan Apple Health App ke RKE dan Apple Watch. Tantangan interoperabilitas RKE terbesar adalah informasi yang disimpan dalam basis data yang berbeda serta memiliki berbagai format dan tipe data yang tidak kompatibel satu sama lain, sehingga mempersulit sistem yang berbeda untuk menginterpretasikan dengan benar, selain itu tidak adanya platform interoperabilitas. Penelitian ini dilakukan bertujuan untuk menganalisis penerapan HL7- FHIR pada interoperabilitas RKE pada SIMPUS sehingga diharapkan dapat mempermudah implementasi interoperabilitas antara sistem informasi pelayanan kesehatan di Indonesia. Metode: Jenis penelitian ini adalah deskriptif  kualitatif dengan desain action research. Pengumpulan data dilakukan dengan metode wawancara dan  FGD ke 3 orang Tim Pengembang, serta studi dokumen. Hasil: FHIR Resources yang digunakan sesuai kebutuhan pada penelitian ini sebanyak 8 Resource, dan 97 elemen data. Namun, memerlukan penambahan data elemen pada HL7-FHIR sebesar 16% elemen data. Kesimpulan: Secara umum, standar HL7-FHIR dapat merepresentasikan model RKE untuk interoperabilitas pada SIMPUS.
Legal Issues Concerning Compulsory COVID-19 Vaccination: Nigeria as a Case Study
Authors: Aidonojie Paul Atagamen , Aidonojie Esther Chetachukwu , Mulegi Tom , Eregbuonye Obieshi
Published: April 2024

It is no news that COVID-19 has rendered severe havoc in the global environment. Although, various medical scientists and scholars were able to find a possible curtailment (Through vaccination) of the deadly COVID-19, however, there seems to be fear of the negative medical outcome of being vaccinated with the COVID-19 vaccine, given several claims of the potential danger. Furthermore, it suffices to state that Nigeria has also had its fair share of the COVID-19 pandemic. In this regard, to curtail the spread of COVID-19 in Nigeria, the Nigerian government sorts to make vaccination compulsory, despite the legal and medical rights of its citizens as enshrined in the constitution and judicial precedent. It is in this regard, that this study sort to adopt a hybrid method of study concerning the legal issues of compulsory vaccination in Nigeria. Concerning this, 310 questionnaires were sent to respondents residing in Nigeria. The study therefore found that there were incidences of COVID-19 in Nigeria and there are laws concerning the control of infectious disease in Nigeria. However, the study further found that it is a legal misnomer to compel an individual forcefully against his/her wishes to be vaccinated. Therefore, the study concludes and recommends that for effective vaccination against COVID-19, the Nigerian government needs to avoid forceful vaccination, but rather a wide sensitization concerning the vaccine's potency as against the negative claim concerning the COVID-19 vaccine.
Northern Ireland and the United Kingdom Internal Market
Authors: Whitten Lisa
Published: April 2024

Post-Brexit Northern Ireland occupies a unique position in the internal market of the United Kingdom due, primarily, to the Protocol on Ireland / Northern Ireland, or Windsor Framework.
Agreed as part of the UK-EU Withdrawal Agreement, the Protocol/Windsor Framework provides that EU Single Market rules concerning the free movement of goods, customs, VAT, state aid and energy markets, continue to apply in Northern Ireland, despite it having formally left the EU along with the rest of the UK. To allow for the domestic implementation of the novel arrangements for post-Brexit Northern Ireland, set out in the Protocol/Windsor Framework, the UK Internal Market (UKIM) Act 2020 includes a series of specific provisions that except goods entering and leaving Northern Ireland from the ‘market access principles’ established by the UKIM Act 2020 in certain circumstances.
This commentary introduces the UKIM Act 2020 then presents a review of its provisions that are specifically dedicated to post-Brexit Northern Ireland. Written in September 2023 the analysis then provides an assessment of the implications of measures agreed between the UK and EU laid down in the Windsor Framework texts which were published in February of this year.
Based on the analysis of the UKIM Act 2020 set against the backdrop of the Protocol, then Windsor Framework, the commentary argues that the position of Northern Ireland post-Brexit is not only newly unique but also newly consequential for those both inside and outside its borders.
Metachronous or Synchronous Presentation of Acute Myeloid Leukemia and Lung Cancer: A Single Center Experience
Authors: Ünver Koluman Başak , Demiray Atike Gökçen , Akgun Cagliyan Gulsum , Hacıoğlu Sibel , Güler Nil , Durak Taner , Karakaya Yeliz , Bir Ferda
Published: April 2024

Aims: Acute myeloid leukemia (AML) is the most common type of
leukemia in adults. Lung cancer is one of the most common types of cancer. The concomitant
presentation of AML and lung cancer is extremely rare. This study aimed to report a
case series of concomitant presentation of acute myeloid leukemia and lung cancer as
metachronous or synchronous.
Methods: We describe 6 cases with diagnosis of these two diseases in between
years of 2016-2020 in our hospital. Patients treated in our hospital were retrospectively
reviewed. Clinical characteristics, immunohistochemical and genetic findings,
treatments and outcomes were collected.
Results: All 6 cases that made up our series had a smoking history. Case 2 had radiotherapy,
and it was cranial radiotherapy for prophylaxis. Radiotherapy was also given to case 3 for
lung cancer. The other cases had no history of radiotherapy before the diagnosis of AML. We
detected lung cancer as metachronous in cases 2, 3, 4, and 5; and synchronously in cases 1
and 6.
Conclusion: Coexistence of AML and lung cancer is extremely rare.
However, it should be kept in mind that we may encounter these two malignancies in a
patient at the same time.
Analysis of Factors Affecting Disease Progress And Mortality in Patients With Chronic Renal Disease
Authors: Bayram Selami , Süleymanlar Gültekin , Duyan Murat , Bora Feyza
Published: April 2024

Objective: To investigate the variables influencing disease progression and death in chronic renal disease patients (CKD).
Material and Methods: The design of this retrospective cross-sectional research was conducted on patients who were referred to the Nephrology Outpatient Clinic with a Glomerular Filtration Rate (GFR)