bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency and Antibiotic Susceptibility of Bacteria Isolated in Patients with Blepharitis
Authors: Mahmood Irum , Muhammad Shahid  , Faisal Hanif  , Muhammad Manzoor  , Muhammad Awais  , Muhammad Adnan
Published: October 2023

Objective: To determine the frequency and antibiotic susceptibility of bacteria isolated in patients with blepharitis.
StudyDesign: Cross-sectional study.
Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Oct 2019 to Oct 2021.
Methdology: 160 cases of blepharitis, during a period of 2 years, who were not using topical or systemic antibiotics were recruited in this cross-sectional study. After detailed history and slit-lamp examination of eyelids and tears film each patient underwent sample collection under aseptic conditions, from the eyelid margin. The samples were inoculated in a culture of blood agar and chocolate agar (Biomeriux) , Then the susceptibility of the identified bacteria to common systemic and topical antibiotics were tested using the disc diffusion method (Rosco Neo-Sensitab).
Results: In 160 patients,118(73.7%) were males and 42(26.3%) were females. According to type of blepharitis, 98(61.3%) had posterior blepharitis and 62(38.7%) had anterior blepharitis.Culture of eyelid sample of 77(48.1%) patients showed growth of coagulase-negative staphylococcus Coagulase-negative staphylococcus (CoNS) show greater resistance towards Penicillin 77(100%), Ciprofloxacin 55(72.5%) and Erythromycin 33(42.8%) however more susceptibility was shown towards Linezolid (CoNS). 71(45%) had Staphylococcus aureus isolated from their culture. 77(100%),Vancomycin 77(100%), Gentamycin 66(85.8%), Chloramphenicol 56(74.5%) and Cotrimoxazole 55(72.5%).Staphylococcus aureus show greater resistance towards Penicillin 72(100%),Ciprofloxacin 41(56.9%) and Tetracyclins 30(41.6%) however more susceptibility was found towards Gentamycin 72(100%), Linezolid 72(100%),Vancomycin 72(100%) and Chloramphenicol 61(84.7%).
Conclusion: Coagulase-negative staphylococcus (CoNS) and Staphylococcus aureus have been the main isolated organisms in blepharitis. These bacteria have been shown to be resistant to Penicillin,
Manifestations Of Influence and Convergence in Critical Perspective of Al-Muzaffar Al-Alawi (D. 656 Ah) “The Position on Necessities” As A Model
Authors: Mohammed Noor Naeem Rumayed , Abed Ali Mohammad
Published: October 2023

The subject of the research is marked with (Manifestations of Influence and Convergence in the Critical Perspective of Al-Muzaffar Al-Alawi (Died: 656 AH) The Attitude towards Necessities as a Model). The importance of the topic stems from being a study in ancient Arabic criticism that shows the positions of beauty and eloquence in poetic texts, which help us understand them with taste and delicate sense. Critics, including Al-Muzaffar Al-Alawi, deliberately mentioned these reasons, purposes and reasons for which the poet resorts. For straightening the weight and the beauty of the poetic image.
Impact of COVID-19 Pandemic on Iraqi Airways
Authors: Mohammed Anfaal Kamil , Hammad Mohannad Abed
Published: October 2023

The International Air Transport Association estimated that global airlines losses amount to $200 billion as a result of the outbreak of the Covid-19 virus and the measures and restrictions taken in travel and the demand for it. Because of the restrictions imposed on travel, the reduction in the number of passengers by the airline, and the reluctance of citizens to travel, in addition to the high number of injuries and deaths, which led to a decrease in the percentage of revenues and its continuation of paying the wages of its employees. The research aims to study the effects of Covid-19 on the Iraqi Airways company by studying the movement of passengers on board the company and clarifying the role of procedures on air transport revenues for Iraqi Airways. The study concluded that the Covid-19 virus has a significant and devastating impact on air operations in a company.
A Pragmatic Analysis of Politeness Strategies of Online Chatting Employed by Iraqi EFL Students in Al-Anbar Distinguished Schools
Authors: Hamood Baydaa Subhi , Challob Ala’a Esmael
Published: October 2023

The aim of this paper is to identify the politeness strategies employed by Iraqi EFL students in Al-Anbar Distinguished Schools which is regarded an area that is infrequently investigated by scholars. To attain this aim, the participants of the study were selected from Al-Anbar Distinguished Schools, represented by 53 female students and 50 male students during the academic year (2021-2022) to be in direct and frequent online interaction (via text messages) with each other as students, and with their teachers of English language. Consequently, WhatsApp and Telegram groups were created for this online chatting. A qualitative research design was conducted whereby online text chatting was collected to ensure the data of this study. The collected data were analyzed qualitatively by using content analysis procedure based on Brown and Levinson’s (1987) model of politeness strategies. The findings of the study revealed that the participants utilized various types of politeness strategies in their communication via online chatting. Based on the calculated frequencies and percentages, Positive Politeness Strategies were the most frequently used (dominant type), then Negative Politeness Strategies, Bald On-Record and Off-Record Politeness Strategies respectively. Additionally, the findings indicated that Off-Record Politeness Strategies were used rarely by the participants of the study.
Discourse Techniques and Mechanisms of Their Operation on Modern Poetic Text (Stranger on The Gulf) as a Model
Authors: Shaker Etha’ar Shukri
Published: October 2023

The research aims to study an important aspect of the technical modernity that occurred in the literary texts in the modern era, in which the poet used many stylistic techniques that contributed to the development and modernization of his text and make it more suitable for the taste and faster to reach the recipient. This study, which falls under the investigations of linguistics, monitors the renewal mechanisms provided by the modern poet in his texts and what he carried of communicative energy capable of penetrating the privacy of the addressee and conquering him with greater ease and ease.
How Shall TFEU Article 102 on Abuse of Dominant Position be Interpreted in the Digital Platform Economy?
Authors: Tiitta Ilmari
Published: October 2023

In 2021, The European General Court issued its judgment in Case T-612/17 Google and Alphabet v Commission (Google Shopping). The case concerned whether Google had abused its dominant market position by favouring its own comparison shopping service on its general results pages while demoting the results from competing comparison shopping services. The General Court stated that Google’s conduct was not competition on the merits and thus it had breached Article 102 of the Treaty on the Functioning of the European Union (TFEU).
This article discusses firstly this judgment and its consequences for the interpretation of Article 102 TFEU in digital platform economy markets. Secondly, this article takes on the issue of abuse of dominant position in digital markets and tries to find out what kind of conduct of digital platform companies should be prohibited by Article 102 TFEU. The purpose is to identify what kind of conduct should be seen as an abuse of dominance and how to legally assess such conduct.
The ECJ judgment states that self-preferencing can constitute a breach of Article 102 TFEU and that this can be seen as a form of discrimination. Besides self-preferencing or discrimination there is also other conduct that can be abusive. These include personalised pricing, forced free riding and different forms of information based abusive conducts. It is not clear how this conduct relate to Article 102 TFEU, but it is clear that should this conduct be seen abusive, it will be difficult to determine the basis for this since well-established theories of harm are incompatible. In addition, when assessing the abusive nature of such conduct, an effects-based case-by-case approach is needed.
The Anti-Money Laundering Challenges of FinTech and Cryptocurrencies
Authors: Manninen Heidimaria
Published: October 2023

In the aftermath of the 2008 global financial crisis, the foundation was developed for the protocol we know as blockchain. Blockchain is a system through which money can be sent from one person to another without using any financial service providers. It has been argued that the security of blockchain technology could be the answer to people’s mistrust and lost confidence in the financial market. However, blockchain technology and cryptocurrencies go much further than a mere transfer of money. New forms of value exchange have been created, in addition to providing access to financial services in locations where only limited services are offered by traditional banks. As the use of such innovation gains popularity, the legislator is slowly catching up, but how much is covered?
This paper studies FinTech and cryptocurrencies in respect of money laundering. It is found that the current regulatory landscape has several weaknesses that can be attractive for those wishing to exploit them.
RISK MANAGEMENT IN AFRICA'S FINANCIAL LANDSCAPE: A REVIEW
Authors: Ayo Maxwell Alabi  , Fuzzy Naomi Oguntoyinbo  , Kehinde Mobolaji Abioye  , Adesola Adepeju John-Ladega  , Anwuli Nkemchor Obiki-Osafiele  , Chibuike Daraojimba
Published: October 2023

This review paper examines the critical role of risk management in Africa's financial landscape. It sets out to achieve three primary objectives: to explore the historical development of the financial sector in Africa, review the literature on risk management in financial institutions, and evaluate the effectiveness of regulatory measures in ensuring financial stability. The study uncovers key findings that underscore the growing significance of effective risk management practices in African financial institutions. It highlights adopting advanced technologies and regulatory harmonization as pivotal factors shaping risk management approaches. Additionally, the research underscores the importance of sustainable finance and the integration of Environmental, Social, and Governance (ESG) factors into risk assessments. These findings emphasize that risk management not only ensures financial stability but also contributes to sustainable and responsible financial practices. The broader implications of this study extend to economic stability, investor confidence, and cross-border cooperation. Effective risk management practices mitigate financial risks and support the ongoing regional integration efforts in Africa, such as the African Continental Free Trade Area (AfCFTA). Ultimately, the study underscores that the future prosperity of African economies is closely tied to embracing evolving risk management practices, fostering a resilient financial landscape in the region.

Keywords: Risk Management, Financial Institutions, Africa, Financial Stability, Regulatory Framework, Sustainable Finance, Regulatory Compliance, Cybersecurity, Crisis Management, Data Privacy.
A REVIEW ON DATA-DRIVEN REGULATORY COMPLIANCE IN NIGERIA
Authors: Bisola Beatrice Oguejiofor  , Adedolapo Omotosho  , Kehinde Mobolaji Abioye  , Ayoola Maxwell Alabi  , Fuzzy Naomi Oguntoyinbo  , Andrew Ifesinachi Daraojimba  , Chibuike Daraojimba
Published: October 2023

In Nigeria's dynamic regulatory landscape, compliance challenges pose formidable obstacles to businesses and organizations across various sectors. This research explores Nigeria's multifaceted world of compliance, highlighting the intricacies of regulatory requirements, bureaucratic complexities, and resource constraints that organizations face. Amid these challenges, the pivotal role of data-driven approaches and technology in enhancing compliance efforts emerges as a central theme. The study's key findings reveal the complexity of Nigeria's regulatory environment, characterized by multiple authorities, inconsistencies, and persistent challenges like corruption and bureaucracy. Smaller organizations often grapple with resource limitations, hindering their ability to implement comprehensive compliance strategies. However, the research unveils the transformative power of data-driven solutions in addressing these compliance hurdles. Through real-world case studies spanning diverse sectors, it becomes evident that organizations can leverage data and technology to automate compliance processes, make informed decisions, and achieve real-time monitoring. These advancements lead to enhanced compliance, cost savings, improved reputations, and greater efficiency. The study provides a roadmap for organizations, emphasizing the importance of investing in data infrastructure, automation, and ethical data usage. Additionally, it underscores the need for collaboration with regulators, data privacy compliance, and a commitment to transparency. For regulators, the research recommends embracing regulatory technology (RegTech) solutions, fostering data-sharing platforms, ensuring transparency, and maintaining consistency in enforcement. Furthermore, it highlights the significance of educational initiatives and adaptive regulations to keep pace with technological advancements. Ultimately, the research illuminates the way forward in Nigeria's compliance landscape. Organizations that adopt data-driven approaches stand to navigate complex regulations more efficiently and proactively manage risks, contributing to business growth and sustainability in an ever-evolving environment. Meanwhile, regulators with data-driven tools can enhance oversight and enforcement, creating a more transparent and compliant business environment. Together, these efforts pave the path toward a future where compliance is not just a requirement but a strategic advantage in Nigeria's vibrant economy.

Keywords: Compliance, Regulatory Landscape, Data-Driven Solutions, Nigeria, Regulatory Challenges, Technology, Data Analytics, Regulatory Bodies, Corruption, Data Privacy.
Calcinosis escrotal: ¿una entidad idiopática?
Authors: Bollea Garlatti María Rocío , Di Prinzio Anamá , Ferrario Damián , Staiger Hernán , Mazzuoccolo Luis D.
Published: October 2023

La calcinosis escrotal es una enfermedad benigna e infrecuente que se presenta en adultos de mediana edad, con múltiples nódulos asintomáticos a nivel de la piel del escroto. Algunos autores vinculan la aparición de estas lesiones a la calcificación secundaria de quistes epidérmicos o ecrinos. Cuando no se encuentra relacionada con dichas entidades ni con alteraciones del metabolismo fosfocálcico, el cuadro se considera idiopático. El tratamiento de elección es quirúrgico, en caso de impacto en la calidad de vida o relevancia estética para el paciente.
Pendampingan Iman Bagi Orang Muda Katolik Menurut Seruan Apostolik Christus Vivit di Wilayah Paroki Sang Penebus Bandar Baru
Authors: Simanjuntak M. Marihot , Bangun Monika Br
Published: October 2023

Gereja tanpa anak-anak akan kehilangan masa depan. Begitu juga, tanpa orang muda Gereja akan kehilangan sukacita dan arah. Terkhusus untuk orang muda jiwa yang masih sangat berkobar-kobar dan penuh semangat. Kaum muda yang merindukan dan membutuhkan pendampingan dalam pengambilan keputusan. Pendampingan yang baik memberikan kebebasan tanpa mengikat dan sesuai dengan gaya orang muda. Bukan tugas yang mudah untuk membimbing kaum muda. Christus Vivit adalah salah satu dokumen yang diperuntukkan bagi orang muda dengan keadaan dan situasi yang sudah dipikirkan secara matang. Christus Vivit adalah model yang sangat baik untuk membimbing kaum muda. Kajian ini berangkat dari observasi yang dilakukan penulis di paroki asalnya. Penulis menemukan bahwa kaum muda tidak mengetahui jenis bantuan yang dapat mereka terima atau bagaimana bantuan itu digunakan. Sesuai dengan Anjuran Apostolik Christus Vivit, penelitian ini bertujuan untuk menjelaskan pendampingan iman bagi kaum muda Katolik dan menumbuhkan semangat di kalangan kaum muda di setiap tahapan, khususnya untuk Gereja. Metode penelitian yang digunakan ialah kualitatif dengan 10 responden: 1 Moderator OMK, 1 Pembina OMK DAN 8 OMK. Penulis melakukan wawancara dengan mengajukan sebelas pertanyaan untuk seluruh informan. Hasil penelitian yang diperoleh ialah pendampingan sudah sedari awal dijalankan pendamping (Moderator OMK) bagi OMK. Namun, OMK belum memahami elemen Christus Vivit yang sudah terkandung dalam pendampingan mereka.
Disaster Cluster Approach: A Study of A New Model of Disaster Response
Authors: Almalki Maktoom , Alwahabi Majed , Alammi Salem , Alawad Yousef , Bin Nafisah Sharafaldeen
Published: October 2023

Background
The current models of disaster response focus on international collaborations and assistance. However, little is known about the Saudi health cluster's disaster preparedness and response model.
Aim
This study aims to describe disaster response steps and elaborates on the administrative structure, timeframes, challenges, and recent lessons learned.
Methods
We reviewed the current disaster response model of the Saudi Arabian health clustering system. Pre-planned data was reviewed, and disaster contact personnel were contacted for further details. In addition, we portray a recent actual response scenario of code brown of electricity failure, including early activation and subsequent evacuation.
Result
Three main criteria for determining the emergency response levels are bed capacity, the number of patients affected, and the event's propensity for escalation. Five activation levels are already in place, ranging from local hospital disaster unit response to the involvement of National response led by the Kingdom’s leader. Hospital readiness to receive evacuated patients was tested in a real scenario, and an uneventful evacuation was carried out to demonstrate the effectiveness of the cluster design.
Conclusion
Overall, the new disaster response model has overcome some reported challenges. However, several challenges still exist, and system evolution is expected.
A Review on Mucoadhesive Buccal Drug Delivery
Authors: Dattatray Anap Jyoti , Dipak D Nalawade , Prasad C. Kote
Published: October 2023

The discovery and development of medical formulations is presently concentrated on the improvement of therapeutic drugs to be aimed at the targeted location or place to reduce total dissemination in the host. The Mucoadhesive drug delivery system is most potential therapeutic agent. The buccal route is a best route from all dosages form. In this review we study about the Mucoadhesive buccal drug there advantages, characteristics, ideal properties. The various Mucoadhesive buccal formulations. The survey on the polymer used for Mucoadhesive buccal tablets.
Radial arter yoluyla yapılan elektif koroner anjografi sırasında radial sheat içerisinden yapılan nitrogliserin dozu ile radial arter spazmının ilişkisi
Authors: KANAL Yücel , KANAL Hatice Eftal Şeyda
Published: October 2023

Amaç: Koroner girişimlerde transradial yaklaşım, daha düşük vasküler komplikasyon oranları, azalan işlem maliyetleri ve daha erken hasta mobilizasyonu nedeniyle giderek daha popüler hale gelmektedir. Transradial yaklaşımda radial arter spazmı çözülmesi gereken önemli problemlerin başında gelmektedir. Radial arter spazmın azaltılmasında kalsiyum kanal blokerleri, nitratlar ve moksidosin gibi çeşitli vazodilatörlerin damar içine uygulamasıyla azaltılabileceği gösterilmiştir. Transradial yaklaşımda kullanılan nitrogliserin dozu ile ilgili net bir veri olmamakla birlikte, çalışmalarda damar içine doz olarak 100 mcg- 500 mcg dozlar kullanılmıştır. Biz çalışmamızda elektif koroner anjiografi yapılan hastalarda farklı nitrat dozları ile radial arter spazmı ve işlem sırasında gelişen hipotansiyon ilişkisini değerlendirdik.

Gereç ve Yöntem: Bu retrospektif araştırmaya hastanemiz katater laboratuarında transradial yaklaşım ile koroner anjografi yapılan ve medikal takip kararı verilen hastalar dahil edilmiştir. Belirlenen hastalar radial sheat yerleştirildikten sonra 200 mcg ve 300 mcg nitrogliserin verilenler olarak iki gruba ayrıldı. Sonuç olarak iki grup arası radial arter spazm oranları değerlendirilerek, verilen nitrogliserin dozu ile radial arter spazmı arasında ilişki incelendi.

Bulgular: Çalışmamıza dahil edilen, 133 hastanın yaş ortalaması 61 ± 10,8 yıl olarak saptanmıştır ve çalışmaya dahil edilen hastaların %43’ü kadın olarak izlenmiştir. Radial arter spazmı, 200 mcg nitrogliserin yapılan hastalarda 300 mcg nitrogliserin yapılanlara göre anlamlı düzeyde yüksek bulundu (%16,1-%4,2; p= 0.03). Bu iki grup arasında hipotansiyon gelişmesi açısından anlamlı fark yoktu. Çok değişkenli lojistik regresyon analizinde nitrogliserin dozunun ve açlık glukozunun radial arter spazmın bağımsız belirleyicileri olduğunu gösterildi (p
The Politics of God: Christian Encounters with Empire in Acts 4–5
Authors: Myers Jimmy
Published: October 2023

In this essay, I draw attention to part of the Acts narrative that should be included in an investigation of Luke’s political stance but often gets left out: the narratives of Acts 4–5. Studies typically focus on Jesus’s trial before Pilate and Herod; Christian encounters with Roman officials in the diaspora (Philippi, Thessalonica, Athens, Corinth, and Ephesus); or Paul’s trials before Claudius Lysias, procurators, and King Agrippa II in Judea. Few give more than passing glances at these early chapters in Acts. The lacuna is, prima facie, reasonable: What, after all, does Christianity’s encounter with Jerusalem authorities have to do with Christianity’s encounter with Roman political authority? A historically textured investigation into the question, however, yields a much more complicated picture. From the time of Herod the Great till the outbreak of the Jewish war, high priests were appointed by Roman legates, prefects, and Herodian kings, and they played an important role in mediating imperial authority to the Jewish people. They thus served as representatives, in part, of the Roman state. The narratives of Acts 4–5 therefore constitute important evidence that should be included in an investigation into Luke’s theological politics because they describe Christianity’s repeated collision with the Roman-appointed priestly aristocracy. In the end, I argue that when these narratives are included, the critical volume of Luke’s theological politics becomes amplified appreciably, and the wider theological character of Luke’s political perspective comes into greater focus.
Hope for Faithful Endurance: Divine Simplicity in Hebrews 6:13–20
Authors: Heavin Joshua Roy
Published: October 2023

The theological argumentation and exhortation for endurance in Heb 6:13–20 involves a notion of divine simplicity in which God’s being is God’s own perfections. In Heb 6:13–20 the Lord’s self-oath from Gen 22:16 means that God is God’s own faithfulness, swearing an oath “by himself,” having “none greater by whom to swear” in order to guarantee an “unchangeable” promise to Abraham that has been eschatologically realized in the heavenly priesthood of the risen Messiah. The first part of this article sketches conversations past and present on the doctrine of divine simplicity, from historically influential traditions to recent proposals to retrieve, revise, or abandon simplicity. The second part develops a theological interpretation of Heb 6:13–20, comparing its reading of the Akedah with Philo of Alexandria’s On Allegorical Interpretation of Genesis 3.203–208. The third part indicates how a doctrine of simplicity informed by theological interpretation of Heb 6:13–20 contributes constructive resources for Christian hope.
PREECLAMPSIA: PREVENCIÓN PRIMARIA, SECUNDARIA Y TERCIARIA
Authors: Gómez-Webber Micaela , Mendoza-Ríos Gustavo Ramón
Published: October 2023

La preeclampsia es un cuadro sindrómico progresivo que está dentro del espectro de trastornos hipertensivos del embarazo y constituye una de las principales causas de morbilidad y mortalidad materna y fetal en el mundo, especialmente en países en vías de desarrollo. El médico juega un papel importante al intervenir en el desarrollo de la historia natural de la enfermedad ya que con medidas preventivas adecuadas se puede detectar a las pacientes en riesgo, atenderlas adecuadamente y evitar el desarrollo de complicaciones.
Konsep Manusia Theosis sesuai Injil, Menurut Matius 13:45-46 Analisis Perumpamaan Yesus
Authors: Ilo Yolin , Wijaya Hendi
Published: October 2023

This article is the result of research on an effort to seize a valuable opportunity according to the Gospel of Matthew 13:45-46 to become similar to Christ in eternity (Kingdom of Heaven). The method used is the exegesis method. The results show that the effort or ability to choose the most valuable opportunity is the key to uniting oneself with God in eternity. Everyone who is aware of the precious opportunity that is given, will completely surrender himself to God, and try to discipline himself through obedience in becoming a disciple of Christ and choosing to live with Christ. In the end, the effort to choose the most valuable opportunity, makes everyone live in obedience that unites with Christ.Keywords: effort; respond to opportunities; surrender to Christ; become a disciple of Jesus.AbstrakArtikel ini merupakan hasil penelitian tentang sebuah usaha meraih kesempatan yang berharga menurut Injil Matius 13:45-46 untuk menjadi serupa dengan Kristus dalam kekekalan (Kerajaan Sorga). Metode yang digunakan adalah metode eksegesis. Hasilnya menunjukkan bahwa usaha atau kemampuan memilih kesempatan yang paling berharga adalah kunci menuju pada penyatuan diri dengan Allah dalam kekekalan. Setiap orang yang sadar akan kesempatan berharga yang diberikan, maka akan sepenuhnya menyerahkan diri kepada Allah, serta berusaha mendisiplinkan diri melalui ketaatan dalam menjadi murid Kristus dan memilih hidup bersama dengan Kristus. Pada akhirnya usaha memilih kesempatan yang paling berharga tersebut, menjadikan setiap orang hidup dalam ketaatan yang menyatu dengan Kristus.Kata kunci: usaha; meresponi kesempatan; menyerahkan diri pada Kristus; menjadi murid Yesus.
Pembinaan Menuntaskan Amanat Agung dalam Panggilan Misi Apostolik: Kerjasama Asosiasi Misiolog Indonesia dengan Beberapa Sekolah Tinggi Teologi di Indonesia
Authors: Widjaja Fransiskus Irwan , Indarjono Robby , Jonathan Andreas , Budhi Esther , Susanto Yusuf , Sembiring Andreas , Iskandar Deni , Patandean Yohanis , Christyawan Rudhy , Tejalaksana Sandy , Batuara Riston
Published: October 2023

Jesus' words, "The harvest is many, but laborers are few" (Matt. 9:37), is a concerning fact to this day. After two thousand years, it turned out that the number of mission personnel never increased significantly. Church youth and students of the Theological College need to be encouraged to be more enthusiastically involved in missionary service. This raises the spirit of togetherness of various Theological College in Indonesia who are called in the mission field to carry out Community Development through coaching students and mission lecturers in completing the Great Mandate. Even together with the Indonesian Missiologists Association, these Theological College representatives thought of creating a joint mission curriculum that could encourage apostolic mission vocations in this era.Keywords: Apostolic; Indonesian Missiologists Association; mission curriculum; The Great CommissionAbstrakPerkataan Yesus “Tuaian memang banyak, tetapi pekerja sedikit” (Mat. 9:37), merupakan fakta yang memprihatikan hingga hari ini. Setelah dua ribu tahun ternyata jumlah tenaga misi tidak pernah bertambah secara signifikan. Pemuda gereja maupun mahasiswa Sekolah Tinggi Teologi (STT) perlu didorong agar lebih antusias terlibat dalam pelayanan misi. Hal ini membangkitkan semangat kebersamaan berbagai STT di Indonesia yang terpanggil dalam bidang misi untuk melakukan Pembinaan kepada Masyarakat (PkM) melalui pembinaan para mahasiswa dan dosen misi dalam menuntaskan Amanat Agung. Bahkan bersama Asosiasi Misiolog Indonesia (AMI), para perwakilan STT-STT ini memikirkan untuk membuat kurikulum misi bersama yang dapat mendorong panggilan misi apostolik pada zaman ini. Kata Kunci: Apostolik; Asosiasi Misiolog Indonesia; kurikulum misi; Amanat Agung
Menstimulasi Kecerdasan Anak Melalui Permainan Gici-Gici
Authors: Prasetya Didimus Sutanto B , Sinaga Dina Anjely , Sopacua Sintia Wellmy
Published: October 2023

Early childhood development depends on the ability to stimulate brain neurons (nerves) at age (0-8 years), while brain development stops at the age of 18 years. If neurons are not stimulated, they will experience shrinkage which result in a person’ intelligence level. The crucial peak in providing brain stimulation for children is in the early age range, namely 0-8 years, where at the age of 8 years their development reaches 80 percent. This research aims to find and explain the gici-gici games in stimulating early childhood intelligence. The research method uses descriptive qualitative research. Gici-gici games are traditional educational game that can be used in stimulating early childhood intelligence. As a result, playing gici-gici games can increase multiple intelligences.Keywords: gici-gici game; traditional educational games; early childhood; multiple intelligences; neurologyAbstrakPerkembangan anak usia dini tergantung pada kemampuan menstimulasi neuron (syaraf) otak pada usia (0-8 tahun), sedangkan perkembangan otak berhenti pada usia 18 tahun. Jika neuron tidak terstimulasi, akan mengalami penyusutan yang berakibat pada tingkat kecerdasan seseorang. Puncak krusial dalam memberikan stimulasi otak anak berada pada rentang usia dini, yaitu 0-8 tahun, di mana pada usia 8 tahun perkembangannya mencapai 80 persen. Penelitian ini bertujuan menemukan dan menjelaskan tentang permainan gici-gici dalam menstimulasi kecerdasan anak usia dini. Metode penelitian menggunakan penelitian kualitatif deskriptif. Permainan gici-gici adalah permainan edukatif tradisional yang dapat digunakan dalam menstimulasi kecerdasan anak usia dini. Hasilnya, permainan gici-gici dapat meningkatkan kecerdasan majemuk (multiple intellegences).Kata Kunci:permainan gici-gici; permainan edukatif tradisional; anak usia dini; kecerdasan majemuk; neurologi
UTERUS PRESERVING TREATMENT MODALITIES FOR ABNORMAL INVASIVE PLACENTA: A SYSTEMATIC REVIEW
Authors: Aromatika Legina , Nofriyadi Teddy , Juliana Mutia
Published: October 2023

Background: When a focal accreta is identified, conservative intervention may be considered, such as preserving the uterus and placenta and then enduring methotrexate therapy or pelvic artery embolisation. In spite of this, surgical treatment remains the gold standard for the condition. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: In the PubMed database, the results of our search brought up 401 articles, whereas the results of our search on SagePub brought up 289 articles. The results of the search conducted for the last year of 2013 yielded a total 43 articles for PubMed and 31 articles for SagePub. In the end, we compiled a total of 20 papers, 12 of which came from PubMed and 8 of which came from SagePub. We included seven research that met the criteria. Conclusion: Due to the intricacy of surgery, conservative management should be reserved for individuals who are interested in preserving their fertility as well as those who have major disease.
Prospecção tecnológica: as patentes verdes estão alavancando as startups de biotecnologia da região Norte do Brasil?
Authors: Kume Wilson , Oliveira Jr. Manoel Carlos de , Lasmar Dimas Jose
Published: October 2023

Esta pesquisa investiga o papel das patentes verdes no estímulo a startups de biotecnologia da região Norte do Brasil. Dados os problemas ambientais causados pelas mudanças climáticas e o esgotamento dos recursos naturais, a inovação tecnológica é essencial para contribuir para a exploração responsável da biodiversidade. A proteção legal de inovações e tecnologias por meio do sistema de patentes garante a segurança de estruturas financiadas por pesquisadores e agentes econômicos. A implementação da inovação verde visa permitir que as organizações se desenvolvam de forma sustentável, reduzam as influências externas negativas e atendam aos requisitos verdes governamentais. O uso de dados de patentes para refletir o desempenho da inovação de uma empresa traz vários benefícios porque os registros de patentes passam por um processo consistente e rigoroso. Portanto, é particularmente importante investigar se as patentes verdes são favoráveis à inovação e ao empreendedorismo para startups de biotecnologia na região Norte, onde se encontra a maior biodiversidade do mundo.
Integrating clinical psychology into a liaison psychiatry for older people service: A reflection
Authors: Fisher Miriam , Lewis-Morton Ruth , Quinn Clare , Oruganti Radhika , Newton Naomi , Jones Samantha
Published: October 2023

This reflective piece explores the integration of clinical psychology into an older adult liaison psychiatry service within Cardiff and Vale University Health Board. A scoping exercise was conducted by a clinical psychologist and an assistant psychologist to assess whether there was a role for clinical psychology and to define its functions within the service. Referrals to clinical psychology during the scoping exercise comprised requests for additional support in complex cases, team reflection, and specific psychological interventions. The scoping exercise revealed the need for a clinical psychologist to be embedded within the liaison psychiatry service, with their role encompassing various aspects of patient care, consultation, training, and service development. The psychologist should be experienced working in a medical setting and be able to prioritise their workload. There was also a defined role for an assistant psychologist. The article offers reflections on challenges faced by staff within the service, and how the integration of psychology offered valuable contributions to patient care, team dynamics, and system-wide improvements. This reflection emphasises the importance of clinical psychologists working in older adult liaison psychiatry services.
Equine-assisted psychotherapy with acceptance and commitment therapy for older adults: A promising approach to enhancing psychological flexibility
Authors: Caiazza Roberta , Mackenzie Grace
Published: October 2023

Equine-Assisted Psychotherapy (EAP) is a therapeutic approach which promotes mental wellbeing through a range of activities with horses. Acceptance and Commitment Therapy (ACT) is an evidence-based therapy which promotes acceptance and committed actions in line with an individual’s values. The current evidence base suggests that an integrated approach, utilising aspects of both ACT and EAP, may offer a unique approach to therapy. This research update briefly outlines both therapeutic approaches, and considers their potential synergy, before positing that a combined approach could be an effective therapy for older adults, given the unique setting, emphasis on values and sensory stimulation. We conclude by discussing potential challenges and the service contexts of a combined EAP and ACT approach, and how we intend to evaluate this approach.
Complex emotional needs in later life: Early service evaluation of structured clinical management and mentalisation based treatment for older people with complex emotional needs
Authors: Jordan Luke
Published: October 2023

Services aiming to support older adults with complex emotional needs are beginning to develop within the UK. Several services throughout the country are exploring the efficacy of multi-modal treatments for older adults that were initially designed for use in adults with a diagnosis of ‘Personality Disorder’. Manchester Later Life services’ Compass pathway offers three distinct treatments for older adults with complex emotional needs: Structured Clinical Management (SCM), Mentalisation Based Treatment (MBT) and Radically Open Dialectical Behaviour Therapy (RO-DBT). The service also has a dedicated Later Life Experts by Experience Development Group and offers a small case management service for individuals that do not easily fit into the criteria for standard treatment. This article will outline the rationale for setting up the Compass service, outline the broad structure of the pathway, highlight the positive outcomes for SCM and MBT, discuss the challenges experienced so far, and provide some information about the adaptations that have been made to meet the needs of older people.
Does the Usage of Drains Create a Risk of Surgical Site Infection During Breast Surgery?
Authors: GÜN KOPLAY Tuğba , GUZELANT Asuman
Published: October 2023

Aim: Drains are used to avoid hematoma, seroma and infection in breast surgery. A topic of debate in breast surgery research is the probability of surgical sites becoming infected through retrograde contamination. In this study, we aimed to determine whether drains cause surgical site infections by using drain tip cultures.

Material and Methods: This study included 162 breasts of 99 patients who had undergone breast surgeries, including augmentation, reduction, reconstruction and gynecomastia, with the same surgeon. Data on the patients’ demographic characteristics, clinical findings, antibiotherapies, types of surgeries and drain features, such as type, duration of use, output volume and tip cultures, were collected retrospectively.

Results: The study included 99 patients—3 male, 96 female—with a mean age of 37.84. The mean body mass index was 24.5. Seven breast augmentations, three gynecomastia surgeries, 37 breast reconstructions with implants, three breast reconstructions with latissimus dorsi flaps and 49 reduction mammoplasties were performed. We did not observe infectious symptoms, such as fever, hyperemia, abscess or hematoma, in any of the patients. Fifty-six Jackson–Pratt® drains and 106 Hemovac drain tip cultures were evaluated. The mean follow-up duration was 7.16 days, and the mean output volume was 224.66 cc. The drain tip cultures of all the patients were negative.

Conclusions: According to our analysis, drains did not cause retrograde contamination or surgical site infection.
Severe dust storm/thunderstorm activity over Uttar Pradesh on 13th May, 2018 - A case study
Authors: GUPTA J.  P. , WARSI A. H. , SHARMA PRADEEP
Published: October 2023

Premonsoon season over Uttar Pradesh is characterized withthunderstorm  accompanied with rain, dust storm, gale winds and hail storms etc. These storms generally develop locally in association with convection and moisture convergence and seen as single cells in Doppler Weather Radar, but sometime these thunderstorms are associated with synoptic scale systems viz. Western Disturbance as cyclonic circulation/trough, induced low/ cyclonic circulation  or northwest-southeast oriented trough, thereby increasing the spatial extent and severity of these thunderstorms significantly.   In the present study, Duststorm/Thunderstorm activity  that occurred over the state on large scale on 13th May 2018 and which claimed more than 49 human lives and large number of livestock in Uttar Pradesh has been analyzed. The purpose of this study wasto find out probable dynamic and thermodynamic aspects of this activity. The study indicates that the environment was highly favourable thermodynamically for severe thunderstorm activity with high maximum temperatures (>40C), high CAPE(>1000), high Total Total Index(>50) and high negative Lifted Index values (<-5) over most parts of the northwest Indian plains. The moisture discontinuity line was clearly noticed over south Uttar Pradesh with high moisture contents towards its north. Also 00UTC GFS wind analysis of the day at 925hPa indicated strong southeasterlies of the order of 30-35Kts over Uttar Pradesh resulting high moisture incursion in the lower levels over this region. The Low level wind shear was also high and was about 25-30Kt as evident from Skew-T gram of Lucknow for 12UTC of the day taken from Wyoming site as well as 12UTC wind shear analysis using ERA Interim daily data of ECMWF on 13 May, 2018. These features together with synoptic conditions viz; Western Disturbance (WD) in mid and upper levels and a Cyclonic Circulation (cycir) over south Haryana & neighbourhood as well as an east-west trough extending from this cycir in the lower levels made the  environment highly favourable for  severe thunderstorm activity over the region.
Tuberculosis in patients using biological disease-modifying antirheumatic drugs
Authors: Afşin Emine , Küçük Furkan , Taşçı Murat
Published: October 2023

Aim: In rheumatic diseases, the possibility of developing tuberculosis (TB) increases due to both the disease itself and the biological disease-modifying antirheumatic drugs (bDMARDs) used for treatment. In our study, we aimed to investigate the causes and risk factors of TB infection in patients using bDMARDs for rheumatological diseases.Methods: Demographic, radiological, laboratory data, tuberculin skin test (TST) results, duration of disease, and medications used in TB patients were recorded in 531 patients who were using bDMARD with the diagnosis of rheumatologic disease.Results: TB developed in 5 (0.9%) of 531 patients. TB was detected in 10% of the anakinra users, 2.4% of the infliximab users, 1.4% of the certolizumab users, 1.2% of the etanercept users, and 0.9% of the adalimumab users. The mean duration of bDMARD use until TB development was 28 months. All the cases were female, and the mean age was 53.8 years.Conclusion: Our study highlights the importance of routine chest X-ray, cervical-supraclavicular lymphadenopathy (LAP) examination, annual TST follow-up, and symptom questioning in TST-negative or anergic patients using bDMARDs.
Entre resistências, adesões e dificuldades:
Authors: Nascimento Carla Alessandra Oliveira , Guimarães Selva
Published: October 2023

O artigo apresenta alguns dos resultados de uma investigação desenvolvida em nível de Doutorado, cujo objetivo foi compreender os efeitos do Exame Nacional do Ensino Médio (Enem) nos saberes e nas práticas de professores de História do ensino médio do Instituto Federal do Triângulo Mineiro (IFTM), inspirada na Abordagem do Ciclo de Políticas, desenvolvido por Ball e Bowe (1992). Trata-se de um estudo no campo da abordagem qualitativa da pesquisa educacional. Os procedimentos de construção de dados foram o questionário, a entrevista narrativa – baseada no aporte teórico metodológico da história oral temática, de acordo com Portelli (2010), Guimarães (1997) e Meihy e Holanda (2015). A análise dos dados teve como referencial teóricoanalítico a Análise de Conteúdo (AC) de Bardin (2011). Os colaboradores da pesquisa foram nove professores de História que ministram aulas no ensino médio em oito campido IFTM. Identificaram-se deslocamentos e rupturas das concepções dos professores sobre o Exame em diferentes épocas. O registro de deslocamentos foi maior do que o de rupturas. Em relação aos efeitos do Enem, constataram-se adesões, resistências e dificuldades dos docentes no que concerne ao Enem como instrumento de avaliação em larga escala e como meio de acesso à educação superior, em que prevaleceu a resistência dos professores colaboradores.
Meningkatkan Kreativitas Anak Usia Dini Menggunakan Media Loose Part di Sekolah PAUD Kasih Ibu Kemiri Salatiga
Authors: Saraswati Evita Ichi , Rahardjo Maria Melita
Published: October 2023

Tujuan dari penelitian ini adalah untuk meningkatkan kreativitas anak kelas besar di Paud Kasih Ibu Kemiri Salatiga menggunakan media loosepart. Penelitian yang digunakan yaitu penelitian tindakan kelas (PTK). Penelitian dilakukan selama 4 kali pertemuan, pertemuan pertama dimulai dari tanggal 3 April 2023 dan pertemuan terakhir dilaksanakan pada 13 April 2023. Subjek dalam penelitian ini adalah anak kelas besar dari Paud Kasih Ibu Kemiri Salatiga dengan jumlah anak 6 di satu kelas. Perempuan berjumlah 4 anak dan laki laki berjumlah 2 anak. Objek penelitian merupakan variabel yang ada dalam penelitian, dalam penelitian ini objek yang diamati yaitu kreativitas anak kelas besar Paud Kasih Ibu Kemiri Salatiga. Teknik yang digunakan dalam penelitian ini yaitu observasi dan dokumentasi, untuk melakukan analisis data penulis membandingkan hasil observasi sebelum dilakukannya tindakan dan sesudah dilakukan tindakan sehingga dari data yang di dapat peneliti dapat memberikan kesimpulan hasil penelitian. Hasil dari penelitian 4 dari 6 anak mengalami peningkatan dan mendapatkan skor dengan criteria baik sebesar 100% sedangkan satu anak mengalami peningkatan sehingga mencapai skor akhir 75%. Penelitian ini dapat dikatakan berhasil dikarenakan terjadi peningkatan kreativitas menggunakan media loosepart di kelas besar Paud kasih Ibu Salatiga dan penelitian ini dihentikan sampai di sini. Dapat disimpulkan bahwa kegiatan bermain menggunakan media loosepart pada kelas besar Paud Kasih Ibu Kemiri, Salatiga dapat dikatakan berhasil dikarenakan 5 dari 6 anak dapat mencapai indikator keberhasilan dengan kriteria baik sebesar 74%-100%. Maka dengan ini peneliti memutuskan untuk menghentikan tindakan penelitian lebih lanjut.
The Contribution of Human Resources in Creating Emotional Intelligence and its Impact on Customer Satisfaction
Authors: Sari Yunita , Marwan Jubery
Published: October 2023

This study aims to answer the practice of human resource contribution to creating customer satisfaction. Organizations need to develop and expand organizational structures that enable participatory decision-making. Interaction between members of the organization requires emotional intelligence to stimulate the emergence of new ideas in understanding the main tasks and functions of the organization. This study uses a Likert scale in a questionnaire to obtain primary data. Of the 180 lecturers and education staff surveyed, 168 respondents gave answers. The research results show that; 1) Individual ability, work professionalism, organizational commitment, and knowledge sharing do not contribute significantly to emotional intelligence directly. But work discipline contributes significantly to emotional intelligence directly; 2) Individual ability, work discipline, and organization commitment do not contribute significantly to consumer satisfaction directly. But work professionalism, and knowledge sharing contribute significantly to consumer satisfaction directly; 3) Emotional intelligence contributes significantly to customer satisfaction directly; and 4) Human resources (individual abilities, work professionalism, work discipline, organizational commitment, and knowledge sharing) indirectly contribute to creating consumer satisfaction.