bluuebunny/crossref_metadata_2025 huggingface dataset:
Heterogeneous Effects of Demographic Factors on Healthcare Utilisation in Ghana
Authors: Sekyi Samuel , Laari Prosper Basommi , Ampofo Gideon Kwaku Minua
Published: June 2023

The purpose of this paper is to examine the heterogeneous effects of demographic factors on healthcare utilisation. The two-stage residual inclusion  (2SRI) strategy was utilised in the study to address the endogeneity problem. The study discovered significant differences in the utilisation of healthcare  services based on age distribution and gender after decomposing the data. Based on age distribution disaggregated data, the study discovered  considerable differences in the use of healthcare services. According to the age distribution subsample analysis, gender, education, and obesity were the  variables that determined healthcare utilisation for the working class, whereas locality (rural) determined utilisation for the elderly. Physical inactivity was  the only variable that influenced the working class and the elderly use of healthcare. For children, those from the working class, and the elderly,  healthcare use was commonly determined by NHIS membership, self-assessed health, chronic illness and type of illness. Furthermore, the study found  significant variations in healthcare utilisation when the analysis was based on gender. For the children subsample, self-assessed health and chronic illness  determined females’ healthcare utilisation. Working-class males’ healthcare use was influenced by education, but females’ healthcare use was  affected by NHIS participation, obesity and physical inactivity. Finally, chronic sickness and diarrhoea affected how elderly males used healthcare,  whereas NHIS membership, physical inactivity, and location (rural) affected elderly females’ healthcare utilisation. The study suggests that age and  gender information be taken into account when developing, planning, and implementing healthcare policy to increase the use of healthcare services.
Pros and Cons of Ghana as a Destination for Foreign Direct Investment
Authors: Coffie Evans , Alcalde-Fradejas Nuria , Ramírez-Alesón Marisa
Published: June 2023

This study presents an in-depth analysis of foreign direct investments (FDI) determinants in Ghana. Following the typology of Dunning’s motives of FDI  location, they are categorised under the resource-seeking, market-seeking or efficiency-seeking FDI they foster. Literature on FDI drivers in Africa was  considered and based on the tendency and/or comparison of the most recent official data (2000-2022), the pros and cons of such determinants were  identified. The analysis reveals that Ghana presents a mostly favourable profile to attract resource-seeking and market-seeking FDI but a mixed situation  in the determinants of efficiency-seeking FDI. This study adds to the FDI literature by categorising the drivers under Dunning’s motives of FDI and  studying the evolution of these factors in a specific developing African country (Ghana) in order to reveal the country’s performance with the  determinants. Results show that Ghana’s trend is very positive and can become an attractive market for foreign companies. And government and  policymakers should continue in the trend of improving their factors to attract and retain foreign investment.
Reduced-order modeling of geometrically nonlinear rotating structures using the direct parametrisation of invariant manifolds
Authors: Martin Adrien , Opreni Andrea , Vizzaccaro Alessandra , Debeurre Marielle , Salles Loic , Frangi Attilio , Thomas Olivier , Touzé Cyril
Published: June 2023

The direct parametrisation method for invariant manifolds is a nonlinear reduction technique which derives nonlinear mappings and reduced-order dynamics that describe the evolution of dynamical systems along a low-dimensional invariant-based span of the phase space. It can be directly applied to finite element problems. When the development is performed using an arbitrary order asymptotic expansion, it provides an efficient reduced-order modeling strategy for geometrically nonlinear structures. It is here applied to the case of rotating structures featuring centrifugal effect. A rotating cantilever beam with large amplitude vibrations is first selected in order to highlight the main features of the method. Numerical results show that the method provides accurate reduced-order models (ROMs) for any rotation speed and vibration amplitude of interest with a single master mode, thus offering remarkable reduction in the computational burden. The hardening/softening transition of the fundamental flexural mode with increasing rotation speed is then investigated in detail and a ROM parametrised with respect to rotation speed and forcing frequencies is detailed. The method is then applied to a twisted plate model representative of a fan blade, showing how the technique can handle more complex structures. Hardening/softening transition is also investigated as well as interpolation of ROMs, highlighting the efficacy of the method.
Heavy Metals in Surface Sediments of the Coastal Area Around Daerah Istimewa Yogyakarta, Indonesia: Their Relations to Land-Use Types
Authors: Asih Andrea , Zamroni Akhmad , Sagala Saurina , Tingson Keshia , Putra Adam
Published: June 2023

The province of Daerah Istimewa Yogyakarta (DIY) has experienced significant changes in urbanization, industry, and tourism, making it one of Indonesia's fastest-growing areas. Increased anthropogenic activity in the coastal region may cause heavy metal contamination in that zone to grow. Based on different land-use types, this study examined the distribution of heavy metals, namely cadmium (Cd), lead (Pb), copper (Cu), and zinc (Zn), in surface sediment. It assessed the feasibility of sediment quality standards based on the Canadian Sediment Quality Guidelines (CSQG). Nine stations made up the sampling site, each representing a different land-use type, including mangrove ecosystem, tourist attraction, airport, harbor, mining area, bare land, shrimp pond, agricultural land, and settlement. The concentrations of Cd in bare land, shrimp pond, agricultural land, and settlement (with values of 2.707, 2.955, 2.983, and 2.873, respectively), and Cu in the mangrove ecosystem (with values of 42.893) slightly exceeded the corresponding Threshold Effect Level (TEL) value of CSQG. Meanwhile, the content of other heavy metals in all land use types tends to be low, even below the Limit of Detection (LOD). The data on the level of heavy metal pollution in the study area shows no connection between heavy metal contamination and different land-use types. It is brought on by a variety of circumstances, such as the fact that human activity in the study area did not significantly contribute to heavy metal contamination or that heavy metals were contaminated and then spread to other forms of land-use types, in this case, the mangrove ecosystem, by runoff and wind. This is because variations in salinity, estuary flushing, physical mixing and dilution, and chemical processes, including sorption, complexation, cation exchange, and redox reactions, all affect how heavy metals are transported by water. The government should create environmental regulations, laws, quality norms and standards, more funding for cutting-edge scientific research, and technical tools to prevent heavy metal pollution in coastal areas.
A Survey of Infill Well Location Optimization Techniques
Authors: Al-Rubiay Zainab , Al-Fatlawi Omer
Published: June 2023

The maximization of the net present value of the investment in oil field improvements is greatly aided by the optimization of well location, which plays a significant role in the production of oil. However, using of optimization methods in well placement developments is exceedingly difficult since the well placement optimization scenario involves a large number of choice variables, objective functions, and restrictions. In addition, a wide variety of computational approaches, both traditional and unconventional, have been applied in order to maximize the efficiency of well installation operations. This research demonstrates how optimization approaches used in well placement have progressed since the last time they were examined. Following that, the research looked at a variety of different optimization strategies, and it demonstrated the limitations of each strategy as well as the scope of its application in order to achieve a suitable level of accuracy and simulation run time. In conclusion, this study presents an all-encompassing analysis of the well location optimization approaches that are applied in the petroleum engineering area, ranging from traditional methods to contemporary methods that make use of artificial intelligence.
Detecting Oxides Mineralization Utilizing Remote Sensing and Comprehensive Mineralogical Analysis: A Case Study Around Mikbi-Zayatit District, South Eastern Desert, Egypt
Authors: El-Desoky Hatem , Shebl Ali , El-Awny Hamada , El-Rahmany Mahmoud , Soliman Omar
Published: June 2023

Undoubtedly, involving more tools, datasets, and techniques for detecting the mineralized areas sharply narrow the zones to be investigated and delivered, in most cases highly potential zones. Consequently, this study is an attempt to apply remote sensing data including Sentinel 2 and ASTER, field observations, petrography of the hydrothermal alteration processes, ore microscopic investigations, X-ray examinations, and EDX analysis to detect and emphasize mineralization types at Wadi Mikbi and Wadi Zayatit district, South Eastern Desert, Egypt. Towards accurate lithological mapping, remote sensing data, previous geological maps, and the field investigations recorded serpentinites, ophiolitic metagabbros, amphibolites, epidosite, arc-related metasediments (schists and quartzites), metagabbro-tonalite complex, dunite, olivine gabbros, and granitic rocks encountered in the study district. Additionally, various hydrothermal alteration zones have been primarily outlined using ASTER and Sentinel 2 data by implementing informative band ratios and constrained energy minimization techniques. The mineralogical studies have confirmed most of the remotely-detected hydrothermal alteration minerals. Ore microscopy, XRD technique, and EDX microchemical analysis of representative mineralized samples of the study district identified magnetite, ilmenite, titanomagnetite, chromite, magnesioferrite, quartz, apatite, clinochlore, plagioclase, pyroxene and epidote. Cross-linking remote sensing results, field observations and laboratory studies revealed that the dominant hydrothermal alteration processes include oxidization, serpentinization, carbonatization, epidotization, silicification, zoisitization, muscovitization, sericitization, and chloritization. Spatial overlay analysis of the resultant altered features, structural dissection, field observations, and analytical studies were integrated to build a mineral potentiality map of the study district.
The Influence of Incentives and Work Discipline in Increasing Work Motivation of PT. Berastagi
Authors: Riesmiyantiningtias Ninuk , Amalia Rizky , Eko Purwanto Oby , Chandra Ati , Puspita Ratna , Givan Bryan
Published: June 2023

This study aims to determine the effect of work discipline on employee performance at PT. Berastagi Rantauprapat. To determine the effect of giving incentives to employee performance at PT. Berastagi Rantauprapat . To determine the effect of work discipline and intensive giving effect on employee performance at PT. Berastagi Rantauprapat. This type of research is associative research. Data collection in this study was carried out through a survey approach with a quantitative descriptive research type by distributing questionnaires to 35 respondents while the population used in this study was employees of PT. Berastagi Rantauprapat. Data collection techniques were carried out by interviews, questionnaires and documentation studies. The data analysis technique used in this research is descriptive analysis, multiple linear regression analysis, hypothesis testing using simultaneous significant test (F test), partial significant test (t test), and testing the coefficient of determination (R2). The results of this study indicate that partially the incentive variable has no positive and significant effect on employee motivation, partially that the work discipline variable has a positive and significant effect on employee motivation and simultaneously that the incentive and work discipline variable has a positive and significant effect on employee motivation.
Evaluation of Type 322 Un-Signalized Intersection Performance
Authors: Radjawane Louise Elizabeth , Lao Virginia Claudia
Published: June 2023

Currently the world is trying to improve air quality which has an impact on climate change. Including Indonesia contributing to various international forums that discuss greenhouse gas emission reduction programs, including in the transportation sector. The Batua Raya-Toddopuli-Borong Raya intersection is an alternative intersection for travelers from Makassar City to Sungguminasa City or Maros City, and vice versa. The aim of this research is to obtain the delay and the relationship between the delay and the emission load at the un-signalized intersection of the Batua Raya-Toddopuli-Borong Raya road, Makassar, SIDRA INTERSECTION 8 Software is used to calculate the value of the delay and emission load. Delays that occur on weekdays are higher than holidays, seen on Monday morning at peak hours 17.00-18.00 there is a very high intersection delay of an average of 3888.52 seconds. The relationship between traffic delays and NOx emissions, which has an effect of 84.32%, each second addition of the delay value can increase HC emissions by 0.0000005 kg/hour. The relationship between traffic delays and CO emissions, which has an effect of 95.56%. The relationship between traffic delays and HC emissions, which has an effect of 93.76%. The relationship between traffic delays and CO2 emissions, which has an effect of 93.64%. The addition of delay time at the intersection increases the emission value and reduces the quality of the intersection level of service.
Endodontic Irrigants: A Review
Authors: Tuculina Mihaela Jana
Published: June 2023

Irrigation in endodontic treatment is an essential and indispensable step, it has a multitude of beneficial functions and roles, the success of the treatment depends largely on the accuracy with which the organic and anorganic tissue is removed from the root canals using irrigation solutions in addition to mechanical treatment. The purpose of this article is to highlight the benefits of irrigation solutions, the roles of each solution and also comparisons between them. In the endodontic literature there is a wide variety of articles and opinions regarding the effectiveness of each solution, their roles as well as opinions about the best solution for root canal disinfection.
ONDE ESTÃO AS MULHERES? Os lugares das artesãs na comunidade do Alto do Moura – PE
Authors: Souza Denise Clementino de , Sá Marcio Gomes de , Sousa Jessica Rani Ferreira de , Lorêto Myrna Suely Silva
Published: June 2023

As mulheres artesãs do Alto do Moura, centro de artes figurativas em Caruaru-PE, vêm ocupando espaços distintos na comunidade. Por um lado, projetam-se para o protagonismo no ofício, nos negócios e na política comunitária, por outro, são condicionadas a ocupar e permanecer em lugares menos valorizados socialmente, como é o caso das atividades domésticas e da pintura das peças. O objetivo deste trabalho é analisar os diferentes lugares que as mulheres artesãs vêm ocupando no Alto do Moura do século 21. A pesquisa teve natureza qualitativa. Foram realizadas 33 entrevistas com artesãos(ãs) e formadores(as) de opinião, além de 02 grupos focais, fotografias e observação de campo. Os resultados apontam que as artesãs, mesmo ocupando outros lugares nos últimos tempos, são oprimidas por vários mecanismos sociais, econômicos e culturais que, em geral, as mantêm em uma situação de poder desvantajosa na comunidade.
SOCIEDADE DE CONSUMO E OS SENTIDOS E SIGNIFICADOS SOCIAIS DA NARRATIVA DO CONSUMO MINIMALISTA
Authors: Retondar Anderson Moebus
Published: June 2023

O presente artigo tem como principal objetivo compreender, a partir de um ponto de vista sociológico, a construção de narrativas que servem de orientação para novas práticas de consumo na sociedade contemporânea, especialmente aquelas que estão sob a égide do que se convencionou chamar consumo minimalista. Para tanto, analisamos os conteúdos dessas narrativas produzidos em redes sociais eletrônicas, especificamente através de alguns perfis públicos na rede social Instagram, onde percebemos nexos e contradições entre a construção dessas narrativas e a própria dinâmica de constituição e consolidação da moderna sociedade de consumo. Por fim, identificou-se que, muito mais do que um mecanismo de ativismo social, o qual seria marcado pelo incentivo a formas de ação coletiva como anteparo ao próprio sistema de consumo, o que está em jogo na construção dessas narrativas é a valorização de processos microssociais de individuação que, por meio de práticas de consumo minimalistas, reforçariam as relações de consumo como expressão de subjetividades.
A CORRELATIONAL STUDY TO EXAMINE THE RELATIONSHIP BETWEEN AGGRESSION OF ADOLESCENTS AND THEIR PARENTAL BEHAVIOR AMONG ADOLESCENTS OF SENIOR SECONDARY SCHOOLS OF DISTRICT PANIPAT
Authors: Gupta Ms. Juhi , Randhawa Dr. Rajwant Kaur
Published: June 2023

Adolescence is a period of developing knowledge and skills, learning to manage emotions, and acquiring qualities and abilities that will be important for enjoying adolescence and assuming adult roles. Boys have been found to be more aggressive than girls. A quantitative research approach and a non-experimental research design were used to correlate aggression and parental behaviour
PSYCHOSOCIAL PROBLEMS OF HEARING IMPAIRED ADOLESCENTS – A REVIEW
Authors: das Ms. Varsha Priyanka , biswal Dr. Mrs. Abhilekha
Published: June 2023

Hearing is an important part of learning speech and language. It develops child emotional, physical, mental, and spiritual wellbeing. Language is a basic tool for interpersonal relationships and also an act of communication that allows people to exchange ideas and emotions. Most of the children hear from birth. They learn to interact by imitating the sounds but when hearing loss or impairment exists and often goes unnoticed delayed speech and language learning can take place consequently affecting cognitive and behavioral skills. Early detection of hearing impairment is therefore essential, in order to allow more successful intervention and rehabilitation.
Persepsi Pelajar Terhadap Tahap Kesesuaian dan Tahap Kemahiran Insaniah Kursus-Kursus Program Ko-Kurikulum Berkredit Universiti Malaysia Sabah
Authors: Gregory K Han Crispina , Amatan Mohammad Azri , Atang Colonius , Foo Jurry
Published: June 2023

Penubuhan Pusat Kokurikulum dan Pemajuan Pelajar sejak tahun 2002 menuntut kewajaran suatu kajian penilaian dilaksanakan bagi meninjau pelaksanaannya. Tujuan kajian adalah untuk menilai tahap kesesuaian dan tahap kemahiran insaniah Program Ko-Kurikulum Berkredit di Universiti Malaysia Sabah. Pendekatan kuantitatif berbentuk tinjauan hirisan rentas digunakan dalam kajian penilaian ini. Data diperoleh melalui instrumen soal selidik melibatkan seramai 547 pelajar di Semester 2 Sesi 2021-2022 Universiti Malaysia Sabah. Sampel diperoleh menggunakan teknik pensampelan rawak mudah. Perisian IBM Statistical Package for Social Science (SPSS) versi 25.0 digunakan untuk penganalisisan data. Hasil kajian mendapati 65.8% responden menyatakan jumlah jam kredit kursus-kursus ko-kurikulum berkredit di Universiti Malaysia Sabah adalah pada tahap sesuai dan sangat sesuai untuk dilaksanakan. Seramai 75% responden pula menyatakan kursus-kursus program ko-kurikulum berkredit yang ditawarkan adalah pada tahap sesuai dan sangat sesuai. Hasil kajian juga mendapati tahap kemahiran insaniah seperti kerja berkumpulan dan kepimpinan dalam kalangan pelajar berada pada tahap tinggi. Dapatan ini memberi implikasi bahawa kursus-kursus ko-kurikulum berkredit di Universiti Malaysia Sabah mempunyai kewajaran untuk diteruskan dan ditambah baik.
Division of Housework and Subjective Feelings among Indian Women during the COVID-19 Pandemic in Malaysia
Authors: David Chelliah Hemarubhini , Boo Harn Shian , Karupiah Premalatha
Published: June 2023

Women shouldered most housework despite their educational and employment status before and during the COVID-19 pandemic.  This study aims to explore the lived experiences of Indian women in the division of housework and their subjective feelings during the COVID-19 pandemic in Malaysia. A sample of twelve Indian married working women shared their experiences through semi-structured interviews. The findings show that most Indian women shouldered the housework burden while juggling both paid and unpaid work simultaneously during the COVID-19 pandemic. The majority of Indian women felt stressed because they perceived housework as women’s responsibility. Indian women’s experiences and negative feelings indicate the need for policy makers to narrow gender inequality in unpaid domestic work and enhance women’s well-being in the households.
Socioemotional Competencies in higher education
Authors: Rojas Chacaltana Sergio Arturo , Etchart-Puza Jimena Angelica , Cardenas-Zedano William Jesus , Herencia-Escalante Victor Hugo
Published: June 2023

A large number of the powerhouses of the world economy are family-owned. In Latin America, these generate jobs and contributions to the regional economy. The decision-making of these companies significantly determines their good performance and sustainability, so it is crucial to understand their causes, nature, and effects. The present investigation is of a mixed approach, not experimental; Through the systematic literature review, current production is studied in four principal databases. This paper offers a current look at the state of the literature on family business decision-making in the Latin American context. The main results show that the current literature has a very limited field of application and that, added to this, the heterogeneity in family firms should allow generalizations. It is necessary to broaden the methods and perspectives of study to address the subject.
Wood and metal shear wall formwork and its performance concerning its uses number and costs
Authors: Aguilar Huerta Jose Ronald , Barreto Rivera Urpi , Berrio Atapauccar Lisbeth
Published: June 2023

Concrete construction requires a formwork that shapes the structural sections and resists the concrete's weight, representing between 40% and 60% of the overall concrete costs, so the construction team must make cost-effective decisions throughout the project. This research compares the technical and economic performance, unit cost, and the number of metal and wood formwork applications in constructing shear walls in 80 single-family units assembled in 4 real estate units. To reach the yield value of 3,501.18m2, with the metal formwork, 31 uses were required at the cost of 5,873.13 USD; on the other hand, with the wood formwork, 51 uses were necessary at the cost of 14,289.79 USD. After 20 uses, comparing the wood formwork with the metal formwork, the latter was 66% more efficient.
Sustainable urban development in Latin America
Authors: Murillo Delgado Christian Juan , Calderon Munoz Adriana Carolina , Icaza Valencia Hugo Jose , Sanchez Bazantes Lizeth Carolina
Published: June 2023

This paper shows the results of a documentary exploration of sustainable development in Latin America. The Latin American region is characterized by having holistic environmental policies, but it is also integrated and seeks to balance economic growth, social inclusion, and environmental preservation. For this work, different reliable sources have been analyzed to know the Latin American trends around the subject and specify the strategies that must be addressed to achieve the expected results. In this sense, a program is proposed that aims to strengthen environmental awareness and promote sustainable urban planning practices in rural communities in Latin America. The main results show that environmental education empowers local communities to become agents of change and adopt sustainable measures in natural resource management, agriculture, energy, and environmental conservation.
Caracterización de displasia cortical focal, en pacientes atendidos en el Hospital Metropolitano, 2010-2021
Authors: Torres Campoverde Fabián Marcelo , Abad Herrera Emilio Patricio
Published: June 2023

Introducción: Displasias corticales focales (DCF) son un subgrupo de malformaciones circunscritas del desarrollo cortical. Representan la causa más común de epilepsia refractaria en la población pediátrica y la segunda / tercera causa en adultos. Metodología: Estudio observacional, cuantitativo, descriptivo, retrospectivo, con muestreo por conveniencia. Se incluyeron 107 pacientes con DCF. Se realizó análisis univarial con frecuencias y porcentajes. Chi-cuadrado y diferencia de medias para análisis bivarial. Para medir asociación se utilizó RR (IC 95%). Resultados: La edad media fue 16,85 años, 49,53% mujeres y 50,47% hombres. 14,95% presentó antecedentes de convulsiones febriles, 3,74% fueron asintomáticos. Crisis focales fue la presentación más habitual (67,9%), predominantemente motoras (83,5%). El 11,21% presentó deterioro cognitivo. El 61,68% había sido diagnosticados de epilepsia criptogénica. La edad media de inicio de síntomas fue 11 años. Pacientes con antecedentes de convulsiones febriles presentaron sintomatología más temprana (4,73 años). El 46,7% de DCF se localizó en el lóbulo temporal. Pacientes con DCF tipo III presentaron debut más tardío (13,79 años). 50,77% de los pacientes presentaron epilepsia refractaria. 7,7% fueron sometidos a cirugía. Se encontró asociación entre epilepsia refractaria y deterioro cognitivo (RR 1,9). Pacientes con convulsiones febriles presentaron debut más temprano de epilepsia (4,7 años). Pacientes con deterioro cognitivo presentaron inicio precoz de síntomas (4,58 años). Conclusiones: DCF es causa importante de epilepsia refractaria, 50.7% de los pacientes de este estudio presentaron dicha característica. El inicio de la sintomatología se presenta en edades tempranas. La presencia de crisis farmacorresistentes representa un factor de riesgo para deterioro neurocognitivo.
Revisión y cambios 2022 de las últimas Guías de Resucitación Cardiopulmonar de la American Heart Association (AHA)
Authors: Villarreal Huato Diego , Larrea Mauricio , Campos-Miño Santiago
Published: June 2023

American Heart Association (AHA, por sus siglas en inglés) emite cada 5 años sus recomendaciones para resucitación cardiopulmonar (RCP) y atención cardiovascular de emergencia; la última versión se publicó en 20201. Sin embargo, cada cierto tiempo, un comité internacional (International Liaison Committee on Resuscitation – ILCOR) actualiza la bibliografía y emite ciertas recomendaciones de ajuste que son consideradas importantes. Estos cambios se han publicado el 4 de noviembre de este año en la revista Circulation2 y los resumimos a continuación, tanto para adultos como para niños.
Seguimiento de los pacientes con hipospadias tratados en el Hospital Pediátrico Baca Ortiz 2020 al 2022
Authors: Arboleda Bustan Jenny Elizabeth , Molina Mayra , García-Andrade Jorge , Flores-Nuñez Marianita , Vicuña Pozo María Fernanda , Yépez Hidalgo Abelardo , Cuadras Daniel
Published: June 2023

Objetivo: describir los pacientes operados de hipospadias en el Hospital Pediátrico Baca Ortiz en los últimos 2 años. Método: Estudio prospectivo. Se tomó los datos obtenidos en la cirugía medidas como el tamaño del glande, la placa uretral, uretra en milímetros con el goniómetro, así como la curvatura peneana en el postquirúrgico. Se entrevistó a pacientes y /o sus padres intervenidos de hipospadias en nuestro hospital entre 2020 y 2022, incidiendo en su función urinaria. Realizamos análisis estadístico descriptivo y comparaciones entre tipos de hipospadias (SPSSv19), chi cuadrado, tablas cruzadas, regresión lógistica. Resultados: cumplieron los criterios de inclusión 25 pacientes, a los cuales se les realizó cariotipo al 14.3%. La edad de la cirugía presenta una media de 4,7 años; no presentaron antecedentes familiares. Hipospadias mas común fue la peneana con n: 9, seguida la peno-escrotal con n: 6, subglandular con n: 5 y el hipospadias cripple con n: 5. Las técnicas usadas en la institución son STAg primer y segundo tiempo, seguido por el STAC. Cuando los datos obtenidos de la cirugía como: curvatura peneana mayor a 45 grados, placa uretral menor a 10 milímetros y glande pequeño se unen en un paciente, existe 7 veces más riesgos de complicaciones con un OR: (95% CI= 2.5+25). Las complicaciones de Claiven y Dindo fueron tipo I con un n: 2 (8%) y fue tipo fístula uretrocutánea. Los días de hospitalización la media fue de 7,9%, no hay diferencia estadísticamente significativa (p=0.6). De ellos el 98% refiere en los 6 ítems de la escala de percepción peneana tiene un puntaje que indica satisfacción con la apariencia del pene. Un 10 % se realizó uroflujometría la cual tiene patrón normal y Qmax 15ml/s sin residuo en el eco vesical. Conclusiones: nuestra serie muestra que la hipospadias es una patología frecuente que presenta complicaciones a pesar de la técnica utilizada dependiendo de las características encontradas en la cirugía.
Genética molecular en la clínica: una herramienta necesaria para el diagnóstico definitivo en enfermedades raras
Authors: Romero Vanessa I
Published: June 2023

Introducción: Una enfermedad rara se define como una enfermedad o condición que afecta a menos de 200,000 personas en los Estados Unidos. El viaje de diagnóstico para pacientes con enfermedades raras puede tomar un mínimo de 1 año a más de 10 años desde el inicio de los síntomas, los exámenes, imágenes y derivaciones. En esta revisión presentamos tres casos en los cuales la información clínica no era suficiente para su diagnóstico y este se logró a través de derivación y  estudios moleculares. Casos: Caso 1. Presentamos el caso de un bebé que nació con genitales ambiguos, hiperpigmentación en espiral y un tamizaje positivo para hiperplasia suprarrenal congénita. Los estudios moleculares concluyeron un mosaico 45,X[24]/46,X,der(Y)t(Y;14)(p11.32;q12) y genes sin variantes patológicas para herplasia suprarrenal congética. Caso 2. Dos hermanos diagnosticados con craneosinostosis a los cuales se les realizó cirugía correctiva. Diez años después a través de estudios moleculares se cambió el diagnóstico de Síndrome de Carpenter a Síndrome de ATRX, el cual no presenta craneosinostosis. Caso 3. Una mujer con astrocitoma, cáncer de tiroides y de mamá. Las tres neoplasias no están relacionadas y utilizando secuenciación de exoma completo identificamos una variante nueva en el gen ACSL6 que involucra los tres tejidos. Conclusión: En esta revisión describimos 3 estudios de caso reportados de pacientes de Ecuador que se llegó a un diagnóstico definitivo al utilizar estudios moleculares a través de colaboraciones con laboratorios internacionales. La derivación a genética es un factor determinante para disminuir el tiempo de un diagnóstico incierto al definitivo.
Realiti Gerakan Islam dalam Konteks Pembangunan Peradaban di Asia Tenggara
Authors: Abd Rahman Abdullah Zaik
Published: June 2023

Kertas kerja ini telah dibentangkan di Persidangan Kuala Lumpur Summit yang telah diadakan di Turkiye pada Disember 2022. Kertas kerja ini membincangkan persoalan adakah usaha gerakan Islam di Dunia Islam umumnya dan di Asia Tenggara khususnya sepanjang satu kurun pertama selepas kejatuhan khilafah merupakan sebuah projek pembangunan peradaban Islam yang sebenar. Projek pembangunan peradaban Islam yang lahir daripada kefahaman tentang konsep hadarah yang sebenar menuntut proses perubahan yang syumul dan mendasar. Bagaimanapun, usaha membangunkan semula peradaban Islam yang dibawa oleh gerakan Islam masih berada dalam kerangka ketamadunan Barat yang diimport daripada luar. Penilaian semula cara fikir, pendekatan dan strategi gerakan Islam adalah penting sebagai intervensi bagi memastikan segala gerak kerja gerakan Islam pada hari ini benar-benar menyumbang kepada projek besar pembinaan peradaban Islam di masa hadapan.

This paper was presented at the Kuala Lumpur Summit Conference held in Turkiye in December 2022. This paper discusses the question of whether the efforts of the Islamic movements in the Islamic World in general and in Southeast Asia in particular throughout the first century after the fall of the caliphate is the real and true Islamic civilisational development project. The Islamic civilisational development project based on the true understanding of the hadarah concept requires a comprehensive and fundamental change process. However, the efforts to rebuild Islamic civilisation brought by the Islamic movements are still within the Western civilisation framework. Revieweing the Islamic movements’ way of thinking, approach and strategy are important as an intervention to ensure that all the efforts of the Islamic movements today really contribute to the big project of building Islamic civilisation in the future.
Kesan Pandemik Covid-19 Terhadap Keupayaan Keselamatan & Pertahanan Negara
Authors: Md Rasip Osman , Salleh Mohamad Muntaha , Abd Rahman Salman , Mohd Taib Mohd  Nasrul Muhaimin , Rozlan Ahmad Muslihuddin
Published: June 2023

Kajian ini menilai kesan pandemik COVID-19 terhadap keupayaan keselamatan dan pertahanan negara. Pasukan keselamatan dan aset keselamatan negara terlibat secara langsung dalam usaha menangani pandemik COVID-19. Pada masa yang sama, negara tetap berdepan dengan ancaman pencerobohan sempadan berikutan konflik geopolitik di Laut China Selatan. Selain itu, kajian ini turut meneliti peningkatan ancaman keselamatan dalam bentuk baharu seperti pengintipan siber, jenayah siber dan jenayah media baharu ekoran norma baharu semasa pandemik COVID-19 yang meningkatkan penggunaan internet untuk pelbagai urusan harian. Pandemik ini juga telah meningkatkan kekangan bajet pertahanan negara kerana kerajaan perlu menanggung perbelanjaan yang besar untuk menangani krisis kesihatan dan ekonomi yang timbul akibat pandemik COVID-19.

This study analyses the impact of the COVID-19 pandemic on the country’s security and defense capabilities. National security forces and assets were directly involved in helping the government to manage the pandemic. At the same time, the country continues to face the threat of border invasion due to the geopolitical conflicts in the South China Sea. In addition, this study examines the increase of security threats in new forms such as cyber espionage, cyber crime and new media crimes following the new norms during the COVID-19 pandemic that has increased the use of the internet for various daily activities. The pandemic has also increased the national defense budget constraints because the government has incurred huge expenses to deal with the health and economic crises that have arisen as a result of the COVID-19 pandemic.
Secondary Education in Post-Colonial Nigeria: The Policy and Implementation’s Pros and Cons
Authors: Chiadi Gloria , Oniye Masud Ibrahim , Abdulrahman Yusuf M.
Published: June 2023

This paper examined the pros and cons of the policy and implementation of secondary education in post-colonial Nigeria. A number of identified efforts and commitments made over the years by the Nigerian government in the formulation, planning and implementation of educational policies in secondary education were found to be some of the good inputs conceived as instruments for national development. However, some of these efforts were defeated on the long run, because of a number of other manifestations that negated the intent of the policy to better secondary education in Nigeria. As a way forward, the paper concluded that if the country is to enjoy the dividends of secondary education, there is urgent need to address the challenges that have limited the implementation of educational policies in the secondary education sector. It was recommended inter alia, a review of some of the secondary education policy contents and the implementation of innovative policies and programmes directed towards improving standards of secondary education in the country.
Bottlenecks in the Implementation of Performance Appraisal Systems in the Zambian Civil Service: Perspectives of its Implementation in the Health Sector
Authors: Nkowani Samuel , Mupindu Wiseman , Kalumbi Mwansa Mukalula
Published: June 2023

In this study, an exploration was made to investigate the bottlenecks that affected the effective \implementation of the performance appraisal system in Zambia’s civil service. The study narrowed down to investigate the bottlenecks in the health sector. The study applied qualitative research method with a Case Study Design. The study comprised of 20 purposively selected health workers as the participants. The study used semi-structured interviews to generate evidence. The study found out that the implementation of the PAs had a number of bottlenecks. Most of the bottlenecks were organizational factors which greatly affected PAs implementation in the health sector. The most common bottlenecks included unavailable and unclear job descriptions, inadequate awareness on the job descriptions, and insufficient knowledge on what constitutes performance appraisals. The other bottlenecks relates to inadequate participation by the users in the design and development of the job descriptions and the various types of plans which act as the sources of targets/standards for appraisals. The study also discovered bottlenecks related to weak mechanisms for performance feedbacks, review, communication and not excluding monitoring and evaluation. The others included the lack of the standard operating procedures/guidelines besides the inadequate training and orientation on the PAs. In conclusion, it is recommended among others that: top management such as Senior Medical Superintendents, Heads of Departments and the In-Charges at Health Centres need to take charge in the implementation of the APAS by promoting, supporting and encouraging the frequent monitoring and evaluation of the APAS; there is need to buy-in the entire PA processes into duty operations at the individual and the departmental work plans in accordance with the requirements of the PMP; and all newly appointed employees should undergo intensive APAS inductions within the first quarter of their appointment.
Sustainability of Community Sociocultural Activities As a Tourist Destination During the Covid-19 Pandemic: A Case Study in Kampung Jawi, Semarang City, Indonesia
Authors: Kurniati Rina , Shifa Bella
Published: June 2023

Kampung Jawi is a Javanese tourism village in Semarang City, Indonesia that aims to realize sociocultural sustainability. Currently, sociocultural sustainability faces the challenges of the Covid-19 pandemic, which restricted various activities. This quantitative study examines the sustainability of sociocultural activities in Kampung Jawi during the Covid-19 pandemic. The scoring analysis is applied to the questionnaire results to calculate and group the sustainability score into low, medium, and high. Questionnaires are distributed to 94 local communities to assess sociocultural sustainability during the pandemic. The results show that the sustainability of sociocultural activities in Kampung Jawi during the Covid-19 pandemic is “Medium.” The pandemic’s most significant impact is on cultural richness and participation because it restricts various community sociocultural activities. Furthermore, Covid-19 affects people’s efforts to maintain their cultural assets now and in the future. It has weakened economic activities that can reduce the village’s ability to provide cultural and health facilities.
Best Practice Recommendations for Electronic Clinical Outcome Assessment Data Changes
Authors: Delong Patricia Shepherd , Humler Demian , Haag Tom , Yeomans Alan , Andrus Jonathan , Eremenco Sonya , Finan Ashley , Gable Jonathon , Gilfillan Derek , Howry Cindy , Kern Scottie , Lesniewski Scott , Simpliciano Kelly , Staunton Hannah , Turnbull Jess , Workman Christina , Raymond Stephen
Published: June 2023

Historically, there was a tendency amongst electronic clinical outcome assessment (eCOA) service providers and their sponsor clients to prevent changes to eCOA data, particularly for electronic patient-reported outcome (ePRO) measures, or to allow changes to eCOA data but only after receiving sponsor approval to do so. Further, sponsors were also approving or denying data change requests (DCRs).From 2018 to 2022, 45 representatives of Critical Path (C-Path) Institute’s Patient-Reported Outcome (PRO) Consortium, eCOA Consortium (previously ePRO Consortium), and the eClinical Forum collaborated to develop guidelines on changes to eCOA data. These were compiled into the present manuscript, which outlines best practices aligned to latest health authority guidance, and based on expertise from all three organizations.This work coincided with a shift in clinical trial industry practices and emergence of regulations and quality functions that require that investigative sites, not sponsors, be responsible for the maintenance of accurate source records. In other words, the question was not whether, but how, PRO data should be changed. The resulting set of core principles can become the foundation upon which sponsors, investigators and eCOA providers can work together on DCRs.To achieve that, eCOA studies must:• be setup in a manner that minimizes potential user errors;• have a documented oversight plan and documented site staff training;• follow clearly defined and standard workflows–but also mitigate undefined change types;• allow trial documentation per ALCOA+ principles; and• induce sponsors into timely reviews and reconciliations of discordant data (i.e., via sensitivity analysis) and not by arbitrarily overruling the investigators.
Studi Karakteristik Fasad Arsitektur Transisi pada Gereja di Jakarta
Authors: Azahra Sheren , Larasati Nadya Putri , Basri Dian Monica Erveline , Rahardjo Astrid Hapsari
Published: June 2023

Arsitektur di Indonesia sangat beragam, selain banyaknya suku dan budaya, juga masa penjajahan Belanda yang cukup lama, sehingga menyisakan warisan arsitektur. Terdapat 3 periodisasi gaya arsitektur kolonial yaitu arsitektur indsiche empire abad 18-19, arsitektur kolonial transisi di indonesia tahun 1890-1915 dan gaya arsitektur kolonial modern tahun 1915-1940. Penelitian ini dipilih arsitektur kolonial transisi, karena merupakan arsitektur kolonial awal yang ada di Indonesia. Penelitian bertujuan menganalisa karakteristik fasad gereja dibangun dalam kurun waktu tahun 1890-1915 kemudian dianalisa elemen fasad-nya, sehingga bisa diketahui apakah gereja tersebut menggunakan gaya arsitektur yang sedang berkembang di masa itu atau tidak. Variabel penelitian meliputi semua elemen fasad yang diteliti, yaitu: atap, kolom, pintu, ventilasi, jendela dan ornamen. Sedangkan studi kasus yang dipilih adalah gereja yang terdapat di Jakarta, sebab ketika itu Jakarta (Batavia) merupakan pusat pemerintahan, sehingga arsitekturnya mewakili arsitektur kolonial transisi. Penelitian menggunakan metode deskriptif kualitatif, dimana studi kasus dianalisa berdasarkan arsitektur kolonial transisi yang dipilih sebagai acuan, kemudian diketahui kesesuaiannya dan apakah studi kasus merupakan arsitektur kolonial transisi atau bukan. Setelah dilakukan penelitian, diketahui mayoritas gereja yang dipilih sebagai studi kasus memiliki karakteristik arsitektur kolonial pada fasad-nya, sehingga ada kesesuaian antara tahun dimana gereja tersebut dibangun dengan karakter arsitektur yang berkembang di masa tersebut.
KİTLE FONLAMASI YÖNTEMLERİNDE RİSKLER VE ETİK SORUNLARI
Authors: Kuzulu Özcan
Published: June 2023

Kitle fonlaması olgusunun insan hayatında bağış temelli olarak uzun zamandır var olduğunu söyleyebiliriz. Alternatif bir finansman yöntemi olarak yeni ortaya çıkan ve hem akademisyenler hem de uygulayıcılar tarafından önemli ölçüde ilgi çeken bir olgu haline gelmesi ise internet tabanlı olarak sermaye ve finans piyasalarına alternatif olarak kullanılmasıyla başlamaktadır. Özellikle başlangıç sermayesine ihtiyaç duyan girişimcilerin giderek artan bir ilgisiyle büyümesini hem Dünya’da hem de ülkemizde sürdürmektedir. Kitle fonlaması katlanarak büyüdükçe, ilgili zorluklar ve fırsatlar da artmaktadır. Kitle fonlaması yöntemi, diğer girişimci finansman yöntemlerinden oldukça farklıdır. Bu yöntemde fon sağlayıcılar, bir kitle fonlaması kampanyası sırasında kurucular tarafından sağlanan bilgilere güvenmek durumundadırlar ve bu nedenle yetersiz bilgi nedeniyle proje sunumunun ve dolayısıyla finansmanın başarısızlığı söz konusu olabilmektedir. Bu nedenle, bilgi simetrisi kitle fonlamasında önemli bir husustur. Bu çalışmada öncelikle kitle fonlaması tanımlanmakta, özellikleri, ilgili terminolojileri, temel unsurları ve etik konuları tartışılmaktadır. Akabinde olası risk türleri etraflıca incelenmekte, farklı kitle fonlaması yöntemlerinde etik sorunlar ve riskler aktarılmaktadır. Son bölüm, bu çalışmanın sonuçlarını ve gelecekteki araştırmalar için önerileri içermektedir.
The impact of social media influencers on destination preferences: A cross-generation comparison
Authors: ZORLU Özcan , CANDAN Tuğçe
Published: June 2023

Social media has gradually transformed into a tool for tourism marketing because of its widespread use and its sales-oriented reflections on purchasing decisions. Hence, almost all tourism businesses and destination management organizations (DMOs) have initiated to attract potential tourists via social media or social media influencers (SMIs). Though more and more publications have emerged to draw attention to the significance of SMI on purchase decisions, the number of research focusing on SMIs effect on destination choice still needs to be furthered. From this point of view, this study aims to evaluate how social media influencers affect travellers’ preference for destinations across generations. The data was gathered from 137 followers who follow social media influencers and are over 18. In the study, percentage, frequency, mean, and standard deviation values were employed in the descriptive data analysis, while correlation analysis was used in the relationship measurement tests, and regression analysis was conducted in the hypothesis tests. As a result, it has been inferred that the perception levels of participants towards social media influencers vary across generations and that social media influencers are an essential determinant for destination preference. It has also been concluded that the effect of social media influencers on destination preference differs in the context of X, Y, and Z generations. Thus, this study makes considerably advances the literature by revealing the importance of generation-based social media marketing and emphasizing how SMIs could impact destination preferences.
Experimental Investigation of Mechanical Properties on Al7075 with Hybrid Reinforcements
Authors: Silambarasan B  , Karthikeyan G  , Vignesh R  , Sabarinathan R  , Bharath Kumar S  , Kapilan J
Published: June 2023

The study's main objective is to investigate the dry sliding wear and other mechanical properties of aluminium with newer dual particle reinforced hybrid composite compositions. The stir casting method was used to create the aluminium hybrid metal matrix composite, which was then tested to determine its hardness, wear and microscopic photographs of worn-out surfaces as a result of the wear test. Three alternative reinforcing ratios Sample 1 (1% B4C and 3% SiC), Sample 2 (1% B4C and 6% SiC), and Sample 3 (1% B4C and 9% SiC) were used to manufacture hybrid composites. In this study, samples made with three different ratios of reinforced composite material were tested for hardness and temperature wear. Results illustrated that sample 2's hardness and wear attributes (1% B4C and 6% SiC) are superior to those of the other samples in terms of both hardness and wear rate