bluuebunny/crossref_metadata_2025 huggingface dataset:
Nonverbal Communication In The Classroom And Its Role In The Teaching And Learning From Educational Process
Authors: Ghafar Zanyar Nathir , Hemn Mohammed Ali Hemn Mohammed Ali
Published: August 2023

It has been established that non-verbal communication is a crucial strategy that improves pupils' comprehension. As a consequence, it aids in improved idea acquisition and comprehension. The main goals of this investigation are to look at the value of nonverbal communication in the educational process. Additionally, this essay will cover the purposes and guiding principles of nonverbal interactions in the classroom, as well as some fundamental ways to use nonverbal behaviors to enhance the effectiveness of teaching and the significance of nonverbal contact that learners as well as instructors can fully appreciate. An essential component of instruction is nonverbal communication. The benefit for a teacher is to develop great nonverbal communication skills, including strong sensitivity. The nonverbal signals that are employed in the classroom, such as teachers' facial expressions, postures, gestures, touch, and eye contact, are highly essential in many cultures; thus, teachers and educators should be good listeners in addition to the words that are being uttered. Nonverbal cues in the classroom, however, are seen differently in different cultures throughout the world. For example, some students abhor touching, postures, eye contact, and staring. Instructors should be mindful that, owing to cultural variations, some or all students may not be interested in making eye contact with their presenters due to various learning processes in different cultural behaviors and their viewpoints.
Theoretical Review of the Implementation of State Civil Apparatus Ethics in Digitals-Based Public Services (E- Government) in Indonesia
Authors: Noor Jihan Mohammad , Priyo Sudibyo Desiderius , Nugroho Rino Ardhian
Published: August 2023

There are practices of service from the government to the community through public services, but in Indonesia there are still many violations of policy, which is a violation of ethics in carrying out or implementing public services and this is often done by civil servants or state civil servants. In terms of e-government, this must follow public service ethics based on the principle of openness, namely information openness, ease of access, and accountability that can be legally accounted for for the public interest. This study conducted a qualitative literature study. The study shows that the ethical principles contained in government regulations, especially Article 10 of the Government Regulation of the Republic of Indonesia Number 42 of 2004 concerning the Development of Spirit Corps Spirit and the PA Pada Server Service Code of Ethics, serve to ensure the provision of high-quality digital public services at the central and provincial levels.
The Evaluation Of The Performance Of Civil Servants In Kotagede District, Yogyakarta, In Providing Services Based On Human Resources
Authors: Panji Adikumoro Damar , Ismi Dwi Astuti Nurhaeni Ismi Dwi Astuti Nurhaeni , Rino A. Nugroho Rino A. Nugroho
Published: August 2023

This study aims to determine evaluation related to work ability, motivation, quality and quantity of work of state civil servants in Kotagede District in providing services based on human resources. This study uses a qualitative method. The research informants were 5 people, the data sources consisted of primary and secondary data obtained from data collection techniques by observing and interviewing. The results of the study show that the application of ASN Performance Evaluation in improving the performance of the state civil apparatus in Kotagede District is quite good and systematic. This is supported by the cooperation of various parties. In addition, the implementation of the performance carried out in the Kotagede District has experienced a very significant increase, this is because the attention from the Kotagede District is quite extraordinary. One form of concern is by sending several state civil servants to attend training and technical guidance regarding SOPs and involve them in the preparation of SOPs.
Analysis Of Modern Railway Power Quality Conditions With Inspection Methods To Mitigate Operating System Failures Referring To Regulations And Standard References
Authors: Ravie Cahyadi Damar , Iwa Garniwa Iwa Garniwa
Published: August 2023

Elevated stations or commonly called elevated stations have an electric power system with a main power supply of 20KiloVolt with a nominal voltage of 750volt and a station operating facility voltage of 380volt laying station. This research uses the inspection method by making observations by work instructions and instruction manuals for railway infrastructure maintenance studies. Some were identified as related to power quality issues with progression-appropriate inspections and appropriate instruction manuals. The main objective of this study is to prevent overvoltage interference problems by recommending risk mitigation through investigative and simulation analysis methods using Electric Transient and Analysis Program (ETAP) software that can help evaluate and estimate strategic steps by paying attention to regulations and standard references and detecting losses in operating pattern disturbances due to disruption of power quality conditions caused by overvoltage surges in the station traction substation system by investigation and simulation methods using Electric Transient and Analysis Program (ETAP) software. This overvoltage is carried out in the context of research on maintaining services to the public and preventing system failures by using risk mitigation and investigation and simulation methods using Electric Transient and Analysis Program (ETAP) software that pays attention to environmental, safety, technical, and economic aspects with regulations and standard references. This research is in the form of mitigation analysis and describes the losses that have an impact by looking at a power quality condition and the follow-up provided to prevent overvoltage and components of modern railway electric facilities.
Visualization and Analysis of the Data Mining Domain of Scientific Medical Publications in the Web of Science Database Using Co-word Analysis
Authors: Osareh Farideh , AtaeeNasab Neda , Faraj Pahlo Abdolhossein
Published: August 2023

Background: The present study aims at visualizing and analyzing the scientific productions of data mining in medical sciences in the Web of Science (WoS) database to identify knowledge structure in this field. Methods: The present study was carried out using co-word analysis, which is a scientometrics method. Also, the analysis of the WoS approach was used for the visualization and analysis of word co-occurrence networks in the data mining domain. The research population consisted of 14,430 records related to data mining published in WoS from 2008 to 2016. The data were analyzed after retrieval using VoSviewer scientometric software. Results: The research findings showed that the average annual growth rate of scientific productions in the data mining field had an upward trend and reached its peak in 2016. The findings also showed that the USA was the most productive country, with 8123 degrees, claiming the first rank by 27.4% of the total scientific production, and Iran was in the 13th rank with 678 degrees. Among universities and institutions, the Chinese Academy of Sciences (692 degrees), the University of California (621 degrees), and the National Center for Scientific Research (CNSR) (514 degrees) were ranked first to third globally. Among Iranian institutions and universities, Islamic Azad University (IAU), Tehran University, and Iran University of Technological Sciences were ranked 41st, 94th, and 200th in the world with 140, 105, and 66 degrees, respectively. The results of the current research also showed that the field of data mining was formed based on four vocabulary clusters with 108, 82, 73, and 42 words, respectively. Conclusions: The recognition of Iran as a successful country in the field of data mining should encourage researchers from other countries to communicate with Iranian scientists.
DENTAL IMPLANT TREATMENT IN DIABETES MELLITUS (DM) PATIENTS: REVIEW
Authors: Khachatryan Hakob
Published: August 2023

With the development of progressive views on dental restoration and replacement, the clinical approach to seemingly hopeless clinical situations has changed radically, and those patients who would previously be considered extremely difficult are effectively provided with dental care.
Diabetes mellitus (DM) is a global problem worldwide. The negative impact of the disease on bone metabolism raises some concerns about the long-term survival of dental implants in diabetic patients. Diabetes mellitus is one of the most significant somatic diseases that determine the protocol for managing dental patients and the long-term functioning of dental implantation. Protocols for the management of patients with diabetes mellitus have been developed.
This article reviews the data of dental implantation in patients with diabetes mellitus. The following databases were included in a systematic search of the relevant literature: PubMed, Embase, AWMF Online, National Guidelines Clearinghouse, International Guidelines Network, and The Cochrane Library. The following search terms were used:
dental implants and diabetes, diabetes and implant survival, whether diabetes is a risk factor for dental implants, peri-implantitis and diabetes. A total of 58 articles that met the inclusion criteria for this systematic review were included.
The results of a systematic review showed that diabetes mellitus has an impact on implant survival rates compared with patients without diabetes.
THE IMPORTANCE AND NECESSITY OF EARLY ORTHODONTIC TREATMENT: CASE
REPORT
Authors: Ter-Poghosyan Hrant , Tsaturyan Iren , Seyranyan Lianna
Published: August 2023

Objectives: A clinical case is presented, the treatment of which was carried out by the method of functional
orthodontics, a growth modification was made during the mixed dentition of patient. The purpose of presenting this
clinical case is to emphasize the importance and necessity of functional treatment once again.
Methods and materials: Diagnostic models, photographs and X-ray studies of the patient and cephalometric data analysis were used.
Results: As a result of the functional treatment of this clinical case, we received a precise improvement of the patient ̓s profile, improvement of the relationship of jaws, reduced overjet, reposition of tongue, complete rehabilitation of swallowing, biting and speech functions, improvement of molar relationship, normal touch of lips, increased volume of upper airway, broad and beautiful smile of patient, increase of self-esteem.
Conclusions: Summing up the above and the results of the treatment of numerous patients, we can definitely come to a conclusion about the importance of the need of functional treatment. Since the fact on adequate and timely accomplished functional treatment obviously prevents a complicated process of further orthodontic treatment, the necessity of teeth extraction, increases the volume of upper airway, the use of additional appliances during the treatment with fixed - appliances is reduced, moreover the necessity of further orthognathic surgery is decreased.
CANALICULITIS CAUSED BY LACRIMAL CONCRETIONS. CASE REPORT
Authors: Gharakeshishyan Gharakeshishyan , Miroyan Hovsep , Harutyunyan Satenik
Published: August 2023

Canaliculitis is inflammation of lacrimal canaliculus. It is a very uncommon condition which is usually misdiagnosed and mistreated. Actinomyces israelii is the most common pathogen, which causes chronic inflammation in the upper parts of the tear drainage system. Due to long-term infectious inflammation canalicular concretions are formed, which can obstruct the lacrimal outflow system. General complaints of the patients include watering, purulent discharge, eye redness, swollen eyelid. We present 3 clinical cases of persistent canaliculitis which needed surgical treatment to rescue from the conditions leading to successful outcomes.
DESIGNING OF A CUSTOM DEVICE FOR INVESTIGATING THE MASTICATORY AND TEMPORAL MUSCLES IN PATIENTS EXPERIENCING TMJ DYSFUNCTION
Authors: Apresyan Samvel , Stepanov Stepanov , Borodina Irina
Published: August 2023

Relevance: At present, electromyography (EMG) serves as the standard method for diagnosing the condition of masticatory muscles.
This technique enables the evaluation of bioelectric potentials, including bioelectric rest, average biopotential amplitude, the duration of chewing cycle and the number of chewing movements performed.
In dental practice, EMG is conducted using electromyographs with electrodes attached to the skin using adhesive or electrically conductive gel. However, this installation process is often time-consuming, and the mobility of the sensors can compromise result reliability. Furthermore, when performing multiple EMG studies on a patient during different stages of treatment, there is no guarantee that the motor point will be consistently selected, leading to inaccurate data and comparisons.
The aim is to develop and implement a personalized device design for performing EMG on masticatory muscles, ensuring consistent repetition of the study in clinical practice.
Materials and methods: Through a comprehensive analysis of scientific literature, information sources were utilized to develop and manufacture an EMG device.
Results: The technical outcome achieved includes a simplified methodology, improved sensor fixation, reduced EMG duration, and the ability to replicate the study consistently at various stages of a patient's treatment.
Conclusion: The developed device and EMG methodology offer a simplified approach to obtaining accurate study results with reduced time requirements. Additionally, if repetition of the study is necessary, the obtained data would be representative.
CLINICAL EFFECTIVENESS OF GUIDED IMPLANT SURGERY IN PATIENTS WITH FULLY EDENTULOUS PATIENTS ATROPHY OF THE LOWER JAW
Authors: Ghambaryan Naira
Published: August 2023

Objectives: The aim of this study was to evaluate the results of mandibular prosthetics based on 6 implants placed with guided surgery and immediate loading in patients with a completely edentulous mandible.
Materials and Methods: 52 patients participated in this study, referred in need of full arch implant-supported reconstructions in mandible. Jaw bones patients were diagnosed with cone beam computerized tomography. Patients were evaluated according to the results of computed tomography (CT). Computer software was used to create virtual templates for 3Diagnosys, an implant treatment. Surgical guided were made for ostectomy and for implant position using a 3D printer (Stratasys.
Implants were placed flapless implantation metho through the sleeves of the surgical template tightening torque of 35–45 Ncm.
Patients received 312 implants (64 UV functionalised short (≤6 mm) implants, 248 standard implants) 52 implant-supported prosthesis. The following parameters were assessed: implant success, prosthetics survival and changes in peri-implant marginal bone level (MBL), probe depth (PPD), and probe bleeding (BOP).
Results: After 3 months loss of the marginal bone of 0.7 ± 0.35 mm (MBL), after 12 months of observation, there was a slight loss of the marginal bone over time 1.2 ± 0.38 mm (MBL), 1,47 ± 0.42. mm (MBL), after 5 years of observation. After 5 years of observation, the average PPD was 2.42 ± 0.47 mm, the average BOP was 1.32 ± 0.85. Of the 312 implants, 3 failed to osseointegrate, 5 implants failed (peri-implantitis) after 5 years. No serious prosthetic complications have been reported. After 5 years, the effectiveness of implants was 97.4%.
Conclusion: Computer-guided implant surgery and immediate loading of implants in patients with insufficient lower jaw and completely edentulous is a predictable and effective method with a minimum rehabilitation period.
Restoration and creation of semi-natural habitats
Authors: Holmes Rachael , Wentworth Jonathan
Published: August 2023

This POSTbrief describes approaches to and challenges of restoring different semi-natural habitat types in England including native woodlands, heathlands, grasslands, wetlands, and coastal habitats. This brief complements POSTnote 678, which focuses on terrestrial habitats and their restoration for the wider habitats target in England. Terrestrial habitats are usually described as including freshwater and coastal habitat types.
lo que los empresarios requieren de los alumnos durante sus prácticas orientados a su inserción laboral.
Authors: Estrada Labastida María Elvira , Arvizu López Bertha Alicia , Olivares Martínez José Félix
Published: August 2023

El presente artículo tiene como objetivo la identificación de las habilidades competencias que son requeridas por los empresarios del área turística durante la realización de las prácticas profesionales de los estudiantes de la carrera de Turismo para facilitar su acceso al mercado laboral. Para ello, con la finalidad de mejorar la calidad de las enseñanzas universitarias y de los servicios que presta al ámbito empresarial, en la Unidad Académica de Turismo de la Universidad Autónoma de Nayarit se ha desarrollado una investigación mediante una encuesta para conocer la opinión de las empresas turísticas del área de Bahía de Banderas y Tepic respecto a las competencias y habilidades del alumnado que egresa, la evaluación de las prácticas profesionales formativas y la situación actual del mercado laboral.Los resultados muestran la necesidad de una continua mejora de habilidades, tales como liderazgo, trabajo en equipo y resolución de problemas en situaciones reales.
Propuesta metodológica para mejorar el trabajo docente: desde la experiencia y la investigación
Authors: Alcaraz Núñez Bertha
Published: August 2023

En este artículo, se presenta una propuesta metodológica que se obtuvo de la experiencia docente de cuatro años y de la investigación científica, cuyo propósito fue construir un modelo que propone instrumentos de medición metodológicos con la finalidad dar seguimiento en la elaboración del documento recepcional con exigencias estandarizadas para mejorar la calidad de los procesos académicos de los estudiantes de séptimo y octavo semestres de la Licenciatura en Educación Secundaria. los docentes presentan diferentes problematicas, una de ellas, la búsqueda de la excelencia y calidad en la educación superior, en donde el nivel educativo debe de asegurar al estudiante un futuro laboral. Por tal motivo fue necesario estudiar científicamente al ser humano de manera metodológica para entender el actuar del estudiante, así que la ciencia, mediante la etnografía. . Una de las herramientas  utilizadas fue la observación otorgando conocimiento sobre el desarrollo integral del estudiante.
¿Puede ser, cultural el turismo en la ciudad de Tepic y contar con la viabilidad turística del patrimonio?
Authors: Estrada Labastida María Elvira , Arvizu López Bertha Alicia , Arvizu Narváez Claudia Julieta
Published: August 2023

Este ensayo académico aborda la temática del turismo cultural que hoy ysiempre ha jugado un papel muy importante para dar a conocer a propios y extranjeros,preservar y disfrutar el patrimonio cultural y turístico nacional, regional y local. En élse interrelacionan tres elementos básicos 1. EL patrimonio, 2 El turismo y 3. La Cultura,que son difíciles de equilibrar, ya que mientras que el turismo se ha consideradohistóricamente como una actividad preponderantemente económica, el patrimonio esuna riqueza no renovable que no puede considerarse un producto clásico de consumo, yla cultura de igual forma no es un producto sino que es el resultado de adaptación de losindividuos al entorno natural, para poder sobrevivir, desarrollarse y reproducirse,configurando así el fenotipo o razas. Ante un mundo globalizado y homogenizanteproclive a la cultura Norteamericana o Yanqui, consumista y efímera.
Unión Latinoamericana y Armonización del Derecho Latinoamericano. Estudio comparativo con la realidad de la Unión Europea.
Authors: Peña García Juan Silvestre
Published: August 2023

Encontrar la manera práctica de establecer las normas jurídicas quedieran a través de un tratado, convenio o acuerdo, entre los países de Latinoamérica, elfacilitar la cuestiones migratorias entre todos los países del continente americano,inhibiendo al máximo los requisitos y trámites burocráticas.
Hubungan Ketepatan Waktu Distribusi Dan Mutu Makanan Terhadap Sisa Makanan Pada Jadwal Makan Siang Penderita Gastritis Rawat Inap Di Rumah Sakit Umum Daerah Inche Abdoel Moeis
Authors: Putri Loditha Carolina
Published: August 2023

Sisa makanan termasuk faktor utama yang perlu diperhatikan di Rumah Sakit sebab merepresentasikan banyaknya asupan pasien serta mempengaruhi status gizi dan lama rawat inap pasien. Sisa makanan dipengaruhi oleh 2 faktor yaitu Faktor internal diantaranya psikis, fisik, kebiasaan makan serta jenis kelamin sementara faktor eksternal diantaranya sikap petugas ruangan, ketepatan waktu distribusi makan, makanan dari luar dan mutu makan. Bertujuan supaya mengetahui hubungan ketepatan waktu distribusi serta mutu makanan terhadap sisa makanan pada jadwal makan siang penderita gastritis rawat inap di RSUD Inche Abdoel Moeis. Desain Penelitian ini adalah Cross-sectional dengan jumlah sampel sebanyak 55 orang dengan usia 18 – 60 tahun, mempergunakan metode purposive sampling. Pengumpulan data dilakukan melalui observasi sisa makanan dengan metode visual comstock, serta wawancara terkait formulir mutu makanan yang berisi tentang uji organoleptik. Analisis data mempergunakan uji Chi-Square dengan    0,05. Hasil penelitian ini menujukkan adanya hubungan mutu makanan dengan sisa makanan pada penderita gastritis (P = 0,032) dan tidak ada hubungan ketepatan waktu distribusi makanan dengan sisa makanan pada penderita gastritis (P =0,769). Terdapat hubungan mutu makanan dengan sisa makanan pada penderita gastritis dan tidak ada hubungan ketepatan waktu distribusi makanan dengan sisa makanan pada penderita gastritis rawat inap di Rumah Sakit Umum Daerah Inche Abdoel.
The Effect of Implementing Local Government Information System on the Quality of Local Government Financial Reports Moderated by Human Resource Competence
Authors: Naida Nasrun , Amir Andi Mattulada , Din Muhammad , A M. Ikbal , Karim Fikry
Published: August 2023

This study aims to measure the effect of implementing local government information systems on the quality of government financial reports with human resource competence as a moderating variable. The research was conducted using quantitative methods, and data collection was carried out using questionnaires and PLS with the help of WarpPLS software. The results of this research analysis show empirical evidence that the implementation of local government information systems on the quality of local government financial reports can have a positive effect; on the other hand, human resource competence can moderate the relationship between the application of local government information systems to the quality of local government financial reports. Studies This gets empirical proof about many matters related to quality report finance government area. System information government area own influence positive to quality report finances. Competence source Power man can strengthen influence connection between information systems government area to quality report finance government area.
Knowledge Sources and Manufacturing Enterprise’s Technological Innovation
Authors: Yao Shuang , Li Ying , Zhao Xin
Published: August 2023

This paper uses the questionnaire data of the World Bank’s China Enterprise Survey 2012 to establish a Logit model to empirically study the relationship between knowledge sources and technological innovation in Chinese manufacturing enterprises. The results show that although internal and external knowledge has a positive effect on enterprise technological innovation in general, there are significant differences when taking the types of innovation, subject characteristic and the types of cooperation into consideration. From the current development stage of China's manufacturing enterprises, external knowledge sources, external enterprise knowledge subjects, and employee knowledge have a more positive effect on technological innovation, which also shows that the role of technical employees on technological innovation has a significant threshold effect, and only after a certain degree of accumulation can internal technical employees have a more significant positive effect on technological innovation.
Factors Affecting Interest In Using E-Wallets In Society Post Covid-19
Authors: Kristy Revina , Hasnawati Hasnawati
Published: August 2023

This study aims to determine the factors that influence interest in using e-wallet in the community after the COVID-19 pandemic. This study uses purposive sampling technique convenience in the society which produces 123 respondents. Respondents in this study were dominated by men students with an age range of 15.1 – 25 years. The data analysis method used was descriptive statistic, validity tests, reliability tests, R Square tests, F Square tests, and T-tests using SPSS 27. The results showed that perceived benefits and perceived ease of use and comfort had a positive influence on attitudes towards behavior but risk has a negative influence on attitudes towards behavior. Meanwhile, interest in behavior has a positive effect on intentions to use e-wallet.
Lesiones por picadura de raya en pacientes atendidos en un hospital de segundo nivel en Colombia: serie de casos
Authors: García-Agudelo Lorena , Holguín-Barrera Mónica Liseth , Barrera-Diaz Gelber Yesid , Ruiz-Muñoz Jeinny Lucero
Published: August 2023

Introducción. Las lesiones por raya son la afectación más común de picaduras de peces y pueden ser causadas por rayas marinas y de agua dulce.
Objetivo. Caracterizar a los pacientes atendidos en un hospital de segundo nivel en Colombia entre 2019 y 2021 por lesiones por picadura de raya de agua dulce.
Metodología. Serie de casos retrospectiva en la que se incluyeron 10 pacientes. Los datos fueron obtenidos de las historias clínicas del hospital y se describen utilizando frecuencias absolutas y porcentajes para las variables cualitativas, y medias y desviaciones estándar para las cuantitativas. Se tuvieron en cuenta variables sociodemográficas y clínicas.
Resultados. Todos los participantes eran hombres, el promedio de edad fue 43,5 años (desviación estándar: ±20,74) y el 50% provenía de zonas rurales. Los pies (50%) fueron la región anatómica más afectada por estas lesiones, seguidos por el cuello del pie (25%) y la pierna (25%). El 70% de los pacientes presentó complicaciones (síndrome compartimental [1 caso], celulitis [4 casos] y absceso [2 casos]). Todos los participantes recibieron antibioticoterapia y desbridamiento quirúrgico, el promedio de duración de la estancia hospitalaria fue 16,2 días y no se reportaron muertes.
Conclusión. La picadura por raya es una lesión de interés en el área de la salud que requiere de un abordaje terapéutico adecuado y oportuno para evitar complicaciones y secuelas.
Uso de biomodelos impresos en 3D para la planificación preoperatoria de artroplastia total de cadera luego de fractura acetabular: reporte de un caso
Authors: Callupe Iván , Aybar Alfredo , Morales-Gallo Pedro , Morales-Covarrubias Pedro , Cubas Wildor Samir
Published: August 2023

Introducción. Las fracturas de acetábulo constituyen un reto para los ortopedistas por la dificultad de su tratamiento y las complicaciones asociadas.
Presentación del caso. Hombre de 53 años que ingresó al servicio de urgencias de un hospital del tercer nivel de atención por policontusión en tórax y pelvis causada por un accidente de tránsito. Presentó dolor en tórax y cadera, y no se identificó lesión ósea, por lo que se dio el alta a las 48 horas. Siete días después, el paciente asistió al servicio de urgencias por dolor en la cadera izquierda y limitación para caminar. En los exámenes imagenológicos, se evidenció fractura de acetábulo izquierdo, pero fue operado luego de dos meses debido a dificultades económicas y del aseguramiento en salud. Se realizó reducción abierta más fijación interna y relleno con injerto de cresta ilíaca, y artroplastia total de cadera (ATC). A los seis meses, el paciente presentó capacidad de ambulación limitada y dolor en la cadera izquierda. Luego de los exámenes físico e imagenológico, se diagnosticó deformación severa del acetábulo izquierdo con migración posterosuperior de la cabeza femoral, necrosis de la cabeza femoral completa y defecto óseo posterosuperior de acetábulo (tipo IIIB según clasificación de Paprosky), por lo que se realizó ATC asistida por biomodelos 3D. El paciente presentó una recuperación óptima.
Conclusión. Utilizar biomodelos 3D impresos optimiza la planificación preoperatoria, ya que permite reconocer la lesión, plantear el abordaje más adecuado, elegir los mejores implantes y disminuir el tiempo de operación, el sangrado y las complicaciones.
Desenlaces clínicos y radiológicos del tratamiento quirúrgico de la cadera paralítica en pacientes con parálisis cerebral en Bogotá, Colombia
Authors: Duplat-Lapides José Luis , Holguín-Prieto Jenny Patricia , Rueda-Fonseca Luis Eduardo , Méndez-Medina Ricardo José , Fonseca-Javier Mary , Lecompte-Cabarcas Javier , Rincón-Lozano Julián David
Published: August 2023

Introducción. La parálisis cerebral (PC) produce una alteración del tono y del balance muscular que puede generar luxación paralítica de cadera (LPC), especialmente en los pacientes más comprometidos
Objetivo. Describir los desenlaces clínicos y radiológicos de los pacientes con PC que recibieron tratamiento quirúrgico de la LPC en el Instituto Roosevelt.
Metodología. Estudio observacional retrospectivo realizado en 92 pacientes entre 4 y 18 años con PC y LPC operados entre 2010 y 2014. Se realizaron análisis bivariados para realizar comparaciones entre los hallazgos clínicos y radiológicos antes de la operación de corrección de la LPC y al finalizar el periodo posoperatorio mediante las pruebas de McNemar, T de student y U de- Mann-Whitney.
Resultados. La media de edad fue 7,45 años, el 84,8% de los pacientes tenía PC espástica y el 59,8% fue clasificado en el nivel V del Gross motor function classification system. Se realizaron 155 cirugías en los 92 pacientes, los procedimientos más frecuentes fueron reducción cerrada y osteotomías pélvica, femoral varizante y femoral desrotadora. En el posoperatorio el dolor y la dificultad para realizar el aseo, sedestación y abducción de caderas disminuyeron significativamente (p<0,001). Además, hubo diferencias estadísticas en los índices y ángulos radiológicos pre y posoperatorios.
Conclusión: Si bien se encontró una mejoría significativa en los desenlaces clínicos y radiológicos evaluados, los procedimientos reconstructivos y de salvamento predominaron, en detrimento de los preventivos, por lo que es necesario fortalecer los programas de seguimiento y prevención de la LPC y sus complicaciones en la institución para disminuir morbilidad en los pacientes con PC.
Review on the Importance of the Routine Measurement of Calcium in Individuals Engaged in Sports
Authors: Vrenjo Klotilda , Petri Oltiana , Thoma Esmeralda
Published: August 2023

Hypocalcemia is one of the major health problems worldwide, as it causes a variety of diseases in the population such as Osteoporosis, Multiple Sclerosis, Renal diseases, Early breast cancer, etc. In Albania there is a lack of checkups for any age group or category, as these checks are not provided for free by the state, but more importantly, people are not informed that there are important health examinations that must be carried out as early as possible, possibly since childhood, in order to be healthy adults in the future. Consequently, a great deal of work is needed to identify, as well as to draft national strategies to optimize consumption, as well as to set up a national database of adult calcium intake. This needs to be done simultaneously even for Mg, Na, K, and vitamin D.
Challenges of Fulfilling European Union Directives: The Importance of Clinical Practice at the Bachelor Nursing Study Program
Authors: RUSTAMI Etleva , PULA Alma , DINE Anila
Published: August 2023

Nursing education in EU countries follows EU requirements and directives. Even Albania, as a candidate country in relation to nursing and midwifery education must start planning to implement these standards. EU directives require that 50% of the nursing education curriculum to be converted into hours of laboratory and clinical practice, which should be carried out in specialized hospital units. The non-compliance of the Albanian Nursing Education’s programs with these standards has become an issue for our graduates and makes the equivalentation of the nursing program abroad difficult. Aim: To sightsee the nursing programs offered by Higher Education Institutions in Albania and to analyze how they meet the standards defined in the EU directives. Method: The data was collected from a review of the programs of some Higher Education Institutions in Albania, during the academic year 2019-2021. Results: The results obtained from the analysis of the programs offered by the Higher Education Institutions showed that they do not meet the EU recommendations. The number of hours of nursing lab and clinical practice, as well as the operation of practice are below the standards defined in these directives. Conclusion: This study clearly shows the challenges faced by Higher Education Institutions in Albania. The implementation and coordination of Nursing programs with EU directives is a crucial task. The standardization would enable not only solving the nowadays problems referred by students but would also enable in the future mobility for all lecturers, researchers and nurses who have studied in Albania. Keywords: EU directives, nursing, Higher Education Institution, nursing clinical and laboratory practices.
Ceftriaxone-associated side effect findings in children’s abdominal ultrasonography
Authors: DERVISHI Dorina , SARACI Blerina , ZAVALANI Sara , RISTA Elvana
Published: August 2023

Ceftriaxone is a third-generation cephalosporin, which has a broad spectrum of activity against Gram-negative and Gram-positive bacteria. It can sometimes induce biliary sludge or stone formation because of the interaction with Calcium ions. The aim of this study is to describe the epidemiology of the side effects after the ceftriaxone therapy in hospitalized pediatric patients and to follow up the group of suspected Ceftriaxone-induced adverse effects. Methods: This prospective study was conducted in different Pediatric Services of the University Hospital Center “Mother Theresa”, Tirana, during the period October 2021-March 2022. We studied the ultrasonographic data of 80 patients admitted to these services, who had been on Ceftriaxone therapy. Results: All the females aged from 5-10 years old, and males aged from 6-12 years old, underwent ultrasound examination for other reasons and 21.25% of the cases resulted with pseudolithiasis, while 3.75% with nephrolithiasis. According to the total number of cases, 70.6% of them were asymptomatic. Only 29.4 % of the patients referred right upper quadrant pain and 1 of them showed nausea. The symptoms began from 5th-7th day and last 20 days. The ultrasound imaging performed from 5th- 10th days after Ceftriaxone administration, showed gallbladder sludge and pseudolithiasis in the symptomatic patients, ranged 8-12 mm, and renal microlithiasis <3mm. These patients were followed with ultrasound exam after 1 month. Conclusion: From all pediatric patients treated with Ceftriaxone and followed with ultrasonography, 21.25% resulted with collateral associated gallbladder pseudolithiasis as side effect from ceftriaxone-therapy, found by ultrasonographic evaluation. None of the cases was complicated with gallbladder hydrops, pancreatitis or hydronephrosis. After the Ceftriaxone therapy was discontinued, the condition resolved spontaneously. Key Words: ceftriaxone, gallbladder pseudolithiasis, nephrolithiasis, ultrasound
The level of inadequate Pap smears collected by the Gynecology Service of Fier Regional Hospital in Albania
Authors: KAPAJ Eduard , TOÇI Ervin , KAPAJ Sonila , MITRUSHI Arben
Published: August 2023

This study aimed to determine the level of smears inadequate for Pap test in a population of women in Fier Prefecture in Albania. Material and methods: This is a cross-sectional study including 1254 women who showed up for a Pap test at the gynecology service at the Fier Regional Hospital during 2013 and 2014. The women presented to our service either on their own initiative to perform the Pap test or recommended by the family doctor for this examination. Standard criteria were applied to classify a cervical smear as inadequate for interpretation. Reasons for the inadequate taking of Pap smears are discussed. Results: A total of 234 patients (96.2% females) were included. The average age of women in our study was 39.8 years ± 10.7 (34.2% were 31-40 years old and 27.1% were 41-50 years old). Overall, 9.6% of the cervical smears they were taken inadequately (there was a need to repeat the obtaining of the smear). Almost all materials were obtained from the exocervix and endocervix (in 98.1% of cases for which there is information on this variable). The absence of endocervical cells was the most frequent reason for classifying a smear as unsuitable for interpretation. Insufficient equipment, scarce material for cytological analysis and poor technical preparation can lead to the non-detection of abnormalities and errors in the microscopic analysis of smears. Conclusions: Each member of the team is responsible for the accuracy of the results, but also for the adequacy of the sample. Inadequate smears could lead to the need for repeat tests and increased health care costs. Regular internal control, work quality monitoring as well as continuous training of all experts involved in obtaining, storing and interpreting cervical smears could reduce the level of inadequate Pap smears. Keywords: Albania, adequacy, cervical cancer, cervical smear, Pap test.
Pemberdayaan Perempuan Melalui Pembuatan Kompos Dari Kotoran Ternak Kerbau Di Desa Moain Kecamatan MOA
Authors: Welerubun Inggrid , Sairudy Albertus
Published: August 2023

Moa merupakan salah satu desa yang terletak di bagian timur pulau Moa, kehidupan masyarakatnya sebagian besar memiliki mata pencaharian utama sebagai petani. Usaha yang saat ini ditekuni oleh masyarakat desa setempat adalah usaha tanaman sayuran. Hasil survei awal di lapangan menunjukkan bahwa usaha tanaman sayuran umumnya dilakukan oleh perempuan dengan pupuk yang digunakan yaitu pupuk kandang atau kotoran ternak. Pengolahan pupuk yang sederhana oleh perempuan petani sayur selama ini tentunya dapat mempengaruhi rendahnya produksi tanaman sayur. Hal ini dapat dilihat dari ukuran sayuran yang dihasilkan lebih kecil. Salah satu penyebab rendahnya produksi tanaman sayuran adalah proses pengolahan pupuk organik dari kotoran ternak yang masih dilakukan secara sederhana. Selain itu, masih terbatasnya pengetahuan dan keterampilan petani mengenai cara pembuatan pupuk kompos yang berkualitas dari kotoran ternak. Berdasarkan permasalahan di atas, maka perlu dilakukan pengabdian pemberdayaan perempuan melalui pembuatan kompos dari kotoran kerbau dengan tujuan untuk meningkatkan pengetahuan dan keterampilan perempuan petani sayuran melalui pelatihan pemanfaatan kotoran kerbau sebagai kompos untuk meningkatkan produktivitas tanah atau lahan pertanian. Pembuatan kompos dari kotoran ternak akan dapat memberikan nilai tambah pada limbah itu sendiri, mengurangi pencemaran lingkungan dan sekaligus memberikan hasil kompos yang berkualitas yang dapat meningkatkan produksi pertanian dan pada akhirnya meningkatkan pendapatan petani.
Bimbingan Belajar Matematika Siswa SD Pada Materi Pecahan Di Nagari Batang Arah Tapan
Authors: Amalia Verty Nur , Nuzuli Ahmad Khairul , Oktaviana Winda
Published: August 2023

Belajar merupakan suatu aktivitas yang dilakukan secara sadar untuk mendapatkan sejumlah kesan dari bahan yang telah dipelajari sebagai hasil pengalaman individu itu sendiri dalam interaksi dengan lingkungannya. Mengajar adalah aktivitas menyampaikan pengetahuan dan kecakapan kepada iswa dalam situasi lingkungan yang terorganisir Makna layanan bimbingan belajar mengisyaratkan pada tujuan intinya, yaitu memberikan kemungkinan yang seluas-luasny pada siswa untuk mengembangkan sikap dan kebiasaaanbelajar yang baik, keterampilam dan materi belajar yang sesuai dengan tingkat kecepatan, kesulitan belajar, potensi, dan perkemangan diri siswa. Metode yang digunakan dalam kegiatan ini yaitu tanya jawab dan diskusi melalui latihan. Metode tanya jawab digunakan untu melihat respon sejauh mana tingkat pemahaman anak terhadap materi yang telah disampaikan oleh pemateri. Sedangkan metode diskusi melalui latihan untuk meningkatkan minat dan motivasi siawa dalam belajar matematika, serta menciptakan kondisi yang interaktif. bertujuan agar siswa dapat dengan mudah memahami materi dan menghadapi tantangan pembelajaran dengan lebih siap. Dengan pendekatan yang beragam, Anda berharap dapat mengakomodasi berbagai gaya belajar siswa dan memberikan pengalaman pembelajaran yang lebih baik.
Analysis of The Quality of Public Services In The Manufacture of Identity Cards (KTP) In The Department of Population and Civil Registration of The City of Majalengka
Authors: Hendro Prabowo Oxy
Published: August 2023

Public service is the most highlighted thing in any government organization that provides services. One of the public services provided is the making of Identity Card (KTP), as one of the services provided by the government. In this service, the community becomes the most important assessor in knowing the extent of the quality of public services provided by government officials. This paper aims to find out the extent of the quality of public services carried out by the government apparatus to the community. The background of doing this writing is because in terms of the quality of public services, the government apparatus as the implementation of public services is considered less optimal in serving the community. Karna felt less optimal because it takes a long time in the manufacture. The method of writing used is to use qualitative methods through descriptive approaches, by taking the location of writing in the Civil Registration and Population Office of the City of Majalengka, while the key informants in this writing are the Head of the Population and Civil Registration Office of the City of Majalengka, and the Head of Population Coming Field, then the Community on site as the main assessor in the services provided. The data sources used in this writing are primary data and secondary data. The primary data in this writing is obtained from the results of polling and interviews, while secondary data is obtained from other libraries to support the data that has been obtained. Data collection methods used are literature studies, observations, and in-depth interviews. Data analysis is done through data reduction, data display, data verification and inference. In this study the authors used the dimensions of Public Service in Lovelock theory to measure the extent of the quality of public service. The result is (1) Tangible: not optimal enough, (2) Realiable: not enough oprimal, (3) Responsiveness: optimal enough, (4) Assurance: not optimal enough, (5) Empathy: not optimal enough. From the research that researchers did about the Quality of Public Services in the Making of Identity Cards (KTP) in the Office of Population and Civil Registration of the City of Majalengka, it can be concluded that it has not run optimally. Because it takes a long time in the making, which is not in accordance with the promise given by the government.
Persuasive Communication of Dangdut Tarling Pantura Singer To Attract Audience
Authors: Ningsih Widia
Published: August 2023

Human beings are social beings, where each other needs an interaction and relationship which in this case is channeled by communication, both verbal and non verbal. One form of communication that is very important, especially that is often done in public spaces today including also in the world of music industry is a form of persuasive communication. Which in this case is a persuasive form of communication of the superstar live music event tembang pantura to attract the audience broadcast by local television Radar Cirebon. The method used in this research is qualitative descriptor method. Where researchers try to describe and analyze the data collected through literature studies, obervasi and interviews to singers in a live music event superstar tembang pantura broadcast by local television Radar Cirebon. Based on the results of literature studies, observations and interviews can be concluded: first, the persuasive communication of dangdut singer Tembang pantura in Supersetar event has not been effective enough so that the audience (audience) is less enthusiastic and lacks a good response or response to the appearance of the singer, especially when the singer performs songs that rhythmically sad. Second, persuasive communication efforts are carried out by displaying attractive dress styles, greetings using regional languages, inviting the audience to choose songs and dance together. Third, the singer's poor sound quality greatly inhibits the effectiveness of persuasive communication process performed.
The Influence of Foreign Insurance Affiliates, Market Share, Own Retention Ratio, Claims Ratio and Cost Ratio on the Performance of General Insurance Companies in Indonesia
Authors: Iskandar Asep , Hadiprajitno P. Basuki
Published: August 2023

This study examines the effect of foreign insurance affiliation, market share, own retention ratio, claims ratio and expense ratio on the performance of general insurance companies in Indonesia. The performance of insurance companies in this study uses a measure of return on equity (ROE). The research population is all general insurance companies in Indonesia operating in 2018-2021. The research sample is 177 insurance companies in that period. Data collection uses financial reports submitted by insurance companies to the Financial Services Authority. Furthermore, to perform data analysis, multiple linear regression through the use of SPSS software as a tool is used in this study.

The results show that foreign affiliation and own retention ratio have a positive impact on insurance company ROE. Meanwhile, market share, claims ratio, and expense ratio have a negative effect on ROE. Taken together, foreign affiliate, market share, own retention ratio, claims ratio and expense ratio affect ROE. The results of this study can provide an overview to regulators in regulating foreign ownership in the insurance industry in Indonesia as well as regulations regarding self-retention. For shareholders and management of insurance companies, this research can provide an overview of foreign cooperation policies and reinsurance policies associated with the risk profile of insurance business lines in Indonesia, fee policies, underwriting and claim handling.
The Influence of Career Adaptability and Career Management Perception in Improving Career Success
Authors: Hadi Endriawan , Raharja Edy
Published: August 2023

The purpose of this research is to test the influence of competence on career management perception, career adaptability to impact career success. Using these variables, the use of these variables is able to solve the problems arising withinJunior Engineerand Junior Process Engineeroil and gas company in Indonesia Statement of this problem is how to increase career success?.

The sample size of this research is 189Junior Engineerand Junior Process Engineeroil and gas company in Indonesia. Using the Smart PLS. The results show that competence in career management perception, career adaptability to impact career success.The effect ofcompetenceon e career success is significant;the effect ofcompetenceon career management perception are significant;the effect ofcompetenceon career adaptability are significant;the effect ofcareer management perception on career success is significant;the effect ofcareer adaptabilityon career success are significant.