bluuebunny/crossref_metadata_2025 huggingface dataset:
Social Factors Influencing Entrepreneurship A Study On With Special Reference To Theni District
Authors: Selvam Dr. S. Iruthaya Kalai , Banu Asha
Published: September 2021

Entrepreneurship is not an inborn skill; it is a product of environment. It involves a complex of economic and social behaviour. To be successful, an entrepreneur has to remain dynamic and responsible to the whole environment. Entrepreneurship can hardly survive under any given circumstances. It can flourish only under right environment. The social factors, culture, government policies, political system, technology, economic conditions, laws, etc influence the growth of entrepreneurship. In fact, the entrepreneurship cannot be kept aloof from the changing social values, ideologies, new emerging aspirations, environmental pressures, religious beliefs, consumer wants, and society needs. Business is a system made up of certain environmental factors which require the entrepreneurs to adopt a dynamic attitude and a new strategy of their own. The paper is tackling the issue of social factors such as Gender, age, caste, Location of the units, Income, educational level, influencing the development of entrepreneurship in Theni District.
Assessment of the Online Teaching mode in the Subject of Geography at Undergraduate Level from Student's Perspective during the Academic Year 2020-21 : A Case Study
Authors: Wani Dr. Kanchan
Published: September 2021

The COVID-19 is an ongoing global pandemic, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The virus was first identified in December 2019 in Wuhan, China. The COVID-19 pandemic in 2020 resulted in the abrupt shutting of all the educational institutions (schools, colleges, and universities) in India. This resulted in dramatic changes in the education system with the distinctive rise of e-learning, whereby teaching is undertaken remotely and on digital platforms. Online learning is a competent and contactless method of teaching to remotely located students.
Geography is a branch of science which deals with the study of the earth’s surface and the relationships between people and their environment. Geographers explore both the physical properties of the earth’s surface and the human societies spread across it. The subject matter of Geography containing different theory papers and practical papers cannot just be effectively taught in a classroom or laboratory but best enlightened on the field. For the effective learning process in the subject of Geography, students require on-ground observations, laboratory analysis, projects and dissertations, field surveying, computer mapping and analysis, field trips and excursions, etc. It helps the budding Geographers to acquire not only theoretical knowledge but also practical skills.
But the COVID-19 pandemic situation confronted the education system, forcing the educators in the field of Geography to shift to an online mode of teaching, leaving them with no option. During this crisis, the educators have given their best in teaching the subject matter of Geography to the students by using various open-source teaching aids by overcoming the issues like lack of training and professional technical support. This altered the traditional teaching and learning process in the field of Geography, which essentially affects the students of Geography.
Thus, a case study was undertaken to assess the online teaching in the subject of Geography at the undergraduate level during the academic year 2020-21 from the student’s perspective.
Comparison of Traditional Versus Computer-Based Cognitive Training on Cognition in Elderly with Mild Cognitive Impairment
Authors: Shah Dr. Vidhi , Panchal Bhakti , Palekar Dr. Tushar , Guruprasad Padmaja , Pokar Pooja , Mehta Dr. Kundan
Published: September 2021

Normal ageing cause alterations in the prefrontal cortex, medial temporal lobe system, hippocampus and cerebellum. These changes are the cause of mild cognitive impairment in terms of decreased memory function, reduced speed and executive functions, personality and behavioral disturbances. Computer-based cognitive training is a new tool used for cognitive rehabilitation. This randomized control trial includes 50 subjects, Group A received computer-based cognitive training (n=25) by using BrainHQ app and Group B received Tradition cognitive training (n=25) for 3 weeks. Montreal cognitive assessment (MOCA) was taken as outcome measure. The comparison of difference of pre and post MOCA score between Group A and Group B shows p=0.002. Also comparison of MOCA score between male and female of group A shows statistically significant difference with respect to MALE P=0.008 and FEMALE P=0.000.This study provides a strong evidence that Computer Based Cognitive Training showed added improvements in cognition function compared to traditional training.
Detection of Lung Cancer Lesions Using 3D Convolutional Neural Networks and Segmentation for Accurate Detection
Authors: Kumari Rajani , Thanuja C. , Thanvi K. Sai , Lakshmi K. , Lavanya U.
Published: September 2021

Lung cancer is a leading cause of death worldwide; it refers to the uncontrolled growth of abnormal cells in the lung. A computed tomography (CT) scan of the thorax is the most sensitive method for detecting cancerous lung nodules. A lung nodule is a round lesion which can be either non-cancerous or cancerous. In the CT, the lung cancer is observed as round white shadow nodules. In existing method, the candidate ROIs shape features are calculated, and some blood vessels are get rid of using rule-based according to shape features; secondly, the remainder candidates gray and texture features are calculated; finally, the shape, gray and texture features are taken as the inputs of the SVM (Support Vector Machine) classifier to classify the candidates. Experimental results show that the rule-based approach has no omission, but the misclassification probability is too large; Hence, in the proposed method the nodules were characterized by the computation of the texture features obtained from the gray level co-occurrence matrix (GLCM) in the wavelet domain and were classified using a SVM with radial basis function in order to classify CT images into two categories: with cancerous lung nodules and without lung nodules. The stages of the proposed methodology to design the CADx system are: 1) Extraction of the region of interest, 2) Wavelet transform, 3) Feature extraction, 4) Attribute and sub-band selection and 5) Classification. The same classification is implemented for the convolution neural networks. The final comparison is done between these two networks based on the accuracy.
Efficacy of Chocolate on Hypercholestrolemic Rats
Authors: M Nisha. S. , T Sujatha. , Thilagavathi
Published: September 2021

Chocolate comprises number of raw and processed foods produced from the seed of the tropical cocoa tree. Chocolate is produced from cocoa mass added with sugar and cocoa butter. Chocolate has been promoted for its health benefits, as it seems to possess substantial amount of antioxidant that reduces the formation of free radicals. Researchers concluded that chocolate containing higher amount of cocoa have higher procyanidins content, so higher antioxidant capacities. Evidence suggests that regular consumption of cocoa products containing flavanol may reduce the risk of cardiovascular diseases. Thus, the present study was carried out to assess the effect of chocolate on lipid profile of hypercholesterolemic rats. The rats were grouped under three categories; Triton 400mg was injected to experimental rats to make it hypercholesterolemia. Based on the objectives a cocoa rich chocolate sample was developed using cocoa seed, cocoa butter, sugar and lecithin and the experimental hypercholesterolemia rates were feed with chocolate sample for duration of 20 days, and the lipid profile was analysed at initial and at final days of supplementation. During the period of supplementation, the Cholesterol and LDL level were decreased gradually which may be due to the supplementation of chocolate. Significant reduction was observed at 5% level. Thus, it was concluded that in the present study there was a significant effect on lipid profile of chocolate supplemented with hypercholesterolemic rats.
Mitigation Of Black-Spot’s on Highways by The Application of Safe System Approach
Authors: Yadav Dinesh K , Ghodmare Sujesh D. , Kumar N. Naveen
Published: September 2021

With increase in traffic volume across the globe traffic safety has come into highlight and become a major concern. Apparently, with due increase in traffic volume resulting in higher road accidents which considerably causes negative impact on economic growth, public health and general welfare of wellbeing. In the present scenario challenges are faced to mitigate the traffic volume and by making road users aware with road safety parameters which may results in less road fatalities. The root cause of an accidents intends to perception, intellection emotion and violation. The approach towards this research is to get minimal setback/casualties of the road. In order to gain the best possible course of action, the stretch of 8 KM of National highway (NH-66) situated in a plain terrain in the district of Alapphuza, Kerala India. To begin with, accident data has been collected from NHAI office and Police station of above location with proper analysis by Accident Severity Index (ASI) method has been carried out. Adding to an idea, location of Black Spot has been identified by ASI method. Based on Severity of accident short term and long-term measures has been adopted. Eventually, after analyzing short term measures 10 black spot location along with the estimate has been worked out.
Precision of Measurement of Water Vapor Resistance of Fabrics With Different Surface Roughness by a Skin Model
Authors: HES Lubos , MİDHA Vinay
Published: September 2021

Skin models are used for determination of water and thermal resistance of fabrics. Measurement in these instruments starts with determination of water vapour resistance of a boundary layer above the sweating hotplate. In the second step, the hotplate is covered by the tested fabrics and the instrument measures WV resistance of the fabric and that of boundary layer. Afterwards, the difference between these measurements presents the required WV resistance of the measured fabric, provided that WV resistance of the boundary layer is in both measurements identical. However, fabric surface roughness may change WV resistance of the boundary layer in the second measurement. In the paper, the effect of the fabric surface on measurement precision is theoretically analyzed and experimentally verified by procedure, which provides same air surface friction during both steps of the measurement. Experiments confirmed certain but small effect of the fabric surface roughness on the measurement precision.
Baseball Home Field Advantage Without Fans in the Stands
Authors: Losak Jeremy M. , Sabel Joseph
Published: September 2021

Abstract: Home field advantage is universally accepted across most major sports and levels of competition. However, exact causes of home field advantage have been difficult to disentangle. The COVID-19 pandemic offers a unique, natural experiment to isolate elements related to home field advantage since all 2020 regular season Major League Baseball games were played without fans. Results provide no statistically significant evidence of a difference in home field advantage between the 2019 and 2020 seasons, evidence that home crowd support is not a driver of home field advantage. There does appear to be a statistical advantage by the home team batting second in the inning. Travel fatigue seems to have no impact on home field advantage, and while home field advantage seems to increase throughout the 2020 season, we chalk that up to small sample noise. Despite lacking historical precedence, betting markets seemingly respond efficiently to the new home conditions.
A influência do compliance tributário e do planejamento tributário na recuperação de créditos
Authors: Silva Marcos Oliveira da , Rosa Dayana Eler , Rodrigues Jéssica de Paula
Published: September 2021

Este artigo trata uma das preocupações dos empresários relacionada à alta carga tributária. Visto que, os tributos elevam seus custos e reduzem os seus lucros, abalando diretamente a concorrência no mercado e sua existência, em períodos de instabilidade econômica o processo de recuperação tributária pode ser um aliado para as empresas conseguirem manter as portas abertas. Aqueles tributos pagos indevidos ou a mais, ao serem recuperados, podem representar uma possibilidade de equilíbrio econômico para as empresas enfrentarem momentos difíceis. Desta forma, o presente trabalho tem como questão norteadora: Como as empresas podem ser afetadas na recuperação de crédito através da compliance / planejamento tributário? Visa apresentar a influência do compliance e do planejamento tributário na recuperação tributária. O estudo é desenvolvido a partir de pesquisas bibliográficas de autores e consulta de artigos já publicados. Ademais, foi aplicado um questionário estruturado para obter dados das experiências de profissionais da área. A análise nos permitiu constatar que o conhecimento sobre a legislação nos possibilita usufruir dos incentivos fiscais e junto a um bom planejamento tributário, podem fazer toda a diferença para o sucesso de uma recuperação tributária.
Ferramentas de qualidade aplicadas na estratégia de manutenção em empurradores de barcaças
Authors: Maia Diego Jareta
Published: September 2021

A manutenção vem, ao passar do tempo, tomando um papel cada vez mais importante dentro das organizações, tendo que entregar resultados expressivos afim de contribuir com a estratégia global. Devido isso se faz necessário a melhoria contínua para obter os resultados cada vez melhores e assim atingir o mais próximo possível da excelência operacional. O presente trabalho tem como problema a falta de uma estratégia de manutenção bem definida, a inexistência de histórico de manutenção dos ativos e a falha na utilização dos recursos. O objetivo dessa tese é estudar afundo a situação da gestão de manutenção, na empresa em questão, propor e aplicar melhorias com a finalidade de trazer ganhos. Essa pesquisa usará a metodologia de pesquisa de campo constituiu-se em um trabalho de levantamento bibliográfico, pesquisa, observação, análise dos fatos coletados e um estudo de caso, afim de interpretar e compreender o problema em questão. Com a melhor classificação dos ativos, a criação dos planos de manutenção, o desenvolvimento do planejamento macro anual de manutenção e o melhor direcionamento dos recursos, chega-se à conclusão que a adoção de uma estratégia de manutenção, a capacitação e o engajamento dos envolvidos trazem resultados expressivos para as organizações.
Impact of Traffic Light Food Labelling on Consumer Awareness of Health and Healthy Choices of the Pointof-Purchase
Authors:   Department of Agribusiness Management, Faculty of Agricultural Sciences, Sabaragamuwa University of Sri Lanka, S.A.C Madhusanka , K.K.H.M Rathnayake ,   Department of Agribusiness Management, Faculty of Agricultural Sciences, Sabaragamuwa University of Sri Lanka, R. P Mahaliyanaarachchi ,   Department of Agribusiness Management, Faculty of Agricultural Sciences, Sabaragamuwa University of Sri Lanka
Published: September 2021

Sri Lanka introduced colour coding for sugar, salt & fat regulations, which was enforced from the 1st of June 2019. It is the latest food labelling regulation in Sri Lanka. Over the years of consumer studies, even though few studies have studied the impact of food labels on consumer purchase decisions, there is not enough evidence on traffic light food labelling system and its impact on health and healthy choices of the point-of-purchase. Hence, this research study on the impact of colour coding regulation on consumer’s buying decisions with special reference to Western Province, Sri Lanka. The purpose of this research was to study the influence of colour code label system on consumer’s buying decisions and analyse the consumer’s knowledge of the traffic light food labelling system. A purposely developed online questionnaire was administered to 200 randomly selected samples in Western Province in Sri Lanka. The questionnaire had three separate parts. The first part of the questionnaire sought information on the socio-demographic profile of the respondent. The second part had few questions on basic knowledge and behavioural aspect of traffic light food labelling system. The third part of the questionnaire was questioned about further improvements in the traffic light food label from the consumers’ perspective. IBM SPSS version 21 software was used for analysing collected data with frequency analysis and Friedman test. Results revealed that most of the consumers refer to the price label instead of other labels. Also, they are not giving special attention to traffic light food labels at the point-of-purchase. Among the consumers who considered traffic light food labelling system at the point-of-purchase, most respondents had a clear idea about different colour codes and would like to consume food products with a low level of sugar, salt, and fat. Further, a fair number of respondents suggested enlarging the size of the existing colour codes of the traffic light food labelling system. Based on the results obtained, it can be observed that still Sri Lankan consumers are not significantly considered traffic light food labels at the point-of-purchase, and they are limited to seek the price tag at the point-of-purchase. Further, the findings of this study will act as a guide for food regulators when assessing the outcome of the new food labelling regulation of Sri Lanka.
Groundwater Quality Assessment in Anuradhapura for Domestic Purposes
Authors:   Faculty of Graduate Studies, Department of Chemistry, University of Kelaniya, Sri Lanka, K.H.I Gamage , R.S.R Wickramasinghe ,   Faculty of Graduate Studies, Department of Chemistry, University of Kelaniya, Sri Lanka, I.M.C Gamage ,   Faculty of Agriculture, University of Ruhuna, Sri Lanka
Published: September 2021

The North central province plays the main agricultural role in Sri Lanka as a developing agricultural-based economy country in the world. Excessive amount of nitrate and fluoride in groundwater consumption is becoming a crucial issue on human health in Sri Lanka, especially in the North Central part of the country. Dental fluorosis and skeleton fluorosis are the major health impacts based on an excessive amount of fluoride as well as presumption on causing chronic kidney disease (CKD). Nitrogenous compounds in groundwater for drinking have been considered possible risk factors for oesophageal cancer and haemoglobinemia or blue baby syndrome. Human activities and natural processes have polluted groundwater. Having a lack of understanding of the actual need for fertilizer, farmers usually tend to apply the surplus amount, thus increasing nitrogen pollution. Accordingly, this research was conducted to deepen the understanding of the distribution of fluoride and nitrate in groundwater in the Anuradhapura area in terms of geological and anthropogenic influences on groundwater quality. Well water samples were collected from intensive agricultural activity areas in Anuradhapura. Physical and chemical parameters were analyzed to identify whether the higher nitrate and fluoride or any compound of a mixture of heavy metals such as cadmium and/ or arsenic is the actual cause for kidney and other health-related issues among the community. Water samples' pHs were in the range of 6.7-7.7. All the wells can be categorized as low salinity water. Turbidity average of 3.51 NTU range of 1-8 NTU was found to be mainly contributed by nitrate at the average of 28.725 mg/L and ranged from (22-131) mg/L of nitrate. In addition, fluorite was found high in Anuradhapura with an average of 0.6 mg/L and ranged from (0.4 - 1.7) mg/L. Sulphate level was also high with an average of 178mg/L and ranged from (58-505 mg/L). There was no significant effect of heavy metals such as cadmium, arsenic, iron, and copper concentrations which were below the permissible level of 0.01mg/L. The research clearly indicates the abundance of nitrate and fluoride in groundwater, especially in the dry zone. The major sources are fluoride-bearing minerals in bedrock and soil zone. In addition to that, the influence of agriculture which causes excessive nitrate levels in groundwater, is apparent, irrespective of climatic zones.
Agricultural Sustainability through Agritourism in Oman and Potentials for Adoption
Authors:   Doctoral candidate, Department of Soils Water and Agricultural Engineering, College of Agriculture and Marine Sciences, Sultan Qaboos University, Oman, A Al Hinai , H Jayasuriya ,   Associate Professor, Department of Soils Water and Agricultural Engineering, College of Agriculture and Marine Sciences, Sultan Qaboos University, Oman
Published: September 2021

Most Middle Eastern countries are geographically located in arid or semi-arid climatic conditions. Agricultural practices have not been impressive in achieving sustainability in these countries. With the changing geopolitical undercurrents, these countries with the GCC countries as part of the Middle East are facing fluctuating economies as the oil price has become fragile and unstable. Oman's economy is heavily depending on hydrocarbons, and looking at other contribution sectors is necessary. The contribution from the agricultural sector is comparatively insignificant, but it explicitly diversified arid cropping systems and unique to the country. The agricultural production activities are often done with unique cultural practices, and this sector can be attractive to tourists. The tourism industry is considered a potential sector for boosting the economy that is aligned with Oman Vision 2040 strategy. This paper aims to investigate the potential of agritourism in different regions in Oman for adoption as a new venture. Different agricultural sites and products for promoting agritourism are selected for the study. The farm characteristic and activities at different agricultural sites are identified. The prediction number of agritourists and the farm income are calculated. The results of this study show that the selected agricultural sites in this study indicated highly potential for agritourism. Salalah is the best agritourism destination with predicated annual agritourists 188,000 and US$5 m of farm income. Agritourism would assist in achieving agricultural sustainability through product value-addition, which would open access to global markets and improve the livelihood of farmers
Síndrome RS3PE revelador de un linfoma MALT gástrico
Authors: Prinet Laurine , Escobar-Sevilla Joaquín , Domingo-Roa Sara , Lobato-Cano Rubén , Mediavilla-García Juan Diego
Published: September 2021

El síndrome remitting seronegative symmetric synovitis with pitting edema (RS3PE) se caracteriza por una sinovitis simétrica que afecta a las pequeñas articulaciones de manos y pies con edema con fóvea en dichas zonas. La importancia de su identificación radica en su asociación con patologías subyacentes, en su mayoría neoplasias de órgano sólido (especialmente adenocarcinomas) y hematológicas. Presentamos el caso de un paciente de 45 años con sinovitis simétrica seronegativa recurrente con edema siendo secundario a un linfoma no Hodking de células B extranodal asociado a tejido linfoide gástrico (Linfoma MALT gástrico).
Neumonía intersticial bilateral en pandemia COVID-19
Authors: Cantón-De-Seoane Juan , Alonso-Martínez Blanca , Candela-Ganoza Giancarlo
Published: September 2021

La artritis reumatoide es una enfermedad sistémica autoinmune caracterizada por la afectación articular con inflamación de la sinovial y destrucción de cartílago articular. La afectación pulmonar es uno de las afectaciones extraarticulares y puede ser la primera manifestación en los pacientes. Presentamos a un varón de 63 años que comenzó con clínica respiratoria y afectación articular siendo diagnosticado de enfermedad pulmonar intersticial secundaria a esta entidad.
Procalcitonina. Utilidad como biomarcador en el diagnóstico de tumores neuroendocrinos
Authors: Morena Diego , Fernández Sara , Martínez María , Campos Carolina , Graziani Desiree
Published: September 2021

La procalcitonina se utiliza en el día a día hospitalario como biomarcador de patología infecciosa bacteriana. En los últimos años se ha descrito su utilidad para el diagnóstico de diferentes tumores neuroendocrinos. Exponemos el caso de un varón de 73 años con diagnóstico de tumor neuroendocrino de alto grado de origen desconocido con afectación única y masiva hepática siendo compatible, por la elevación del antígeno prostático (PSA), con un tumor neuroendocrino de origen prostático de alto grado con afectación visceral y que presentaba analíticamente elevación de procalcitonina.
ANALISIS TINGKAT KELELAHAN PEMBELAJARAN DARING DALAM MASA COVID-19 DARI ASPEK BEBAN KERJA MENTAL (Studi Kasus Pada Mahasiswa Universitas Sangga Buana)
Authors: Susanto Shendy , Azwar Ade Geovania
Published: September 2021

Pandemi Covid-19 pada dewasa ini cukup berdampak pada duinia pendidikan, penyesuaian metode pembelajaran pada masa pandemi ini memicu keluhan dari peserta didik salah satunya adalah beban kerja yang diterima. Tujuan dari penelitian ini adalah untuk mengetahui faktor yang mempengaruhi kelelahan dan seberapa besar tingkat kelelhana melalui karakteristik beban kerja pada mahasiswa Universitas Sangga Buana. Objek dalam penelitian ini yaitu Mahasiswa Teknik Industri kelas Reguler Pagi dan Reguler Sore Angkatan Tahun 2016 sampai 2019. Pengukuran beban kerja menggunakan kuesioner NASA-TLX, pengukuran tingkat kelelahan menggunakan kuesioner SOFI, dan pengukuran tingkat kantuk menggunakan kuesioner ESS. Uji statistik yang digunakan adalah Uji One Way ANOVA (Analysis of Variance) dan Uji Kruskal Wallis dengan nilai signifikansi (α) = 5% menggunakan software SPSS versi 22. Hasil penelitian ini menunjukkan bahwa beban kerja yang diterima mahasiswa kelas reguler pagi, mahasiswa reguler sore, mahasiswa laki-laki, dan mahasiswa perempuan dalam kategori sedang, tingkat kelelahan mahasiswa kelas reguler pagi, mahasiswa reguler sore, mahasiswa laki-laki, dan mahasiswa perempuan dalam kategori sedang, dan tingkat kantuk mahasiswa kelas reguler pagi, mahasiswa reguler sore, mahasiswa laki-laki, dan mahasiswa perempuan berada pada kategori tingkat kantuk berlebih pada kegiatan sehari-hari.
INVESTMENT RISK OF SOLO-NGAWI TOLL ROAD
Authors: Zaid Dzulkarnain Zubizaretta  , Rudy Hermawan Karsaman  , R. Sony Sulaksono Wibowo
Published: September 2021

In investing, there is definitely a risk, as well as the concession of toll roads. Risk analysis is used to anticipate losses due to an element of risk at each investment stage. The results of the analysis show that the highest risk probability for the Solo-Ngawi toll road is land availability and the influence of weather during development and the highest risk impacts are land availability, the potential for revolution in state governance. Based on the results of the analysis, the investment risk level of the Ngawi Solo Toll Road is included in the moderate risk category, so there is a need for cooperation in risk assurance by the Insurance Agency so that the risk level can be reduced to be lower than before.
Dietary Habits and Physical Activity Affect Random Blood Sugar Levels In Outpatients
Authors: Setianto Budhi , Effendi Effendi , Adriansyah Agus Aan , Asih Akas Yekti Pulih , Bistara Difran Nobel
Published: September 2021

Background: Diabetes is caused by several etiology resulting in the body not using glucose into the cells, so glucose accumulates in the blood. The pancreas cannot produce the particular hormone in type 1 diabetes. Meanwhile, type 2 diabetes is caused by the inefficient use or deficiency of certain hormones relative to blood glucose levels. 
Purpose: This study analyzes the correlation between dietary regulation and physical activity and blood sugar levels in outpatients
Methods: This paper was a cross-sectional analytic study. The population was all outpatients who checked their blood sugar levels at the Internal Medicine Specialist Clinic of Islamic Hospital Surabaya from January to February 2021. Meanwhile, there were 115 respondents with total random sampling. The independent variable was random blood sugar (RBS) levels, while the dependent variables were dietary habits and physical activity. Data collection used medical records at the Internal Medicine Specialist Clinic of Islamic Hospital Surabaya. Then, data analysis utilized Fisher's Exact Test with a significance of 0.05 
Results: Most respondents had regular dietary habits (53%) and normal random blood sugar levels (54%). In addition, they had regular physical activity (80%), with frequency once a week (34.8%), and most types of physical activity were gymnastics (34.8%). The Fisher's Exact Test obtained p=0.000 in analyzing between dietary habits and RBG levels. In addition, p=0.000 in evaluating between physical activity and RBG levels.
Conclusion: Dietary habits and physical exercise affect random blood sugar levels in outpatients. Further study should evaluate other factors associated with blood sugar levels.
IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH RISK MANAGEMENT IN ISLAMIC HOSPITAL SURABAYA A. YANI
Authors: Firmansyah Muhammad Huda
Published: September 2021

Background: Risk management is a preventive effort for a company, especially those engaged in the service sector, which is very prone to errors and complaints. For this reason, it is necessary to map the risks that occur in accordance with the work unit in it which is expected to minimize the number of accidents or errors in both patients, visitors and employees in the hospital. In the 2019 patient safety incident report data at the Surabaya A. Yani Islamic Hospital, it was found that there were incidents which included near miss 93%, not injured 4%, unexpected events 3% and Sentinel 0%. The purpose of this study was to identify and identify the application of occupational safety and health risk management at the A. Yani Islamic Hospital in Surabaya.
Methods: This thesis is a qualitative research with a case study method with the aim of fully describing the implementation of K3 risk management at Surabaya A. Yani Hospital based on observation, survey and documentation data on 37 units and hospital workplaces by identifying risks. , analyze and find risk control measures.
Results: The results showed that the implementation of K3 risk management in the Islamic Hospital of Surabaya A. Yani based on the results of risk identification obtained as many as 25 risks in the graha building and the old building which were further analyzed by finding 15 moderate risks and 10 high risks. can be done is by repairing damaged infrastructure and improving the existing security system at the A. Yani Islamic Hospital in Surabaya.
Conclusion: The conclusion in this study is the implementation of K3 risk management at the Islamic Hospital of Surabaya A. Yani based on the process of risk identification and risk analysis, there are 25 potential risks, of which there are 15 moderate risks and 10 high risks that can potentially cause accidents to employees, visitors and patients. In this case, control efforts are made to minimize the number of incidents and accidents.
Blepharoconjunctivitis as Manifestation of Stevens-Johnson syndrome
Authors: Saraswati Surya Putu Ayu Adindhya , Sunariasih Ni Nyoman
Published: September 2021

Background: Stevens Johnson syndrome (SJS) is a collection of acute and life threatening skin symptoms caused by an allergic drug reaction. SJS also attacks the other mucous membranes, one of which is the eye. SJS is a rare case. The initial complaint of SJS is the eruption on the skin in the form of redness followed by blisters and attacking other mucous membranes. The ocular manifestations of SJS are conjunctivitis, corneal erosion, corneal ulcers, and blepharitis.
Methods: Treatment of SJS’s ocular manifestation is administration of drugs and surgical intervention. Administration of drugs that often done in the acute phase is antibiotic eye drops with steroids to prevent complications. Complications that can occur include symblepharon, districhiasis, and keratitis. This complication can cause a sharp decrease in vision.
Results: This case report discusses a 68 year old male patient with blisters all over his body accompanied by swelling in both eyes, redness in both eyes, and difficult to open eyes. Patients with history of taking the new drug a month ago. No history of drug allergy. The patient suffered from hypertension, non-hemorrhagic stroke, and epilepsy with irregular treatment. Patient was performed a fluorescein test. In this case, the patient is given antibiotic ointment and artificial tears with steroids. In this case there were no complications.
Conclusion: The ocular manifestations of SJS if handled quickly and properly can prevent long-term complications.
Service Quality Analysis of Mhealth Services Using Text Mining Method : Alodokter and Halodoc
Authors: Paramita Nadya , Noviarisanti Siska
Published: September 2021

The digital transformation of health services causes an increasing number of digital health service providers in Indonesia. The user shares their experiences and reviews each other on the online platform. This study aims to understand user perceptions of m-health services in Indonesia based on m-health service quality with a big data approach. Research using text mining is derived from the results of the reviews of the application Alodokter and Halodoc. User-generated content was gathered from the platform Google Play Store in the period April to December 2020. Based on the sentiment analysis, Alodokter performs well with 73% positive and 27% negative, while Halodoc also dominated with 86% positive and 14% negative. User reviews are categorized based on three dimensions of health service quality with a multiclass classification. It is possible to identify the word networks that often appear in user reviews through text network analysis. The dimension that reviews chiefly on Alodokter and Halodoc is perceived outcome quality. The result of this study could help or use as guidance to be a reference for evaluations to improve Indonesia's quality of m-health services.
Rubella immunity rates in women of childbearing age in an urban teaching hospital
Authors: Smith Nicolina , Sangha Roopina
Published: September 2021

Rubella is a highly contagious viral infection that can cause devastating effects on a growing fetus. Although rubella can be prevented with the measles, mumps and rubella (MMR) vaccine, some individuals have a weak immune response and do not sustain an adequate antibody titer to protect against the disease. MMR antibody titers are not routinely assessed in the general population, although healthcare professionals, military workers and pregnant women are commonly screened. This study aimed to investigate rubella immunity rates in primiparous women. The authors believed that the nonimmunity rate would be substantial enough to justify potential rubella immunity screening in all women of childbearing age at annual gynecologic exams prior to pregnancy. Findings recommend obtaining a rubella titer, as well as a measles titer, when women present for their first gynecological visit.
Mapping Research on Social Studies Education in Turkey: A Bibliometric Review
Authors: ERYILMAZ Önder , BOZKURT Mahmut , BOYRAZ Celal
Published: September 2021

The main objective of this study is to evaluate the social studies education literature in Turkey through systematic bibliometric analysis. The science mapping method was employed to analyze studies. 252 studies that were extracted from the Web of Science (WoS) database were analyzed. The findings revealed that the number of studies has been dramatically increased in the last decade. Besides, It was found that the majority of publications were published in local journals. Moreover, theses produced in this field are the most cited sources in the articles. It was also concluded that even though there are 65 social studies education departments in Turkish universities, only a few numbers of them made collaborations in the publications. Besides, it was found that there are no multi-country collaborations in social studies education literature in Turkey.
Suplementasi Kalsium dengan Dark Chocolate dan Susu terhadap Dismenore Pada Remaja Putri
Authors: Aprilianti Cia
Published: September 2021

Salah satu upaya mencegah serta mengurangi dismenore yaitu dengan menggunakan metode nonfarmakologi, seperti mengkonsumsi zat gizi yang mengandung kalsium, magnesium serta vitamin A, E, B6, dan C yang dapat ditemukan dalam coklat dan susu. Tujuan penelitian ini untuk mengetahui efektifitas suplementasi kalsium terhadap dismenore pada remaja putri. Metode penelitian kuantitatif dengan pendekatan quasy eksperimen dan rancangan penelitian menggunakan non-equivalent control group. Teknik pengambilan sampel menggunakan purposive sampling dan menggunakan rumus uji beda rata-rata (paired) dengan total sampel 50 remaja putri yang mengalami dismenore yang dikelompokkan menjadi dua kelompok. Kelompok dark chocolate sebanyak 25 remaja putri dan kelompok susu sebanyak 25 remaja putri. Analisis data bivariat  yang digunakan adalah uji non parametrik yaitu Uji Wilcoxon untuk mengetahui pengaruh sebelum dan sesudah intervensi dan menggunakan dan Uji Mann Whitney untuk mengetahui efektifitas pemberian dark chocolate dan susu terhadap dismenore. Hasil penelitian menunjukan ada pengaruh sebelum dan sesudah pemberian susu terhadap dismenore. Nilai Pv=0,000 sebelum dan sesudah pemberian dark chocolate dan nilai Pv=0,003 sebelum dan sesudah pemberian susu. Dark chocolate lebih efektif dibandingkan dengan susu dalam terhadap  dismenore (Pv=0,021).
COVID-19 Pandemic: Effect on Medical Education
Authors: Islam Md Tanvirul , Kamal Pasha AKM Mustafa
Published: September 2021

Abstract not available
JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 1-2
Instilación con hialuronato sódico en la cistitis hemorrágica inducida por radiación en paciente con cáncer de próstata
Authors: Carcasi-Laura Edgar Alfredo
Published: September 2021

En pacientes con cáncer de próstata, la terapia con radiación tiene indicaciones como tratamiento primario, adyuvante y de rescate. La cistitis hemorrágica inducida por radiación es una de las complicaciones más graves en la toxicidad de los pacientes con algún tipo de cáncer pélvico. Tenemos a un paciente que luego de haberse sometido a prostatectomía radical más linfadenectomía, se le realizó terapia de radiación adyuvante en el 2015. En enero del 2020 presentó cistitis hemorrágica por radiación, ingresando a hospitalización donde se le realizó irrigación vesical y fulguración cistoscópica. Después del alta médica se le realizó instilaciones con hialuronato sódico con resultados satisfactorios.
Síndrome de pseudoexfoliación
Authors: Mamani Maquera Diego José , Valencia Amado Giovanni Mario , Del Carpio Medina Flor de María Elisa
Published: September 2021

Objetivo: La actualización de los conocimientos relacionados al diagnóstico clínico de las manifestaciones oftalmológicas del síndrome de pseudoexfoliación. Aspectos relevantes: El síndrome de pseudoexfoliación (PEX) es una enfermedad compleja de afectación sistémica que se relaciona con la edad y se caracteriza por la producción y acúmulo progresivo de un material fibrilar extracelular en diferentes partes del segmento anterior del ojo humano, tales como la cápsula anterior del cristalino, el margen pupilar, la zónula del cristalino, la malla trabecular, el cuerpo ciliar y en el endotelio corneal. El diagnóstico se realiza a través de una exploración cuidadosa en la lámpara de hendidura con midriasis pupilar. Conclusiones: El riesgo de desarrollar glaucoma pseudoexfoliativo y de presentar complicaciones en las cirugías de cataratas son las más importantes implicaciones clínicas de esta enfermedad. Un diagnóstico temprano y preciso es importante para reducir las complicaciones durante la cirugía en pacientes con PEX.
Pelatihan Blended Learning pada Guru SMA Katolik 1 Kabanjahe
Authors: Pinem Sanjaya , Hutagaol Viktor Edison
Published: September 2021

Abstract: Technology information using the internet can benefit educators and provide information to students to transfer knowledge has a very high potential. The purposes of these community service are: (1) to expand the insight, knowledge, and experience directly about the model of blended learning for teachers, especially teachers of Sma Katolik 1 Kabanjahe; (2) Teachers can use elearning moodle learning technology. The techniques that are planned to shape the motivation and participation of educators ranging from the benefits of blended learning, and the application of blended learning so that educators in directly implementing it in the classroom. The implementation method starts in a structured manner starting from the initial discussion about blended learning, taking the results of the initial questionnaire, then giving independent tasks to the teachers. This community service was attended by 12 teachers at SMA Katolik 1 Kabanjahe, Kab. Karo. North Sumatra. The important conclusion of this community service is the awareness and ability of educators in using information technology, especially blended learning can increase motivation to educators to provide maximum learning to learners.         Keywords: blended learning; moodle; teaching technologyAbstrak: Teknologi informasi dengan menggunakan internet dapat menguntungkan para pendidik dalam memberikan informasi kepada peserta didik. Pengetahuan tentang teknologi informasi mempunyai potensi yang sangat tinggi. Tujuan dari penulisan: (1) memperluas wawasan, pengetahuan dan pengalaman secara langsung tentang model pembelajaran blended learning untuk guru guru khususnya Guru SMA Katolik 1 Kabanjahe; (2) Guru–guru dapat menggunakan teknologi pembelajaran elearning moodle. Teknik yang direncanakan untuk membentuk motivasi dan partisipasi tenaga pendidik mulai dari keuntungan blended learning, dan pengaplikasian blended learning sehingga tenaga pendidik dalam langsung mengimplementasikannya di dalam kelas. Metode pelaksanaan dimulai secara terstruktur mulai dari diskusi awal tentang blended learning, mengambil hasil kuesioner awal, selanjutnya memberikan tugas mandiri kepada guru–guru. Pelaksanaan pengabdian kepada masyarakat ini diikuti oleh 12 guru di SMA Katolik 1 Kabanjahe, kab. Karo. Sumatera Utara. Kesimpulan penting dari pengabdian ini adalah adanya kesadaran dan kemampuan pendidik dalam menggunakan teknologi informasi khususnya blended learning dapat meningkatkan motivasi kepada tenaga pendidik untuk memberikan pembelajaran yang maksimal kepada peserta didik.Kata kunci: blended learning; moodle; teknologi pembelajaran
Pemberdayaan Masyarakat Terkait Pengaruh Obat Herbal dan Upaya Meningkatkan Manajemen Hipertensi
Authors: Fidian Athia , Safitri Yunita , S Avinda Yunita , Munawar Munawar , H Ravi Lukman
Published: September 2021

Abstract: Hypertension is a chronic disease and the number one killer in the world. Hypertension can attack almost all groups of people around the world, where the number of people who experience hypertension is increasing from year to year. Efforts can be made to reduce the incidence, such as taking blood pressure measurements or health checks, counseling about hypertension and treatment or handling to lower blood pressure. The village of Danurejo, especially in the hamlet of Japunan, is ranked fourth and fourth for people with hypertension. Lack of knowledge about hypertension management is one of the causes. This activity aims to increase public knowledge about hypertension and control the increase in blood pressure with herbal plants that are proven to reduce blood pressure, namely cucumber and celery. The results of the analysis with a comparison table, the results obtained that there are changes between before and before the administration of herbal medicines and health education. The average before the measurement of blood pressure is smaller than before the intervention, thus showing the influence of the administration of herbal medicine and health education. The implications of giving herbal medicines and health education can be used to increase the knowledge of citizens regarding hypertension management, so as to improve the quality of life of the elderly.Keywords: hypertension; hypertension management; herbal drug therapy Abstrak: Penyakit hipertensi merupakan penyakit bersifat menetap dan pembunuh nomor satu di dunia. Hipertensi dapat menyerang hampir semua golongan masyarakat diseluruh dunia, dimana jumlah masyarakat yang mengalami hipertensi semakin bertambah dari tahun ke tahun. Upaya yang dapat dilakukan untuk menurunkan angka kejadian hipertensi diantaranya melakukan kegiatan pengukuran tekanan darah atau pemeriksaan kesehatan, penyuluhan mengenai penyakit hipertensi dan pengobatan atau penanganan untuk menurunkan tekanan darah. Desa Danurejo terutama di dusun Japunan menjadi peringkat keempat untuk penderita hipertensi. Rendahnya pengetahuan tentang manajemen hipertensi menjadi salah satu penyebabnya. Kegiatan ini bertujuan untuk meningkatkan pengetahuan masyarakat tentang penyakit hipertensi dan mengontrol peningkatan tekanan darah dengan tanaman herbal yang sudah terbukti dapat menurunkan tekanan darah yaitu mentimun dan seledri. Hasil analisis dengan tabel perbandingan, didapatkan hasil bahwa terdapat perubahan antara sebelum dan sesudah pada pemberian obat herbal dan pendidikan kesehatan. Rata-rata sesudah pengukuran tekanan darah lebih kecil dari sebelum intervensi, sehingga menunjukan adanya pengaruh dari pemberian obat herbal dan pendidikan kesehatan. Implikasi pemberian obat herbal dan pendidikan kesehatan dapat di terapkan untuk meningakatkan pengetahuan warga terkait manajemen hipertensi, sehingga dapat meningkatkan kualitas hidup lansia.Kata kunci: hipertensi; manajemen hipertensi; terapi obat herbal
PELATIHAN ENTREPRENEURSHIP MOTIVATION DALAM MEMBANGUN MENTAL ENTREPRENEURSHIP BAGI UMKM DI MASA PANDEMI COVID 19
Authors: Huda Nurul , Haryanti Sri Chusri , Rini Nova , - Rosmelani
Published: September 2021

Micro, Small and Medium Enterprises in Indonesia are experiencing a negative impact from the COVID-19 pandemic. Thus, Micro, Small, and Medium Enterprises actors need an increase in entrepreneurship motivation to survive during the COVID-19 pandemic. The YARSI University Community Service Team and partners from Micro, Small and Medium Enterprises who are members of the YARSI University with the Warung Sejahtera Business Group conducted training on entrepreneurship motivation. The activity results show that there are still Micro, Small and Medium Enterprises actors who do not know about the COVID-19 pandemic and entrepreneurship motivation. After participating in the training, most MSME actors are interested in running a Micro, Small and Medium Enterprise business during the COVID-19 pandemic by innovating. The innovation that Micro, Small and Medium Enterprises will carry out is the most widely chosen by sharing info to the WA group. This community service activity concludes that there is an increase in Micro, Small and Medium Enterprises' entrepreneurship motivation to stay afloat during the covid 19 pandemic. Future community service activities can be in the form of training on the operationalization of the WhatsApp application in increasing sales of Micro, Small and Medium Enterprises.