bluuebunny/crossref_metadata_2025 huggingface dataset:
Job Insecurity Mediates the Influence of Organizational Culture on Innovative Work Behavior among Manufacturing Employees in Achieving Sustainable Development Goals
Authors:   Universitas 17 Agustus 1945 Surabaya, Indonesia, Anisykurli Mutiara Insani , Suryanto Suryanto ,   Universitas Airlangga, Indonesia, Santi Dyan Evita ,   Universitas 17 Agustus 1945 Surabaya, Indonesia
Published: December 2024

Today's professional world is moving towards increasing productivity by involving technological developments in the workplace. With technology, employees are required to do things that current technology cannot do, such as providing innovation. Innovative work behavior is behavior that employees are expected to be able to carry out in order to survive in the world of work. This research aims to examine the relationship between organizational culture and innovative work behavior and the role of job insecurity in this relationship. This research uses quantitative correlational methods. A total of 144 manufacturing employees in Surabaya were involved as respondents in this research. The analytical technique used for analysis is mediation analysis and Spearman's rho correlation. The research results show that job insecurity is able to mediate the relationship between organizational culture and innovative work behavior. There is a positive relationship between organizational culture, job insecurity, and innovative work behavior.
Community and Correctional Relations Management: Building Trust and Social Security
Authors:   Universitas Islam Jakarta, Siregar Mulki , Marlina Yuli ,   Universitas Islam Jakarta, Cahyono Cahyono ,   Universitas Islam Jakarta
Published: December 2024

This study aims to analyse the effectiveness of relationship management strategies and practices between Teluk Penyu Beach community and Nusakambangan correctional institution in building trust and reducing social stigma against inmates. The methods used in this study include literature studies and field surveys. Literature studies were conducted to review relevant literature, while in-depth surveys and interviews were used to obtain empirical data from the surrounding community, correctional staff, and former inmates. The results of the study show that the geographical proximity between Teluk Penyu Beach and Nusakambangan requires strategic relationship management. The measures taken, such as managing public perception, improving communication, developing empowerment programs, and operational transparency, have proven effective in reducing social stigma. Stigma analysis graphs reveal that the "Passing and Covering" strategy is most dominant used to manage stigma, while "Discrediting" and "Spoiled Identity" remain significant but less dominant. This study concludes that a holistic and tolerant approach to relationship management between correctional institutions and communities plays an important role in creating harmonious relationships and supporting the social reintegration of ex-convicts.
Learning Activities in Mathematics Education: Application of Problem-Based Learning in Power Dominating Set for Electricity Network Optimization Problems
Authors:   Department of Mathematics Education Postgraduate, Faculty of Teacher Training and Education, University of Jember,Indonesia,, Yuliana Indah , Irwanto Jesy ,   Department of Mathematics Education Postgraduate, Faculty of Teacher Training and Education, University of Jember,Indonesia,, Pambudi Didik Sugeng ,   Department of Mathematics Education Postgraduate, Faculty of Teacher Training and Education, University of Jember,Indonesia,, Dafik Dafik ,   Department of Mathematics, Faculty of Mathematics and Natural Science, University of Jember, Indonesia., Tirta I Made ,   Department of Mathematics, Faculty of Mathematics and Natural Science, University of Jember, Indonesia.
Published: December 2024

Learning activities in mathematics education play an important role in developing students' analytical and problem-solving skills, especially in applying mathematical concepts to real-world problems. This research aims to apply the Problem-Based Learning (PBL) method to the topic of Power Dominating Set to optimize the electricity network. Power Dominating Set is a concept in graph theory that can be used to minimize the number of control points in the electricity network, thus optimizing the use of resources and increasing the efficiency of the network. By using PBL, students are expected to understand the concept of Power Dominating Set both abstractly and in a practical context relevant to the real world. This research was conducted using an experimental method with two groups of students, namely the experimental group using the PBL method and the control group using the conventional learning method. The results showed that the group that learned with PBL had a deeper understanding and better analytical skills in applying Power Dominating Set to electricity network optimization problems. Discussion of the results showed that the PBL approach is not only effective in improving the understanding of abstract mathematical concepts, but also capable of enhancing students' skills in identifying and solving real-world electricity network problems. Thus, the application of PBL in mathematics education can be an effective alternative to connect abstract mathematical concepts with practical applications, especially in electricity network optimization.
Development of Automotive Engineering Learning Video Media Using Catamsia Pn Light Veehicle Periodic Maintenance Material Ar SMK PGRI 1 Gresik.
Authors:   PGRI Adi Buana University of Surabaya, Street Dukuh Menanggal XII-4 Surabaya, East Java, Yudy Robby Ahmad , Fatirul Achmad Noor ,   PGRI Adi Buana University of Surabaya, Street Dukuh Menanggal XII-4 Surabaya, East Java, Walujo Djoko Adi ,   PGRI Adi Buana University of Surabaya, Street Dukuh Menanggal XII-4 Surabaya, East Java
Published: December 2024

This study aims to develop learning video-based media using Camtasia on periodic maintenance material on light vehicles at SMK PGRI 1 Gresik. This development is to facilitate students in performing automotive engineering maintenance steps. The results of the study can be concluded that the development of automotive engineering learning video media using Camtasia on periodic maintenance material for light vehicles at SMK PGRI 1 Gresik, which is associated with character education by conducting several stages of testing the products developed by conducting validity tests using tri-angulation techniques including validation tests involving design experts, material experts, media experts and initial responses from student groups. Further trials were carried out by conducting limited group trials and large group trials. All validation results, limited group trials and large group trials produced a significant percentage with an average percentage that had a range of 70% - 90%, so that the overall conclusion from the trial results that the product developed, namely learning video media using Camtasia which is integrated with character education, can be used as media usage in carrying out the learning process in automotive engineering practice subjects.
An Analysis of Epistemology Implementation through Critical Thinking in the Modern Era
Authors:   Faculty of Education Management, Jakarta State University, Indonesia, Sinjaya Andi
Published: December 2024

Critical thinking is a major discourse that often goes unnoticed, especially when society faces a contemporary phenomenon that insists on immediate understanding and absolute truth. The study analysis discusses the relevance and urgency of implementing critical thinking skills based on the epistemological approach necessary for all modern society. Diverse challenges and possibilities in the modern era require the skills of critical thinking. The aim is to prepare society to face these diverse challenges and approach new possibilities made in everyday life in the modern era. A descriptive qualitative approach, involving a comprehensive literature review of official documents, reference books, websites, government policies, and scholarly articles related to the research topic, was used in this study. From the results of the study on the topic above, it can be concluded that the cultivation of critical thinking, grounded in epistemological principles, is imperative. Critical thinking and epistemic cognition are no longer exclusive to Academics, but hostically become fundamental needs for everyone in modern society.
Efektivitas Pelayanan Akta Kelahiran Di Dinas Kependudukan Dan Pencatatan Sipil Kota Bitung
Authors: Rori Angela Kelly , Sendouw Recky , Biringan Julien
Published: December 2024

This study aims to describe and analyze the Effectiveness of Birth Certificate Services at the Population and Civil Registration Office of Bitung City, and the focus of the study is the Effectiveness and Determinant Factors of Birth Certificate Issuance Management at the Population and Civil Registration Office of Bitung City. The research method used is qualitative research. Data Collection Techniques are observation, interview, and documentation techniques. The results of the study indicate that 1) Facilities; the facilities and infrastructure for issuing Birth Certificates at the Office are still not in accordance with the Decree of the Head of the Population and Civil registration office of bitung city number 470/DKP/SK/05/2024 concerning the determination of service standards at the population and civil registration office of bitung city. Then the process or procedure for delivering birth certificates to the public is carried out directly and online. 2) Operators; the number of operators who specifically handle the issuance of birth certificates is 18 people. Then there are still obstacles in the administration of the issuance of Birth certificates experienced by operators such as network disruptions, incomplete files and people who do not want to complete the files. 3) Incentives
Upaya Meningkatkan Percaya Diri Anak Usia 4-5 Tahun Dengan Metode Bermain Peran Di TK Mitra
Authors: Sholiha Ina Ibna , Kurniawaty Lia , Priendarningtyas Ajeng
Published: December 2024

Based on the various problems that arise, the focus of this research is to increase the self-confidence of children aged 4-5 years at Mitra Kindergarten. Increasing the self-confidence of children aged 4-5 years will be carried out through role playing methods. This research aims to test efforts to increase the self-confidence of children aged 4-5 years using role-playing methods. To obtain data, researchers conducted observations, interviews and documentation. During the observation, the researcher prepared an instrument grid and observation sheet.The research method used is classroom action research, researchers use the Kemmis and Mc Taggart classroom action research model. The research subjects were Mitra Kindergarten children in group A aged 4-5 years, consisting of 10 children, namely 4 boys and 6 girls. The success criteria for this research is 80% of the number of children in the Very Well Developing (BSB) category.The research results show that in the pre-cycle 60% were not yet developing (BB), 20% were starting to develop (MB), 20% were developing according to expectations (BSH), 0% were developing very well (BSB). In Cycle I 0% Not Yet Developed (BB), 10% Starting to Develop (MB), 40% Developing as Expected (BSH), 50% Developing Very Well (BSB). In Cycle II 0% Not Yet Developed (BB), 0% Starting to Develop (MB), 20% Developing as Expected (BSH), 80% Developing Very Well (BSB). This proves that the role playing method can increase children's self-confidence.
Penerapan Kegiatan Literasi Ayo Membara (Ayo Membaca Buku Dengan Rajin) Untuk Meningkatkan Minat Baca Peserta Didik Kelas 5E Di SD Negeri 154 Citepus Kota Bandung
Authors: Nazhifah Mutia , Fathurrohim Muhammad Faizal
Published: December 2024

Membaca merupakan sebuah kegiatan yang wajib dilakukan oleh peserta didik, karena membaca merupakan kemampuan awal yang dimiliki peserta didik. Penelitian ini bertujuan untuk meningkatkan kemampuan literasi siswa kelas 5E di SDN 154 Citepus. Metode dalam penelitian ini dilakukan secara deskriptif dengan melaksanakan pembiasaan dalam membaca dan membuat kegiatan membuat bahan bacaan. Hasil penelitian menunjukkan bahwa 31 dari 35 siswa memiliki nilai diatas KKM dalam penilaian hasil baca siswa.
Comparative Analysis of Native Secrets Management Services
Authors:   Senior Data Engineer, Jewelers Mutual Group, USA, Lakshmanasamy Rameshbabu
Published: December 2024

Secrets management means storing, accessing, and managing secrets, including API keys, passwords, encryption keys, certificates, etc. It has a vital role in current Information Technology infrastructure since it ensures that private information is well protected from access by other people and hackers.
Assistive Technology and Its Impact on Activities of Daily Living and Quality of Life: A Survey of Occupational Therapists in Saudi Arabia Working with Cerebral Palsy Patients
Authors:   Occupational Therapy Department Faculty of Medical Rehabilitation Science, King Abdulaziz University Saudi Arabia, Alghamdi Alaa , Qurban Wesam ,   Occupational Therapy Department, Physical Medicine and Rehabilitation Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
Published: December 2024

Background: Cerebral palsy (CP) is a prevalent motor disability, characterized by permanent disorders affecting movement and posture development,
resulting in activity limitations. The prevalence of CP is higher in low- and middle-income countries compared to high-income countries.
Purpose or Objectives: The research aims to explore the impact of assistive technology (AT) on improving the quality of life for individuals with CP, focusing
on their ability to perform Activities of Daily Living.
Methods: The study employs a descriptive design and surveys registered occupational therapists in Saudi Arabia. The survey includes questions about the
types of AT used, their perceived impact on the patients’ daily lives and quality of life, and any challenges or barriers encountered in their use.
Results: The majority of therapists (92.7%) are engaged in the treatment of patients diagnosed with CP, with 71.1% utilizing AT in their treatment approach.
The most commonly used types of AT are for self-care (85.2%), mobility (74.1%), and cognition (48.1%). The perceived impact of AT results in a medium to
high level of improvement in the patient’s ability to manage daily activities and overall quality of life. However, common barriers encountered by therapists
include a lack of availability (70.4%) and insufficient financial support (70.4%).
Conclusion: The study concludes that AT plays a crucial role in improving the quality of life for individuals with CP. However, there is a need to address
the prevalent barriers to its use, such as availability and financial support.
Advanced Analysis of Concrete Compressive Strength: Combining NDT Techniques with Digital Image Processing
Authors: Mahankali Sreenath  , Valikala Giridhar
Published: December 2024

Concrete is a fundamental material in civil engineering, widely used for its durability, versatility, and load-bearing capacity in infrastructure and building projects. The compressive strength of concrete is crucial as it directly impacts structural integrity, longevity, and safety. This study investigates the compressive strength of M50 grade concrete through a comprehensive approach that combines non-destructive and destructive testing techniques. Methods employed include the Rebound Hammer (RBH) test, Ultrasonic Pulse Velocity (UPV) test, Digital Image Processing (DIP), and conventional destructive testing. The integration of these techniques aims to provide accurate and reliable estimates of compressive strength, critical for evaluating concrete quality in structural applications. Specifically, this research compares the non-destructive techniques (RBH, SonReb Method, and DIP) against standard destructive testing results across different curing ages. Findings reveal a strong correlation between DIP and destructive testing, suggesting that image-based processing can serve as an effective non-destructive alternative in compressive strength assessment. The comprehensive analysis of M50 grade concrete presented in this study offers valuable insights for researchers and practitioners seeking enhanced, non-invasive methods for concrete strength evaluation.
Nâsırüddin el-Elbânî’nin İctihad Anlayışı ve Mezhep Eleştirisi
Authors: Küçükosman Hasan
Published: December 2024

Hz. Peygamber’in vefatından sonra Müslümanlar Kur‘an ve Sünnetten çıkarılan hükümleri uygulamaya devam ederken bilmediği meselelerde ken-dilerinden daha âlim kimselere müracaat etmişlerdir. Sonraki süreçte mez-hepler yayılırken bazı kimseler bu durumu taklid olarak görmüş ve mezhep-lerin varlığını yok saymıştır. Günümüze kadar devam eden tartışmalarda dünya-ahiret saadetine ulaşmak adına taklidin terk edilmesi ve evrensel olan nebevî öğretiye birebir muhatap olmak gerektiği ifade edilmiştir. Geçti-ğimiz asırda yaşayan Elbânî de (ö. 1999) ictihad-taklid düşüncesinde bazı görüşler ortaya koymuştur. Kendisi genel olarak taklide karşı çıkmakla be-raber âlimlerin Kur‘an ve Sünnete yol gösteren birer araç olduğunu belirt-miştir. Böylelikle taklidi tamamen yermemiş ancak âlimlerin gaye edinilme-mesi gerektiğini belirterek mezheplere bağlı kalmayı eleştirmiştir. Elbânî’ye göre ictihad seviyesine ulaşamayan Müslümanlara gereken taklid değil it-tibâdır. Dolayısıyla İslâm’ın yaşanması ve aktarılması için hem Müslüman-lara hem de gayrimüslimlere mezhepler üzerinden değil sünnet merkezli tebliğde bulunulması gerekmektedir. Mezhep imamlarının bu konuda her-hangi bir suçu olmadığını bildiren Elbânî, fakih ve müctehidlerin bir mezhe-be bağlı kalmadan hareket etmelerini istemiştir. Ancak mezhebe bağlı âlim-ler yapılan ictihadların hadis merkezli olduğunu düşünmüş ve mezhep içinde geçmiş dönem ulemânın sözlerine uymayı taklid olarak değil ittibâ olarak kabul etmişlerdir. Ancak Elbânî itiraz ve eleştirilerinde tutarlı bir şe-kilde hareket etmiş ve ümmetin ıslahı adına mutedil bir yol çizmiştir. Kimi görüşlerinde aşırı bir âlim portresi çizmiş olsa da ömrünü hadis ve sünnetin tespit ve anlaşılması yolunda geçirmiştir.
Desafios e estratégias para a inclusão da sustentabilidade no controle social de alguns Conselhos de Alimentação Escolar municipais de Minas Gerais no Programa Nacional de Alimentação Escolar
Authors: Nogueira Ana Carolina Ratti , Sant'Anna Monique de Oliveira , Garcia Jaciara Reis Nogueira , Sanches Lucas Daniel , Martins Dala Paula Bruno
Published: December 2024

O estudo buscou compreender a atuação de alguns Conselhos de Alimentação Escolar (CAEs) municipais em Minas Gerais acerca da sustentabilidade no Programa Nacional de Alimentação Escolar (PNAE) e avaliar o impacto de uma formação virtual, utilizando-se da pesquisa-ação, conforme proposto por Thiollent. Os CAEs são formados por representantes da sociedade civil; trabalhadores da educação e discentes; pais de alunos e representante do poder executivo. Durante dois encontros de um workshop virtual, foram realizados grupos de discussões, sendo as falas gravadas, transcritas e submetidas à análise temática de conteúdo, proposta por Bardin. As hortas escolares e a articulação com instituições de assistência técnica foram citadas como oportunidades de promover a sustentabilidade no PNAE. A falta de apoio e de conhecimentos sobre alimentação e nutrição pela comunidade escolar foram destacados entre os desafios. Todos os CAEs relataram intenção de incluir a sustentabilidade no controle social do PNAE em seus municípios.
Nuotolinis darbas ir psichosocialinė rizika: iššūkiai, susiję su virtualia komunikacija ir darbo intensyvėjimu
Authors: Vida Juškelienė  , Jūratė Tamašauskaitė  , Erikas Mačiūnas  , Toma Jasiukevičiūtė-Zelenko
Published: December 2024

Tyrimo tikslas  – atskleisti COVID-19 pandemijos metu nuotoliniu būdu dirbusių Lietuvos savivaldybių įmonių darbuotojų psichosocialinės rizikos ypatumus, susijusius su virtualia komunikacija ir darbo intensyvėjimu, aprašyti nuotolinio darbo (ND) reikšmę darbuotojų sveikatai ir profesinei gerovei, pateikti užsienio tyrimų išvadas šiais klausimais. Tyrimo metodika. Kokybiniame tyrime dalyvavo 29 specialistai (4 vyrai ir 25 moterys) iš 17 skirtingų Lietuvos savivaldybių įmonių, kurių dydis svyravo nuo 10 iki 1 104 darbuotojų. Duomenys buvo renkami pasitelkiant fokusuotų grupių diskusijų metodologiją. Organizuotosdviejų  grupių diskusijos: 1 grupė (n = 11) – vadovai ir jiems atstovaujantys asmenys, 2 grupė (n = 18) – kiti darbuotojai. Tyrimo gairės parengtos vadovaujantis Europos darbuotojų saugos ir sveikatos agentūros (EU-OSHA) 2021 m. atliktu tyrimu. Duomenų analizė atlikta remiantis teminės analizės principais.Rezultatai ir išvados. Lietuvos savivaldybių įmonių darbuotojų psichosocialinė rizika ND metu padidėjo, tai turėjo reikšmės jų sveikatai ir gerovei. Tyrimo dalyviai skundėsi tiek psichikos sveikatos simptomais (stresu, įtampa, nerimu, suirzimu, baime ir netikrumu dėl ateities), tiek somatiniais kaulų ir raumenų, virškinimo sistemų, regos simptomais, kuriuos siejo su pervargimo nulemta psichoemocine įtampa. Padidėjusios psichosocialinės rizikos priežastis jie siejo su darbo suintensyvėjimu ND metu, virtualia komunikacija, informacijos pertekliumi, naujų technologijų naudojimu, taip pat pandemijos kontekstu. Vienas svarbiausių virtualaus bendravimo iššūkių – sutrikusi komunikacija ir nepakankamas emocinis kontaktas su kitais darbuotojais, socialinė izoliacija. ND metu įmonių bendruomenės sukūrė naujus darbo procesus ir virtualaus bendravimo praktikas, stengėsi sumažinti darbuotojų psichologinę įtampą, taikė sveikatos stiprinimo priemones. Pasaulio mokslinėje literatūroje neigiamas ND poveikis profesinei sveikatai siejamas su technostresu ir kognityvinė perkrova, kurią lemia virtualus bendravimas bei darbo intensyvėjimas. Psichosocialinių ir organizacinių veiksnių poveikis sveikatai daugiausia priklauso nuo darbo organizavimo praktikos ir kontekstinių veiksnių.
Manajemen Anestesi Gravida dengan Plasenta Akreta yang dilakukan Seksio Sesarea dengan Transarterial Ballooning
Authors: Azman Radhillah , Isngadi Isngadi
Published: December 2024

Bleeding before (antepartum) and after (postpartum) delivery remains a major contributor to perinatal mortality and maternal morbidity worldwide. Placenta accreta is a cause of maternal morbidity and mortality, recently becoming the most common reason for emergency postpartum hysterectomy.
A 35-year-old woman weighing 55 kg, height 151 cm, G3P1101Ab000 at a gestational age of 34-36 weeks, with a history of antepartum bleeding and suspicion of placenta accreta from the ultrasound, is scheduled for pregnancy termination via cesarean section. Before the surgery, a transarterial balloon catheter is inserted, and the estimated blood loss during the operation is around 10,000 ml.
In this patient, the choice of general anesthesia is made considering the history of third-trimester bleeding, a high probability index score of 51% for accreta, and the plan for hysterectomy, leading to an anticipated prolonged operation time. Additionally, the risk of significant bleeding during the surgery prompts the selection of general anesthesia for hemodynamic management, and the placement of a catheter balloon is done to anticipate massive bleeding.
To obtain a more comprehensive comparison and understanding of estimated blood loss, a comparison with other cases involving catheter balloon procedures before or after surgery is needed.
Monitoring End-Tidal CO2 pada Wanita Hamil: Fokus pada Keselamatan Pasien
Authors: Yulianti Bisri Dewi , Bisri Tatang
Published: December 2024

Pada seksio sesarea, keselamatan pasien adalah menjaga keselamatan ibu dan bayi. Anestesi untuk seksio sesarea dapat dilakukan dengan anestesi umum, anestesi neuraxial atau gabungan spinal-epidural. Keuntungan dari anestesi umum termasuk induksi cepat, keandalan, reproduktifitas, pengendalian, menghindari hipotensi. Sedangkan kelemahan anestesi umum meliputi kemungkinan aspirasi ibu, masalah penatalaksanaan jalan napas, narkotisasi neonatus, dan awarenes ibu. Efek anestesi umum pada bayi adalah karena penyebab fisiologis dan farmakologis. Penyebab fisiologis meliputi hipoventilasi ibu, hiperventilasi ibu dan pengaruh perpanjangan waktu induction-delivery dan uterine incission-delivery yang mempengaruhi aliran darah uteroplacental, sedangkan penyebab farmakologis adalah obat induksi anestesi, obat blokade neuromuskuler, konsentrasi oksigen rendah, N2O dan anestesi inhalasi. Masalah manajemen jalan napas adalah masalah terbesar karena mungkin jalan napas yang sulit pada wanita hamil mengingat adanya kenaikan berat badan dan lingkar leher, leher relatif pendek, dan buah dada membesar. Hipoventilasi akan mengurangi ketegangan oksigen pada ibu dan pada gilirannya akan menyebabkan perubahan asam-basa neonatal atau depresi biokimia. Hiperventilasi ibu juga dapat menimbulkan potensi bahaya pada janin selama anestesi umum dengan mengurangi tekanan oksigen janin. Kesimpulannya, pemasangan kapnograf pada ibu hamil yang dilakukan dengan seksio sesarea dengan anestesi umum mutlak diperlukan untuk memeriksa keberhasilan intubasi dan menentukan end-tidal CO2.
Layanan Painless Labor dan Jaminan Kesehatan Nasional di Indonesia
Authors: Kumala Fajar Apsari Ratih
Published: December 2024

Persalinan dikenal sebagai salah satu pengalaman paling menyakitkan bagi wanita, dengan derajat nyeri ringan hingga sangat berat. Nyeri persalinan disebabkan oleh faktor fisiologis (seperti kontraksi uterus, dilatasi dan penipisan serviks), serta faktor psikologis (seperti stress dan kecemasan), dan diketahui dapat menimbulkan dampak yang membahayakan baik bagi kesehatan ibu maupun bayi. Nyeri persalinan menyebabkan peningkatan stimulasi simpatis, hiperventilasi, hipoksemia, alkalosis respiratorik, penurunan perfusi uteroplasental, nyeri kronik, serta gangguan psikis jangka panjang. Painless labor (persalinan tanpa rasa sakit) dengan teknik analgesia neuraksial, seperti epidural labor analgesia, dianggap sebagai solusi efektif untuk mengurangi nyeri persalinan dan mencegah komplikasi. Beberapa kondisi klinis dan komorbiditas dalam kehamilan dapat diuntungkan dengan penggunaan painless labor, misalnya kondisi penyakit kardiovaskular, karena dinilai mampu menjaga stabilitas hemodinamik. Konsensus internasional pun menyepakati bahwa permintaan pasien saja sudah cukup menjadi indikasi dilakukannya tindakan painless labor. Namun, implementasi painless labor di Indonesia menghadapi tantangan besar, seperti keterbatasan cakupan pembiayaan kesehatan. Jaminan Kesehatan Nasional (JKN) dapat menanggung biaya prosedur ini hanya untuk kasus-kasus dengan komorbiditas tingkat sedang hingga berat. Kebijakan ini berbeda dengan asuransi swasta yang menawarkan cakupan lebih luas. Mengingat manfaat analgesia persalinan terhadap kesehatan ibu dan bayi, peningkatan akses dan penggunaan prosedur painless labor dapat menjadi tindakan yang efektif biaya di Indonesia.
Total Intravenous Anesthesia untuk Prosedur Cerclage Serviks pada Wanita Hamil dengan Obesitas
Authors: Nurmalasari Mifta , Andika Bachtiar Effendi
Published: December 2024

Inkompetensi serviks merupakan penyakit obstetrik yang jarang terjadi. Hal ini menjadi penyebab 8% kelahiran prematur spontan atau aborsi berulang pada trimester kedua kehamilan. Terdapat kemungkinan untuk dilakukan prosedur obstetri yang tidak terkait dengan persalinan selama masa kehamilan, salah satunya adalah prosedur cerclage serviks. Hal ini merupakan tantangan karena kesejahteraan ibu dan janin harus dipertimbangkan dengan cermat. Pemilihan prosedur anestesi dan waktu tindakan yang tepat sangat penting untuk menghindari komplikasi pada ibu dan janin. Laporan kasus ini bertujuan untuk melaporkan penatalaksanaan anestesi menggunakan Total Intravenous Anesthesia (TIVA) pada ibu hamil dengan usia kehamilan (UK) 23 minggu dengan obesitas dan riwayat kelahiran prematur berulang yang menjalani prosedur cerclage serviks. Seorang wanita berusia 21 tahun UK 23 minggu pada kehamilan ketiga dengan riwayat sebelumnya pernah mengalami dua kali kelahiran prematur (G3P2A0). Kondisi pasien baik dan tidak memiliki riwayat penyakit penyerta kecuali obesitas. Pasien didiagnosis menderita inkompetensi serviks dan berencana menjalani prosedur cerclage serviks elektif dengan anestesi TIVA. Prosedur tersebut berhasil dilaksanakan dengan hasil yang memuaskan. Penatalaksanaan anestesi menggunakan TIVA pada wanita hamil 23 minggu dengan obesitas dan riwayat kelahiran prematur berulang yang menjalani prosedur cerclage serviks telah dilaporkan aman bagi ibu dan bayi dalam laporan kasus ini
Enhancing Kenya’s National Security: Optimizing Early Warning and Response Surveillance Systems
Authors: Owuondo Joseph
Published: December 2024

National security is a foundational priority for states, particularly in volatile global environments. For Kenya, optimizing early warning and response surveillance systems (EWS) is essential for countering a diverse range of threats, from terrorism and organized crime to cyber vulnerabilities. This study investigates Kenya’s current security framework, identifying operational gaps and resource constraints that hinder EWS effectiveness. Using a qualitative content analysis approach, the study reviews peer-reviewed literature, government reports, and case studies from comparable security systems, drawing especially on African nations that share socioeconomic parallels with Kenya. Findings reveal significant shortfalls in inter-agency coordination, technology integration, and community engagement, which collectively limit the efficacy of Kenya’s EWS. The paper concludes with recommendations for strengthening Kenya’s surveillance capabilities by fostering inter-agency data sharing, incorporating advanced surveillance technology, and expanding community-based approaches to enhance early threat detection and rapid response. These recommendations underscore the importance of a tailored, multi-sectoral strategy for achieving comprehensive national security resilience in Kenya.
Prácticas de laboratorio de biología de angiospermas
Authors: Urquidez Bejarano Perla , Meling López Alf Enrique , Egle Mungarro Paula
Published: December 2024

El estudio de las platas requiere de comprension teórica y práctica. Esta última se obtiene de las prácticas de campo, que permiten conocer el hábitat de las plantas, así como de las prácticas de laboratorio, realizadas con el fin de conocer la organización de sus estructuras externas e internas. Esta obra ha sido diseñada como complemento a las clases teóricas con el objetivo de que las y los estudiantes obtengan un conocimiento integral de la biología de angiospermas. Se incluyen procesos de seguimiento de cada una de las partes que componen una planta y se anexan sesiones de histología con las técnicas para observar tejidos vegetales. Esto mediante preparaciones fijas y técnicas a mano alzada. Asimismo, se instruye a las y los estudiantes sobre las formas en las que debe llevarse a cabo la bitácora del procedimiento que debe seguir en cada sesión, así como la manera más adecuada elaborar un informe de laboratorio para describir y discutir los resultados de las observaciones.
The Metamorphosis of Democracy: The Buffer Zone Between Fascist Russia and Liberal Democracies
Authors: RAMABAJA Sadri
Published: December 2024

The collapse of communism and with it the end of the Cold War and the reunification of Germany everywhere in the West, had created the illusion of the "End of History". This illusion had no way of feeding the following illusion - about the so-called natural process of social transfer from communism ala Soviet-Russian to liberal democracy. This entire course of modern European history was, it seems, part of a failed Brussels strategy. Meanwhile, new political movements are taking shape in the Belgrade-Vienna-Warsaw axis, and with this, illiberal forces are being established in other countries as well. All of them have expressed some kind of readiness for cooperation with Putin's Russia, thus reviving a buffer zone between modern Russian fascism and the liberal democracies of Brussels. This return of modern fascism in Europe is being strongly exploited by Serbia promoting its national agenda.
An Exploration of the Relationship between Section 139 Administration and the Adverse Audit Opinions in South African Municipalities: The Case of uMzinyathi, Madibeng and Naledi Municipalities
Authors: Ngubane Mpilo
Published: December 2024

Collapse of governance as a process and of governance structures that take decisions and play an oversight role in the implementation of those decisions in municipalities has been identified as one of the reasons why many municipalities are dysfunctional. It should also be noted that there is also a contribution of maladministration and mismanagement especially financial mismanagement to the dysfunctionality of municipalities that have been put under section 139 of the Constitution. There is generally a feeling and perception that section 139 of the Constitution, popularly known as intervention or administration would not be necessary if government departments were effectively providing the support as provided for in section 154 of the Constitution. Linked to this debate is also a question whether section 139 itself is effective especially because there are municipalities that have been under administration for more than 8 years and there is no improvement hence, they never get out of administration. Since most of the dysfunctional municipalities under section 139 intervention or administration have financial management challenges, there is a need to explore if there is any relationship between section 139 intervention or administration with the bad audit outcomes. It is for this reason that this study explored the relationship between Section 139 administration and the adverse audit opinions in South African municipalities with specific focus on uMzinyathi, Madibeng and Naledi municipalities.
KNOWLEDGE OF BLOOD TRANSFUSION AMONG NURSES AND MEDICAL TECHNICIANS
Authors: Sušac Mirela , Knežević Jadranka , Šimić Josip
Published: December 2024

Introduction: In blood transfusion, nurses play a key role in ensuring patient safety by performing identification, compatibility and vital parameter monitoring procedures as well as providing support and education to patients. Their contribution is crucial for achieving high standards of medical care and improving medical treatment outcomes.Objective: To assess the level of knowledge amongst nurses with regards to safe and proper application of transfusion therapy. Participants and Methods: This research was conducted as a cross-section descriptive-analytical study with the aim of assessing knowledge of routine blood transfusion among three groups of nurses and analyzing differences in their results. The sample consisted of three target groups of nurses studying at the Faculty of Health Studies (of the University Clinical Hospital Mostar, the Cantonal Hospital Dr. "Safet Mujić" Mostar and the County Hospital "Dr. fra Mihovil Sučić" Livno). A modified version of the RBTKQ questionnaire was used for the research. The questionnaire consists of 6 sections and 49 items. Descriptive and inferential statistical measures were used, including frequencies and percentages, normality distribution tests, as well as the Mann Whitney U test and Kruskal-Wallis test, with results evaluated at both levels of significance.Results: The analysis of nurses' knowledge on blood transfusion indicates an average level of 77.4%, with notable variation among participants. These findings underscored the need for more intensive education particularly in recognizing symptoms and responding to serious complications. Additionally, statistically significant differences between male and female participants, as well as participants from different institutions and qualifications, highlight specific areas where overall improvement of nurses' knowledge in these domains require focus.Conclusion:Lack of knowledge in recognizing the causes of fatal transfusion reactions, especially patient identification errors, compromises patient safety during transfusions, emphasizing the urgent need to improve education of nurses in this area.

Keywords: blood transfusion, nurses, knowledge, patient safety, education
THE INFLUENCE OF NURSES ON THE QUALITY OF CARE IN THE TREATMENT OF PATIENTS WITH INFLAMMATORY BOWEL DISEASES
Authors: Bošnjak Martina , Ćeško Majo , Babić Dragan
Published: December 2024

Introduction: Inflammatory bowel disease (IBD) refers to two main diseases: ulcerative colitis and Crohn's disease. In terms of structure and process, it has been postulated that IBD treatment requires a multidisciplinary approach in which physicians, nurses, nutritionists, and social workers interact to achieve goals. The role of doctors in treatment is clearly defined, but it is useful to define the role of nurses in the care of patients with IBD. Objective: Clarify the influence of nurses on the quality of care in the treatment of patients with inflammatory bowel diseases.Methods: An electronic search of the PubMed, MEDLINE, EMBASE databases was conducted and the Cochrane database. The search was performed using keywords. This paperincludes studies which examines contributions within 10 years of nurses in the quality of care for patients with IBD.Results: The number of hospital visits decreased from 1,377 to 853 (38 % decrease) in institutions that had a specialized IBD nurse. Patient satisfaction has been improved inkey areas, particularly in IBD information approaches and conservation health advice. The number of patients in remission increased from 63 % to 69 %. Recognized IBD nurse releasedthe doctor's resources, and better contacts with patients were achieved, and thus a smaller number of hospitalization.Conclusion: It is important to recognize the role of specialized nurses who are dedicated to the care and observation of patients with inflammatory bowel diseases in the management of specialist nursing interventions to improve the care and observation of patients, the disease itself, access to treatment, discharge, morbidity and quality of life. Nurse education is an important part of care for patients suffering from inflammatory bowel diseases, because the nurse is the first person from whom patients will ask for cooperation after diagnosing the disease.

Keywords: inflammatory bowel disease, nurse, IBD specializations
Assessing the Acceptance for Implementing Artificial Intelligence Technologies in the Governmental Sector
Authors: Assaf Ramiz , Omar Mohammad , Saleh Yahya , Attar Hani , Alaqra Nour Taher , Kanan Mohammad
Published: December 2024

Artificial Intelligence (AI) has been recently implemented in various advanced government applications, including security, transportation, and healthcare. The wide variety of AI applications raised the issue of adoption difficulties in governmental usage, which is what this study investigates. More specifically, the present study examines the relationship between personnel perceptions and organizational, technological, and environmental factors that affect the AI acceptance and adoption in the governmental sector. To this end, a conceptual framework integrating the Technology Acceptance Model (TAM) with the Technology Organization Environment (TOE) is proposed and evaluated, where a survey for collecting relevant data from 179 employees working in four Palestinian ministries was utilized. The Partial Least Squares-Structural Equation Modeling (PLS-SEM) analysis of data using Smart PSL 4.1.0.8 revealed a significant association between TAM constructs and AI acceptance and adoption. Specifically, the relationships between the TOE variables and TAM's Perceived Usefulness (PU) or Perceived Ease Of Use (PEOU) were significant, except for the legal framework and organizational readiness relationship with PEOU. Besides the analytical investigation, this paper contributes practical insights into AI implementation in the government sector emerging from personnel perspectives. Theoretically, the study analyzes the validity of the conceptual model and thoroughly investigates its constructs and factors, hence suggesting that the governmental ministries focus on the linkage between institutional factors and individual AI perceptions for the latter’seffective acceptance and adoption.
A Νew Heuristic Optimization Approach to the Single Hoist Cyclic Scheduling Problem
Authors: El Amraoui Aymen , Benrejeb Mohamed
Published: December 2024

This paper introduces an innovative heuristic optimization approach, referred to as Optimization Approach-Single Hoist Cyclic Scheduling Problem (OA-SHCSP), which aims to minimize the cycle time of the Single Hoist Scheduling Problem (SHCSP). The effectiveness of this proposed heuristic is compared with a previously established heuristic, the Earliest Starting Time (EST). The comparison results reveal that the proposed OA-SHCSP heuristic consistently outperforms the EST heuristic in minimizing cycle time, particularly when more than two products are produced simultaneously. Moreover, as the number of part tasks soaked during a cycle increases, OA-SHCSP demonstrates significantly improved computational efficiency over the EST heuristic. The reduction in average cycle time achieved by OA-SHCSP ranges from 28.73% to 60.29%, underscoring its effectiveness and potential for application in high-volume production environments.
Performance Evaluation of Red Clay Soils stabilized with Bluegum Sawdust Ash and Sisal Fiber as Low-Volume Road Sub-base Materials
Authors: Chinkhuntha Wanangwa , Owayo Alphonce , Ambassah Nathaniel
Published: December 2024

The engineering properties of Red Clay Soils (RCS) in tropical regions are frequently inadequate for road construction due to a number of factors, including high compressibility, high creep rates, high plasticity, low strength, and swelling potential. This research project examines the potential of stabilizing RCS using Bluegum Sawdust Ash (BSDA) and Sisal Fiber (SF) to develop a cost-effective and environmentally sustainable material for use in low-volume roadways. Tests were conducted on both unstabilized and stabilized soil samples to evaluate a range of physical properties, including Atterberg limits, compaction, Unconfined Compressive Strength (UCS), and California Bearing Ratio (CBR). BSDA was introduced in increments from 2% to 10% at 2% intervals, with 6% of it being optimal. This resulted in a reduction in the Plasticity Index (PI) from 20.78% to 10.90% and a significant increase in both the UCS and the CBR values. The addition of SF resulted in further enhancement of stabilization, with an increase in the soaked CBR to 28.12% and UCS to 736.011 kN/m³. This triphasic approach, which combines RCS, BSDA, and SF, offers a sustainable and economical solution for the construction of road subbases in civil engineering.
Wastewater Quality Assessment at Amarah Sewage Treatment Plant: Implications for Agricultural Use and Environmental Safety
Authors: Hassan Nezar , Alewi Haleem
Published: December 2024

This study examines the quality of treated wastewater from the Amarah Sewage Treatment Plant (ASTP) in Iraq for potential agricultural use and compares it to the water quality standards of Iraq, Egypt, and the USA. The effluent was analyzed over a five-month period for various parameters, including pH, Total Suspended Solids (TSS), Total Dissolved Solids (TDS), and concentrations of ions, such as chloride (Cl-), sulfate (SO4-2), phosphate (PO43-), nitrate (NO3-), and ammonia (NH3). The findings showed that the pH and TDS measurements of the treated wastewater fell within the acceptable range, according to the regulations set by all three countries. The concentrations of Cl-, SO4-2, PO43-, NO3-, and NH3 in the treated wastewater were also within the acceptable limits set by the Iraqi standards. However, chloride and sulfate levels occasionally exceed permissible thresholds. The treated wastewater from ASTP is generally suitable for the irrigation of certain crops, but it is important to implement a monitoring and control system to ensure consistent water quality. Finally, investments are needed to improve treatment processes and establish educational programs for farmers to enhance their understanding of proper wastewater usage. These measures are crucial for protecting public health and conserving water resources, particularly in regions facing water scarcity.
Comparative Performance Analysis of Gas Turbine with and without Intercooler using Natural Gas and Hydrogen Fuels
Authors: Sodhro Asad Ali , Lemma Tamiru Alemu , Gilani Syed Ihtsham Ul-Haq , Salilew Waleligne Molla
Published: December 2024

The Gas Turbine (GT) represents one of the most significant technological advancements of the early 20th century. A limited number of studies have explored the significance of intercooling in improving GT efficiency. Specifically, the comparative performance of GT utilizing Natural Gas (NG) and hydrogen fuel, with and without intercoolers, remains largely unexplored. In this study, design point and off-design performance models for a three-shaft GT were developed using commercial software. During the model development process, the intercooler was considered, as the GT was originally designed with an intercooler. The intercooler was subsequently deactivated to simulate the GT's performance with NG and without an intercooler. Following this analysis, the fuel type was switched to hydrogen to investigate the performance of the GT with and without an intercooler. The results indicate that the inclusion of an intercooler increases the power output from 75,176.8 kW to 99,000.2 kW for NG and from 75,012.2 kW to 99,001.6 kW for hydrogen. However, the thermal efficiency marginally decreases from 45.5% to 45.14% for NG and from 45.9% to 45.52% for hydrogen. These findings demonstrate that the intercooler enhances power output but results in a minor drop in efficiency. Furthermore, hydrogen consistently exhibits superior thermal efficiency and fuel consumption compared to NG in both scenarios.
The Effect of Tuned Mass Damper Mass Ratio on Wind Turbine Vibration Mitigation
Authors: Dirbas Waleed , Diken Hamza , Alnefaie Khalid
Published: December 2024

This paper examines the efficacy of Tuned Mass Dampers (TMDs) in mitigating vibration in wind turbines under diverse excitation force conditions. The impact of TMD on the response of a wind turbine exposed to sinusoidal and random wind forces, at varying mass ratios μm: 0.02, 0.05, 0.10, and 0.20, was assessed through the use of a MATLAB SIMULINK model. The findings indicate that TMDs markedly attenuate vibration when subjected to sinusoidal forces, particularly at higher TMD mass ratios. In contrast, the reduction in vibration level in the presence of random wind forces is relatively modest, becoming more pronounced at higher TMD mass ratios. In addition, the internal forces generated by incorporating the TMD into the system were calculated for different mass ratio values. It was noted that these forces increased in proportion to the mass ratio, although they remained within reasonable limits. However, an increase in the TMD mass ratio has been observed to result in a corresponding increase in these forces. This underscores the importance of meticulous mass ratio selection for the optimal functioning of TMD systems. It suggests that dealing with complex, broadband excitation may entail inherent limitations. The findings of this study may prove valuable in enhancing the understanding of the stability and lifetime of wind turbines under dynamic wind conditions.