bluuebunny/crossref_metadata_2025 huggingface dataset:
Teacher Professionalisation and School Engagement in Chinese Vocational Colleges and Universities
Authors: Zhong Wanying
Published: August 2024

The purpose of this study was to analyse the professionalism and school engagement of educators in vocational colleges and universities in China. The study classified the demographic characteristics of the respondents based on age, gender, professional experience, and specific areas of expertise. The study also assessed the respondents' professional qualities in terms of pedagogical knowledge, dedication to lifelong learning, ethical practices, and collaboration with peers. In addition, the study assessed respondents' perceptions of school engagement in a variety of areas including administrative support, technology resources, professional development, and mentorship programmes. The study used a descriptive research design involving 300 educators from 287 comprehensive higher education institutions and seven majors in Sichuan Province. The results of the study showed that the majority of the participants were between the ages of 26 and 45 years old and expressed mainly positive feedback on the training provided. The data confirmed that educators agreed on many aspects of professional behaviour, particularly in terms of teaching competence, commitment to continuous learning and peer collaboration. It is noteworthy that teachers' perceptions of professionalism were always similar regardless of length of tenure, age or subject of teaching. This consistency suggests that school engagement policies are broadly effective and do not vary across these demographic variables. Given the clear link between teacher professionalism and school engagement, vocational institutions may consider developing programmes to promote both simultaneously. In addressing both simultaneously, vocational institutions can leverage the interaction between teacher professionalism and engagement to build an academic ecosystem that benefits both teaching staff and learners. Finally, based on the research findings and analytical insights, a programme to improve school engagement and teacher professionalism in vocational education in China is proposed.
The Effects of Social Problem-Solving Ability and Mindfulness Levels on Counselors' Burnout: A Review of Recent Literature
Authors: Zhang Wenxiao , Keat Ooi Boon
Published: August 2024

This paper reviews the current research status of university counselors' job burnout, focusing on the role of social problem solving ability and mindfulness in counselors' job burnout. This review combs through historical and recent developments in burnout research, analyzes empirical and theoretical gaps, and explores the relationships between key variables. Through the study, it was found that social problem solving ability and mindfulness have a significant impact on alleviating burnout, providing a direction for future research and practical intervention. The research results show that effective intervention and establishment of necessary support system for the unique needs of university counselors are very important, which is conducive to the career development, team development and role of counselors in higher education.
From Theory to Practice: Challenges and Countermeasures for the Implementation of BIM and Intelligent Construction Technology
Authors: Cao Xiongzhi , Lan Maoli , Li Yaxin , Wang Siyu , Zhao Li , Hou Yong , Li Lian , Cao Xinyuan , Xiang Yang , Zhang Yujie
Published: August 2024

The rapid advancement of information technology has introduced Building Information Modeling (BIM) and intelligent construction technology as trans-formative tools in the construction industry. Despite their potential to significantly enhance efficiency, quality, and safety in construction projects, the practical implementation of these technologies is fraught with challenges. This paper explores the theoretical underpinnings of BIM and intelligent construction technologies and investigates the practical challenges encountered during their implementation. It provides an in-depth analysis of these challenges and proposes countermeasures to effectively address them, offering valuable insights for practitioners and stakeholders in the construction sector.Finally, through the study of the application of technology in actual projects, it is found that the combination of BIM and intelligent construction technology will improve the efficiency and quality of the construction process, reduce the waste and consumption of human resources, and improve the competitiveness and sustainable development capabilities of the project. It will promote the transformation and upgrading of the construction industry, promote scientific and technological innovation and industrial upgrading, and promote economic development and social progress. It will improve the safety and sustainability of construction, reduce accidents and environmental pollution during construction, and protect the health and safety of workers and the environment.
Study on the Survival Dilemma of Young Teachers in Chinese Universities
Authors: Yu Jinrong , Xu Danchao , Chen Xuezhen
Published: August 2024

At present, in the eyes of many people, the career of college teachers is decent, easy, no need to sit, and there are winter and summer holidays, there are also many young students to "enter the university" flock, and even hundreds of people apply for a college teaching. But the reality is that the young teachers in colleges and universities bear great responsibility and pressure. By issuing 200 questionnaires and conducting in-depth interviews with 10 Chinese university teachers, this study focuses on the current survival dilemma faced by young teachers. The results show that they are generally in a state of anxiety, low satisfaction with work and life; Under the dual pressure of teaching and research; Difficulty in promotion of professional title; The utilitarian tendency of scientific research is serious. All kinds of signs show that the current living conditions of young teachers in Chinese universities are not optimistic, which is related to the strict scientific research evaluation policies implemented by various universities, and indicates that the administrative departments of Chinese universities need to adjust their management strategies. Although respondents have reservations about whether Chinese universities can solve the survival dilemma of young teachers in a short period of time, they are still optimistic that the current practices of universities will improve over time, and they will still maintain their love for the profession of teachers and their passion for scientific research.
PREVALENCE OF UNDIAGNOSED DIABETES MELLITUS AMONG PATIENTS PRESENTING WITH ACUTE CORONARY SYNDROME (ACS)
Authors: MAAZ . , BATOOL A , FAROOQ M , BHATTY ET , MEHTAB M , ASIM F , SARFRAZ M , AHMAD W
Published: August 2024

Acute Coronary Syndrome (ACS) represents a spectrum of cardiovascular conditions ranging from unstable angina to acute myocardial infarction, all of which require urgent medical attention. Objectives: The study's primary purpose is to find the prevalence of undiagnosed diabetes mellitus among patients presenting with acute coronary syndrome (ACS). Methods: This cross-sectional study was conducted in Khyber Teaching Hospital Peshawar from June 2021 to June 2022. Data was collected from 245 patients of ACS. Upon admission, demographic data, including age, gender, and medical history, were recorded. Laboratory investigations were performed to measure fasting blood glucose levels using standard techniques. Results: Data was collected from 245 ACS patients. The mean age of the patients was 48.7 ± 6.2 years. There were 170 male and 75 female patients. The prevalence of comorbidities was notable, with hypertension being the most common (49.0%), followed by dyslipidemia (40.8%), smoking (32.7%), and family history (24.5%). Serum creatinine levels were 1.2 ± 0.3 mg/dL, slightly elevated compared to the normal range of 0.6 - 1.1 mg/dL. Blood urea nitrogen levels averaged 20.5 ± 4.2 mg/dL, within the standard 7 - 20 mg/dL range. Fasting blood glucose levels were 120 ± 25 mg/dL, slightly above the normal range of 70 - 110 mg/dL. Hypertension was also associated with an increased risk of UDM, although not statistically significant, with an odds ratio of 1.8 (95% CI: 0.9 - 3.5). Conclusion: It is concluded that the prevalence of undiagnosed diabetes mellitus among patients presenting with acute coronary syndrome (ACS) is substantial, highlighting the importance of routine screening in this population. Early detection and management of diabetes in ACS patients are essential for optimizing cardiovascular outcomes and reducing the risk of adverse events.
EFFACEMENT OF BASAL CISTERNS AS A SINGLE PROGNOSTIC FACTOR IN TRAUMATIC BRAIN INJURY
Authors: AHMED N , REHMAN L , SHARIF MM , RAZA A , KHAN N
Published: August 2024

Effacement of basal cisterns, a condition characterized by the compression or obliteration of the cerebrospinal fluid (CSF)-filled spaces around the brainstem, is an essential radiological finding in the context of traumatic brain injury (TBI). Objectives: The study's primary purpose is to find the effacement of basal cisterns as a single prognostic factor in traumatic brain injury (TBI). Methods: This prospective observational study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, from 2023 to 2023. Data were collected from 250 patients suffering from TBI. For each patient, comprehensive demographic information, including age and gender, was recorded. Additional data included the mechanism of injury, the Glasgow Coma Scale (GCS) score at admission, and the presence of basal cistern effacement as observed on the initial CT scan. Radiological findings, such as midline shift and hematomas, were also documented. Results: The mean age of the patients was 35.6±5.65 years. There were 160 (64%) male and 90 (36%) female patients. Motor vehicle accidents were the most present form of injury 104 (41.6%). The mean GCS score at admission was 7.5 ± 2.1 in the basal cistern group and 12.3 ± 2.8 in the no basal cistern group. The study results revealed a significant association between basal cistern effacement and midline shift, with 61.5% of patients with effacement showing midline shift compared to only 14.8% without effacement (p < 0.01). Conclusion: Basal cistern effacement on initial CT scans is a significant prognostic indicator in traumatic brain injury. Its presence is associated with more severe injury, higher necessity for surgical intervention, and poorer long-term outcomes.
THE ROLE OF VITAMIN D IN IMMUNE MODULATION: A REVIEW OF CLINICAL IMPLICATIONS
Authors: HAFIZ WU , ZAZAI M , SHAHBAZ A , MAHESSAR SS , GILLANI SS , BHATTY ET , ASIM F , SARFRAZ M
Published: August 2024

Vitamin D, often celebrated for its crucial role in maintaining bone health, has garnered significant attention in recent years for its multifaceted contributions to immune modulation. The study aims to find Vitamin D's role in immune modulation. The innate immune system is the first line of defense against invading pathogens, and its leading roles are rapid responses, identification of the pathogen, and neutralization to avoid the aggravation of the disease. The role of Vitamin D in immune modulation extends across a spectrum of immune-related disorders, underscoring its significance in maintaining immune homeostasis and preventing disease. The immune modularity of vitamin D is mainly through the active form, 1,25-dihydroxyvitamin D [1,25(OH)2D]; this hormone binds to the Vitamin D receptor (VDR) inherent in several immune cells. This binding triggers the process of gene expression alterations that impact the abilities and duplication of these cells. For instance, in multiple sclerosis (MS), Vitamin D inhibits the production of Th1 and Th17, which are pro-inflammatory T-cells, while enhancing Tregs, which results in the curbing of inflammation and autoimmunity. Vitamin D is pivotal in immune modulation, influencing innate and adaptive immune responses. Its deficiency is linked to an increased risk and severity of various immune-related disorders, highlighting the importance of maintaining adequate Vitamin D levels.
HYPERAMMONEMIA IS ASSOCIATED WITH INCREASING SEVERITY OF BOTH LIVER CIRRHOSIS AND HEPATIC ENCEPHALOPATHY
Authors: NAWAZ A , MAAZ . , BHATTI R , SHAHZAD A , HAQ HU
Published: August 2024

Hyperammonemia is a critical condition frequently observed in patients with liver cirrhosis and hepatic encephalopathy. Objectives: The study's main aim is to find that hyperammonemia is associated with increasing severity of both liver cirrhosis and hepatic encephalopathy. Methods: This retrospective cohort study was conducted at DHQ Hospital Nowshera Khyber Pakhtunkhwa from January 2023 to June 2023. A total of 175 patients diagnosed with liver cirrhosis were included in the study. Data collection was performed using the hospital's electronic medical records system. The variables collected included demographic data like patients’ age and sex and clinical data concerning the etiology of cirrhosis, Child-Pugh score, and MELD score. Results: The study included 175 patients with liver cirrhosis, with a mean age of 54.3 ± 12.7 years, of whom 64% were male and 36% female. The etiologies of cirrhosis were predominantly hepatitis C virus (45%), hepatitis B virus (30%), alcoholic liver disease (15%), and non-alcoholic steatohepatitis (10%). The mean Child-Pugh score was 8.7 ± 2.1, indicating moderate to severe liver disease, and the mean MELD score was 14.3 ± 4.5. The study found a strong positive correlation between ammonia levels and encephalopathy severity (r = 0.72, p < 0.001). Conclusion: It is concluded that hyperammonemia is significantly associated with the severity of liver cirrhosis and hepatic encephalopathy.
Pemeliharaan Dan Perawatan Three Cylinder Air Compressor di PT. Wijaya Karya Beton,Tbk
Authors: Panjaitan Sahat Parulian , Noerdin Alex , Aprilian M. Agyp Hujjah , Hasibuan Setya Pramana , Harbie Muhammad Fadhil Aulia , Paundra Fajar , Pasaribu Markus
Published: August 2024

1. PT. Wijaya Karya Beton, Tbk. (WIKA Beton) merupakan perusahaan terdepan di Indonesia yang bergerak di bidang produksi beton pracetak. Didirikan dengan tujuan untuk mengembangkan dan mempertahankan usahanya serta mencapai hasil yang optimal, WIKA Beton telah menjelma menjadi raksasa industri beton dengan sistem yang terstruktur rapi, didukung oleh karyawan yang solid dan solidaritas antar sesama. Memanfaatkan teknologi canggih seperti alat berat, perkakas, dan alat penunjang lainnya, WIKA Beton berkomitmen untuk menghasilkan produk berkualitas tinggi dengan tetap menjaga kelestarian lingkungan. Penggunaan kompresor bertekanan tinggi yang memanfaatkan tenaga penggerak motor listrik dan tenaga angin menjadi bukti komitmen WIKA Beton dalam menerapkan praktik industri yang ramah lingkungan dan hemat energi. Bagi mahasiswa yang melaksanakan kerja praktik di WIKA Beton, ini merupakan kesempatan emas untuk mendapatkan pengalaman berharga di dunia industri beton. Di sini, mereka akan berkesempatan untuk mengamati sistem pemeliharaan yang diterapkan, memperoleh pengetahuan tentang perawatan alat kompresor, dan memahami sistem kerja kompresor secara mendalam. Pengalaman ini tentunya akan menjadi bekal berharga bagi para mahasiswa dalam meniti karir di masa depan.
MAINTENANCE DOOZER BATUBARA MENGGUNAKAN METODE MEAN TIME BETWEEN FAILURE (MTBF) DI PT. XXXXXXX
Authors: Nicko Robertus , Wahyu Aufa Azfa , Bachtiar Muhammad Irgi , Prasetiyo Budi , Mukhlisin Ahmad , Pratama Muhammad Hasbi , Paundra Fajar
Published: August 2024

Mean Time Between  Failure  (MTBF) merupakan rata rata waktu pada sebuah peralatan untuk dapat dioperasikan sebelum terjadinya kerusakan. Tujuan dari jurnal ini yaitu analisis maintenance Doozer batubara menggunakan metode Mean Time Between Failure (MTBF). Hasil didapatkan dari Data yang digunakan dalam laporan kerja praktik bersumber dari laporan data breakdown on shipment yang terjadi pada Doozer selama periode bulan juli berada dibeberapa area kerja. Perencanaan jadwal kerja dari unit Doozer yaitu berkisar 80-hour meter. Dari data dapat dilihat juga bahwa grafik aktual atau yang terjadi di lapangan tidak sama dengan yang telah dirancang. Pada Bulan Januari unit Doozer yang bekerja rata-rata sekitar 70,03-hour meter. Dapat disimpulkan dimana lebih rendah dibandingkan dengan plan (rencana) yang telah dibuat. Sehingga suatu jadwal maintenance pada alat berat dengan menggunakan perhitungan Mean Time Between  Failure  (MTBF) melalui jadwal pengoperasian suatu alat berat antara lain hoursmeter, stand by, dan downtime. Menunjukkan bahwa setiap Doozer yang beroperasi memiliki perbedaan pada data plan dan actual MTBF karena setiap Doozer memiliki proses maintenance yang berbeda antara satu dengan yang lainnya.
Analisis keamanan Wire Rope dan Siklus perawatan Pada Scrapper
Authors: Siregar Derman Francisco , Amadeus CH. Galen , Ardiansyah Rifky , Sururi Muhammad Farhan , Sihombing Lorensius Mikael Sahattua , Paundra Fajar
Published: August 2024

Portal scrapper adalah alat yang berfungsi untuk menggaruk suatu material di dalam Bulk Storage atau tempat penyimpanan material hasil produksi dengan kapasitas kerja yang dapat dikendalikan.  Penelitian ini bertujuan untuk menganalisis keamanan Wire rope melalui perhitungan dan pembebanan pada portal scrapper. Metode yang digunakan dalam pengambilan data penelitian init yaitu pengamatan (observation), studi pustaka (study library), dan wawancara (interview). Hasil dari penelitian ini perlu dilakukannya perawatan jenis Perawatan terencana (planned maintenance), Perawatan preventif (Preventive Maintenance/PM), pembersihan (Cleaning), Inspeksi, Running maintenance, Perawatan korektif, Shut-down Maintenance, Breakdown Maintenance , Minor dan Mayor overhaul, Perawatan tidak terencana (unplanned mainlenance), Emergency maintenance terhadap analisis keamanan Wire Rope dan Siklus perawatan pada portal scapper.
ANALISIS DAN PERAWATAN PADA WATER TREATMENT PLANT (WTP) PLTU X
Authors: Wahyudin Akbar Reza , Raihan Anung , Adrian Muhammad Fadil , Agustian Ridho , Darian Muhammad Azel , Ramadhan A Moh. Fadhilah , Paundra Fajar , Ito Yonathan
Published: August 2024

Water Treatment Plant (WTP) merupakan komponen penting dalam Pembangkit Listrik Tenaga Uap (PLTU) yang bertanggung jawab untuk memproses air menjadi air bersih yang dapat digunakan dalam berbagai proses operasional, termasuk pendinginan dan pengolahan boiler. Studi ini bertujuan untuk melakukan analisis menyeluruh terhadap proses dan perawatan yang terkait dengan WTP di PLTU, dengan fokus pada efisiensi operasional, kualitas air yang dihasilkan, dan keandalan sistem. Metode penelitian yang digunakan meliputi tinjauan literatur, pengumpulan data lapangan, dan analisis data yang sistematis. Hasil analisis menunjukkan bahwa proses perawatan dan pengelolaan WTP memiliki dampak signifikan terhadap kinerja keseluruhan PLTU. Perawatan yang teratur dan terstruktur, termasuk pemeliharaan preventif dan pembersihan berkala, ditemukan memiliki pengaruh positif terhadap kualitas air yang dihasilkan dan mengurangi risiko gangguan operasional. Selain itu, analisis juga mengidentifikasi beberapa tantangan yang dihadapi dalam menjaga keandalan dan efisiensi sistem, seperti pengelolaan limbah kimia, peningkatan efisiensi penggunaan air, dan adaptasi terhadap perubahan kondisi lingkungan. Berdasarkan temuan ini, rekomendasi diberikan untuk meningkatkan praktik perawatan, termasuk implementasi teknologi canggih untuk pengelolaan air dan pemantauan sistem secara real-time. Penelitian ini memberikan kontribusi yang signifikan dalam pemahaman terhadap analisis dan perawatan WTP di PLTU, serta memberikan wawasan yang berharga untuk pengembangan praktik terbaik dalam industri energi.
Metode Pemeliharaan Generator Sinkron Pada Unit PLTP
Authors: Purba Leonardo Dicaprio , Andi Andi , Ardiansah Eko , Hilman Muhammad Ridho , Pranajaya Rangga Bayu , Al Farisi Salman , Paundra Fajar
Published: August 2024

Pemeliharaan generator merupakan serangkaian kegiatan yang dilakukan guna menjaga dan memastikan komponen generator dalam kondisi yang baik dan optimal, sehingga kinerja serta keandalan komponen generator dapat dipertahankan dengan maksimal. Proses pemeliharaan ini mencakup berbagai tindakan seperti pemeriksaan berkala, perawatan rutin, penggantian suku cadang yang aus, dan perbaikan jika diperlukan. Tujuan dilakukannya penelitian ini adalah untuk memastikan kinerja optimal generator dalam memproduksi energi listrik yang stabil dan berkelanjutan. Penelitian ini menguraikan secara mendalam metode pemeliharaan preventif, prediktif, dan korektif yang diterapkan pada generator sinkron di PLTP. Pemeliharaan preventif meliputi inspeksi rutin, pengujian, dan penggantian komponen secara terjadwal untuk mencegah kerusakan. Pemeliharaan prediktif menggunakan teknik monitoring kondisi dan analisis tren untuk mendeteksi potensi kegagalan sebelum terjadi. Sedangkan pemeliharaan korektif dilakukan setelah terjadi kegagalan untuk memperbaiki atau mengganti komponen yang rusak. Hasil penelitian diharapkan dapat membantu PLTP dalam mengoptimalkan program pemeliharaan generator sinkron, sehingga meningkatkan keandalan pasokan listrik dan efisiensi operasional.
Pengaruh Variasi Suhu Terhadap Sifat Kekerasan Baja Aisi 1045 Pada Proses Heat Treatment Dengan Media Pendingin Oli
Authors: Sukarno Nota Ali , Azis Abdul , Vebriyadi Herido , Sampurno Carolus Borromeus Krishna
Published: August 2024

Untuk mendapatkan sifat mekanik dari suatu material adalah dengan perlakuan panas (heat treatmen) dan pengontrolan dari pendinginannya. Proses hardening dan quenching adalah salah satu dari perlakuan panas yang sering digunakan. Pada penelitian ini, baja AISI 1045 dilakukan perlakuan panas dengan variasi temperatur 750 °C, 800 °C dan 850 °C, holding time 40 menit kemudian di quenching dengan media oli SAE 20W-50. Dari hasil pengujian tersebut, didapatkan nilai kekerasan optimum didapatkan pada suhu 850 °C dengan nilai kekerasan 26,80 HRC dari sebelum dilakukan perlakuan panas yaitu 12,48 HRC. Disebabkan proses heat treatment dengan suhu tinggi yang diikuti oleh proses pendinginan cepat juga mempengaruhi tingkat kekerasan, semakin tinggi suhu semakin tinggi kekerasannya
Relationship between strain energy and alveolar overdistension in patients with acute respiratory distress syndrome: The research protocol
Authors: Laikitmongkhon Jakkrit , Sutherasan Yuda , Junhasavasdikul Detajin , Gulapa Kridsanai , Theerawit Pongdhep
Published: August 2024

Background: Energy produced during mechanical ventilation has been es¬tablished as a contributor to mortality in acute respiratory distress syndrome (ARDS) patients, elucidated through ventilator-induced lung injury (VILI). How¬ever, the potential association between strain energy, an engineering-based concept, and the risk of VILI remains unexplored.
Objectives: This study aims to investigate the correlation between strain en¬ergy and alveolar overdistension and the relationship between strain energy and single-breath mechanical power (MP) calculated by a simplified formula in patients with ARDS.
Methods: A prospective observational study will be conducted on moderate to severe ARDS patients under sedation and paralysis. We will gradually reduce positive end-expiratory pressure (PEEP) by two cmH2O every two minutes from 20 to 8 cmH2O in pressure-controlled ventilation mode. During decremental PEEP titration, patients would be monitored simultaneously for esophageal pressure and electrical impedance tomography (EIT). Data gathered from the mechanical ventilator and EIT during the decrementing PEEP titration were fo¬cused on seven PEEP levels: 20, 18, 16, 14, 12, 10, and 8 cmH2O, providing a dataset of 7 events per patient for analysis. Strain energy and single-breath MP were calculated from ventilator parameters, while EIT provided data on alveolar overdistension.
Hypothesis: We hypothesized that strain energy and single-breath mechanical MP correlate with alveolar overdistension in ARDS patients.
Conclusions: This study aims to assess the correlation between strain energy and alveolar overdistension, as well as the correlation between strain energy and single-breath MP in ARDS patients.
Ethics and dissemination: The study protocol has been approved by the fac¬ulty of medicine ethics committee, Ramathibodi Hospital, Mahidol University (COA MURA2023/718).
Trial registration: TCTR20240320001
Pendekatan Teori Gestalt dengan Teknik Kursi Kosong untuk Meningkatkan Tanggung Jawab Belajar Peserta Didik
Authors: Azizah Nur
Published: August 2024

The method in this research uses qualitative methods and the type of research is an indepth case study. The subjects in this study were counseling guidance teachers, homeroom teachers and students. The data collection technique uses observation, interview and documentation techniques. Sampling from class 7b an there are 8 student who are low in responsibility. The result of this study, that the researcher performs group counseling services on the gestalt theory approach with the empty chair technique. In that case, students are able to express and solve the problem. That way, students experience changes and increases in their learning responsibilities.
Bone Bridge Transtibial Amputation by an Innovative Technique
Authors: Bezsmertnyi Yurii Oleksiiovych , Shevchuk Viktor Ivanovych , Bezsmertnyi Oleksandr Yuriyovych , Branitsky Oleksandr Yuriyovych , Bondarenko Dmytro Vadymovych
Published: August 2024

We present a case report of synostosis after transtibial amputation because of distraction regenerate formation after decortication of the lateral surfaces of the tibia and fibula, sequential compression, and distraction using the Ilizarov apparatus. Its advantage is that there is no need to shorten bone. The establishment of distal tibia-fibula synostosis (Ertl) in patients with transtibial amputation has been advocated to improve function and prosthetic wear. There are a variety of techniques to create a bone block. This case reports the successful use of an innovative technique to establish bone block. A patient with transtibial amputation underwent revision of residual limb by decorticating the lateral aspect of the distal tibia and the medial aspect of the distal fibula and acutely compressing the distal ends of the 2 bones with the Ilizarov apparatus. The distal fibula is then slowly and progressively distracted laterally, and the bone is formed in the space between the distal fibula and tibia, creating synostosis with an increased distal bone cross-sectional surface area for improved function and prosthetic wear. The follow-up period was 24 months. Within 3 months, synostosis was formed, which increased the area of the supporting surface and allowed temporary and then permanent prosthetics. After 24 months, synostosis did not differ from the structure of tibial stump bones.
Vascularized Transfer of Second Metacarpal Base for Treatment of Capitate Osteonecrosis
Authors: Leis Amber , Tiourin Ekaterina , Geissler Jacqueline , Stevanovic Milan
Published: August 2024

Background:

Capitate osteonecrosis is a rare condition that mainly presents in young patients with chronic wrist pain. Treatment aims to address pain, arthritic changes, or carpal instability.

Methods:

We present the surgical technique and outcomes of using a vascularized pedicled second metacarpal base transferred on the second dorsal metacarpal artery to treat capitate osteonecrosis in a 20-year-old female secretary, former gymnast, and a 25-year-old female student with acute lymphoblastic leukemia. These patients presented with idiopathic chronic wrist pain with MRI showing capitate osteonecrosis with preserved carpal height and intact articular cartilage.

Results:

After 2 years of follow-up, both patients endorsed pain resolution and demonstrated preservation of wrist motion and grip strength with evidence of capitate healing on plain radiographs. Case 1 demonstrated grip strength 60 lbs., pinch strength 5 lbs., and wrist flexion-extension arc of 70 to 80°. Case 2 had grip strength 31 lbs., pinch strength 9 lbs., and wrist flexion-extension arc of 40 to 30° on the left.

Conclusion:

Vascularized pedicled second metacarpal base transferred on the second dorsal metacarpal artery can be successfully used in the management of capitate osteonecrosis and offers advantages over other vascularized bone grafts for capitate osteonecrosis.
METODE CROSS CYLINDER UNTUK PEMERIKSAAN ASTIGMATISME RENDAH
Authors: Wijaya Toni , Budiana M. Wahyu , Wahana Dika Lorentius
Published: August 2024

Salah satu timbulnya keluhan penglihatan pada penderita astigmatisme dengan axis yang tidak tepat adalah kurang tajam penglihatan, ketidaksempurnaan (distorsi) tajam penglihatan, berbayang atau tampak ganda saat melihat objek. Penentuan aksis pada penderita astigmatisme dapat dilakukan dengan tehnik pengaburan dan silinder silang. Pada karya tulis ini, penulis menggunakan pengumpulan data yang bersifat deskriptif dengan kepustakaan salah satunya karangan Andrew William Keirl dengan judul buku ”Clinical Optics and Refraction: A Guide for Optometrists, Contact Lens”. Tujuan dari teknik pemeriksaan refraksi menggunakan kedua metode tersebut di atas pada penderita astigmatisme adalah untuk mendapatkan kenyamanan penglihatan bagi penderita astigmatisme.
Kata Kunci   :           Tajam Penglihatan, Astigmatisme, Deskriptif, Refraksi subjektif  Kenyamanan Penglihatan.
PEMERIKSAAN REFRAKSI SUBYEKTIF PADA PENDERITA PRESBYOPIA DENGAN STATUS REFRAKSI EMMETROPIA
Authors: Setyana Imam , Tarigan Nensi Mesrani , Nugraha Opep Cahya
Published: August 2024

Abstract
 
Accomodation is a mechanism that regulates the focus of the eyes to respond to visual stimulation by changing the refractive power of the crystaline lens. To focus near object, the cilliary muscle contracts which changes the shapes of the lens. However with increasing age, elasticity of the lens decreases causing anomalies of accomodation called presbyopia. The teatment of presbyopia is the prescription of appropriate convex glasses for near work. In this paper, the writer uses descriptive methods from the library data regarding subjective refraction to find the correction lens diopters to reach the best visual acuity.
 
Keywords:      Pattern, Single Vision Sphero Cylinder Lenses, Descriptive, Accurate, Quality
FITTING IDEAL DAN PENGARUHNYA TERHADAP KESTABILAN LENSA KONTAK LUNAK TORIK
Authors: Kusumah Darma , Simarmata Murni Marlina , Doringin Ferry
Published: August 2024

Toric soft contact lenses are contact lenses that have silinderstrength so they can be used to correct astigmatism disorders. The difference in meridian strength involves a difference in thickness that affects the stability of the toric soft contact lens that is attached to the eye. One of the problems most frequently complained of by users of toric soft contact lenses is unstable visual acuity where when the soft toric contact lens is used the vision becomes unclear due to the soft toric contact lens that is attached to the eye rotating so that the axis shifts. This is often caused by the inaccuracy of contact lens Fitting that has not been carried out before trial installation, so conducting a trial first in recommending toric soft contact lenses is very important to ensure the stability of soft toric contact lenses when worn by users. This paper aims to determine and discuss that the ideal Fitting assessment greatly affects the stabilization of toric soft contact lenses.
EFFECT ON PROMOTION AND SERVICE QUALITY ON CUSTOMER SATISFACTION IN PADANG OPTICS
Authors: Wesnita Alvia , Elfia Mega , Pascaselnofra Amril Alwa
Published: August 2024

This scientific paper aims to determine the relationship between promotion and service quality on customer satisfaction in Optik Padang. This type of research is descriptive quantitative. The study population was 101 Optics Minang Padang customers, the sampling was randomly proportional to the number of 50 customers. The results of the univariate multiple regression analysis Promotion in Optik Minang Padang, the R value is 0.142. The value of R Square (R2) is 0.02 which means (2%) the value of promotion contributes to customer satisfaction with a significance of 0.021 where the p value is <0.05. Meanwhile, Padang Minang Optical Service Quality Value R Square (R2) of 0.243 means (24.3%) the value of service quality contributes to the significance of customer satisfaction by 0.000, which p value <0.05. Furthermore, the results of the multiple regression R test of 0.493 which shows a significant simple regression coefficient. quality of service to customer satisfaction. The value of R Square (R2) is 0.256 which means (25.6%) Significance of 0.001 where the p value is <0.0. Based on the results of this study, it is suggested to the Optic Owner to increase promotion and service quality and that RO can work professionally.
FAKTOR- FAKTOR YANG MEMPENGARUHI TERJADINYA KATARAK PADA PETANI DI GARUT
Authors: Tegar Satria , Budiana Wahyu , Cahya Nugraha Opep
Published: August 2024

This study aims to determine the factors that influence the occurrence of cataracts in farmers in Garut.  This research uses quantitative methods by observing and questionare.  The population in this study were all farmers in Garut by taking a sample of 40 people.  The result showed that cataracts occurred by factors, including aging (degenerative cataract) by 20%, not using eye protection when working by 85%, exposure to sun light with a long duration of 85% and lack attention to eye health by 75%.
GAMBARAN HASIL STATUS REFRAKSI PEDAGANG DI PERUMAHAN ALEKTRO WILAYAH PENJARINGAN JAKARTA UTARA
Authors: Yusuf Suroso Urip , Zakiati Umami Nisa , Efendi Zakaria
Published: August 2024

This study aims to determine how much the refraction status of traders in Alektro Penjaringan housing, North Jakarta. The research method used is quantitative with a descriptive approach, by conducting a subjective examination the researcher can find out the results of the patient being examined. The sample of this study used a saturated sampling technique, the traders in the Alektro Penjaringan housing estate, North Jakarta, taking data through observation, interviews and documentation. From the results of this study, it can be concluded that the refractive status that has been checked is 50% for emmetropia and 50% for ametropia. Researchers suggest educating every refractive examination to patients so that they do not experience advanced diseases such as cataracts
PEMERIKSAAN PENDERITA PRESBYOPIA DENGAN STATUS REFRAKSI HYPERMETROPIA, MYOPIA, ASTIGMAT DAN EMETROPIA MASYARAKAT CILANDAK PERIODE JANUARI 2023
Authors: RIZKI ABDILLAH BUNYAMIN , Cahya Nugraha Opep , Supandi Hanie
Published: August 2024

The inability of a person to see close objects clearly can occur for several reasons, including presbyopia. Meanwhile, a person's inability to see distant objects clearly can occur for several reasons, including because his eyes have hypermetropic refractive status, myopia, astigmatism and emmetropia. This research was carried out using a descriptive method through a quantitative approach. The results showed that of the 53 Cilandak people who received a subjective refraction examination with optic 688, they were presbyopic patients with right (26.4%) and left (28.3%) hypermetropia refractive status, right and left myopia (41.5%), left com astigmatism (22.6%), right com astigmatism (18.9%), right sim astigmatism (13.2%), left sim astigmatism (15.1%), and right emmetropia (31.1%) and Emmetropia left 28.3%). In the examination of subjective refraction, determining the size of spectacle lenses for far vision for patients with hypermetropia is based on a concept, namely by providing the largest spherical lens that can produce the best vision. Meanwhile, for myopia, the weakest spherical correction lens is provided. For astigmatism, cylindrical correction lenses are given, determining the size of spectacle lenses for near vision for presbyopia sufferers with hypermetropia refractive status, which is the accumulation of lens diopters for far vision and addition. It can be concluded that the ultimate goal of examining subjective refraction in patients with presbyopia with hypermetropia, myopia and astigmatism is to determine the appropriate lens size, so that glasses made with these sizes can function as a visual aid.
PENGARUH KELENGKUNGAN LENSA POLYCARBONATE TERHADAP PEMBUATAN BEVEL UNTUK FRAME SEMI RIMLESS DENGAN MESIN AUTO GROOVER
Authors: Nugraha Opep , Rizki Abdillah Bunyamin , Supandi Hanie
Published: August 2024

Auto groover is a tool used to produce lenses with hidden bevels so that there are parts of the rope tied to the resulting bevel and are used on semi rimless or half frame types. This can be affected by the thickness and curvature of the lens, so this study wants to prove how exactly are polycarbonate lenses made with good bevels.
 This research uses a descriptive method. The initial screening was conducted by reading the titles and abstracts by using search engine with keyword “Polycarbonate Lens AND Bevel Type AND Autogroover” in the journals ScieneDirect, Plos One, and in Bahasa Google Scholar.
Based on the results of the journal search it was concluded that making bevels in an optical dispensing laboratory using an autogroover machine requires high precision and skill from practitioners so that glasses can be produced according to the type of frame chosen by the patient.
Implementasi Kegiatan Projek Penguatan Profil Pelajar Pancasila (P5) pada Kurikulum Merdeka dalam Mencegah Perilaku Bullying Pelajar di SMKN 6 Medan
Authors: Ramadhani Rini , Siregar Rizka Fahruza , Elfina Hetty
Published: August 2024

Bullying is one of the serious problems in the world, where it can damage the physical and mental well-being of the parties involved. The problem of bullying cannot be ignored, especially in a school environment where at those ages a person is experiencing growth that is very important for their future. Prevention of bullying can also be done through activities in schools, one of which is the Pancasila Student Strengthening Project (P5) program. This research was conducted by describing findings in the field related to P5 activities in preventing bullying behavior. This research is descriptive research with a qualitative approach. Data collection through socialization (workshops), field observations, provision of diagnostic and formative assessments, and in-depth interviews with informants of research objects. Data analysis is carried out in stages of data reduction, data presentation, and conclusion drawing. Build their mind and body to be able to provide information about bullying so that participants can respond wisely in the future. The methods used are socialization (workshop), observation, discussion, brainstorming, challenges and project benefits. The selection of students at vocational schools as the object of research is due to the rampant bullying of students in schools
Menumbuhkan Kedisiplinan Anak Usia Dini melalui Permainan Tradisional Ajang-Ajangan dan Oray-rayan
Authors: Hafid Muhammad , Ishari Nurhafid
Published: August 2024

Metode yang tepat dalam mengembangkan kedisiplinan anak adalah dengan mengembangkan permainan  tradisional, karena permainan tradisional  memiliki aturan yang jelas dan penuh keuletan, sehingga proses pembelajaran ini menimbulkan kepatuhan anak terhadap aturan tersebut. Permainan tradisional dirasa sesuai untuk diajarkan kepada siswa dan siswi TK/RA, dikarenakan dapat menumbuhkan rasa cinta terhadap budaya lokal. Kedisiplinanpun akan terbentuk secara bertahap dalam proses permainan ini. Proses penelitian yang dilakukan ini untuk mengetahui pembentukan kedisiplinan siswa tingkat RA/TK. Salah satu metode yang digunakan peneliti adalah model Elliot, menggunakan instrumen sebagai berikut, lembar observasi, dokumentasi, pedoman dalam penilaian, catatan lapangan. Peneliti berharap kepada seluruh pihak, nantinya untuk mengembangkan penelitian ini. Tidak hanya terfokus pada pengembangan kedisiplinan anak, namun juga mengembangkan minat dan bakat anak dalam menjalin interaksi.
Modernisasi Sistem Pendidikan Pondok Pesantren Bustanul Ulum Krai Lumajang dalam Konteks Perubahan Sosial
Authors: Aisyah Ain Siti , Muttaqin Ahmad Ihwanul
Published: August 2024

Penelitian ini hendak melihat persoalan yang menarik di pondok pesantren yakni transformasi kepemimpinan. Seperti diketahui, keberadaan pesantren tidak bisa dipisahkan dari Kiai sebagai pendiri, pemilik dan pengasuh pondok pesantren. Kiai merupakan figur sentral di dalamnya. Kiai muncul sebagai sosok yang kharismatik dan cenderung “otoriter”. Namun seringkali muncul problematika dalam proses suksesi kepemimpinannya. Kerapkali para penerus pendiri, tidak memiliki kharisma dan pengaruh yang sama dengan pendahulunya. Keadaan ini membuat pesantren mengalami penurunan kualitas output dan membuat sebagian pesantren gulung tikar. Atas dasar itulah, penulis ingin melihat bagaimana pesantren melakukan perubahan-perubahan pola kepemimpinan. Fokus penelitian adalah: 1) Bagaimana pola kepemimpinan pengasuh Pondok Pesantren Bustanul Ulum Krai Yosowilangun Lumajang dalam menghadapi konteks perubahan social. 2) Bagaimana sistem Pendidikan unit Pondok Pesantren Bustanul Ulum Krai Yosowilangun Lumajang dalam menjawab tantangan modernisasi. Dari hasil penelitian ditemukan bahwa untuk menjaga eksistensi pesantren, para penerus melakukan perubahan pola kepemimpinan, dari pola tunggal menjadi kepemimpinan kolektif kolegial dan berbentuk yayasan. Hasilnya, eksistensi pesantren dapat tetap terjaga, dan hingga hari ini pesantren mengalami perkembangan yang cukup maju.
Pengembangan Kurikulum Pesantren Modern dalam Meningkatkan Mutu Pendidikan Islam
Authors: Lestari Ayu , A’yun Qurrati , Suwari
Published: August 2024

Proses pengembangan kurikulum yang diterapkan di Pesantren Pendidikan Islam Darul Hikmah Senduro berpengaruh pada mutu pendidikan di Pesantren Pendidikan Islam Darul Hikmah Senduro. Dalam hal ini ada faktor pendukung dan penghambat pengembangan kurikulum Pesantren Pendidikan Islam Hikmah Senduro. Penelitian ini merupakan penelitian kualitatif dengan menggunakan pendekatan studi kasus. Pengumpulan data di dalam penelitian ini di lakukan dengan cara wawancara mendalam dan juga studi dokumentasi sedangkan analisi datanya menggunakan interaktif model. Seluruh data yang telah di peroleh di analisis kemudian di sajikan dan ditarik kesimpulan. Hasil dari penelitian ini menunjukkan bahwa pengembangangan kurikulum di Pesantren Pendidikan Islam Darul Darul Hikmah terdiri dari kurikulum pendidikan formal yang proses pengembangannya mengikuti kementerian yang menaunginya. Sedangkan proses pengembangan kurikulum Pesantren Pendidikan Islam Darul Hikmah tidak terstruktur dengan baik, sehingga hasil dari pengembangan kurikulum yang dilakukan menghasilkan mutu yang tidak merata. Mutu Pendidikan di Pesantren Pendidikan Islam Darul Hikmah kurang, baik dari segi tenaga pendidik maupun hasil belajar santri serta jumlah santri yang masih sedikit. Kerena pengembangan kurikulum yang dilakukan oleh Pesantren Pendidikan Islam Darul Hikmah tidak terstruktur dengan baik.; faktor pendukung pengembangan kurikulum Pesantren Pendidikan Pesantren sumber dana yang memadai karena pesantren ini masih berkembang, adapun faktor penghambat yaitu tidak adanya tenaga ahli dalam pengembangn kurikulum, kurangnya tenaga pendidik yang berkompeten pada bidang yang diampu  dan  kurangnya  manajemen  Pesantren  Pendidikan  Islam  Darul  Hikmah  dalam  mengembangkan kurikulum.
Perubahan Paradigma Pendidikan di Pesantren: Rekontekstualisasi Pendidikan Islam di Era Kontemporer
Authors: Ghofur Abdul , Syuhud
Published: August 2024

Pesantren adalah lembaga pendidikan Islam yang didirikan yang memiliki sejarah panjang di Indonesia dan sangat penting untuk mempertahankan dan memperluas pengetahuan Islam. Selain itu, ciri-ciri Muslim Indonesia sebagian dibentuk oleh pesantren. Pesantren unggul dalam mewariskan pengetahuan dan melestarikan tradisi, membuat mereka mendapat gelar "kejeniusan lokal". Pesantren bersaing dengan sekolah-sekolah yang disetujui pemerintah selama Orde Baru. Pesantren merupakan lembaga pendidikan Islam tradisional, dan keberadaannya juga dipengaruhi oleh pola kehidupan manusia kontemporer. Pesantren beradaptasi untuk bertahan dalam bisnis, namun tetap mempertahankan kebiasaan yang telah diwariskan selama bertahun-tahun. Kurikulum, struktur pendidikan, dan fokus pendidikan semuanya telah diubah oleh pesantren.
Peningkatan Manajemen Sumber Daya Manusia Untuk Meminimalisir Pernikahan Dini melalui Seminar Dakwah Pra Nikah
Authors: Arifin Zainul , Afandi Ahmad Muzakki , Mufid Satuyar , Rosul Umana Ur
Published: August 2024

Tujuan dari penelitian ini menganalisis kegiatan peningkatan manajemen sumber daya manusia (MSDM) yang diprogramkan oleh Lembaga Kemasalahatan Keluarga Nahdlatul Ulama (LKKNU) Lumajang. Kegiatan ini dilakukan melalui kegiatan pelatihan dan pengembangan berbasis kompetensi seperti mengembangkan keterampilan, pengetahuan, dan citra diri sumber daya manusia (SDM) di Lumajang, serta memastikan penempatan SDM Tersebut sesuai dengan keterampilan dan pengetahuan yang dimiliki. Kegiatan lainnya melalui mengadakan workshop, rapat evaluasi, serta memberikan edukasi seperti kursus menjahit, memasak, budidaya, kreativitas kerajinan tangan, dan perbengkelan untuk meningkatkan kualitas SDM dalam manajemen konflik pernikahan dini. Penelitian ini menggunakan metode deskriptif kualitatif, dengan informan menggunakan teknik pengumpulan data melalui wawancara, reduksi, penyajian data, dan penarikan kesimpulan. Hasil penelitian ini  menunjukkan bahwa optimalisasi komunikasi organisasi dalam manajemen konflik pernikahan dini di LKKNU Lumajang mengacu pada peningkatan kualitas komunikasi antara angka keluarga, penghargaan, dan pemangku kepentingan untuk mencapai harmoni dan kerjasama. Sehingga komunikasi organisasi yang efektif dapat membantu pasangan dalam memahami dan mengelola konflik yang mungkin timbul dalam pernikahan dini.
Religious Moderation in Islamic Films (Buya Hamka Volume 1 Semiotic Analysis)
Authors: Munawaroh Siti Raudhotul , Rachman Rio Febriannur
Published: August 2024

This study reveals the values ​​of religious moderation contained in the Islamic film Buya Hamka Volume 1 (hereinafter written as Buya Hamka), through Charles Sanders Pierce's semiotic analysis. The film Buya Hamka is a film that was released in 2023. This film tells the life story and thoughts of Buya Hamka, a prominent Islamic figure in Indonesia. The purpose of this study is to analyze the signs or symbols used in the film Buya Hamka to represent Islamic values ​​and religious moderation. In addition, this research aims to understand the messages that are intended to be conveyed to the audience about religious moderation. The theory used is religious moderation which was popularized by Masdar Hilmy, and also the concept of religious moderation was told by Abdul Aziz and Khoirul Anam in the book Moderasi Beragama Berlandaskan Nilai-Nilai Islam (Religious Moderation Based on Islamic Values). The method used in this study is qualitative with Charles Sanders Pierce's semiotic analysis approach. The conclusion of this study is: 1) the Buya Hamka film successfully represents religious moderation through the use of relevant signs or symbols; 2) The characters in the film show an attitude of deep understanding of religion and peaceful conflict resolution.
A review of global carbon emission management studies
Authors: Deng Jinxi
Published: August 2024

Under the background of climate warming, the importance of global carbon emission management has become more and more significant. This article reviews and organizes the existing literature on carbon emission management, focusing on the research status from the perspectives of economic instruments for carbon reduction and international cooperation. It explores the economic effects of different policy tools and the emission reduction measures of various countries. This article intends to see the progress and shortcomings of global climate governance through the organization of past research results and provide directions for future research.