bluuebunny/crossref_metadata_2025 huggingface dataset:
Praktik Jual Beli Dalam Kerja Sama Tebar Benih Ikan KOI Prespektif Fiqih Muamalah (Studi Kasus di Desa Gododeso Kecamatan Kanigoro Blitar)
Authors: Andi Ardiyan Mustakim
Published: July 2023

Perkembangan bisnis ikan Koi di Blitar berkembang sangat pesat dan masyarakat banyak yang menekuninya. Jika bisnisnya berhasil, maka keuntungan yang didapat sangat tinggi. Praktik kemitraan menjadi salah satu yang berkembang khususnya di desa Banggle Kecamatan Kanigoro Kabupaten Blitar Jawa Timur. Dengan latar belakang pendidikan yang beragam, berpotensi melakukan praktik kemitraan yang tidak sesuai dengan fiqih muamalah. Metode yang digunakan dalam penelitian ini adalah kualitatif yang bersifat deskriptif dengan cara berpikir induktif. Pendekatan yang digunakan adalah pendekatan fenomenologi. Analisis data dalam penelitian ini dilakukan tiga tahap, yaitu pengumpulan data, reduksi data, dan verifikasi data. Temuan penelitian adalah Tlogo Fish dan mitra lainnya termasuk bentuk syirkah yang diperbolehkan dalam fiqih muamalah. Syirkah tersebut dalam kategori syirkah ‘inan fi al-amwa>l al-muqayyadah atau berdasarkan jenis modal yang dijadikan kemitraan yaitu berupa ikan Koi maka termasuk dalam syirkah al-baha>im.
Sistem Pendukung Keputusan Menentukan Siswa Berprestasi dengan Metode SAW (Simple Addtive Weighting)
Authors: Setyani Isnia Anjar , Sipayung Yoannes Romando
Published: July 2023

MI Kalirejo is an Islamic Madrasah located in Kalirejo Village, East Ungaran District, Semarang Regency. Based on the number of students who have achievement in academic and non-academic fields, a process is needed to determine student achievement. Currently MI Kalirejo still uses the manual method in the assessment process and only through the results of report cards in determining outstanding students. The author is interested in building a website-based decision support system in determining outstanding students based on predetermined criteria, so that it can help make it easier for school institutions to process and determine appropriate, fast and accurate assessments there are several criteria such as the average value of report cards, attitude scores. This system designs and creates and implements a website-based decision support system using the Simple Additive Weighting method. In this study, researchers collected data throught observation and interviews. Then the researchers used the waterfall method in system development. In testing the system using a black box to obtain accuracy results. The conclusions obtained in making a decision support system in determining outstanding students using simple additive weighting based on a website are obtained alternative values from the result of calculations that have been carried out. The author shows accuracy of 100% using the sample and population of Sugiono’s theory. From the result of calculations using the SAW method, it shows that alternative A2 is obtained by a student named Faeza with a value of 1 in the first rank. Thus alternative A2 students on behalf of Faeza were chosen as the best alternative to achieve achievements as outstanding students at MI Kalirejo. Based on the trials and the resulting values have the same result so that the purpose of making this website has been achieved
System 1 vs. System 2 Thinking
Authors: Da Silva Sergio
Published: July 2023

Most cognitive psychologists now accept the dual-processing theory of the mind, Systems 1 and 2, but there are some who disagree. Most evolutionary psychologists, in contrast, deny the existence of System 2, a domain-general mind, but there are some who disagree. This entry shows that a consensus is emerging in favor of System 2, but the challenges raised by evolutionary psychologists must be addressed.
Makna Karikatur Cover Majalah Tempo Edisi September 2019 Studi Semiotika Roland Barthes
Authors: Ningtyas Dito Anjasmoro , Haikal Haikal , Ariska Yogi , Kusnadi Eddy
Published: July 2023

The tempo magazine is one example of mass media that is much in demand by the public. The contents are interesting, making the magazine still exist today. The widespread use of caricature drawings on uncover ethical magazine covers raises polemic for the public, but also to find caricature meaning on the cover of the September 16, 2019 edition of Tempo, to uncover what the purpose of using pictures or messages to look for is to create a magazine cover, research methods used is qualitative with Roland Barthes theory where Roland Barthes theory discusses semiotics and myths. One of the results of this research is the balanced tempo magazine in conveying the conclusions of a story. It is hoped that the magazine will continue to be consistent in presenting balanced and factual data.
ВИМІРЮВАННЯ ВИКИДІВ NOх ГАЗОВИХ КОТЛІВ
Authors: ІВАСЕНКО Віталій
Published: July 2023

Розглянуто проблему контролю та максимальної ефективності роботи паливовикористовуючого обладнання (котли), що працюють на природному газу. Cеред токсичних газів, що містять димові гази енергетичних об’єктів (ТЕЦ, котельні), значне місце посідають оксиди азоту (NO, NO2, NOx). Аналіз відхідних газів дозволяє визначити концентрацію забруднюючих речовин і максимально налаштувати оптимальну роботу обладнання, досягнувши скорочення викидів та відповідність затвердженим державним екологічним нормам. Шляхом до оптимальної роботи обладнання є встановлення об’єму повітря, що подається на горіння. Все це потребує використання інструментального контролю (газоаналізаторів). Розглянуто принципи єдності вимірювання, що включають в себе подання результатів вимірювання в стандартних одиницях (ppm, мг/м3). Наведено перерахунок з об’ємної концентрації (ppm) в масову (мг/м3). Також  необхідність вимірювання вмісту кисню у відхідних димових газах при перерахунку значень концентрацій з «ppm» в «мг/м3», для паливовикористовуючого обладнання. Розглянуто принципи виробу місця для проведення  вимірювання концентрацій та параметрів відхідних газів. Виконання цих умов дозволяє підвищити точність вимірювання. Проведені вимірювання концентрації оксидів азоту, в перерахунку на діоксид азоту в залежності від надлишку кисню в паливовикористовуючому обладнанні. Досліджено утворення концентрації оксидів азоту, в перерахунку на діоксид азоту в залежності від навантаження при різних значеннях теплопродуктивності котла, що працює на природному газу. Розглянуті додаткові фактори (вологість та надлишку кисню), які можуть впливати на результати вимірювання викидів паливовикористовуючого обладнання. Обґрунтовано використання газоаналізаторів з одночасним вимірюванням оксидів азоту та кисню у вихідних димових газах для контролю дотримання нормативних викидів та ефективної роботи паливовикористовуючого обладнання.
Pemanfaatan Deep Convulutional Auto-encoder untuk Mitigasi Serangan Adversarial Attack pada Citra Digital
Authors: Kurniawan S Putu Widiarsa , Kristian Yosi , Santoso Joan
Published: July 2023

Serangan adversarial pada citra digital merupakan ancaman serius bagi penggunaan teknologi machine learning dalam berbagai aplikasi kehidupan sehari-hari. Teknik Fast Gradient Sign Method (FGSM) telah terbukti efektif dalam melakukan serangan pada model machine learning, termasuk pada citra digital yang terdapat dalam dataset ImageNet. Penelitian ini bertujuan untuk mengatasi permasalahan tersebut dengan memanfaatkan teknik Deep Convolutional Auto-encoder (AE) sebagai metode mitigasi serangan adversarial pada citra digital. Penelitian dilakukan dengan cara melakukan serangan FGSM pada dataset ImageNet dan melakukan mitigasi dengan menerapkan teknik AE pada citra digital yang telah diberi serangan. Hasil penelitian menunjukkan bahwa serangan FGSM dapat dilakukan pada sebagian besar citra digital, namun ada beberapa citra yang lebih tahan terhadap serangan. Selain itu, teknik mitigasi AE efektif dalam mengurangi dampak dari serangan adversarial pada sebagian besar citra digital. Akurasi model serangan dan mitigasi masing-masing sebesar 85.42% dan 87.50%. Meskipun masih ada beberapa citra yang rentan terhadap serangan meskipun telah diterapkan teknik mitigasi.
The Role of the Tambakberas Islamic Boarding School in the Jihad Resolution of the Laskar Hizbullah in the “10 November 1945 War” in Surabaya
Authors: Muhammad Subhan
Published: July 2023

The role and struggle of pesantren cannot be separated from Indonesian history. Behind the Indonesian Revolution war’s success, it turns out that the power of religion (Islam) plays an essential role in it, especially the role of Islamic boarding schools, which always contribute according to the times and conditions. With his desire to defend Indonesia’s homeland, the Ulama directly guided the santri so that the ranks of Laskar Hizbullah were formed. So the purpose of this research is to describe the role and contribution of the Tambakberas Islamic boarding school as the center of the Laskar Hizbullah in Jombang in fighting for and defending Indonesian independence. The method used is the historical method. There are heuristic or collecting sources; a critic or source criticism by looking for certainty of authentic or inauthentic sources; interpretation; and historiography. The results of this study provide information that the Tambakberas Islamic Boarding School, as the center of the Laskar Hizbullah in Jombang, has a role as the foundation for the formation of the Laskar Hizbullah in Jombang. Kiai Wahab Hasbullah, an accomplished leader in building a sense of nationalism in the Tambakberas Islamic Boarding School santri through the song Syubbanul Wathon (Hubbul Wathan), is in the spotlight, the primary place for regeneration training of Jombang Laskar Hizbullah. Spiritual education by Kiai Fattah Hasyim and Kiai Wahib Wahab became the primary movers in the Tambakberas Islamic Boarding School santri movement in the November 10, 1945 war.
Dynamical Analysis of a Local Lengley-Epstein System Coupled with Fractional Delayed Differential Equations
Authors: BALCI Ercan
Published: July 2023

We consider a system of fractional delayed differential equations. The ordinary differential version of the system without delay is introduced in the Lengyel-Epstein reaction-diffusion system. We evaluate the system with and without delay and explore the stability of the unique positive equilibrium. We also prove the existence of Hopf bifurcation for both cases. Furthermore, the impacts of Caputo fractional order parameter and time delay parameter on the dynamics of the system are investigated with numerical simulations. It is also concluded that for different values of time delay parameter, the decreament of the Caputo fractional order parameter has opposite effects on the system in terms of stability.
Optimizing transplantation procedures through identification of prognostic factors in second remission for children with acute myeloid leukemia with no prior history of transplant
Authors: Ishida Hisashi , Tsujimoto Shin-ichi , Hasegawa Daisuke , Sakaguchi Hirotoshi , Yamamoto Shohei , Yanagimachi Masakatsu , Koh Katsuyoshi , Watanabe Akihiro , Hama Asahito , Cho Yuko , Watanabe Kenichiro , Noguchi Maiko , Takeuchi Masanobu , Takita Junko , Washio Kana , Kato Keisuke , Koike Takashi , Hashii Yoshiko , Tabuchi Ken , Hino Moeko , Atsuta Yoshiko , Okamoto Yasuhiro
Published: July 2023

Not available.
A Partnership Model for Training Episodic Environmental Stewardship 4-H Volunteers
Authors: Young Jane , Alexander Janice , Smith Martin
Published: July 2023

The Marin Environmental Stewardship pilot project demonstrates the potential for a partnership model that brings together external and internal collaborators to recruit and train episodic 4-H volunteers to meet environmental education needs within a community. The clientele served by the volunteers trained through the project was at-risk, urban youth. In this model, the University of California Cooperative Extension provided project design and leadership, youth development professionals, and natural resources expertise. The community partner provided volunteers, training facility, transportation for field trips, community sites for service, and support material for program delivery. The resulting framework provided a strategy for other professionals.
Medical Ethics and Law
Authors: PAK Un-Jong
Published: July 2023

Modern medical technology should be protected and encouraged to develop as it is a product of free research of the human spirit and will eventually bring a considerable medical and economic benefit and ultimately promote the welfare of the mankind. However, on the other hand, negative aspects of the science and technology should be regulated since its abuse or misuse may cause irrecoverable harms to our society.
The Modern medical technology is accused of being intricate, prohibitively expensive and potentially dangerous. Due to the potential risk of the Modern technology in a way or another, there is a tendency to expand the scope of the "negligence liability” in the fields of the environment, mass-transportation, malpractice and the like. With the development of biotechnology, the scope of liability in medical care is increasing.
With the development in biotechnology, there has been a tendency to overemphasize the genetic features in medical care. Medical science was originally based upon “therapeutic medicine” rather than “predictive medicine”. However, nowadays the advancement of genetics triggers the medical science to advance towards the "predictive medicine" - such as genetic analysis prior to pregnancy and the like - outdoing the “therapeutic medicine”, and further towards the “creative medicine”.
“Predictive medicine may be used to encourage a so-called “defensive treatment” in order to avoid the risk of the malpractice suits. In order to reduce the social costs of such defensive treatment, the court should not compel physician to take every and all available diagnostic tests for the patient. Given that the defensive medical science has a tendency to expand the scope of the abnormality and the diseases, our legal system, at this stage, should work to limit the scope of such abnormality in medical diagnosis. In this regard, we should provide a place of discussion to enhance the mutual understanding between the legal scholars and the physicians.
The concept of the "informed consent" does not mean such relationship that one party enjoys a right and the other party merely bears obligation. Rather, the informed consent implies the interactive relationship in the process of decision-making. This is not an explanation in terms of the exchange of information, but a concept for ensuring a “partnership of the meaning” based on the mutual understanding. This concept could be understood as an expression of the social solidarity such as care and concern. In this regard, several misunderstandings concerning the “informed consent” should be dispelled.
An Analysis of the Factors Influencing Moral Judgment of Nurses
Authors: KIM Yong Soon , PARK Jee Won
Published: July 2023

For the nurses to make a moral judgment on their own initiative, it is necessary for them to have an adequate knowledge on the theories of ethics, on the ethical principles and the obligations, and on the systematic frameworks of application.
As a part of the study to inquire into the moral judgment levels of the nurses, 53 nurses, who had worked one year or more as clinical staff in hospitals after graduating from Junior Colleges of Nursing, have been surveyed, using the Korean version of DIT. The results of this survey were analyzed to find out the level of moral judgment of nurses and the factors that influence their moral judgment. A summary of the findings is as follows:
1. Out of three Moral Judgment Levels, responding nurses gave relatively high scores on the 3rd Stage(13.6) and the 4ih Stage(14.9) which belong to the Moral Judgment Level 2 conventional morality. They also gave 42.3 point on P Scone, which indicates that they rely on the ethical principle when they make moral judgment, and 18.8 point on D Score, which indicates the overall level of moral judgment. These scores, when compared with the result of the Korean Sample Survey, are higher than college student groups and lower than general adult groups.
2. For the most important consideration out of 12 items in making moral judgment in each of six stories, the predominant numbers of nurses selected the item that belong to the 4th Stage social system morality.
3. When analyzing the factors that influenced the moral development scores in each stage, it was revealed that the number of brothers was a very significant factor in the 1st, 2nd, 5lh, and 6th Stages higher the score when the number of brothers is larger in the 1st and 2nd Stage(Moral Judgment Level 1) and higher the score when the number of brothers is smaller in 5th and 6th Stage(Moral Judgment Level 3).
4. In analyzing the factors that influenced the Moral sudgment Index P and D, it was revealed that the level of education of father and the number of brothers influenced significantly for Index P, and that the age and the number of brothers influenced Index D. This indicated that the nurses with fewer number of brothers not only held higher level of moral judgment but also relied more on the ethical principles in making moral judgment.
It has a limitation in generalizing these findings, for it was based on a survey conducted among a small group of nurses. However, this study has its own significance in view of the fact that it was the first survey conducted in Korea on the moral judgment levels of nurses, which are important in making ethical decisions in exercising their profession.
Effect of Different Levels of Origanum Majorana Leaves Powder on Performance and Carcass Characteristics of Broiler Chickens
Authors: Souad Ahmad F. , Zakaria Hana , Tabbaa Mohammad J.
Published: July 2023

The prohibition uses of antibiotics and coccidiosis opens the door for research into the natural alternatives to be used to enhance animal performance. Origanum Majorana (OM) is a native plant in the Middle East which have many secondary nutritional components that affect broiler performance. Three hundred and seventy-five, one-day-old (Ross 308) broiler chickens were distributed to five treatments with three replicates per treatment. Treatment T1 was the positive control which had fed with a coccidiostat. T2 was the negative control, feeding without coccidiostat. T3, T4, and T5 had the same feed as T2 with 0.5%, 1%, and 1.5% of added OM leaf powder. The rearing period was extended to 35 days. Performance parameters were measured weekly. Four birds from each pen were slaughtered and carcass cuts were weighed. Breast and thigh meat samples were stored at 5Cο for 7 days, and meat color and pH were measured at days 1, 3, 5, and 7 of slaughtering. Feeding OM at a level of 0.5% showed a significant (P<0.05), increase in total feed intake and final body weight (3920 g, 2630.15g) compared to other groups. The lowest significant FCR was obtained in T4 on weeks 3, 4, and 5 (1.34, 1.33, and 1.51, respectively). There were no significant differences between treatments on thigh and breast L*, a*, b*, and meat pH. The L* value (59.19) for breast tends to be improved (P=0.0873) due to the use of 0.5% of OM In all treatments means the values of a*, b*, and meat pH increased significantly during the storage period while the value of L* was significantly reduced. Using OM will enhance the performance of broiler chickens and may improve the meat quality when it is used as a natural component substitute for coccidiostat and antibiotics.
Effectiveness of Focus Group Discussion Education on Health Cadres Knowledge of Managing Butterfly Pea Flowers and Red Guava Leaves
Authors: Majid Norhaini , Trisagita Natasya Gabryella , Muflih Muflih , Lanni Fransiska , Widaryanti Rahayu , Indrawati Fika Lilik , Padagas Reynold
Published: July 2023

Public knowledge concerning health, particularly the management of medicinal plants in both community and household settings, remains limited. Enhancing knowledge can be achieved through various interventions, such as focus group discussions (FGDs). This study aims to examine the impact of FGD education on improving the understanding of Butterfly Pea Flowers (Clitoria ternatea) and Red Guava Leaves (Psidium guajava L.) management on health cadres’ knowledge in Srimartani Village, Piyungan, Bantul, Yogyakarta. The research is categorized as a quasi-experimental group pre- and post-test, with a sample size of 14 participants from the female farmer group (known as Kelompok Wanita Tani/KWT in Indonesia) chosen via purposive sampling. The FGD education consisted of the opening, implementation, and closing phases, while data analysis employed a questionnaire and quantitative research techniques utilizing the Wilcoxon test (alpha = 0.05). The findings revealed that the average knowledge scores of the respondents increased from 7.43 to 20.64 after the FGD educational intervention. The Wilcoxon test yielded a p-value of 0.001, indicating a significant effect of FGD education on the management of butterfly pea flowers and red guava leaves. Therefore, FGD education demonstrated a noteworthy influence on knowledge of Clitoria ternatea and Psidium guajava management in Srimartani Village, Piyungan, Bantul, and Yogyakarta.
ПЕРСПЕКТИВЫ ИСПОЛЬЗОВАНИЯ ТЕХНОЛОГИИ ОБРАБОТКИ БОЛЬШИХ ДАННЫХ В СФЕРЕ ЦИФРОВОГО МАРКЕТИНГА
Authors: Бекмурзаев И.Д. , Бекмурзаева С.И.
Published: July 2023

С начала XXI века, цифровой маркетинг и наука о данных, значительно продвинулись в развитии. Расширились масштабы их использования и потенциальной выгоды, которую они способны сгенерировать для маркетинговой деятельности и предприятий в целом. Учитывая стремительное развитие информационных технологий, значительные изменения также постоянно претерпевает цифровой маркетинг и каналы цифровых маркетинговых коммуникаций. Прежде всего это проявляется в увеличении количества данных, которые могут генерироваться и собираться в электронных системах, а также в развитии средств к анализу этих данных. Все это постепенно приводит к появлению и эволюции новых направлений получения всей доступной информации от рынка и потребителей, и формирование маркетинговых стратегий на основе анализа этих данных.
ГЛОБАЛИЗАЦИЯ И ГЛОБАЛЬНОЕ УПРАВЛЕНИЕ МИРОВОЙ ЭКОНОМИКОЙ
Authors: Лепшокова С.М.
Published: July 2023

В статье рассматривается глобализация и глобальное управление экономикой мира. Глобальная экономика – это понятие, которое охватывает всю экономическую деятельность, которая осуществляется как в рамках экономической системы всех людей мира, так и между нациями. Она включает производство, потребление, управление экономикой, бизнесом в целом, обменом в финансовых сферах и торговле товарами и услугами. Феномен глобализации заключается не только в устранении барьеров на пути обращения капитала и товаров. На оси этой сети находятся рынок и транснациональные компании. В условиях глобализации, рынок выходит на первый план как определяющая динамика, а государство сужается. Цель исследования данной проблемы состоит в том, чтобы определить различие и сходство между международной и глобальной экономикой. Предмет исследования представлен глобальной управляемостью, формированием многосторонних отношений государств и развитием сотрудничества в международных организациях. Основной метод, использованный для написания статьи – анализ фактического материала по данной проблеме. Методология проведения исследования опирается на концептуальные положения о глобализации и глобальном управлении мировой экономикой. Материал статьи может быть полезно использован по проблеме развития экономики в мировом масштабе.
СОЦИАЛЬНО-ЭКОНОМИЧЕСКАЯ СУЩНОСТЬ И ОСНОВЫ СОВРЕМЕННОЙ БИРЖЕВОЙ ДЕЯТЕЛЬНОСТИ
Authors: Маршанов Б.М. , Узденова А.А.
Published: July 2023

Рассматриваются существенные факторы возникновения местных вращающихся институтов в период появления и развития биржевой торговли. Организация биржевой торговли.
Enhancing Congestion Control and QoS Scheduling Using Novel Rate Aware-Neuro-Fuzzy Algorithm in MANET
Authors: Mohan S. , Vimala P.
Published: July 2023

Mobile Ad Hoc Networks (MANET) provides a vibrant atmosphere wherein data may be substituted deprived of the necessity of human authority or a centralized server, as long as nodes work together for routing. As long as security throughout the multipath routing protocol and data transfer over many routes in a MANET is a difficult problem, this work offers a message security technique. This study presents the congestion control and QoS scheduling mechanism. The goal of this study is to examine standardized MAC protocols on MANET, to measure performance under various node densities and MAC protocols. Initially, this work presents the Centralized Congestion Detection method to detect congestion with baseline parameters. Accordingly, the congestion is avoided using Novel Rate Aware-Neuro-Fuzzy based Congestion Controlling strategy. This method effectively controls the congestion in the Network. This mechanism has been proposed which defines three levels of congestion based on which the data rate, throughput, overhead and delay. However, after controlling the congestion, the optimal routes are given to the packets by proposing an Ambient Intelligence-based Ant colony optimization quality-aware energy routing protocol (AIACOAR). This method finds the most efficient route to a destination and decreases the time and energy required. Accordingly, for securing the network against malicious attacks, an Elliptic Curve Cryptography (ECC) encryption mechanism is presented. Consequently, the multihop scheduler performs QoS-based scheduling in MANET. Schedulers in MANET take into account various QoS parameters such as end-to-end packet delay, packet delivery ratio, flow priority, etc. The proposed method is implemented using Matlab software, and the evaluation metrics are PDR, jitter, congestion detection time, delay, route selection time, and throughput. The performance of the proposed method is compared to the existing AIFSORP and LF-SSO techniques. While compared to these methods, the proposed method’s performance is improved in terms of PDR, delay, throughput, etc. The PDR value of the proposed method reaches approximately 99%, and it produces a very low delay. This produces reliable route discovery, optimized congestion control, and better QoS scheduling, therefore, these improve the system performance. In future, a recent bio-inspired technique is presented to even more minimize energy consumption and further improve the system's performance.
Factor analysis of dynamic capabilities on public health centers operation performance
Authors: Perdana Riky , Kartini Dwi , Azis Yudi , Kaltum Umi
Published: July 2023

Purpose: The purpose of this study was to determine how the variables of supply chain performance, performance of medical personnel, and occupancy overload affect operating performance moderated by dynamic capability variables. In a case study of public health center in Indonesia.Design/methodology/approach: This study uses the SEM-PLS quantitative method to analyze the questionnaire data obtained from 112 respondents consisting of medical administrators, nurses, and doctors. Validity and reliability tests were also used to ensure that the data were normally distributed and reliable.Findings: This study found that the supply chain performance variable and the performance of medical personnel had a positive effect on the operational performance of the public health center either through moderating the dynamic capability variable or not. Meanwhile, occupancy overload was found to have a negative effect on the operational performance of the public health center. And the moderating of the dynamic capability variable is only able to reduce its negative impact.Research limitations/implications: This study covers only a small number of public health center in Indonesia, so it is quite difficult to produce generalizable findings. This study also did not involve other internal and external variables that could potentially affect the operational performance of the public health center.Practical implications: The findings of this study can be a suggestion for the government and the management of the public health center to pay more attention to the variables that affect the operational performance of the public health center. Variables that have a positive impact should be increased and variables that have a negative impact should be mitigated.Social implications: Health centers that have effective and efficient operating management will be able to maximize the performance of patient services armed with available resources. The findings of this study can help the public health center to anticipate a surge in patient visits which can reduce the operating performance of the public health center.Originality/value: This study combines the variables of supply chain performance, medical personnel performance, occupancy overload, dynamic capability, and operating performance in one causality model framework. In contrast to other studies that did it separately.
Time‐consistent fair social choice
Authors: Miyagishima Kaname
Published: July 2023

In this paper, we study intertemporal social welfare evaluations when agents have heterogeneous preferences that are interpersonally noncomparable. We first show that even if all agents share the same preferences, there is a conflict between the axioms of Pareto principle, time consistency, and equity requiring society to reduce inequality regardless of the past. We argue that responsibility for past choices should be taken into account and, thus, the equity axiom is not compelling. Then we introduce another form of equity that takes the past into consideration and is compatible with time consistency. Using this form of equity and time consistency, we characterize maximin and leximin social welfare criteria that are history‐dependent.
Lâ€™Etica nel paziente pediatrico, una riflessione
Authors: Zanardo Davide
Published: July 2023

La lotta tra la vita e la morte da sempre attanaglia lâ€™uomo, soprattutto nelle professioni vicine a chi soffre questo continuo scontro logora e incide enormemente sullâ€™operato.
Reestruturação do estoque intermediário no processo de produção de luvas de aço para o setor de oléo e gás
Authors: Silva Igor Bernardes da , Pereira Natália Fernanda Santos , Frossard Gabriela Correa , Maria Robert Cruzoaldo
Published: July 2023

As empresas necessitam constantemente de melhorias na eficiência de seus processos, de forma a atender seus clientes com produtos de qualidade dentro do prazo de entrega acordado. A eficiência de uma empresa pode estar relacionada a fatores operacionais, mas principalmente à gestão de recursos. Dessa forma, a gestão assume uma função importante dentro das empresas e, quando realizada de forma ineficiente desencadeia uma série de problemas que interferem na qualidade do produto e na entrega ao cliente. O presente estudo propõe a reestruturação do estoque intermediário do processo de produção de luvas de aço roscadas para o setor de óleo e gás a partir da metodologia DMAIC. Por meio de sua aplicação, foi possível eliminar problemas de mistura de lotes e perda de rastreabilidade que acarretavam na ociosidade dos processos e baixa produtividade. As ações propostas permitiram a padronização da forma de estocagem das luvas no estoque intermediário e a redução do tempo gasto para a movimentação de material. Os resultados foram o aumento da produtividade da empresa que alcançou valores 5,27% acima da meta de produção definida em 2022.
Effect of Mckenzie lumbar extension exercise with TENS on lumbar radiculopathy
Authors: Kumar B. Senthil , S. Divyasree , A. Kumaresan , Vishnuram Surya
Published: July 2023

Introduction and Aim: This study was aimed to investigate the impact of TENS (Transcutaneous Electrical Nerve Stimulation) along with Mckenzie lumbar extension exercise on patients with lumbar radiculopathy. The objective is to compare the effect of TENS with Mckenzie exercise and control group. The study assessed pain levels, radicular pain through SLR (Straight Leg Raise) test, disability using RMDQ (Roland Morris Disability Questionnaire), and spine range of motion (ROM) using MMST (Modified Modified Schober Test). Pre-test and post-test measurements were collected and compared to determine any differences.
 
Methodology: The study included a total of 50 male and female patients aged between 31 and 40 years, all of whom experienced disabling pain for a duration of 6-12 weeks. The materials used for the assessment included an inch tape for measuring lumbar spine ROM, a goniometer for SLR, and a belt.
 
Results: After the 6-week program, the findings revealed a significant reduction in pain levels, improved SLR, enhanced lumbar spine ROM, and decreased disability among the participants. Paired t-test showed significant differences in post-test values and independent t-test revealed significant post-test values in the experimental group than the control group at p<0.05.
 
Conclusion: The group of patients with lumbar radiculopathy who received TENS combined with Mckenzie exercise demonstrated superior outcomes in terms of pain reduction, SLR improvement, MODI (Modified Oswestry Disability Index) scores, and RMQ (Roland Morris Questionnaire) scores compared to the group treated with general exercise and TENS.
Apnea test induced barotrauma in an obese subject with a short neck - A case report
Authors: Purushothaman Senthil , Al Bshabshe Ali , Mohammed M. Alwadai Nasser , Sulaiman Naif , Palanivel Om Prakash
Published: July 2023

Death is an assured inevitability event for all living beings of this cosmos. Based on the American Academy of Neurology (AAN) recommendations, clinical diagnosis of Brain Death (BD) includes multiple sequences of tests. The Apnea Test (AT) is a more significant procedure in diagnosing BD. Unfortunately, complications during this procedure can occur more frequently than documented, and its incidence is limited to case reports. However, most critical care physicians and Cardio-respiratory therapists consider an AT a principal method to confirm BD as it provides decisive information about the definitive loss of brainstem function. Here, we describe the execution of the AT procedure that transpired into extensive subcutaneous emphysema, tension pneumothorax, and pneumoperitoneum followed by pulseless electrical activity due to direct airway perforation by the supplemental oxygen catheter. In addition, we do a literature review on airway complications incidence and suggest methods to avoid such fatal complications. Finally, further prospective studies are recommended to evaluate the barotrauma incidence and complication nature during AT.
Assessment of the cognitive status of Covid -19 patients and its correlation to blood pressure
Authors: S.D. Mamatha , S.A. Priya , L. Shashikala , K.M. Shivakumar , Malenahalli   Chandrashekarappa Smitha
Published: July 2023

Introduction and Aim: The disease caused by Corona virus (Covid-19) has become a public health importance in recent times as its human-to-human transmission is faster when compared to other pandemic of recent times. Since the outbreak of Covid-19, epidemiology and clinical characteristics of the disease including spread of the disease and mortality have been reported extensively. Little is known about Covid 19 impact on cognition; hence the present was undertaken. The study aimed at assessing the cognitive status in patients admitted for infection with corona and to determine the correlation between cognitive status and blood pressure in the same patients.

 

Materials and Methods: The study is a cross-sectional study that included 300 adults of both genders admitted in the tertiary care hospital with RTPCR positive for Covid-19. A cognition failure questionnaire was used to record the patient’s response and also BP was recorded.

     

Results: For analysis Descriptive statistics like mean and Standard Deviation, and to find association between parameters - Spearman correlation, Mann Whitney U Test were used. Analysis was done using SPSS version 22. Even though there was no significant association seen between Overall cognitive scores, forgetfulness scores, and false triggering scores with gender, there was significant association seen between overall cognitive scores and false triggering scores with age. Applying spearman correlation with respect to overall cognitive failure with duration of hospital stay showed statistically significance*(p<0.001) and between cognitive failure and diastolic blood pressure showed statistical significance with respect to overall cognition.

 

Conclusion: Infection with Covid-19 has an effect on cognition. Duration of hospital stay has an impact on cognition with associated blood pressure changes in the Covid-19 disease.
Amniotic band syndrome- A rare case report
Authors: Sahu Kausalya Kumari , Rao Ranjitha , G.V. Chaithra , Sarah Philipose Cheryl , A. R. Sneha Rao , K.B. Vatsala
Published: July 2023

Amniotic band syndrome (ABS) is a rare condition in which there is entrapment of the growing foetus or its organs by the band of tissue formed from the amniotic membrane. We received 20 weeks’ gestation-old female foetus for pathological examination. On external gross examination foetus was detected with only the thumb in the right hand with the absence of the remaining four fingers. On thorough examination there was membranous structure attached to the right hand running towards the right leg and partly attached to the toes. This on microscopy showed fibrosis.  ABS is a rare syndrome with varied presentations which sometimes can endanger the life of the foetus. Though exact aetiology is unknown till date various risk factors are attributed to the condition.
Phytochemical analysis, in-vitro antioxidant and cytotoxicity activities of Flaveria trinervia ethanolic extract
Authors: A. Varghese Anju , Smith A. Anton , M. Sreejith
Published: July 2023

Introduction and Aim: Crude herbal drugs and commercial extracts obtained from plant sources continue to play a significant role in healthcare, particularly in developing countries where traditional medicine practices are deeply rooted. The aim of the study was to estimate the antioxidant (DPPH) and cytotoxic effects of the ethanolic extract of Flaveria trinervia on raw 246.7 cells.
 
Materials and Methods: In the Indian town of Thoothukudi's Kovilpatti village, F. trinervia was isolated. The entire plant was air-dried before being crushed, and 1 kg of the powdered ethanolic extract was employed in the Soxhlet apparatus for continuous extraction. By utilizing GC-MS analysis, F. trinervia ethanolic extract phytochemical assessment was studied. The antioxidant potential of F. trinervia was examined using the DPPH test. Raw 246.7 cell lines were used to test the ethanolic extract of F. trinervia for cytotoxic activity.
 
Results: F. trinervia extracts were found to contain a variety of biologically active phytoconstituents, including ergosterol, octadecanoic acid, propanoic acid, and isopropyl palmitate, according to phytochemical analysis. Compared to the negative control, the ethanolic extract of F. trinervia considerably showed antioxidant activity and cytotoxicity. Ascorbic acid antioxidant activity with DPPH was 98.12%, whereas F.trinervia ethanolic extract's antioxidant activity was 78.91%. The anticancer efficacy of F. trinervia ethanolic extract against uncultured 246.7 cells was evaluated using the MTT assay. By charting cell viability vs extract concentration, the IC50 value was determined. The MTT assay identified raw cells IC50 at 24 hrs as 200 µg/mL of ethanolic F. trinervia extract.
 
Conclusion: Active phytoconstituents are present in the F. trinervia whole plant ethanolic extract. Because of the presence of phytoconstituents, the extracts have excellent antioxidant activity and good cytotoxicity activity against raw 246.7 cell lines. The study recommended using whole plant extract from F. trinervia to treat several metabolic diseases.
Contribution of platelet-rich plasma therapy in reproductive health science: A narrative review
Authors: Dutta Shilpa , More Akash , Karadbhajne Priti , Shrivastava Deepti
Published: July 2023

Platelet-rich plasma therapy, also truncated as PRP, has been remarkably utilized for quite long in the domains of cardiovascular surgery, orthopaedic treatments, sports medicines etc. Being in the limelight for its remarkable wound healing and cell proliferating activities, it has caught the interest of researchers in the field of reproductive sciences. The chief domain of research has revolved around thin endometrial lining, diminished ovarian content, recurrent implantation failure ailments etc. This article has focused on reviewing existing articles till now on the aetiology of PRP along with methodologies and results in reproductive aberrational conditions. Restrictive research is conducted from Scopus and Web of Science indexed journals, PubMed focusing on the deployment of PRP in infertility science and categorized the result under 3 genres: PRP in refractory attenuated endometrium, PRP in female gonadal abnormalities and PRP in Asherman’s syndrome. Most literature has shown promising results in improvement of thin endometrium, along with increase in AMH (Anti-Mullerian Hormone) level along with decrement of FSH (Follicle Stimulating Hormone) level, thereby improving ovarian reserve. It also showed reduced adhesion in the uterus after hysteroscopy, along with improvement in the menstrual cycle in case of Asherman’s syndrome, thereby increasing chances of clinical pregnancy. However, lack of standardized protocol is a major con in variation of results. Thus, until conclusive RCTs with larger sample size are conducted, PRP should be restricted to the experimental stage for now.
Do miR-146a plasma levels alter in Alzheimer’s patients and impact their cognitive functions?
Authors: Sami Abed Sadiruldeen , Bader Hamdan Farqad , Sharhan Al-Mayah Qasim , Mohammed Hussein Mahir
Published: July 2023

Introduction and Aim: The miR-146a is a short non-coding RNA molecule that has both therapeutic and biomarker potential. Abnormal miR-146a expression has been linked to several disorders. The target of the study is to investigate the possible link between miRNA-146a expression and the deterioration of cognitive function in Alzheimer's patients.
 
Materials and Methods: The research comprised 40 individuals from Iraq, spanning both genders and ranging in age from 60 to 85 years. They were segregated into two distinct groups. The first group included 40 subjects (age of 75±6.6 years) who displayed no signs of cognitive or functional impairment. The second group consisted of 40 patients diagnosed with Alzheimer's disease (with an average age of 74.98±5.03 years), as per the DSM-5 criteria. To assess the mir-146 gene expression, quantitative polymerase chain reaction (qPCR) was employed.
 
Results: The median expression of miR-146a in Alzheimer's disease was 0.97-fold greater than in control, with no statistically significant difference. There were no significant differences in the means between Alzheimer's females and Alzheimer's males. Female control subjects had considerably higher mean ADAS-cog scores than male control subjects. In Alzheimer's disease patients, age was observed to be strongly associated with ADAS-Cog scores, showing that age plays a role in disease development.
 
Conclusion: Serum miR-146a is not related to the development of Alzheimer disease and does not affect disease progression
Single-catheter minimally invasive method of interventional continuous vacuum drainage for the treatment of lactational purulent mastitis
Authors: Abdyldaev Damir , Uzakbaeva Banur , Bebezov Bakhadyr , Karabaeva Iana , Abdyldaeva Zhanna , Tagaev Tugolbai
Published: July 2023

Introduction and Aim: Breast infections are an increasing problem for women who are breastfeeding, with symptoms ranging from mastitis to the development of abscesses. The aim of this study is to develop a minimally invasive method of interventional continuous vacuum drainage for the treatment of lactational purulent mastitis.
 
Materials and Methods: All 53 patients were comparable based on the duration of the disease prior to surgery and the timing of the emergence of mastitis after delivery, as well as the location and prevalence of the inflammatory process in the mammary gland.
 
Results: During the single-catheter method of vacuum drainage for the treatment of lactational purulent mastitis, lactation of the patient's affected breast was good in 2 (4.2%) patients and satisfactory in 46 (95.8%) patients. 38 (792%) women had good lactation, whereas 10 (21.8%) women had adequate lactation. After using the single-catheter method of vacuum drainage to treat lactational purulent mastitis, good lactation was seen in 40 (83.3%) instances, and it was satisfactory in 8 (16.7%) of patients.
 
Conclusion: A single-catheter interventional continuous vacuum drainage under ultrasound control was developed to treat lactational purulent mastitis without antibacterial therapy in 5–7 days, preserving lactation and achieving good aesthetic results.
Effect of trunk muscle endurance training in pain management and function in sub-acute low back pain – A quasi experimental study
Authors: K. Ramana , A. Kumaresan , Suganthirababu Prathap , Vishnuram Surya , S. Deepa , Alagesan Jagatheesan
Published: July 2023

Introduction and Aim: Low back muscle endurance is becoming a major issue because of low back ache. Though many treatment protocols have been suggested and proved effective, endurance exercises have been under less researched area over its effectiveness in comparison to other treatment protocols. The purpose of this study is to determine the effect of trunk extensor muscle endurance training with conventional spinal exercise for trunk extensor muscle in subjects with LBP.
 
Materials and Methods: This is a quasi-experimental study involving 56 patients in the age group of 25-35 years who were allocated in the experimental group (endurance exercises) and control group (conventional spinal exercise) for 3 times per week, for 6 weeks for a duration of 30-45 minutes. Outcome measures used for the study were McGill Pain Questionnaire, RMDQ, 60 sec. spinal extension endurance tests.
 
Results: There was no significant difference found within group analysis in all outcome measures. In between, the group analysis experimental group has shown statistically significant difference in all outcome measures at post-test with the p-value of 0.000.
 
Conclusion: Endurance training has proved to be a much more effective method and provides faster recovery than conventional spinal extension exercise in treatment of patients with subacute low back pain.
Ulusal Akıllı Ulaşım Sistemleri Mimarisinin Yaygınlaştırılması: Türkiye Önerisi
Authors: DİLEK Esma , TALİH Özgür , CEYLAN Halim
Published: July 2023

Akıllı Ulaşım Sistemleri (AUS) trafik sıkışıklığı, emniyet, hava kirliliği gibi ulaşım kaynaklı birçok önemli sorunu ele almak, ulaşım altyapılarının verimliliğini artırmak ve sürdürülebilirliğine katkı sunmak için dünyada yaygın olarak kullanılan çözümlerdir. AUS mimarisi, AUS uygulamalarını planlamak, tanımlamak, entegre etmek, birlikte çalışabilirliği sağlamak, ulaşım faaliyetlerini iyileştirerek verimliliği artırmak ve yeni kullanıcı hizmetlerini desteklemek için AUS uygulamalarının geliştirilmesine yönelik bir çerçeve sunmaktadır. Bu çalışmada, AUS mimarilerinin dünyadaki tarihsel gelişimi doğrultusunda öne çıkan ARC-IT, FRAME, ISO referans AUS mimarileri incelenerek AUS mimarisinin önemine, faydalarına, bileşenlerine değinilmiş, AUS mimarisi geliştirmek için kullanılan araçlar sunulmuştur. Dünyadaki ulusal ve bölgesel AUS mimarilerinin geliştirilmesine yönelik çalışmalar özetlendikten sonra Türkiye’deki mevcut durum ele alınmış ve ulusal AUS mimarisinin kullanımının yaygınlaştırılması amacıyla Türkiye için bir model önerilmiştir.