bluuebunny/crossref_metadata_2025 huggingface dataset:
Qualitative Analysis of Pedestrian Spaces in the Institutional Zone in Chennai, India
Authors: Rakesh K. S. , Mohamed Abdul Razak
Published: November 2023

Nowadays, spaces for pedestrian are becoming increasingly rare on the urban thoroughfares. The explosive increase in vehicular traffic has relegated the pedestrian to subways and over head bridges. The Indian Roads Congress (IRC) has stipulated standards for pedestrian facilities. But, pedestrian amenities, street furniture and context-specific standards according to the location, hierarchy and functions of streets have not been thought of. This research paper presents a report of the .existing status of pedestrian facilities in the institutional zone in Chennai city, evaluating them from a qualitative point of view. The evaluation was supported by a study of various standards, which could be used for the design of pedestrian facilities. An evaluation of the stretch was conducted against a checklist of preferred qualities and amenities using a ratings scale. This qualitative evaluation of pedestrian. amenities and the overall pedestrian enviromnent reveals serious shortcomings in them that leads to a variety of issues.
Seven Fallacies in Urban Design
Authors: Munasinghe Jagath
Published: November 2023

No abstract available
A rarity of an uncommon entity; 2 case reports of mycotic aneurysm in melioidosis
Authors: Jayasundera Thivandika , Piyasiri Bhagya , Ubayasiri Ranjuka , Corea Enoka , Wagaarachchige Yashangi
Published: November 2023

No abstract available
Acute hemorrhagic leukoencephalitis in a young female with excellent response to corticosteroids
Authors: Nasim Fathima N. , Fasrina Mohamed Z. F. , Bowattage Sunil B. , Kularatne Wickramasooriyage K. , Kobbegala Vipuli J.
Published: November 2023

Background: Acute hemorrhagic leukoencephalitis (AHLE) is a rare fulminant entity of acute disseminated leukoencephalitis (ADEM) that has a rapidly progressive polysymptomatology corresponding to areas of brain affected. It’s characterized by rapid cognitive decline, coma or even rapid death. It is postulated to be a post infective immune mediated monophasic demyelinating disease. Diagnosis is clinical supported by CSF and MRI findings. It is challenging to differentiate the disease from MDEM (multiphasic demyelinating encephalomyelitis) and multiple sclerosis during the initial presentation.Case presentation: Here we report a case of a 36-yearold Sri Lankan Sinhalese lady who presented with seizure following febrile illness followed by gross right sided hemiparesis later progressing to mutism and cognitive decline. Her CSF showed pleocytosis 12/cumm with 5% polymorphs, red cells, mildly high proteins with normal glucose and positive oligoclonal bands. MRI showed evidence of multiple focal supra and infratentorial signal abnormalities and gyral thickening with hemorrhages, largest lesions being in left frontal region with mass effect but no herniation. She was diagnosed with AHLE and treated with high dose IV methyl prednisolone later converting to oral prednisolone tapering regime. She was continued on intravenous cefotaxime and acyclovir as per meningoencephalitis. Improvement with steroids was dramatic with complete neurological recovery, minimal sequel and no recurrences at 6 months follow up.Conclusion: The case is a representation of a very rare entity of an infrequently reported disease which needs high degree of clinical suspicion with early imaging for aggressive and early immunosuppressive treatment that may hinder progression to commonly described sequel including coma, death or residual neurology. The predictions on future MDEM or MS on first presentation and overlap are areas that need further exploration.
In vitro human-relevant glioblastoma models as the novel frontier of nanomedicine screening
Authors: Bezze A. , Ciardelli G. , Mattu C.
Published: November 2023

Not available.
Athletic Training Students’ Perceptions of Civic Engagement After a Service-Learning Experience in a Free Medical Clinic
Authors: Snyder Kelli R. , Majewski-Schrage Tricia L.
Published: November 2023

Context

The benefits of service-learning experiences have been reported throughout health care education, yet no recent empirical investigations have been made of the effect of service-learning experiences on athletic training students. Two commentaries, published over 10 years ago, promoted the benefits of and need for service-learning experiences in athletic training education, yet no studies have been published that measure the effect of service-learning in athletic training education.

Objective

To assess athletic training students’ attitudes and perceptions of community service and civic engagement after participating in a service-learning experience involving underserved populations.

Design

Quasiexperimental.

Setting

Free medical clinic in an urban location in the Midwest.

Patients or Other Participants

Twenty-eight final year undergraduate athletic training students (18 females, 10 males, 21.3 ± 0.6 years old).

Intervention(s)

Students participated in 4 hours of service-learning experience in the fall and spring semesters, for a total of 8 hours, in a free medical clinic.

Main Outcome Measure(s)

The Center for Healthy Communities Service-learning Survey (1999, with permission) was administered anonymously online (Qualtrics Inc) before and after the service-learning experience.

Results

Statistically significant changes were found in 3 of the 15 items: “I feel well prepared to practice my profession in a community similar to the community in which my placement is located” (U = 242, Z = −2.205, P = .027), “I believe students should volunteer their time helping people without resources” (U = 235.5, Z = −2.244, P = .025), and “I feel that I can have a positive impact on the community in which I work by volunteering my time” (U = 253, Z = −2.054, P = .040).

Conclusions

Athletic training programs should consider incorporating service-learning into their curriculum to enhance their students’ preparation to serve diverse patient populations and become civically engaged professionals.
Mengalahkan Naluri Membalaskan Dendam: Tafsir Kontekstual terhadap Roma 12:17-21
Authors: Nainggolan Diana
Published: November 2023

Every human being has the instinct to avenge the bad or evil treatment they receive. The surveys in psychology regarding revenge show that revenge is very complex regarding the various nuances that arise when taking revenge. The complexity of revenge will be confronted with Paul's view of revenge in Romans 12:17-21 which is considered an ideal that is difficult to implement and often ignored. This article aims to provide an alternative interpretation of Romans 12:17-21 by dialoguing Paul's views with findings in the psychology of revenge. The study of the psychology of revenge was carried out through library research with a descriptive qualitative approach. Meanwhile, Paul's views in Romans 12:17-21 are explored using the exegetical method. The research results suggest that every human being not only has the instinct to avenge the crimes and bad behavior they receive but also the instinct to forgive. Dialoguing Paul's views on revenge with the result studies in the study of revenge psychology has shown the richness in both views and gives a new understanding, an alternative interpretation of Romans 12:17-21.AbstrakSetiap manusia memiliki naluri membalaskan perlakuan buruk atau jahat yang diterimanya. Hasil survei dalam psikologi tentang pembalasan dendam menunjukkan bahwa pembalasan dendam sangat kompleks terkait berbagai nuansa yang muncul ketika membalaskan dendam. Kompleksitan pembalasan dendam tersebut akan diperhadapkan dengan pandangan Paulus tentang pembalasan dendam dalam Roma 12:17-21 yang dianggap ideal sehingga sulit dilaksanakan dan lebih sering diabaikan. Artikel ini bertujuan untuk memberikan penafsiran alternatif terhadap Roma 12:17-21 dengan mendialogkan pandangan Paulus dengan temuan-temuan dalam psikologi pembalasan dendam. Kajian mengenai psikologi pembalasan dendam dilakukan melalui penelitian pustaka dengan pendekatan kualitatif deskriptif. Sedangkan pandangan Paulus dalam Roma 12:17-21 ditelusuri dengan metode eksegesis. Berdasarkan hasil penelitian ditemukan bahwa setiap manusia tidak hanya memiliki naluri membalaskan tindakan kejahatan dan perilaku buruk yang diterimanya tetapi juga naluri mengampuni. Mendialogkan pandangan Paulus tentang membalaskan dendam dengan hasil penemuan dalam kajian psikologi pembalasan dendam telah menghasilkan menunjukkan kekayaan dalam kedua pandangan tersebut dan melahirkan suatu pemahaman yang baru, suatu alternatif memahami Roma 12:17-21.
Penelaahan Alkitab (PA) Sebagai Upaya Pembentukan Spiritualitas Remaja Di GMI Ressort Tarutung
Authors: Widiastuti Maria
Published: November 2023

Remaja merupakan masa krisis dan menjadi pusat perhatian baik secara phisik maupun psikologis. Remaja yang sedang memasuki kematangan intelektual, mampu berpikir jauh melebihi dunia nyata dan keyakinannya. Pada fase ini menjadi penting menanamkan spiritualitas bagi remaja. Penelaahan Alkitab (PA) merupakan salah satu metode pembelajaran yang diterapkan di Gereja Methodis Indonesia (GMI) Resort Tarutung. Untuk mengetahui efektivitas Penelaan Alkitab sebagai upaya pembentukan spiritual remaja. penelitian ini menggunakan metode campuran mix method. Hasil penelitian menunjukan bahwa Penelaahan Alkitab (PA) sangat efektif digunakan sebagai upaya pembentukan spiritualitas remaja di GMI Ressort Tarutung yang berdampak pada sikap atau perilaku remaja dalam kehidupan sehari-hari. AbstrakAdolescence is a period of crisis and becomes the center of attention both physically and psychologically. Teenagers who are entering intellectual maturity are able to think far beyond the real world and their beliefs. In this phase, it is important to instill spirituality in teenagers. Bible study (PA) is one of the learning methods applied at the Indonesian Methodist Church (GMI) Resort Tarutung. To determine the effectiveness of Bible Study as an effort to spiritually form teenagers. This research uses a mixed method. The research results show that Bible Study (PA) is very effectively used as an effort to form youth spirituality at GMI Resort Tarutung which has an impact on the attitudes or behavior of teenagers in everyday life
E-LKPD based on Problem-Based Learning on Physical Quantity Measurements to Improve Decision-Making Skills
Authors: Khoiri Nur
Published: November 2023

The development of digital learning media as problem-based E-LKPD (electronic LKPD) has become a significant trend in the education sector. This media utilizes information and communication technology to provide students with a more interactive, interesting, and relevant learning experience. Nonetheless, it is crucial to determine the extent to which this media contributes to decision-making. Therefore, this research aims to determine the effectiveness of PBL-based electronic LKPD on physical quantity measurement to improve decision-making skills. This research was quasi-experimental with a one-group pretest-posttest design. The research subjects were 25 10th-grade students. The research instrument was a physical quantity measurement test containing decision-making skills. Effectiveness was measured using the N-Gain test. The research results show that the effectiveness of E-LKPD is in the high category. Moreover, this research reveals that decision-making skills can be trained using problem-based E-LKPD. Furthermore, the results of this research can be developed for other physics topics. This study could assist in the following four domains: curriculum design, learning resource development, continuing professional development for teachers, and integrating technology into the classroom.
Duolingo Application for Advancing English Speaking Skills
Authors: Fitria Nora , Usman Muhammad , Sahara Nora
Published: November 2023

The aspects of speaking are crucial to the effectiveness of speaking instruction, and the enhancement process can be done through applying technology in learning. This research aims to find out studentsâ€™ perception of using Duolingo in improving English speaking skills and to explore which aspects can be enhanced by students in learning using the Duolingo application. This research employed a descriptive qualitative design. The samples in this study were students from a senior high school in Banda Aceh, totaling 20 students. To collect data, researchers used questionnaires and interviews as instruments. The result of the questionnaire in this research was analyzed by using percentages. The research results find that 90% of students claim that learning through the Duolingo application helps them improve their English speaking skills. Besides, the most improved aspect of speaking skills is vocabulary, followed by other aspects which increase significantly, such as pronunciation, grammar, and fluency. In this study, students responded positively; hence, the Duolingo application effectively improves students' speaking skills.
Student Engagement Among Undergraduate Students in Southeast Asia: Systematic Literature Review
Authors: Immanuella Brigitta Dyah Utami , Kurniawati Farida , Rifameutia Tjut
Published: November 2023

Southeast Asia has up to 7,000 higher education institutions with various qualities. The inequality may affect the learning process, such as student engagement. Student engagement is a multidimensional construct that is often positively related to academic achievement. This systematic review aims to get an overview and factors that influence undergraduate students' engagement in Southeast Asian countries. The article search method was carried out through five online databases; ERIC, ProQuest, Scopus, SpringerLink, and Taylor Francis Online, and obtained 11 articles. The articles were extracted using PRISMA flow. As a result, student engagement in Southeast Asia can be described through several dimensions, namely cognitive, emotional, behavioral, and agentic. The theory most widely used is Self-Determination and Social Cognitive Theory. Besides, there are also Broaden-and-Build Theory, Conservation of Resources, and Tinto Integration Model used as the theoretical framework in some studies. For the predictors, undergraduate student engagement in Southeast Asia is more influenced by external factors that will lead to the appearance of internal predictors. Furthermore, these results also show that several demographic factors can be influential, such as age and generation group, university type, and cultural factors. The implication of this study is to consider generational and cultural characteristics to gain a deeper analysis of student engagement. The researchers also provide recommendations for further research, especially for increasing external influence to gain student engagement towards undergraduates.
Improving Interpersonal Communication Skills through Group Guidance with Assertive Training Techniques
Authors: Putri Shintia Dwi , Marjohan Marjohan , Firman Firman , Sukma Dina
Published: November 2023

This study aims to demonstrate the effectiveness of group mentoring services utilizing assertive training techniques in enhancing the interpersonal communication skills of students. A quasi-experimental design was employed, with a sample of twenty students from a public junior high school in Indonesia, evenly divided into experimental and control groups using probability sampling with simple random sampling techniques. Interpersonal communication skills were assessed using instruments developed by the researchers and evaluated by experts. Data analysis involved the Wilcoxon signed-rank test and Kolmogorov-Smirnov. The results indicate a significant increase in the interpersonal communication skills of the experimental group students, with their average scores increasing from 67.2 before receiving group counseling services to 123 after implementing assertive training techniques. In contrast, the control group's average scores increased from 87.1 to 105.6 after the same intervention. This study highlights the effectiveness of group mentoring with assertive training techniques in enhancing studentsâ€™ interpersonal communication skills, contributing valuable insights to the field of educational psychology and counseling.
Redes de negocio en acuicultura, Colombia, Chile y México, “una visión internacional”
Authors: Mata Juan José Huerta , Chamorro Flor Amparo Medina
Published: November 2023

La acuicultura a nivel global ha tomado especial relevancia en virtud de la disminución de especies silvestres en condiciones naturales, es decir las poblaciones de organismos marinos existentes en aguas continentales y cuerpos de agua en el territorio sufren serias afectaciones por lo que se ahora se intenta incrementar la producción de estos en sistemas controlados por el ser humano, propiciando con esto una mejor y mayor distribución de estos productos para alimentación de las masas de población en todo el mundo. Sin embargo, es importante señalar, que a pesar del trabajo que se ha venido realizando para impulsar esta actividad económica del sector primario orientado en gran medida a analizar la biología de las especies (peces, anfibios y ostras) en la mejora genética y la resistencia a las enfermedades, entre otros aspectos, no es suficiente, ya que además de perfeccionar los aspectos antes señalados, es necesario que los productores visualicen la comercialización de estos productos acuícolas, no solo enfocados al autoconsumo o a la distribución local, es importante el estar ligados al mercado internacional para lograr ingresos importantes en divisas extranjeras y por lo tanto alcanzar certificaciones en sus productos, para esto es necesario comprender que las redes de negocio facilitarán este proceso en los diferentes ámbitos de acción en donde los acuicultores pretendan relacionarse; es preciso entender las redes de negocio como una interrelación de diversos actores que deben facilitar su procesos internos y externos y su participación en la arena internacional. Por lo tanto, el objetivo fundamental de este documento es diagnosticar las características de integración de las redes de negocio en los países de la Alianza Pacífico, Colombia, Chile y México, con el propósito de proponer alternativas que fortalezcan la participación de la cadena acuícola y por consiguiente aportar soluciones para una mayor y mejor integración del sector en cada uno de ellos. La metodología empleada para esta investigación consistió en un trabajo descriptivo, no experimental a partir de entrevistas a profundad realizadas en cada uno de los países, en 2018, y 2022.
Toxic Masculinity di TikTok
Authors: Kartika Kartini , Iqbal Muhammad
Published: November 2023

This research see the social media that is a free place to express becomes the place which full of boundaries for men because of the demands to be a masculine men and to be accepted in society. This research is aimed to perceive the phenomenon of toxic masculinity in TikTok, and to discover the effects and the person who does the toxic masculinity. This research used netnography method with data analysis techniques through Atlas.ti and be strengthened by social construction of mass media by Peter L. Berger and Thomas Luckmann. This research was conducted by research dislocation in TikTok especially in hastag #toxicmasculinity. The results of this research are quite a lot of people who realize about the negative impact of toxic masculinity that can be seen by some related education contents. Lots of netizens who commented in those contents confessed that they got toxic masculinity directly and in cyber space by family, teachers, and friends. The results of content analysis also showed that the victims feel anxious, stress, and forced to run the male role, thus need to consult to psychologist and psychiatrist as the impact of toxic masculinity.
Konsepsi Pendidikan Kerakyatan Tan Malaka (Studi Pada Komunitas Belajar “Sahabat Anak” Cijantung)
Authors: Hakim Latifa Dinar Rahmani
Published: November 2023

Pendidikan pada hakekatnya merupakan suatu usaha untuk mempersiapkan sebuah generasi dalam upaya mewujudkan generasi muda yang mandiri. Namun tidak jarang pendidikan dalam ranah formal justru memberikan ketidaknyamanan melalui sistem kurikulum yang ditawarkan. Sistem pendidikan yang ada dinilai hanya sebatas menekankan pada pembentukan kognitif dibandingkan nilai lainnya. Dewasa ini, konsep pendidikan formal mulai mengacu pada pendidikan nonformal. Di mana konsep pendidikan nonformal dinilai lebih mempunyai peran signifikan dalam mengejar ketertinggalan yang ada dalam masyarakat dan cenderung lebih santai dalam proses pembelajarannya. Merujuk pada kajian sebelumnya yang membahas pendidikan melalui konsep kerakyatan Tan Malaka, pendidikan yang baik adalah pendidikan yang mampu menjangkau segenap lapisan masyarakat, berbasis kearifan lokal, mengedepankan keterampilan dan nilai-nilai moral keagamaan. Studi ini melihat bahwa konsep kerakyatan yang ditawarkan oleh Tan Malaka terbentuk melalui komunitas belajar pada masyarakat marginal di perkotaan khususnya anak jalanan. Melalui metode kualitatif, penelitian ini menemukan bahwa komunitas sahabat anak, pendidikan tidak bersifat memaksa melainkan membebaskan peserta didik untuk mengembangkan apa yang menjadi minatnya. Melalui komunitas sahabat anak, pendidikan tidak hanya menjadi sarana untuk mereka menjadi mandiri namun juga menciptakan ruang baru dan membentuk solidaritas antar anak jalanan.
Analisis Penggunaan Teknologi pada Pembelajaran IPA di Sekolah Dasar
Authors: Handayani Feby Lia , Putri Diaz Andini , Fahrunisa Sasqia Albie , Rizqi Sendy Annafi , Munbaits Tika Bilqis , Julyani Tri Nadia , Sukmawati Wati
Published: November 2023

The implementation of the Merdeka Curriculum in schools currently involves various technologies, one of which is science teaching in elementary schools. The use of technology itself has its own advantages and disadvantages. Meanwhile, it does not only involve teachers at school but parents are also involved in facilitating their children. The purpose of writing this article is to provide an overview regarding the use of technology in science learning in elementary schools with the Merdeka Curriculum. The method used is the observation method. Observation results show that the use of technology in science learning in elementary schools with the Merdeka Curriculum provides significant benefits in increasing student motivation and understanding of learning. On the other hand, technological damage and the need to increase teachers' abilities in technology are challenges in implementation.
The Role of Neutrophil to Lymphocytes Ratio and It's Common Clinical Outcomes Amount the Patient with Non ST Elevation Acute Coronary Syndrome
Authors: Jalbani Javaid , Bhatti Khalid Iqbal , Sallar Tariq
Published: November 2023

Objectives: To evaluate the admission neutrophil-to-lymphocyte ratio (NLR) for risk stratification for in-hospital out-comes and complications in non-ST-elevation acute coronary syndrome (non-ST-ACS) patients.

Methodology: Methods: We recruited consecutive patients with non-ST-ACS. The NLR was obtained and stratified as low, inter- mediate, and high-risk based on <3.0, 3.0e6.0, and >6.0, respectively. The new ST-T changes, arrhythmias, contrast-induced nephropathy (CIN), and mortality were recorded.

Results: Results: Median NLR was 3 [2.1-5.3] for 346 patients with 19.9% and 30.6% in high- and intermediate-risk group. New  ST-T changes were observed in 3.5% (12) out of which 8, 3, and 1 patient in low, intermediate, and high-risk group (p = 0.424), respectively. Arrhythmias were observed in 5.8% (20) with 7, 5, and 8 patients in low, intermediate, and high- risk group (p = 0.067), respectively. CIN was observed in 4.9% (17) with 5, 5, and 7 in low, intermediate, and high-risk group (p = 0.064), respectively. In-hospital mortality was recorded in 1.4% (5) with 2 and 3 patients in high and low-risk group (p = 0.260), respectively.

Conclusion: A significant number of non-ST-ACS patients fall in the high-risk category of NLR. Although, the association between NLR and in-hospital mortality and adverse events was not statistically significant but relatively higher rates of events were observed in high risk group.
A Comparative Study of Sub-Specialty Selection Among Adult Cardiology Fellows: Does Gender Play a Role?
Authors: Qayoom Reema , Mumtaz Zubair , Qadir Faisal , Mueed Abdul , Kubra Ghulam , Mohsin Muhammad
Published: November 2023

Objectives: This study is aimed to determine the factors that influence the selection of sub-specialty training among adult cardiology FITs and whether this differs by gender.
Methodology: A multiple-choice online survey was conducted on 198 cardiology Fellows-in-training (FITs) in Pakistan from January-May 2023 to assess the determinants of their career paths in clinical cardiac electrophysiology, interventional cardiology, cardiac imaging, and critical care. The survey tool was used for data collection.
Results: A total of 198 FITs completed the survey; 36% anticipated specializing in interventional cardiology (IC), 28% in Electrophysiology (EP), 12% in critical care (CC), 15% in cardiac imaging (CI) and 9% were unsure. Among IC and CC group, there was male FIT dominance (70% and 54% respectively) and likelihood of getting employment after completing training was most important factor in both sub-specialties (P <0.001) . Among EP and CI group, there was predominance of women FIT (76% and 56% respectively). The most important factor that influenced FITs to pursue EP was a strong interest in the field and female role model (P <0.001), while for CI minimal radiation exposure and flexibility in job were important factors (all P<0.001).
Conclusion: Female FITs are less inclined to choose interventional cardiology as future career path because of increased radiation exposure and old-boys club. Conversely there is growing trend for female FITS inclination towards choosing Electrophysiology, this is in contrast to similar study conducted internationally.
Factors Responsible for Worse Outcomes in Stemi Patients with Early vs Delayed Treatment Presenting in a Tertiary Care Center
Authors: Ashraf Sohaib , Masood Sibgah , Shahbaz Amir , Saboor Qazi Abdul
Published: November 2023

Objectives: The aim of the study is to compare the outcomes among STEMI cases with early treatment vs delayed treatment. To identify the contributing factors behind treatment delays and worse outcomes following STEMI symptoms.

Methodology: It was a prospective comparative study on 186 patients with consecutive (non-probability) sampling. Two groups of cases were made as per their time to get admitted to the hospital (i.e. within 2 hours of symptom onset = Group-A; after 2 hours of symptom onset = Group-B). Patients were asked for factors causing a delay in treatment after the onset of symptoms and were monitored for STEMI outcomes.

Results: The mean age of all patients was 46.62 ± 9.76 years and there were 140(75.27%) male and 46(24.73%) female, and male to female ratio 3:1.Factors significant for delayed treatment versus non- delayed treatment were poor social economic status (65.6% versus 20.4%), history of chronic stable angina (33.3% versus 11.8%), delayed response in the emergency room (20.4% versus 8.6%), delayed ECG acquisition (26.9% versus 8.6%), delayed ECG interpretation (25.8% versus 4.3%), pain at night 12:00 to 6:00 am (21.5% versus 9.7%) and belief that the chest pain is non-cardiac (26.9% versus 3.2%). Acute heart failure was significantly greater in group B (9.7%) in comparison with group-A (2.2%), Re- infarction was 18.3% in group B in comparison with 7.5% group-A. Similarly sustained ventricular tachycardia and ventricular fibrillation and in hospital mortality were higher in group B (12.9%, 14 % and 12.9% respectively).

Conclusion: Our study highlights that while most post-AMI patients receive the recommended minimum statin therapy, the inadequate practice of lipid assessment may compromise therapy optimization and raise the risk of subsequent events.
Simple Signs for Complex Problem
Authors: Ahmad Bilal , Rehman Hafiz-ur- , Badshah Umar
Published: November 2023

Objectives: To find simple clinical signs for diagnosing pulmonary embolism on bedside.

Methodology: This was a hospital based cross sectional observational study conducted in cardiology department Saidu teaching hospital from July 2019 to December 2020. 89 patients of either sex and all age groups with suspected pulmonary embolism (PE) were included. Clinical data and basic tests of all these patients were obtained, then according to ESC diagnostic algorithm patients were divided into low, intermediate and high probability groups. 74 patients with intermediate and high probability went for CTPA, while 15 patients with low probability were exclude from study. In 67 patients pulmonary embolism was confirmed on CTPA. Clinical data of these 67 patients was analyzed for most common presenting symptoms and signs.

Results: Data was available on 67 patients with confirmed PE, 58.2% were male and 41.8% were female. Mean age of study population was 53.15+/-16.29. Patients from different parts of Malakand division were included. 95.5 % patient presented with new onset dyspnea, 1.5 % presented with isolated chest pain, while 3% presented with other symptoms. 62.7 % patient had provoked and 37.3% had unprovoked PE. Mean heart rate of study population was 99.63. 95% patients had oxygen saturation of less than 96%. Other common findings included normal chest examination, sinus tachycardia on ECG, normal chest X-ray, and some form of right ventricular abnormality on Echo.

Conclusion: Patient with new onset Dyspnea, resting Tachycardia, oxygen saturation below 95% at rest or mild exertion, and no other explanation for these findings should be evaluated for pulmonary embolism with CTPA.
Spontaneous Bullet Migration from Cervical to Lumbosacral Spine: Case Report
Authors:   Department of Traumatology and Orthopedics, Universidad de la Republica, School of Medicine, Montevideo, Uruguay., Cabrera Nicolas , Nin Fernando ,   Department of Traumatology and Orthopedics, Banco de Seguros Hospital, Montevideo, Uruguay., Saona Gerardo ,   Department of Traumatology and Orthopedics, Banco de Seguros Hospital, Montevideo, Uruguay., Erlatz Gustavo ,   Department of Traumatology and Orthopedics, Banco de Seguros Hospital, Montevideo, Uruguay., Paradiso Miguel ,   Department of Traumatology and Orthopedics, Banco de Seguros Hospital, Montevideo, Uruguay.
Published: November 2023

The spontaneous migration of projectiles in the spinal canal due to gunshot wound are a rare entity, and may be associated with multiple complications in the evolution. Given the low prevalence, there are no large series registered, so there is no standardized therapeutic protocol. We made a review of the subject on purpose and presented the case of a 22-year-old patient who suffered a HAF in the cervical spine lodging the projectile at the level of C6-C7, installing a quadriplegia, and in the evolution we observed how the projectile migrated at the lumbosacral level L5-S. The diagnosis, clinical and surgical treatment performed were evaluated.
Modal and empirical lengths at sexual maturity for six deep-sea species in Ecuadorian oceanic waters
Authors: Zambrano René , Coello Dialhy , Herrera Marco
Published: November 2023

The objective of the present work was to establish modal lengths, empirical lengths at sexual maturity, and proportions of mature individuals of six deep-sea species from the bycatch of the experimental fishery for Patagonian toothfish (Dissostichus eleginoides). Fishing was conducted in Ecuadorian oceanic waters by only one vessel, between 2017 and 2021. Modal lengths were identified using frequency distributions. The length at sexual maturity (Lm) was estimated using the empirical equation: Ln Lm = -0.1189 + 0.9157 * Ln (Lmax). Modal lengths presented a little annual increment in Antimora rostrata and Coryphaenoides armatus while the values decreased for Centroscymnus owstonii, C. delsolari, and Hydrolagus melanophasma. Interannual lengths were similar for Etmopterus granulosus. Modal lengths were higher than the sexual maturity length for H. melanophasma, C. delsolari, C. owstonii and A. rostrata. Furthermore, Coryphaenoides armatus showed a similar value and E. granulosus a lower modal length. Empirical length at sexual maturity was between 56.35 and 66.26 cm TL for all species except for H. melanophasma, which was 100.53 cm TL. Antimora rostrata and C. armatus presented an increment of mature individuals while the annual percentage decreased for H. melanophasma, C. owstonii, and C. delsolari. Etmopterus granulosus showed a lower proportion of mature individuals.
Glucemia de primer trimestre de embarazo y diabetes gestacional
Authors: Faingold María Cristina
Published: November 2023

La diabetes gestacional (DG) se caracteriza por una variedad de cambios metabólicos que van desde lo fisiológico a lo fisiopatológico. Durante muchos años el foco de la investigación se centró en la hiperglucemia. No obstante, como se detalla en el trabajo publicado en esta edición de Argerich y col.: “Glucemia materna de primer trimestre de embarazo y probabilidad de padecer diabetes gestacional. Categorización según índice de masa corporal pregestacional”, existen otros mecanismos que determinan las probables complicaciones de esta entidad, como las alteraciones lipídicas y el índice de masa corporal (IMC) previo al embarazo, así como la ganancia de peso a lo largo del mismo. Sin embargo, no hay consenso en cuanto a su diagnóstico, ni en relación a las metas terapéuticas. Existe sí un acuerdo general sobre el objetivo a alcanzar que es: tratar de alcanzar “la normalidad”. Entonces las preguntas son: ¿cuál es esa normalidad? ¿Cuáles son las metas lipídicas y proteicas en un embarazo complicado por diabetes gestacional?
A NEW REFUTATION OF THE CLASSICAL CONCEPT OF TIME IN QUANTUM RELATIVITY (Empirical Study on Listed Company)
Authors: Pujiastuti Pujiastuti , Sugiarti Sugiarti , Hardjito Yunus
Published: November 2023

The research objective was to determine (1) the influence of competency on audit quality (2) the influence of independence on audit quality and (3) the effect of professionalism on audit quality in public accounting firms in Surakarta and Yogyakarta. The population of this study is auditors who work on KAP in Surakarta and Yogyakarta who are registered in IAI in 2019. The sampling technique uses Convenience sampling. This study uses a statistical package for social science (IBM SPSS) version 21 for windows as an analysis tool. The results of this study indicate (1) Competence influences Audit Quality (2) Independence influences Audit Quality and (3) Professionalism influences Audit Quality.Keywords: Competence, Independence, Professionalism and Audit Quality.
PENGARUH IKLIM KERJA TERHADAP PRODUKTIVITAS KERJA PEGAWAI PT. SUMSEL ENERGI GEMILANG SUMATERA SELATAN
Authors: Sari Sri Sarwo
Published: November 2023

Perseroda yang focus bergerak dibidang energy tersebut dapatmeningkatkan kontribusinya bagi Pendapatan Asli Daerah (PAD) Sumsel. pada PT. Sumsel Energi Gemilang Sumatera Selatan, ternyata Iklim Kerja belum dilaksanakan dengan baik sehingga Produktivitas kerja pegawai belum optimal. Permasalahan yang dihadapi adalah Bagaimana PT. Sumsel Energi Gemilang Sumatera Selatan. Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Iklim Kerja Terhadap Produktivitas Kerja Pegawai PT. Sumsel Energi Gemilang Sumatera Selatan serta berguna sebagai bahan acuan untuk penelitian selanjutnya mengenai Iklim Kerja dan Produktivitas kerja pegawai. Hipotesis yang diajukan, Iklim Kerja berpengaruh positif terhadap Produktivitas kerja pegawai padaPT. Sumsel Energi Gemilang Sumatera Selatan. Pengumpulan dan pengolahan data dengan menggunakan studi pustaka dan studi lapangan dengan menggunakan cara observasi, kuisioner, interview dan dokumentasi. Dari hasil pembahasan diperoleh korelasi antara Iklim Kerja dalam upaya meningkatkan Produktivitas kerja pegawai pada PT. Sumsel Energi Gemilang Sumatera Selatan diperoleh angka r sebesar 0,57. Setelah dikonsultasikan dengan standar konservatif  terletak antara 0,400- 0,599 yang termasuk pada korelasi sedang. Sehingga dapat dikatakan bahwa adanya pengaruh yang sedang antara Iklim Kerja terhadap Produktivitas kerja pegawai pada PT. Sumsel Energi Gemilang Sumatera Selatan. Keywords : Iklim Kerja, Produktivitas Kerja, Pegawai
INTERAKSI ORGANIZATIONAL CITIZENSHIP BEHAVIOR DALAM HUBUNGAN ANTARA EFEKTIFITAS SISTEM INFORMASI AKUNTANSI TERHADAP KINERJA PEGAWAI
Authors: Wicitra Diyan Kusuma , Pramono Nugroho Heri , Suparwati Yohana Kus
Published: November 2023

Performance is an achievement that has been achieved by employees in a certain period that can be done by individuals or groups in government and private agencies. Supposedly, employee performance can reflect the performance of the agency as a whole. The purpose of this study is to obtain empirical evidence of the influence of organizational citizenship behavior interactions in the relationship between the effectiveness of accounting information systems on employee performance. This study uses a quantitative approach with primary data. The population of this study was 477 with a purposive sampling technique, so that a sample of 84 were obtained. The results showed that the effectiveness of the use of accounting information systems had a positive effect on employee performance. In addition, organizational citizenship behavior is able to moderate the effect of the effectiveness of the use of information systems on employee performance. Thus, organizational citizenship behavior needs to be instilled in individual employees both who work in public and private agencies.Keywords: employee performance; the effectiveness of accounting information systems; organizational citizenship behavior Abstrak Kinerja merupakan prestasi yang telah diraih oleh pegawai pada periode tertentu yang dapat dilakukan oleh individu maupun kelompok di instansi pemerintah maupun swasta. Seharusnya, kinerja pegawai dapat mencerminkan kinerja instansi secara keseluruhan. Tujuan penelitian ini yaitu memperoleh bukti empiris pengaruh interaksi organizational citizenship behavior dalam hubungan antara efektifitas sistem informasi akuntansi terhadap kinerja pegawai. Penelitian ini menggunakan pendekatan kuantitatif dengan data primer. Populasi penelitian ini sebanyak 477 dengan teknik pengambilan sampel yaitu purposive sampling, sehingga didapatkan sampel sebanyak 84. Hasil penelitian menunjukkan bahwa efektifitas penggunaan sistem informasi akuntansi berpengaruh positif terhadap kinerja pegawai. Selain itu, organizational citizenship behavior mampu memoderasi pengaruh efektifitas penggunaan sistem informasi terhadap kinerja pegawai. Dengan demikian, organizational citizenship behavior perlu ditanamkan pada individu pegawai baik yang bekerja di instansi negeri maupun swasta.
PENGARUH MOTIVASI KERJA DAN IKLIM ORGANISASI TERHADAP KINERJA KARYAWAN DIMEDIASI ORGANIZATION CITIZENSHIP BEHAVIOR
Authors: Jufrizen Jufrizen , Noor Tasya Fadillah
Published: November 2023

Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisis pengaruh motivasi kerja dan iklim organisasi terhadap kinerja karyawan dan organization citizenship behavior sebagai variabel intervening. Untuk mengetahui dan menganalisi organization citizenship behavior memediasi pengaruh motivasi kerja terhadap kinerja karyawan dan iklim organisasi terhadap kinerja karyawan. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif. Populasi dalam penelitian ini adalah seluruh karyawan kantor Badan Pendapatan Daerah Kab. Deli Serdang yang berjumlah 55 orang. Jumlah sampel yang digunakan dalam penelitian ini menggunakan metode sampel jenuh. Data yang digunakan dalam penelitian ini adalah data primer, yaitu dengan membagikan kuesioner. Skala pengukuran yang digunakan adalah skala likert. Teknik analisis data yang digunakan dalam penelitian ini adalah teknik analisis data kuantitatif dengan menggunakan metode statistik. Metode statistik yang digunakan adalah Partial Least Square (PLS). Hasil penelitian menunjukkan bahwa motivasi kerja berpengaruh positif dan signifikan terhadap kinerja karyawan, iklim organisasi berpengaruh positif dan signifikan terhadap kinerja karyawan, motivasi kerja berpengaruh positif dan signifikan terhadap organization citizenship behavior, iklim organisasi berpengaruh positif dan signifikan terhadap organization citizenship behavior, organization citizenship behavior berpengaruh positif dan signifikan terhadap kinerja karyawan, organization citizenship behavior dapat memediasi atau memperantai pengaruh motivasi kerja terhadap kinerja karyawan, organization citizenship behavior berpengaruh positif dan signifikan terhadap kinerja karyawan, dan organization citizenship behavior dapat memediasi atau memperantai pengaruh iklim organisasi terhadap kinerja karyawan.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI INDEKS PEMBANGUNAN MANUSIA (IPM) KOTA SEMARANG
Authors: Anoraga Panji , Rachmansyah Yanuar
Published: November 2023

This study finds out how much influence the human development index (IPM) of Semarang City has. Development programs organized by the government should be able to consider and describe the status of human development as a whole and also clearly, using a holistic and integrated development framework design, by as well as for humans, through program interventions and activities in the fields of education, health and other basic social services. . HDI is made through a three-dimensional approach, namely a long and healthy life, knowledge, and a decent living. The 3 basic dimensions are translated into 4 (four) components, namely: Life expectancy (UHH), School obsolescence (HLS), School obsolescence (RLS); and the level of Per capita Expenditure / Purchasing Power Ability (PPP).
PENGARUH KEMAMPUAN ADAPTASI, SKILL DEVELOPMENT DAN KEYAKINAN DIRI TERHADAP KINERJA KARYAWAN PADA PT. DJAYA MANDIRI INDONESIA
Authors: Kamila Mahrunnisa Himda , Wijayanto Heri , Kristiyana Naning
Published: November 2023

Penelitian ini bertujuan untuk mengetahui seberapa pengaruh kemampuan adaptasi, skill development dan keyakinan diri terhadap kinerja karyawan pada PT. Djaya Mandiri Indonesia. Dalam penelitian ini menggunakan metode kuantitatif. Data dalam penelitian ini menggunakan data dari kuesioner yang disebarkan dengan pernyataan tertulis kepada responden. Kemudian dianalisis menggunakan aplikasi software SPSS 21. Terdapat populasi dalam penelitian ini merupakan karyawan dari PT. Djaya Mandiri Indonesia yang terletak di Ponorogo. Populasi dan sampel dalam penelitian berjumlah 36 karyawan dengan menggunakan metode sensus. Dimana jika populasi relatif kecil sehinggan sampel merupakan keseluruhan dari populasi . Hasil penelitian ini menunjukkan bahwa : (1) Terdapat pengaruh antara kemampuan adaptasi terhadap kinerja karyawan pada PT. Djaya Mandiri Indonesia. (2) Terdapat pengaruh antara skill development terhadap kinerja karyawan pada PT. Djaya Mandiri Indonesia. (3) Terdapat pengaruh antara keyakinan diri terhadap kinerja karyawan pada PT. Djaya Mandiri Indonesia. (4) Terdapat pengaruh antara kemampuan adaptasi, skill development dan keyakinan diri terhadap kinerja karyawan pada PT. Djaya Mandiri Indonesia.Kata Kunci : Kemampuan Adaptasi, Skill Development, Keyakinan Diri, dan Kinerja Karyawan AbstractThis study aims to find out how much influence adaptability and self-confidence have on employee performance at PT. Djaya Mandiri Indonesia. In this study using quantitative methods. The data in this study used data from questionnaires that were distributed with written statements to respondents. Then it was analyzed using the SPSS 21 software application. The population in this study was employees of PT. Djaya Mandiri Indonesia located in Ponorogo. The population and sample in the study amounted to 36 employees using the census method. Where if the population is relatively small so that the sample is the whole of the population . The results of this study show that: (1) There is an influence between adaptability to employee performance at PT. Djaya Mandiri Indonesia. (2) There is an influence between skill development on employee performance at PT. Djaya Mandiri Indonesia. (3) There is an influence between self-confidence in employee performance at PT. Djaya Mandiri Indonesia. (4) There is an influence between adaptability, skill development and self-confidence in the performance of employees at PT. Djaya Mandiri Indonesia. Keywords : Adaptability, Skill Development, Self-Confidence, and Employee Performance
STRATEGI KEWIRAUSAHAAN MENINGKATKAN KINERJA UMKM
Authors: Iskandar Iskandar
Published: November 2023

Tujuan penelitian ini adalah untuk menguji pengaruh orientasi kewirausahaan, orientasi pasar dan pembelajaran organisasional terhadap kualitas aset stratejik, dan juga pengaruh kualitas aset stratejik terhadap kinerja umkm makanan halal khas Cirebon. Penelitian ini dilakukan pada UMKM Makanan Halal Khas Cirebon, responden yang digunakan sebanyak 200 responden. Data diolah dengan menggunakan Structural Equation Modeling (SEM) dengan bantuan program Analysis of Moment Structure (AMOS) versi 23,0. Berdasarkan hasil analisis disimpulkan pengaruh orientasi kewirausahaan terhadap kualitas aset stratejik menunjukkan nilai CR sebesar -0,338 dan dengan probabilitas sebesar 0,735, pengujian pengaruh orientasi kewirausahaan terhadap kinerja bisnis menunjukkan nilai CR sebesar 2,499 dan dengan probabilitas sebesar 0,012, orientasi pasar terhadap kualitas aset stratejik menunjukkan nilai CR sebesar 2,344 dan dengan probabilitas sebesar 0,035, orientasi pasar terhadap kinerja bisnis menunjukkan nilai CR sebesar 2,362 dan dengan probabilitas sebesar 0,031, pengujian pembelajaran organisasional terhadap kualitas aset stratejik menunjukkan nilai CR sebesar 4,881 dan dengan probabilitas sebesar 0,001., pengujian pengaruh pembelajaran organisasional terhadap kinerja bisnis menunjukkan nilai CR sebesar 1,351 dan dengan probabilitas sebesar 0,177, pengaruh kualitas aset stratejik terhadap kinerja bisnis menunjukkan nilai CR 2,067 sebesar dan dengan probabilitas sebesar 0,039.Kata Kunci : Orientasi Kewirausahaan, Orientasi Pasar, Pembelajaran Organisasional, Kualitas Aset stratejik, Kinerja Bisnis
PENGARUH E-SERVICE QUALITY, ONLINE CUSTOMER REVIEW, DAN ONLINE CUSTOMER RATING TERHADAP KEPUTUSAN PEMBELIAN PADA E-COMMERCE SHOPEE
Authors: Trianawati Febrianti Muji , Santoso Adi , Pristi Eka Destriyanto
Published: November 2023

The advancement of a technological development in this digital era is certainly getting faster, especially the internet. The development of the internet is of course not only for communication but also used for purchasing goods, ordering transportation to doing business, working and also being used for various purposes. This study aims to see the effect of e-service quality, online customer reviews, and online customer ratings on purchasing decisions on e-commerce Shopee. The population of this research is Muhammadiyah University Ponorogo students who have made purchasing decisions on Shopee e-commerce. The sampling technique using accidental sampling is known to be all 95 samples and to collect data through questionnaires and processed with SPSS version 25. For this study, the results of e-service quality, online customer reviews, and online customer ratings have a significant effect on purchasing decisions.
“PENGARUH PERCEIVED VALUE TERHADAP LOYALITAS KONSUMEN YANG DIMEDIASI OLEH KEPUASAN KONSUMEN (STUDI PADA MIE AYAM BANG UCUP PONOROGO)
Authors: Puspitasari Dina , Sumarsono Hadi , Hartono Sri
Published: November 2023

This study aims to determine the direct effect of Perceived Value on Consumer Loyalty and Satisfaction, the effect of Satisfaction on Consumer Loyalty and whether Satisfaction mediates the effect of Perceived Value on Consumer Loyalty in Bang Ucup Ponorogo Chicken Noodles. This study uses a quantitative method of path analysis. There are 45 respondents. sampling using purposive sampling technique with a questionnaire as a data collection tool. From the results of data analysis, it is found that Perceived Value has an effect on Consumer Loyalty and Satisfaction. Satisfaction has an effect on Consumer Loyalty and mediates Perceived Value on Consumer Loyalty in Mie Ayam Bang Ucup Ponorogo. “