bluuebunny/crossref_metadata_2025 huggingface dataset:
A Comparative Study of Supportive Group Therapy and Individual Psychotherapy in Admitted COVID-19 Patients at a Tertiary Health-Care Center: The Effective Feasible Double-Blinded, Randomized Controlled Trial
Authors: Tejaswini Miskin , Ramachandra V. , Sinha Deoraj , Mane Astik
Published: June 2023

Background:

Earlier pieces of evidence suggest that any pandemic has an impact on the mental health of general population, so is with COVID-19. The mental health of patients during such situations needs special attention and warrants proper care and support. We hypotheses that psychological interventions have an effective outcome in overcoming this.

Methods:

Consenting inpatient adults (n = 55) infected with COVID-19 were randomly allocated into two groups. The participants were assessed using a semi-structured sociodemographic detail, medical history pro forma, NEWS score, and Depression, Anxiety, and Stress Scale-21. In the 1st week of admission, group therapy (n = 26) and individual therapy (n = 29) sessions were delivered at an interval of 3–4 days.

Results:

On follow-up after a week, on comparing the groups, it was found that there was a significant difference in the mean ranks of depression and anxiety in COVID-19 patients who underwent group therapy and supportive individual therapy (P = 0.02, P = 0.03) versus (P = 0.001, P = 0.001), whereas the mean rank of stress in patients with group therapy (P = 0.33) revealed no significant difference compared to supportive individual therapy (P = 0.002).

Conclusion:

Our study found that group therapy was as effective as supportive individual therapy on the outcome measures of depression and anxiety in COVID-19 patients. However, in these difficult times, with shortage of health-care workers, this finding strengthens the benefits of group therapy for achieving psychological well-being in COVID-19 patients.
Employing a Structured Framework to Deal with Problem Learners: Role of Medical Teachers
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh
Published: June 2023

The field of medicine is quite complex, which makes it extremely difficult for students to accomplish the learning outcomes at an identical pace. The medical teachers often have to deal with the students, who either lag on the cognitive aspect or have problems related to their attitude or behavior. These students are broadly referred as “problem learners” and it becomes extremely important for the teachers to give due attention to their needs. Under ideal circumstances, it is always an encouraging practice to have a structured framework within a medical college, which will not only help the teachers in the identification of the problem learners, but also aid in the planning and assessing the impact of the intervention specific to a student. In conclusion, the presence of a problem learner in the field of medicine cannot be denied. However, the important thing will be to identify them at the earliest and give due consideration to teacher and system-related attributes. The entire process should be driven by the teachers, and they should offer them support and help the learners to overcome their issues.
Lemierre syndrome complicated by bronchopleural fistula
Authors: Kodaka N , Nakano C , Oshio T , Matsuse H
Published: June 2023

We present a 19-year-old woman, a case of Lemierre syndrome, who presented with fever, sore throat, and left shoulder pain. Imaging revealed a thrombus in the right internal jugular vein, multiple nodular shadows below both pleura with some cavitations, right lung necrotizing pneumonia, pyothorax, abscess in the infraspinatus muscle, and multiloculated fluid collections in the left hip joint. After inserting a chest tube and administering urokinase for the pyothorax, a bronchopleural fistula was suspected. The fistula was identified based on clinical symptoms and computed tomography scan findings. If a bronchopleural fistula is present, thoracic lavage should not be performed as it may cause complications such as contralateral pneumonia due to reflux.
Hypertrophic cardiomyopathy in a healthy footballer undergoing knee surgery
Authors: Lai Lee Chen , Karim Samihah A , Chiu Jerri Yun Ling , Hamid Mohamad Shariff A
Published: June 2023

We described a 23-year-old male with no known medical illness, diagnosed with non-obstructive hypertrophic cardiomyopathy (HCM). The patient was scheduled for arthroscopic anterior cruciate ligament reconstruction surgery following an injury he sustained during football game few years ago, which he played leisurely. Prior to induction of general anaesthesia, the cardiac monitor showed abnormal deep T-wave inversion in leads II, III, aVF and V1–V6. The surgery was cancelled, and he was referred for further cardiac evaluation. Clinically, he was asymptomatic of heart condition with New York Heart Association Class 1. A further investigation revealed that he had non-obstructive HCM. A further investigation revealed that he had non-obstructive HCM with Modified Lee's cardiac risk assessment before non-cardiac surgery was 6.6% (moderate risk). We treated his left knee injury conservatively and advised him on being physically active based on the European Society of Cardiology Guidelines 2020.
Relationship between Serum IgE Level and Childhood Nephrotic Syndrome with Atypical Presentation
Authors: Chowdhury Munmun , Chowdhury Pranab K. , Maruf-Ul Quader Mohammed , Chowdhury Muhammad Jabed Bin Amin , Choudhury Zabeen , Biswas Susmita
Published: June 2023

Background:

Patients with nephrotic syndrome (NS) have altered serum immunoglobulin E (IgE) levels during relapse and remission, while presentation may be typical or atypical.

Objective:

To evaluate serum IgE level in childhood NS with the atypical and typical presentation.

Materials and Methods:

A total of 66 children with NS aged between 1 and 12 years were enrolled in this cross-sectional study. Among them, 33 children were with atypical presentations, and an equal number of children were with the typical presentations. Serum IgE level was measured in all cases.

Result:

The mean age of patients was 5.9 ± 3.1 years with a male-to-female ratio of 1.4:1. The mean serum IgE level was 1063.2 ± 1042.6 IU/mL in NS atypical presentation and 1099.8 ± 842.1 IU/mL in NS typical presentation, both of which were higher than the normal range for age but statistically not significant (P = 0.877).

Conclusion:

Elevated level of serum IgE is a feature of childhood NS with atypical and typical presentations.
Comparison of the effects of remifentanil and dexmedetomidine in patients under general anesthesia for rhinoplasty
Authors: Ersoy Zeynep , Uslu Ahmed , Gökdemir Begüm Nemika , Çekmen Nedim , Jafarov Sabuhi
Published: June 2023

Objective

We aim to compare the effects of remifentanil and dexmedetomidine administered under general anesthesia in patients undergoing rhinoplasty. The primary outcomes were hemodynamics, postoperative pain, and recovery; the secondary outcomes were PONV, shivering, and patient and surgeon satisfaction.

Methods

In this randomized controlled, double-blind trial, 62 patients 18–65 years of age and ASA I-II class who underwent rhinoplasty under elective conditions were accepted to the study and divided into two groups. Group R (n = 31) received 0.25 μg/kg/min intravenously infusion during the operation without a loading dose. Group D (n = 31) was initiated with a bolus of 1 μg/kg over 10 min before induction of anesthesia and then received 0.5 μg/kg/h intravenously infusion during the operation. The patient’s pain level was assessed at 5 min, 30 min, and 12 h after surgery. Intraoperative hemodynamics, vital parameters, PONV, shivering, and patient and surgical satisfaction were evaluated.

Results

Remifentanil and dexmedetomidine had similar effects on hemodynamics and additional analgesic requirements. No postoperative complications, including PONV, occurred in either group. Recovery from anesthesia was faster, and pain scores were lower in the dexmedetomidine group. While patient satisfaction was similar, surgeon satisfaction was higher in the remifentanil group.

Conclusion

We think dexmedetomidine can be used safely and effectively as an adjuvant during general anesthesia for nasal surgery.
Ultrasound-guided popliteal sciatic nerve block using bupivacaine alone or combined with magnesium sulfate for diabetic foot surgeries
Authors: Abd El-Aziz Rehab Abd El-Raof , Morsy Ahmed R. , Abdelmaksoud Mervat M. , Abdelhamid Mariam S.
Published: June 2023

Background

This prospective study examined the influence of adding magnesium sulfate to bupivacaine in popliteal sciatic nerve block in diabetic foot surgeries.

Patients and methods

Patients were divided into two equal groups: patients in B group received 28 ml of 0.25% bupivacaine plus 2-ml normal saline, and patients in BM group received 28 ml of 0.25% bupivacaine plus 2-ml magnesium sulfate 10%. The primary end point was postoperative analgesic duration assessment. Secondary aims were to assess the sensory and motor block regarding the onset and the duration and assessment of analgesic requirements postoperatively.

Results

In B group, the range of analgesic duration was between 450 and 690 min, with a mean of 585.90±78.96 min, whereas in BM group, it ranged from 720 to 1080 min, with a mean of 870.0±100.6 min. A statistically significant higher prolongation in the duration of analgesia was found in the BM group than the B group.

Conclusions

Magnesium sulfate when added to bupivacaine produced prolongation of analgesic duration postoperatively with decreased analgesic requirements without significant complications.
Intraoperative electromyographic monitoring in children using a novel pediatric sensor
Authors: Kalsotra Sidhant , Rice-Weimer Julie , Tobias Joseph D.
Published: June 2023

Background:

Train-of-four (TOF) monitoring is essential in optimizing perioperative outcomes as a means to assess the depth of neuromuscular blockade and confirm recovery following the administration of neuromuscular blocking agents (NMBAs). Quantitative TOF monitoring has been limited in infants and children primarily due to lack of effective equipment. The current study evaluates a novel electromyography (EMG)-based TOF monitor with a recently developed pediatric-sized self-adhesive sensor in infants and children.

Methods:

Consented pediatric patients undergoing inpatient surgery requiring the administration of NMBAs were enrolled. The EMG electrode was placed along the ulnar nerve on the volar aspect of the distal forearm. The muscle action potentials from the adductor pollicis muscle were recorded throughout surgery at 20-second intervals. Data from the monitor’s built-in memory card were later retrieved and analyzed.

Results:

The final study cohort included 51 patients who ranged in age from 0.2 to 7.9 years and in weight from 4.2 to 36.0 kilograms. Thirty patients weighed less than 15 kgs. Supramaximal stimulus current intensity (mA) at a pulse width of 200 μsec was 30 mA in 8%; 40 mA in 29%; 50 mA in 16%; and 60 mA in 20% of the patients. Supramaximal stimulus current intensity (mA) at a pulse width of 300 μsec was 50 mA in 4%; 60 mA in 24%. The muscle action potential baseline amplitude was 8.7 ± 3.3 mV and recovered to 7.2 ± 3.7 mV after antagonism of neuromuscular blockade. The average baseline TOF ratio was 100 ± 3% and recovered to 98 ± 7% after antagonism of neuromuscular blockade. No technical issues were noted with application of the sensor or subsequent use of the monitor.

Conclusion:

Neuromuscular monitoring can be performed intraoperatively in pediatric patients who are less than 8 years of age using a novel commercially available EMG-based monitor with a recently developed pediatric sensor. The novel sensor allows use of an EMG-based monitor in infants and children in whom acceleromyography or subjective (visual) observation of the TOF response may not be feasible. Automatic detection of neuromuscular stimulating parameters (supramaximal current intensity level, baseline amplitude of the muscle action potential) was feasible in pediatric patients of all sizes including those weighing less than 15 kilograms or when there was limited access to the extremity being monitored.
The P value - and its historical underpinnings – pro and con
Authors: Grech Victor , Eldawlatly Adelazeem A.
Published: June 2023

The derivation and interpretation of P values derived from inferential testing remain somewhat vague and ambiguous in the minds of some researchers/editors/reviewers/readers. The British polymath Fisher famously averred: “the value for which P = 0.05, or 1 in 20, is 1.96 or nearly 2; it is convenient to take this point as a limit in judging whether a deviation is to be considered significant or not. Deviations exceeding twice the standard deviation are thus formally regarded as significant.” This sometimes leads to an almost reductio ad absurdum mindset with an automatic discardment of studies with results where P > 0.05. It must be remembered that results may be negatively impacted by myriad factors that may be out of the researcher/s control, such as small sample sizes, small effects, bias, and random error. This paper briefly reviews the historical events leading to the acceptance of P ≤ 0.05 for statistical significance, the rationale behind the null hypothesis (H0), the meaning of P (and the potential for Type 1 and 2 Errors), α, β, the possibility of using non-0.05 cut-offs when studies are “trending toward statistical significance,” and the importance of including confidence intervals (CIs) in results. P values are vital but must be tempered by judicial consideration of CI and study design. P is a probability spectrum and not simply a binary significant/non-significant statistical metric.

MeSH:

95% confidence interval, biostatistics, P value
Preoperative ultrasound evaluation of gastric contents in children one hour after ingestion of clear liquid: An observational study
Authors: Valencia Alejandra , Trujillo Alexander , Arango Fernando
Published: June 2023

Background:

Gastric ultrasound is an effective, non-invasive method to assess the nature and volume of gastric content in the pediatric population. Recently, the UK, European, and French Pediatric Anesthesia Societies recommend fast for clear fluids in children for 1 h. However, studies showing that 1 h of fasting is safe in the pediatric population are still scarce. This study aims to verify by ultrasound evaluation if 1 h of fasting for clear liquids is sufficient to have an empty stomach before anesthetic induction.

Methodology:

Patients between 11 months and 16 years of age scheduled for elective outpatient surgery were included. A qualitative and quantitative ultrasound evaluation was performed by calculating the cross-sectional area (CSA) of the gastric antrum, 1 h after ingesting a volume of 3 mL/kg of a non-carbonated sports drink, before anesthetic induction.

Results:

Fifty patients were included. The average CSA measured by ultrasound was 2.85 ± 1.64 cm2 with an average calculated total volume of 12.9 ± 11.06 mL. All patients had an empty stomach criterion (calculated volume ≤1.5 mL/kg) during the ultrasound evaluation, with an average of 0.40 ± 0.23 mL/kg. With the qualitative assessment of gastric volume, 19 patients (38%) were classified as grade 0, 31 patients (62%) as grade 1, and none as grade 2.

Conclusion:

One hour of fasting after ingestion of 3 mL/kg of a non-carbonated sports drink is sufficient to meet ultrasound criteria for an empty stomach in a pediatric population undergoing elective outpatient surgery.
Artificial intelligence in medicine and research – the good, the bad, and the ugly
Authors: Grech Victor , Cuschieri Sarah , Eldawlatly Abdelazeem A.
Published: June 2023

Artificial intelligence (AI) broadly refers to machines that simulate intelligent human behavior, and research into this field is exponential and worldwide, with global players such as Microsoft battling with Google for supremacy and market share. This paper reviews the “good” aspects of AI in medicine for individuals who embrace the 4P model of medicine (Predictive, Preventive, Personalized, and Participatory) to medical assistants in diagnostics, surgery, and research. The “bad” aspects relate to the potential for errors, culpability, ethics, data loss and data breaches, and so on. The “ugly” aspects are deliberate personal malfeasances and outright scientific misconduct including the ease of plagiarism and fabrication, with particular reference to the novel ChatGPT as well as AI software that can also fabricate graphs and images. The issues pertaining to the potential dangers of creating rogue, super-intelligent AI systems that lead to a technological singularity and the ensuing perceived existential threat to mankind by leading AI researchers are also briefly discussed.
Analgesic efficacy of bupivacaine with or without magnesium adjunct in bilateral ilioinguinal and iliohypogastric nerve blocks following cesarean section under subarachnoid block: A randomized controlled trial
Authors: Ojo Abayomi Kolawole , Olajumoke Tokunbo Olumide , Kolawole Israel Kayode , Adetoye Adedapo Omowonuola , Elegbe Eniola Olanrewaju
Published: June 2023

Background:

Pain relief is a basic aspect of anesthesia care. Optimal post-cesarean section analgesia should minimize postoperative complications, facilitate infant care, and prevent postoperative morbidity. Bilateral ilioinguinal–iliohypogastric (IIIH) nerve block has been considered as a part of the multimodal approach. This study was designed to explore the efficacy of adding magnesium sulfate as an adjunct to bupivacaine to provide analgesia following cesarean delivery, using bilateral IIIH nerve block.

Materials And Methods:

Seventy-two parturients who were scheduled for elective cesarean section were randomized into two groups of 36 patients each. Group MB patients were given bilateral IIIH nerve block with 250 mg of magnesium sulfate and 95 mg of 0.25% plain bupivacaine. Group B patients were given bilateral IIIH nerve block with 0.9% normal saline and 95 mg of 0.25% plain bupivacaine. Postoperative visual analog scale (VAS) pain scores at post-anesthesia care unit (PACU), 2, 4, 6, 12, and 24 h, both at rest and with activity were measured. Rescue doses of opioid (intravenous [IV] tramadol 50 mg) at each time point of assessment, total tramadol consumption, time to patients’ first request for rescue analgesic agent, and patients’ satisfaction score were recorded.

Results:

The demographic and social parameters of patients in both the groups were comparable. The mean postoperative VAS pain score in group MB was significantly lesser both at rest and with movement than in group B at 12 and 24 h after surgery (P < 0.05). Total postoperative tramadol consumed over 24 h was significantly lesser in the magnesium group than in the control group (125.55 ± 20.76 vs. 160.24 ± 25.82 mg), with a P value of 0.026. The time to patient’s first analgesic request was significantly prolonged in group MB compared to group B (505.2 ± 41.4 vs. 372.6 ± 88.8 min, respectively), with a P value of 0.040. However, patients in both groups expressed good satisfaction scores.

Conclusion:

Magnesium sulfate as an adjunct to bupivacaine in bilateral IIIH nerve block reduced VAS pain scores, total tramadol consumption, and prolonged post-cesarean section analgesia.
An unexpected intraoperative airway obstruction due to betadine solution
Authors: Mallikarjuna Swathi , Agarwal Ankit , Kadian Sakshi , Thenmozhi Kuppi Srinivasan
Published: June 2023

Intraoperative airway obstruction is a nightmare for anesthesiologists, especially in head and neck surgeries. Due to the proximity of airway and surgical area, it will be difficult for anesthesiologists for the airway access. There are many causes of intraoperative airway obstruction. To the best of our literature search, there is no case report of airway obstruction due to betadine solution. Here we present a case of airway obstruction due to endotracheal tube blockade by the use of betadine solution in the surgery of cervical region in a child posted for posterior C1-C2 fusion in prone position on skull pins.
Ultrasound-guided seldinger technique-assisted submental intubation for panfacial trauma—walking off the beaten path
Authors: Bihani Pooja , Paliwal Naveen , Jaju Rishabh , Chattopadhyay Chandrashekhar , Chhabra Abhas
Published: June 2023

Introduction:

After introduction of ultrasound, there is paradigm shift towards under vision performance of procedures in anaesthesia. Blind puncture and dissection of submental space may lead to vascular injury and injury to salivary glands. We describe the ultrasound guided Seldinger technique assisted submental intubation for panfacial trauma.

Methodology:

Modified ultrasound guided Seldinger technique for submental intubation in 10 patients, who were posted for open reduction and fixation of panfacial fractures. Total procedural time, peri-procedural complications such as bleeding, dislodgment of tube, desaturation and postoperative complications such as injury to sublingual glands/submandibular glands, hematoma, cheloid or hypertrophic scar formation or skin site infection were noted.

Results:

The mean time to perform submental intubation was 8.9 ± 0.94 minutes (range, 8-11 minutes). Only one patient had minor bleeding during procedure which was stopped after local application of pressure. All patients had a clean scar with no formation of cheloid or hypertrophic scar in the postoperative follow up.

Conclusion:

Ultrasound assisted submental intubation increases safety of the procedure in patients presenting with maxilla-facial trauma.
Neuraxial anesthesia in Lutembacher’s syndrome? Yes, we can!
Authors: Turki Sonali , Arya Abhishek , Kajal Kamal , Gourav Krishna P.
Published: June 2023

Lutembacher’s syndrome is a rare congenital cardiac syndrome comprising of a combination of an atrial septal defect complicated by congenital or acquired mitral stenosis. The applied physiology of the patient depends upon the severity and the interactions of the lesions. They pose certain difficulties to the administration of both general or neuraxial anesthesia. A preference of one form of anesthesia over the other should be based on the understanding of the physiology of the patient. There should not be an orthodox avoidance of neuraxial anesthesia in complex cardiac pathologies as general anesthesia can be associated with certain complications of its own. Here, we report our successful experience of neuraxial anesthesia being administered in a patient with Lutembacher’s syndrome.
Exploring the Impact of Experiential Marketing on Audience Perception in Indian Performing Art Educational Institutions
Authors: Avdhesh Vartika , Jain Ruchi , Tyagi Archana
Published: June 2023

This study aimed to assess the impact of experiential marketing on audience perception in Indian performing art educational institutions. For this purpose, data were collected between August 2022 to January 2023 from 311 students of the National School of Drama (NSD), Shriram Bharatiya Kala Kendra, Kathak Kendra, and Triveni Kala Sangam. The study focused on experiential marketing strategies incorporated into digital platforms. In this study, structural equation modelling and regression analysis were employed to analyze the impact of experiential marketing on audience perception, and the results indicated a positive relationship between perception and the quality of Interactive Experiences. However, no statistically significant results were found for the relationships between Perception and Immersive Experiences and Perception and Educational Value, suggesting the need for more specific and tailored measures. The results had important implications for designers and developers of digital experiences, who might benefit from prioritizing interactivity and tailoring content to enhance user perception of immersive experiences and educational value on behalf of their educational clientele.
A logarithmic lower bound for the second Bohr radius
Authors: Das Nilanjan
Published: June 2023

The purpose of this note is to obtain an improved lower bound for the multidimensional Bohr radius introduced by L. Aizenberg (2000, Proceedings of the American Mathematical Society 128, 1147–1155), by means of a rather simple argument.
2022 in review: a look at key developments in opt-out collective redress in the UK
Authors: Rigby Lucy , Edwards Sofie , Stellardi Anna , McEwen Hannah
Published: June 2023

2022 was a record year for opt-out collective redress in the UK. The highest number of new collective proceedings claims were filed to date, and a record six claims were granted certification.

While some actions were certified by the Competition Appeal Tribunal without challenge from the defendants, other proceedings were appealed to the Court of Appeal. All of this scrutiny saw both the judiciary – and the parties before it – test the boundaries of the certification stage; ultimately providing important guidance for the young regime.

This article tracks the key developments in 2022 and analyses their impact on the collective proceedings regime under section 47B of the Competition Act 1998, before looking ahead to potential trends in 2023 and beyond.
Merger review of creeping private equity consolidation: a new use for Article 22 EUMR and beyond?
Authors: Karadakova Vassilena , Fountoukakos Kyriakos , Pretorius André
Published: June 2023

Gone are the days when merger control risk assessments were only rarely a feature of private equity deal planning. Competition authorities around the world have recently turned their attention to creeping consolidation in particular sectors, including across private equity portfolios, and are finding new ways of using their existing toolkits to review so-called ‘roll-up’ strategies pursuant to which a private equity investor acquires multiple small companies in the same sector. This article considers the mechanisms through which private equity ‘roll-up’ transactions may be subject to merger review in the EU and the UK and the potentially far-reaching implications for PE firms and those advising them.
Implementing Curriculum “More or Less” in Timor-Leste
Authors: Quinn Marie
Published: June 2023

Curriculum reform is often oriented by top-down issues, particularly in implementing global imperatives around education. In post-colonial, post-occupied Timor-Leste, the most recent primary school curriculum (2014) has sought to reflect local needs and experiences and implement new content with learner-participatory strategies through scripted lesson plans. This study explores if and how teachers use these lesson plans, identifying patterns of pedagogical behaviour through classroom observation in nine schools. Short interviews with classroom teachers further revealed what understandings of the curriculum reform they brought to their work. The findings suggest that teachers are asserting some agency over the lesson plans in relation to how they perceive their local situation and needs of the students, but often omitting critical learning activities that are key features of the new curriculum. This bottom-up view suggests a basis for further reform, in this case, less scripting of ‘answers’, more focus on extending student language for new knowledge and professional development that focuses on specific pedagogical strategies.
Exploring Effective Teaching Approaches for English as a Foreign Language (EFL) Instructors: Best Practices and Future Directions
Authors: Achieng Stella Anne
Published: June 2023

The field of English as a Foreign Language (EFL) is expanding rapidly, with millions of students globally seeking to improve their English language proficiency. To meet the demand for effective EFL instructors, it is essential to possess a diverse range of skills, including knowledge of best practices in language teaching and an understanding of individual learner needs. This paper explores effective teaching approaches for EFL instructors at the university level in France, focusing on key practices and future directions in the field. The paper discusses the significance of effective EFL instruction, outlines the challenges instructors may encounter, and examines approaches such as communicative, task-based, intercultural approach and content-based language teaching. Additionally, the role of technology in EFL instruction is explored as a means of enhancing learning outcomes. Finally, the paper aims to highlight the importance of effective EFL teaching and to propose a roadmap for EFL teachers who wish to improve their teaching practice.
Riesgos de la transición energética postfosilista en América Latina: sobreexplotación y contaminación de la naturaleza
Authors: Soto Toledo Alma Delia
Published: June 2023

El presente estudio tomó como punto de partida la pregunta: ¿La transición energética postfosilista basada en las energías renovables afectará a los países de América Latina que poseen las principales reservas minerales y metálicas que constituyen la base material de las baterías que ésta misma requiere, debido a la devastación ambiental que provocará la expansión de la frontera extractiva? En este sentido, se estableció el objetivo de analizar con base en datos científicos la estimación de la demanda de minerales y metales estratégicos para la transición energética, para saber cuánto aumentará el extractivismo. A partir de la Crítica de la Ecología Política sustentada en el método científico de la Crítica de la Economía Política y mediante un análisis documental se analizaron las principales implicaciones medioambientales y en la salud para América Latina en la transición energética que propone el capital; al calcular la profundización del extractivismo minero en la región, a partir de realizar una estimación de la demanda de ciertos minerales críticos como el litio, cobre, manganeso, níquel, nobio y molibdeno, necesarios para la producción baterías; así como para la sustitución de vehículos convencionales movidos por energía fósil por vehículos eléctricos e híbridos-eléctricos. Los resultados obtenidos fueron: al demandar una cantidad 6 o 7 veces más de ciertos minerales críticos, la frontera extractiva se multiplicará exponencialmente en la misma proporción principalmente en la demanda de cobre y litio. El estudio concluye que, al incrementarse el extractivismo minero seis o siete veces más, en la misma proporción se va a devastar la biodiversidad, el agua y la salud de la población, así también se incrementarán los conflictos socioambientales en los países con las principales reservas de estos minerales.
Development of warehouse logistics at the present stage
Authors: Tiverovsky V. I.
Published: June 2023

Using the examples from foreign practice the article considers the present stage of development of ware-house logistics based on the concept of digitalization and automation of logistics and transport. A practical solution to the problems of logistics development is implemented through real projects, the introduction of the latest technologies, the construction of new facilities and the modernization of existing ones, the use of innovative handling, storage and process equipment, as well as new software products and digital systems. Technical solutions in engineering and construction projects of the new general cargo warehouses and logistics centers are discussed.

Much attention is paid to IT systems in warehouse logistics, which made it possible to implement a number of innovative solutions in digitalization and automation abroad. Without technology and IT systems, effective internal logistics, service, technical support for handling and storage equipment are impossible today. Therefore, lifecycle management and preventive maintenance require smart tools.

Examples of the new types of handling and storage equipment are given, which control transport & storage and loading & unloading operations. The creation and practical application of new types of handling and storage equipment actively supports the implementation of common goals for the development of warehouse logistics.
Cookies Tinggi Serat Berbahan Ampas Tahu dan Kulit Pisang Raja
Authors: Terati Terati , Pertiwi Andini Putri , Taristi Anggun , SR Ni Shafa Khalishah , Septiana Riska
Published: June 2023

Masalah gizi yang sering terjadi pada anak salah satunya adalah kegemukan atau obesitas. Obesitas merupakan keadaan yang disebabkan oleh asupan energi dan lemak lebih tinggi dari energi yang dikeluarkan. Tujuan penelitian ini adalah untuk mengetahui daya terima dan kandungan zat gizi cookies tepung ampas tahu dan tepung kulit pisang raja. Ampas tahu umumnya dimanfaatkan sebagai pakan ternak karena memiliki nilai ekonomis yang rendah, sedangkan kulit pisang raja adalah bagian luar pisang yang jumlahnya cukup banyak ditemukan. Secara umum, pemanfaatan kulit pisang ini masih belum banyak dilakukan karena biasanya langsung dibuang sebagai limbah organik atau dapat juga dimanfaatkan untuk bahan pakan ternak. Penelitian ini adalah metode eksperimen dengan Rancangan Acak Lengkap (RAL) non-factorial yang terdiri dari empat kali perlakuan dan tiga kali pengulangan. Hasil uji daya terima didapatkan formula yang paling banyak disukai adalah formula 3. Hasil uji laboratorium pada formula 3 didapat nilai energi 492,66 kkal, protein 4,76 gram, lemak 24,22 gram, karbohidrat 63,91 gram, dan serat pangan 31,18 gram. Disimpulkan bahwa Formula 3 memiliki daya terima yang paling tinggi (3,88) dan nilai gizi yang bagus.
Faktor-Faktor yang Mendasari Pelayanan Komplementer pada Kehamilan
Authors: Novika Almira Gitta , Setyaningsih Dewi , Masruroh Masruroh , Centaury Redaneya
Published: June 2023

Pelayanan terapi komplementer menjadi salah satu bagian yang penting dalam pelayanan kesehatan. Selama ini pendekatan yang digunakan masih banyak dilakukan dengan pendekatan konvensional meskipun Indonesia merupakan salah satu negara yang kaya akan tanaman herbal dan dapat dimanfaatkan untuk kesehatan. Wanita merupakan kelompok pengguna paling besar dari pelayanan kesehatan dengan pengobatan komplementer alternatif, khususnya pijat, jamu, dan aromaterapi untuk wanita hamil. Tujuan penelitian adalah untuk mengetahui faktor pendukung dan faktor penghambat pelayanan komplementer pada kehamilan oleh bidan di Kabupaten Sleman. Penelitian ini dilakukan dengan metode kualitatif dan pendekatan deskriptif. Teknik pengumpulan data menggunakan metode wawancara mendalam. Analisis data yang digunakan dalam penelitian ini adalah model interaktif Miles and Huberman. Hasil penelitian menunjukkan bahwa faktor pendukung dalam memberikan pelayanan komplementer kehamilan oleh bidan, yaitu pengetahuan, sarana prasarana yang mendukung, dan adanya peluang. Sedangkan faktor penghambat dalam memberikan pelayanan komplementer kehamilan oleh bidan yaitu waktu, tempat, kurangnya SDM dalam memberikan pelayanan komplementer kehamilan, komunikasi bidan, kurangnya kesadaran masyarakat, dan sebagian besar bidan belum mengikuti pelatihan komplementer. Disimpulkan bahwa pengetahuan bidan dan sarana pendukung menjadi faktor penentu keberhasilan pelayanan komplementer pada kehamilan.
PEMBENTUKAN KARAKTER ENTREPRENEURSHIP SANTRI DI PONDOK PESANTREN AUFIA GLOBAL ISLAMIC BOARDING SCHOOL
Authors: Fifi Fradina, Hervrizal
Published: June 2023

Abstrak

Tujuan penelitian ini adalah untuk mendeskripsikan proses pembentukan karakter entrepreneurship santri di pondok pesantren Aufia Islamic Boarding School. Penelitian ini menggunakan metode kualitatif. Teknik pengumpulan data yang peneliti gunakan adalah observasi, wawancara dan dokumentasi. Hasil penelitian ini menunjukkan pembentukan karakter entrepreneurship santri pondok pesantren Aufia Global Islamic Boarding School dapat dicapai melalui programprogram sadar sholat dan ibadah, bina akhlak mulia, hafal Al-Qur’an dan 100 hadist pilihan, terampil komunikasi dengan bahasa Arab dan Inggris, menguasai dasar-dasar ilmu syar’i enterpreneruship, leadership, tuntas akademik dan riset.

Kata Kunci: Pembentukan, Karakter, Entrepreneurship, Santri

Abstract

The purpose of this study was to describe the process of forming the entrepreneurial character of students at the Aufia Islamic Boarding School boarding school. This study uses a qualitative method. Data collection techniques that researchers use are observation, interviews and documentation. The results of this study indicate that the formation of the entrepreneurial character of the students of the Aufia Global Islamic Boarding School Islamic boarding school can be achieved through conscious prayer and worship programs, fostering noble character, memorizing the Al-Qur'an and 100 selected hadiths, skilled at communicating in Arabic and English, mastering the basics basic knowledge of syar'i entrepreneurship, leadership, academic completion and research.

Keywords: Formation, Character, Entrepreneurship, Santri
Human Personality In The Era Of Globalization From Da'wah Perspective
Authors: Wijaya Hendra
Published: June 2023

The purpose of this research is to discover how the concept of human personality is based on age generations in the era of globalization and the challenges faced by each of these personalities in dealing with this era as well as the concept of the da'wah approach for each personality. This research is included in the type of library research (Library research) because the data sources come from written sources, both directly related to the material being studied and indirectly. Then in terms of presentation this material is descriptive analysis in nature, because this research seeks to describe the Concept of Human Personality based on the age generation in the Globalization Era and the challenges faced by each of these personalities in facing that Era as well as the Concept of Da'wah Approach for each personality. Based on the results of the analysis it can be concluded that Human Personality is different from one another based on their age or generation, so that the challenges faced by each personality generation are different in dealing with all phenomena that exist in the Globalization Era, and the Da'wah Approach must also adapt to their personality in responding to things that exist in the Era of Globalization.
Analysis Of The Differences And Relevance Of Islamic And Conventional Banking Principles
Authors: Prahendratno Antonius
Published: June 2023

The Minister of Transportation of the Republic of Indonesia has issued Regulation of the Minister of Transportation Number PM 63 of 2019 concerning Minimum Service Standards for Transportation of People by Train which is a reference for infrastructure operators and / or railway facility operators in providing services to service users. Tidak terkecuali bagi PT. Kereta Api Indonesia (KAI) DAOP VI Yogyakarta which is the organizer of the Yogyakarta-Solo Electric Railway.This research is about the Implementation of the Regulation of the Minister of Transportation of the Republic of Indonesia Number 63 of 2019 concerning Minimum Service Standards for Transportation of People by Train, located at PT. Indonesian Railway DAOP VI Yogyakarta. This research method is normative legal research, which uses key informants as research subjects, to analyze the development of information and its sources, then the sampling technique used is purposive sampling. The population in this study is all management and employees at PT. Kereta Api Indonesia DAOP VI Yogyakarta, while the sample used is only part of the management and employees of PT. Kereta Api Indonesia DAOP VI Yogyakarta started from the direction of key informants. The results of the study are expected to inform that the implementation of the Ministerial Regulation has been implemented by the railway operator, PT. Kereta Api Indonesia DAOP VI Yogyakarta properly and correctly as stated in the provisions of the Regulation of the Minister of Transportation of the Republic of Indonesia Number 63 of 2019.
Strategi Kepala Sekolah PAUD dalam Membangun Citra Sekolah Menuju Sekolah PAUD Unggul pada Masa Pandemi Covid-19
Authors: Asiyah Siti
Published: June 2023

Pendidikan anak usia dini adalah Pendidikan utama yang dibutuhkan sejak dilahirkan. Tujuan strategi kepala sekolah Pendidikan Anak Usia Dini dalam Membangun citra sekolah menuju sekolah PAUD unggul adalah untuk mengetahui, menganalisa strategi dan peran kepala sekolah dalam pengelolaan serta pengawasan untuk meningkatkan profesionalisme pendidik dan tenaga kependidikan di masa pandemi. Metode penelitian yang digunakan oleh peneliti yaitu menggunakan pendekatan kuantitatif dengan metode survey yang diambil secara online dari google form yang berisi pernyataan-pernyataan. Jumlah responden dalam penelitian ini adalah 129 kepala sekolah di Kota Subang yang terdiri dari 58 orang kepala sekolah dari Organisasi Profesi IGTKI dan 71 orang kepala sekolah dari Organisasi Profesi HIMPAUDI. Penulis menggunakan rumus Slovin dalam perhitungan sampel dengan tingkat kesalahan sebesar 5% dengan pengambilan sampel acak sederhana dan untuk menentukan kevalidan dari item kuesioner peneliti menggunakan program SPSS 23 for windows dengan ketentuan tanda (*) yang berarti significan 0,05, bila (**) yang berarti significan 0.01. Item dikatakan valid jika df = N-2. Hasil penelitian dapat disimpulkan berdasarkan skor rata-rata hasil pengolahan data, hasil penelitian secara umum tentang strategi kepala sekolah PAUD dalam membangun citra sekolah menuju sekolah PAUD unggul pada masa pandemi Covid 19 di Kota Subang mencapai angka 87,20 persen dari nilai ideal (100%), dalam penelitian ini angka tersebut masuk dalam kategori sangat baik.
Analisis Pengaruh Kualitas Sistem, Kualitas Informasi dan Perceived Usefullness Terhadap Kepuasaan Pengguna Aplikasi E-Benefit dalam Upaya Meningkatkan Kinerja Karyawan pada PT Asuransi Jiwa Central Asia Raya Di Jakarta
Authors: Harso Bugi Tri , Arletta Dino , Adi Kusumo
Published: June 2023

Pandemi Covid-19 memukul banyak sektor usaha, tak terkecuali perusahaan asuransi, sehingga Manajemen berusaha mempertahankan dan meningkatkan kinerja perusahaan dengan mengevaluasi kinerja karyawannya dimasa pandemi Covid-19 dalam penggunaan teknologi informasi aplikasi E-BENEFIT. Penelitian ini dilakukan dengan alasan mencari tahu ketidakpuasan dari pengguna terhadap sistem tersebut seperti informasi yang dibutuhkan masih salah, masih ada error bugs, butuh waktu lama saat menarik data atau mengupload dokumen kedalam sistem dan kurangnya fitur yang dibutuhkan oleh karyawan (user). Penelitian ini menggunakan pendekatan kuantitatif dimana masalah dan hipotesis telah ditentukan dan dijabarkan diawal, tahap selanjutnya melakukan survey dengan menyebarkan kuisioner kepada 50 orang karyawan PT Asuransi Jiwa Central Asia Raya pengguna aplikasi E-BENEFIT untuk mendapatkan data. Data yang dikumpulkan dianalisis dan pengujian hipotesis dilakukan dengan metode korelasi, regresi dan analisis jalur (path analysis) dengan persyaratan uji validitas/reliabilitas dan statistik deskriptif dengan menggunakan software SPSS. Hasil dari penelitian ini dapat mengetahui bahwa variabel Kualitas Sistem, Kualitas Informasi, Perceived Usefulness berpengaruh positif terhadap kepuasan pengguna dan variabel kepuasan pengguna berpengaruh positif terhadap kinerja individu karyawan.
Peningkatan Prestasi Belajar PPKn Materi Sistem dan Dinamika Demokrasi dengan Pembelajaran Metode Ceramah, Belajar Aktif dan Pembelajaran Autentik
Authors: Rohyani Ida Panca
Published: June 2023

Permasalahan rendahnya kualitas pembelajaran PPKn di XI.IIS-5 SMA Negeri 2 Babelan berdasarkan refleksi melalui observasi. Guru kurang memberikan konteks keseharian siswa. Inovasi pembelajaran serta media belum dimanfaatkan dengan baik. Data pendukung adalah hasil belajar 69% siswa yang memperoleh nilai dibawah Kriteria Ketuntasan Minimal (KKM) yaitu 75. Untuk mengatasi permasalahan tersebut dilakukan penelitian dengan menerapkan Pembelajaran gabungan metode ceramah dan metode belajar aktif dengan metode Pembelajaran autentik. Tujuan penelitian ini adalah untuk meningkatkan kualitas pembelajaran yaitu keterampilan guru, aktivitas siswa, dan hasil belajar Siswa Kelas XI.IIS-5 SMA Negeri 2 Babelan. Tujuan penelitian tindakan ini adalah: (a) Mengetahui peningkatan prestasi belajar PPKn setelah diterapkannya Gabungan metode ceramah dan metode belajar aktif dengan metode Pembelajaran autentik pada Siswa Kelas XI.IIS-5, (b) Mengetahui pengaruh motivasi belajar PPKn setelah diterapkan Gabungan metode ceramah dan metode belajar aktif dengan metode Pembelajaran autentik. Penelitian ini menggunakan penelitian tindakan (action research) sebanyak tiga putaran. Setiap putaran terdiri dari empat tahap yaitu: rancangan, kegiatan dan pengamatan, refleksi, dan refisi. Sasaran penelitian ini adalah siswa kelas XI.IIS-5. Data yang diperoleh berupa hasil tes formatif, lembar observasi kegiatan belajar mengajar. Dari hasil analisis didapatkan bahwa prestasi belajar siswa mengalami peningkatan dari siklus I sampai siklus III yaitu, siklus I (62,86%), siklus II (77,14%), siklus III (94,29%). Simpulan dari penelitian ini adalah gabungan metode ceramah dan metode belajar aktif dengan metode Pembelajaran autentik dapat berpengaruh positif terhadap motivasi belajar Siswa Kelas XI.IIS-5, serta metode pembelajaran ini dapat digunakan sebagai salah satu alternatif pembelajaran PPKn
Dukungan untuk Wanita Penyandang Disabilitas pada Akun Instagram @lipstickuntukdifabel
Authors: Nurjannah Dinar Asvi , Wijaya Yasinta Putri , K Fakri Reza
Published: June 2023

Tujuan penelitian ini adalah untuk membedah agenda setting yang dilakukan media sosial Instagram @lipsticuntukdifabel dalam rangka dukungan bagi wanita penyandang disabilitas. Penelitian ini menggunakan pendekatan metode penelitian kualitatif menggunakan teori agenda setting dalam menganalisis temuan yang terdapat pada riset ini. Hasil penelitian menunjukkan bahwa penyandang disabilitas sering menganggap bahwa kekurangan mereka membuat mereka berbeda dengan orang lain. Hal ini sering menimbulkan rasa kurangnya percaya diri pada para penyandang disabilitas terutama dalam lingkungan sosialnya, beberapa penyandang disabilitas cenderung menarik diri dari interaksi sosial karena kurangnya kepercayaan diri yang ada. Berbagai alat penunjang kepercayaan diri seperti make up menjadi hal yang sangat penting untuk digunakan dalam menimbulkan rasa percaya diri bagi kaum penyandang disabilitas. Selain itu, faktor dukungan dari luar lingkungan sosial para penyandang disabilitas menjadi faktor yang paling penting dalam menunjang rasa percaya diri kaum penyandang disabilitas
Pengaruh Supervisory Behavior, Budaya Organisasi dan Motivasi
Authors: Mariana Mariana , Satrya Aryana , B.Elu Wilfridus
Published: June 2023

Setiap organisasi memiliki tujuan yang ingin dicapainya, yaitu kelangsungan hidup dari organisasi tersebut. Sumber daya manusia merupakan salah satu faktor produksi yang terpenting, tanpa mereka organisasi akan mengalami kesulitan dalam mencapai tujuan. Penelitian ini bertujuan untuk menganalisis dan mengetahui faktor-faktor yang memengaruhi turnover intention di sekolahku. Penelitian ini menggunakan metode penelitian kuantitatif dengan pendekatan kausal. Teknik sampling dimana seluruh guru yang berjumlah 119 digunakan sebagai sampel dan data yang diperoleh dari kuesioner diolah menggunakan teknik analisis Structural Equation Model (SEM) dengan menggunakan Partial Least Square (PLS). Hasil analisis menunjukan bahwa semua hipotesis diterima. Terdapat pengaruh positif dan signifikan perilaku supervisi (supervisory behavior), budaya organisasi dan motivasi terhadap kepuasan kerja. Terdapat pengaruh negatif dan signifikan perilaku supervisi, budaya organisasi, motivasi dan kepuasan kerja terhadap turnover intention. Dalam hasil uji pengaruh tidak langsung didapati perilaku supervisi, budaya organisasi dan motivasi memiliki pengaruh terhadap turnover intention melalui mediasi kepuasan kerja. Dengan demikian kesepuluh hipotesis diterima. Hasil penelitian ini menunjukan bahwa untuk mengurangi tingkat turnover, manajemen harus memperhatikan kepuasan kerja guru di sekolah atau karyawan pada perusahaan dan variabel-variabel yang memengaruhinya.