bluuebunny/crossref_metadata_2025 huggingface dataset:
Influence of Student Council’s Demographic Characteristics on the Management of Secondary School Students’ Discipline in Kenyenya Sub-County, Kisii County, Kenya
Authors: Justus Mekenye O. , Chui Mary Mugwe
Published: September 2023

Student indiscipline has always been an issue facing schools the world over. Although student councils are known to be vital in assisting school administration in the management of student discipline, their presence in leadership has not fully controlled cases of student indiscipline. This study employed a descriptive survey design. The study utilised an interview guide designed for SCDE to collect primary data. There were questionnaires for principals, deputy principals, teachers and student council leaders (SCL) to collect both qualitative and quantitative data. The study targeted a population of 422 respondents consisting of one (1) Sub-County Director of Education (SCDE), forty-five (45) Principals, 45 Deputy Principals, two hundred and eighty-six (286) teachers and forty-five (45) Student Council Leaders in secondary schools in Kenyenya Sub-County. A sample size of one hundred and twenty-six (126) respondents corresponding to thirty per cent (30%) of the target population (422) was used to select 13 principals, 13 deputy principals, 86 teachers and 13 student council leaders. Before the actual administration of the research instruments, a pre-test of the instruments was conducted in two secondary schools within Kenyenya Sub-County using 13 respondents, constituting 10% of the study sample. The schools and respondents that were used in the pilot study were not included in the final survey. This study adopted a multi-stage sampling approach where stratified sampling was used to select schools while simple and purposive sampling was used to select respondents. The data was analysed based on the study objectives. Descriptive and inferential statistics were used to analyse quantitative data, and the results were presented in the form of frequencies, percentages, means, and standard deviations using tables, graphs, and charts. Qualitative data were analysed thematically based on the research objectives. The findings of this study indicate that student council dynamics such as leadership attitude, leadership training and personality greatly influenced the management of student discipline
Survey-based Analysis for Proximate Anthropogenic Driving Factors of Forest Landscape Degradation: The Case of Kilimanjaro World Heritage Site, Tanzania
Authors: Enoguanbhor Eveline Aggrey , Enoguanbhor Evidence Chinedu , Edo Iwebuke , Albrecht Eike
Published: September 2023

Protecting tropical forests from degradation is a critical challenge for implementing institutional instruments, including the World Heritage Convention (WHC) and strategic policies for forest protection in the Global South. Identifying and addressing proximate anthropogenic causes are important steps to support the effective implementation of institutional instruments. Our study, therefore, investigated the proximate anthropogenic driving factors of forest degradation in the Kilimanjaro World Heritage Sites (WHS) to support WHC and strategic policies for forest protection and natural heritage sustainability. We used surveys of experts and residents to generate data to identify direct anthropogenic driving factors and analyze forestry and agricultural activities, the level of tourism, and bush burning/wildfire activities as proximate anthropogenic driving factors of forest degradation. Our key findings showed that direct anthropogenic factors are mostly attributed to agricultural activities, beekeeping and honey harvesting, and charcoal production. Other factors include wildfire/bush burning, illegal logging, tourism activities, infrastructural developments, and the introduction of exotic plant species. Also, the findings showed that the level of forestry activities on the site is high, and most of the people have no access to productive (community) forests. Additionally, our findings showed that the levels of agricultural activities on the site and accessibility to agricultural lands are low and very low, respectively. Furthermore, our findings showed that the level of tourism activities on the site is high, and bush burning (wildfire) on the site is attributed to tourism activities and park rangers. The study findings are crucial to support decision-making processes on implementing the WHC and other strategic policies for forest protection and natural heritage sustainability in WHS across the Global South
Structural Characterization of Island Rainforests and Secondary Groves in Southern Nigeria
Authors: Ndakara Emmanuel Ofudjaye , Ohwo Odafivwotu
Published: September 2023

This study characterized the structural attributes of island rainforests and secondary groves within Orogun region in southern Nigeria. The quasi-experimental design was used, and the vegetation structural characteristics were determined in both secondary groves (experimental sites) and island rainforests (control sites). The randomized systematic sampling was employed in dividing the study area into 6 zones which were selected upon the presence of mature rainforest islands and secondary groves respectively. Six plots were sampled in each ecosystem. Tree heights, tree girths, and plot sizes were the data collected. Both secondary groves and island rainforest plots were measured to first determine uniformity in the area covered by the trees, after which, size of 200 ft X 100 ft was chosen as the uniform area of plot from which data were gathered. Tree girths at breast height were determined using measuring tape; while tree heights were determined by the use of Abney level and measuring tape. The 15.0 version of the Statistical Package for the Social Sciences (SPSS) was used in the statistical tests of the stated hypotheses. Statistical results showed that t-value = 7.05, P(0.001) > 0.05 for tree heights; and t-value = 3.122, P(0.026) > 0.05 for the tree girths. The mean differences in the structural characteristics between the secondary and mature island rainforest were significant at 0.05 alpha level. This implies that trees within island rainforests are significantly taller and bigger. The higher structural attributes of the island rainforest revealed that over time, conservation of rainforest trees could positively impact on its structural attributes. Therefore, ecosystem-based management approach was recommended for the management and conservation of the rainforest trees and covers
A Special Interval Newton Step for Solving Nonlinear Equations
Authors: Nikas Ioannis A.
Published: September 2023

The problem of finding the zeros of a nonlinear equation has been extensively and thoroughly studied. Point methods constitute a significant and extensive category of techniques, allowing for the efficient finding of zeros with arbitrary precision under specific conditions. However, the limitation of these methods is that they typically yield a single zero. An alternative approach employs Interval Analysis, leveraging its properties to provide reliable and with certainty inclusions of all zeros within a given search interval. Interval methods, such as the Interval Newton method, exhibit quadratic convergence to the corresponding inclusions when monotonicity and simple zeros exist. Nonetheless, there exist pathological cases, like the existence of multiple zeros, where the obtained inclusions cannot be bounded with arbitrary precision, necessitating the adoption of bisection schemes to refine the search interval. These schemes not only increase computational time and cost but also result in a higher number of enclosures, enclosing sometimes the same zero more than once. The main objective of this work is to enhance the applicability of Interval Newton method in cases where no efficient alternative are available. Thus, in this paper, the Interval Newton method is studied and an adjusted perturbation technique is proposed to address the cases where multiple zeros exist. In particular, the given function is vertically shifted. Then, the Interval Newton operator is applied once to this shifted function. The resulting enclosures are then used to efficiently partition the search interval. The successful application of the Interval Newton method is expected to improve overall performance and reduce reliance on bisection schemes. Experimental results on a set of problems demonstrate the effectiveness of the proposed technique.
Inter-Party Carpet-Crossing Among Legislators and Implications for Oversight Functions and Governance in Nigeria
Authors: Frank Etim O. , Udoaka Stephen P.
Published: September 2023

This paper examined the implications of inter-party defections by the APC and PDP elites in the National Assembly on law making and governance in Nigeria. It has been observed that emerging political coalitions may not always reflect policy preferences or philosophical differences since they are mostly based on personalities and agreement among political leaders. Political parties are widely acknowledged to have a significant impact on the oversight and accountability of governmental operations and policies. Political parties’ refusal to impose such rules stifles efficient public representation at all levels. The survey research method was employed to gather data, while the elite theory was found useful in explaining the study. For the purpose of analysis, the Simple Linear Regression was executed with the Statistical Package for Social Science (SPSS) for the testing of the hypothesis at 0.5 significance level. The finding of the study revealed that the APC and PDP elites’ inter-party defections in the National Assembly had a substantial influence on the enactment of laws for good governance in Nigeria. Consequently, the study suggested, among others, that political parties in Nigeria should be established on ideologies and not pecuniary benefits and primitive accumulation as it is being witnessed even in the current administration. Besides, being a member of a political party should not be determined by the collection of ticket to vie for elective political office.
Hepatoblastoma con Estadificación PRETEXT II en Paciente Femenina de 2 Años. Reporte de Caso
Authors: Rodríguez Castillo Dayanara Melissa , Ordoñez Aguirre Darwin Leonardo , Lanche Troya Candida Vanesa , Guerrero Llumitaxi María Fernanda , Alvarez Saltos Miguel David
Published: September 2023

El Hepatoblastoma es el principal tumor maligno primario del hígado en niños. Se presenta principalmente antes de los 3 años de vida, ocurre predominantemente de manera unifocal en el lóbulo hepático derecho, pero puede ser multifocal y desarrollarse en todos los segmentos del hígado. El Hepatoblastoma bien desarrollado puede imitar el carcinoma hepatocelular. Se han informado metástasis hematógenas en los ganglios linfáticos. El HB supone el 79% de los tumores hepáticos malignos pediátricos, pero solo el 2% de todos los tumores malignos infantiles, aunque su incidencia está en aumento. La historia clínica, la existencia de factores de riesgo, la concentración sérica de la alfa-fetoproteína relacionada con la edad y el aspecto radiológico son elementos importantes del diagnóstico. Algunos niños presentan dolor abdominal, malestar, fatiga generalizada y pérdida de apetito, debido a la distensión tumoral o anemia secundaria. En niños con un tumor roto generalmente se presenta con vómitos, síntomas de irritación peritoneal y anemia severa. Se presenta un caso de niña femenina de 2 años, sin antecedentes patológicos de importancia, madre acude a esta casa de salud junto a niña por referir desde hace 15 dias dolor abdominal acompañado de alza térmica no cuantificada.
Preparación para la Vida Adulta Independiente en Educandos con Discapacidad Intelectual para su Inclusión Socioeducativa
Authors: Chuico Morocho Mirian Narcisa , Serra Castro Adalay , Gárciga Domínguez Amada
Published: September 2023

La Convención Internacional sobre los Derechos de las Personas con Discapacidad (ONU, 2006) establece que las personas con discapacidad son titulares de derechos y que los poderes públicos están obligados a garantizar el ejercicio pleno y efectivo de estos derechos. Orientada por los principios de participación e inclusión, no discriminación e igualdad de oportunidades, la Convención establece claramente los derechos a la inclusión educativa y laboral, a la vida independiente y a la participación en la comunidad. La vida adulta constituye una etapa fundamental en la vida de las personas. En ella se van a sentar las bases del proyecto de vida. Cuando se hace alusión a vida adulta independiente se refiere a que la persona sea dueña de su propia vida, que decida sobre las cosas que le preocupan y le interesan.  Para alcanzar una total inclusión socioeducativa es necesario, desde diferentes contextos, la eliminación de barreras para la participación y el aprendizaje y la propuesta de acciones educativas que se centren en el desarrollo de habilidades para una vida adulta independiente. Este trabajo tiene como objetivo caracterizar el proceso de la preparación para la vida adulta independiente (VAI) en los educandos con discapacidad intelectual.
Planeamiento Estratégico para el Cambio Digital del Instituto Superior Tecnológico Babahoyo
Authors: Elizondo Mendoza Francisco Adrián , Mackliff Peñafiel Verónica Vanessa , Valverde Ochoa Ignacio Manuel , Vargas Marín Hugo Jaime , Cacoango Sánchez Fani Yolanda
Published: September 2023

En la actualidad, los planes estratégicos de tecnologías de información, es una iniciativa productiva en las instituciones públicas y/o privadas, ya que estos, apoyan al cumplimiento de los objetivos estratégicos y mejora continua de la instituciones. La motivación del presente trabajo investigativo surge con la necesidad de brindar una propuesta de solución a la ineficiente forma de proceder hacia el cambio tecnológico deseado. Por ello, se establece el objetivo de proponer un plan estratégico aplicando la metodología de planes de tecnología para el cambio digital del Instituto Superior Tecnológico Babahoyo en Ecuador, donde se consoliden todos los esfuerzos de indagación, diseño y propuesta de implementación del plan a nivel institucional. En el transcurso del proceso de investigación se lograron resultados con la aplicación de entrevistas y revisión de documentos que fueron necesarios para el desarrollo del plan. Se destaca la identificación de 24 departamentos institucionales, se determinan 26 falencias operativas y tecnológicas, se refieren 6 iniciativas de nuevas tecnologías que deben ser desarrolladas e implementadas, se detectan 5 riesgos probables que pueden incidir negativamente en el cambio positivo, por el contrario, se obtienen 4 formas de mitigarlos, como resultado final se obtuvo un plan de tecnología que compone la articulación de la visión estratégica institucional con la visión estratégica tecnológica, asi como los proyectos y politicas necesarias para el cumplimiento las metas institucionales.
La Gestión de Recursos Humanos en el Sector Educativo y su Impacto en el Desarrollo Profesional Docente: Una Revisión Sistemática
Authors: López Leiver , Morales Milton , Navarro Ivonnis
Published: September 2023

El objetivo del presente trabajo es evaluar la importancia de una gestión efectiva de recursos humanos en el sector educativo y su impacto en la calidad de la enseñanza. Utilizando un enfoque cualitativo, se revisaron estudios recientes (Zhang & Liu, 2021; García & Martínez, 2023; O'Leary & Kim, 2022) que abordaban prácticas de gestión de recursos humanos y su relación con el compromiso y desarrollo docente. Se identificó que una gestión centrada en las necesidades de los docentes mejora su motivación y, consecuentemente, la calidad educativa (García-Morales, Jiménez-Barrionuevo, & Gutiérrez-Gutiérrez, 2019). Las estrategias efectivas incluyen la selección adecuada de personal, capacitación continua y evaluaciones de desempeño justas y transparentes. Además, se subrayó la necesidad de políticas y estrategias actualizadas y flexibles que respondan a los cambios del entorno educativo (Johnson & Smith, 2018; Thompson & Brown, 2020). En conclusión, invertir en una gestión de recursos humanos efectiva es esencial para garantizar la calidad educativa y el desarrollo profesional docente.
Krisis Miastenik: Literature Review
Authors: Atmaja I Made Brama , Rahmat Dwi , Hunaifi Ilsa
Published: September 2023

Krisis Miastenik merupakan komplikasi dari penyakit Miastenia Gravis (MG) yang ditandai dengan terjadinya perburukan kelemahan otot yang signifikan sehingga menyebabkan kegagalan respiratori dan membutuhkan intubasi dan ventilasi mekanik. Tujuan dari penulisan tinjauan pustaka ini adalah untuk membahas secara komprehensif mengenai krisis miastenik dan penatalaksanaan yang tepat pada pasien miastenia gravis dengan komplikasi krisis miastenik. Metode penulisan tinjauan pustaka ini menggunakan metode literature review. Penelusuran tinjauan pustaka menggunakan Pubmed, Researchgate, dan Google Scholar. Sebanyak 20 artikel masuk ke dalam tinjauan pustaka. Tinjauan pustaka ini membahas definisi, epidemiologi, manifestasi klinis, diagnosis, tatalaksana, kompliksai dan prognosis, serta perbedaan antara Krisis Miastenik dan Krisis Kolinergik. Diharapkan dari tinjauan pustaka ini dapat memberikan pemahaman lebih lanjut terkait Krisis Miastenik.
Derajat Kontaminasi SARS-CoV-2 di Poli Pinere: Sebuah Tinjauan Pustaka Pencegahan dan Pengendalian Infeksi di Rumah Sakit
Authors: Mulya Shania Hafitsa , Eustachius Hagni Wardoyo  , Bayu Tirta Dirja  , Dewi Suryani
Published: September 2023

COVID-19 (Coronavirus Disease-2019) merupakan wabah yang disebabkan oleh virus SARS-CoV-2 dengan mode transmisi yang bervariasi. Wabah ini telah menyebar secara global dan telah dinyatakan sebagai pandemi global oleh WHO. Penularan COVID-19 bahkan dapat terjadi melalui kontaminasi lingkungan di Rumah Sakit termasuk ruang Poli Pinere sehingga diperlukan upaya pencegahan dan pengendalian. Metode yang digunakan dalam penelitian ini merupakan studi literatur yang relevan dari berbagai referensi dan terfokus pada upaya pencegahan, pengendalian dan derajat kontaminasi SARS-COV-2 di Poli Pinere Rumah Sakit. Pada lingkungan rumah sakit termasuk di Poli Pinere, kontaminasi SARS-CoV-2 dapat terjadi secara langsung dan tidak langsung di permukaan lantai, gagang pintu, meja samping tempat tidur, gagang jendela, pompa infus, ambu bag, bantal, monitor pasien, atas TV, peredam pembuangan udara, dan tempat duduk toilet. Dari kontaminasi inilah memungkinkan terjadinya penularan COVID-19 kepada tenaga kesehatan, pasien dan pengunjung. Pencegahan yang dapat dilakukan adalah melakukan prosedur disinfeksi, menerapkan personal protective equipment yang baik dan hand hygine. Perlu dilakukan upaya untuk mencegah dan mengendalikan penularan COVID-19 akibat kontaminasi di lingkungan Poli Pinere rumah sakit. Beberapa cara diantaranya yakni prosedur disinfeksi, menerapkan personal protective equipment yang baik dan hand hygiene.
Aktivitas Imunomodulator Kombinasi Ekstrak Sambiloto dan Jahe Merah terhadap Parameter Leukosit
Authors: Pratiwi Arik Dian Eka , Ramonah Dewi , Elisa Novi
Published: September 2023

Sambiloto (Andrographis paniculata (Burm. f.) Ness) dan jahe merah (Zingiber officinale var. Rubrum) telah diketahui memiliki aktivitas imunomodulator. Guna mendapatkan terapi yang lebih baik, para peneliti masih mengeksplorasi kombinasi berbagai tanaman obat. Penelitian ini bertujuan mengidentifikasi dosis efektif kombinasi sambiloto dan jahe merah sebagai imunomodulator terhadap parameter leukosit. Hewan uji dibagi dalam 5 kelompok. Induksi bakteri Staphylococcus aureus (S. aureus) dilakukan pada hari ke-7 keseluruh kelompok mencit. Sampel darah diambil pada hari ke-0, 8 dan 14 untuk pengukuran jumlah leukosit menggunakan hematology analyzer. Selanjutnya dianalisis menggunakan ANOVA satu jalan dan dilanjutkan dengan Post Hoc Test. Hasil pemeriksaan sampel darah menunjukkan bahwa peningkatan leukosit yang signifikan terjadi pada hari ke-14 setelah sebelumnya mengalami penurunan pada hari ke-8. Dosis efektif Kombinasi Ekstrak Sambiloto dan Jahe Merah (KESJM) ditunjukan pada kombinasi dengan perbandingan dosis (1:2). Kombinasi tersebut menggambarkan perbedaan yang tidak bermakna terhadap kelompok kontrol positif sehingga dapat disimpulkan bahwa KESJM memiliki aktivitas imunomodulator.
Hubungan Penerapan Komunikasi Interpersonal Perawat dengan Tingkat Kepuasan Pasien di Ruang Rawat Inap RSUD Praya
Authors: Hardiansah Yayan , Sismulyanto Sismulyanto
Published: September 2023

Komunikasi interpersonal adalah komunikasi yang dilakukan antara perawat dan pasien yang terjadi secara langsung dalam bentuk percakapan sehingga menimbulkan respon atau umpan balik tujuannya untuk memenuhi kebutuhan kesehatan pasien. Penelitian ini bertujuan untuk mengetahui hubungan penerapan komunikasi interpersonal perawat dengan tingkat kepuasan pasien di ruang rawat inap RSUD praya. Populasi pada penelitian ini adalah perawat dan pasien di ruang rawat inap RSUD praya dan teknik pengambilan sampling yang digunakan adalah purposive sampling dengan jumlah sampel perawat berjumlah 74 orang dan sampel pasien berjumlah 58 orang, kemudian analisa data yang digunakan adalah uji statistik chi square. Hasil penelitian menunjukan bahwa rata-rata responden menyatakan bahwa komunikasi interpersonal perawat di Ruang Rawat Inap RSUD Praya baik yaitu sebanyak 60 (81,4%) perawat, sedangkan komunikasi interpersonal cukup sebanyak 14 (18,6%) perawat dan tidak ada perawat yang menyatakan komunikasi interpersonal kurang. Sedangkan tingkat kepuasan pasien di ruang rawat inap RSUD praya sebagian besar responden berada pada tingkat kepuasan tinggi sebanyak 33 (56,9%) pasien, 18 (31,0%)  pasien yang berada pada tingkat kepuasan sedang dan 7 (12,1%) pasien yang berada pada tingkat kepuasan rendah. Hasil uji statistik chi square diperoleh angka p=0,174 >alpha=0,05 artinya tidak ada hubungan penerapan  komunikasi interpersonal perawat dengan tingkat kepuasan pasien di ruang rawat inap RSUD praya. Dengan tidak adanya Hubungan anatara komunikasi interpersonal maka di harapkan lebih memperhatikan bagaimana penerapan komunikasi interpersonal baik di dalam pelayanan maupun di tingkat manajerial, untuk meningkatkan tingkat kepuasan pasien di dalam lingkup pelayanan Rumah Sakit.
Faktor-Faktor yang Berhubungan dengan Kejadian Ruptur Perineum pada Ibu Bersalin Spontan di Puskesmas Aikmel
Authors: Faizaturrahmi Eka , Nurannisa Fitria Aprianti
Published: September 2023

Penyebab perdarahan postpartum scara medis yaitu faktor 4T yaitu tonus, trauma, tissue dan thrombin. Salah satu 4T tersebut yaitu rupture perineum atau perlukaan jalan lahir yang terjadi pada perineum pada saat kelahiran bayi, baik menggunakan alat maupun tidak. Tujuan dalam penelitian ini adalah untuk mengetahui Faktor-Faktor Yang Berhubungan Dengan Ruptur Perineum Pada Ibu Bersalin Spontan Di Puskesmas Aikmel. Desain Penelitian ini adalah deskriptif korelasi dengan pendekatan Case Control. Sampel berjumlah 126 orang yang didapatkan menggunakan Purposive Sampling. Pengumpulan data menggunakan data sekunder yaitu rekam medik. Instrumen yang digunakan dalam penelitian ini berupa form ekstrak. Pengolahan data menggunakan analisis univariat, bivariate dan multivariat. Berdasarkan hasil analisis bivariat dengan uji chi square diperoleh hasil p-value umur 0,000, p-value paritas 0,000, p-value lama persalinan kala II 0,001 dan p-value berat badan bayi 0,000. Hasil analisis multivariate dengan uji regresi logistik menunjukkan hasil p-value umur 0,000 dengan nilai Exp(B) 6,254, p-value paritas 0,002 dengan nilai Exp(B) 4,108, dan p-value berat badan bayi 0,010 dengan nilai Exp(B) 0,144. Artinya terdapat hubungan yang bermakna antara faktor umur ibu, paritas, lama persalinan kala II dan berat badan bayi dengan kejadian ruptur perineum pada ibu bersalin spontan di Puskesmas Aikmel. Akan tetapi, faktor yang paling dominan adalah umur ibu, dikarenakan nilai exp (B) paling tinggi dibandingkan dengan variabel-variabel lainnya.
Pengaruh Media Video Terhadap Pengetahuan dan Sikap Ibu Bekerja tentang ASI Perah dan Pemberian ASI Eksklusif di Wilayah Kerja UPT Puskesmas Kuripan
Authors: Aprianti Nurannisa Fitria , Faizaiturrahmi Eka
Published: September 2023

Menyusui secara ekslusif adalah makanan yang bagus diberikan kepada bayi. Keberhasilan pemberian Air susu ibu dengan cara diperah dan pemberian ASI ekslusif dipengaruhi oleh pengetahuan dan sikap ibu bekerja. Status Pekerjaan salah satu faktor penyebab kegagalan dalam menyusui secara ekslusif. Ibu yang mempunyai pekerjaan agar tetap bisa menyusui secara ekslusif kepada bayinya dengan cara air susu ibu diperah. Salah satu cara peningkatan pengetahuan dan sikap dengan memberikan edukasi menggunakan video. Media video yaitu metode edukasi yang dapat merubah pemahaman dan prilaku ibu dengan status bekerja terkait Air susu ibu yang diperah dan menyusui ekslusif. Penelitian ini bertujuan mengetahui pengaruh media video Terhadap Pengetahuan Dan Sikap Ibu Bekerja Tentang Asi Perah dan Pemberian Asi Ekslusif di Wilayah Kerja UPT Puskesmas Kuripan. Metodologi penelitian yang diguanakan yaitu desain pra- eksperimental dan rancangan one group pretest dan posttest. Jumlah populasi seluruh ibu yang bekerja yang mempunyai bayi berumur dari 0 sampai dengan enam bulan di wilayah kerja Puskesmas Kuripan. sampel yang digunakan dalam berjumlah 63 orang dengan pengambilan sampel yaitu total sampling dan instrument yang digunakan kuesioner. Uji normalitas yang digunakan Kolmogorov Smirnov dan uji statistic menggunakan uji wilcoxon. Hasil penelitian menunjukan bahwa ada pengaruh pengetahuan dan sikap ibu bekerja tentang Asi perah dan pemberian Asi eksklusif sebelum dan sesudah diberikan media video dengan nilai p-value 0,000<0,05. Dapat disimpulkan bahwa media video berpengaruh terhadap peningkatan pengetahuan dan sikap tentang Asi perah dan pemberian eksklusif pada ibu yang bekerja.
Analisis Kualitas Hidup Orang dengan HIV AIDS (ODHA) pada Kelompok Resiko dan Faktor Penyakit Penyerta di Kabupaten Lombok Tengah
Authors: Wahyu Wirawan Triyono  , Fitra Arsy Nur Cory'ah  , Menap  , Sismulyanto  , Saimi  , Sapi'i Muh
Published: September 2023

Fokus permasalahan global yang menjadi perhatian dunia maupun di Indonesia yaitu kasus HIV/AIDS. Telah dilaporkan kasus HIV/AIDS dikabupaten/kota di Indonesia Sebanyak 498 (97%) dari total keseluruhan kasus yaitu 514, termasuk ODHA di  wilayah NTB sebanyak 2.218 kasus, Prevalensi HIV/AIDS menunjukkan tren meningkat di Kabupaten Lombok tengah sampai dengan tahun 2019 yaitu  26,08 %, dan telah dilaporkan kasus HIV hingga Maret 2021 sebanyak 427.201 (78,7%). Tujuan penelitian untuk menganalisis kualitas hidup ODHA pada kelompok resiko tinggi dan factor penyakit penyerta di Kabupaten Lombok Tengah.  Penelitian ini merupakan studi kohort retrospektif pada pasien yang telah terdiagnose HIV/AIDS di RSUD Praya dari tahun 2003 - 2022. Perolehan data penelitian terkait kualitas hidup ODHA dengan mengakses data rekam medis yang tersimpan secara utuh dan lengkap di KTH Mandalika RSUD Praya Kab. Lombok Tengah. Pengambilan sampel dengan menggunakan total sampling yaitu 381 sampel dari kelompok resiko yang terinfeksi HIV/ AIDS berdasarkan diagnosis dokter RSUD Praya. Analisis data dengan uji Chi Square, Penelitian ini telah mendapatkan persetujuan etik dari Komite Etik Poltekkes Kemenkes Mataram dengan Nomer: LB.01.03/6/022/2023. Hasil penelitian menunjukan bahwa terdapat hubungan yang signifikan antara kualitas hidup ODHA dengan kelompok resiko tinggi (p=0,011), kelompok resiko tinggi terbanyak pasangan resti yaitu 185 (48,6) dan terdapat hubungan signifikan antara kualitas hidup ODHA dengan penyakit penyerta (p=0,000) dengan kondisi hidup sebanyak 255 (66,9%) dan yang meninggal sebanyak 64(16,8%).
Apparatus Human Resource Development Strategy through Corporate University of the Agrarian and Spatial Planning/National Land Agency
Authors: Sa'adah Ulvi Ratnaningsih
Published: September 2023

This study aims to formulate the Center for Human Resource Development (PPSDM) strategy of the Ministry of the Agrarian and Spatial Planning/National Land Agency (ATR/BPN) in developing the competence of HR personnel based on the Corporate University strategy. This study uses a qualitative descriptive method with data analysis using the Miles and Huberman model. The results showed that the strategy for implementing the ATR/BPN corporate university was strengthening the legal basis, providing rewards to employees, preparing budgets, strengthening the implementation of the Learning Value Chain, Assigning PPSDM employees to oversee and ensure LVC runs, Development of learning models 70:20:10, Implementation of learning council meeting.
A study on the differences in the perceived importance of jet fighter performance improvement factors
Authors: Cho Youngjae , Min Soonhong , Lim Sehwan , Choi Kyunghwan
Published: September 2023

The rapid advancement in software-based technology has significantly shortened product life cycles, leading to the proliferation of new products. However, the high initial investment makes it practically impossible for armed forces to rapidly replace existing weapons systems with new ones due to technological obsolescence. A more realistic alternative is to focus on performance improvements (or weapon upgrades) in existing systems. The challenge lies in making the right upgrades with the right technology at the right cost and time given the limited defense budget. Unfortunately, weapons upgrade decisions have mostly been based on costs and politically considered budget allocations to different branches of the armed forces rather than by considering a comprehensive range of decision factors. In light of the escalating national security threats, it is necessary to maximize the cost-effectiveness of weapons upgrade projects and effectively address rising national security challenges. The objective of this study is to develop a performance improvement Decision Index that quantifies the opinions of field-operating experts. Field experts are believed to possess the necessary expertise to select the appropriate fighter types, technologies, and upgrade timings, making it beneficial to factor in their opinions to determine what, how, and when to upgrade. Specifically, this study aims to establish weighted values for major decision factors regarding fighter performance improvement programs in the Republic of Korea Air Force. To achieve this, we collected survey data from 134 active-duty pilots and maintenance, operations, and repair (MRO) personnel from major fighter wings of the Republic of Korea Air Force and analyzed the data using the Fuzzy-AHP (Analytical Hierarchy Process). The analysis results indicate that the highest weighted value is given to the “relative (fighter) performance”against hostile nations, followed by “operating rate,” “durability,” “performance improvement cycle,” and “budget.” Furthermore, this study identified perceptual differences among field experts—particularly between pilots and MRO personnel—regarding the importance of relative performance, budget, performance improvement intervals, and operating rates of different fighter types. The proposed performance improvement index aims to provide a quantitative tool that incorporates field experts’ opinions into the decision-making process to upgrade weapons, facilitating balanced decisions and departing from a policymaker-centered approach. This balanced approach to weapons upgrade decisions will contribute to maximizing cost-effectiveness and, eventually, enhancing combat readiness.
Effects of instructor’s coaching behavior in the military educational environment on self-directedness in learning of cadets at Korea Army Academy at Yeong-cheon (KAAY)
Authors: Seok Hyeseon , Kang Yongkwan , Ahn Donghyun
Published: September 2023

The purpose of this study is to test the effects of instructor’s coaching behavior in the military education and training on self-directedness and learning outcome of cadets. To this end, the self-report questionnaires was used to collected data from 409 cadets in the 4th grade of the KAAY in the six-week military education and training from July to August 2022. The collected data were analyzed using Structural Equation Modeling (SEM). The result revealed that the instructor’s coaching behavior had a significant effect on the self-directed learning of cadets and the learning outcomes of cadets. We also found self-directedness in the learning of cadets mediated the instructor’s coaching behavior and learning outcomes. The findings could help to pay attention to the instructor’s coaching behavior as a strategy to foster self-direction in the learning of cadets.
First report of Cloeon vanharteni Gattolliat & Sartori, 2008 (Baetidae, Ephemeroptera) in the Maghreb
Authors: Benlasri Mokhtar , Vuataz Laurent , Gattolliat Jean-Luc , Beermann Arne J. , Leßner Heribert , El Alami El Moutaouakil Majida , Ghamizi Mohamed , Berger Elisabeth
Published: September 2023

Cloeon vanharteni Gattolliat & Sartori, 2008 was newly discovered in the framework of our study of Ephemeroptera in the Draa basin, located in the southern region of the High Atlas in Morocco. This discovery is rather unexpected as the species was never reported outside the Arabian Peninsula and Levant; it is thus the first record for the Maghreb. The identification was based on morphological evidence and confirmed by the mitochondrial COI barcode.
Freshwater pulmonate snails and their potential role as trematode intermediate host in a cercarial dermatitis outbreak in Southern Thailand
Authors: Wongpim Thanaporn , Komsuwan Jirayus , Janmanee Chanyanuch , Thongchot Piyawan , Limsampan Sukhonta , Wichiannarat Nattarinee , Chaowatut Wiyada , Suwanrat Saranphat , Dechruksa Wivitchuta , Veeravechsukij Nuanpan , Glaubrecht Matthias , Krailas Duangduen
Published: September 2023

This study aimed to investigate the pulmonate snail species in the vicinity of the cercarial dermatitis outbreak area in southern Thailand. In 2020, an outbreak of cercarial dermatitis was reported in Chana district, Songkhla Province, caused by the ruminant schistosome Schistosoma indicum and its snail intermediate host Indoplanorbis exustus. In the present study, 1,175 pulmonate snails were collected between October 2021 and October 2022 from five provinces covering 34 locations in southern Thailand. Seven pulmonate snail species were identified based on shell morphology, including Amerianna carinata, Gyraulus bakeri, G. convexiusculus, G. hubendicki, Physella acuta, Indoplanorbis exustus, and Radix rubiginosa. Among these snails, eight species, and five types of cercariae were identified, viz. type (i) Echinostome cercariae consisted of Echinoparyphium recurvatum, Echinostoma spiniferum, and E. revolutum, type (ii) Brevifurcate-apharyngeate cercariae consisted of Schistosoma indicum and S. spindale, type (iii) Brevifurcate-pharyngeate-clinostomatoid-cercariae was represented by Clinostomum giganticum, type (iv) Longifurcate–pharyngeate cercariae (strigea cercaria) was Diplostomum baeri eucaliae, and type (v) Ophthalmoxiphidiocercaria. Among the seven pulmonated snail species, three were found to be infected, viz. G. convexiusculus, I. exustus, and R. rubiginosa, with infection rates of 1.14% (2/176), 0.25% (2/802), and 4.02% (7/174), respectively.
The Future of Cyber Security Starts Today, Not Tomorrow
Authors: Babu C. V. Suresh , Andrew Simon P. , Barath Kumar S.
Published: September 2023

This study dives into the field of cybersecurity, analyzing current trends and laying out a conceptual framework for spotting new issues with societal bearing that call for more study in the area. The research eventually seeks to better society's general cybersecurity posture by effectively spotting trends and new risks by using text mining to examine cybersecurity material distributed between 2008 and 2018 in both scholarly and media sources. There is a significant time-based connection between the resources, as shown by the study's discovery of both convergences and divergences between the two cybersecurity corpora. Overall, the study's methodology shows how well automatic methods can be used to offer insightful information on socially significant and new cybersecurity subjects. The framework directs future academic study in this area with the intention of strengthening society's overall cybersecurity stance.
IoT-Based Energy Harvesting and Future Research Trends in Wireless Sensor Networks
Authors: Shafik Wasswa
Published: September 2023

The more technology advances, the extra benefits to the public and devices that connect to the internet have increased as well, commonly known as internet of things (IoT). The battery lifespan of these devices rises with technical concerns where an alternative to traditional energy attainment is needed. As the way forward, wireless sensor networks (WSNs) and IoT are tested to be used as novel energy alternatives through energy harvesting (EH). This study identifies the availability of energy by location. Similarly, it focuses on the sensor node's architecture with EH capabilities expanding to the classification of five EH techniques. It evaluates the EH developments in search of minimal resource utilization associated with WSNs. Its extensive distribution of interconnected devices is connected via the internet and other related high-tech innovations. Finally, it discusses the feasibility of energy storage and its potential for WSNs, paving the way for future trends and motivations.
Data Recognition for Multi-Source Heterogeneous Experimental Detection in Cloud Edge Collaboratives
Authors: Yubo Yang , Jing Meng , Xiaomeng Duan , Jingfen Bai , Yang Jin
Published: September 2023

This article proposes a multisource heterogeneous experimental data recognition method based on CRNN and DBNet in a cloud-edge collaborative environment in an attempt to address the issues of low efficiency and a high error rate that come with traditional manual data detection and recognition. Firstly, a recognition architecture for experimental detection data of intelligent measurement systems is designed based on a cloud-edge collaborative environment to improve the efficiency of data processing. Then, the improved DBNet network is used in the edge computing center to detect the text, and the correction module is used to correct the deviation of the detected text to ensure the standardization of the text. Finally, in the central cloud, the end-to-end indefinite length character recognition (CRNN) algorithm is used to analyze and identify the text order, rules, and other information of the image after the correction is completed, extract the test detection data, and convert the detection data into row data according to the two-dimensional table structure, and conduct structured storage and management through the relational database. An experimental analysis of the proposed method is conducted based on the deep learning framework, and results show that its accuracy rate and recall rate are close to 96% and 94%, respectively, with an average accuracy of 95.09%. This fully demonstrates the proposed method is effective and, therefore, applicable to power equipment experimental detection data recognition.
Assessment of knowledge and attitude among healthcare workers towards monkeypox disease: a cross-sectional study from Saudi Arabia
Authors: Qadah Talal
Published: September 2023

Background. Monkeypox has been announced recently as a global public health emergency by the World Health Organization. The recent outbreak of monkeypox has brought back concerns about how this viral infection can spread easily between individuals and cause a major health concern. Objectives. The objective of this study was to assess healthcare workers’ (HCWs) knowledge about monkeypox illness, its transmission, prevention, and attitudes toward this re-emerging disease. Materials and Methods. A descriptive correlational cross-sectional survey was conducted in Saudi Arabia from June to August 2022 and targeted HCWs including medical technologists and technicians, physicians, nurses, pharmacists, and others. Results. A total of 385 participants were included where 53.5% of respondents were male compared to 46.5% female. The average score for knowledge was 9.90, and the majority of respondents had an inadequate understanding of monkeypox. In addition, the average score of attitude toward monkeypox infection was 50.19, which indicate that HCWs have a positive view of efforts to prevent monkeypox. Conclusions. In Saudi Arabia, HCWs were found to have an inadequate understanding of the virus that causes monkeypox. This study shows how important it is for HCWs to learn more, since managing contagious infections requires a lot of help from trained and knowledgeable medical professionals.
General anesthetic agents induce neurotoxicity through astrocytes
Authors: Yang Yanchang , Liu Tiantian , Li Jun , Yan Dandan , Hu Yuhan , Wu Pin , Fang Fuquan , McQuillan Patrick M. , Hang Wenxin , Leng Jianhang , Hu Zhiyong
Published: September 2023

Neuroscientists have recognized the importance of astrocytes in regulating neurological function and their influence on the release of glial transmitters. Few studies, however, have focused on the effects of general anesthetic agents on neuroglia or astrocytes. Astrocytes can also be an important target of general anesthetic agents as they exert not only sedative, analgesic, and amnesic effects but also mediate general anesthetic-induced neurotoxicity and postoperative cognitive dysfunction. Here, we analyzed recent advances in understanding the mechanism of general anesthetic agents on astrocytes, and found that exposure to general anesthetic agents will destroy the morphology and proliferation of astrocytes, in addition to acting on the receptors on their surface, which not only affect Ca2+ signaling, inhibit the release of brain-derived neurotrophic factor and lactate from astrocytes, but are even involved in the regulation of the pro- and anti-inflammatory processes of astrocytes. These would obviously affect the communication between astrocytes as well as between astrocytes and neighboring neurons, other neuroglia, and vascular cells. In this review, we summarize how general anesthetic agents act on neurons via astrocytes, and explore potential mechanisms of action of general anesthetic agents on the nervous system. We hope that this review will provide a new direction for mitigating the neurotoxicity of general anesthetic agents.
Efficacy and safety of the Arctic Sun device for hypoxic-ischemic encephalopathy in adult patients following cardiopulmonary resuscitation: A systematic review and meta-analysis
Authors: Sharda Saurabh C. , Bhatia Mandip Singh , Jakhotia Rohit R. , Behera Ashish , Saroch Atul , Pannu Ashok Kumar , Kumar H Mohan
Published: September 2023

AIM:

The principal objective of this study was to carry out a comprehensive and thorough analysis to compare the safety and effectiveness of the Arctic Sun, a servo-controlled surface cooling device, with conventional cooling techniques for providing therapeutic hypothermia in adult patients who had experienced hypoxic-ischemic brain injury following cardiopulmonary resuscitation.

METHODS:

In order to achieve our goal, we conducted an extensive search of multiple databases including PubMed, Embase, Cochrane, and ClinicalTrials.gov up to the date of July 30, 2021. We only included studies that compared the safety and efficacy of the Arctic Sun surface cooling equipment with standard cooling approaches such as cooling blankets, ice packs, and intravenous cold saline for treating comatose adult patients who had recovered after experiencing cardiac arrest. We evaluated various outcomes, including all-cause mortality, good neurological outcome at 1 month, and the occurrence of adverse effects such as infections, shock, and bleeding. We employed a random-effects meta-analysis to estimate the odds ratio (OR) with 95% confidence intervals (CIs) for dichotomous outcomes.

RESULTS:

One hundred and fourteen records were identified through our search; however, only three studies met our eligibility criteria, resulting in overall 187 patients incorporated in the meta-analysis. The findings indicated no significant difference in mortality rates among the Arctic Sun device and conventional cooling techniques (OR: 0.64; 95% CI: 0.34–1.19; P = 0.16; I
2 = 0%). In addition, we found no significant difference in occurrence of good neurological outcomes (OR: 1.74; 95% CI: 0.94–3.25; P = 0.08; I
2 = 0%) between the two cooling methods. However, the application of the Arctic Sun device was associated with increased incidence of infections compared to standard cooling methods (OR: 2.46; 95% CI: 1.18–5.11; P = 0.02; I
2 = 0%). While no significant difference occurred in the incidence of shock (OR: 0.29; 95% CI: 0.07–1.18; P = 0.08; I
2 = 40%), the use of the Arctic Sun device was linked to significantly fewer bleeding complications compared to standard cooling methods (OR: 0.11; 95% CI: 0.02–0.79; P = 0.03; I
2 = 0%).

CONCLUSIONS:

After analyzing the results of our meta-analysis, we concluded that the use of the Arctic Sun device for targeted temperature management following cardiopulmonary resuscitation did not result in significant differences in mortality rates or improve neurological outcomes when compared to standard cooling techniques.
The Link between Brain and Heart in Mental Stress-Induced Myocardial Ischemia
Authors: Ma Huan , Liu Guihao , Guo Lan , Geng Qingshan
Published: September 2023

This article reviewed the epidemiology of coronary heart diseases combined with psychological diseases and noted the ubiquitous presence of coronary diseases combined with psychological diseases. This article also highlights the possible mechanisms underlying the induction of myocardial ischemia by mental stress and proposed that cardiac microvascular diseases may be a key connecting myocardial ischemia induced by mental stress. The clinical manifestations of nonobstructive coronary artery diseases and mental stress-induced myocardial ischemia are found to be similar, and the pathogenic mechanisms exhibit certain consistencies; however, studies on the association between these two diseases have not been reported. This article emphasizes a direction for future studies.
Fetal Rhabdomyoma Leads to Family Diagnosis of Tuberous Sclerosis Complex
Authors: Yang Yan-Dong , Li Dong-Zhi
Published: September 2023

Tuberous sclerosis complex (TSC) is a multisystem genetic disorder characterized by the growth of numerous noncancerous tumors in many parts of the body. It is highly variable in clinical presentations, including a wide range of cognitive, behavioral, and psychiatric manifestations. Of all the possible manifestations, cognitive and behavioral problems are the greatest concern to parents and physicians. In this study, two fetuses were identified to have rhabdomyomas by prenatal ultrasound. Carefully inquired familial medical history revealed other symptoms of TSC such as skin lesions or psychiatric problems in family members in the two families. Both fetuses and family members with positive clinical symptoms were confirmed to carry a familial TSC2 variant. Our study indicates that fetal echocardiography is not just the evaluation of the fetal heart. When fetal cardiac rhabdomyomas are diagnosed, a full family medical history and clinical assessment for TSC in family members should be undertaken.