bluuebunny/crossref_metadata_2025 huggingface dataset:
An Analysis of the Right to Information Act 2013 in Khyber Pakhtunkhwa Pakistan
Authors: Sultan Shazia , Anwar Prof. Dr. Zahid
Published: June 2023

The right to information is a powerful tool of good governance without which Transparency and Accountability remain a mere aspiration and an allegory. The basic purpose of this study is to analyze the importance of RTI in general and to provide an overview of the introduction of this basic human right in the conflicts-affected province of Khyber Pakhtunkhwa of Pakistan in particular. RTI ACT of 2013 in KP was the first serious effort of the PTI provincial government in the country. For accomplishing this task, qualitative methodology with primary and secondary sources as an instrument for collecting data has been employed. Key informant interviews were conducted with members of the Provincial Assembly of KP and officials in the RTI Commission to record their opinion about RTI. The piece of study has highlighted the brief history of the efforts of introducing this law in Pakistan and analyzed the features, mechanism, and success extent of the RTI Act 2013 in Khyber Pakhtunkhwa. The paper concludes that the Act was highly respected throughout the country, as it was ranked 3rd in all global RTI Acts as it met basic international requirements like clearly defining and enumerating information and exemption from disclosure.
The Worst to Best Hopes: An Appraisal of Pakistan-India Relations
Authors: Shaheen Nighat , Ali Imran , Arif Muhammad
Published: June 2023

The relations between Pakistan and India share a critical relations history. Both the neighboring states fought major three wars in 1965, 1971 and 1998 (Kargil) and numerous medium and small-level clashes due to a number of different causes. The study founds Kashmir as the root cause as well as Line of Control (LOC) issues, interference in each other country affairs, political criticism and religious issues have been observed as misunderstandings between both countries. However, the leadership of both nations have a history to solve these issues through peaceful means but yet failed. This study relies on multiple sources i.e. primary and secondary through descriptive research methods. The study suggests that Pakistani and Indian delegates would do well to compromise their positions and build confidence between them as well as it will be necessary to retain some degree of flexibility with regard to the principles and points that are being negotiated.
A Study of the Image of Women in Film Themes from a Feminist Perspective
Authors: Luo Yajingyue
Published: June 2023

Film, as an essential mass media resource, has a significant social, political, economic, and cultural impact. This essay will examine the process and reasons for the transformation of female representations on the screen by combining cultural notions and ideals of female roles in Chinese and Western film works. At the same time, it examines the role of film in society from a feminist standpoint. This study investigates the genesis and transition of feminism, as well as the development trend of the female image, through literature research, case analysis, and comparative description. It can be found that China has increasingly acknowledged the influence of Western feminist ideals in the long process of creating the image of women through network resources, historical documents, and other information transmission methods, resulting in a significant change in the image of female characters in Chinese films.
Virtuous Leadership: Insights from the Example of Joseph
Authors: Jamali Dima Rachid , Okpala Comfort O. , Allard-Blaisdell Salisha Theresa , Umo Giftie , Caldwell Cam
Published: June 2023

This paper is a conceptual paper that identifies eight testable propositions about virtuous leadership, incorporating insights from the example of Joseph, the eleventh son of Jacob, as set forth in the Old Testament. Joseph, or Yosuf, is one of the most highly regarded individuals in holy writ and an exemplar of virtuous leadership. We introduce and explain the nature of virtuous leadership and summarize the life of Joseph, as set forth in the Old Testament and the Qur’an. We identify seven key characteristics of virtuous leadership and cite examples from Joseph’s life that demonstrate those qualities. We conclude the paper by identifying five contributions of the paper for practitioners and scholars.
English for Young Learning Method through Games and Songs for Elementary School
Authors: Octaberlina Like Raskova
Published: June 2023

This study aims to determine the role of music and games in elementary school children's learning. The method used in this research is a type of qualitative research. The data collection process was carried out using the Focus Group Discussion (FGD) model in natural settings (natural conditions), primary data sources, and more data collection techniques on observation, in-depth interviews (in-depth interviews), and documentation. The chosen research location is an elementary school in Tulungagung Regency. Teaching English to young learners for teachers is fun. Teachers are required to learn in an interesting and not monotonous manner. Young learners also have a good memory in responding to something. Young learners are active students, so playing is one of the things they enjoy doing. So, the teacher must have innovations to create a learning atmosphere that is not monotonous. One of the things that can be done is to do learning by applying games in class. Young learners in learning English need various interesting methods to be applied in class. One technique that can be used for young learners in learning English is song and games. The benefit for young learners learning English is that they can speak English in the future. The aim of young learners learning English is to master as many vocabulary words as possible. Therefore, they will not experience any difficulties using English in the future. That way, English can be used for their skills in the future.
PENGARUH PENGANGGURAN, PENDIDIKAN, JUMLAH PENDUDUK TERHADAP TINGKAT KEMISKINAN PROVINSI JAWA TIMUR TAHUN 2002-2021
Authors: Ayunin Khurrotun , Tunjung Hapsari Mega
Published: June 2023

This study determines the effect of unemployment, education, total population on poverty levels in East Java province. Using this type of associative research using a quantitative approach, the data used is secondary data using time series data over a period of 20 years (2002-2021). This study uses a multiple linear regression analysis model. The results of this study are that the unemployment variable has a positive effect on poverty, while the education and population variables have a negative effect on poverty. The results of the simultaneous test (F Test), namely the variables unemployment, education, and population simultaneously or jointly affect poverty in East Java Province.
Ảnh hưởng của tư thế vệ tinh đến độ chính xác PPP khi dùng sản phẩm CODE
Authors: Nguyễn Ngọc Lâu , Nguyễn Thị Thanh Hương
Published: June 2023

Trong gói sản phẩm của CODE hỗ trợ cho PPP-AR GPS+GALILEO có thông tin quỹ đạo vệ tinh với tần suất 5 phút và thông tin về tư thế vệ tinh với tần suất 15 phút. Tuy nhiên dùng những sản phẩm này không cho chúng tôi độ chính xác PPP tốt nhất [18]. Để tìm hiểu xem sự cố này có phải là do tư thế vệ tinh gây ra, chúng tôi đã xử lý PPP 90 ngày dữ liệu từ 01/01/2022 đến 31/03/2022 của 4 trạm GNSS thường trực tại khu vực Đông Nam Á theo 2 phương án thay thế file tư thế vệ tinh của CODE: dùng mô hình thông thường và file tư thế vệ tinh của GFZ với tần suất 30 giây. Kết quả cho thấy độ chính xác PPP của 2 phương án là như nhau và cải thiện hơn khi dùng file tư thế vệ tinh của CODE lần lượt là (12, 27, 8)% tương ứng theo hướng Bắc, Đông và Độ cao. Độ chính xác cũng tương đồng với khi dùng sản phẩm của CNES. Vì vậy chúng tôi kết luận việc dùng file tư thế vệ tinh với tần suất 15 phút là không phù hợp vì nó làm giảm độ chính xác của PPP.
Adverse Reactions and Complication in Voluntary Blood Donors
Authors: Smajic Sabina , Becarevic Munevera , Klapic Samra , Seletovic Fahreta , Sahovic Alisa
Published: June 2023

Background: Blood transfusion is a process by which blood replacement is performed in the treatment of various diseases with disorders of the number or function of blood cells or after bleeding. Blood helps save human lives and treat various diseases. Blood and blood products for the treatment of patients are prepared from the blood of voluntary donors. Objective: The aim of this sudy was to examine the frequency of adverse reactions in voluntary blood donors at the Polyclinic for Transfusion at the University Clinical Center Tuzla in the period 01.01.-31.12.2021. and, also, to determining the frequency, is to determine the severity of adverse reactions and the causes that led to them (gender, age, place of donation, whether they are more common during the first or repeated blood donation) as well as the consequences they leave behind. Methods: Our research includes voluntary blood donors who, in the period from 01.01.2021 until 31.12.2021., donated blood at the Polyclinic for Transfusion at the University Clinical Center Tuzla (UCC Tuzla). All donors have been selected according to earlier set criteria, according to the recommendations of the World Health Organization and the Council of Europe, involving age (≥18 years), weight (≥55kg), hemoglobin level (≥125g/dl for women, ≥135g/dl for men), hematocrit level (≥38% for women, ≥41g/dl for men), pulse (50-100 /min) and blood pressure (120/80-160/100mmHg). Each donor voluntarily filled out a uniformed questionary that involved data about personal and family history, as well as prior blood donations. Results: In the Polyclinic for Transfusion UCC Tuzla, a study was conducted about adverse reactions among voluntary blood donors. During 2021 there were 14191 blood donors. From that number of donors, there were 75,4% (107000) fitting donors, while those who have been returned because they haven’t satisfied donating criteria were 24,6% (3487). From the number of those who have donated blood (10700), negative reactions appeared in 1,8% (195) blood donors. When it comes to gender, adverse reactions were recorded in 75,9% (148) male donors and 24,1% (47) female donors concering the total number of donors with adverse reactions. Our research showed that the prevalence of adverse reactions in voluntary blood donors is relatively low (1.8%). The adverse reactions are the result of vasovagal reactions, and most often occur in younger people (18 to 30 years old) in 55.9% of donors. Conclusion: Considering the low percentage of adverse reactions in relation to the total number of blood donors, and that they are mostly mild in intensity, it can be concluded that donating blood is safe process, and doesn’t leave lasting consequences for the blood donor’s health, and every donor returns to daily activities very quickly.
A retrospective study of lipid profile in SARS-CoV-2 infection
Authors: Ali Syed , Tasleem Sumera , Muqeeth Mohammed , Srinivas Ch , Rabbani Hajera , Tarannum Farha
Published: June 2023

Background: Coronavirus disease 2019 (COVID-19), a pandemic, infected millions of individuals globally. Several studies have been done on the demographic, clinical, laboratory, and radiological parameters of SARCoV-2 disease. However, information on the association of lipid profiles with disease severity is very sparse. SAR-CoV-2 patients with dysglycemia and hypertension are shown to have a worse prognosis. Dyslipidemia is considered one of the most important cardiovascular risk factors. The association of lipid profile with disease severity is less commonly studied. Although it is a cost-effective, easily performed, and routinely done test at clinical and hospital setups, it can be an independent risk factor for assessing disease severity.

Aims and Objectives: The present study was undertaken to investigate lipid profile variation in SARS-CoV-2 infections and its association with disease severity.

Materials and Methods: The Institutional Ethics Committee of Malla Reddy Institute of Medical Sciences and Hospital, Hyderabad, approved this retrospective study before it was conducted there. A total of 400 SARS-CoV-2 patients were enrolled in this study. From March 2, 2021 to December 4, 2021. All the data regarding serum lipid profiles were extracted electronically.

Results: We found that mean values of total cholesterol (TC) (98.15), high-density lipoprotein cholesterol (HDL-C) (25.11), and low-density lipoprotein cholesterol (LDL-C) (38.30) compared to mild cases were significantly lower in severe cases: were significantly lower T-C (132.74), HDL-C (33.50), and LDL-C (59.25). A statistically significant difference was found between both groups in terms of TC (P < 0.001), HDL-C (P < 0.001), and LDL-C (P < 0.001). In addition, in the severe cases, triglycerides (TGs) levels showed an upward trend (256.95) and were significantly higher than in the mild cases (153.07) (P < 0.001).

Conclusions: Decreased levels of TC, LDL-C, and HDL-C and increased levels of TGs were observed in severely ill Covid-19 cases. Higher TG levels immediately correlate with disease severity, and lower concentrations of TC, LDL-C, and HDL-C are reciprocally associated with it. Our study about lipid profiles helps provide a new perspective on SAR-CoV-2 infection.
The study of electrocardiographic changes in type II diabetes mellitus
Authors: Patel Piyushkumar , Patel Jagruti , Mangrola Nidhi , Trivedi R
Published: June 2023

Background: The predictions of the silent ischemia in the asymptomatic patients were done with the Electrocardiographic (ECG) abnormalities findings. The high risk of the cardiac morbidity and mortality was statistically associated with abnormal ECG findings.

Aims and Objectives: To reduce patient mortality and morbidity, the current analysis was performed on diabetes patients to look for ECG alterations.

Materials and Methods: A total of 100 people were used, 50 of whom had type-2 diabetes mellitus and 50 of whom were healthy, non-diabetic volunteers whose ages and sexes matched the patients with type-2 diabetes. The 12-lead ECG instrument was used to record the electrographic markings. For fasting blood sugar blood was collected after a minimum 8 h overnight fasting and for PP2BS blood was collected 2 h after lunch.

Results: In people with type II diabetes mellitus, the P wave’s amplitude significantly decreased. When compared to controls, type II diabetics’ QRS complex duration was noticeably longer. When compared to controls, (type II DM) Type 2 diabetes mellitus sufferers had a significantly longer QT and QTC interval. When type II diabetics were compared to controls, the ST segment alterations were significantly different. When compared to controls, type II diabetes showed a considerable T-wave alteration.

Conclusion: The ST segment deviation from the isoelectric line is a predictor of coronary events in an asymptomatic diabetic population. The incidence of sudden mortality due to cardiovascular disease in diabetics is reduced as a result of early detection of QT and QTC alterations, which are good indicators of cardiovascular disease risk in diabetics.
The World of Sound and Speech in Pediatric Cochlear Implant Patients: An Experience from a Tertiary Care Centre in Central India
Authors: Ahmed Minhajuddin , Ansari Mohammed Iqbal , Gupta Sachin , Upadhyay Nitesh
Published: June 2023

Objectives − To assess the effect of auditory and speech rehabilitation according to the revised Category of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) score in patients who underwent Cochlear Implant (CI) surgery at a tertiary care centre in Central India.Patients and Methods − This was a retrospective interventional study conducted at the Department of Pediatrics and Otorhinolaryngology of Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, during the period from 2014 to 2018, to assess the hearing and speech of the patients who underwent CI, and was approved by the Institutional Ethical Committee.Results − A total of 114 patients underwent surgery using the mastoidectomy-posterior tympanotomy (MPTA) approach at our centre. Of these, 61 (54%) were males and 53 (47%) were females, with a mean average age of 24.66 months. The number of patients with a right ear defect was 107 (93%) whereas with left ear defect there were only 7 (6%). Six patients were lost to follow-up. The majority of children fell into the 4th category followed by the 2nd category of CAP scoring, and in SIR scoring the majority of children fell into the 4th category, followed by the 3rd and 2ndcategories, which is statistically significant.Conclusion − CI surgery is the gold standard for prelingual deafness. Early detection and early implantation of a CI is highly recommended for patients to enable them to live a healthier life. The study also indicated that early CI reduces the discrepancies between physical and expressive age. The CAP and SIR questionnaires were relevant and apt for assessment of hearing and speech development after CI.
Monogenic Cases of Infantile IBD with Discrete Pathological Pathways: a Case Series
Authors: Mirza Nida , Shaikh Raja Gulfam
Published: June 2023

Objective − Inflammatory bowel disease (IBD) is a multifactorial auto-immune disease caused by dysregulated immune responses, resulting in chronic intestinal inflammation. IBD in which disease onset is before 2 years of age is known as Infantile IBD. As the disease is rare in this age group, it is often misdiagnosed as infective or allergic colitis. Cases − We present here a case series of three patients with infantile IBD with completely different etiologies, that is, a mutation in the distinct pathways, i.e. the hematological lineage pathway (IL10 RA), autoimmunity (NLRC4), and immunodeficiency (IKBKG). All the cases had chronic diarrhea, however each case was difficult to diagnose conclusively and had a different response to the standard treatment protocol for IBD.Conclusion − Our case series shows that genetic mutations and/or primary immunodeficiency play an important etiological role in this subgroup of IBD (infantile onset). It also highlights that patients with infantile IBD are difficult to diagnose, treat, and usually do not respond to conventional treatment.
Screening of Hearing and Vision Impairment in Primary School Children in Relation to Grade and Sex
Authors: Kukić Ermina , Karakaš Sead , Ibrišimbegović Mateja
Published: June 2023

Objective – The aim of the study was to establish the prevalence of hearing and sight impairment, and the differences in relation to school grade and sex in school children in the area of the Jajce municipality.Materials and Methods – Screening of sight and hearing impairment in school children took place in 2018 and 2019. Vision screening covered a total of 1002 students from 1st to 5th grades, and hearing screening 768 students from 2nd to 5th grades in all central and district (rural) schools in the area of the municipality of Jajce.Results – Of the total number of students covered by the vision screening, in 163 (16%) some impairment was noticed, and they were sent for further diagnostic testing by a specialist. In relation to sex, there was a higher percentage of girls, 60%, than boys, 40%. In relation to screening of hearing, 44 (6%) of the students were sent for further diagnostics, of which 57% were boys and 43% girls. During the vision screening, 5% of the students were wearing dioptric glasses. In relation to age, the largest number of students were in first grade, 14 (27%), then in second grade, 10 students (19%). Conclusion – In this study, the results showed that a large percentage of school children were found with hearing and vision impairment, which indicates the pressing need to continue running these preventive programmes.
MAPEAMENTO DO FLUXO DE VALOR: UM ESTUDO DE CASO APLICADO EM UMA INSTITUIÇÃO FEDERAL DE ENSINO
Authors: Moutinho Kátia Kely Gonçalves , Nogueira Ricardo Jorge da Cunha Costa , Kanda Jorge Yoshio
Published: June 2023

As transformações advindas da tecnologia exigem das organizações a busca constante por melhorias e inovações em seus produtos/serviços para se manterem em constante equilíbrio no mercado. Neste contexto, algumas instituições utilizam o pensamento enxuto (lean thinking) para a reduzir ou eliminar possíveis desperdícios e com isso melhorar os seus processos. Este estudo teve o objetivo de propor melhorias na sistematização do processo administrativo de designação de Função de Coordenação de Curso dos Programas de Pós-Graduação (PPGs) da Universidade Federal do Amazonas (UFAM) por meio da ferramenta de Mapeamento do Fluxo de Valor. Para isto, foi realizado um estudo de caso no Portal do Sistema Eletrônico de Informação (SEI) além de entrevistas com os usuários do sistema que lidam com este processo. Os resultados mostraram que é possível reduzir 37% o tempo total de entrega do processo por meio da retirada de etapas/atividades que não são essenciais ao processo, demonstrando aplicabilidade da ferramenta e geração de valor.
TRATAMENTOS PARA PARALISIAS FACIAIS DECORRENTES DA PARALISIA DE BELL E DE ACIDENTES VASCULARES ENCEFÁLICOS: UMA REVISÃO DE LITERATURA
Authors: Alves Leon Frederico de Assis , Silva Letícia Alves de Carvalho , Andrade Gabriel de Oliveira , Coutinho Luís Felipe Ferreira , Ferraz Rodolfo Adriano Rocha
Published: June 2023

A paralisa facial é uma patologia caracterizada pela fraqueza ou diminuição dos movimentos da musculatura da face, podendo ser unilateral ou bilateral. Em vista disso, diversos tratamentos surgem na Odontologia como redutores dos incômodos funcionais e estéticos causados pela Paralisia de Bell e por Acidentes Vasculares Encefálicos, afecções geradoras de paralisias faciais. Desse modo, o presente trabalho irá apresentar os possíveis tratamentos para paralisias faciais e realçará a importância das intervenções terapêuticas na vida de pacientes acometidos. As bases de dados utilizadas foram PubMed, SciELO e Google Scholar, foram selecionados artigos de 2017-2022, e a partir do conteúdo desses, houve a escolha dos vinte e dois (22) documentos que compõem este trabalho, excluindo, assim, trabalhos com mais de cinco anos e sem correlação com o tema deste documento. Para a revisão de literatura, ocorreu a seleção de cinco opções de tratamentos: método kabat, fitakinésio taping, laserterapia de baixa frequência, toxina botulínica e cirurgia. Os resultados demonstraram que a toxina botulínica do tipo A é uma ótima opção para a reabilitação de pacientes acometidos por paralisias faciais, uma vez que essa possui efeitos satisfatórios de maneira menos invasiva.
Strategic Intelligence Analysis of the Threat of Weapons of Mass Destruction Proliferation: Potential Vulnerability of Indonesia’s National Security
Authors: Permata Digna , Wardoyo Broto , Tairas David Ronald
Published: June 2023

This study addresses the issue of the proliferation of weapons of mass destruction, which includes the possession of chemical weapons, biological weapons, and nuclear weapons. The international community endeavors to mitigate the dangers posed by the trade in weapons of mass destruction. Changes in technology have contributed to a shift in the sources of funding for weapons of mass destruction. Financial institutions are susceptible to being utilized as a conduit for money laundering and the financing of the proliferation of weapons of mass destruction. There are a variety of transactional options available for money laundering and the financing of weapons of mass destruction by criminals. Financial institutions must therefore adhere to international protocols to prevent the proliferation of weapons of mass destruction. Interviews and documentation studies are used to collect qualitative data for this study.
Pengaruh Terapi Bermain Puzzle terhadap Lansia dengan Demensia
Authors: Damayanti Fransiska Erna , Izzah Ukhtul , Rika Diahsuri artini
Published: June 2023

Pendahuluan: Penyakit dimensia sering terjadi pada lansia tepatnya orang di usia 65 tahun ke atas baik pria maupun wanita. Dampak dari demensia yaitu penurunan kognitif, perubahan mood dan tingkah laku. Solusi kejadian demensia tersebut dapat diberikan terapi non farmakologis yaitu terapi bermain puzzle dimana keunggulan terapi puzzle tersebut dapat melatih kordinasi mata dan tangan, melatih nalar dan melatih kesabaran. Penelitian ini bertujuan untuk mengetahui pengaruh terapi bermain puzzle terhadap lansia dengan demensia.

Metode: Rancangan penelitian ini yaitu pra eksperimental menggunakan desain one grup pre test and post test design. Penelitian ini dilakukan di UPH Graha Resos Banyuwangi tahun 2022. Sampel dalam penelitian ini diambil menggunakan tehnik Purposive Sampling yaitu lansia yang mengalami demensia sesuai kriteria inklusi dan ekslusi didapatkan 16 responden. Pengumpulan data menggunakan kuesioner MMSE dan SOP bermain Puzzle.  Analisa data menggunakan uji T Berpasangan.

Hasil: Penelitian ini menemukan hasil pree test responden memiliki kemampuan daya ingat dengan skor rata-rata sebesar 13,17 dan hasil post test didapatkan skor rata-raat sebesar 21,2 sehingga didapatkan selisih atau peningkatan skor rata-rata sebesar 7,5. Setelah dilakukan analisa menggunakan uji statistik T berpasangan didapatkan p-value 0,000 (p-value<0,05) yang artinya terdapat pengaruh yang signifikan terapi bermain puzzle pada lansia dengan demensia

Kesimpulan: Terapi bermain puzzle terbukti efektif untuk meningkatkan daya ingat pada lansia dengan demensia. Sehingga sangat direkomendasikan untuk tenaga Kesehatan dalam meningkatkan daya ingat pada lansia dengan demensia dapat menggunakan terapi bermain puzzle.
Gambaran Kemampuan Keluarga dalam Perawatan Diri (Self-Care) pada Penderita Skizofrenia
Authors: Irwanda Dimas Ilham Putra , Priasmoro Dian Pitaloka , Laksono Bayu Budi
Published: June 2023

Pendahuluan: Angka gangguan jiwa di Indonesia yang semakin meningkat menimbulkan dampak salah satunya adalah semakin tingginya angka ketergantungan dalam perawatan diri (self-are). Tujuan penelitian ini adalah untuk mengetahui gambaran kemampuan perawatan diri (self-are) pada pasien yang menderita skizofrenia.

Metode: Desain penelitian adalah penelitian deskriptif. Variabel dalam penelitian ini adalah kemampuan keluarga dalam perawatan diri (self-care) pada penderita skizofrenia. Jumlah populasi dalam penelitian ini adalah 161 penderita skizofrenia. Sampel dalam penelitian ini adalah 70 responden. Penelitian ini dilakukan secara langsung menggunakan kuesioner. Penelitian ini dilakukan di Wilayah Kerja Puskesmas Ampelgading Kabupaten Malang pada 13 – 18 Juni 2022. Teknik sampling yang digunakan pada penelitian ini adalah Accidental Sampling dan didapatkan 70 responden. Selanjutnya data yang terkumpul dianalisis dengan analisis Univariat dan disajikan dalam bentuk persentase.

Hasil: Penelitian ini menunjukkan bahwa kemampuan keluarga dalam perawatan diri (self-are) pasien skizofrenia hampir seluruhnya memiliki kemamuan sedang sejumlah 59 orang (84%), sebagian kecil memiliki kemampuan tinggi sejumlah 11 orang (16%), dan tidak satupun keluarga yang memiliki self-care rendah.

Kesimpulan: Secara umun kemampuan self-care yang dimiliki keluarga untuk merawat anggota kemuarga yang mengalami skizofrenia pada sedang atau baik dan tinggi atau sangat baik. Penelitian ini diharapkan ada upaya dari puskemas terkait informasi bagaimana cara untuk meningkatkan perawatan diri (self-care), dan memberikan edukasi kepada keluarga tentang pentingnya mendampingi penderita skizofrenia, dan memberikan informasi tentang komitmen  bagaimana cara memanajemen waktu ketika merawat pasien.
Gambaran Tingkat Kecemasan Wanita Usia Subur yang Mengalami Keputihan Patologis
Authors: Andari Aprilina Sulistya , Priasmoro Dian Pitaloka , Indari Indari
Published: June 2023

Pendahuluan: Keputihan yang terjadi dapat menekan kejiwaan seseorang karena keputihan dapat kambuh dan muncul kembali sehingga dapat berpengaruh pada seseorang baik secara fisiologi maupun psikologis dan dapat menimbulkan kecemasan. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan wanita usia subur yang mengalami keputihan patologis.

Metode: Penelitian ini menggunakan desain penelitian deskriptif kuantitatif. Populasi dalam penelitian ini yaitu semua wanita usia subur yang mengalami keputihan di RW 08 Desa Mojosarirejo sebanyak 101 wanita. Teknik sampling yang digunakan adalah purposive sampling dengan kriteria inklusi wanita usia subur usia 20-45 tahun yang bersedia menjadi responden dan masih mengalami menstruasi, wanita usia subur usia 20-45 tahun yang mengalami dan pernah mengalami keputihan patologis, dan wanita usia subur usia 20-45 tahun yang tidak buta huruf, jumlah sampel sebanyak 35 responden. Variabel yang diteliti adalah tingkat kecemasan Wanita Usia Subur yang mengalami keputihan patologis. Instrumen penelitian ini menggunakan kuesioner DASS 42 yang terdiri dari 14 pernyataan tentang ansietas, yang mengevaluasi bagaimana perasaan responden, selanjutnya data yang yang terkumpul di analis dengan analisis Univariat dan di sajikan dalam bentuk persentase.

Hasil: Hasil penelitian menunjukkan bahwa sebagian besar mengalami kecemasan ringan sebanyak 19 responden (54%), sebagian kecil mengalami kecemasan sedang sebanyak 11 responden (32%), dan sebagian kecil tidak mengalami kecemasan atau normal sebanyak 5 responden (14%). Kecemasan yang terjadi dimungkinkan karena beberapa faktor yaitu usia, pendidikan, dan pengetahuan yang kurang.

Kesimpulan: Berdasarkan hasil penelitian diharapkan responden peduli akan kesehatannya dengan cara mencari informasi. Dengan mengetahui informasi penanganan penyakit maka akan membentuk mekanisme koping yang baik sehingga tidak salah persepsi dan menimbulkan kecemasan. Diharapkan hasil penelitian ini dapat berguna sebagai acuan pengembangan ilmu keperawatan dan perencanaan keperawatan melalui promosi kesehatan.
Sensory properties of sweet and spicy fish flakes using vinegar and water as pre-treatment
Authors: PALMA Rube May , PANGLİLİNGAN Joime , SALASAİN Irene Mae , ALAWİ Ali-akbar , TİKMASAN Jurma , ABDUHASAN Fathma , SHARİFF Rosalinda , SARRİ Jurmin , MARIBAO Iannıe
Published: June 2023

Rays are usually caught for their high-value fins, but their flesh is also in demand in Philippine tribal areas. Compared to other commercial marine fish in the local market of Bongao, Tawi-Tawi, Philippines, stingrays are not very expensive, but they are high in protein. Fish flakes are a popular snack food made from intermediate moisture fish. This study evaluated sweet and spicy fish flakes made using dried stingray meat with the aid of white cane vinegar (T1) and water (T2) as pre-treatments. The newly developed fish flakes were evaluated by 100 panelists, particularly faculty and students. The results showed that the color, odor, texture, and general acceptability scores of sweet and spicy dried fish flakes did not differ significantly (P>0.05) between the two treatments. However, the taste scores showed a significant difference (P<0.05) in terms of sweetness. The sweetness score of sweet and spicy dried fish flakes pre-treatment with water (4.33 ± 0.09) was significantly higher than those pre-treatment with vinegar (3.99 ± 0.09). Moreover, the sensory quality scores suggest that either of the two treatments can be used to formulate this new fishery product. However, this new product requires further analysis, especially on shelf life, proximate and microbial analyses.
Manajemen Komprehensif Sepsis Akibat Infeksi Saluran Kemih pada Kehamilan
Authors: Habiburrahman Muhammad , Putra Afid Brilliana
Published: June 2023

Ibu hamil rentan mengalami infeksi yang berujung sepsis akibat perubahan fisiologis signifikan berbagai sistem organ. Penyebab sepsis dalam kehamilan tersering bersumber dari saluran kemih, yang disebut urosepsis dengan tingkat mortalitas mencapai 20%–42%. Selain mengancam ibu hamil, sepsis juga berpotensi mengancam kesejahteraan janin. Oleh karena itu, diagnosis dan manajemen sepsis secara dini pada kehamilan sangatlah penting untuk mencegah morbiditas dan mortalitas janin dan ibu. Namun, panduan penatalaksanaan komprehensif sepsis pada kehamilan masih terbatas dan terpencar, sehingga membuat sulit dipahami. Tinjauan pustaka ini dibuat melalui penulusuran bukti ilmiah secara holistik untuk memberikan pemahaman mengenai konsep dasar urosepsis. Aspek diagnosis dan manajemen dirangkum secara komprehensif melalui ilustrasi dan algoritma yang mudah dipahami disertai dengan sistem skoring berkaitan dengan diagnosis dan pilihan terapi farmakologi untuk menangani urosepsis.

 

Pregnant women are susceptible to infections that lead to sepsis due to significant physiological changes in various organ systems. The most common cause of infection in sepsis in pregnancy comes from the urinary tract, called urosepsis, with a mortality rate of 20%–42%. Sepsis also has the potential to endanger the fetus. This issue indicates that early diagnosis and management of sepsis in pregnancy is crucial to prevent fetal and maternal morbidity and mortality. Nonetheless, comprehensive guidelines for managing sepsis in pregnancy are still limited and scattered, making them difficult to understand. This literature review was created through a holistic appraisal of scientific evidence to understand the basic concepts of urosepsis. Aspects of diagnosis and management were summarised through illustrations and algorithms accompanied by scoring system related to diagnosis and pharmacological therapy.
Pendekatan Klinis Neonatus dan Bayi Ikterus
Authors: Widodo Stephanie Taneysa , Kusbin Theddyon Bhenlie Apry
Published: June 2023

Ikterus atau jaundice sering dijumpai pada neonatus dan bayi. Ikterus dapat bersifat fisiologis atau patologis. Pada dasarnya, ikterus merupakan manifestasi klinis peningkatan kadar bilirubin dalam darah atau hiperbilirubinemia. Peningkatan bilirubin yang berlebihan berpotensi toksik dan dapat menyebabkan kematian. Pendekatan klinis yang baik dan terarah sangat penting untuk menentukan secara cepat dan tepat perlunya evaluasi dan intervensi medis lanjutan.

Icterus or jaundice is a clinical symptom often found in neonates and infants. The condition might arise from physiological or pathological causes. Jaundice is a clinical manifestation signifying an elevated blood level of bilirubin (hyperbilirubinemia). Excessive increase in bilirubin is potentially toxic and might even lead to death. A good and directed clinical approach is very important to evaluate the need for further medical intervention.
The Relationship Of External Factors To Student Achievement Level Iii Study Program Diii Midwifery Karawang Poltekkes Kemenkes Bandung
Authors: Eka Kartika
Published: June 2023

Advances in science, technology and the demands of society are increasingly critical of midwifery services provided by midwives give consequences to graduates of midwife education to improve hard skills, soft skills and knowledge and act according to their competence and authority. In DIII Midwifery Karawang Poltekkes Bandung Ministry of Health obtained data that third level students who have a cumulative achievement index above 2.75 as much as 25.68% and students who have a cumulative achievement index below 2.75 that is as much as 73.52%. The general purpose of this study is to determine the relationship of external factors to student achievement level III study program DIII Midwifery Karawang Poltekkes Kemenkes Bandung. The research was conducted descriptively with total population, cross sectional approach. The population of this study is all midwifery students Level III semester V Prodi DIII Midwifery Karawang Poltekkes Kemenkes Bandung. This research sample was taken in total as many as 68 students. After a statistical test, it was stated that there is a meaningful relationship between the physical environment of the campus (p=0.034) with student achievement, while the support of parents (P=0.716) there is no meaningful relationship with student achievement III level of Midwifery Study Program in Karawang Poltekkes Kemenkes Bandung.
Analysis Of Waiting Time For Patient Services Of Disease Polyclinic At Hkbp Balige General Hospital
Authors: Fitri Yanti  , Andi Josep  , Viki Nora Wati Sijabat
Published: June 2023

Waiting time for prescription services is a minimum standard for pharmaceutical services, with fast waiting times it can improve the quality of pharmaceutical services. The waiting time for non-concoction or concoction prescription services is the time period from when the patient submits the prescription to receiving non-concoction or concoction drugs with a length of time ≤ 30 minutes for non-concoction drugs and ≤ 60 minutes. This study aims to determine the waiting time for prescription services at the Outpatient Internal Medicine Polyclinic at HKBP Balige General Hospital. The design used in this study was descriptive, the population was all outpatient prescriptions at the Internal Medicine Polyclinic. The research sample was 80 recipes taken by accidental sampling. The instrument used is the prescription service waiting time observation sheet. Based on data analysis, 16 recipes (20%) met the requirements and 64 recipes (80%) did not meet the requirements and were non-concoction recipes. The results of this study indicate that the waiting time for prescription services is not up to standard. It is hoped that the management of the HKBP General Hospital will add Pharmacy Technical Personnel to the Pharmacy Installation so that the waiting time for prescription services will be faster.
Fish Logistic System Using Value and Cold Chain Approaches
Authors: Kambu Arius , Bisay Charley M
Published: June 2023

The purpose of this study was to solve the poverty issues prevalent in local fishers’ households in the Biak Archipelago, Indonesia. The Value and Cold Chain approaches were used to determine the Government's mandate through Regulation of the Minister of Marine Affairs and Fisheries Number 5 of 2014 on the National Fish Logistics System. This regulation is supported by Presidential Instruction Number 7 of 2016 on accelerating the development of the fishing industry, though limited to socialization in the Biak Islands. The Case study research approach and normative analysis were tested using Porter's theory of value chains. The results showed that the logistics system in the upstream and downstream flow of goods and information was not implemented. Furthermore, the Government focused on appointing third parties to operationalize the Cold Chain and the low competence of human resources to organize and manage the fisheries sector.
PRIORITY DIRECTIONS OF HIGHER EDUCATION SYSTEM REFORM IN UZBEKISTAN
Authors: Rakhmanov Norim
Published: June 2023

The article covers issues such as the reform of the higher education system and the state of the market of higher education services in Uzbekistan, the opinions of foreign and national scientists about the concepts of higher education quality, the development trend of the higher education system in our country and its regional characteristics, ensuring compatibility between the higher education system and the labor market. It also talks about the modernization of higher education and the priorities of the development of the higher education system.
FOREIGN EXPERIENCE OF USING TAX BENEFITS
Authors: Nurmatov Sherzod
Published: June 2023

The article examines the research of economists on the theoretical basis of the foreign experience of using benefits. Researches on the causal aspects of the application of tax incentives were considered, the impact of tax incentives, in particular, on foreign direct investments was considered, and conclusions and suggestions were formed within the framework of the research.
THEORETICAL AND METHODOLOGICAL FOUNDATIONS OF ACCOUNTING IN THE SERVICE SUBJECTS OF AGRICULTURAL ENTERPRISES
Authors: Turkmanov Azam
Published: June 2023

The article examines the role of economic entities providing services in agricultural activities, as well as theoretical and methodological foundations of accounting, features of accounting entities providing services in agricultural activities
Ambtshalve toetsing van algemene voorwaarden in consumentenovereenkomsten?
Authors: Bollen C.
Published: June 2023

Ambtshalve toetsing van algemene voorwaarden in consumentenovereenkomsten?

Annotatie bij Gerecht in eerste aanleg Curaçao 22 augustus 2022, ECLI:NL:OGEAC:2022:241 (eiseres/PSB Bank).
TANGGUNG JAWAB PERDATA TERHADAP KECELAKAAN SB EVELYN CALISTA 01
Authors: Nurhan Nurhan
Published: June 2023

Indonesia adalah merupakan negara kepulauan dengan dua per tiga wilayah yang terdiri dari perairan oleh sebab itu kapal merupakan salah satu moda transportasi angkutan primadona bagi masyarakat di Indonesia baik pengangkutan orang maupun barang. Sebagai suatu kegiatan jasa pengangkutan penumpang dari Tembilahan ke Tanjung pinang, SB Evelyn Calista 01 terbalik setelah mengalami kecelakaan, oleh sebab itu menurut hukum SB Evelyn Calista 01 wajib bertanggungjawab. Perumusan masalah dalam penelitian ini adalah bagaimana tanggungjawab perdata SB Eveyn Calista 01 terhadap Kecelakaan Kapal. Sedangkan metode yang digunakan adalah metode pendekatan yuridis normatif, yaitu peraturan perundang-undangan yang berhubungan dengan permasalahan yang dibahas. hasil penelitian tersebut diatas, para korban kecelakaan SB Evelyn Calista 01 dapat dan berhak untuk menerima pertanggungjawaban perdata dari pihak SB Evelyn Calista 01.
DINAMIKA PENGGUNAAN DAN PERTANGGUNGJAWABAN BANTUAN OPERASIONAL SEKOLAH (BOS) DI SD NEGERI GUGUS I KECAMATAN SUKADANA TAHUN 2021
Authors: Jamilah Jamilah
Published: June 2023

BOS adalah program sekolah pemerintah pusat, untuk meringankan biaya pendidikan pada pendidikan dasar. Masalah dalam penelitian ini adalah (1) Bagaimanakah realisasi penggunaan BOS di SD Negeri Gugus I  Kecamatan Sukadana?, (2) Permasalahan apa sajakah yang ada sehingga pengelolaan administrasi BOS tidak tepat di SD Negeri Gugus I  Kecamatan Sukadana?, (3) Upaya apa sajakah yang dilakukan oleh sekolah agar pelelolaan administrasi BOS tepat di SD Negeri Gugus I  Kecamatan Sukadana? Hasil penelitian menunjukkan: (1) Realisasi penggunaan BOS di lima SDN gugus I kecamatan Sukadana belum sesuai dengan buku petunjuk BOS, (2) akar permasalahan pengelolaan administrasi BOS tidak tepat adalah kurangnya pemahaman kepala sekolah dan guru dalam pembuatan RAPS dan SPJ BOS, monitoring dan Evaluasi yang tidak menyeluruh,kebijakan pemerintah yang berubah-ubah dan tidak adanya tenaga khusus serta minimnya pengetahuan TIK (3) Upaya yang dilakukan sekolah agar pengelolaan administrasi BOS tepat, mengikuti sosialisasi BOS, membuat RAPBS sesuai dengan petunjuk BOS, mengikuti diklat cara pembuatan SPJ, mengangkat tenaga khusus TU, mengikui pelatihan TIK dan mengusulkan untuk kegiatan monitoring dan evaluasi dilakukan secara menyeluruh.
PENGARUH KARAKTERISTIK PEKERJAAN DAN PENGALAMAN KERJA TERHADAP KOMITMEN ORGANISASIONAL YANG DIMODERASI SELF-EFFICACY (Studi pada Pegawai Pegawai Puskesmas Kendalsari Kota Malang)
Authors: Sari Sari , Puspita Firda , Survival Survival , Zulkifli Zulkifli
Published: June 2023

Tujuan penelitian ini adalah untuk mengetahui sejauh mana pengaruh  karakteristik pekerjaan terhadap komitmen organisasi yang dimoderasi self-efficacy. Pendekatan penelitian yang digunakan adalah explanatory dengan menggunakan cara Adjusment Sampling. Populasi dalam penelitian ini adalah seluruh pegawai PNS Puskesmas Kendalsari Kota Malang mengambil 35 responden. Penelitian ini terdapat metode yang akan digunakan adalah angket yang menggunakan kuesinoer. Penelitian ini menggunakan metode kuantitatif, yang akan menghasilkan data numerik dan diolah menggunakan software smart partial least square (PLS). Alat analisis yang digunakan adalah analisis jalur atau path analysis. 
Hasil penelitian menunjukkan bahwa: 1) Karakteristik pekerjaan berpengaruh positif terhadap komitmen organisasional, 2) pengalaman kerja tidak berpengaruh positif dan signifikan terhadap komitmen organisasional, 3) self-efficacy berpengaruh positif dan signifikan terhadap komitmen organisasional, 4) karakteristik pekerjaan dengan dimoderasi oleh self-efficacy tidak berpengaruh positif dan signifikan terhadap komitmen organisasional, 5) pengalaman kerja dengan dimoderasi oleh self-efficacy tidak berpengaruh positif dan signifikan terhadap komitmen organisasional.
BUDAYA ORGANISASI, KOMPENSASI DAN GAYA KEPEMIMPINAN TERHADAP KINERJA PEGAWAI PADA KANTOR BPKPAD KABUPATEN PESISIR SELATAN
Authors: Mayeni Jasri , Badri Juarsa
Published: June 2023

Penelitian ini bertujuan untuk mengetahui: 1. Untuk mengetahui pengaruh budaya organisasi terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan, 2. Untuk mengetahui pengaruh kompensasi terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan, 3. Untuk mengetahui pengaruh gaya kepemimpinan terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan. Jenis pada penelitian ini menggunakan Kuantitatif. Metode penarikan sampel dengan menggunakan total sampling jenuh sebanyak 52 sampel.Teknik analisis data yang digunakan adalah uji validitas, reliabilitas, analisis deskriptif uji normalitas, uji multikolinearitas, uji heteroskedastisitas, analisis regresi berganda, dan uji t. dimana regresi linear berganda menghasilkan Y = 4,000 + 0,201 (X1) + 0,279 (X2) + 0,277 (X3), dan uji hipotesis pertama menunjukkan bahwa nilai t-hitung lebih besar dari t-tabel (3,043 > 1,677) dengan nilai signifikan lebih kecil dari nilai alpha (0,004 < 0,05). Hal ini menunjukkan bahwa H1 diterima yang artinya budaya organisasi berpengaruh positif  terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan. Dan uji hipotesis kedua menunjukkan bahwa nilai t-hitung lebih besar dari t-tabel (2,918 > 1,677) dengan nilai signifikan lebih kecil dari nilai alpha (0,005 < 0,05). Hal ini menunjukkan bahwa H2 diterima yang artinya kompensasi berpengaruh positif  terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan. Dan uji hipotesis ketiga menunjukkan bahwa nilai t-hitung lebih besar dari t-tabel (2,383 > 1,677) dengan nilai signifikan lebih kecil dari nilai alpha (0,0021 < 0,05). Hal ini menunjukkan bahwa H3 diterima yang artinya gaya kepemimpinan  berpengaruh positif  terhadap kinerja pegawai pada kantor BPKPAD Kabupaten Pesisir Selatan.
PELATIHAN PEMBUATAN PUPUK BOKASI DAN PESTISIDA ALAMI DI DESA SOPO KECAMATAN AMANUBAN TENGAH
Authors: BILLIK Agsen H.S. , Husin Vivi E.R. , Makleat Melifera Y. , Zulaikah Zulaikah
Published: June 2023

The community service activity on the training of making compost and natural pesticide was conducted in Sopo village, Amanuban Tengah district to support agricultural activities. The purpose of this community service activity was to provide knowledge about the making of compost and natural pesticide to support organic farming. The activity was carried out using several methods, including socialization, demonstration, practice, guidance with mentoring, and program evaluation analysis. The training was attended by approximately 50 participants consisting of village officials, community members, and farmer groups in Sopo village. Based on the analysis of questionnaire data, it was found that the participants' knowledge about compost and natural pesticide increased after attending the training. The community is expected to be able to make compost and natural pesticide, thus reducing the use of chemical fertilizers and pesticides that can damage the environment.