bluuebunny/crossref_metadata_2025 huggingface dataset:
تأثير البعد التنظيمي في الإبداع السلوكي والإبداع الاستراتيجي: دراسة تحليلية في مديرية شؤون البطاقة الوطنية
Authors: Dhuha Mohammed Mohammed Rashed  , Azzam Abdulwahab Abdulkareem
Published: April 2023

.يعّد نموذج كانو واحد من الادوات الضرورية لتصنيف متطلبات الزبون على وفق درجة اهميتها، يهدف هذا البحث لمعرفة الاحتياجات والمتطلبات ذات الاهمية المباشرة للزبون عند تقيمه لجودة الخدمة المصرفية المقدمة، ومن ثم تصنيف هذه المتطلبات وباستخدام نموذج كانو الى متطلبات اساسية وجذابة واحادية البعد وغير المميزة، من اجل التركيز على المتطلبات ذات الاهمية الاكثر. وتمحورت المشكلة في قلة اهتمام المصارف العراقية بتحديد احتياجات ومتطلبات الزبائن على وفق مستوى اهميتها بالنسبة للزبون. تم توزيع (70) استبانة الى زبائن المصرف كعينة للدراسة لتحديد ما يطلبه الزبون من المتطلبات. استخدمت المنهج التطبيقي والاساليب الاحصائية بأستخدام ( SPSS V.24; Microsoft Excel) وكانت أبرز النتائج أن تصنيف جودة الخدمة المصرفية على وفق نموذج كانو يختلف من مصرف الى أخر تبعاً لحاجات ومتطلبات زبائن المصرف، ان معرفة احتياجات ومتطلبات الزبون من الخدمات المصرفية ضروري لنجاح أي مصرف وبقاءهِ.
ACCESS TO THE RURAL ELECTRIFICATION INITIATIVE AND LIVELIHOOD IMPROVEMENT IN RURAL SANGA SUB COUNTY AND SANGA TOWN COUNCIL, UGANDA
Authors: Kirabo Namakula Gertrude , Faustino Orach Meza
Published: April 2023

Electricity is such an important utility that has transformed communities by empowering them financially through different activities that generate income (World Bank, 2015). Without electricity, many communities struggle to obtain the resources necessary to lift themselves out of a static state which greatly impacts people’s lives. Rural communities have a genuine and justifiable need for electricity (World Bank, 2016). These communities want to use electricity in relatively small quantities in order to: pump water, transport commodities, engage in income generating activities, practice modernized healthcare, and increase available light to extend work and leisure hours. Unfortunately, the road to achieving electrification is complex and costly. Currently, Uganda’s electricity sector is in flux: after the passage of the 1999 Electricity Act private enterprise was introduced into all aspects of the sector. Since that time, problems with power theft, insufficient supply, geographic isolation, and high infrastructure costs have inhibited rural communities from gaining access to electricity (RESP, 2013). This paper attempts to uncover some of the major challenges of making electricity accessible in Uganda, a developing country with a large rural population. Information was obtained through site visits, area appraisals, interviews with key informants, and general observation. The subsequent sections provide a reasonably extensive overview of the electricity sector in Uganda; foundational information that is necessary if one is to truly understand the electricity situation. Two case studies were covered in this study and these were; Rural Sanga Sub County and Sanga Town Council with their challenges as far as electrification is concerned. The final section contains recommendations for making electricity more accessible to rural Ugandans, based on the information gathered during the research period.
Effect of kinetic exercises versus isometric exercises among patellofemoral arthritis patients: An experimental study
Authors: K. Lakshmiprabha , Singh Dhanpal , Arulprakasam  , Viswanathan  , S. Subbiah
Published: April 2023

Introduction and Aim: Patellofemoral arthritis (PFOA) is one of the most common causes of anterior knee pain in adults and is more common in women than men. The aim of the study was to investigate the effect of kinetic chain exercises versus isometric exercises and to reduce the pain and improve the quality of Life.
 
Materials and Methods: The present study was conducted in a physiotherapy clinic. For the comparative experimental study, 30 subjects were taken in each group and the total duration of the study was 6 weeks (30 minutes duration /once a day /5 day a week) from June 2022 to mid-August 2022. Method of sampling was a purposive sampling technique.
 
Results: Numerical pain rating scale (NPRS) Kujala Scoring Questionnaire (Anterior knee pain scale).
 
Conclusion: From the data obtained it was evident that the kinetic chain exercise group patients showed marked improvement than group B.
Effect of chair yoga on heart rate variability, perceived stress, and sleep quality among nursing professionals from a tertiary care hospital
Authors: S. Balamadhuwanthi , R. Latha , D. R. Vedapriya , K. Tamilselvan , D. C. Mathangi
Published: April 2023

Introduction and Aim: Health care professionals that provide treatment to individuals most prone to experience sadness and anxiety are experiencing public health difficulties due to the linked elevated death rate brought on by the COVID epidemic. The purpose of this study was to determine how Chair Yoga affected nursing professionals' Heart Rate Variability (HRV), a measure of autonomic functioning, stress level, and sleep quality index.
 
Materials and Methods: The randomized controlled trial was conducted among 60 Nursing professionals in a tertiary care hospital aged >=23 years for a period of 2 months and they were divided into two groups: control (n=30) and intervention (n=30) groups. A set of chair yoga sessions was taught by a professional yoga trainer to the intervention group for a duration of 20 minutes, 5 days a week for two months. Both groups' sleep quality and HRV were measured using the PHYSIOPAC-PP4 (MEDICAID SYSTEMS, Chandigarh) software, as well as their levels of stress using the Perceived Stress Scale.
 
Results: After training of Chair yoga for 2 months, a significant decrease in HR, MAP and a significant increase in Mean RR, SDNN and PNN50 and a significant increase in TP and HFnu and a significant decrease in LFnu and LF/HF ratio in the intervention group was found. After doing chair yoga at work, the intervention group's stress levels dropped and their quality of sleep increased.
 
Conclusion: The findings of the study concluded that the Chair yoga practice in Nursing professionals led to the improvement in parasympathetic activity. It is also beneficial for stress reduction and improvement of sleep quality in nursing professionals.
Correlation between diastolic dysfunction and global longitudinal strain imaging in patients with diabetes mellitus
Authors: Jenish Beautlin Abishkauf , Govindaraj Ashok , Durgadevi  , Maheswari Uma , Yamini
Published: April 2023

Introduction and Aim: Diabetes mellitus (DM) is a significant risk factor for cardiovascular diseases (CVD) on its own resulting in left ventricular volume overload which may further impair left ventricular (LV) function. The aim of the study is to evaluate the diastolic dysfunction and global longitudinal strain (GLS) imaging in patients which helps to predict the cardiovascular mortality.
 
Materials and Methods: This study included 45 patients over 50 years with their evidence of fasting blood sugar and PPBS level. E/A, E/E’ and E’ are measured by TDI and Traditional 2D echocardiography; the following parameters are assessed: IVRT, IVCT, pulmonary venous flow and hepatic vein flow. GLS and strain rate were measured in AP4C, AP3C and AP2C views.
 
Results: In our study 93% of patients had normal GLS and 7% of patients had reduced GLS 16% of patients had normal diastolic dysfunction (DD), 68% had grade I DD and 16% of patients had grade II DD. DD does not correlate with GLS in diabetes mellitus patients.
 
Conclusion: According to current guidelines, patients with diabetes mellitus frequently have diastolic dysfunction, but it can also be caused by other reasons. It should be aimed to detect pre-diabetic patients with DD and optimize their clinical management which can be improved by utilizing tissue doppler imaging due to its potential to fill current need for a reliable tool that can demonstrate the effectiveness of therapy in future studies for preventing insulin resistance, DM, and cardiovascular disease.
Molecular characterization and mutational analysis of beta-globin gene among Kodagu population of Karnataka, India
Authors: Babu T. V. Suresh , Prasada Kabekkodu Shama , K. Satyamoorthy , Shantaram Manjula
Published: April 2023

Introduction and Aim: Beta-thalassemia is a hereditary blood disorder caused by genotypic alterations in the HBB gene. Over 400 mutations have been identified, which are known to be responsible for this disease. In this study, we investigated the mutations for the globin gene prevalent among adult beta-thalassemia trait positive individuals and their distribution within the Kodagu community of Karnataka, India.
 
Materials and Methods: This study included 100 individuals (81 Females and 19 males) in the age group of 18-28 years previously tested as carriers for beta-thalassemia trait. Blood collected from each individual was subjected to genomic DNA extraction and PCR amplification of a 610 bp fragment of the beta-globin gene. The PCR product was purified and sequenced. The gene sequences were subjected to mutation analyses and characterization using bioinformatics tools.
 
Results: The study identified 13 known and 27 novel mutations for this study population. Among the known mutations observed 2 were of type synonymous (HBB:c.9T>C and HBB:c.18T>G), 5 missense (HBB:c.146T>G; HBB:c.149C>T; HBB:c.151A>T; HBB:c.203T>G; HBB:c.269G >A) and 6 intronic (HBB:c.92+2T >G; HBB:c.92+5G>C; HBB:c.315+16G>C; HBB:c.315+74T>G and HBB:c.315+81C>T). HBB:c.-6G>C  at the 5'UTR region and IVS-II-16 G>C, an intronic variant, was observed to be the most common mutation showing highest frequency of 82.1%. Several novel mutation types were identified in Exon 2 (3 missense; 2 synonymous),            Intron I and Intron II. 
 
Conclusion: This study is the first of its kind for the Kodagu population, which identified several previously known and novel mutations in the HBB gene within this population. Since, our study subjects were carriers of very mild or silent beta-thalassemia trait, the mutations observed particularly the novel mutations warrant further investigation for a better understanding and management of beta-thalassemia in this population.
ANALISIS KEPUASAAN PENGGUNA SISTEM INFORMASI MENGGUNAKAN METODE PIECES FRAMEWORK (STUDI KASUS STARTUP PANAK.ID)
Authors: Ni Putu Nita Artaningsih  , Nengah Widya Utami  , Helmy Syakh Alam
Published: April 2023

Perkembangan sistem informasi memberikan dampak yang baik kepada masyarakat sehingga peningkatan ini menjadi penopang dalam kegiatan operasional perusahaan berupa sistem informasi berbasis website. Salah satu perusahaan yang menggunakan sistem informasi berbasis website yaitu StartUp Panak.Id akan tetapi  bahwa sampai saat ini sistem tersebut belum melakukan pengembangan sistem dan belum melakukan survey terhadap pengguna terkait sistem tersebut, sehingga  penulis melakukan penelitian terhadap kepuasan pengguna dari sistem tersebut dengan menggunakan metode PIECES Framework. Metode yang digunakan dalam penelitan ini merupakan metode kuantitatif dan kualitatif dengan menggunakan sumber data sekunder dan primer. Data sekunder akan didapatkan dari artikel, jurnal, dan penelitian sebelumnya sedangkan data primer akan didapatkan dari  responden yang digunakan sebagai objek informasi dengan menggunakan 87 sampel pengguna yang sudah menggunakan sistem. Berdasarkan hasil analisis dari enam variabel yang dimiliki PIECES framework memiliki nilai rata-rata yaitu nilai performance (4.31), nilai information and data (4.24), nilai economics (4.27), nilai control and security (4.40), nilai efficiency (4.38), nilai service(4.44). Dapat ditarik kesimpulan bahwa dinyatakan sangat puas. Berdasarkan hasil penyebaran bahwa responden memberikan saran agar adanya peningkatan dalam segi penanmabahan produk, pembayaran,  peningkatan pelaporan kepada pengguna, penambahan fitur chating pada website, dan penambahan mengenai video edukasi ternak.
PERANCANGAN TATA LETAK FASILITAS GUDANG PADA PROYEK PEMBANGUNAN JETTY PLTMGU LOMBOK PEAKER MENGGUNAKAN METODE SYSTEMATIC LAYOUT PLANNING (SLP) DENGAN ALGORITMA BLOCPLAN
Authors: Adiasa Iksan , Sartika  , Hudaningsih Nurul
Published: April 2023

Nindya Karya (Persero) adalah perusahaan Badan Usaha Milik Negara (BUMN) yang bergerak dibidang jasa kontruksi. Saat ini PT. Nindya Karya (Persero) memegang sebuah proyek yang berlokasi di Kelurahan Tanjung Karang Permai, Kec.Sekar Bela, Nusa Tenggara Barat yakni Proyek Pembangunan Jetty PLTMGU Lombok Peaker. Adapun permasalahan yang ditemukan yaitu tata letak fasilitas di area pergudangan terbilang tidak teratur.Tujuan penelitian ini untuk merancang usulan perbaikan layout pada Proyek Pembangunan Jetty Lombok Peaker. Metode yang digunakan adalah Systematic Layout Planning (SLP) dan algoritma BLOCPLAN. Hasil dari penelitian ini, diperoleh 3 usulan layout  dengan aplikasi BLOCPLAN namun  yang  dipilih hanya satu layout sebagai usulan terbaik yakni layout nomor 1 dengan nilai R- Score tertinggi yaitu 0,73 dengan jarak perpindahan material handling 80,76 meter dan total luas area sebesar 31,9 m^2. Simpulan dari penelitianini semakin nilai R-Skor mendekati angka 1 maka layout  tersebut merupakan layout  terbaik yang dianjurkan untuk dipilih sebagai sebagai layout  usulan.
Influence of redevelopment of deposits on soil properties in the Krasnoyarsk forest-steppe
Authors:   Krasnoyarsk State Agrarian University, Popkov Alexey , Sorokina Olga
Published: April 2023

The studies were conducted from 2020 to 2021 on paired objects of pure deposits that are in the weedy stage of succession, as well as arrays of developed deposits in the initial stage of their use in arable land. In the conditions of the Krasnoyarsk forest-steppe, an assessment of the indicators of potential and effective fertility of various types of soils of these paired objects was obtained. as well as the results of taking into account the productivity of phytomass and crop yields. The state of the soil-absorbing complex practically does not change during the development and initial use of various types of soil deposits. When deposits are involved in arable land, the nitrate form of nitrogen in the soil somewhat prevails over the ammonium form due to the potentially high fertility of highly humus soils of the Krasnoyarsk forest-steppe. The availability of mobile phosphates in soils is low, and the exchange of potassium is increased or high, especially in soils of heavy granulometric composition. . The spatial variation of physical and chemical properties is very low in the soils of all objects, and the nutrition elements are high, especially in developed soils. Keywords: DEPOSIT, DEVELOPMENT, SOIL, AGROCHEMICAL PROPERTIES, SOIL-ABSORBING COMPLEX, NUTRITION ELEMENTS, VARIATION
The specifics of interviews and journalistic modelstexts with the dominant part of the interviewand conversations in the newspaper "Kinokuryer" for 1997
Authors:   Non-governmental Organization “Scientific and Educational Center «SUCCESSFUL», Kholod Hanna
Published: April 2023

Problem. The article is a continuation of a series of studies on the decanonization of the genre system in the 90s of the 20th century, the specifics of interviews and models of journalistic texts with the dominant part of interviews and conversations of the newspaper "Kinokuryer" for 1997 have been clarified. Methodology. Systemic, descriptive methods, methods of analysis, synthesis, generalization, statistical methods, and classification methods were used in the research process. The descriptive method made it possible to record information that contributed to the coverage of the topic of the scientific article. With the help of a systematic method, the content and form of interviews, models of journalistic texts with the dominant part of interviews and conversations in the newspaper "Kinokuryer" for 1997 were comprehensively analyzed. The components of the interviewer's toolkit, the means of characterizing the interviewees, and the artistic means used in journalistic texts were identified by means of analysis. Thanks to the method of synthesis, the toolkit of interviewers, characterization tools that model the images of interviewees in journalistic texts are presented. The classification method presents the main topic of questions, types of interviewers' tools. Thanks to the statistical method, the quantitative ratio of the types of tools, as well as the types of questions used, was clarified. The object of the research is interviews and models of journalistic texts with the dominant part of interviews and conversations in the newspaper "Kinokuryer" for 1997. The subject of the research is the specificity of interviews and models of journalistic texts with the dominant part of interviews and conversations in the newspaper "Kinokur'er" for 1997. Research results. During the analysis of the "Kinokuryer" newspaper for 1997, two interviews, one monologue interview, 24 models of journalistic texts with a dominant part of the interview, and one model with a dominant part of the conversation were found. Conclusions. Among the models of journalistic texts with a dominant part of interviews and conversations, printed in the newspaper "Kinokuryer" in 1997, there are genre hybrid, genre combination, genre conglomerate, and inter-style hybrid. Keywords: models, interviewer, interviewed, journalistic texts.
Gut microbiota in Chinese and Japanese patients with cardiovascular diseases: a systematic review and meta-analysis
Authors: Liao Linjie , Huang Junli , Zheng Jinghui , Ma Xiaocong , Huang Longjian , Xu Wenhua
Published: April 2023

BACKGROUND:

Cardiovascular disease (CVD) is a major threat to public health.

OBJECTIVE:

Compare the gut microbial composition between Chinese and Japanese patients with cardiovascular diseases and healthy subjects.

STUDY SELECTION:

Observational studies with Chinese and Japanese populations. Reviews, duplicate, book chapters, and other irrelevant studies were excluded.

DATA EXTRACTION:

Independent searching by two investigators (LLJ, HJL).

DATA SYNTHESIS:

Data from eleven studies (with 960 subjects) were included for the meta-analysis. The meta-analysis showed that the abundance of Firmicutes in patients with cardiovascular disease was [ES=0.42, 95%CI, (0.34, 0.50),
P
<.01], while the abundance of Firmicutes in control subjects was [ES=0.36, 95%CI, (0.23, 0.49),
P
<.01] (ES: effect size). When compared to control subjects, the differential expression of Firmicutes abundance in patients with CVDs was [MD = 15.21, 95%CI (8.95, 21.48),
P
<.01] (MD: mean difference). The ratio of Firmicutes abundance in patients with CVDs to the control subjects was [RR=1.28, 95%CI (0.98, 1.67),
P
=.07]. The ratio of Firmicutes in coronary heart disease (CHD) patients and controls was [RR=1.42, 95%CI (1.05, 1.94),
P
=.02]. Firmicutes/Bacteroidetes ratio is [OR=1.64 95%CI (1.11, 2.42),
P
=.01].

CONCLUSION:

Our data show that patients with cardiovascular disease had higher levels of gut Firmicutes when compared to healthy controls. In addition, gut microbial dysbiosis was present in patients with cardiovascular diseases.

LIMITATIONS:

Due to limited quality and quantity of selected studies, conclusions from the current study need to be validated by future studies.

CONFLICT OF INTEREST:

None.
To Sir, With Love
Authors: Alsanea Nasser
Published: April 2023

In this biography, the life of William Hugh Isbister is traced through three continents, where he planted the seeds of academic surgery into a generation of leaders in colorectal surgery. This ultimately improved the care for thousands of patients. His last station in Saudi Arabia made a huge impact on the country. I hope this article inspires others to write about their mentors who were important in their development as surgeons and physicians. Short biographies of these important figures will serve as a valuable historical record for generations to come.
Comparison of general pediatric ward admissions between the COVID-19 pandemic and pre-pandemic period
Authors: Güç Muhammed , Sözeri Betül
Published: April 2023

BACKGROUND:

The COVID-19 pandemic has affected many aspects of life as well as hospital admissions. We hypothesized that many infectious diseases and hospitalizations in the pediatric age group might have decreased during the pandemic period.

OBJECTIVE:

Evaluate patients admitted to the general pediatric wards during the pandemic in comparison with the pre-pandemic period.

DESIGN:

Retrospective cross-sectional

SETTING:

General pediatrics wards of a tertiary hospital in Istanbul

PATIENTS AND METHODS:

The study included patients aged 0-18 years who were followed up while hospitalized in the general pediatrics wards between 11 March 2019 and 11 March 2021. The hospitalizations were grouped as pre-pandemic and pandemic based on the date when COVID-19 was declared a pandemic (11 March 2020).

MAIN OUTCOME MEASURES:

Hospital admissions, length of stay, diagnoses, gender, age.

SAMPLE SIZE AND CHARACTERISTICS:

4343 hospitalizations.

RESULTS:

Of the total 4343 hospitalizations meeting the inclusion criteria, 2786 (64.1%) occurred before the pandemic and 1557 (35.9%) during the pandemic, a 44% decrease. The distribution of all hospitalization diagnoses during the two years was as follows: respiratory tract diseases, 1768 (40.7%); neurological diseases, 946 (21.8%); gastrointestinal diseases, 550 (12.7%); hematological and oncological diseases, 514 (11.8%); genitourinary system and nephrological diseases, 504 (11.6%); and soft tissue infections, 255 (5.9%). During two years, there were 1418 (32.7%) patients with lower respiratory tract infections, 316 (7.3%) with gastroenteritis, and 440 (10.1%) with urinary system infections. The median hospital stay was 6 days before the pandemic and 4 days during the pandemic (
P
<.0001). During the pandemic, the rate of respiratory diseases decreased from 48.7 to 26.5%, and that of lower respiratory tract infections decreased from 40.5 to 18.6% (
P
<.0001).

CONCLUSION:

Both previous studies and our results indicate that many infectious diseases in the pediatric age group significantly decreased, especially in the first months of the COVID-19 pandemic.

LIMITATIONS:

Single-center study.

CONFLICT OF INTEREST:

None.
Deterioration in renal function after stoma creation: a retrospective review from a Middle Eastern tertiary care center
Authors: Al Khaldi Shimaa Saad , Al Harbi Reem , Albastaki Sara , Al Turki Neamat , Ashari Luai , Alhassan Khuloud , Abduljabbar Alaa , Hibbert Denise , Almughamsi Asim , Al Homoud Samar , Alsanea Nasser
Published: April 2023

BACKGROUND:

Stomas are associated with multiple complications including dehydration which ultimately affects renal function. These complications begin with changes in the estimated glomerular filtration rate (GFR).

OBJECTIVES:

Evaluate changes in GFR after stoma creation by stoma type and identify how different types of stoma affect GFR.

DESIGN:

Retrospective, analytical cohort

SETTING:

Tertiary care center in Saudi Arabia

PATIENTS AND METHODS:

The colorectal surgery database was reviewed for all adult patients who underwent stoma creation (permanent and temporary ileostomies and colostomies) or reversal in 2000–2015. GFR was estimated at the first encounter, before the index surgery, at the time of stoma reversal, and upon the last follow-up. Patients with renal impairment, including low GFR before stoma creation, patients who had a temporary stoma converted to a permanent stoma, and patients who died with a stoma were excluded. We studied the association of several demographic and clinical factors on changes in GFR by univariate and multivariate analysis.

MAIN OUTCOME MEASURES:

Estimated GFR at the last clinic visit for the permanent stoma group and at stoma closure for the temporary stoma group.

SAMPLE SIZE:

394 patients (149 ileostomates, 245 colostomates)

RESULTS:

Thirty-three (8.4%) of the 394 patients had a low GFR: 11 (7.4%) in the ileostomy group and 22 (9%) in the colostomy group (
P
= .579). The rate of readmissions with ileostomies was higher (11.4%) than with colostomies (3.3%) (
P
≤.001). The number of temporary ileostomies (n=9, 7.0%) differed from temporary colostomies (n=2, 1.9%) but the difference was not statistically significant (
P
=.06). In the multivariate analysis, stoma permanency, hypertension, chemotherapy and nephrotoxic drugs were risk factors associated with low GFR.

CONCLUSION:

Ileostomies were not associated with a high rate of renal function deterioration in comparison to colostomies, but had a significantly higher rate of readmission due to dehydration and electrolytes imbalance possibly due to the hot climate in Saudi Arabia.

LIMITATIONS:

Retrospective nature and limited sample size which may have resulted in a type 2 statistical error.

CONFLICTS OF INTEREST:

None.
Acute gastroenteritis-related acute kidney injury in a tertiary care center
Authors: Bogari Mohammed Hisham , Munshi Adeeb , Almuntashiri Saleh , Bogari Asim , Abdullah Abdullah Shaker , Albadri Mohammed , Hashim Ameer , AlZahrani Mohammed Saeed
Published: April 2023

BACKGROUND:

Acute gastroenteritis (AGE) can cause acute kidney injury (AKI) via hypoperfusion mechanisms. Early detection of AKI caused by AGE can significantly decrease mortality rates. In Saudi Arabia, studies investigating the association between AGE and AKI are limited; thus, we aimed to fill this knowledge gap.

OBJECTIVES:

Analyze all cases of AGE reported in tertiary-care hospitals to assess the prevalence of AKI among AGE patients.

DESIGN:

Retrospective cohort

SETTINGS:

Single tertiary-care center

PATIENTS AND METHODS:

The study included patients treated for AGE between October 2017 and October 2022. Stool culture was used to diagnose AGE. Inclusion criteria were infective diarrhea and/ or vomiting, and availability of data (demographics, comorbidities, malignancies, length of hospital stay, vital signs at the time of diagnosis, dehydration, causative agents of diarrhea, hemodialysis status, and laboratory data.

MAIN OUTCOME MEASURES:

Prevalence of AKI among AGE patients and factors associated with development of AKI.

SAMPLE SIZE:

300 patients diagnosed with AGE.

RESULTS:

Of the 300 patients with AGE, 41 (13.6%) had AKI, those older than 60 years were more likely to develop AKI. The most frequent cause of AGE was
Salmonella spp
. (n=163, 53.3%), whereas AKI was most common in
Clostridium difficile
AGE patients (n=21, 51.2%). Furthermore, the most common comorbidity in the present study was malignancy, especially leukemia and lymphoma the risk of AKI was independently associated with mild dehydration, higher serum urea concentrations and low GFR values.

CONCLUSIONS:

Patients hospitalized for diarrheal disease are at an increased risk of developing AKI due to dehydration and comorbid conditions. It is crucial to keep kidney function in mind for AGE patients as this is associated with a high mortality rate and poor prognosis.

LIMITATIONS:

The main limitation of this study was its retrospective design. Another limitation is that it is limited to a single center.

CONFLICTS OF INTEREST:

None.
Optimized serum ferritin prediction of iron overload in transfusion-dependent thalassemia: likelihood ratio and age-adjustment approach
Authors: Kurban Lutfi Ali , Almarri Bashayer Khamis , Alshamsi Maitha Helal , Abdelrahman Shahd Shehadeh , Alwahshi Sara Ghumail , Alhorani Qays , Syed Rizwan , Bakoush Omran
Published: April 2023

BACKGROUND:

Early detection of iron overload in transfusion-dependent thalassemia (TDT) patients is critical to prevent complications and improve survival.

OBJECTIVES:

Evaluate the utility of serum ferritin (SF) in the prediction of hepatic and myocardial iron overload (HIO and MIO) compared to T2*-MRI.

DESIGN:

Retrospective

SETTINGS:

Governmental hospitals.

PATIENTS AND METHODS:

Patients with TDT who had T2*-MRI examinations between January 2016 to October 2019 were included. The predictive value of SF for detection of HIO and MIO was assessed by measuring area under the curve (AUC). A sample size of 123 cases was calculated to detect a correlation of 0.25 with 90% power and a two-sided type I error of 0.05.

MAIN OUTCOME MEASURES:

The correlation between SF and estimated hepatic iron concentration.

SAMPLE SIZE:

137 TDT patients who required regular blood transfusions.

RESULTS:

The predictive value of SF was excellent for detection of HIO (AUC=0.83-0.87) but fair for detection of MIO (AUC=0.67). The two independent predictors of MIO were age and SF. The log of (age × SF) enhanced the SF predictive value for MIO (AUC=0.78). SF values of 700 and 1250 mg/L effectively excluded mild and moderate HIO with a sensitivity of 97.8% and 94.2%, respectively (LR−=0.1). While SF values of 1640 and 2150 mg/L accurately diagnosed mild and moderate HIO with a specificity of 95.55% and 96.4%, respectively (LR+>10). A log of (age × SF) cut-off value of 4.15 effectively excluded MIO (LR−=0.1), while a value of 4.65 moderately confirmed MIO (LR+=3.2).

CONCLUSIONS:

SF is an excellent predictor of hepatic IO in TDT. Age adjustment enhanced its myocardial IO predictive accuracy. Likelihood ratio-based SF cut-off values may help clinicians in risk stratification and treatment decision-making.

LIMITATIONS:

The laboratory data were gathered retrospectively and although the risk of selection bias for T2*-MRI examination is thought to be low, it cannot be ignored.

CONFLICT OF INTEREST:

None.
The Use of Moringa Leaf Meal [Moringa Oleifera, Lam] and “Katuk” Leaf Meal [Saurapus Androgynus] to Reduce The Volume of Fish Meal in Broiler Feed Formula
Authors: Dillak Sutan Y.F.G, , Suryatni N. P. F. , Enawati Luh Sri , Telupere Franky M.S.
Published: April 2023

The purpose of this study was to examine the effect of giving Moringa leaf flour and “katuk” leafs and their combination on the performance of broiler chickens. The study used 96 DOC broiler chickens and Completely Randomized Design [CRD] with 4 treatments and 6 replications; each unit consists of 4 chickens. The treatments consisted of: R0: Basal ration [control], R1: Basal ration + 10% Moringa leaf meal, R2: Basal ration + 10% katuk leaf meal and R3: Basal ration + a combination of 5% Moringa and katuk leaf meal. The variables measured included feed intake, body weight gain and feed conversion ratio. The results of the analysis of variance showed that the treatment had a very significant effect [P<0.01] on all measured variables. It was concluded that the administration of 10% Moringa leaf meal, 10% katuk leaf meal and a combination of 5% of these two herbal meal decreased the performance of broiler chickens and tend to increase income offer feed cost [IOFC].
Energy does not have a Gravitational Mass (Flaw of the Einstein’s gravitational theory)
Authors: Musha Takaaki
Published: April 2023

According to the Einstein’s gravitational theory, the zero-point energy in the vacuum will collapse the universe into a gravitational singularity if the cut-off frequency of the zero-point field is the Plank frequency. But, according to the ZPF gravity theory proposed by the author, the energy dose not have a gravitational mass as claimed by the Einstein’s gravitational theory. From which, it is considered that Einstein’s gravitational theory is not correct.
Correlation Between CD4, Hemoglobin, and Body Mass Index Levels on The Success of Intensive Phase Therapy among Positive Bacteriological Tuberculosis Patients with Human Immunodeficiency Virus Co-infection
Authors: Kinanti Diah Permata , Suryana Ketut , Arisanti Ni Luh Putu Eka , Sukmawati Ni Made Dewi Dian , Rai Ida Bagus Ngurah , Kusumawardani Ida Ayu Jasminarti Dwi , Candrawati Ni Wayan , Artana I Gusti Ngurah Bagus
Published: April 2023

Background: Tuberculosis and HIV infections are still a combination of diseases with high mortality rates. The success of intensive phase therapy of positive bacteriological TB patients with HIV co-infection can reduce morbidity and mortality rates. This study aims to determine the relationship between CD4 levels, HB, and BMI on the success of intensive phase therapy among positive bacteriological TB patients with HIV co-infection. Method: This research was an observational analytic study using a retrospective cohort study design conducted in Bali over 5 years (January 2016 to December 2021). Of 120 subjects, 118 subjects met the research requirements. The data was analyzed by Univariate analysis, Bivariate analysis was carried out using Chi-Square, and multivariate analysis was performed using multiple logistic regression. Results: a significant correlation was found between CD4 levels (RR=3,03, p= 0,004), HB (RR= 1,92, p= 0,006), BMI (RR= 5,91 p< 0,001) with successful intensive phase therapy in Bacteriologically Confirmed TB patients with HIV co-infection. All independent variables simultaneously affected sputum conversion (p<0,001; R Square = 0,479; CI: 95%). This study also found that BMI was the dominant predictor that affected the success of intensive phase therapy in Bacteriologically Confirmed TB patients with HIV co-infection (p<0,001; OR: 5,193; CI 95%). Conclusion: CD4, HB, and BMI levels are significantly related to the success of intensive phase therapy in Bacteriologically Confirmed TB patients with HIV co-infection.
Effect of Fillers on Mechanical, Thermal Properties and Combustion Resistance of Polyurethane Foam
Authors: Mohammed Ahmed J.
Published: April 2023

In this study, the mechanical and combustion properties of a polyurethane polymer were investigated as a function of the weight ratio of palm frond ash with a particle volume less than or equal to (125 μm). Several variables were investigated, including elongation, tensile strength, Young’s modulus, compressive strength, and rate of burning duration. The obtained results revealed that adding palm frond ash reduces the spaces between the polymeric chains, which reflect the polymer’s high ability to withstand the stress imposed on it, that the degree of homogeneity between each of the polymers and fillings is high. Results showed that adding 60% palm frond ash powder to the hardness combination resulted in an improvement of approximately (3.78 MPa). Moreover, the percentage 65% was recorded as the greatest value of the compressive strength of the polymer with the additive. Young’s modulus also best value is (1.71 MPa) at a ratio of 60%.
The Comparison of Clinical Outcomes Between DJ Stent Insertion and Percutaneous Nephrostomy in Patients with Obstructive Uropathy due to Cervical Cancer
Authors: Mahendra I Dewa Gede Sidan Agung , Santosa Kadek Budi , Oka Anak Agung Gde , Putra I Wayan Gede Artawan Eka
Published: April 2023

Background: Metastatic cervical cancer into the ureter may lead to obstructive uropathy due to mechanical ureteral blockage. The insertion of a double J (DJ) stent and percutaneous nephrostomy (PCN) are some options that can be offered to the patients, but until now the comparison between these two procedures is still debated. Aim: The aim of the study is to compare the clinical outcomes of DJ stent insertion and PCN in the management of uropathy obstructive secondary to cervical cancer. Materials and Methods: This study is an analytical observation with a retrospective cohort design. We analyzed the difference in clinical outcomes between the two procedures such as 24-hour renal function, the number of visits due to procedure or device related complications, quality of life and overall survival in patients with stage 3B cervical cancer. Results: We collected 108 patients with uropathy obstructive secondary to stage 3B cervical cancer from January 2019 to July 2021, of which 54 underwent DJ stents insertion and 54 underwent PCN. There was no difference in the improvement of renal function between the two procedures (p=0.184), as well as on the parameters of quality of life (p=0,909) and overall survival (p=0,582). We found a significant difference in patient visits to the hospital due to procedure related complications. Patients who have a DJ stent inserted are more often come to the hospital because of fever and pain compared to patients who have PCN procedures (p=0,027). Conclusion: Percutaneous nephrostomy is superior to DJ stent insertion in terms of procedure related complications. However, an individualized approach regarding the most appropriate procedure in palliative care patients should be recommended.
INVESTIGATING THE E-SERVICE ADOPTION OF SMEs IN OMAN USING THE TECHNOLOGY READINESS MODEL 2.0 WITH A FOCUS ON BUSINESS SIZE
Authors: Abdulkadir Shehu Abdulwahab
Published: April 2023

The study examines the technology readiness of SMEs for the adoption of e-services based on company size. This reveals opportunities to better exploit the potential of e-services adoption for SMEs in Oman. The problem this study focused is that despite the increasing availability and benefits of e-services, many small and medium enterprises (SMEs) in Oman have been slow to adopt them. This lack of adoption can limit their ability to compete and grow in an increasingly digital market. Studies show that business size plays an important role in the adoption of e-services, and this is one of the main reasons for conducting this study. A quantitative survey method was used to select the sample among SMEs in Oman. SmartPLS 4.0 was used to conduct a multigroup analysis (MGA) to determine the moderating effect of firm size of SMEs in Oman.The main findings show that motivators (optimism and innovativeness) are important predictors of SMEs' willingness to adopt e-services. The study also found that among demographic factors, firm size significantly explains differences between SMEs' readiness to adopt e-services, while it is predicted by motivators and inhibitors.This study has added to the literature by investigating the moderating effect of firm size on SMEs' readiness to adopt e-services in Oman. It could also provide additional benefits to many SMEs that could lead to the adoption of e-services.

Keywords: Technology Readiness, Technology Adoption, E-services, SME, Business Size.
MINAT PESERTA PELATIHAN DALAM PEMBELAJARAN SECARA DARING LEARNING DI BAPELKES CIKARANG
Authors: MURSIDAH NANI
Published: April 2023

Daring Learning provides effective learning methods, such as practice with relevant feedback, combining collaborative activities with independent learning. Learning in class with a combination of online learning makes students more interested. This research aims to develop a study of the effect of online learning on the interest of training participants at Bapelkes Cikarang. This research method consisted of 26 trainees using the quasi-experimental method (Quasi Experiments), the population was divided into 2 classes including the K3RS class with 13 Poltelkes practice students semester 6. Sampling was carried out in the K3RS class as the experimental class and the Practical Student class as the experimental class. control. The results of the study show that the learning process using Online Learning has used interesting media, in conclusion Online Learning is based on interactive learning media, participants are more enthusiastic and not bored with the Online Learning method. Based on the research put forward in the student response questionnaire with Online Learning, it shows that caterers agree to allow the Online Learning method at Bapelkes Cikarang.
ABSTRAKDaring Learning menyediakan metode pembelajaran yang efektif, seperti praktek dengan adanya umpan balik yang relevan, menggabungkan kegiatan kolaboratif dengan pembelajaran mandiri. Pembelajaran di kelas dengan kombinasi online pembelajaran membuat siswa lebih tertarik. Penelitian ini bertujuan untuk mengembangkan kajian tentang pengaruh Daring Learning terhadap minat peserta pelatihan di Bapelkes Cikarang. Metode penelitian ini terdiri 26 peserta pelatihan dengan menggunakan metode eksperimen semu (Quasi Experiments), populasi dibagi menjadi 2 kelas diantaranya kelas K3RS dengan 13 Mahasiswa praktek Poltelkes semesrter 6. Pengambilan sampel dilakukan pada kelas K3RS sebagai kelas eksperimen dan kelas Mahasiswa Praktek sebagai kelas eksperimen kelas kontrol. Hasil penelitian menunjukkan bahwa proses pembelajaran menggunakan Daring Learning telah menggunakan media yang menarik, kesimpulannya Daring Learning berbasis interaktif media pembelajaran, peserta semakin antusias dan tidak bosan dengan metode Daring Learning. Berdasarkan penelitian yang dikemukakan pada angket respon siswa dengan Daring Learning menunjukkan bahwa catering setuju untuk membolehkan metode Daring Learning di Bapelkes Cikarang.
UPAYA PENINGKATAN KEMAMPUAN GURU DALAM MENYUSUN PERANGKAT PEMBELAJARAN MELALUI SUPERVISI AKADEMIK KEPALA SEKOLAH DI SMKN 5 SUNGAI PENUH
Authors: FAISAL FAISAL
Published: April 2023

The purpose of this study was to describe and obtain information about efforts to improve teacher competence in preparing lesson plans through the academic supervision of school principals at SMK Negeri 5 Sungaipuh. This research is a school action research. The research procedures in this study include planning, action, observation and reflection. This study consisted of two cycles with four meetings. The research subjects consisted of 29 teachers at State Vocational School 5 Sungaipuh who were teachers assisted by researchers. Research data was collected using observation sheets. Data were analyzed using percentages. Based on the results of the research that has been done, it can be concluded that the school principal's academic supervision can improve teacher competence in preparing a Learning Implementation Plan at SMK Negeri 5 Sungai Full. This is seen from the readiness of the teacher in the implementation of learning. Besides that, based on the results of the research conducted, the average value of lesson plans made by the teacher also experienced an increase, namely in cycle one the average value was 50.19 and in cycle two 80.75 (good).
ABSTRAKTujuan penelitian ini adalah untuk mendeskripsikan dan mendapatkan informasi tentang upaya meningkatkan Kompetensi Guru dalam menyusun RPP melalui Supervisi akademik kepala sekolah di SMK Negeri 5 Sungai Penuh. Penelitian ini merupakan penelitian tindakan sekolah. Prosedur penelitian dalam penelitian ini meliputi perencanaan, tindakan, obeservasi dan refleksi. Penelitian ini terdiri dari dua siklus dengan empat kali pertemuan. Subjek penelitian terdiri dari 29 orang guru di SMK Negeri 5 Sungai Penuh yang merupakan guru binaan peneliti. Data penelitian dikumpulkan dengan menggunakan lembaran obeservasi. Data dianalisis dengan menggunakan persentase. Berdasarkan hasil penelitian yang telah dilakukan, maka dapat disimpulkan bahwa supervisi akademik kepala sekolah dapat meningkatkan Kompetensi Guru dalam menyusun Rencana Pelaksanaa Pembelajaran di SMK Negeri 5 Sungai Penuh. Hal ini dilihat dari kesiapan guru dalam pelaksanaan pembelajaran. Disamping itu berdasarkan hasil penilitian yang dilakukan nilai rata-rata RPP yang dibuat oleh guru juga mengalamin peningkatan yaitu pada siklus satu rata-rata nilai 50,19 dan pada siklus dua 80,75 (baik).
PENINGKATAN KOMPETENSI PROFESIONAL GURU DENGAN PELAKSANAAN SUPERVISI AKADEMIK PADA SD NEGERI 8 SIMPANG KEURAMAT
Authors: ROSMAWATI ROSMAWATI
Published: April 2023

This research follows a multi-case study model, with a descriptive qualitative approach. Located in SD Negeri 8 Simpang Keuramat. Data collection uses techniques: interviews, documentation, and observation. Testing the validity of the data follows the criteria of credibility, transferability, dependability and confirmability. Data analysis uses techniques: data collection, data reduction, data presentation, and verification. The results showed: (1) Implementation of Academic Supervision includes three activities, namely: (a) program planning (b) Academic Supervision strategy and (c) evaluation using standard assessment instruments (2) Supporting and inhibiting factors and (3) Role Principal as Supervisor. (4) Description of the increase in teacher professional competence after carrying out academic supervision, 6 initial competency class teachers received a fair predicate (C) but the final competence increased to: 3 class teachers received a good predicate (B), and 3 teachers the class at SD Negeri 8 Simpang Keuramat has improved to very good (A) thus the implementation of academic supervision has increased the professional competence of teachers at SD Negeri 8 Simpang Keuramat.
ABSTRAKPenelitian ini mengikuti model studi multi kasus, dengan pendekatan kualitatif deskriptif. Berlokasi di SD Negeri 8 Simpang Keuramat.Pengumpulan data menggunakan teknik: wawancara, dokumentasi,dan observasi. Pengujian keabsahan data mengikuti kriteria kredibilitas, transferabilitas, dependabilitas, dan konfirmabilitas. Analisis data menggunakan teknik: pengumpulan data, reduksi data, penyajian data, dan verifikasi. Hasil penelitian menunjukkan: (1) Implementasi Supervisi Akademik meliputi tiga kegiatan, yaitu : (a) perencanaan program (b) strategi Supervisi Akademik dan (c) evaluasi menggunakan instrumen penilaian baku (2) Faktor-faktor pendukung dan penghambat serta (3) Peran Kepala Sekolah sebagai Supervisor.(4) Gambaran peningkatan kompetensi profesional guru setelah melakukan supervisi akademik, 6 orang guru kelas kompetensi awal berpredikat cukup (C) namun kompetensi akhir meningkat menjadi: 3 orang guru kelas menjadi predikat baik (B), dan 3 orang guru kelas di SD Negeri 8 Simpang Keuramat meningkat menjadi baik sekali (A) dengan demikian  pelaksanaan supervisi akademik terjadi peningkatan pada kompetensi professional guru di SD Negeri 8 Simpang Keuramat.
UPAYA PENINGKATAN AKTIFITAS BELAJAR SISWA PADA MATA PELAJARAN MATEMATIKA MELALUI MODEL PEMBELAJARAN STUDENT TEAMS ACHIEVEMENT DIVISIONS DI SMAS PGRI 2 KOTA JAMBI
Authors: NELFITA NELFITA
Published: April 2023

This study aims to explain the process of increasing mathematics learning activity and describe how high the mathematics learning achievement of SMAS PGRI 2 Jambi City class XII IPA odd semester of the 2021/2022 school year is the Student Teams Achievement Divisions (STAD) model. This research is a classroom action research conducted in two cycles. The data collection technique was taken from filling out the observation sheet by the observer. Data analysis techniques use the flow model. This technique consists or 3 grooves; data reduction, data description, and transformation of raw data derived from field notes. Data analysis used is descriptive analysis. The results showed an increase in activity. Student activity was successfully increased from all indicators observed from cycle I to the end of cycle II. One of the factors causing an increase in learning achievement using the STAD model is cooperation between group members to understand the material. It can be concluded that the application of the STAD model can improve mathematics learning activities.
ABSTRAKPenelitian ini bertujuan untuk menjelaskan proses peningkatan aktivitas belajar matematika dan mendeskripsikan seberapa tinggi prestasi belajar matematika siswa SMAS PGRI 2 Kota Jambi kelas XII IPA semester ganjil tahun pelajaran 2021/2022 dengan model Student Teams Achievement Divisions (STAD). Penelitian ini merupakan penelitian tindakan kelas yang dilaksanakan dalam dua siklus. Teknik pengumpulan data diambil dari pengisian lembar observasi oleh observer. Teknik analisis data menggunakan model alur. Teknik ini terdiri atau 3 alur; reduksi data, data deskripsi, dan transformasi data mentah yang berasal dari catatan lapangan. Analisis data yang digunakan adalah analisis deskriptif. Hasil penelitian menunjukkan adanya peningkatan aktivitas. Aktivitas siswa berhasil ditingkatkan dari semua indikator yang diamati dari siklus I sampai akhir siklus II. Salah satu faktor penyebab peningkatan prestasi belajar dengan menggunakan model STAD adalah kerjasama antar anggota kelompok untuk memahami materi. Dapat disimpulkan bahwa penerapan model STAD dapat meningkatkan aktivitas pembelajaran matematika.