bluuebunny/crossref_metadata_2025 huggingface dataset:
Audit of Maternal Near Miss Cases in A Tertiary Care Hospital of Mardan
Authors: Qadir Maimoona , Khan Nabila
Published: March 2023

Aim: To determine the frequency and causes of maternal near miss events at a tertiary care hospital of Mardan. Methodology: This descriptive cross sectional study was conducted at Gynaecology department of Mardan Medical Complex from January 2018 to December 2019.Cases of maternal near miss events were collected from the records of women who met the WHO criteria for near miss. All the data was entered into structured proforma and analysis done. Results: Total near miss cases were 215 and totallive births were 9,228. The near miss rate was 23/1000 and maternal near miss to maternal mortality ratio was 3.7:1.Mean age was 26±3.2 years.Age group of 21-30 years was the high risk group with 112(52%) cases, followed by 31-40 years age group with 81(38%) cases. 89(41%) patients were multigravidas and 77(36%) were grand multi gravidas. Gestational age of more than 28 was seen in 146(68%) women and less than 28 weeks in 17(8%) whereas 52(24%) were postnatal.184(86%) were unbooked cases. Regarding the causes of near miss events, haemmorhage was seen in 96(45%), hypertension in 53(24.6%), Sepsis in 26(12%), cardiac disease in 10(4.6%), anaphylactic shock in 8(4%), anesthetic complications in 6(3%), epilepsy and hepatic encephalopathy in 4(2%) each and 8(4%) were due to indirect causes. Conclusion: Near miss cases have many similarities with maternal deaths and give us knowledge about the issues that need to be solved in order to reduce the grave situations where a maternal death can be prevented. Keywords: Near miss, Mortality, Morbidity, Haemmorhage, Hepatic Encephalopathy, Sepsis
Clinical Outcome of Wedge Resection Procedure for Ingrown Toe Nail
Authors: Nazar Mudassar , Anwar M. Waseem , Arif M. , M. Yasin Awan M. , Khan G.R. Nawaz , Abbas M. Arshad , Khosa Hassan Raza
Published: March 2023

Aim: To evaluate the results of the wedge resection procedure in the treatment of ingrown toenails Place and duration of study: The detailed study was carried out at Shahida Islam Medical College Lodhran and Rajib Tayyip Erdogan Hospital, Muzaffargarh, between September 2020 to August 2022. Methods: We conducted a prospective study on 73 patients who underwent wedge resection procedures between Sept 2019 to August 2021. We noted the demographic details like mean age, gender distribution, postoperative complication rate, recurrence rate, and satisfaction with the procedure. Results: The mean age(SD) was 29.3 (4.7) years with 33% males and 67% females. Wefound that 6 min was the average duration of the procedure and only two patients had postoperativecomplications; 99% were satisfied with the outcome and only 1.37% showed recurrence of the issue. Conclusion: We can conclude Wedge Resection Procedure is a safe, effective, and convenient technique in the management of ingrown toe nails. Keywords: ingrown toenail, Wedge Resection Procedure (WRP)
Preception of fourth year MBBS students regarding online learning during Covid-19 pandemic
Authors: Iram Minahil , Daud Seema , Anjum Maha , Zia Muhammad Ahsan , Danial Mubeen Ahmad , Abubakar Muhammad
Published: March 2023

Aim: To assess the perception of fourth year MBBS students regarding online learning during Covid 19 pandemic. Study Design: Cross sectional survey. Setting: Department of Community Medicine, Lahore Medical and Dental College, Lahore. Duration of study: Four months, from April to July, 2022. Study population: All students registered in fourth year MBBS. Methodology: A structured questionnaire was used to collect data from 154 study participants. It consisting of two sections. The first part consisted of background information of study participants. The second portion assessed the perception of students regarding online education during Covid 19.The data was recorded and analyzed using SPSS version 21. Data were described in the form of frequencies and percentages and presented as tables. Results: Study participants included 51% females, 57%-day scholars and 83% who had done FSc. Around 62% did not find online learning effective, 73% had communication difficulties, 75% liked self-directed approach of online learning but 74% thought that it was difficult to collaborate with each other, 71% found time management easy, though it was difficult to ask questions and receiving answers (59%). Around 78% of students perceived lack of satisfaction compared with class room learning, 66% preferred face to face learning and 73% found online education less comprehensible than class room activities. Among students, 53% recognised online learning as enjoyable and 34% wanted it to be done regularly, as 32%students never experienced any difficulty during online sessions. The main issues faced in online activities were absence of internet connection (85%), poor computer skills (73%), electricity breakdown (85%) and lack of concentration (80%). Practical implication: The present study highlighted that majority of fourth year MBBS students preferred classroom learning in comparison with online sessions. In light of pandemic, online education has proven valuable in managing sudden crisis, which is why it was important to understand the student perception regarding online education during covid-19 at Lahore Medical and Dental College, Lahore. Conclusion: Compared with males, higher number of females complained of lack of internet access and having poor computer skills. Seminars and regular training must be undertaken by medical colleges for their staff and students to inculcate interest and highlight the importance of online education as one of the tools for learning. Online education must be made more interactive and student cantered to create interest and improve student concentration. Keywords: Perceptions, online learning, MBBS students, Covid-19 pandemic, face to face education, communication barriers,
Comparison of Ibuprofen and Dexamethasone Premedication on Inferior Dental Nerve Block in Irreversible Pulpitis
Authors: Sultan Dilawar , Hidayat Anila , Sohail Dania , Ali Waqar , Azam Khaqan , Mannan Muhammad Khizar
Published: March 2023

Aim: To compare premedication with dexamethasone as compared to ibuprofen in the effectiveness of IDNB in lower molars with asymptomatic irreversible pulpal infection. Study design: A Randomized Control Clinical Trial. Place & duration: Department of Operative Dentistry, Akhtar Saeed Medical and Dental College, Lahore, from October 2022 to November 2022 Methodology: A total of 30 cases in each group were taken, using an expected success rate of Dexamethasone group and Ibuprofen group 38.2% and 78% respectively, taking 5% level of significance 80% power of study. Therefore, sixty endodontic subjects were taken and divided into two equal groups of thirty patients each, group 1 was given 0.5 mg dexamethasone and group 2, was given 400 mg ibuprofen as pre-medication prior to endodontic therapy. Results: The results showed mean pain scores 24.38±15.41 in group 1 and 35.63±18.74 in group 2 (P<0.05). According to pain score, 11 patients (36.7%) have pain score between 0.0-20 (successful) and 21 patients (63.3%) has pain score 21.0-100.0 (unsuccessful) in group 1 with mean±standard deviation of 24.38±15.41. While in group 2, 5 patients (16.7%) have pain score 0.0-20 and 25 patients (83.3%) have pain score 21.0-100.0 with mean±standard deviation of 35.63±18.74. Conclusion: The premedication with dexamethasone as compared to ibuprofen, increased the effectiveness of inferior dental nerve block in lower molars with asymptomatic irreversible pulpitis. Keywords: IDNB, Irreversible pulpitis, Nerve block, Endodontics.
Frequency of Hyperbilirubinemia in Perforated Appendicitis - A Current Update on Diagnostics and Management.
Authors: Khalid Muhammad , Sikandar M. Zeeshan , Khan Sardar Z. Akbar , Khalid Warda , Tahir Hafiz Muhammad Abdullah , , Tahir Tayyaba
Published: March 2023

Background: Perforated appendix can be detected earlier by chemically with the aid of hyperbilirubinemia. It is a simple non-invasive modality that can aid to detecting complicated appendicitis and avoid morbidity. Aim: To assess frequency of hyperbilirubinemia in patients undergoing appendectomy due to perforated appendicitis. Methods: A descriptive cross-sectional study was conducted in which a total of 75 patients undergoing emergency appendectomy due to perforated appendicitis and age 15-70 years were recruited. Patients with CLD, pregnancy, Congenital or acquired biliary disease, alcoholism and hemolytic disease were excluded. Blood sample was obtained and was sent to the hospital histopathology laboratory and it was reported by consultant pathologist for assessment of hyperbilirubinemia. Results: Age range in this study was from 15-70 years with mean age of 30.69±14.37 years. Majority of the patients 56(74.67%) were 15-40 years of age. Out of these 75 patients, 43(57.33%) were male and 32(42.67%) were females. Mean hyperbilirubinemia was 1.67±0.87 mg/dl. Frequency of hyperbilirubinemia in patients undergoing appendectomy due to perforated appendicitis was found in 63 (84.0%) patients. Practical implication: This will aid in prompt diagnosis and early management of perforated appendix, and serum bilirubin can be used as modality for diagnosis in the absence of ultrasound facility. Conclusion: Frequency of hyperbilirubinemia in patients undergoing appendectomy due to perforated appendicitis is very high. Keywords: perforated appendicitis, hyperbilirubinemia, appendectomy, bilirubin level, perforation, sensitivity.
Counselling of Medical Students a Supportive Tool
Authors: Qureshi Fauzia , Abideen Zainul , Majeed Nadia , Ansar Tahrim , . Shamsa , Waseem Uzma
Published: March 2023

Background: Medical education is one ofthe toughestcourse worldwide in the education system. Medical students have academic and non-academic problems that can influence their academic performance, Aim: To study the effect of counselling and guidance on the academic performance of medical students through students’ perceptions. Study design: Cross sectional Method: The study was conducted on 3rd year MBBS students of Azra Naheed Medical College Lahore, medical students were divided into two groups (A&B) on the basis of their academicperformance during the year 2021-2022 in professional and module examination. A Google form was developed by the authors of thisstudy which consisted of 13 questionsregarding the perception of students about the effect of counselling and guidance onmultiple factors affecting their academic performance. The form was posted in two official WhatsApp groups (A&B) of the class. In group A, students with good performance and high achievers were included andin group B average and failed students were included. Results: The findings show that the 40 students from group A and 42 students from group B responded to the questionnaire. A higher percentage of students belonging to both groupsresponded positively regarding the role of faculty counselling and guidance in hectic medical study schedules, preparation of professional exams, time management, social, domestic, attendanceissues and overall academic performance. 97.5% of students from group A & 100% of students from group B responded positively to question 12 about Career Counselling of medical students in medical colleges, 97.50% correlation was found in both groups. The result showed that students belonging to good academic performance and students who were average & with low academic performance responded positively to support the role of faculty members. Practical implication: Student counselling plays an important role in medical education. This study showed that positive response of medical students towards student counselling and academic guidance. Need of career counselling is also highlighted by students which raises the question of development of student counselling department in every medical institute. Conclusion: It has been found that there is an important role of faculty members in solving the academic &non-academic problems of students. In a recent study, students have recognised the supportive role of faculty members in the improvement of their academic performance through theirguidance and counselling. Keywords: Academic performance, counselling, guidance, faculty members, medical education, student perception
Antimicrobial Sensitivity Pattern of Urine Culture Isolate in a tertiary Care Hospital
Authors: Karmani Jais Kumar , Ahmad Armughan , Iqbal Muddasar , Arshad Naveed
Published: March 2023

Aim: To observe sensitivity patterns of urinary tract infections and the micro-organisms causing them in patients presenting with urinary tract symptoms. Methodology: A sample of 206 patients presenting with complaints of lower urinary tract symptoms and ranging between the age group of 20 to 85 years was included in the study. This was a retrospective study that was carried out in the departments of nephrology at Dr. Akbar Niazi Teaching Hospital (ANTH), Islamabad, from January 2019 to January 2020. Urine samples were collected in sterile containers and processed. Culture and sensitivity analysis based on investigative testing was carried out. CLED medium was used to sub-culture the colonies to get pure growth of the micro-organisms. The Kirby-Bauer disc diffusion process was employed to find the susceptibility of antibiotic in isolated colonies.The bacterial growth was measured after incubation in compliance with the clinical and laboratory standards institute (CLSI) guidelines. Results: Escherichia Coli was detected in 77 patients (84.6%) among the 91 positive urine cultures; Klebsiella species was found in 7 patients (7.7%); Enterococcus species was present in 6 patients (6.6%) and Pseudomonas was found in 1 patient (1.1%). Maximum efficacy was observed with Imipenem and Fosfomycin (80.5%) followed by Nitrofurantoin (75.3%). All cultures were resistant to Amoxicillin. Conclusion: Our study shows, Imipenem and Fosfomycin to be the most effective drugs in treatment of UTIs. E coli remains the most common causative organism in this disease and the increase in drug resistance by uropathogens are of significant concern.Communities may benefit from implementation of health education to prevent antibiotic sharing and similar drug abuse. Keyword: Anti-infective agents; Culture; Microbial sensitivity tests; Urine; Uropathogens; Urinary tract infections.
Vein Stripping Versus No Stripping in Varicose Vein Disease
Authors: Afzal Muhammad , Samee Muhammad Umair , Kumar Dileep , Ahmed Nisar , Mirani Shahid Hussain
Published: March 2023

Aim: To comparative analysis of vein stripping versus no stripping in varicose vein disease. Study design: Comparative study Place and duration of study: Department of Surgery, CMH Kharian Medical College, Kharian from 01-01-2019 to 31-12-2021. Methodology: Eighty cases of varicose vein which were having sapheno-femoral valve incompetence as well as perforators-incompetence were enrolled. The age of the cases was between 16 and 70 year. Electrocardiography (ECG), as well as venous Doppler of the affected limb was accomplished. Each group comprised 40 cases. Group A and Group B were constituted in accordance to difference in the operating procedure where vein stripping was done in Group A and without vein stripping was conducted in Group B. Results: The mean age of the patients was 42.3±4.5 years. There was higher number of females than males in this study. In the present study there were higher cases of hematoma observed in group A than in Group B with a percentage difference of 27.7% to 4.4% which was statistically significant. Ambulation comfort was observed higher in cases with ligation then having venous stripping. Pain relief of the patients post 2 months of the surgery was analyzed as higher in the Group A such as venous stripping group in comparison with the without venous stripping group (Group B). Conclusion: The technology of ligation where no vein stripping is conducted is more efficient and reliable then vein stripping methods in terms of pain, hematoma reduction, and trauma reduction with augmenting ambulation comfort. Keywords: Varicose, Mortality, Peroneal vein, Tibia, Femor
Resource and Hazard Analysis of Selected Farmland Communities Along Bicol River
Authors: Nunag Jessica Dionne , Laureta Ricky , Gasga Kier , Baldo Diomerl Edward , Ebron Maria Petra
Published: March 2023

This study provides information on resource and hazard maps in selected farmland communities along Bicol River Basin. It specifically identifies and maps-out the agri-fishery resources, climate-related hazard areas, agricultural infrastructures, landmarks and other relevant resources and determines the climate adaptation practices and strategies of agriculture and livestock in the community. Resource and hazard mapping was used as a tool in the Participatory Rural Appraisal (PRA). Six communities from representative project beneficiaries from the Department of Agriculture Project Funded namely Baao (Sta. Eulalia and San Fransisco), Canaman (Mangayawan and San Fransisco) and Minalabac (Taban and Del Carmen-Del Rosario) were the participants. Results of PRA revealed that the majority of land resources in the barangays are being utilized in rice, high-value crop and corn farming while fishing, livestock, and poultry are considered other livelihood sources. Their geographic location and advantage is also its weakness in agriculture as a significant part of its farmland is prone to flooding during the wet season and drought during the dry season. Both sites in Canaman also experience saline intrusion. Most farmers practice adaptation strategies like using early maturing, submergence tolerant and saline-tolerant, and seeking another potential source of livelihood. The resource and hazard map not just depicts various aspects related to agriculture; it is also a useful tool to enhance resilience from natural hazards and disasters.
Context of Sexual Harassment among Junior and Senior High School Students
Authors: Llanto Gelbert , Valdez Jennifer , Velasquez Richie
Published: March 2023

Sexual harassment is an issue that happens ubiquitously in schools committed verbally or physically with anyone as victim regardless of gender. With the occurrence of such crime, this study assessed the students’ perception on sexual harassment, physical, verbal or mixed, the legal methodologies and policy employed by the concerned schools in implementing the different programs and instructions, and the characterization of the nature of work and the working conditions of different participating institutions. This study utilized descriptive-quantitative research design using a purposive sampling technique. Data were analyzed using frequency and percentage, and average weighted mean. Results disclosed that students unanimously agree on sexual harassment in various forms but apparently not aware verbal and non-verbal acts. The results further showed that students rarely get educational information about sexual harassment from their parents and institutions but noted the importance of faculty, administration, and student cooperation to prevent it. Hence, there are students who experienced incidents of sexual harassment in school premises but majority of them did not report it due to fear and culture of victim blaming. Similarly, the majority of the respondents confirm there are no programs, regulations, and instrumentalities to prevent sexual harassment in their school. With the alarming results, the study developed a training module to be implemented as an extension project to capacitate students and help institutions draft a mechanism in handling such cases.
Perception of smile esthetics by patients reporting for orthodontic treatment
Authors: Jabbar Abdul , Hussain Ghulam , Shereen Shereen , Tariq Junaid , Islam Fizza , Mushtaq Maryam
Published: March 2023

Objective: The main objective of this study was to evaluate smile esthetics in terms of midline diastema, smile arc and gingival display during smile by patients reporting for orthodontic treatment. Study design: A cross-sectional study. Setting: Out Patient Door, Orthodontic Department Liaquat University of Medical and Health Sciences, Jamshoro Sindh. Duration: The study was conducted within 06 months after the approval of synopsis i-e from Dec 2020, to May 2021. Sample size: Out measures were 1) midline diastema, 2) Gingival Display during smile, 3) smile arc. Sample size calculation was done by using “Openepi” software with 5% margin of error and 95 % confident value, Mean 0.95, Sample size was n= 126. Sample technique: Non-Probability consecutive sampling technique. Data collection method: After approval of this study from Ethical Review Committee of LUMHS study was conducted at Orthodontic Department, Institute of Dentistry, Liaquat University of Medical and Health Sciences Jamshoro. There were total of 126 participants in this study, Data was collected showing three different front smiling photographs with various degrees of; Gingival Show During Smile i-e A= 0mm B =0.5mm C=1.5mm D=2mm E=2.5mm Smile Arc i-e A. Convex/Curved   B. Plan/Straight C. Inverted/Reverse.
Fungal involvement in bio- weathering of historical monument with reference to Rumi Darwazaat Lucknow (Uttar Pradesh), India
Authors: Sanjay Prasad Gupta  , Rohit Mishra
Published: March 2023

Fungi are complex communities of microorganisms that damage historic monuments. The present study was made to examine the diversity of fungi associated with deteriorated monument sites. In the present investigation, 10 samples were collected from various portions of deteriorating sites of Rumi Darwaza (gate) at Lucknow. Five fungal species isolated from deteriorated monument sites are reported in this paper. The most frequent isolated fungal species from the historic monument sites are Aspergillus niger.
EFFECT OF GENETIC MATERIAL AND FERTILIZATION ON ESTIMATING THE DRYING POTENTIAL OF Tectona grandis Linn F.
Authors: Souza Poliane Pereira de , Latorraca João Vicente De Figueiredo , Carmo Fábio Henrique Della Justina do , Santos Glaycianne Christine Vieira dos , Takizawa Fausto Hissashi
Published: March 2023

Drying is a fundamental step in the lumber production process. The definition of variables that affect the quality of the process, such as initial and final temperatures as well as drying potential, depends on the known technological knowledge of the wood, as well as on the experience of the drying process developed for a particular species. With this in mind, we developed an experiment using wood from four genetic materials (three clones and one seminal) of the species Tectona grandis cultivated with and without fertilization. This was done to estimate and evaluate the parameters used in the explanation of drying programs. The values of the initial and final temperatures, and those of the drying potentials, were estimated using the drastic drying methodology, which evaluates the drying rate and defect score (cracks and collapse). In addition to the drying parameters, the physical properties that affect the drying performance were also evaluated. The results show that origin and fertilization did not affect the initial and final temperatures. However, the potential drying parameters were significantly affected by the combination of treatments. Furthermore, the wood drying potential of certain genetic materials was positively affected by fertilization. Finally, the material from the fertilized areas had the lowest basic densities, the highest initial moisture content, and the highest drying rates.
Tackling coloniality in EdTech: Making your offering inclusive and socially just
Authors: Adam Taskeen , Moustafa Nariman , Sarwar MoizzaBinat
Published: March 2023

An output of the EdTech Hub, https://edtechhub.org
On the 10th Anniversary of the Korean Neonatal Network
Authors: Ahn So Yoon , Song Hye Young , Chang Yun Sil ,   Korean Neonatal Network
Published: March 2023

The Korean Neonatal Network (KNN), which is celebrating its 10th anniversary, currently has more than 100 staff and researchers from >70 neonatal intensive care units nationwide in Korea. More than 85% to 90% of the population of very low birth weight infants in Korea are registered yearly, and more than half are followed up for up to 3 years at the KNN. A total of >19,000 cases have been accumulated through a strict data quality management process of the KNN. Based on this, >100 research projects have been proposed, >70 peer-reviewed papers have been published in leading international journals, and the cornerstone of the quality improvement project has been launched. In addition, we recently expanded the number of subjects for registration to very premature infants <32 weeks of age and continue to provide essential evidence data for establishing national health policies, such as linking with government policy projects of the Ministry of Health and Welfare for preterm infants. In such manner, the KNN is confident to be successfully and actively moving toward reaching the ultimate goal of standardizing neonatal intensive care and management of preterm infants in Korea by providing essential data for national health policy establishment along with quality improvement through evidence-based interactive data.
Neonatal Research Network of Japan and Neonatal Database
Authors: Kusuda Satoshi
Published: March 2023

In 2004, the Neonatal Research Network of Japan initiated a database registration system for high-risk infants in Japan. Currently, 65% of all very low the birth weight infants or infants born at <32 weeks of gestation are registered in the database. Approximately 4,000 new cases are registered annually. A unique feature of the database is that it includes outcome data at 1.5, 3, and 6 years after discharge from neonatal intensive care units. All registered data are fed back annually to the participating hospitals and used to benchmark neonatal care. Results from this database have also been published in many international journals. With the development of this database, neonatal medicine in Japan has progressed.
Breaking Free from Your Fetal Chains: A Case-Based Review of the Literature on Gamma Chain Variant Hemoglobinopathies
Authors: Varughese Pearl Mary , Thomas Sajan , Nampoothiri Sheela , Bendapudi Perraju
Published: March 2023

Methemoglobinemia is a dyshemoglobinemia characterized by cyanosis and reduced oxygen saturation with increased methemoglobin values. The etiology may be congenital or acquired, with the latter being more common. We report a case of a full-term neonate who presented with transient cyanosis and methemoglobinemia caused by a mutation in the gamma chain of fetal hemoglobin.
PENGARUH LINGKUNGAN KERJA DAN BUDAYA ORGANISASI TERHADAP KINERJA BADAN PENANGGULANGAN BENCANA DAERAH (BPBD) KOTA SIBOLGA
Authors: Asnita Rajagukguk  , Rosmita Ambarita  , Nur’ainun Hasibuan
Published: March 2023

Tujuan penelitian iniadalah untuk mengetahui lingkungan kerja dan budaya organisasi secara serempak berpengaruh terhadap kinerjaBadan Penanggulangan Bencana Daerah (BPBD) Kota Sibolga. Hipotesis dalam penelitian ini adalah Terdapat pengaruh lingkungan kerja dan budaya organisasi secara serempak berpengaruh terhadap kinerja Badan Penanggulangan Bencana Daerah (BPBD) Kota Sibolga. Jenis penelitian yang gunakan adalah penelitian kuantitatif korelasi. Jumlah populasi sebesar 123 orang.Sampel berjumlah 55 orang.Sumber data berasal daridata primer dan sekunder. Data dianalisis menggunakan Analisis regresi linear berganda. Hasil penelitian diketahuiterdapat pengaruh lingkungan kerja dan budaya organisasi terhadap kinerja, dimana Fhitung (40,521) > Ftabel (3,17). Terdapat pengaruh lingkungan kerja terhadap kinerja, dimana nilai thitung(2,731)>ttabel (2,006). Terdapat pengaruh budaya organisasi terhadap kinerja, dimananilai thitung(2,899)> ttabel(2,006).Sebesar 60,9% lingkungan kerja dan budaya organisasi mampu mempengaruhi kinerja. Persamaan regresi linear berganda Y = 14,620 + 0,399 X1 + 0,423X2menunjukkan kinerja akan meningkat jika lingkungan kerja dan budaya organisasi baik.
Pengaruh Kebijakan Hutang, Ukuran Perusahaan Dan Profitabilitas Terhadap Agresivitas Pajak Pada Perusahaan Sub Sektor Logam Dan Sejenisnya Yang Terdaftar Di BEI Pada Periode 2016-2020
Authors: Maya Syahfira Afris  , Citra Windy Lubis
Published: March 2023

Agresivitas pajak adalah suatu penghematan pajak yang sering dilakukan oleh perusahaan secara ilegal ataupun legal dengan memanfaatkan peluang yang ada untuk meminimalkan pembayaran pajak. Tujuan dalam penelitian ini adalah untuk menguji dan menganalisis pengaruh kebijakan hutang, ukuran perusahaan dan profitabilitas terhadap agresivitas pajak yang terdaftar di Bursa Efek Indonesia. Penelitian ini ialah penelitian asosiatif dan jenis data yang digunakan dalam penelitian ini adalah kuantitatif. Populasi dari penelitian ini adalah perusahaan-perusahaan dari sub sektor logam dan sejenisnya periode 2016-2020 yang berjumlah 17 perusahaan. Teknik yang digunakan adalah teknik regresi linear berganda. Hasil penelitian ini menunjukkan bahwa secara parsial kebijakan hutang berpengaruh terhadap agresivitas pajak, namun ukuran perusahaan dan profitabilitas tidak berpengaruh parsial terhadap agresivitas pajak. Secara simultan, kebijakan hutang berpengaruh signifikan terhadap agresivitas pajak, ukuran perusahaan berpengaruh signifikan terhadap agresivitas pajak, dan profitabilitas berpengaruh signifikan terhadap agresivitas pajak sub sektor logam dan sejenisnya yang terdaftar di BEI periode 2016-2020.
Pengaruh Kualitas Pelayanan, Persepsi Harga, Dan Citra Merek Terhadap Kepuasan Pelanggan Pengguna Jasa Transportasi Ojek Online (Studi Pada Pelanggan Gojek Di Kota Semarang)
Authors: Pandega Ricky Andika  , Rauly Sijabat  , Ika Indriasari
Published: March 2023

Persaingan ojek  dipengaruhi oleh maraknya layanan ojek online. Hal ini disebabkan oleh persaingan harga dan banyaknya pilihan layanan ojek internet. Hal ini menyebabkan konsumen menjadi pemilih. Pelanggan akan memilih opsi alternatif yang kepemimpinannya mencerminkan preferensi mereka. Layanan ojek online, khususnya GOJEK, harus mampu membangkitkan kepuasan klien untuk mempersiapkan skenario ini. Penelitian ini menggunakan penelitian survei sebagai metodologinya. Informasi dikumpulkan dari responden menggunakan kuesioner dalam penelitian survei. Dalam penelitian ini, jumlah pertanyaan dalam kuesioner penelitian sebanyak 42, sehingga jumlah sampel 5 kali jumlah pertanyaan atau sebanyak 5 x 42 210, sehingga jumlah sampel yang digunakan sebanyak 210 orang. Namun berdasarkan perhitungan jumlah sampel tersebut melebihi dari batas maksimal sampel yang disyaratkan oleh Hair (1995), sehingga dalam penelitian menggunakan sampel sebanyak 200 orang.Pengujian validitas instrumen pada penelitian ini menggunakan program SmartPLS 3.0 for windows. Pengukuran validitas instrument diuji berdasarkan pada output Outer Loading dan nilai Average Variance Extracted (AVE).Berdasarkan penelitian yang dilakukan, hasil penelitian ini menunjukan bahwa kualitas pelayanan merupakan faktor yang tidak mempengaruhi kepuasan pelanggan GOJEK di kota Semarang. Dapat dilihat dari nilai P-Value (0,128), persepsi harga merupakan faktor yang tidak mempengaruhi kepuasan pelanggan GOJEK di kota Semarang. Dapat dilihat dari nilai P-Value (0,051),citra merek merupakan faktor yang mempengaruhi kepuasan pelanggan GOJEK di kota Semarang. Dapat dilihat dari nilai P-Value (0,000)1. Terdapat pengaruh yang tidak signifikan kualitas pelayanan terhadap kepuasan pelanggan pengguna jasa transportasi ojek online GOJEK di Kota Semarang. H 2. Terdapat pengaruh yang tidak signifikan persepsi harga terhadap kepuasan pelanggan pengguna jasa transportasi ojek online GOJEK di Kota Semarang. . 3. Terdapat pengaruh yang signifikan citra merek terhadap kepuasan pelanggan pengguna jasa transportasi ojek online GOJEK di Kota Semarang.
Implementasi Sistem Informasi Manajemen Dalam Mendukung Pelayanan Administrasi Pada Sekolah Menengah Kejuruan Negeri 1 Kota Padangsidimpuan
Authors: Wawan Patriansyah  , Nurbaya Harianja  , Rina Tiur Lona
Published: March 2023

Penelitian ini membahas tentang bagaimana implemetansi sistem informasi manajemen di SMK Negeri 1 Kota Padang Sidempuan dan bagaimana pelayanan administrasi SMK Negeri 1 Kota Padang Sidempuan. Penelitian ini bertujuan untuk mengetahui implementasi sistem informasi manajemen di SMK Negeri 1 Kota Padang Sidempuan dan pelayanan administrasi di SMK Negeri 1 Kota Padang Sidempuan. Serta memiliki kegunaan dari berbagai pihak, baik itu dari pihak tempat penelitian maupun dari pihak penulis sendiri. Pada dasarnya Penelitian ini menggunakan metode penelitian kualitatif, dengan menggunakan study lapangan (field research) dalam pengumpulan data. Analisis data dengan menggunakan reduksi data, penyajian data, dan penarikan kesimpulan. Penelitian ini menentukan subjek dan objek penelitian dengan mengacu pada pedoman wawancara untuk melakukan wawancara, observasi serta dan angket sebagai pelengkap. Hasil penelitian ini menunjukkan bahwa penerapan sistem informasi manajemen dalam mendukung pelayanan administrasi di SMK Negeri 1 Kota Padang Sidempuan sudah terlaksana dengan baik dengan memanfaatkan segala fasilitas/ sarana dan prasarana sebagai batu pijakan dalam optimalisasi penerapan sistem informasi manajemen. Usaha peningkatan mutu pendidikan sudah semakin meningkat karena ditunjang berbagai macam pelayanan administrasi yang telah diterapkan di SMK Negeri 1 Kota Padang Sidempuan yang dapat membantu siswa dalam kegiatan proses belajar mengajar setiap harinya.
Pengaruh Karakteristik Wirausaha Dan Modal Usaha Terhadap Perkembangan Gerai UMKM Di Desa Purwodadi Kecamatan Tebing Tinggi Kabupaten Tanjung Jabung Barat
Authors: Lela Suryani  , Titin Agustin Nengsih  , Nurlia Fusfita
Published: March 2023

The aims of this study were (1) to determine the influence of entrepreneurial characteristics and venture capital simultaneously on the development of MSME outlets in Purwodadi Village, Tebing Tinggi District, West Tanjung Jabung Regency. (2) To determine the effect of entrepreneurial characteristics and business capital partially on the development of MSME outlets in Purwodadi Village, Tebing Tinggi District, West Tanjung Jabung Regency. This research uses a quantitative descriptive approach. This study explains whether there is an influence of entrepreneurial characteristics and business capital on the development of MSME outlets in Purwodadi Village, Tebing Tinggi District, Tanjung Jabung Barat Regency. The population in this study were all SMEs, totaling 23 SMEs, the researchers used a saturated sampling method. And using the data analysis method Research Instrument Test, Classical Assumption Test, Multiple Linear Regression Analysis, Coefficient of Determination. Based on the results of the F test (simultaneous test) it can be concluded that the entrepreneurial characteristics and venture capital together have a significant effect on the development of MSME outlets in Purwodadi village because the significant value is 0.000 <0.05 and the fcount value is 15.026 > ftable is 3.466, so this means that the entrepreneurial characteristics and venture capital variables simultaneously influence the development of MSME outlets in Purwodadi Village, Cliff High District, West Tanjung Jabung Regency. And based on the results of the T test (partial test) for the two variables of entrepreneurial characteristics and business capital on the development of MSME outlets in Purwodadi village, it can be concluded that the entrepreneurial characteristics and venture capital variables have a positive and significant effect on the development of MSME outlets in Purwodadi Village, High Cliff District, Tanjung Regency. west jab.
Sosial Media Marketing Pada Brand Images Program Studi Bisnis Digital Politeknik Negara Bali
Authors: Ida Bagus Gede Dananjaya  , Upayana Wiguna Eka Saputra  , I Gusti Ngurah Sanjaya  , I Putu Yoga Laksana  , Sagung Mas Suryaniadi
Published: March 2023

Penelitian ini bertujuan untuk menganalisis pengaruh Entertainment, Interaction, Customization, Trendiness, dan E-WOM (Electronic Word Of Mouth) terhadap Brand Image pada Program Studi Bisnis Digital Politeknik Negeri Bali. Jenis penelitian ini menggunakan penelitian kuantitatif. Sampel untuk penelitian ini adalah penelitian ini adalah 230 responden siswa Sekolah Menengah Kejuruan (SMK) di Kec. Kuta Selatan, Kabupaten Badung, Bali. Metode pengumpulan data menggunakan angket dan analisis kuantitatif deskriptif menggunakan analisis Partial Least Square (PLS). Hasil penelitian mengungkapkan bahwa hanya variabel Interaction yang terbukti negatif dan tidak signifikan terhadap Brand Image, hal ini dapat terjadi karena nilai t-statistik dan nilai-p yang diperoleh berada di bawah 1,96 dan di atas taraf signifikansi = 0,05. Bahwa semakin baik Interaction maka semakin rendah Brand Image. Kemudian variabel Entertainment, Customization, Trendiness, dan E-WOM menunjukkan pengaruh yang positif dan signifikan terhadap merek. gambar. Oleh karena itu, semakin tinggi Entertainment, Customization, Trendiness, dan E-WOM maka semakin tinggi pula Brand Image pada program studi Bisnis Digital Politeknik Negeri Bali.
Kepastian Hukum Hak Milik Atas Tanah Studi Kasus Di Kota Makassar
Authors: Djuniarti  Djuniarti  , Nurasia Natsir
Published: March 2023

Penelitian ini bertujuan untuk mengetahui dan menganalisis bagaimanakah perolehan kepastian hukum hak milik atas tanah di kota Makassar,dan mengetahui dan menganalisis faktor-faktor apa saja yang menghambat dalam perolehan kepastian hukum hak milik atas tanah di kota Makassar.Teknik pengumpulan data adalah Interview, yakni teknik wawancara langsung yang dilakukan untuk memperoleh informasi dan responden guna melengkapi data.Wawancara juga merupakan suatu bentuk tanya jawab secara langsung antara peneliti dengan subjek/responden yang diteliti sehingga dan suatu proses Tanya jawab tersebut didapat suatu informasi yang lengkap dan benar sehingga berguna dan menunjang penelitian. Hasil penelitian menunjukkan bahwa perolehan kepastian hukum hak milik atas tanah di kota Makassar ditentukan oleh penerbitan sertifikat hak milik sebagai tanda bukti kepemilikan haruslah didasarkan atas aturan-aturan hukum yang berlaku yaitu khususnya PP No.24 Tahun 1997 tentang Pendaftaran Tanah, Kepastian akan objek tanah,status tanah serta kepastian akan subjek hukum hak atas tanah,Putusan Peradilan Tata Usaha Negara dan Peradilan Umum terkait sengketa hak milik atas tanah tersebut. Sedangkan faktor-faktor yang mempengaruhi proses perwujudan kepastian hukum hak milik atas tanah adalah Aparatur pemerintah dalam hal ini pegawai kantor Badan Pertanahan yang memiliki kemampuan itu berupa tingkat penguasaan perundang-undangan dan kemampuan kerja dalam melaksanakan tugas dibidang teknis-yuridis dan proses administrasi pertanahan, masyarakat yang bertindak sebagai pemohon hak dimana dalam memberikan keterangan-keterangan menyangkut kelengkapan berkas pendaftaran tanah haruslah sesuai dengan keadaan yang sebenarnya.
PENERAPAN SUPERVISI KLINIS KEPALA MADRASAH UPAYA MENINGKATKAN KETERAMPILAN GURU MENGELOLA KEGIATAN PEMBELAJARAN DALAM RANGKA PENINGKATAN KUALITAS PEMBELAJARAN MIS GUPPI AL KHAERAT SIMBANG
Authors: Haedar Haedar
Published: March 2023

Berdasarkan hasil observasi ditemukan bahwa guru sudah melakukan persiapan dan pelaksanaan proses pembelajaran. Namun, kegiatan tersebut belum maksimal dalam pengelolaannya. Guru terlihat kurang melibatkan siswa secara aktif dalam proses pembelajaran dan kurang dalam memberikan kesimpulan dari materi yang dibahas. Permasalahan tersebut mendorong peneliti untuk melakukan penelitian tindakan dengan tujuan untuk mengetahui penerapan dan keefektifan supervisi klinis kepala madrasah sebagai upaya peningkatan keterampilan guru mengelola kegiatan pembelajaran dalam rangka peningkatan kualitas pembelajaran di MIS GUPPI Al Khaerat Simbang Kec. Tombolopao Kab. Gowa Tahun Pelajaran 2022-2023. Penelitian ini merupakan Penelitian Tindakan Sekolah (PTS) yang dilakukan dalam 3 siklus. Peningkatan keterampilan guru terhadap daya serap kelompok pada siklus I, II, dan III sebesar 65,03%; 75,34%; dan 87,21%. Sedangkan peningkatan keterampilan guru terhadap ketuntasan kelompok pada siklus I, II, dan III masing-masing sebesar 12,50%; 50,00%; dan 100,00%. Dan peningkatan keterampilan guru terhadap ketuntasan hasil pembinaan pada siklus I, II, dan III masing-masing sebanyak 1, 4, dan 8 guru. Berdasarkan hasil penelitian tersebut menunjukkan bahwa kegiatan pembinaan melalui penerapan Supervisi Klinis Kepala Madrasah memiliki efektivitas dan dapat meningkatkan keterampilan guru mengelola kegiatan pembelajaran dalam rangka peningkatan kualitas pembelajaran mengajar di MIS GUPPI Al Khaerat Simbang Kec. Tombolopao Kab. Gowa Tahun Pelajaran 2022-2023.
Peran Pendidikan Pondok Pesantren dan Kiayi Dalam Memberikan Solusi Kehidupan
Authors: Suaidi
Published: March 2023

Problematika yang dihadapi saat ini adalah berbagai peristiwa bermunculannya kasus-kasus kejahatan dan kemaksyiatan  yang termasuk dalam kategori penyakit masyarakat, sehingga menyebabkan terkurasnya perhatian pemerintah untuk mengatasinya, dengan cara gelar rajia kemaksyiatan dan penyakit masyarakat, namun kenyataannya semakin padatnya agenda gelar rajia yang dilakukan oleh pemerintah kejahatan, kemaksyiatan dan penyakit masyarakat dan sosial-pun  tetap belum bisa secara tuntas diatasi.

            Kemaksyiatan dan penyakit masyarakat dengan berbagai bentuknya seperti kenakalan remaja, penyalahgunaan narkoba, prostitusi, perzinahan, pelecehan seksual, mayoritas dilakukan oleh orang yang tidak berbekal pendidikan agama yang memadai. Interpensi pendidikan agama terhadap anak-anak remaja harus menjadi skala prioritas, sehingga mampu mengkristalisasi dalam pribadi untuk dapat memberikan kontribusi dalam mengarahkan prilaku dari prilaku maksyiat kepada prilaku yang sejalan dengan ajaran agama.

            Lembaga pendidikan Pondok Pesantren yang ber-oriensi kepada pendidikan agama  setidaknya akan mampu memberikan solusi terhadap gejala dan fenomena yang dirasakan saat ini dimana masyarakatnya cenderung untuk melakukan perbuatan-perbuatan yang menyimpang dari aturan Allah, SWT. Setidaknya pembekalan pendidikan agama terhadap anak didik akan memberikan solusi terhadap penataan masa depan para remaja dengan tidak melakukan kejahatan atau perbuatan maksyiat lainnya.
What is building energy flexibility – demand response?
Authors:   Aalborg University, Johra Hicham
Published: March 2023

A short introduction to the concepts of building energy flexibility, demand response, demand-side management, building-to-grid services and load shifting.
The Importance of Pragmatic Study Design to the Scholarly Influence of Surgical Hip Fracture Randomized Controlled Trials
Authors: Marmor Meir , Guenthner Guy , Getman Tatiana , Ghert Michelle
Published: March 2023

Background:

Surgical randomized controlled trials (RCTs) have potential drawbacks, leading some to question their role in filling the information gap in orthopaedic surgery. Pragmatism in study design was introduced to increase the clinical applicability of study results. The purpose of this study was to examine how pragmatism affects the scholarly influence of surgical RCTs.

Methods:

A search for surgical hip fracture-related RCTs published between 1995 and 2015 was done. Journal impact factor, citation number, research question, significance and type of outcome, number of centers involved, and the Pragmatic-Explanatory Continuum Indicator Summary-2 level of pragmatism score were recorded for each study. Scholarly influence was estimated by a study's inclusion into orthopaedic literature or guidelines or through the study's average yearly citation rate.

Results:

One hundred sixty RCTs were included in the final analysis. A multivariate logistic regression identified large study sample size as the only predictor of an RCT being used in clinical guidance texts. Large sample size and multicenter RCTs were predictors of high yearly citation rates. The level of pragmatism in study design did not predict scholarly influence.

Conclusions:

Pragmatic design is not independently associated with increased scholarly influence; however, large study sample size was the most important study characteristic affecting scholarly influence.
Penerapan Model Role Play melalui Media Video Ekoliterasi Untuk Mempercepat Kecakapan Berbicara Bahasa Inggris di SMA Negeri 1 Lape
Authors: Zainuddin Zainuddin , Suparman Suparman , Junaidi Junaidi
Published: March 2023

Tujuan penelitian ini adalah untuk mengetahui dampak Model Role Play dengan menggunakan media video ekoliterasi terhadap kecakapan berbicara para siswa. Penelitian ini dilakukan di SMAN 1 Lape Kecamatan Lape Kabupaten Sumbawa tahun pelajaran 2022-2023 yang menggunakan kurikulum K-13. Penelitian dilakukan mulai bulan Agustus sampai Bulan Desember 2022. Populasi penelitian adalah seluruh siswa SMAN 1 Lape berjumlah 831 siswa, terdiri dari 9 kelas untuk kelas X, 8 kelas untuk kelas XI, dan 8 kelas untuk kelas XII. Penelitian dilakukan di kelas XI IPS yang terdiri dari empat kelas yaitu: IPS.1 hingga IPS.4 dengan jumlah populasi adalah 131 orang siswa. Jumlah sampel dari penelitian ini sendiri adalah sebanyak 67 orang siswa yaitu: Kelas XI IPS. 1. Yang terdiri dari 34 orang siswa, dengan jumlah siswa laki-laki sebanyak 13 orang, dan siswi sebanyak 21 orang. Dan kemudian kelas XI IPS. 2, dengan jumlah siswa laki-laki sebanyak: 18 orang dan jumlah siswi sebanyak 15 orang. Tehnik pengabilan sampel menggunakan random sampling. instrument yang digunakan adalah kuesioner dan dokumen yang sudah dirilis oleh rumah sakit. Hasil penelitian menunjukan bahwa kinerja Rumah Sakit H.L Manambai Abdul kadir berada dalam kategori cukup baik, kinerja dari perspektif keuangan berada dalam kondisi baik/sehat, dimana rasio-rasio keuangan secara keseluruhan menunjukkan angka yang positif/baik, kepuasan pelanggan menunjukkan kinerja yang baik, namun kinerja proses bisnis internal dengan menggunakan indikator Mutu Pelayanan Kementrian Kesehatan memiliki hasil kinerja yang tidak baik. Kinerja menurut perspektif pertumbuhan dan pembelajaran melalui pengukuran indikator kepuasan pegawai, adalah dalam kategori cukup baik.
Pengaruh Pembelajaran Pendidikan Agama Islam dalam Pembentukan Karakter Moderat Siswa di Sekolah: Sebuah Analisis Pedagogi Sosial
Authors: Mudrik Mudrik
Published: March 2023

Islam adalah agama yang semboyannya adalah "Pembawa rahmat bagi dunia", tetapi secara historis, tidak semua ekspresi keagamaan itu benar. Salah satu contohnya adalah ketika orang terlalu fanatik dan tidak menyukai orang lain. Maka, masyarakat perlu bekerja untuk menghentikan penyebaran pandangan ekstrim dan intoleran, terutama di kalangan milenial. Pembelajaran Pendidikan Agama Islam merupakan hal terpenting yang dapat dilakukan sekolah untuk mencapai misi perdamaian (PAI). Dari segi pedagogi sosial, tujuan penelitian ini adalah untuk melihat bagaimana pembelajaran tentang Islam mempengaruhi bagaimana siswa mengembangkan kepribadian moderat di sekolah. Penelitian ini mengambil pendekatan kualitatif dan menggunakan metode deskriptif. Hasil penelitian menunjukkan bahwa pendidikan agama islam dapat digunakan untuk membantu siswa belajar bersikap moderat dalam keyakinan agamanya. Pendidikan agama Islam dimaksudkan untuk membantu orang hidup damai dengan orang-orang dari agama lain, ideologi, etnis, dan budaya. Maka, mempelajari pendidikan agama Islam akan membantu membentuk sifat moderat kehidupan beragama. Hal ini akan menimbulkan sikap yang lebih moderat di kalangan siswa, lebih saling menghargai, dan mampu menolak ajakan terkait radikalisme.