bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of the effect of intrathecal fentanyl citrate and magnesium sulfate as adjuvants to hyperbaric levobupivacaine 0.5% for spinal anesthesia in patients undergoing lower limb orthopedic surgeries
Authors: Tripathy Anusha , Tandon Neelima , Jain Namrata , Singh Devendra
Published: August 2024

Background: Subarachnoid blockade is a safe, reliable, and inexpensive technique that provides surgical anesthesia along with prolonged post-operative analgesia. The quality of subarachnoid block is enhanced by the addition of intrathecal adjuvants, such as fentanyl citrate and magnesium sulfate to hyperbaric levobupivacaine.
Aims and Objectives: The aim of this study was to compare the effects of fentanyl and magnesium sulfate as adjuvants to 0.5% hyperbaric levobupivacaine in orthopedic surgeries under subarachnoid block.
Materials and Methods: This prospective randomized study included 90 American Society of Anesthesiologists Grade I and II patients aged 18–60 years undergoing orthopedic surgeries. Group LS received 3 mL 0.5% levobupivacaine heavy+0.5 mL normal saline. Group LF received 3 mL 0.5% levobupivacaine heavy+fentanyl 25 μg, and Group LM, 3 mL 0.5% levobupivacaine heavy+magnesium sulphate 50 mg+0.4 mL normal saline. The onset and duration of sensory and motor block and intraoperative hemodynamics were recorded. In the post-operative period, duration of analgesia, Visual Analog Scales scores, and side effects were observed.
Results: The onset of sensory block was 4.04±0.74 min in Group LM (P<0.001) as compared to Groups LF (2.01±0.23 min) and LS (2±0.24 min). The onset of motor blockade took 5±1.14 min in the control group, 7.01±0.94 in group LF, and 8.11±1.33 min in group LM (P<0.001). The duration of analgesia in group LS was 183.73±12.08 min, 317±18.6 min in group LF, and 219.43±20.89 in group LM (P<0.001).
Conclusion: The addition of fentanyl and magnesium as adjuvants enhanced the quality of subarachnoid block when added to hyperbaric levobupivacaine. The duration of analgesia was longest in fentanyl, followed by magnesium and then control. The incidence of side effects was greatest in fentanyl, followed by control and nil in magnesium.
Clinical profile and risk factors of patients presenting with acute myocardial infarction at RIMS, Imphal
Authors: Medo M Kuotsu  , Dhanaraj Singh Chongtham  , Nyamnyei Konyak  , Lourembam Gayatri  , Bijoy M
Published: August 2024

Background: Cardiovascular diseases are the leading cause of mortality in India. Ischemic heart disease is a result of an inadequate supply of blood to a portion of the myocardium caused by atherosclerotic disease of an epicardial coronary artery. The increasing incidence of myocardial infarction (MI) and associated mortality is a concern.
Aims and Objectives: The aims and objectives of the study were to evaluate the clinical profile and determine the association of risk factors in patients presenting with acute MI. The study highlights the trend of occurrence of acute MI so as appropriate measures can be taken to mitigate the incidence of coronary artery disease (CAD).
Materials and Methods: A cross-sectional study was conducted among 100 patients with acute MI admitted to the intensive coronary care unit and medicine wards of a tertiary center in North-East India. The study was carried out for a period of 2 years from September 2019 to August 2021.
Results: The mean age of the study population was 63.13±10.47 years, with an age range from 41 to 90 years. The study population had 75% males and 25% females. The most common presenting symptom was chest pain in 96% of patients. Hypertension in 75% of patients was the most common risk factor studied. About 97% of patients had at least one cardinal risk factor for MI. Inferior wall MI in 47% of patients was the most common site of MI. The highest mortality was seen in those who presented with Killip Class IV.
Conclusions: Increasing age and male gender predisposed to MI. The association of risk factors such as hypertension, diabetes, obesity, and family history was higher in females. To bring about a reduction in the risk of CAD, emphasis should be laid on the adoption of a healthy lifestyle particularly for those at risk of CAD.
DNA repair efficiency in young hypertensive: Is lifestyle a prooxidant factor?
Authors: Sumina Cheriyan  , Sumitha Prabhu PS  , Renjith G
Published: August 2024

Background: High prevalence of hypertension (HTN) is of major concern among the middle-aged population of Kerala. Understudied in the context of HTN is oxidative damage to DNA, which is caused by free radical assaults. The modern lifestyle associated with an unhealthy diet and lack of exercise plays a key role in oxidative stress induction.
Aims and Objectives: The objective of this study was to assess the significance of oxidative stress and the effectiveness of DNA repair mechanisms in young hypertensives along with how it correlates with aspects of lifestyle.
Materials and Methods: This prospective case–control study enrolled clinically proven hypertensive patients referred from the outpatient department of Hridayalaya, Institute of Preventive Cardiology, Thiruvananthapuram, to Genetika, a research center for Cytogenetic Studies in South Kerala. Hypertensive patients (n=180) within the age group of 18–39 were compared with matched healthy controls (n=140). Associated lifestyle factors were determined.
Results: In comparison to controls, cases had noticeably higher mean levels of malondialdehyde (MDA) and mean break per cell (P<0.05). There was a difference that was statistically significant (P<0.05) between the patients and controls in terms of diet, exercise, physical activity, obesity, mental stress, alcohol, and tobacco use. On comparing MDA and mean break per cell values with lifestyle factors, a statistically significant difference was detected (P<0.05). Observed a significant positive correlation of break per cell value with MDA (P<0.05).
Conclusion: The current study demonstrated increased DNA damage and decreased DNA repair efficiency in young hypertensive and was strongly associated with lifestyle factors. Appropriate measures such as regular BP checkups, regular exercises, and abstinence from alcohol and smoking are to be taken for the prevention and control of HTN.
A clinical study to compare the effectiveness of dexmedetomidine in attenuating sympathoadrenal response induced by laryngoscopy and endotracheal intubation in smokers versus non-smokers
Authors: Shivakumar G  , Santhosh MCB  , Anusree KM  , Umesh NP
Published: August 2024

Background: The process of laryngoscopy and tracheal intubation is potent stressful stimuli that cause sympathetic activation, which is transient. Some of the modalities for attenuation of laryngoscopic and intubation response have been found to be less effective in smokers than in non-smokers. In view of this, the present study was performed to compare the effectiveness of dexmedetomidine in male smoker and non-smoker patients.
Aims and Objectives: The aim of this study was to compare the effectiveness of dexmedetomidine in suppressing sympathoadrenal pressor response due to laryngoscopy and endotracheal intubation between smokers and non-smokers.
Materials and Methods: This was a hospital-based non-randomized controlled study. Sixty patients were divided into two groups: 30 patients with no history of smoking (Group NS) and 30 patients with a smoking history (Group S). Both groups were received dexmedetomidine 0.75 mcg/kg over 10 min intravenous infusion. Hemodynamic parameters and Ramsay sedation score were measured at perioperative period. Results: Group S patients showed a significant rise in heart rate (HR), systolic blood pressure (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and rate pressure product (RRP) during the immediate post-intubation period, but Group NS showed a decrease in HR, SBP, DBP, MAP and RRP throughout the post-intubation period.
Conclusion: Single dose of 0.75 mcg/kg IV dexmedetomidine given over a period of 10 min before the induction of anesthesia is completely effective in attenuating the hemodynamic responses associated with laryngoscopy and intubation in non-smokers, but it is not efficient in smokers.
Etiology of pancytopenia with reference to bone marrow biopsy in a tertiary care hospital: A hospital-based study
Authors: Aparna Dutta  , Harbamon Engti  , Asha Borah  , Padmashri Ronghangpi  , Adity Sharma  , Mrigen Choudhury
Published: August 2024

Background: Pancytopenia is a common hematological entity and a striking feature of many life-threatening illnesses.
Aims and Objectives: The study was conducted to identify the etiology of pancytopenia. (i) To find out primary bone marrow (BM) causes of pancytopenia. (ii) To evaluate the spectrum of BM morphology in pancytopenia cases.
Materials and Methods: This hospital-based observational study was conducted between June 2021 and May 2022 in a tertiary care hospital in Dibrugarh in all pancytopenia cases of age above 12 years and meeting the inclusion criteria. After taking written consent, detailed history, clinical examination, and baseline investigations were done followed by BM examination.
Results: Mean age was 45.39±15.49 years. Majority were males 41 (56.9%) and 31 (43.1%) were females. The most common cause of pancytopenia was Megaloblastic anemia (30.5%) cases, followed by aplastic anemia (18%) and myelodysplastic syndromes (16.7%). About 72 (100%) had pallor followed by weakness (86.1%), bleeding tendencies (70.8%), and fever (52.8%).
Conclusion: The study underscores the critical role of BM biopsy in the diagnostic workup of pancytopenia. It confirms that BM biopsy is indispensable for identifying the diverse etiologies of pancytopenia and in implementing the appropriate therapy.
Evaluation of otoacoustic emissions and brainstem auditory evoked potential in infants with birth asphyxia
Authors: Kavitha P  , Syed Madhar Shah K  , Chandrabalan S  , Sai Sailesh Kumar Goothy
Published: August 2024

Background: Recent technological evolutions allow for the identification of hearing level (HL) in infants soon after birth. The goal of early hearing detection and intervention is to maximize linguistic and communication skills and literacy development for children who are deaf or hard of hearing. Infants whose HL has been confirmed before 6 months of age must be provided early intervention.
Aims and Objectives: The aim of the study was to observe the changes in the otoacoustic emissions (OAE) and brainstem auditory evoked potential (BAEP) in infants with birth asphyxia (BA).
Materials and Methods: The present study was a case–control study. A total of 50 cases of infants with BA and 50 normal-term infants were part of the study after obtaining informed consent as per the ICMR guidelines. A through clinical examination and otoscopy examination were done to rule out any conductive hearing loss. Then, OAE and BAEP were recorded to estimate the hearing loss and hearing threshold of infants.
Results: BAEP waveform I, III, and V absolute latencies were significantly prolonged among BA infants than normal infants. The interpeak latency (IPL) of the right ear III-V was significantly increased in BA infants. However, III-V and I-V latencies though prolonged in BA infants, they are not statistically significant. No significant interaural difference was noted in absolute and IPLs of both BA and normal infants. No significant relationship existed between the mode of delivery and the degree of hearing loss in both ears. Significant association was observed between the degree of hearing loss and severity of BA (hypoxic-ischemic encephalopathy) in both ears.
Conclusion: BAEP recording in BA infants is useful to identify the hearing impairment at the earliest. The implication of this research work will help in early detection of hearing impairment, so that speech and language developmental delay in the child can be prevented.
A cross-sectional study on the association of level of Vitamin D with severity of fibromyalgia syndrome in a tertiary care hospital, Kolkata
Authors: Mausumi Sen  , Sulagna Das  , Santanu Sen  , Nabanita Baidya Biswas  , Tanmoy Naskar  , Swapan Kumar Mishra  , Swati Bhattacharyya
Published: August 2024

Background: Fibromyalgia (FM) is a chronic disorder characterized by widespread pain associated with fatigue, stiffness, sleep disturbance, cognitive dysfunction, anxiety, and depression. The role of Vitamin D in the pathophysiology of FM is poorly known. Studies available to establish the association between Vitamin D and FM have inconsistent results. Some of the studies reported a positive association and others found no relation. It is not clear whether the pain is due to and/or associated with low levels of Vitamin D.
Aims and Objectives: The objective of the current study is to estimate Vitamin D levels in FM patients and to find the association between Vitamin D levels and severity of FM.
Materials and Methods: In this cross-sectional study, seventy patients who fulfilled the inclusion (American College of Rheumatology 2016 criteria) and exclusion criteria as has been considered for the study were enrolled and their serum 25 hydroxy-vitamin D level has been measured by enzyme-linked immunosorbent assay reader. Pre-designed questionnaires were prepared to measure FM severity. Pain intensity was measured by the Visual Analog Scale (VAS).
Results: A total of 70 patients who were diagnosed with FM were included in our study. The majority of them (80%) were female and the rest (20%) were male. The mean age is 48.2±9.2 years. Their mean body mass index (BMI) is 23.7±3.82. The mean Vitamin D serum level was 22.4±9.2 ng/dL. Vitamin D deficiency (VDD) was defined as patients with a serum level of 20 ng/mL and below. In our study, 62.8% (44) of the study population had VDD. According to VAS (0–10) pain scale, 15 (21.4%) subjects suffered from moderate pain and 55 (78.6%) subjects suffered from severe pain. The severity of FM was measured by the Fibromyalgia Severity Scale (FSS). The mean score of FSS was 22.7. To find the association between VDD and severity of FM, several covariates were identified and a multivariable logistic regression was done.
Conclusion: VDD increases with an increase in age, BMI, VAS, and FSS, all of which are predicators of FM syndrome.
A comparative study of low-dose intrathecal bupivacaine 0.5% (heavy), levobupivacaine 0.5% (plain), and levobupivacaine 0.5% (heavy) with fentanyl as an adjuvant in transurethral resection of prostate surgery: A prospective randomized study
Authors: Sanyukta Paul  , Seema Shende  , Neelima Tandon  , Deepak R
Published: August 2024

Background: Spinal anesthesia is the technique of choice for transurethral resection of the prostate (TURP) surgeries. Levobupivacaine, an S-enantiomer of bupivacaine, is less cardiotoxic than bupivacaine; therefore, a low dose of local anesthetic with fentanyl as an adjuvant has been used to decrease toxicity and increase efficacy.
Aims and Objectives: The aim of this study was to compare and evaluate the efficacy of hyperbaric bupivacaine 0.5%, isobaric levobupivacaine 0.5%, and hyperbaric levobupivacaine 0.5% with fentanyl as an adjuvant.
Materials and Methods: One hundred and five patients scheduled for elective TURP surgeries were randomly divided into three groups. Group BH (n=35) received 1.5 mL of 0.5% hyperbaric bupivacaine with 25 μg of fentanyl, Group LH (n=35) received 1.5 mL of 0.5% hyperbaric levobupivacaine with 25 μg of fentanyl, and Group LP (n=35) received 1.5 mL of 0.5% isobaric levobupivacaine with 25 μg of fentanyl intrathecally.
Results: The onset of sensory and motor block was earlier and the duration of analgesia and motor block were longer in the BH group (P<0.001) as compared to LH and LP groups. The demographic data, duration of surgery, heart rate, SpO2, pruritus, and shivering were comparable between the groups (P>0.05). The visual analog scale score was higher in the LP group. Hypotension, nausea, and vomiting were seen in the BH group.
Conclusion: Hyperbaric is better than isobaric group due to quicker onset and longer duration. Levobupivacaine is better than bupivacaine in terms of the early mobilization and a lesser incidence of side effects, making hyperbaric levobupivacaine a better alternative to isobaric levobupivacaine and hyperbaric bupivacaine.
Variations of musculocutaneous nerve – A cadaveric study
Authors: Anju George  , Maheswary Thampi S  , Aswathy VA  , Geetha Jayachandran
Published: August 2024

Background: Musculocutaneous nerve (MCN) is a mixed nerve arising from the lateral cord of brachial plexus having root values C5, 6, and 7. It supplies the muscles of the flexor compartment of the arm namely; coracobrachialis, most part of brachialis and both heads of biceps brachii. It is cutaneous to the lower lateral part of forearm. Variations in the origin, course, branching pattern, termination, and connections of MCN are very common. Knowledge about these variations is important while evaluating unusual presentations of peripheral nerve injuries, during surgical procedures such as arthroscopy of shoulder joint, corrections of fracture humerus, brachial plexus block, and so on.
Aims and Objectives: The study was conducted to find out any variations in the origin, course, branching pattern of the MCN. The secondary objective was to understand about the communication of the MCN with any other nerve.
Materials and Methods: A descriptive study was conducted in 60 upper limb specimens dissected from 10% formalin embalmed 30 cadavers (adult) in the Department of Anatomy, Government Medical College, Kottayam. All limbs were carefully dissected and studied about the origin, course, termination, and variations of MCN.
Results: Out of 60 specimens studied, in 46 specimens MCN Originate from lateral cord, eight from medial cord, and in six from the lateral root of the median nerve (MN). In 52 specimens, MCN supplies coracobrachialis but only in 34 it pierces this muscle. In four specimens, there is a communication between MCN and MN was seen.
Conclusion: The MCN has significant variations and knowledge of these variations is clinically important in diagnosis and management of peripheral nerve injuries as well as surgical interventions in the arm.
Rekomendasi Pemilihan Jenis Tanaman Menggunakan Algoritma Random Forest dan XGBoost Regressor
Authors: Rahman Abdul , Udjulawa Daniel , Mulyati Mulyati
Published: August 2024

Rekomendasi tanaman yang sesuai dengan kondisi lingkungan dan nutrisi tanah tempat tanaman ditanam dapat memberikan hasil panen yang optimal. Penerapan machine learning pada bidang pertanian telah banyak dilakukan terutama untuk meningkatkan hasil panen. Pada penelitian ini dua algoritma machine learning, yaitu Random forest dan XGBoost Regressor di implementasikan untuk merekomendasikan tanaman yang sesuai dengan kondisi linkungan dan nutrisi tanah. Umplementasi dari kedua algoritma tersebut  dibandingkan tingkat akurasi menggunakan tiga alat ukur akurasi, yaitu Mean Absolute Error(MAE), Mean Square Error(MSE), dan R2. Hasil yang didapat menunjukkan kedua algoritma mempunyai tingkat akurasi yang tidak jauh berbeda. Algoritma random Forest mempunyai tingkat akurasi yang lebih baik menggunakan MAE dan MSE, yaitu sebesar 36.73681574 dan  1.848396760, sedangkan algoritma XGBoost Regressor mempunyai tingkat akurasi yang baik dengan menggunakan alat ukur akurasi R2 atau R-Square dengan tingkat akurasi sebesar 0.98542963509705.
Social trust of youth in the shadow of the depopulation process
Authors: Wiłkomirska Anna , Murawska Barbara
Published: August 2024

The article analyses selected results of an extensive study conducted as part of the ProEdUMW project − Scientific research in the service of local educational policy implemented in Ostrołęka by the Faculty of Education at the University of Warsaw. Two quantitative studies, conducted using the survey technique as part of the Ostrołęka educational observatory projects (covering the issues of teaching effectiveness, developing students’; social competences and equal educational opportunities in public primary schools in the city) and Democracy is OK! (strengthening the democratic culture of the school) were implemented in the 2021/22 school year. The first study was conducted in the eighth grades of all public primary schools in Ostrołęka, the second among students of the 2nd, 3rd and 4th grades of public secondary schools. The aim of the analyses of selected research problems was to acquire knowledge covering important issues for a city at risk of marginalisation and depopulation, such as: the attitude of young people to the city, their life plans, students’ trust in the institutions of the city and the state. Regardless of the positive attitude towards the city in which they study, young people do not plan to live there and leave it with very low levels of social capital. The aim of the entire ProEdUMW project was to support local educational policy, so the article ends with recommendations for school culture and practice that could help build young people’s social trust.
Developing an Evaluation Training Program for Community-Based Organizations: A Participatory Curriculum Development Approach
Authors: Buetti David , Bourgeois Isabelle
Published: August 2024

Community-based organizations increasingly recognize the value of evaluative insights in informing decision-making and improving their services. However, these organizations often lack the capacity to conduct and use evaluations, and traditional evaluation capacity building (ECB) activities are not always adapted to their particular contexts. This practice note introduces an innovative evaluation training program for small grassroots community-based organizations. Employing a participatory curriculum development approach, the training program was tailored to meet the specific needs and realities of the community sector. The authors first outline the collaborative process used to involve community and academic stakeholders in the program’s development. They then present the resulting training plan, consisting of seven self-directed online learning modules with chosen activities to foster learning and knowledge transfer into practice. The potential implications for designing, researching, and evaluating similar initiatives are explored and discussed.
CULTURAL SPACE OF A MODERN CITY AS AN OBJECT OF PSYCHOLOGICAL RESEARCH
Authors:   Kuban State Technological University, TUCHINA O.R. , APOLLONOV I.A. ,   Kuban State Technological University
Published: August 2024

The paper examines the phenomenon of urban identity within the context of an individual’s sense of belonging to the urban cultural space. The urban cultural milieu represents a significant factor in shaping an individual’s attachment to their place of residence and an emotional connection with the city. This is an essential aspect of the subjective well-being of the residents. The objective of this study is to provide theoretical justification for the concept of “urban cultural space” and to empirically examine the respondents’ perceptions of urban cultural space. The research methods employed were an associative experiment and a prototypical analysis, as proposed by P. Vergès. The empirical base of the study comprised 354 respondents permanently residing in Krasnodar. The concept of the “cultural space of the city” as a semantic sphere embodied in the urban landscape is substantiated from the perspective of the subjective approach. The core of social ideas of Krasnodar residents about urban culture and the culture of their city is characterized by consistency. This is evidenced by common elements, including city cultural institutions, parks, city customs and traditions, and the culture of everyday. The social representations of urban culture are distinguished by an expanded core, encompassing both material cultural objects and the activity aspect of urban culture. The peripheral zone of social perceptions (SP) of Krasnodar residents about urban culture includes categories that distinguish the urban environment from the rural one (specifically in terms of the visible signs of urbanization.). The same zone of SP about Krasnodar culture encompasses specific urban locations, urban cultural practices, distinctive behaviors, and the everyday culture of citizens. The common element of the peripheral zone of SP is the category “city residents” (“Krasnodar residents”). The social perceptions of a given city, such as Krasnodar, imbue these elements with a specific content that is determined by the specifics of the urban environment.
RISK FACTORS IN AN ERA OF UNCERTAINTY (NEW CRISES AND THEIR CUMULATIVE EFFECTS)
Authors:   Voronezh State University, GLUKHOVA A.V.
Published: August 2024

The article presents the results of a comprehensive theoretical analysis of the current risks to the political, economic, and socio-cultural reality. The author examines the set of factors that determine the content and form of emerging conflict divisions, noting that in existing and emerging social cleavages, identification demands, problems of recognition and respect occupy a prominent place. These issues elicit an active counter-reaction from populist parties and movements. The intensity of the conflict is shaped by the multitude of interwoven cleavages which create a cumulative effect that makes it challenging to achieve consensus. The paper stresses that the internal conflicts of contemporary societies intensify the destabilizing effects of the global order. In the author’s opinion, the main explanatory framework of recent world history is the process of globalization, but the latter does not lend itself to an unambiguous interpretation, although it has resulted in the emergence of a multitude of economic, socio-cultural, political and moral cleavages between those who have benefited and those who have lost. German scholars, who were the first to identify these diametrically opposed positions, conventionally labeled their bearers as “cosmopolitans” and “communitarians”. The new conflict lines have significantly different socio-cultural features from those of the industrial revolution of the 18th-19th centuries, in terms of socio-economic factors. The set of new crises, representing a complex combination of objective and subjective dimensions of the crisis situation, intensifies the confrontation and becomes a serious challenge to democratic systems. The major objective of politics has been and remains the prevention of such crises or their timely reduction; strategically, it lies in articulating a vision of the common good and guiding society towards its realization.
Customer Segmentation Using K-Means Clustering with SPSS Program in a Case Study of Consumer Interest in Current Coffee Shop
Authors: Daulay Risma Yanti , Passalaras Raja Aulia , Heikal Jerry
Published: August 2024

This research aims to segment customers using the K-Means Clustering method in a case study of consumer interest in current coffee shops such as Kopi Kenangan, Kopi Janji Jiwa, Tomoro Coffee, Fore Coffee and Fami Cafe. Customer segmentation is useful for knowing consumer preferences such as interests, background, lifestyle, service quality and consumer characteristics that are useful for knowing the right persona and marketing strategy as well as the value proposition, especially at the Kopi Kenangan, Janji Jiwa, Tomoro Coffee, Fore Coffee and Fami Cafe coffee shops. The analytical method used in this research is data collection by distributing questionnaires to respondents with predetermined criteria in the Jakarta area and outside Jakarta. The questionnaire was distributed in November 2023. The survey results were analyzed using the K-Means Clustering method in the SPSS 23 program to group consumers based on certain attributes such as age, education, domicile, income, occupation, frequently used social media and most popular coffee shop preferences. such as coffee and non-coffee variants, price, service quality and recommending it to other people. Based on the results of K-Means Clustering data processing, there are 3 clusters, namely cluster 1 (Consumptive Customer), cluster 2 (Standard Young Customer), cluster 3 (Potential Customer) which can be concluded that cluster 3 is a potential cluster that is the target of this research, where cluster 3 consists of respondents who are coffee fans and don't like coffee but are very active in using social media and have made online food transactions and always dine in when making transactions at coffee shops. So it can be seen that cluster 3 can be explored and used as a marketing target by carrying out promotions on various social media applications by offering various choices of coffee and non-coffee variants in order to attract customers who don't like coffee so they are interested and want to try the products offered. . The value proposition for current coffee shops is to give the impression of Coffee Vibes and focus on providing a unique and unforgettable coffee experience by presenting innovative flavor variants and creative coffee presentations, exploring new flavors and offering premium quality that can be enjoyed by all groups and creating an atmosphere comfortable and Instagram- worthy to provide a pleasant customer experience that fits the rhythm of modern life.
 
Keywords: Cluster Analysis, Current Coffee, Customer Segmentation, K-Means SPSS,.
Pengaruh Kualitas Pelayanan dan Harga terhadap Kepuasan Konsumen pada Toko Jakmart di PD. Pasar Jaya Kendari
Authors: Hasan Mohamad Aldi , Pasaribu Veta Lidya Delimah
Published: August 2024

This research aims to determine "The Influence of Service Quality and Price on Consumer Satisfaction at Jakmart Stores in Pd. Pasar Jaya Kenari”. This type of research was quantitative research that was associative in nature used data collection techniques through distributied questionnaires which were distributed to 89 respondents. The method used to test and analyze the influence partially and simultaneously is by used regression analysis, correlation coefficient, coefficient of determinated, t test and f test. Testing the service quality hypothesis (X1) obtained a t value of 8.567 > t table 1.663 and a significant level of 0.000 < 0.05, thus Ho was rejected and Ha was accepted, meaning that partially the service quality variable has a significant effect on Consumer Satisfaction. Testing the price hypothesis (X2) obtained a t value of 10.220 > t table 1.663 and a significant level of 0.000 < 0.05, thus Ho was rejected and Ha was accepted, meaning that partially there was a significant influence of the price variable on Consumer Satisfaction. Simultaneous test results for all variables show an Fcount value of 59.124 with a significance level of 0.000 while the Ftable is 3.101. Thus Fcount 59.124 > Ftable 3.101 and significance 0.000 < 0.05. Thus Ha was accepted and Ho was rejected. This means that the hypothesis states that the variables of service quality and price together (simultaneously) have a significant influence on Consumer Satisfaction. The coefficient of determination of the influence of the Service Quality (X1) and Price (X2) variables on Consumer Satisfaction (Y) is 0.579 or 57.9%. Meanwhile, the remaining 42.1% is influenced by other variables, outside this research.
 
Keywords: Consumer Satisfaction, Price, Service Quality.
Analisis Financial Distress pada Perusahaan Sektor Perdagangan, Jasa dan Investasi yang Terdaftar di Bursa Efek Indonesia
Authors: Nurwahida Rachma Putri , Margasari Naning
Published: August 2024

Identification of financial distress conditions was an important thing for companies to anticipate bankruptcy. This study was aimed to analyze the financial distress model in trading, service and investment sector companies in 2018-2020 using the Altman Z-Score, Grover, Springate and Zmijewski modified models. In addition, this was also aimed to determine the level of accuracy of the Modified Altman Z-Score, Grover, Springate and Zmijewski models. This research was included in the type of quantitative research. The research population consisted of all trading, service and investment companies listed on the Indonesian Stock Exchange during the period 2018-2020. This study used purposive sampling technique with total 133 companies. The data analysis model used in this study were the Altman Z-Score, Grover, Springate and Zmijewski Modified Model. It was conducted by taking secondary data from the Indonesian Stock Exchange website (www.idx.co.id). Based on the results of the analysis that had been carried out, the results showed that: (1) There were 55,89% companies experiencing financial distress and 44,11% non-financial distress using the Springate model on the analysis; (2) On the analysis using the Altman Z-Score Modified model, there were 25.81% companies experiencing financial distress and 59,65% nonfinancial distress; (3) Using the Zmijewski model, it showed that 20,80% of companies experienced financial distress and 79,20% of non-financial distress; (4) Using the Grover model, it showed that 20.80% of companies experienced financial distress and 77,94% of non-financial distress; (5) The Springate model was the most accurate model in analyzing the financial distress.
 
Keywords: Accuracy Level, Altman Z-Score Modification, Financial Distress, Grover, Springate, Zmijewski.
Pemanfaatan Teknologi SD-WAN Untuk Meningkatkan Efisiensi Dan Keamanan Jaringan Perusahaan: Studi Kasus Dan Analisis Kinerja
Authors: Kamila Nurul , Suryadi Suryadi , Amalia Ismi , Rhamadania Kustita , Firdhausiah Salsabillah , Thoyyibah Thoyyibah
Published: August 2024

Teknologi Software-Defined Wide Area Network (SD-WAN) telah berkembang menjadi solusi kunci dalam manajemen jaringan perusahaan, menawarkan peningkatan efisiensi dan keamanan yang signifikan. Penelitian ini bertujuan untuk mengevaluasi dampak implementasi SD-WAN pada efisiensi operasional dan keamanan jaringan perusahaan melalui studi kasus dan analisis kinerja komprehensif. Studi ini melibatkan implementasi SD-WAN di beberapa perusahaan dari berbagai sektor industri. Parameter kinerja yang dianalisis meliputi throughput, latensi, downtime, dan kualitas layanan (QoS), serta aspek keamanan seperti deteksi ancaman, mitigasi serangan, dan manajemen kebijakan keamanan. Data dikumpulkan melalui pengukuran sebelum dan sesudah penerapan SD-WAN untuk mengidentifikasi perubahan signifikan yang terjadi. Hasil penelitian menunjukkan bahwa penerapan SD-WAN secara signifikan meningkatkan efisiensi jaringan dengan optimasi rute lalu lintas dan alokasi bandwidth yang lebih efektif. Selain itu, SD-WAN memperkuat keamanan jaringan dengan menyediakan fitur-fitur keamanan terintegrasi seperti enkripsi data, firewall terdistribusi, dan kemampuan deteksi intrusi canggih. Studi kasus menunjukkan bagaimana SD-WAN membantu perusahaan mengurangi biaya operasional dan meningkatkan ketahanan jaringan terhadap ancaman siber. Penelitian ini menyimpulkan bahwa SD-WAN tidak hanya menawarkan peningkatan kinerja jaringan yang substansial tetapi juga memberikan lapisan keamanan tambahan yang esensial bagi perusahaan dalam menghadapi ancaman siber yang semakin kompleks. Temuan ini memberikan panduan praktis bagi perusahaan yang mempertimbangkan adopsi SD-WAN untuk mengoptimalkan jaringan mereka.
Analisis Risiko Rantai Pasok Cabai Dengan Metode Failure Mode and Effect Analysis (FMEA) Pada PT. XYZ
Authors: Putri Lutfiah , Soewardi Hartomo , Apriani Ratna Agil , Azizah Nabila Aulia , Basuki Demas Emirbuwono
Published: August 2024

PT.XYZ adalah salah satu perusahaan di kota Makassar yang bergerak dibidang pengiriman cabai ke beberapa daerah seperti Timika, Jayapura, Tarakan, Palu, dan Mamuju yang bekerja sama dengan suplayer, dan beberapa daerah pemasok cabai seperti Jeneponto, Malino, Barombong dan Enrekang. Cabai merupakan komoditas penting dalam sector pertanian dan ketergantungan masyarakat terhadap cabai membuat stabilitas pasokan menjadi kunci dalam memastikan kelangsungan oporasional. Hilangnya kualitas pada cabai di sebabkan oleh beberapa faktor seperti cuaca, cabai terlalu masak atau berair, cabai di simpan terlalu lama, dan penanganan pengiriman. Oleh karena itu, tujuan penelitian ini untuk menganalisis faktor resiko pengiriman cabai untuk menghindari terjadinya kerusakan pada cabai, metode yang digunakan adalah metode Failure Mode and Effect Analysis (FMEA) yaitu suatu metode yang terstruktur dan sistematis untuk mengidentifikasi dan mengetahui tingkat risiko penyebab kualitas suatu produk.  Hasil penelitian dalam menganalisis risiko rantai pasok cabai ini terdapat bahwa pada petani RPN tertinggi penyebab kabusukan pada cabai yaitu memanen buah yang terlalu masak dengan nilai RPN 72, dan pada Pengumpul RPN tertinggi penyebab kabusukan pada cabai yaitu cabai terkena air dengan nilai RPN 294, sedangkan RPN tertinggi penyebab kabusukan pada penyortiran yaitu memisahkan cabai yang busuk dan cabai yang masih segar dengan nilai RPN 112.
Program Temukan, Obati, Sayangi Balita Stunting (TOSS)
Authors: Puteri Nadia Alifia , Ismanto Slamet Usman
Published: August 2024

This research aims to analyze the effectiveness of the Find, Treat, Love Stunting Toddlers (TOSS) program in Kutanagara Village. The research method used is a qualitative research method with data collection techniques through interviews, observation and documentation. The technique for determining informants used was a purposive sampling technique with 9 informants. The results of the research show that the implementation of the TOSS program in Kutanagara Village is running effectively because it is in accordance with the previously determined program objectives, namely to reduce the stunting rate in Garut Regency so that it can reach 14% in 2024. In addition, the results released from the implementation of the TOSS program show positive output, where there was a reduction in the stunting rate in Kutanagara Village from 50 toddlers to 32 toddlers. However, improvements are still needed at the program socialization stage because the dissemination of information related to the program directly and indirectly is still limited and not updated. Thus, to increase the effectiveness of the TOSS program, it is recommended to carry out outreach activities related to the TOSS program more intensely and up to date.
 
Keywords: Effectiveness, Find, Treat, Love Stunting Toddlers (TOSS) Program, Stunting
Kombinasi Pijat Marmet dan Kompres Hangat terhadap Pengeluaran Asi pada Ibu Nifas
Authors: Murti Ni Putu Indu Dewi Pradnyani , Suryantara Bima , Sari Fatimah
Published: August 2024

This study aims to determine the effectiveness of a combination of marmet massage and warm compresses on breast milk production in postpartum mothers. The method used is quantitative research with a quasi-experimental research design. The study's results showed a difference in the effectiveness of the combination of marmet massage and warm compress on breast milk production in postpartum mothers with a p-value of (0.032 <0.05). In conclusion, combining marmet massage and warm compresses can influence the breast milk production of postpartum mothers.
 Keywords: Exclusive Breast Milk, Warm Compress, Marmet Massage, Breast Milk Production
Evaluasi Pelaksanaan Kangaroo Mother Care (KMC) pada Kasus Ibu yang Memiliki Bayi dengan Berat Lahir Rendah
Authors: Khulasoh Khulasoh , Kartini Farida , Ratnaningsih Sri
Published: August 2024

This study aims to evaluate the implementation of Kangaroo Mother Care (KMC) in cases of mothers who have low birth weight (LBW) babies at PKU Muhammadiyah Hospital Yogyakarta. The research method used is qualitative with a case study design. The research results showed that the implementation of KMC at PKU Muhammadiyah Hospital Yogyakarta had followed the established SOP and received a positive response from mothers. The benefits felt include increased emotional bonding between mother and baby, stable baby body temperature, and calm baby. However, mothers face difficulties in implementing KMC at home, especially in installing a sling and depending on the help of others. Additional support is needed to overcome these challenges. In conclusion, KMC has significant benefits in improving the health and development of babies and strengthening the bond between mother and baby.
 Keywords: BBLR, Evaluation, KCM
Intervensi Terapi Musik dapat Meningkatkan Fungsi Kognitif pada Lansia
Authors: Wahyuni Anyta Hera , Rekawati Etty , Kurnia Dikha Ayu
Published: August 2024

This study aims to identify the effect of music therapy interventions on cognitive function in elderly people in nursing homes. The method used in this research was a systematic review using a systematic search through the ProQuest, Clinical Key Nursing, PubMed, Sage journal, and Scopus databases with articles that met the inclusion criteria with publications between 2014 and 2023, as well as an article search technique using the PRISMA scheme stages. The results of this study show that the search results identified ten articles in which various types of music therapy interventions and durations of interventions stated that music therapy had a positive effect on the cognitive function of the elderly. The conclusion obtained is that music therapy interventions can be effective interventions to improve cognitive function in the elderly.
Assesment Fungsi Kognitif pada Anak dengan Penyakit Kronik
Authors: Rachmawati Anita , Allenidekania Allenidekania , Agustini Nur
Published: August 2024

This study aims to identify what assessments can be used to screen cognitive function in children with chronic illnesses. The method used is a systematic review using the PRISMA flow diagram. Researchers used PIOs and searched for English language articles published from 2013 to October 2023. The databases used were PubMed, ProQuest, Science Direct, Taylor & Francis, Scopus, and EBSCO Medline. This systematic review showed that the initial total of articles obtained from all databases was 5889. After limiting the articles, 297 articles were obtained, which were then screened according to the inclusion criteria, with the final result being eight articles with a cross-sectional design. In conclusion, four instruments for assessing cognitive function in children with chronic diseases include Ouvrier modified MMSE, EpiTrack Junior (EpitrackJR), pedsFACIT-PCF, and Ped-ANAM. The Ouvrier-modified MMSE is widely used in several kinds of literature and is validated against standard cognitive function examinations by examination.
Keywords: Children with Chronic Diseases, Assessment, Cognitive Function
Hubungan Tingkat Religiusitas, Tingkat Kebersyukuran dengan Kejadian Depresi pada Remaja
Authors: Jabir M.Agus , Pawirowiyono Akemat , Imelisa Rahmi , Yosep Iyus , Wisnusakti Khrisna
Published: August 2024

This study aims to determine the relationship between the level of religiosity, the level of gratitude, and the incidence of depression in teenagers in high schools in Labakkang District, Pangkep Regency. The research method used is a cross-sectional method. The results of the study showed that the highest level of religiosity was 98.5%, moderate level of gratitude was 97%, and no depression was 98.5%. Of the 200 respondents who had a high level of religiosity, 200 (100.0%) also did not experience depression, while 3 respondents had a moderate level of religiosity, as many as 3 (100.0%). Meanwhile, the relationship between gratitude and the incidence of depression shows that of the 197 respondents who had a moderate level of gratitude, 3 (1.5%) experienced mild depression, while of the 6 respondents who had a high level of gratitude, 6 (100.0%) did not experience depression. In conclusion, there is a relationship between the level of religiosity and the incidence of depression, and there is no relationship between the level of gratitude and the incidence of depression.
 Keywords: Depression, Gratitude, Religiosity
Faktor–Faktor yang Berhubungan dengan Kenyamanan, Beban Gejala, dan Depresi pada Pasien Kanker Payudara
Authors: Mustafidz Mustafidz , Nuraini Tuti , Hargiana Giur , Gayatri Dewi
Published: August 2024

This study aims to evaluate factors associated with comfort, symptom burden, and depression in breast cancer patients. The method used was a systematic review following PRISMA guidelines, with searches in PubMed, Embase, and ScienceDirect until March 2024 using the terms "breast cancer," "comfort," "symptom burden," and "depression." Research results from 9 articles show that demographic factors, clinical factors, and psychological factors have an impact on patient comfort. Symptom burden was influenced by race, age, employment status, and place of residence. At the same time, bisphosphonate treatment, metastasis, comorbidities, disease stage, chemotherapy, hormone therapy, and physical activity contributed to variation in symptom burden. Depression, as measured, was also analyzed, as well as these factors. In conclusion, comfort, symptom burden, and depression in breast cancer patients are influenced by various demographic, clinical, and psychological factors.
Keywords: Symptom Burden, Depression, Breast Cancer, Comfort
Manajemen Nyeri dengan Guided Imagery pada Pasien Pasca Operasi Total Joint Arthroplasty
Authors: Ahmidati Afiif , Irawaty Dewi , Yona Sri , Arista Liya
Published: August 2024

This study aims to identify the effectiveness of guided imagery in patients after total joint arthroplasty surgery. The method used is a systematic review using literature searches from 9 databases: PubMed, Scopus, Sage, ScienceDirect, Taylor & Francis, Wiley, SpringerLink, Cochrane, and ProQuest. Fifteen thousand seven hundred forty-eight articles were obtained from the initial search using keywords related to "Total Joint Arthroplasty,"; "Guided Imagery," and "Pain," but only five articles met the inclusion criteria for this study, namely adult and elderly patients after total joint arthroplasty, period 2021 - 2024, in English, full-text and open access. The five research articles showed that guided imagery significantly reduced pain after total joint arthroplasty. In conclusion, guided imagery effectively reduces pain in patients after total joint arthroplasty surgery. Guided imagery is used because it is easy to do, teach, and affordable.
 Keywords: Guided Imagery, Pain, Total Joint Arthroplasty
Peran Rumah Sakit dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit
Authors: Handriani Wita , Ginting Chrismis Novalinda , Nasution Sri Wahyuni
Published: August 2024

This study aims to determine the role of hospitals in preventing and controlling infections at Royal Prima Indonesia Hospital. The research method uses a cross-sectional study. The study results showed that the chi-square statistical test analysis of the role of hospitals in preventing and controlling infections at Royal Prima Medan Hospital showed a p-value = 0.283, which means the p-value> 0.05. In conclusion, there is no relationship between the hospital's role and the PPI team's compliance in preventing and controlling infections. Suggestions should be made so the hospital can provide ongoing training and education to improve compliance with standard precautions every three months.
 
Keywords: Role of Hospitals, Prevention and Control of Infection
Discourse Analysis: Adjacency Pairs in Selected Korean Englishman YouTube Video
Authors: Iskandar Salsa Alifia , Sujatna Meita Lukitawati
Published: August 2024

This research focuses to analyze adjacency pairs in the selected Korean Englishman YouTube Video titled “K-Pop Idol NCT Johnny fed us luxury Korean Beef BBQ!” using Yule’s (1996) theory. This study is using the qualitative descriptive method to analyze the data. From the conversation uttered by speakers, there are some patterns that they automatically produced, called adjacency pairs. The adjacency pairs occur when two or more people talk and respond to each other’s questions. Based on the analysis, there are 25 adjacency pairs; (15) Question–Answer, (1) Command–Compliance, (1) Request–Acceptance, (1) Offer–Acceptance, (5) Assessment–Agreement, (2) Suggestion–Acceptance that were found in the conversation between Johnny, Josh, and Ollie in the Korean Englishman YouTube video titled “K-Pop Idol NCT Johnny fed us luxury Korean Beef BBQ!”. From all the data found in this study, the functions of utterances are in accordance with each type of adjacency pair thus conclude that adjacency pairs are automatic sequences of two utterances produced by two speakers with the second utterances conversing about the first utterance.
Key Words: Adjacency Pairs, Conversation Analysis, Discourse Analysis