bluuebunny/crossref_metadata_2025_split huggingface dataset:
Building the right employee value proposition to retain millennial talents: A case study at a national bank in Indonesia
Authors: Intani Agustina Lolita , Febrianto Ari , Saragih Eva Hotnaidah 
Published: October 2024

Bank ABC are dominated by the millennial generation, which makes up 65% of all employees. During the 2020-2022 period, there was an increase in the number of employees who resigned, most of whom were the millennial generation and had good performance. Meanwhile, in the next 3-5 years the millennial generation is projected to occupy strategic positions. Therefore, this study aims to develop employee value proposition (EVP) development strategy in the context of millennial talent employees’ retention. The research was conducted through a survey using Pawar and Charak's EVP Priority Model dimension guide, equipped with additional dimensions obtained from interviews with millennial employees with high potential and performance. The survey was filled by 366 millennial talent employees. The survey results were processed and analysed using the Importance Performance Analysis (IPA) method. Results related to priority EVP attributes for development (quadrant 1 IPA results) were obtained, namely: Career development, performance appraisal, workload, work-life balance, technological innovation, annual leave and performance-based remuneration. Based on the findings obtained, a model has been built which consists of three priority areas for EVP development, namely Leader's Future Development, Design of Organization, and Remuneration for Human Capital Sustainability (abbreviated to LDR – Leadership Development Remuneration Model), with four strategic program designs consisting of: (1) performance assessments that prioritize the principle of fairness,(2) acceleration of levels digital-based career and competency development, (3) workload analysis and job design that supports the future of work, and (4) development of competitive compensation with equitable principles.
PRIMARY ANTIBIOTIC RESISTANCE AND EFFECTIVENESS OF CLARITHROMYCIN VS METRONIDAZOLE BASED THERAPY FOR HELICOBACTER PYLORI INFECTION IN CHILDREN
Authors: Salman Nadia , Nighat Haider  , Muqaddar Shah  , Rehmana Waris  , Maryum Naseer  , Ayesha Razzaq  , Jai Krishin  
Published: October 2024

Background: NASPGHAN guidelines recommend regional antibiotic susceptibility profiling for H. pylori eradication treatment. Profiling local antibiotic resistance patterns is mandatory for successful H. pylori eradication in children. The aim of our study was to determine primary resistance to Clarithromycin and Metronidazole, most commonly used in the eradication regimens in children presenting with symptomatic H. pylori infection. This study was conducted at Children Hospital PIMS Islamabad from June 2020 to August 2021. Methods: The children of either gender age 2-14 years having symptomatic H. pylori infection (hematemesis, chronic abdominal pain) underwent stool for H. pylori Antigen. Children requiring urgent diagnostic endoscopy underwent rapid urease tests. Biopsies were taken from children having positive stool H.pylori Ag and rapid urease test for histological examination. The biopsy specimens were cultured and subsequently tested for antibiotic sensitivity. Results: Out of 54 children having H. pylori infection 40/54 (74.074%) children had strains susceptible to antimicrobials and 14/54 (25.92%) were having resistance to antimicrobials. According to the pattern of antimicrobial sensitivity, they were further grouped into three (a) Clarithromycin and Metronidazole sensitive group (18/40, 45%) (b) Clarithromycin sensitive and Metronidazole resistant group (12/40, 30%) (c) Metronidazole sensitive group (10/40 25%). Conclusion: Clarithromycin and Metronidazole cannot be used as1stline treatment for H. pylori eradication in children and can only be used with known antimicrobial susceptibility.
COMPARISON OF OXIDATIVE STRESS LEVELS DURING THE THIRD TRIMESTER IN NORMAL PREGNANCY AND PREECLAMPSIA
Authors: Taseer Muneeza , Naima Shakeel  , Munira Taseer  , Fawad  , Faiza Rehman  , Durrira  
Published: October 2024

Background: The placenta is a complex transiently formed organ which plays a crucial role in the development of the foetus. As the placenta is responsible for maintaining pregnancy placental defects are mainly responsible for pregnancy-related issues. Preeclampsia is a pregnancy-related disorder due to uteroplacental insufficiency resulting from deficient remodelling of spiral arteries causing ischemic reperfusion injury which is finally responsible for the generation of reactive oxygen species and oxidative stress by the placenta. So, this study was planned to determine and compare serum levels of oxidative stress markers (ischemia-modified albumin and malondialdehyde) in preeclampsia and normal pregnancy in the third trimester. Methods: Study design: Cross-sectional comparative study Settings Gynae/Obs Department and Pathology Laboratory, Lahore General Hospital, Lahore. Study population: 42 Pregnant females at 34-36 weeks of gestation were selected. Group 1 compromised 21 normal healthy pregnant females and group 2 included 21 preeclamptic patients. Sampling technique: non-probability purposive sampling. Blood samples were taken at 34-36 weeks of gestation. Serum was stored for ischemia-modified albumin and malondialdehyde. Data was analyzed using SPSS version 20. An Independent t-test was used to compare values between the groups during the third trimester. A p-value of ‰¤0.05 was considered significant. Results: Comparison of ischemia-modified albumin and malondialdehyde values between group I and group 2 showed a highly significant difference of p-value of <0.001. Conclusion: Oxidative stress markers were higher in preeclamptic patients as compared to normal pregnant females during the third trimester suggesting the role of the placenta in oxidative stress.
FREQUENCY OF CD44 EXPRESSION IN DIAGNOSED CASES OF ORAL EPITHELIAL DYSPLASIA AND SQUAMOUS CELL CARCINOMA
Authors: Momin Zumrud , Rahat Noshaba , Shahzad Humera , Umair Marvi , Raima Kaleemi  , Khursheed Asma 
Published: October 2024

Background: Oral cavity cancer is one of the most widespread head and neck cancers in the world. 90 percent of oral cavity cancers are squamous cell carcinoma (SCC). Oral Potentially Malignant Disorder (OPMD), are well known to develop into squamous cell carcinoma. CD44 is a glycoprotein present on the cell surface and plays a vital role in cancer cell invasion, migration, metastasis of cancers and prognosis. The present study aims to detect the frequency of CD44 immunomarker expression in epithelial dysplasia and squamous cell carcinoma samples and correlates the expression with histologic grades of this lesion. Methods: cross sectional study at the Department of Pathology, BMSI, JPMC, Karachi between 01-01-2018 to 31-12-2021. 95 patients diagnosed on morphological characterization of the lesion as squamous cell carcinoma/dysplasia were selected by using non-probability purposive sampling technique, among them 41 were diagnosed as epithelial dysplasia and 54 as SCC and were subjected to immunohistochemistry. Results: A total of 95 cases were selected. The mean age was 49.32 years. The majority of cases were seen in 4th and 5th decades. 69 (72.6%) were males and 26 (27.4%) were females with male to female ratio 2.65:1. The closest site was buccal mucosa 75(78.9%). Among 41 cases of dysplasia, 36 showed membranous positivity for CD44 (87.8%), and 45 showed positive membranous CD44 immunoreactivity (83.3%) among 54 cases of squamous cell carcinoma. Conclusion: Increased frequency of CD44 expression was found with increasing grades of dysplasia and squamous cell carcinoma, which may be a possible indicator of malignant transformation and can serve as a prognostic biomarker for oral SCC.
CURRENT AND EMERGING TRENDS IN THE MANAGEMENT OF PYODERMA GANGRENOSUM: A LITERATURE REVIEW
Authors: Wali Muhammad Sobia , Nadia Hassan  , Samra Khan  , Atia Gohar  
Published: October 2024

The first description of Pyoderma gangrenosum (PG) was made about a century ago. It is difficult to understand the aetiology, pathophysiology, and therapy of PG. This disease is believed to be caused by a systemic inflammatory response to neutrophil chemotaxis and faulty innate immune system control. Nearly fifty percent of the cases have underlying systemic symptoms. Significant improvements in PG management have been made over the years. The main goals of treatment are to reduce inflammation and speed up the healing of the PG wound. Even though the most recent medicines show promise, they are found on isolated case reports. The majority of patients are typically managed with topical treatment and local wound care, while resistant cases necessitate immunosuppressive medications. More progress can be made with improvements in technology in deciphering this complex disease and getting a greater understanding of the condition. The present standard therapies for refractory PG are not well supported by studies. In refractory PG, corticosteroids and cyclosporine have historically been administered. Tumour necrosis factor inhibitors are becoming a viable option; nonetheless, this requires careful research and upkeep. This review intended to describe the current trends in managing the PG. Several next-generation treatment options including the conventional therapies introduced to treat PG. We encompass the advantages and disadvantages of new treatments for PG.
HEPATIC HYDROTHORAX WITHOUT ASCITES: A DIAGNOSTIC AND MANAGEMENT CHALLENGE
Authors: Malick Maria , Shahid Wajeeha , Latif Anum , Zarafshan Zubair  , Zaidi Syeda Moazzama 
Published: October 2024

Hepatic hydrothorax refers to the presence of a pleural effusion (usually >500 mL) in a patient with cirrhosis who does not have other reasons to have a pleural effusion (e.g., cardiac, pulmonary, or pleural disease). Hepatic hydrothorax occurs in approximately 5-6% of patients with cirrhosis. It results from the ascitic fluid draining into the pleural cavity through the diaphragmatic defects. The presentation of patients with hepatic hydrothorax includes chest pain, hypoxemia, cough, shortness of breath and fatigue. The atypical feature, in this case, is the presence of hepatic hydrothorax in a patient with chronic liver disease without ascites. The management of hepatic hydrothorax is difficult. The initial treatment should be a low-salt diet plus diuretics. The best diuretic regimen is probably the combination of furosemide and spironolactone. However, about 25% of patients are refractory to this regimen, and additional therapy is indicated. This patient underwent thoracentesis, however, considering the re-accumulation of fluid, a pigtail catheter was placed which drained up to 8 liters of fluid.
PUBLIC SERVICE CHALLENGES IN THE NATIONAL CAPITAL CITY (IKN) OF THE ARCHIPELAGO
Authors: Haryo Setyoko  , Suhud Alynudin  , Agus Widiarto  
Published: October 2024

The relocation of the National Capital City (IKN) of the Archipelago from DKI Jakarta to Kalimantan became the government's current focus is on the national recovery period caused by the pandemic Covid-19. Limited funds, less strategic location from a security perspective, as well forest fire disasters that often occur since Kalimantan is one of them the lungs of the world, including the natural wealth contained therein, become something what is important to note. One of them is by using a service approach based on the Development Program of the United Nations (UN), namely Tata Manage Good governance. The research method used is through the study literature, such as documents from official government institutions and sources other relevant. Referring to the newly passed regulation, the government has already loaded it public services in accordance with good governance. Process the transfer of the capital city needs to be escorted so that the previous evaluation is like the people who not yet involved not repeated.
EVALUATION IMPACT OF THE CLEAN WATER ASSISTANCE PROGRAM IN PUSER VILLAGE, TIRTAYASA DISTRICT, SERANG
Authors: Agatha Cynthia , Rahmawati  
Published: October 2024

Upaya pemerintah dalam mendukung SDGs terhadap akses pelayanan air bersih, Pemerintah kabupaten serang menyelenggarakan program bantuan air bersih di Desa Puser. Program bantuan air bersih di Desa Puser memiliki tiga program bantuan air bersih yakni, Bantuan Gubernur, PAMSIMAS dan DAK. Walaupun sudah terdapat tiga bantuan program dari Dinas Permukiman namun masih banyak masyarakat di Desa Puser yang menggunakan air irigasi untuk keperluan sehari-hari. Penelitian ini bertujuan untuk mengetahui dampak dari program bantuan air bersih yang berada di Desa Puser. Peneliti menggunakan teori evaluasi dampak dari Samoedra Wibawa dengan empat indikator yaitu dampak terhadap individu, dampak terhadap masyarakat, dampak terhadap organisasi dan dampak terhadap sistem sosial. Metode yang digunakan dalam penelitian ini adalah metode penelitian kualitatif deskriptif. Data primer diperoleh melalui observasi dan wawancara terstruktur dengan informan yaitu masyarakat Desa Puser, Pemerintah Desa dan Pemerintah Dinas Permukiman Kabupaten Serang yang terlibat dalam pengelolaan Program Bantuan Air Bersih. Hasil penelitian terhadap evaluasi program bantuan air bersih di Desa Puser menunjukan hasil yang kurang berdampak. Hal tersebut karena kurangnya partisipasi masyarakat dalam mengggunakan program bantuan air bersih, serta kurangnya kinerja KP-SPAM dalam menanggulangi perbaikan terhadap tower air menjadi salah satu penghambat masyarakat dalam menggunakan program air bersih. Pemerintah Dinas Permukiman Kabupaten Serang juga mengakui bahwasanya kurangnya pendampingan kepada masyarakat menghambat proses perubahan perilaku higienis masyarakat di Desa Puser.
Kata Kunci; Evaluasi, Air, Desa Puser
Avaliação dos programas nacionais de reorientação da formação em saúde na perspectiva interprofissional e apresentação de um método de análise documental
Authors: Medeiros Nara Maria Holanda de , Toledo Miguel Aguila , Vital Junior Pedro Félix , Medeiros Junior Martim Elviro de , Sousa Milena Nunes Alves de , Almeida Elzenir Pereira de Oliveira , Pereira Charlene de Oliveira , Soares Filho Samuel , Rossit Rosana Aparecida Salvador 
Published: October 2024

Os profissionais da saúde são cotidianamente desafiados a dar respostas a partir de diferentes graus de complexidade, todavia a formação dos mesmos ainda ocorre de forma fragmentada e curativa. Esse artigo é um recorte de uma pesquisa maior que objetivou discutir a reorientação da formação em saúde fundamentado na educação interprofissional e apresentar um método de pesquisa documental. Estudo de abordagem qualitativa e quantitativa, descritiva e exploratória, do tipo estudo documental que avaliou o Programa Nacional de Reorientação da Formação Profissional em Saúde (Pró-Saúde) e Programa de Educação pelo Trabalho para Saúde (PET-Saúde), segundo suas concepções, métodos e estratégias de ensino-aprendizagem-avaliação, ancorado nos projetos aprovados dos Programas das Instituições de Ensino Superior do Estado de São Paulo, Brasil. Aplicou-se o Instrumento Matriz de Análise com Termos Rastreadores nos documentos institucionais que possibilitou a identificação e interpretação dos núcleos de significados. Evidenciou-se que as instituições criaram espaços para incorporação de módulos compartilhados, inovaram métodos de ensino-aprendizagem-avaliação, possibilitaram a vivência da interdisciplinaridade e interprofissionalidade e o fortalecimento da integração ensino-serviço-comunidade. As propostas e práticas das instituições analisadas apresentaram-se condizentes com as propostas do Ministério da Saúde e da Educação, impactando positivamente na reorientação da formação, contudo, prevalece a desigualdade de acesso aos Programas e a não inclusão de suas propostas nos currículos. Nesse contexto, esse artigo busca apoiar reflexões sobre as reformas curriculares na perspectiva interprofissional e interdisciplinar.
O DISTANCIAMENTO DA GESTÃO DEMOCRÁTICA: A IMPORTÂNCIA DO HUMANISMO NO AMBIENTE ESCOLAR
Authors: Rodrigues Débora Aparecida Blanco Gonsales , Moreira Lilia Liciele Vieira 
Published: October 2024

Esta escrita tem como proposta fazer uma breve reflexão sobre a aproximação da escola pública com a ideia de capital, cada vez mais presente nas escolas brasileiras. Nesse sentido, que o presente artigo faz uma breve reflexão a respeito do projeto político neoliberal enraizados em muitas escolas públicas do nosso país, tais reflexões surgem a partir de leituras de grandes escritores como Paulo Freire, Paro, Pereira entre outros, diálogos que surgiram na disciplina de Teoria da Educação Moderna e Contemporânea do Programa de Pós-graduação em Educação – Mestrado em Educação da Universidade Federal de Rondonópolis, esses nos causou grandes inquietações, pois, a educação pública ela não deve servir ao capital e sim como agente transformador. Desta maneira, pretendemos discorrer como as políticas neoliberais é percebida/sentida no chão da escola por meio de relatos pessoais alinhados com os pensamentos de alguns pensadores da educação na perspectiva de ressaltar a importância do humanismo nas escolas.
A REVOLUÇÃO DA INTELIGÊNCIA ARTIFICIAL NA MEDICINA: INTEGRAÇÃO TECNOLÓGICA, BARREIRAS E OPORTUNIDADES FUTURAS
Authors: Pereira Fagner Marques , Neves Deborah Cristina Ribeiro , Silva Acsa Rhayenne de Morais , Braga Lúcia Beatriz Tanja , Parrião Letícia Caetano Diniz , Maciel João Pedro Silva Damas , Da Fonseca Gabriel Nascimento Martins , Santos Marilza de Oliveira , de Laia Barbara Lima , Marsura Ana Maria , Melo Késia Rayser Sobrinho Tavares , França Mateus Elias Fontenele 
Published: October 2024

A inteligência artificial (IA) tem provocado uma transformação significativa na medicina, proporcionando ferramentas inovadoras para melhorar a precisão dos diagnósticos, personalizar tratamentos e otimizar processos clínicos. O uso de algoritmos de aprendizado de máquina em análises de grandes volumes de dados médicos permite a identificação precoce de doenças e a criação de planos terapêuticos mais eficazes. Além disso, a automação de tarefas administrativas e clínicas por meio da IA está ajudando a reduzir a carga de trabalho dos profissionais de saúde, permitindo um foco maior no cuidado aos pacientes. Esta revisão integrativa examina os principais avanços da IA na prática médica, destacando sua aplicação em especialidades como radiologia, oncologia e cardiologia. Também são discutidos os desafios que ainda limitam sua implementação plena, como a necessidade de infraestrutura tecnológica adequada, a qualidade dos dados utilizados e a resistência por parte dos profissionais de saúde. Além disso, a revisão aborda questões éticas e legais associadas à IA na saúde, incluindo a privacidade de dados, a transparência nos processos de tomada de decisão e a responsabilidade em caso de erros. Por fim, são apresentadas as perspectivas futuras, que sugerem uma colaboração crescente entre médicos e tecnologias avançadas para melhorar a qualidade e a eficiência do atendimento, apontando para um cenário de evolução contínua na área da saúde.
PROFESSORES/AS HOMOSSEXUAIS E OS DESAFIOS DA HOMOFOBIA NO AMBIENTE EDUCACIONAL
Authors: Da Costa Elvio Carlos , Osti Andréia 
Published: October 2024

Ao abordar sobre a homofobia no ambiente acadêmico, buscamos não apenas evidenciar os obstáculos enfrentados pelos professores/as homossexuais, mas também propor reflexões sobre a urgência de políticas e práticas inclusivas que possam transformar o ambiente educacional em um espaço verdadeiramente acolhedor e igualitário para todos os indivíduos, independentemente da sua orientação sexual. Assim, o objetivo geral deste trabalho consiste em levantar as representações de professores/as da Educação Profissional sobra o preconceito e discriminação contra professores/as homossexuais no ambiente escolar. Metodologicamente, trata-se de uma pesquisa qualitativa e descritiva. Foram utilizados dois instrumentos na coleta de dados, o questionário aplicado a 80 professores/as e equipe gestora de 15 ETECs, e uma entrevista semiestruturada aplicada com 02 supervisores do Centro Paula Souza, totalizando 82 participantes. Os resultados indicam que 45 (56%) dos participantes nunca constataram alguma situação de preconceito ou discriminação contra professores/as homossexuais na escola. Na contramão, 30 (38%) afirmam ter presenciado tal situação no ambiente escolar. Enquanto 5 (6%) não conseguem distinguir se a situação se enquadra ou não como homofobia. Além do mais, 66 (83%) dos participantes disseram que nunca testemunharam algum caso de violência, enquanto 14 (17%) revelam que sim. Detectamos que a violência verbal e simbólica são os dois principais tipos de violências contra professores/as homossexuais nas ETECs, testemunhados por 14 participantes. Podemos afirmar, por meio das representações dos/as professores/as da educação profissional que ainda existem preconceitos velados acerca da homossexualidade, no contexto geral e reconhecemos a carência e a necessidade de ampliar as pesquisas acerca da homossexualidade docente no ambiente escolar, e sobretudo as múltiplas possibilidades de investigação nesse campo do conhecimento.
ANALISIS PERLINDUNGAN HUKUM TERHADAP KONSUMEN DALAM PERJANJIAN JUAL BELI KIOS DI NEW MAKASSAR MALL
Authors: Firdayanti HSM , Hamid Abd. Haris , Juliati Juliati 
Published: October 2024

Penelitian ini bertujuan untuk mengetahui bentuk perjanjian jual beli antara para pihak di New Makassar Mall dan untuk mengetahui perlindungan hukum terhadap konsumen dalam perjanjian jual beli kios di New Makassar Mall. Penelitian ini dilaksanakan di New Makassar Mall dan PT. Melati Tunggal Inti Raya menggunakan tipe penelitian Normatif-Empiris, pendekatan dilakukan dengan menelaah hukum dalam kenyataan berdasarkan fakta melalui wawancara dan dokumentasi. Hasil Penelitian menunjukkan bahwa bentuk Perjanjian Jual Beli antara para pihak di New Makassar Mall baik Konsumen Pertama maupun Konsumen Kedua adalah Perjanjian Pengikatan Jual Beli (PPJB) Kios dengan bentuk Perjanjian Akta di Bawah Tangan, untuk PPJB Konsumen Kedua telah diregistrasi di buku khusus yang disebut Buku Pendaftaran Surat di Bawah Tangan oleh Notaris. Tidak adanya perlindungan hukum terhadap Konsumen Pertama oleh Pelaku Usaha yang menjual kios tanpa sepengetahuan Konsumen Pertama kepada Konsumen Kedua, bahkan Konsumen Pertama tidak memiliki PPJB dari Pelaku Usaha, sehingga Konsumen Pertama dirugikan dan tidak memiliki kepastian hukum, meskipun telah ada Gentlement’s Aggreement antara Konsumen Pertama dan Pelaku Usaha terkait pembayaran dan penerbitan sertfikat.
This research aims to find out the form of buying and selling agreements between the parties at the New Makassar Mall and to know the legal protection of consumers in the agreement to buy and sell kiosks at the New Makassar Mall. This research was conducted at the New Makassar Mall and PT. Melati Tunggal Inti Raya uses Normative-Empirical research type, the approach is done by studying the law in fact-based reality through interviews and documentation.The results showed that the form of Sale and Purchase Agreement between the parties at the New Makassar Mall both First consumer and Second Consumer is a Binding Agreement on Buying and Selling (PPJB) Kiosk with the form of Deed Agreement under the Hand, for PPJB Second Consumer has been registered in a special book called Letter Registration Book under the Hand by Notary Public.The absence of legal protection against the First Consumer by businesses that sell kiosks without the knowledge of the First Consumer to the Second Consumer, even the First Consumer does not have PPJB from the Business, so the First Consumer is harmed and has no legal certainty, although there has been Gentlement's Aggreement between First Consumers and Businesses related to payment and issuance of certificates.