bluuebunny/crossref_metadata_2025_split huggingface dataset:
Should we perform sigmoidoscopy for colorectal cancer screening in people under 45 years?
Authors: Leong Waiian , Guo Jia-Qi , Ning Chun , Luo Fei-Fei , Jiao Rui , Yang Dong-Ye 
Published: April 2024

BACKGROUND
The strategy for preventing colorectal cancer is screening by colonoscopy, which offers a direct way for detection and removal of adenomatous polyps (APs). American College of Gastroenterology guidelines recommend that people aged ≥ 45 years should undergo colonoscopy; however, how to deal with people aged ≤ 45 years is still unknown.
AIM
To compare the prevalence of APs and high-grade neoplasia between the left and right colon in patients ≤ 45 years.
METHODS
A retrospective observational study was conducted at a single tertiary III hospital in China. This study included patients aged 18–45 years with undergoing initial colonoscopy dissection and pathological diagnosis AP or high-grade neoplasia between February 2014 and January 2021. The number of APs in the entire colon while screening and post-polypectomy surveillance in following 1–3 years were evaluated.
RESULTS
A total of 3053 cases were included. The prevalence of APs in the left and right colon was 55.0% and 41.6%, respectively (OR 1.7, 95%CI 1.6–2.4; P < 0.05). For APs with high-grade neoplasia, the prevalence was 2.7% and 0.9%, respectively (OR 3.0, 95%CI 2.0–4.6; P < 0.05). Therefore, the prevalence of APs and high-grade neoplasia in the left colon was significantly higher than in the right colon in patients aged ≤ 45 years. There were 327 patients who voluntarily participated in post-polypectomy surveillance in following 1–3 years, and APs were found in 216 cases (66.1%); 170 cases had 1–3 polyps (52.0%) and 46 cases had > 3 polyps (14.1%; OR 0.3, 95%CI 0.1–0.6; P < 0.05).
CONCLUSION
This study suggests that flexible sigmoidoscopy would be an optimal approach for initial screening in people aged ≤ 45 years and would be a more cost-effective and safe strategy.
Clinical and socioeconomic determinants of survival in biliary tract adenocarcinomas
Authors: Sahyoun Laura , Chen Kay , Tsay Cynthia , Chen George , Protiva Petr 
Published: April 2024

BACKGROUND
Despite advances in detection and treatments, biliary tract cancers continue to have poor survival outcomes. Currently, there is limited data investigating the significance of socioeconomic status, race/ethnicity, and environmental factors in biliary tract cancer survival.
AIM
To investigate how socioeconomic status and race/ethnicity are associated with survival.
METHODS
Data from the Surveillance, Epidemiology, and End Results database for biliary and gallbladder adenocarcinomas were extracted from 1975 to 2016. Socioeconomic data included smoking, poverty level, education, adjusted household income, and percentage of foreign-born persons and urban population. Survival was calculated with Cox proportional hazards models for death in the 5-year period following diagnosis.
RESULTS
Our study included 15883 gallbladder, 11466 intrahepatic biliary, 12869 extrahepatic biliary and 7268 ampulla of Vater adenocarcinoma cases. When analyzing county-specific demographics, patients from counties with higher incomes were associated with higher survival rates [hazard ratio (HR) = 0.97, P <0.05]. Similarly, counties with a higher percentage of patients with a college level education and counties with a higher urban population had higher 5-year survival rates (HR = 0.96, P = 0.002 and HR = 0.97, P = 0.004, respectively).
CONCLUSION
Worse survival outcomes were observed in lower income counties while higher income and education level were associated with higher 5-year overall survival among gallbladder and biliary malignancies.
FLORISTIC COMPOSITION, LIFE-FORMS AND CHOROLOGY OF AL-MADLOOM MOUNTAIN, ADHALE DISTRICT, SOUTHERN YEMEN
Authors: Alhood Fuad Abdulla Nagi 
Published: April 2024

The floristic composition, life form, and chorology were conducted in Al-Madloom mountain, Adhale, South of Yemen. The flora consisted of 159 plant species belonging to 111 genera and 46 families. Apocynaceae (12 genera; 19 species), Euphorbiaceae (eight genera; 14 species), and Acanthaceae (eight genera; 8 species) were the most dominant families in terms of species richness. The plants were classified into different life forms and Chorotypes after standard methods. Among the life forms, Chamaephytes 60 species (37.73%) were the dominant followed by Therophytes 47 species (29.55%), Phanerophytes 29 species (18.23%), Geophytes 15 species (9.43%), Hemicryptophytes six species (3.77%), while two species were Parasites (1.25%). From the Chorological point of view, the study revealed that the highest number of species 56 (35.22%) was recorded in the Su-Za Chorotype, followed by Cosmopolitan 20 species (12.57%), Endemic 18 species (11.32%) and ZU-ZA+SA-SI 16 species (10.06%). The Sudano-Zambenzian constitute 56 species, which means the flora of the study area belongs to the Sudanian region. The domination of Chamaephytes and Therophytes indicates that the investigated area is under deep biotic stress. Endemism in the study area is relatively significant, represented by 11.32% of the total flora collected from the study area, and these taxa were listed to be globally endangered.
A case study on Ayurvedic management of Seborrhoeic Keratosis with special reference to Charmakeel
Authors: M Gabhane Shilpa , Sandip Waghmare , S Khade Sachin , Gopal Waghmare 
Published: April 2024

Seborrheic keratosis is a typical, benign disorder that affects the ageing population. In Ayurveda it can be compared with Charmakeel which is one of the types of Kshudraroga. Acharya Sushruta described several therapy methods such as the internal administration of medication, external application, and para-surgical techniques in the treatment of Charmakeel. In present case report 26 years old female patient visited in OPD complaining of two thick, black patches on right ankle joint with mild itching since 6 months. The case was diagnosed as Charmakeel. Patient was treated with Shamana Chikitsa Mahamanjishthadi kashay, Aarogyavardhini Vati, Punarnavadi mandur, PanchtiktaGhrut guggul as internal medication and Panchvalkaladi taila for local application. Treatment was given for two months and Shodhana Chikitsa (Raktamokshana by Jalauka) was carried out at every 15 days interval during treatment. Patient reported with significant results. Follow-up was taken upto 6 months and patient had no any complaints or recurrence. This case shows that Ayurveda can treat keratosis effectively and without any side effect.
Improvement of visual acuity in non-proliferative diabetic retinopathy with Nimi Nirdishta Yoga- A case report
Authors: Bhat Pravin M , Bolke Priyanka 
Published: April 2024

Ayurveda can serve in many disease conditions, whereas conventional systems face several limitations. Diabetic Retinopathy (DR) is among such conditions, where effective management is becoming a challenge. Diabetic Retinopathy leads to visual disability and is one of the major complications of Diabetes Mellitus (DM). Currently available conventional treatments for DR have certain limitations; considering this fact, options from alternative resources are being searched. In Ayurveda, retinal diseases can be included in Drishtigata roga (~eye sight disorder) and DR can be correlated with Timir (~a class of morbid affections of the coats of the eye), as pathology of Timir is secondary to systemic Dosha Dushti (~vitiation of body humor) and DR can be considered as Pramehajanya Timir. A male patient of 61 years visited the Netra (ophthalmic) OPD complaining of defective distant and near vision for two months. Based upon the history of diabetes and clinical signs and symptoms, he was diagnosed with Non-Proliferative Diabetic Retinopathy (NPDR) in both eyes. The indirect ophthalmoscopy investigation was used to confirm the diagnosis. Nimi Nirdishta yoga which contains Triphala, Yashtimadhu (Glycyrrhiza glabra Linn.), and Ghrita was administered for one month daily at night with honey. At the end of one month, there was improvement noted in distant vision without glasses from 6/18 to 6/12 in the right eye and 6/9 to 6/6p in the left eye while near vision from N/8 to N/6 in both eyes with glasses. Indirect ophthalmoscopy revealed a reduction in exudates and hemorrhages. The observations reveal that Ayurvedic approaches are helpful in managing Diabetic Retinopathy.
Development of standard manufacturing process of Tryushanadya Lauha – An organo-metalic preparation
Authors: Swer Harlin , Wanjari Anita , Rathi Bharat , Kandalkar Utkarsha , Katore Anjali , Khanke Shubham 
Published: April 2024

Tryushanadya Lauha (TL) is one of the herbo-mineral formulations in many Ayurvedic texts. Tryushanadya Lauha consists Loha Bhasma and Tryushana, which includes Pippali (Piper longum Linn), Maricha (Piper nigrum Linn), and Shunti (Zingiber officinale Roscoe), Cavya (Piper chaba Hunter), Citraka (Plumbago zeylanica Linn), Bakuchi (Psoralea Corylifolia Linn), and Lavana (salt), which includes Saindhava (Sodium chloride), Aubhida (sodium carbonate), Vida (Ammonium chloride), and Sauvarchala (Sodium sulphate). This study is an effort to develop the standard operating process for manufacturing of Loha Bhasma and Tryushanadya Lauha. As per the reference of Rasatarangini, Loha Bhasma (incinerated ash of iron) was prepared in three batches. The processing of Loha Bhasma (ash of iron) was performed by adopting, Shodhana (purification), a special heating process and Marana (incineration). For the process of Levigation decoction of Triphala was used. Puta (heating process) was given in Electric Muffle Furnace at a temperature of 500 0C. The percentage of loss was 49.9% after purification. During Loha Bhasma (incinerated ash of iron) preparation 14.7%loss and 85.3% gain were observed. This Loha Bhasma was used for the preparation of TL. During TL preparation, 0.6% loss was observed & 99.3% was obtained. This study will give the direction for the standard manufacturing process of Loha Bhasma (incinerated ash of iron) and Tryushanadya Lauha.
Assessment of in vitro diffusion of Chincha Lavan Taila: An Ayurveda medicated oil
Authors: Jibkate Bhagyashree , Rathi Bharat , Wanjari Anita , Pargaonkar Akshay 
Published: April 2024

Medicated oils are used for external as well as internal administration to treat various disorders. In Ayurvedic literature Murchhana is a procedure carried out on crude oil as treatment to enhance properties of oil. In this study, Chincha Lavan Taila a medicated formulation is prepared by two procedures Murchhita Chincha Lavan Taila (MCLT) and Amurchhita Chincha Lavan Taila (ACLT). This study aims to assess the in-vitro diffusion of Chincha Lavan Taila formulated by processed sesame oil and crude sesame oil. The in-vitro rate and extent of permeability of drug dosage forms are good markers to access the absorbance of the drug. The objective of this study is to evaluate the drug release of both oils by using in- vitro absorbance methodology of Franz diffusion cell apparatus. The in- vitro absorbance was studied in Franz diffusion cell apparatus at pH 3 and pH 8. The samples were collected and analysed under UV spectrophotometer to note absorbance of oil at different wavelength. It was noted that in the buffer solution of pH 8, there was maximum absorbance of all the samples. This experimental study shows that both formulations have well sustained absorption through gastrointestinal tract. The results indicate that the rate of absorption exhibited to be higher in MCLT compared to ACLT. This work helps to develop a new method to evaluate intestinal absorption and compare formulation for therapeutic efficacy and drug absorbance.
Responsibility of commitment making officials in government procurement of goods/services
Authors: J. Bambang Pudjiono  , Slamet Suhartono  , Endang Prasetyawati  , Yovita Arie Mangesti  
Published: April 2024

The implementation of good governance is the main prerequisite for carrying out state goals, especially in providing public welfare. In line with the large demands of society for the implementation of good governance, the government must provide quality public services. In this regard, development planning is needed that is systematic, directed, comprehensive, and responsive to the dynamics of community needs. In the government's efforts to provide public services, it is necessary to develop and implement a real legal accountability system for the implementation public services, so that the implementation of government and development can take place in an efficient, clean and accountable manner. The responsibility of Commitment Making Officials in the procurement of government goods/services consists of administrative responsibility and criminal responsibility. Administrative responsibility occurs if an administrative violation occurs, and will be subject to administrative sanctions. Meanwhile, criminal liability means the possibility that a criminal act has occurred and can be subject to criminal sanctions. However, this responsibility can also be imposed on other officials involved in the procurement of goods/services, such as Budget Users, Budget User Proxies, Procurement Officials/Election Working Group, as long as their involvement in the criminal act can be proven.
CONCEPTUALIZING FINTECH INNOVATIONS AND FINANCIAL INCLUSION: COMPARATIVE ANALYSIS OF AFRICAN AND U.S. INITIATIVES
Authors: Yinka James Ololade  
Published: April 2024

This review paper explores the transformative role of fintech innovations in enhancing financial inclusion across Africa and the U.S., offering a comparative analysis of initiatives, challenges, and opportunities within these diverse economic landscapes. It highlights how mobile money, digital banking, and blockchain technologies have significantly increased access to financial services, addressing the traditional barriers faced by the unbanked and underbanked populations. Despite the potential of fintech to foster inclusivity, the paper identifies common obstacles such as regulatory hurdles, digital literacy, and infrastructure limitations, providing a nuanced understanding of the fintech ecosystem. Policy recommendations are offered to guide policymakers, financial institutions, and fintech companies in creating an environment conducive to financial inclusion. The paper emphasizes the importance of innovative technologies in bridging financial gaps, suggesting areas for future research to continue advancing fintech and financial inclusion discourse.
Keywords: Fintech Innovations, Financial Inclusion, Regulatory Challenges, Comparative Analysis.
Sharp increase in Saharan dust intrusions over the western Euro-Mediterranean in February–March 2020–2022 and associated atmospheric circulation
Authors: Cuevas-Agulló Emilio , Barriopedro David , García Rosa Delia , Alonso-Pérez Silvia , González-Alemán Juan Jesús , Werner Ernest , Suárez David , Bustos Juan José , García-Castrillo Gerardo , García Omaira , Barreto África , Basart Sara 
Published: April 2024

Abstract. During the months of February–March (FM) of the 2020–2022 period, several intense dust intrusions from northern Africa affected Europe. The frequency of dust events was exceptional, considering that wintertime is the season with minimum dust activity in the Mediterranean, and some episodes displayed a duration and/or intensity never recorded before, affecting large areas of the western Euro-Mediterranean (WEM) region. The main objective of this work is to construct a catalogue of FM dust events over the WEM for the 2003–2022 period based on satellite aerosol retrievals and to analyse their atmospheric drivers at the synoptic and large scales, paying special attention to the recent 2020–2022 period of high dust activity. Overall, our results indicate large intraseasonal and interannual variability in the occurrence of wintertime dust events over the WEM. Dust events of FM 2020–2022 were characterized by enhanced dust concentration and high maximum altitudes in comparison with those of previous years (2003–2019). WEM dust events are associated with enhanced activity of high-pressure systems over the Euro-Atlantic sector, which favour the obstruction of the westerlies and the occurrence of cut-off lows at subtropical latitudes. However, these high-pressure systems can exhibit a large variety of configurations, including meridional dipole blocking patterns with poleward shifted jets or Mediterranean subtropical ridges with an intensified mid-latitude jet. The former is the dominant favourable pattern for WEM dust occurrence, but the latter was relatively common during the 2020–2022 period.
1. XÁC ĐỊNH MỘT SỐ ĐẶC ĐIỂM GEN KHÁNG MACROLIDE CỦA VI KHUẨN BORDETELLA PERTUSSIS GÂY BỆNH HO GÀ Ở TRẺ EM ĐIỀU TRỊ TẠI BỆNH VIỆN NHI TRUNG ƯƠNG
Authors: Trâm Trần Hồng , Cảnh Hoàng Đình 
Published: April 2024

Đề tài: Xác định một số đặc điểm gen kháng macrolide của vi khuẩn Bordetella pertussis (B. pertusis) gây bệnh ho gà ở trẻ em điều trị tại Bệnh viện Nhi Trung ương.
Mục tiêu: Mô tả một số đặc điểm gen kháng kháng sinh của vi khuẩn B. pertussis gây bệnh ho gà ở trẻ em điều trị tại Bệnh viện Nhi Trung ương
Phương pháp: Đề tài được thiết kế bằng phương pháp nghiên cứu mô tả thực nghiệm tại labo, với đối tượng nghiên cứu là bệnh nhi dưới 16 tuổi được chẩn đoán ho gà điều trị tại Bệnh viện Nhi Trung ương.
Kết quả: Ngày xét nghiệm Real-time PCR ho gà (+) trung bình 12,4 ± 7,0. Giá trị chu kỳ ngưỡng (Cycle thresold - Ct) trung bình là 25,4 ± 6,1 chu kỳ. Trong 136 mẫu phân tích gen đột biến kháng macrolide, có 122 mẫu thu được kết quả, trong đó 14 mẫu xác định được có đột biến A2047G trên gen rRNA 23S kháng macrolide, chiếm tỷ lệ là 11,5% (14/122). Hà Nội có số ca mắc vi khuẩn ho gà mang đột biến A2047G cao nhất, tiếp theo là các tỉnh lân cận như Hưng Yên, Bắc Ninh. Tỷ lệ nhiễm vi khuẩn ho gà có đột biến macrolide A2047G ở nhóm trẻ không tiêm chủng và nhóm trẻ có tiêm chủng là tương đương nhau, lần lượt là 11,6% và 10,0% .
Kết luận: Xác định được 17 kiểu gen MLVA trong quần thể nghiên cứu, trong đó các kiểu gen MLVA mang đột biến A2047G là MT104, MT195, MT107 và kiểu B mới. Tỷ lệ vi khuẩn ho gà mang đột biến A2047G trên gen rRNA 23S gây kháng Macrolide là 11,5%(14/122), chủ yếu ở Hà Nội và các tỉnh Miền Bắc.
13. SỰ HÀI LÒNG CỦA NGƯỜI BỆNH/NGƯỜI NHÀ NGƯỜI BỆNH VỀ CHĂM SÓC ĐIỀU DƯỠNG TẠI KHOA PHẪU THUẬT TẠO HÌNH THẨM MỸ BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI NĂM 2023
Authors: Thành Phạm Văn , Nguyệt Nguyễn Thị Hồng , Huyền Phạm Thị Thanh , Lý Đỗ Thị Hồng , Hồng Hoàng Văn , Khoa Ngô Xuân , Anh Nguyễn Thị , Dung Nguyễn Thị Kim , Huyền Bùi Bích , Mát Nguyễn Thị , Anh Phạm Quang 
Published: April 2024

Mục tiêu: Mô tả sự hài lòng của người bệnh, người nhà người bệnh về chăm sóc điều dưỡng tại khoa phẫu thuật tạo hình thẩm mỹ Bệnh viện Đại học Y Hà Nội năm 2023.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được tiến hành trên 132 đối tượng nghiên cứu là người bệnh hoặc người nhà trực tiếp chăm sóc người bệnh từ tháng 06/2023 đến tháng 12/2023.
Kết quả: Nghiên cứu cho thấy 89,4% người bệnh/người nhà người bệnh hài lòng chung về chăm sóc điều dưỡng. Tất cả các yếu tố đều có tỷ lệ hài lòng cao trên 90%, trong đó yếu tố “Thái độ, kỹ năng giao tiếp của điều dưỡng” có tỷ lệ hài lòng cao nhất chiếm 97,7%, yếu tố có tỷ lệ hài lòng thấp nhất là “Thủ tục hành chính” với tỷ lệ 92,4%. Có đến 97% người bệnh/người nhà người bệnh đồng ý sẽ quay trở lại hoặc giới thiệu cho bạn bè đến bệnh viện, và 93,4% đồng ý tiếp tục tái khám và điều trị tại khoa Phẫu thuật tạo hình thẩm mỹ, Bệnh viện Đại học Y Hà Nội.
Kết luận: Nhìn chung sự hài lòng về chăm sóc điều dưỡng của người bệnh/người nhà người bệnh tại khoa Phẫu thuật tạo hình thẩm mỹ Bệnh viện Đại học Y Hà Nội khá cao. Bên cạnh đó, điều dưỡng viên cần hướng dẫn người bệnh các thủ tục hành chính và sắp xếp làm thủ tục cho người bệnh nhanh gọn, dễ hiểu.
14. ĐẶC ĐIỂM TRÊN PHIM X-QUANG CỦA BỆNH NHÂN MẮC BỆNH BỤI PHỔI TẠI MỘT CÔNG TY CHẾ BIẾN THAN
Authors: Quân Dương Văn 
Published: April 2024

Mục tiêu: Nghiên cứu thực hiện nhằm mô tả đặc điểm trên phim Xquang của bệnh nhân mắc bệnh bụi phổi tại một Công ty chế biến than.
Phương pháp: Thiết kết nghiên cứu mô tả cắt ngang được tiến hành trên 805 người lao động đang làm việc tại Công ty cổ phần Than Kho Vận và Cảng Cẩm Phả, tỉnh Quảng Ninh từ tháng 1 năm 2019 đến tháng 10 năm 2020.
Kết quả: 94,9% đối tượng mắc bệnh bụi phổi than là kích thước p/p và 79% có mật độ đám mờ từ 1/0 đến 1/2.
Kết luận: Đặc điểm trên phim Xquang của bệnh nhân bụi phổi có giá trị cao và thường xuất hiện sớm hơn triệu chứng lâm sàng vì vậy người lao động tiếp xúc với bụi than cần được khám sức khỏe nghề nghiệp định kỳ và có chụp phim Xquang phổi để phát hiện sớm bệnh bụi phổi.
16. THỰC TRẠNG CHẤT LƯỢNG MẪU XÉT NGHIỆM TẾ BÀO HỌC CỔ TỬ CUNG Ở BỆNH NHÂN ĐẾN KHÁM TẠI BỆNH VIỆN TỪ DŨ, THÀNH PHỐ HỒ CHÍ MINH VÀ MỘT SỐ YẾU TỐ LIÊN QUAN
Authors: Quí Hồng Phú , Quyên Nguyễn Thị Ngọc , Nguyên Phạm Đình 
Published: April 2024

Mục tiêu: Mô tả thực trạng và một số yếu tố liên quan đến chất lượng mẫu xét nghiệm tế bào học cổ tử cung ở bệnh nhân đến khám tại Bệnh viện Từ Dũ, Thành phố Hồ Chí Minh năm 2023.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang ở bệnh nhân đến khám tại Bệnh viện Từ Dũ.
Kết quả: Chất lượng mẫu đạt (93,4%), không đạt (6,6%). Có mối liên quan giữa chất lượng mẫu xét nghiệm đạt với chu kỳ kinh nguyệt của bệnh nhân, tiền sử từng ra máu âm đạo/dịch bất thường không phải chu kỳ kinh, đau bùng bụng dưới, từng chẩn đoán viêm âm đạo tử cung, mẫu bệnh phẩm được bảo quản và xử lý đúng như quy định, khoa thực hiện lấy mẫu, hóa chất có đảm bảo, các loại kỹ thuật xét nghiệm Pap và kỹ thuật nhuộm có đảm bảo quy trình.
Kết luận: Ghi nhận chất lượng mẫu đạt khá cao, tuy nhiên cần thường xuyên giám sát về mặt kiến thức cũng như kỹ năng chuyên môn của nhân viên và tăng cường giáo dục truyền thông về xét nghiệm phết tế bào Pap trong cộng đồng.
Kontribusi Komunikasi Terhadap Kinerja Pegawai di Dinas Pendidikan Provinsi Kalimantan Selatan
Authors: Jumriadi Jumriadi 
Published: April 2024

Permasalahan kinerja pegawai atau rendahnya produktivitas pegawai negeri disebabkan adanya ketidakseimbangan antara jumlah pegawai dengan volume pekerjaan yang harus ditangani, Ada juga yang mengungkapkan penyebabnya adalah sistem penggajian yang bersifat tetap, sehingga kinerja yang mendorong tidak dapat tumbuh dikalangan karyawan, karena rajin atau malas yang diterima setiap bulannya akan sama. Hal ini juga menyebabkan para karyawan kurang ingin menunjukkan ataupun mencapai prestasi kerja yang baik. Oleh karena itu, jika seorang pegawai mempunyai motivasi berprestasi dan kegiatan komunikasi yang baik maka dapat dikatakan ia akan mampu melaksanakan tugas dan fungsinya sebagai pelaksana pendidikan non formal secara efektif. Mengingat pentingnya motivasi berpretasi dan kegiatan komunikasi maka perlu untuk melakukan penelitian ini. Berdasarkan latar belakang di atas, maka dalam penelitian ini dapat dirumuskan sebagai berikut : (1) Apakah terdapat kontribusi motivasi berprestasi terhadap kinerja pegawai pada Dinas Pendidikan Provinsi Kalimantan Selatan. (2) Apakah terdapat kontribusi kegiatan komunikasi terhadap kinerja pegawai pada Dinas Pendidikan Provinsi Kalimantan Selatan. (3) Apakah terdapat kontribusi motivasi berprestasi dan kegiatan komunikasi secara bersama-sama terhadap kinerja pegawai pada Dinas Pendidikan Provinsi Kalimantan Selatan. Dari hasil penelitian dapat diketahui bahwa Motivasi berprestasi termasuk klasifikasi tinggi. Kegiatan komunikasi tergolong baik. Kemudian kinerja pegawai termasuk dalam klasifikasi yang tinggi juga. (1) Terdapat kontribusi yang signifikan antara motivasi berprestasi terhadap kinerja pegawai. Motivasi berprestasi memberikan kontribusi sebesar 78,2% terhadap kinerja pegawai. (2) Terdapat kontribusi yang signifikan kegiatan komunikasi terhadap kinerja pegawai. Kegiatan komunikasi memberikan kontribusi sebesar 70,8% terhadap kinerja pegawai. (3) Terdapat kontribusi yang signifikan motivasi berprestasi dan kegiatan komunikasi secara bersama-sama terhadap kinerja pegawai. Motivasi berprestasi dan kegiatan komunikasi memberikan kontribusi secara bersama-sama sebesar 86,4% terhadap kinerja pegawai.