bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influencia de la estructura y la funcionabilidad familiar en la resiliencia de adolescentes en situación de pobreza
Authors: García Zavala Gabriela P. , Diez Canseco Briceño María L. 
Published: January 2022

La resiliencia en la adolescencia es muy importante, en especial en poblaciones que viven en pobreza. El papel de la familia en el desarrollo de esta es fundamental, convirtiéndose en factor protector; pero la pobreza puede afectarla modificando sus relaciones y convertirla en vn factor de riesgo. Esta investigación pretendió identificar la influencia de la estructura y funcionalidad familiar en la resiliencia de adolescentes en situación de pobreza, por lo cual se realizó un estudio ex post facto retrospectivo simple. La muestra estuvo constituida por 303 estudiantes de entre 12 a 17 años provenientes de colegios de Arequipa que, según el sistema de Focalización de Hogares (SISFOH), se encontraban en centros poblados en situación de pobreza y pobreza extrema. Se los evaluó con tres escalas: la de Resiliencia (ER), de Wagnild y Young (1993); la de Evaluación de la Adaptabilidad y Cohesión Familiar (Faces III), de Olson, Portner y Lavee (1985), y la de Comunicación Familiar (PACS), de Barnes y Olson (1982); además de una encuesta sobre estructura familiar. Se encontró que la estructura y funcionalidad familiar influyen en un 18.1 % en la resiliencia de estos adolescentes; concluyendo que esta última es un proceso interaccional donde intervienen diversos factores, siendo la familia uno de los principales. Algunas características específicas de la familia, como el proceder de una familia rígida y desligada, reducen significativamente el desarrollo de la resiliencia, mientras que el ser mujer y el tener mayor edad la favorecen muy significativamente.
Small and Medium Scale Enterprises’ Activities and Eonomic Developmemnt in Obio-Akpor Local Government Area, Rivers State, Nigeria
Authors: Chidume Ukamaka P. , Nenbee Simeon G. 
Published: January 2022

This paper assesses the impact of Small and Medium Scale Enterprises (SMEs) activities on economic development in Obio-Akpor Local Government Area of Rivers State, Nigeria. To achieve this theme, an instrument Called Small and Medium Scale Enterprises Survey Questionnaire (SMEQ) was developed which focused more on employment generation and poverty reduction. The population of the study was chosen based on the two thousand six hundred and thirty-four (2634) registered SMEs with the Rivers State Ministry of Commerce and Industry in 2019. Based on simple random sampling technique, a total of three hundred and thirty-eight (338) respondents were sampled. Relying on descriptive statistics and logistic regression estimation techniques, the data were analyzed. Analyses of the respondents’ opinion suggest that the major businesses engaged in the study area were restaurant, tailoring and beauty/hair dressing. Again, majority of the respondents were of the opinion that SMEs operators do not have increased access to basic social-economic amenities. The output of the logistic regression result has it that an increase in firm size can improve the chances of SMEs fostering economic development in Obio-Akpor while increase in the salary of employees could also enhance the chances of SMEs to redress the rising poverty level too. The paper thus recommends that employment tax incentives should be granted to proprietors of SMEs and taming of the rising insecurity cases across the country.

Received: 11 September 2021 / Accepted: 25 November 2021 / Published: 5 January 2022
Positive Cumulative Fluids Balance Related to Mortality Events in Sepsis Patients Treated at Intensive Care Unit, Dr. Mohammad Hoesin General Hospital Palembang
Authors: Zulkifli  , Fredi Heru Irwanto  , Legiran  , Maharni Nadia 
Published: January 2022

Introduction. Sepsis is a syndrome that describes physiological dysfunction, pathological, and biochemistry caused by infection. Fluid balance is an indicator that can monitor input and output. This study was aimed to evaluate the relationship between positive cumulative fluid balance and the mortality rate of sepsis patients treated in the intensive care unit.
Method: This study design is a retrospective study. The inclusion criteria consist of patients diagnosed with sepsis written in the medical record, 18-65 years old, and patients admitted in intensive care unit dr Moh. Hoesin General Hospital. Data were analyzed using SPSS 22.0 with the normality of data distribution, independent sample t-test, Mann-Whitney analysis, chi-square, Fisher’s Exact to measure the relationship, and using Medcalc version 14 application to measure cut-off value, ROC curve AUC, cross-sectional point, sensitivity, and specificity.
Result. The result showed that characteristic between age (p=0,491), gender (p=0,703) did not differ significantly between survived and non-survived patient. Length of stay (p=0,002), balance (p=0,000), and ward unit (p=0,014) has a significant different between survived and non survived patient. In chi square analysis, p value=0,000with odds ratio 7,083. Cut-off value of ROC curve is -97 mL with AUC 0,844, sensitivity 76,1% and specificity 79,3%.
Conclusion. Cumulative positive balance patient in the sepsis patient correlates with increased mortality in a sepsis patient in Dr. Mohammad Hoesin General Hospital Palembang.
Genicular Nerve Radiofrequency Ablation and Dual Subsartorial Block for Chronic Knee Pain Post Total Knee Replacement: A Case Report
Authors: Aidyl Fitrisyah  , Handrawan Stevanus Eliansyah , Nurlaili Maya Ramadhanty  
Published: January 2022

Introduction. Chronic pain defines as pain persisting for three months or longer, chronic post-surgical pain can affect all dimensions of health-related quality of life, and is associated with functional limitations. treatment of chronic pain after total knee replacement is challenging, and evaluation of combined treatments and individually targeted treatments matched to patient characteristic. Genicular nerve block radiofrequency ablation is a safe and effective therapeutic procedure for pain associated with chronic pain due to knee osteoarthritis, and the evolution of newer regional analgesia techniques aids in reducing postoperative pain Dual Subsartorial Block (DSB) as a procedure specific, post total knee replacemet. historically there has been a reliance on using a pain-spesific assessment tools Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Case Presentation. A 55-year old woman admitted she had pain on bilateral knee, the knee pain had affected her daily living, she was diagnosed with chronic knee pain post TKR because of osteoarthritis genu bilateral, the patient was planning genicular nerve radiofrequency ablation and dual subsartorial block, from the examination we found that numeric rating scale was 6 (moderate pain) with WOMAC score 76, before the procedure the patients are examined through radiology for any deformity in the knee. The genicular nerve radiofrequency ablation under ultrasound guidance on bonylandmark, resulting anesthesia of the anterior compartment of the knee, and dual subsartorial block that cover almost all the innervations of pain generating component of the anterior and posterior knee joint involved in TKR surgery. After the procedure we reevaluated the pain score using NRS was 2 (mild pain), and with WOMAC Score 19.
Conclusion. Treatment of chronic pain post total knee replacemet was challenging, targeted treatment may ameliorate the pain and prevent long term disability.
Analisis Pengaruh Kompetensi Terhadap Kinerja Karyawan Pada PT. Pos Indonesia Cabang Soppeng
Authors: Mansur Mansur , Asmini Asmini 
Published: January 2022

Penelitian ini dilakukan pada PT. Pos Indonesia Cabang Soppeng, berlokasi di Jalan Pengayoman Kelurahan Lemba Kecamatan Lalabata Watansoppeng, Sampel yang digunakan adalah sebanyak 32 Responden. Sedangkan teknik pengambilan sampel yaitu dengan menggunakan metode Sampling Jenuh. Untuk mengetahui pengaruh Kompetensi terhadap kinerja karyawan pada PT. POs Indonesia Cabang Soppeng digunakan Analisis Regresi Linear Berganda. Berdasarkan Analisis Regresi Berganda dapat diketahui Kompetensi yang terdiri dari variabel pengetahuan, keterampilan, perilaku dan pengalaman kerja memiliki pengaruh yang signifikan terhadap peningkatan kinerja karyawan pada PT. Pos Indonesia Cabang Soppeng. dapat diketahui bahwa diantara variabel pengetahuan, keterampilan, perilaku dan pengalaman kerja yang paling berpengaruh signifikan terhadap peningkatan kinerja karyawan pada PT. Pos Indonesia Cabang Soppeng adalah Pengalaman Kerja.

Pimpinan Kejaksaan Negeri Kabupaten Soppeng hendaknya memberikan perhatian khusus pada para pegawai dan lebih bertanggung jawab terhadap pekerjaan dan jabatan yang diembannya. Keberhasilan kinerja pegawai adalah salah satu unsur dalam meningkatkan kinerja organisasi. Diharapkan dengan tercapainya gaya kepemimpinan yang baik maka kinerja pegawai Kantor Kejaksaan Negeri Kabupaten Soppeng pun akan semakin baik., Peningkatan Kinerja pegawai Pada Kantor Kerjaksaan Negeri Kabuptaen Soppeng dapat melalui Komunikasi dengan meningkatkan Kualitas Media yang baik, Kecepatan, mengakses Informasi, Penyebaran Pesan, Ketepatan Pesan sehingga proses komunikasi antara Bawahan dan atasan serta rekan kerja Dapat terlaksana dengan efektif dan efisien, dan Perlu penelitian lanjutan untuk mengetahui faktor-faktor lain yang dapat mempengaruhi kinerja Pegawai Pada Kantor Kejaksaan Negeri Kabupaten Soppeng.
Keywords:
Kompetensi, Kinerja, Kinerja Karyawan
L’apport des données de la Cnav pour identifier les profils d’assurés en non-recours à la retraite
Authors: Beaufort Romane , Mattmuller Mallory , Ramos-Gorand Mélina 
Published: January 2022

Alors que 16 millions d’assurés disposent d’une retraite, comment comprendre que certains ne la réclament pas ? On observe par exemple qu’un tiers des affiliés de 70 ans n’ont pas fait valoir tous leurs droits à retraite (Langevin & Martin, 2019). Cette part peut surprendre puisque la retraite n’est pas stigmatisante contrairement à d’autres prestations sociales. Elle n’est pas non plus récupérable sur succession. Cette question est particulièrement importante pour les caisses de retraite elles-mêmes. Pour y répondre, la Cnav cherche à automatiser le calcul des droits pour repérer parmi ses assurés ceux susceptibles de ne pas bénéficier de l’entièreté de leurs prestations et lutter contre le non-recours. Cependant, le non-recours est un phénomène complexe qui concerne des profils très variables. Grâce aux riches données administratives de la Cnav et au modèle de microsimulation Prisme, l’article identifie, dans l’ensemble des régimes composant le système actuel de retraite français, les diverses formes de non-recours. Il cherche également à caractériser les différents profils des individus renonçant à tout ou partie de leurs droits. Ainsi, si les assurés nés à l’étranger et disposant d’un faible nombre de trimestres représentent un grand nombre de ceux qui ne font valoir aucun droit, les assurés nés en France aux carrières complètes sont nombreux parmi ceux qui ne demandent qu’une partie de leurs droits. L’article met également en évidence que le non-recours à la retraite est une situation durable, peu d’assurés réclamant leurs droits après 70 ans. Enfin, les autrices analysent les leviers dont disposent les caisses de retraite pour diminuer le non-recours et proposent une évaluation des prestations supplémentaires que les organismes devraient verser si tous les assurés faisaient valoir l’entièreté de leurs droits ; dans les régimes de base, elles représentent 2 % des prestations versées au-delà de 70 ans.
Recours inégal aux professionnels pour les femmes et les hommes en couple après 60 ans
Authors: Renaut Sylvie 
Published: January 2022

Le recours inégal aux professionnels pour les femmes et les hommes en couple après 60 ans est étudié à partir de l’enquête Care (Capacités, aides et ressources des seniors) réalisée en France en 2015 auprès des personnes à domicile. L’analyse des données examine en quoi les limitations fonctionnelles sévères conditionnent le recours aux professionnels par rapport à d’autres caractéristiques individuelles (sexe, âge, configuration du ménage, catégorie professionnelle, niveau de vie, déclaration d’un proche aidant, enfant ou conjoint). La probabilité de recours aux professionnels, pour les personnes habitant seules et indépendamment des autres variables, est plus de deux fois supérieure à celle des personnes en couple. Les hommes en couple sont aidés dans leur vie quotidienne pour un plus grand nombre d’activités que les femmes, pourtant ils ont moins souvent recours aux professionnels et déclarent moins souvent un proche aidant. Le recours aux professionnels pour les soins ne différencie pas les femmes des hommes mais, pour les activités domestiques, il est plus fréquent pour les femmes. Les déclarations du conjoint aidé contrastent avec celles du conjoint aidant : l’aide conjugale pour les soins est également déclarée et reconnue par les deux conjoints mais, pour les activités domestiques, elle est plus souvent déclarée par le conjoint aidant qu’elle n’est reconnue par le conjoint aidé. Le ressenti de l’aide apportée par les femmes à leur conjoint est moins positif que celui des hommes aidant leur conjointe. Il en résulte un questionnement sur les pratiques attendues des générations très nombreuses qui arrivent aux âges où l’exposition aux limitations fonctionnelles augmente.
QUALITATIVE AND QUANTITATIVE GUIDELINES FOR CARBON-NEUTRAL KINDERGARTEN DESIGN IN ITALY
Authors: Bazzocchi Frida , Cecilia Ciacci , Di Naso Vincenzo 
Published: January 2022

ABSTRACT
In Italy, when building a new school, there are no regulatory or cultural references that consider recent regulations on energy savings and emissions reduction, key environmental considerations that have received increasing notice in society and new teaching methods needs to address these environmental concerns, especially as related to the built environment. The main goal of this paper is to outline qualitative and quantitative guidelines for building low-carbon kindergartens in Italy. These guidelines will define a new building type for schools while also evaluating energy and environmental performance to create a structured and interdisciplinary support tool that can be used by designers during the preliminary phase of the design process. The method starts from the detailed analysis of representative sustainable buildings to define new typological models, then several energy and environmental analyses follow to evaluate the new building type performance, and finally the guidelines are detailed following the environmental and technological system.
Contributing indications that provoke C-section: A study from tertiary care hospitals
Authors: Singh Nikhil , Srivastava Rajnish , Srivastava Surabhi , Patel Pankaj 
Published: January 2022

Abstract
Background: Both cesarean-section (CS) delivery (CD) and vaginal delivery (VD) is associated with well-known measurable short- and long-term maternal and neonatal complications and benefits. Objective: The present retrospective observational study was conducted on a preliminary basis to evaluate the contributing factors that provoke CS delivery. Materials and Methods: The short-term (6 months) retrospective study was conducted at the Department of Obstetrics and Gynaecology, Pt. Deen Dayal Upadhyay and Northern Railway divisional hospital Moradabad, Uttar Pradesh, India. The sample size was calculated accordingly with a relative precision of 10.2% of prevalence and was found to be 140 and we have taken the sample size of 345. Results: The prevalence of CD for a particular course of duration was found to be 36.23%. The risk of CD increased (P < 0.001) with increased BMI. However, differential limits of normal BMI signify that lower limit of normal BMI possessed high % of CS. As the education profile was getting high the possibility of CS was found to be increased (P < 0.001). Women with negative Rh factor the probability of CS in terms of percentage was found to be 87.5%. There was a proportionate possibility of CS with an increased gap between parities. The % mortality of new-born by CD and VD was 14.28% and 85.71%, respectively, which signifies that CS prevents infant mortality. There was 99.2% possibility of undergoing CS if a woman possessing medical complications. Conclusion: The present study acknowledged that CD ensures feto-maternal safety. However, the study also highlighted some probable indications that might engender CD.
Preliminary report on histopathological aspect of fibrous dysplasia in third dimension-3D images and video
Authors: Tamgadge Sandhya , Tamgadge Avinash 
Published: January 2022

AbstractFibrous dysplasia is a fibro-osseous lesion of the jaw which runs a chronic course. It has been well explained in the literature through high-quality 2D clinical, radiographic, and histopathological images. But the clinicians and most of the times students too, don't understand the histopathological aspect of fibrous dysplasia through the description of text and existing 2D images. This article is preliminary attempt to explain the key events of histopathological aspects of fibrous dysplasia in third dimension in a life-like manner through 3D images and video which author herself has designed, for better understanding not only by oral and general pathologists, and students but also by patients, which is the unique feature of this manuscript. Preliminary 3D images and videos on histopathological aspect of fibrous dysplasia were designed by using 3Dmax (Autodesk Media and Entertainment) and Adobe premiere pro 5.5 software which is a video editing software (Adobe Systems). Internal cellular environment of a lesion has been created in a life-like manner through 3D animation video. Histopathological aspect of all oral lesions should be explained in this manner for better understanding.
Risk assessment for foot ulceration in a nigerian diabetic population attending university of Ilorin teaching hospital, Ilorin
Authors: Olarinoye John , Bello Abiodun , Ogunkeyede Saint , Aderibigbe Adebiyi , Olagbaye Babakayode , Wahab Kolawole 
Published: January 2022

Abstract
Background: Complications from diabetic foot ulcer often pose a strong threat to the life of patients with diabetes. The aim of this study was to evaluate the risk factors for foot ulceration among people living with diabetes attending University of Ilorin Teaching Hospital, Ilorin, Nigeria. Materials and Methods: One hundred and fifty-one diabetic patients were interviewed with a questionnaire to obtain their sociodemographic, foot care, and diabetes-related details. Both of their feet were then assessed for dermatological changes, musculoskeletal deformities, neurological and vascular complications. Risk stratification was done according to the diabetic foot risk classification system of the International Working Group on Diabetic Foot. Data were analyzed using SPSS version 22. Categorical variables were compared using the Chi-square test while correlation between the risk categories and patients' characteristics was determined using Pearson's Correlation Coefficient, setting statistical significance at P < 0.05. Results and Conclusion: Intermittent claudication was found in 40 patients (26.5%), 76 (50.3) had paresthesia. Eighty nine (58.9%) had foot care education but only 7 (4.6%) had special diabetic foot wears. Impaired monofilament sensitivity was seen in 27 (17.9%) of the right feet and in 23 (15.2%) of the left feet. Significant peripheral neuropathy was detected in 36 (23.9%) on the right and 30 (19.9%) on the left side. It was found that the longer the duration of diabetes, the higher the risk (P = 0.04). Furthermore, patients who had no education had significantly higher risk for diabetes foot ulcer (DFU) (P = 0.01). High risk was discovered among the retirees (P = 0.01). In addition, presence of kidney disease (P = 0.046), cardiovascular disease (P = 0.001), and visual impairment (P = 0.19) all conferred a high risk for developing DFU in our study population. Overall assessment showed that the prevalence of “foot-at-risk' in this study was 30.5% which we think is substantial enough to attract a more serious attention.
Pulmonary embolism in the COVID-19 pandemic era: Importance of bedside electrocardiography, echocardiography and use of Tenecteplase.
Authors: Nwako O.F. , Nwako C.A. , Nwako C.N. , Nwako A.B. 
Published: January 2022

Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs. Globally, it is the third most frequent acute cardiovascular syndrome behind myocardial infarction and stroke. This is a 43-yearold Nigerian diabetic man who had liposuction three weeks before presenting with sudden onset breathlessness, productive cough, chest pain, fever, inability to complete a sentence and inability to carry out his normal daily activities during this coronavirus 2019 (COVID-19) pandemic. He was tachypneic, tachycardic, hypotensive with rapidly dropping oxygen saturation (84%-86%, 80%-84%). This presented a diagnostic challenge which was rapidly resolved with bedside electrocardiography and echocardiography. A diagnosis of pulmonary embolism was sustained. Subsequent SARS-COV-2 PCRbased test was negative. He was successfully managed with an antithrombotic agent, tenecteplase, without any adverse events.
Keywords: COVID-19, pulmonary embolism, tenecteplase, electrocardiography, echocardiography
Municipal solid waste management practices in inner cities of Osogbo, Osun State and its implications on health
Authors: Bello T.B , Kolawole T.D , Jesuleye F.A , Ogunola E.O , Oyebode M.O , Abraham O. D , Olaniyi R.O , Bamigbayan I.O 
Published: January 2022

Background: Indiscriminate waste disposal is a common practice in many cities of Sub-Saharan Africa and these unhealthy practices have made the region face severe environmental deterioration and health implications. The objective of this study is to assess the association between waste management practices and self-reported health outcomes among inner city dwellers in Osogbo.Method: The study is a cross sectional study carried out among 351 household heads using a semistructured interviewer administered questionnaire.Results: Majority (78.6%) of respondents had poor practice of waste management although, most showed concern on likely impacts of poor waste management. Most of them (81.8%) demonstrated positive attitude towards waste management and were willing to participate in organized waste management at low cost. Gender (X2 =7.217, P<0.05), income (X 2=12.140, P<0.05), occupation (X 2=29.034, P<0.05) and level of education were significantly associated with their poor waste management practices. Majority (74%) reported at least one ill health condition, practice and attitude were the major variables implicated in various ill health reported by the respondents.Conclusion: Poor waste management practices are strongly associated with ill health.
Keywords: Solid Waste, Management, Self-reported health outcomes, Practices.
Pengaruh Strategi Positioning terhadap Keputusan Pembelian Produk Asuransi Jiwasraya
Authors: Sindi Sindi , Aslami Nuri 
Published: January 2022

The purpose of this study is to identify and analyze the effect of product positioning strategy, price and service on consumer purchasing decisions on life insurance. This research is a library research. This research is a type of research that tries to collect data from literature studies. The first step of this research is to collect and study data from the same research by previous researchers . The results of this study indicate that products, prices and services have a significant effect on consumers' purchasing decisions on life insurance. The positioning strategy in making the decision to purchase life insurance products is positive. The company determines its target market, which includes all consumers as a whole. Meanwhile, the company's positioning strategy always prioritizes the interests of consumers, affordable product prices, and provides benefits.
Keywords: Positioning strategy, Purchase decision, Influence