bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Influencing Employee Retention in 3-Star Hotels: Evidence from New Juaben North Municipality, Ghana
Authors: Siaw Gladys Apreh , Agbenyeke Lucy Eyram , Gyasi Grace Owusu , Afari  Beatrice 
Published: July 2022

Purpose: Hotels spend millions of dollars every year on recruitment processes. Nevertheless, employee retention rate has not been encouraging among hotels in Ghana. This paper therefore assessed the factors influencing employee retention in 3-star hotels in New Juaben North Municipality of Ghana.
Methodology: The explanatory research design was employed, and a representative sample of 102 employees were randomly selected and included in this study. A structured questionnaire was used to collect data for the analysis. Multiple regression models were used to estimate hypothesised unadjusted and adjusted relationships between employee retention and potential retention factors – training and development, wages and compensation, performance appraisal, work-life balance, job satisfaction and job security.
Findings: First, adjustment with the factors showed significant effects of training and development, wages and compensation, performance appraisal, work-life balance, job satisfaction and job security on employee retention. Next, control for employees’ characteristics revealed significant relationships of training and development, wages and compensation, performance appraisal, work-life balance, job satisfaction and job security with employee retention.
Recommendation: The findings suggested that improvement in these explanatory factors would result in high employee retention rate in 3-star hotels in the New Juaben North Municipality. Thus, managements of these hotels should channel efforts into improving work conditions of their employees.
A CORRELAÇÃO ENTRE OS NUTRIENTES E A EVOLUÇÃO E O PROGNOSTICO DA DOENÇA DE ALZHEIMER
Authors: Rodrigues de Oliveira Lara Rafaela , Santos Thiago Augusto dos , Aquino de Toledo Diego , Leite Dornelas Ana Lucia , De Castro Moreira Maria Eliza 
Published: July 2022

O Alzheimer é a doença neurodegenerativa mais relacionada à idade, sendo descritas diversas manifestações cognitivas e neuropsiquiátricas que acarretam deficiência progressiva e incapacitação. A partir da evolução clínica dos casos, outras alterações associadas à memória e cognição foram evidenciadas, sendo citada como fator de retardo da evolução da doença o padrão de alimentação do sênior. Este estudo tem como objetivo demonstrar a relação entre a nutrição e a progressão da doença de Alzheimer, tanto como forma de prevenção quanto melhoras dos quadros clínicos dos portadores. Metodologia: Foram analisados artigos originais, cujas pesquisas foram realizadas nas plataformas eletrônicas United States National Library of Medicine (PubMed) e Google Acadêmico (Academic Google). Conclusão: Com a evolução deste trabalho foi possível revisar, na literatura médica, os principais aspectos que revelam o desenvolvimento/retardo da doença de Alzheimer e sua relação com a alimentação do idoso. Assim, os estudos demonstraram que a nutrição está diretamente relacionada com o prognóstico da Doença.
Early Versus Interval Cholecystectomy in Mild Acute Biliary Pancreatitis. A Retrospective Study in Tertiary Care Hospital
Authors: Sidra Mehmood Dar  , Anam Saeed  , Jamal Nasir Malik  , Sadaf Batool  , Jahangir Sarwar Khan  
Published: July 2022

Objective: The objective is to determine the adequacy of early cholecystectomy (EC) versus interval cholecystectomy (IC) in terms of recurrence, duration of hospital admission, and perioperative complications after mild acute biliary pancreatitis (MABP).
Methodology:Â After endorsement from the ethical committee, clinical data and files of all the admitted patients having MABP in the general surgery department of Holy Family Hospital, Rawalpindi, was collected retrospectively from August 2017 to July 2020. The patientsâ€™ demographic profile, clinical findings, diagnostic investigations, timing of cholecystectomy, operating surgeons, operative time, biliary complications, intraoperative bleeding, conversion rate, duration of admission, and recurrence were reviewed. Patients presented with abdominal pain, vomiting, jaundice, or fever. The diagnosis was confirmed on the basis of a CT scan of the abdomen showing an inflamed pancreas and stones in the gallbladder. Outcomes were compared and reviewed between the two groups.
Results:Â In this research proposal, 263 patients admitted were analyzed. EC was performed were discharged after conservative management and followed up after 12 weeks for interval laparoscopic cholecystectomy (IC). It was observed in patients of IC (EC 2 [1.2%] vs IC 7[7%]; p value <0.01) while duration of hospitalization was prolonged as compared to patients of EC (EC 5.53+0.58days vs IC 5.82+0.78days; p value <0.001). lar in both EC and IC.
Conclusion:Â EC performed after MABP is associated with shorter duration of hospitalization and reduced recurrence with similar rate of perioperative complications.
Correlation of Body Mass index with Disease Activity in Rheumatoid Arthritis
Authors: Fatima Khan  , Wajahat Aziz  , Saleha Farrukh  , Uzma Rasheed  , Shazia Zammarrud  
Published: July 2022

Objective:Â To evaluate correlation between body mass index and disease activity in rheumatoid arthritis patients.
Methodology: This comparative case-control observational study was conducted at Pakistan Institute of Medical Sciences, on rheumatoid arthritis patients visiting the (Out Patient Departments) OPDs between July, 2021 and December, 2021.The study subjects were selected by non-probability convenient sampling from outpatient department. Body mass index and disease activity score were calculated for rheumatoid arthritis patients in OPD. Statistical Package for Social Sciences (SPSS) version 26 was used for data analysis. Mean Â± S.D was calculated for age, body mass index and disease activity.Â Pearsonâ€™s correlation coefficient was used for establishing an association between variables. P value less than 0.05 was considered significant. Simple scatter with fit line was plotted to show graphical association between body mass index and disease activity.
Â Results: A total 60 patients with 35 (58.3%) female and 25(41.7%) were male. The mean age was 47.21 years. The mean DAS-28 for normal weight group was 2.74 and for overweight group was 4.17. There was positive correlation between body mass index and DAS-28 with r was 0.584 (p<0.05). When correlation on gender basis was calculated, for female patients r was 0.653 and for males 0.529, respectively.Â
Conclusion: In Rheumatoid Arthritis patients, body mass index is positively correlated with disease activity. Evaluation of this requires trial on large scale, thus, helping in tailoring new management plan, including, weight reduction rather than escalating drug treatment for disease control and improving quality of life in rheumatoid arthritis patients.
Chronic Lymphocytic Leukemia: Autoimmune Presentations in A tertiary Care Hospital of Lahore
Authors: Rashid Arsala , Mukarrama Rashid  , Nabila Aslam  , Sheikh Huma , Kashif Ambareen , Ayesha Khanum  
Published: July 2022

Objective: To determine the frequency of presenting features and complication in chronic lymphocytic leukaemia
Methodology: This descriptive study was conducted at the Hematology department, King Edward Medical University and affiliated hospitals, from July to December 2017. For every patient, a through clinical and dermatological examination, abdominal ultrasound , bone marrow examination was done. Afresh 3 ml blood sample for CBC, immune profile, and serum testing was collected by a syringe using aseptic technique. A complete blood count was carried out using Automated Haematology Analyzer (Sysmex KX-21) and chemical examination was done on Beckman Coulter Beckman coulter. Reticulocyte count was done and direct antiglobulin test using coombâ€™s reagent was done. Every patient was evaluated for the creteia of SLE and was categorized accordingly.
Results: Out of the 150 patients enrolled in the study, 122(81.3%) were male and 28(18.7%) patients were female. The mean age was 65.8 Â± 1.33 years with the majority of patients falling in the group of 71- 80 years. Out of 150 patients, 40 (26.7%) had coombs positive. Most of the patients who had coombs positive were in stage 4. The patients who presented with complications such as paraneoplastic pemphigus were 1 out of 150 patients. Splenomegaly was found in 87.3 % of all CLL patients with 13.33% presented with massive splenomegaly .Angioedema was found in 2 out of 150 patients. No case of SLE, Sjogren s syndrome Churg strauss Syndrome, Vasculitis or Richters Trasnformation was found.
Conclusion: Detection of complications in a significant number of CLL patients is related to disease progression and overall survival. The treatment modalities are different in different causes of anaemia and complications due to CLL. It will help the clinicians in modifying the treatment and decreasing the misery of patients due toÂ co morbidities.
Comparison of Fully Deflated with Partially Inflated Technique for Ease of Insertion of Laryngeal Mask Airways in Adults
Authors: Munir Mehwish , Batool Fizza , Rasool Qudsia , Nazir Ayesha , Salem shahani Arshad , Malik Anum 
Published: July 2022

Objective: To compare the frequency of ease of insertion of the laryngeal mask airway (LMA) between fully deflated and partially inflated laryngeal mask airway, in anesthetized mechanically ventilated adult patients undergoing different non-emergency short-term surgical and gynecological procedures.
Methodology: A total of 104 patients were recruited in this RCT. Using computer generated random numbers, patients were allocated to two groups: fully deflated LMAs in A and partially inflated LMAs in B. Pre-operative assessment was done and informed consent was taken. All subjects were 20â€“40 years of age, ASA-I and ASA- II, planned for short surgical and gynaecological cases (elective) that required general anaesthesia with mechanical ventilation. Premedication with 2 mg midazolam IV was done 30 minutes before the start of the operation. Monitors were attached. One 18G cannula was maintained. IV fluids were administered to each patient as per patientâ€™s and procedure's requirements. Pre-oxygenation was done with 100% oxygen with a face mask for three minutes. Glycopyrrolate IV 0.2mg/kg and nalbuphine IV 0.15mg/kg were given to all at induction by an anesthetist.
Results:Â In Group A, 98% of patients had ease of insertion while 2% of patients didnâ€™t have ease of insertion, whereas in Group B 90% of patients had ease of insertion and 10% of patients didnâ€™t. Ease of insertion was measured by the number of attempts (first attempt insertion â€“ ease of insertion).
Conclusion: Our study concludes that the fully deflated technique is superior as compared to the partially inflated technique in terms of easier insertion in Laryngeal mask airways.
The Role of Serum C - reactive protein, White Blood Cell Count and Neutrophils Percentage in the Diagnosis of Childhood Acute Appendicitis
Authors: Hajira Sabir  , Farhana Shehzad  , Aqsa Anam  
Published: July 2022

Objective: To determine the role of CRP, white cell count, and granulocytosis in accurately diagnosing acute appendicitis. The sensitivity, specificity, positive predictive value negative predictive values of these tests was calculated. Â
Methodology: This cross-sectional study was conducted in the immunology department of the Childrenâ€™s Hospital and University of Child Health Sciences, Lahore over a period of six months from July 2019 to December 2019. A total of 91 suspected patients with acute appendicitis were included. The blood samples were collected from the patients and immediately sent to the lab for estimating serum CRP, WBC count and Neutrophil Percentage (Nu %). The sensitivity, specificity, positive predictive value, and accuracy were calculated for each test, and then the combined sensitivity, specificity, positive predictive value, and accuracy were calculated.
Results: The mean values of CRP, WBC, and Nu % were 59.44 mg/L, 15.30 uL, and 76% respectively, among the 71 patients with acute appendicitis. The mean values of CRP, WBC, and Nu % in another group of patients with non-specific abdominal pain were 29.13mg/L, 9.05/uL, and 62.93 percent, respectively. Â The sensitivity, specificity, accuracy, positive predictive value, and negative predictive values of these 3 tests 93.87%, 83.63%, 88.5%, 92% and 63.63% respectively.
Conclusion: The combination of clinical indications and symptoms, as well as tests of serum CRP, WBC count, and neutrophils percentage, can improve pre-surgical decision-making and rescue children from both negative surgery and appendix complications if left untreated.
Función liberadora de la filosofía
Authors: Ellacuría Ignacio 
Published: July 2022

La filosofía desde siempre, aunque de diversas formas, ha tenido que ver con la libertad porque la relación filosofía-libertad toca a fondo el propósito fundamental del saber filosófico, el cual, aunque puede definirse como una búsqueda de la verdad, difícilmente podría quedar reducido a una búsqueda de la verdad por la verdad. Por eso, por razones más prácticas que especulativas, este artículo tiene como punto de partida dos constataciones fundamentales para un quehacer filosófico realmente latinoamericano.
La primera constatación que hace el autor es que en América Latina predominan unas condiciones de opresión y de represión a las que han contribuido, directa o indirectamente, sino filosofías estrictamente tales, al menos formulaciones ideológicas de esas filosofías y las realidades socioeconómicas y políticas que son su suelo nutrición e interés principal.
La segunda constatación importante es que América Latina no ha producido una filosofía propia en cuanto originada desde su propia realidad histórica y que desempeñe, al mismo tiempo, una función liberadora respecto a aquella realidad. En consecuencia, en las siguientes páginas se precisa qué función liberadora le corresponde a la filosofía aquí y ahora para, sin dejar de ser filosofía, antes bien reconstituyéndose como tal, ser realmente filosofía para liberar a la totalidad de la cultura y de las estructuras sociales, dentro de las cuales las personas tienen que autorrealizarse libremente.
ECA Estudios Centroamericanos, Vol. 40, No. 435-436, 1985: 45-64.
Analisis Kemampuan Penggunaan Isim Isyarah Dalam Pembelajaran Bahasa Arab Siswi MTs Darul Huffaz Pesawaran
Authors: Kasmudi  
Published: July 2022

Penelitian ini dilakukan karena masih ditemukannya kesulitan siswa pada pembelajaran bahasa Arab, khususnya dalam penggunaan isim isyarah (kata tunjuk). Dalam teorinya para siswi mampu menyebutkan isim isyarah, akan tetapi masih ditemukan beberapa kesalahan ketika dilakukan tes tulis, kesalahan itu diantaranya adalah siswi masih kesulitan memahami materi isim isyarah sehingga sulit membedakan isim isyarah berdasarkan jumlah dan jenisnya. Penelitian ini bertujuan untuk mengetahui kemampuan siswi dalam penggunaan isim isyarah dalam pembelajaran bahasa Arab serta untuk mengetahui faktor apa saja yang mempengaruhi kemampuan bahasa Arab, khususnya penggunaan isim isyarah dalam pembelajaran bahasa Arab siswi kelas VIII G MTs Darul Huffaz Pesawaran. Adapun jenis penelitian ini adalah penelitian deksriptif dengan pendekatan kualitatif. Penelitian ini dilakukan di Madrasah Tsanawiyah Darul Huffaz Pesawaran. Metode pengumpulan data yang digunakan adalah wawancara, observasi, tes, kuisioner, dan dokumentasi. Hasil penelitian menunjukkan bahwa tingkat pemahaman siswi kelas VIII G dalam penggunaan isim isyarah masih sangat kurang, hal ini dipengaruhi juga oleh faktor internal yaitu berasal dari kesehatan badan saat mengikuti proses pembelajaran dan sifat malu bertanya, hal ini bisa dilihat dari sikap siswi di dalam kelas ketika pelajaran berlangsung, siswi tidak berusaha bertanya hal-hal terkait materi yang tidak difahaminya, dan faktor eksternal yaitu metode yang digunakan guru yang digunakan secara terus-menerus yang mungkin saja membuat siswi merasa bosan ketika KBM berlangsung, dan dalam penggunaan media pembelajaran, guru bahasa Arab hanya sesekali saja menggunakannya seperti LCD proyektor.
Kata Kunci: Isim Isyarah (Kata tunjuk), Pembelajaran Bahasa Arab
Guanfacine for Autism Spectrum Disorder, Attention-Deficit/Hyperactivity Disorder, and/or Oppositional Defiance Disorder
Authors: Jahagirdar Deepa , Mahood Quenby 
Published: July 2022

This review identified 4 relevant systematic reviews, 2 randomized controlled trials and 1 guideline since 2017.
The systematic reviews and trials suggest that guanfacine is more clinically effective than placebo for improving symptoms of attention-deficit/ hyperactive disorder, however it may be associated with increased adverse events such as abdominal pain and fatigue.
There is some suggestion from 2 systematic reviews that guanfacine may be equally effective as other psychostimulants or non-psychostimulants, with the potential for more greater side effects, but the evidence is highly uncertain.
The included guideline has a strong recommendation to offer guanfacine for use in children and adolescents when psychostimulants have failed, or they are not tolerable.
No evidence was identified on the cost-effectiveness of guanfacine relative to psychostimulants, non-psychostimulants or placebo that met the inclusion criteria.
La intertextualidad en la didáctica de las ciencias duras
Authors: Velázquez Ávila Kenia María , Santiesteban Naranjo Ernan , Mir Sanabria Bárbara 
Published: July 2022

Existen diversas clasificaciones para atomizar las ciencias, según sus objetos de estudios. Quizás la clasificación más general es la que deslinda las ciencias blandas de las ciencias duras. Las primeras estudian los fenómenos sociales, mientras que las segundas estudian fenómenos físicos y naturales. Existen muchísimos elementos que las distinguen, tan es así que a veces parece imposible lograr una conexión científica entre ellas; sin embargo, existe un punto donde convergen, y es en la finalidad.
Todas las ciencias tienen la finalidad de mejorar la calidad de vida de los seres humanos. No obstante, esta verdad irrefutable parece ser olvidada por muchos, y esta dicotomía se hace más latente cuando de enseñar las ciencias se trata. En la práctica pedagógica se ha generalizado la infeliz idea de que mejor profesor es, quien más conocimiento tenga sobre la ciencia que sustenta su asignatura. Y es este el primer error que cometemos, pues ciencia y asignatura no son lo mismo.
PENGARUH KOMPETENSI APARATUR SIPIL NEGARA, SISTEM PENGENDALIAN INTERN PEMERINTAH,SISTEM INFORMASI KEUANGAN DAERAH TERHADAP AKUNTABILITAS KEUANGAN
Authors: Noor Mochamad Taufan , Fidiana Fidiana , Handayani Nur 
Published: July 2022

Penelitian ini bertujuan menguji dan menganalisis pengaruh Kompetensi Aparatur Sipil Negara, Sistem Pengendalian Intern Pemerintah, Sistem Iinformasi Keuangan Daerah terhadap Akuntabilitas Keuangan. Jenis data yang digunakan dalam penelitian ini adalah data primer yang diperoleh dari kuesioner yang disebarkan langsung kepada responden yaitu Populasi dalam penelitian ini adalah semua pihak yang menerima delegasi wewenang dan tanggung jawab untuk terlibat dalam Pembuatan Laporan Keuangan yang ada di 32 Organisasi Perangkat Daerah Kabupaten Gresik. Dalam hal ini populasi penelitian adalah di setiap Organisasi Perangkat Daerah Kabupaten gresik dalam penyusunan perencanaan anggaran serta berkaitan dengan penyusunan laporan keuangan. Populasi dalam penelitian ini berjumlah 56. Hasil analisis menunjukkan bahwa Kompetensi Aparatur Sipil Negara berpengaruh secara positif terhadap Akuntabilitas Keuangan. Hal ini dikarenakan semakin meningkatnya Kompetensi Aparatur Sipil Negara akan meningkatnya juga Akuntabilitas Keuangan. Sistem Pengendalian Intern Pemerintah berpengaruh positif terhadap Akuntabilitas Keuangan. Hal ini dikarenakan semakin meningkatnya Sistem Pengendalian Intern Pemerintah akan meningkatnya juga Akuntabilitas Keuangan. Sistem Informasi Keuangan Daerah berpengaruh positifterhadap Akuntabilitas Keuangan. Hal ini dikarenakan semakin meningkatnya Sistem Informasi Keuangan Daerah akan meningkatnya juga Akuntabilitas Keuangan.
THE RELATIONSHIP OF PARITY AND EDUCATION WITH PREGNANT WOMEN'S KNOWLEDGE ABOUT PREGNANCY HAZARD SIGN AT TULUNG PUSKESMAS SELAPAN 2020
Authors: Heryanti  , Clara Sintia Mahesa  
Published: July 2022

Pregnancy involves psychological changes or physiologic from mother and social changes in family. Pregnancy alert is syndrome which indicates that mother and baby are in dange. The aims of this research is to find out the correlation parity and mother’s education with pregnant mother’s knowledgeabout pregnancy alert in Tulung Selapan Health Care year 2020. This research used analytic survey method. This research population is all maternities TM III who come to Tulung Selapan Health Care in December 2020. Sample taking of this research is acedental sampling method. Sample of this research is 37 respondents. From the result of univariate analysis obtained well - knowledge respondent (73,0%) more than enough - knowledge motherand lack namely each one (13,5%). Mother’s parity and high parity (70,3%) more thanwith mother’slow parity (29,7%). Mother with high education (67,6%) more than with mother with low education (32,4%). From the result of bivariate analysis reached that there is correlation between parity with maternity’s knowledge about pregnancy alert in Hj. Zuniawaty Apprentice Palembang year 2020 ( There is correlation between mother with pregnant mother’s knowledge about pregnancy alert in Tulung Selapan Health Care year 2020 ( Suggestion from researcher that this research result can be as evaluation subtance for Tulung Selapan Health Care so that can increase antenatal care service, can enhance attention to people mainly to maternity in giving service according to prenatal care.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI MOTIVASI IBU PADA PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA)
Authors: Sari Sri Mulia Sari , Dea Mega Arini  , Putinah  , Nelly Mariyam  
Published: July 2022

Kanker leher rahim merupakan salah satu jenis kanker yang paling banyak terjadi pada wanita dan mengerikan, mengingat tingkat bahaya penyakit tersebut. Tujuan penelitian ini adalah diketahui hubungan dukungan suami dengan motivasi ibu pada pemeriksaan Inspeksi Visual Asam Asetat (IVA) di Puskesmas Gandus Palembang Tahun 2021. Desain penelitian ini adalah rancangan Deskriptif Analitik dengan menggunakan pendekatan Cross Sectional. Teknik pengambilan sampel menggunakan teknik Probability Sampling sebanyak 39 responden di Puskesmas Gandus Palembang pada bulan April s.d Juli 2021. Adapun hasil penelitian ini adalah penelitian univariat didapatkan responden yang dukungan suami baik sebanyak (61,5%), responden yang memiliki motivasi kuat sebanyak (59,0%) dan hasil penelitian bivariat didapatkan ada hubungan dukungan suami dengan motivasi responden di Puskesmas Gandus Palembang Tahun 2021 dengan nilai p value 0,035. Kesimpulan penelitian ini ada hubungan dukungan suami dengan motivasi responden di Puskesmas Gandus Palembang Tahun 2021 dengan nilai p value 0,035.