Locus of Control dan Kepuasan terhadap Proses Pembelajaran (studi pada Program Studi Manajemen-Akuntansi Universitas Muria Kudus dan STIE Al-Anwar Mojokerto)

The purpose of this study is to determine the Locus of Control (LOC) of the students at the University of Muria Kudus(UMK) and the Higher School of Economics (STIE) Al-Anwar, knowing students' perceptions of satisfaction with the learning process, and to test empirically the differences in perception between students with internal and external LOC on satisfaction with the learning system on the UMK and Al-Anwar STIE Mojekerto. Data obtained by the respondents distribute directly to faculty and students at the University of the Holy Muria randomly selected.Locus of Control to find out (LOC) of the students at the University Holy of Muria Kudus (UMK) and the Higher School of Economics (STIE) Al-Anwar dpersepsi students about satisfaction with the learning process; conducted a descriptive analysis of data processing. Next up is testing the hypothesis. Hypothesis testing using different test with a test average of Independent Sample t-Test, to test the average there are differences in perception between students with internal and external LOC on satisfaction with the learning system on the UMK and Al-Anwar STIE Mojekerto. The results of testing the hypothesis (HA) is a student who has an internal locus of control will show a higher level of satisfaction compared with students who have an external locus of control, showing that the average (Mean Rank) satisfaction rating for students who have internal locus of control (41.61) is greater than the average (Mean Rank) satisfaction of students who have an external locus of control (31.51). Differences were statistically significant (p-value <0.05), then the hypothesis (HA) is received.From the results of this analysis indicate that there are differences in the satisfaction (based on students' perceptions), which mahsiswa who have internal locus of control indicates the level of satisfaction with the process of higher learning of the students who have an external locus of control

Efficacy of transoral fundoplication for treatment of chronic gastroesophageal reflux disease incompletely controlled with high-dose proton-pump inhibitors therapy: a randomized, multicenter, open label, crossover study.

Background The aim of this randomized, crossover study was to determine if transoral fundoplication (TF) could further improve clinical outcomes in partial responders to high-dose (HD) proton-pump inhibitor (PPI) therapy and to evaluate durability of TF. Methods In seven United States centers, patients with hiatal hernia ≤2 cm and abnormal esophageal acid exposure (EAE) were randomized to TF (n = 40) or HD PPIs (n = 23) group. At 6-month follow-up, PPI patients underwent crossover. We assessed clinical outcomes 6-month post TF in crossover patients (COP), as compared to 6-month of HD PPI therapy, and 12-month outcomes in patients initially randomized to TF. The primary outcome was symptom control evaluated by Reflux Disease Questionnaire and Reflux Symptom Index. Secondary outcomes included healing of esophagitis, normalization of EAE and PPI use after TF. We analyzed 21 COP and 39 TF patients. McNemar’s test or Fisher exact test was used to compare proportions. Results Of 63 randomized patients, 3 were lost to follow-up, leaving 39 TF and 21 COP for analyses. In the COP, TF further improved control of regurgitation and of atypical symptoms achieved after six months of HD PPIs. Of 20 patients with GERD symptoms after six months of high-dose PPI therapy, 65% (13/20) reported global elimination of troublesome regurgitation and atypical symptoms post TF off PPIs; 67% (6/9) reported no troublesome regurgitation. Esophagitis further healed in 75% (6/8) of patients. Seventy-one percent of COP patients were off PPIs six months following TF. Normalization of EAE decreased from 52% after HD PPIs (on PPIs) to 33% after TF (off PPIs), p =0.388. In the original TF group, 12-month post TF, 77% of patients achieved complete symptom control, 82% ceased PPI therapy, 100% healed esophagitis and 45% normalized EAE. Conclusions The results of this study indicate that in patients with incomplete symptom control on high-dose PPI therapy TF may provide further elimination of symptoms and esophagitis healing. In the original TF group, the clinical outcomes of TF remained stable between 6- and 12-month follow-up. Trial registration Clinicaltrials.gov: NCT01647958

Deforestation perspectives of dry temperate forests: main drivers and possible strategies

Deforestation is the accelerating factor of climate change in developing countries. The German Watch Report 2020 had rated Pakistan number seventh most affected country due to adverse impacts of climate change. The problem of deforestation poses an existential danger to the forest-depleted country. It is of utmost importance to predict the main drivers to control deforestation. This study was conducted from October 2021 to August 2022 in dry temperate forests of the Chilas to investigate the current condition, causes of deforestation, and predicted the main drivers by using a binary regression model. Stratified random sampling techniques and fixed area plot method were used and taken ground measurements during field inventory to access current situation of deforestation. While a non-probability quota sampling technique and semi-structured questionnaire were utilized for the determination of main drivers of deforestation through respondent’s survey. The forest inventory result showed that most trees fall in immature and sub-mature (mainly in 10–20 and 20–30 cm) diameter classes while the binary logistic regression model predicted dominating four primary drivers (unsustainable fuel wood extraction, unsustainable timber extraction and urban crawling and rural expansion/habituation, and free and uncontrolled livestock grazing) and one secondary driver (wood for energy needs). To address the underlying causes of deforestation, the government must supply alternate energy sources, as well as other economic possibilities to reduce dependency on forests

Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre

Mandibular fracture is a common occurrence in emergency medicine and belongs to the most frequent facial fractures. Historically road traffic injuries (RTIs) have played a prominent role as a cause for mandibular fractures. We extracted data from all patients between August 2012 and February 2015 with &quot;lower jaw fracture&quot; or &quot;mandibular fracture&quot; from the routine database from the emergency department. We conducted a descriptive analysis at a Swiss level one trauma centre. 144 patients were admitted with suspected mandibular fractures. The majority underwent CT diagnostic (83%). In 7% suspected mandibular fracture was not confirmed. More than half of all patients suffered two or more fractures. The fractures were median or paramedian in 77/144 patients (53%) and in other parts (corpus, mandibular angle, ramus mandibularis, collum, and temporomandibular joint) in 100/144 (69%). Male to female ratio was 3 : 1 up to 59 years of age; 69% were younger than 40 years. 72% of all patients presented during daytime, 69% had to be hospitalized, and 31% could be discharged from the ED after treatment. Most fractures were due to fall (44%), followed by interpersonal violence (25%) and sport activities (12%). Falls were a dominant cause of fracture in all age groups while violence and sport activities were common only in younger patients. Comparisons to other studies were difficult due to lack of standardization of causes contributing to the injuries. In the observed time period and setting RTIs have played a minor role compared to falls, interpersonal violence, and sports. In the future, standardized documentation as well as categorization of causes for analytic purposes is urgently needed to facilitate international comparison of studies

Influence of supervisors’ attributes on the supervision outcomes among counselling interns

Attributes consist of three subscales which include attractiveness, expertness, and trustworthiness. The supervisors’ attributes are measured using the Counsellor Rating Form Short (CRF-S), developed by Corrigan and Schmidt (1983). The study involved 120 students of the Bachelor of Education (Guidance and Counselling) with Honour from a public university in Malaysia who undergo the internship program at various organizations. Validity of the instrument for this study is .97 whereas its reliability is α = .85. Based on the findings of the study, there was a moderately strong relationship between the supervisors’ attributes and it has uniquely influenced the supervision outcomes. Implications of the findings for counsellor, supervisor, counselling interns and areas for future research were discussed

Efficacy of transoral fundoplication for treatment of chronic gastroesophageal reflux disease incompletely controlled with high-dose proton-pump inhibitors therapy: a randomized, multicenter, open label, crossover study

Abstract Background: The aim of this randomized, crossover study was to determine if transoral fundoplication (TF) could further improve clinical outcomes in partial responders to high-dose (HD) proton-pump inhibitor (PPI) therapy and to evaluate durability of TF. Methods: In seven United States centers, patients with hiatal hernia ≤2 cm and abnormal esophageal acid exposure (EAE) were randomized to TF (n = 40) or HD PPIs (n = 23) group. At 6-month follow-up, PPI patients underwent crossover. We assessed clinical outcomes 6-month post TF in crossover patients (COP), as compared to 6-month of HD PPI therapy, and 12-month outcomes in patients initially randomized to TF. The primary outcome was symptom control evaluated by Reflux Disease Questionnaire and Reflux Symptom Index. Secondary outcomes included healing of esophagitis, normalization of EAE and PPI use after TF. We analyzed 21 COP and 39 TF patients. McNemar&apos;s test or Fisher exact test was used to compare proportions

Profail Pengguna, Amalan dan Kesan Menghisap Vape di Malaysia

Electronic cigarettes also known as vape or vapor have received increasing popularity among the younger generation. Among the main reasons for vaping is to stop and to reduce the harm and ill effect of smoking. In 2015, the National Fatwa Council has declared that vaping is ‘haram’. However, the use is still on the rise. The study aims to examine the user profile, reasons for choosing to vape, usage habits and side effects of its use. The study uses a cross sectional survey design through questionnaire obtain from 631 people. The findings show that many vapes are Malays and are still single. Many start vaping on their own, have their own vaping equipment and claim it is easy to buy. Some 37.2% claimed that the number of cigarettes smoked has been reduced. Only a small number admit they mix it with other drugs; 27% want to stop from vaping while more than half is uncertain whether they want to stop vaping. In terms of its effect, 3.96% reported experiencing more than five of the 12 withdrawal effects, such as physical attraction effects (headache and joints); emotional attraction (boredom, frustration and frustration); cognitive effects (hard to think, difficult to make choices and decision making). Implications are discussed in terms of raising awareness especially for Muslims and prevention in general

Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM<inf>2·5</inf> air pollution, 1990–2019: an analysis of data from the Global Burden of Disease Study 2019

Background: Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2·5 originating from ambient and household air pollution. Methods: We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2·5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure–response curve from the extracted relative risk estimates using the MR-BRT (meta-regression—Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2·5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2·5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals. Findings: In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2·5 exposure, with an estimated 3·78 (95% uncertainty interval 2·68–4·83) deaths per 100 000 population and 167 (117–223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13·4% (9·49–17·5) of deaths and 13·6% (9·73–17·9) of DALYs due to type 2 diabetes were contributed by ambient PM2·5, and 6·50% (4·22–9·53) of deaths and 5·92% (3·81–8·64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2·5. Interpretation: Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2·5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes. Funding: Bill & Melinda Gates Foundation

Impact of COVID-19 Pandemic on TAVR Activity: A Worldwide Registry

Background: The COVID-19 pandemic had a considerable impact on the provision of structural heart intervention worldwide. Our objectives were: 1) to assess the impact of the COVID-19 pandemic on transcatheter aortic valve replacement (TAVR) activity globally; and 2) to determine the differences in the impact according to geographic region and the demographic, development, and economic status of diverse international health care systems. Methods: We developed a multinational registry of global TAVR activity and invited individual TAVR sites to submit TAVR implant data before and during the COVID-19 pandemic. Specifically, the number of TAVR procedures performed monthly from January 2019 to December 2021 was collected. The adaptive measures to maintain TAVR activity by each site were recorded, as was a variety of indices relating to type of health care system and national economic indices. The primary subject of interest was the impact on TAVR activity during each of the pandemic waves (2020 and 2021) compared with the same period pre–COVID-19 (2019). Results: Data were received from 130 centers from 61 countries, with 14 subcontinents and 5 continents participating in the study. Overall, TAVR activity increased by 16.7% (2,337 procedures) between 2018 and 2019 (ie, before the pandemic), but between 2019 and 2020 (ie, first year of the pandemic), there was no significant growth (–0.1%; –10 procedures). In contrast, activity again increased by 18.9% (3,085 procedures) between 2020 and 2021 (ie, second year of the pandemic). During the first pandemic wave, there was a reduction of 18.9% (945 procedures) in TAVR activity among participating sites, while during the second and third waves, there was an increase of 6.7% (489 procedures) and 15.9% (1,042 procedures), respectively. Further analysis and results of this study are ongoing and will be available at the time of the congress. Conclusion: The COVID-19 pandemic initially led to a reduction in the number of patients undergoing TAVR worldwide, although health care systems subsequently adapted, and the number of TAVR recipients continued to grow in subsequent COVID-19 pandemic waves. Categories: STRUCTURAL: Valvular Disease: Aorti