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Cost Effectiveness Analysis Of Psychopharmaca Therapy Combination Compared With Psychopharmaca Therapy And Ect Combination In Schizoaffective Inpatients At The Rsj Provinsi Jawa Barat, Yasmin Fadillah, Sani Asmi Ramdani Lestari, Ardilla Kemala Dewi

Pharmacology and Clinical Pharmacy Research

Mental disorders constitute an economic burden on health, estimated at USD 2.5 trillion in 2010 and expected to increase to USD 6 trillion by 2030. Treatment of schizoaffective disorder involves a combination of medication and psychotherapy. Pharmacoeconomics is an important consideration in drug selection. This study aims to determine the cost-effectiveness of psychopharmaca therapy combination compared with psychopharmaca therapy and ECT combination in schizoaffective inpatients at the RSJ Provinsi Jawa Barat. Data collection was conducted retrospectively from patient medical records for the period December 2023–December 2024. Total costs, based on a health perspective, include psychopharmaca drug costs, inpatient care costs, …

Evaluation Of Antibiotic Use Using The Gyssens Method On Clinical Outcomes In Ischemic Stroke Patients, Juniarto Mende, Graciano A. Maturbongs, Yohana K. A. Mbulang

Pharmacology and Clinical Pharmacy Research

Ischemic stroke is a health problem that causes death and neurovascular disability worldwide. The inflammatory response due to infection can increase ischemic stroke and increase brain damage through changes in blood pressure, coagulation, immune response, and endothelial function. This study aims to evaluate the rationality of antibiotic use on clinical outcomes in ischemic stroke patients. This study used a cross-sectional design. Retrospective data were taken from the medical records of Jayapura Regional Hospital for the period January 1, 2023, to May 31, 2025. The study subjects were all patients who suffered ischemic stroke and received antibiotics. Evaluation of the rationality …

Retrospective Analysis Of Antimicrobial Resistance Patterns In Gram-Positive And Gram-Negative Blood Isolates, Helman Kurniadi, Timbul Partogi Haposan Simorangkir, Ros Sumarny, Fitria Heldiana

Pharmacology and Clinical Pharmacy Research

Bloodstream infections are an important cause of morbidity and mortality, while antimicrobial resistance limits treatment options. This retrospective study evaluated bacterial distribution and antimicrobial susceptibility in blood cultures at RSPAD Gatot Soebroto, Jakarta, using microbiology and medical record data from January-December 2019. Clinically significant isolates were included, while duplicates and contaminants were excluded. Identification and susceptibility testing followed standard procedures and CLSI 2019 guidelines. Data were analyzed descriptively. Among 482 isolates, 246 (51.0%) were Gram-positive and 236 (49.0%) were Gram-negative. The Gram-positive isolates were mainly coagulase-negative staphylococci, including Staphylococcus epidermidis (62, 25.2%), S. hominis (61, 24.8%), and S. haemolyticus (50, …

Analysis Of Pharmacotherapy And Non-Pharmacotherapy Burden From The Ina-Cbgs Package For Cesarean Section Surgery At The Regional General Hospital Dr. Soedarso In 2023, Ananda Rizky Awwaliyah, Nurmainah Nurmainah, Ridha Ulfah

Pharmacology and Clinical Pharmacy Research

The prevalence of cesarean sections has been increasing each year. Previous studies show that the cost of medications and medical supplies for cesarean patients accounts for one-third of the total care costs. In the era of National Health Insurance (NHI), medications and medical supplies are considered operational expenses for hospitals rather than sources of income. This condition requires proper medication management and the use of medical supplies. This study aims to analyze the percentage of pharmacotherapy and non-pharmacotherapy, including the types and quantities of medications as well as disposable medical supplies used on patients undergoing cesarean section procedures at the …

Alexithymia In Substance Use Disorders: A Scoping Review Of Therapeutic Approaches, Pratami Diah Herliani, Shelly Iskandar, Angela Vera Herman Efendi

Pharmacology and Clinical Pharmacy Research

Alexithymia, defined as the inability to recognize and express emotions, has a high prevalence (40–50%) among individuals with substance use disorders (SUD), particularly alcohol use disorder, and is associated with poorer clinical outcomes. Despite this, comprehensive mapping of psychotherapeutic interventions targeting this condition within the SUD population remains limited. This study aimed to systematically map the therapeutic approaches investigated to address alexithymia among individuals with substance use disorders and to summarize the reported outcomes. A scoping review was conducted in accordance with the PRISMA-ScR guidelines using systematic literature searches in the PubMed and Scopus databases. Relevant studies were screened based …

Using Clustering Techniques And Mitre Att&Ck Threat Interpretation To Detect Anomalies In Modbus/Tcp For Industrial Control Systems, Shivanjali Khare, Tirthankar Ghosh, Jhansi Sreya Jagarapu, Atharva Haridas Sagare

Journal of Cybersecurity Education, Research and Practice

Recent attacks on America's critical infrastructure have drawn increased attention on securing industrial control systems and operational technology in power plants, utility companies, and other sectors providing public services. Attack detection and mitigation strategies on these systems have shown promising results using machine learning and other statistical baselining techniques, mostly using supervised learning and classification. Unsupervised learning using cluster analysis and other techniques remain mostly unexplored. In this paper, we propose multi-layered feature extraction and hybrid clustering framework to detect fine-grained nested attack patterns in Modbus-over-TCP traffic. Operating under the assumption of known number of distinct network categories, our approach …

Waves Of Exhaustion, Currents Of Renewal: An Autoethnography Of Academic Emotional Burnout And Recovery, Rofiza Aboo Bakar

The Qualitative Report

This autoethnography explores my experience of academic burnout and emotional recovery as a mid-career female educator in a Malaysian public university. Drawing from reflective journals, memory work, and embodied recollections between 2023 and 2025, I trace a personal journey through three experiential phases: the weight of expectations, burnout and emotional rupture, and embodied recovery through open sea swimming. The narrative is guided by Chang’s (2016) thematic structuring approach and interpreted through Lazarus and Folkman’s (1984) Transactional Model of Stress and Coping. My story reveals how burnout was not the result of overwork, but of institutional erasure. As I navigated the …

Truly Blown Away — Humanistic Lens Looking At Glassblowers’ Creative Thinking: A Qualitative Case Study, Yugant Patra

The Qualitative Report

This study examines how emotional and cognitive engagement shape glassblowing artists’ decision-making and artistic outcomes throughout the creative process. Using a qualitative case study methodology, the study examines how glassblowing artists conceptualize, execute, and refine their work by balancing their artistic vision with the medium's technical demands through a humanistic lens. Five themes emerge, which are discussed: the identification with self – confronting the demons, I belong here, claiming the molten as my own, the reign of glass and from it fractures rising anew, and having a conversation with glass. The study closes with the need for continued research on …

A Post-Positivist Perspective On The Varieties Of Qualitative Research: The Foris Framework, Marius Bytautas

The Qualitative Report

With the aim of bringing clarity to the realm of qualitative research—and offering a transition from tradition to methodological rationale—I employ Millian and Popperian inductive analysis methods to build a post-positivist account regarding the diversity of qualitative research varieties. I am responding to the problem that common labels in qualitative research often obscure the epistemic reasoning through which a study approaches its object. A brief set of working definitions is introduced to support the framework, but the main contribution is the conceptualization of research approach in five dimensions: focus, orientation, relation to the object, researcher intrusiveness, and scale (FORIS). By …

Community-Based Research: Key Considerations For Researchers And Community Partners When Collaborating, Bothwell Piason, Kathleen A. Fox

The Qualitative Report

Community-based research (CBR) is a research orientation that emphasizes equitable engagement in the process of knowledge production, though researchers and community partners may navigate collaborative partnerships with differing expectations, priorities, and understandings of success. Extant research has demonstrated that successful CBR partnerships can benefit both researchers and community partners, yet little is known about how both groups simultaneously conceptualize successful collaboration across diverse partnership contexts. In this study, we ask: What considerations do researchers and community partners identify as important when engaging in community-based research partnerships? Drawing on semi-structured interviews with 10 university researchers and 10 community partners engaged in …

The Lived Spirituality Experiences Of Adult Diabetes Patients In Adhering To Treatment, Dwight Mahaputera Marulitua Hutapea

The Qualitative Report

This descriptive phenomenological study explored the lived spirituality experiences of adult patients with Type 2 Diabetes Mellitus (T2DM) in adhering to treatment. Prior research has indicated that spirituality may influence attitudes toward and adherence to chronic disease management; however, empirical evidence addressing the spiritual dimension among people with diabetes remains limited. Guided by Colaizzi's (1978) phenomenological method, in-depth interviews were conducted with 12 purposively selected participants, equally distributed among Christians and Muslims. All interviews were transcribed verbatim and subjected to rigorous phenomenological analysis. Seven themes emerged from the data analysis: (a) spirituality strengthens relationships; (b) spirituality affects choices and outcomes; …

Relational-Developmental Autoethnography: A Method Of Qualitative Inquiry That Fosters Personal Growth, Chris Wells

The Qualitative Report

This paper introduces relational–developmental autoethnography (RDA), a qualitative method for exploring psychological growth through personal writing and reflection. Developed through lived experience, RDA traces psychological development through sustained, recursive engagement with personal writing. Drawing on an archive of my journals, letters, clinical records, and correspondence spanning more than 30 years, I show how writing and reflection were first tools for my survival, and later became catalysts for insight, healing, and transformation. RDA is grounded in two developmental frameworks: Dąbrowski’s theory of positive disintegration, which views emotional intensity and inner conflict as signs of developmental potential, and relational-cultural theory, which …

Representasi Identitas Dan Gastronomi Budaya Kuliner Jawa Dalam Lima Lagu Karya Ki Narto Sabdo, Aditya Pratama, Darmoko -, Ari Prasetiyo, Dwi Woro Retno Mastuti

Paradigma: Jurnal Kajian Budaya

Culinary is not just food and drink, but has transformed into a study of culinary gastronomy which focuses on aspects of history, values, philosophy, taste and components. The study of the problems discussed in this research is related to the cultural identity of Javanese culinary gastronomy in the five songs by Ki Narto Sabdo. Descriptive qualitative research methods with an objective approach were applied in this research. This research uses Santich's culinary gastronomy theory and Stuart Hall's theory of cultural identity representation with a constructionist approach. As a result, the representation of Javanese culinary gastronomic cultural identity is built on …

Timbangan Buku: Doing Visual Ethnography Fourth Edition (Sarah Pink 2021), Muhammad Nur Salim

Paradigma: Jurnal Kajian Budaya

This book review examines the fourth edition of Sarah Pink’s canonical work, Doing Visual Ethnography, which pioneers a methodological paradigm shift towards collaborative visual ethnography. The book deconstructs the positivistic assumption that positions the camera merely as an objective recording instrument, offering instead a framework of reflexivity wherein participants are elevated as co-producers of knowledge within the complexities of the contemporary digital ecology. This review critically evaluates Pink’s methodological contributions by highlighting ethical negotiations and the risks of extractive objectification in fieldwork. Furthermore, the review contextualizes the relevance of Pink’s approach specifically for the discipline of Cultural Studies, positioning …

The Correlation Between Ankle Proprioception And Lower Extremity Muscle Reactions In Response To Simulated Ankle Sprains, Erin Carroll, Justin Stanek, Abby Salvadore

Clinical Practice in Athletic Training

Context: Neurological structures of the somatosensory system provide proprioceptive and neuromuscular input regarding joint positioning to the brain. Lower extremity motor control relies on local proprioceptive input to the central nervous system and neuromuscular control of individual joints to produce coordinated, global responses to external events. The purpose of this study was to investigate the relationship between ankle proprioception and lower extremity muscle reaction time in response to an unexpected ankle inversion perturbation.

Methods: Twenty healthy college-aged volunteers were recruited to participate by word of mouth. Absolute and exact errors for passive joint position sense (PJPS) were assessed using a …

Electrical Stimulation And Localized Heat After Dry Needling Treatment To Reduce Low Back Pain, Morgan M. Mersola, Amanda Hawkes, Adam Mendenhall

Clinical Practice in Athletic Training

Context: Chronic low back pain (CLBP) is a musculoskeletal condition that often leads to reduced quality of life, prompting the need for effective conservative interventions such as dry needling (DN). A randomized controlled pilot study involving 12 participants was conducted at a physical therapy clinic.

Methods: The final subject pool consisted of a convenience sample of adults with CLBP lasting > 3 months. Participants were randomly assigned to either a dry needling-only group (DNO) or a dry needling plus modalities group (DN+M). The DNO group received a single dry needling treatment located at various sites along the multifidus by a physical …

Level Of Discrimination Experienced By Gender In Athletic Trainers And Professional Athletic Training Students, Emily Ghaussy, Seungyeon Kim, Jennifer Xu, Emily Madrak

Clinical Practice in Athletic Training

Context: Although women make up the majority of the athletic training field, gender-based discrimination continues to exist in the profession. Previous research exists; however, more current research on gender discrimination in the workplace is limited. This cross-sectional study examined level of perceived gender-based discrimination experienced by credentialed women athletic trainers and athletic training students in comparison to men athletic trainers and athletic training students. Four hundred forty-six cisgender men and women athletic trainers and athletic training students participated in our study. The median age was 28 years among cisgender women and 35 years among cisgender men.

Methods: Participants completed a …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Association Between Athletic Trainers And Frequency Of Pediatric Orthopedic Visits, Abaigeal Field, James M. Mensch, Courtney Meyer, Susan W. Yeargin

Clinical Practice in Athletic Training

Context: There is sparse research on the relationship between athletic trainer (AT) employment and the number of athletes presenting to orthopedic clinics with sports-related injuries. The purpose of this study is to determine if athletic training services are associated with the frequency of first-time orthopedic office visits for sports-related injuries.

Methods: A retrospective chart review collected injuries between January 1, 2018 and December 31, 2020 from the electronic health records system for a hospital network in the Southeast United States with 6 orthopedic clinics and included 48 high schools hosting 20 sports with at least 1 AT per school. Patients …

Methods For Treating Wastewater Generated During The Production Of Basalt Fiber Using Modified Bentonite Clay, Abdurasul O'Ktamovich Husenov, Baxtiyor Toxtayevich Sabirov, Diyor Asadullayevich Xadjibayev

Chemical Technology, Control and Management

This scientific article notes that in technological processes, wastewater is contaminated with various organic and mineral substances, including poisonous and toxic substances. Sources of environmental pollution include organic and inorganic substances formed during the production of basalt fiber. In this research work, the task is set to purify wastewater formed during the production of basalt fiber from organic substances. Bentonite clay is a very good natural sorbent and has the ability to purify some cations. When conducting laboratory experiments, bentonite clays from the "Azkamar" and "Navbahor" deposits were selected to purify wastewater formed during the production of basalt fiber from …

Mathematical Models Of Magnetoelastic Acceleration Transducers Developed Based On The Theory Of Lumped Parameter Circuits, Amirov Fayzullayevich Sulton, Kamila Kamilovna Jurayeva, Shovkat Dilshodovich Turayev

Chemical Technology, Control and Management

In this article, based on the theory of lumped-parameter circuits, algebraic and differential equations describing the mechanical, electrical, and magnetic circuits of new magnetoelastic acceleration transducers, their analytical solutions, as well as mathematical models establishing the relationship between the electromotive forces at the outputs of the transducers and acceleration, which is the input quantity of the transducer, have been developed. Analysis of these mathematical models and the graphs constructed on their basis shows that under the influence of acceleration applied to the transducers, with an increase in the mechanical stresses arising in the magnetic circuit of the transducer, a redistribution …

Development And Uncertainty Assessment Of Secondary Method For Ph Measurement In Physicochemical Measurements, Sarvar Rakhmatullaev, Dostonbek Xujakulov, Mohinur Nigmatova

Chemical Technology, Control and Management

In physicochemical measurements across various industries, laboratory analyses commonly require the determination of pH as an indicator of hydrogen ion activity in aqueous solutions. Ensuring the accuracy and reliability of these measurements, obtaining precise readings from pH measuring instruments, and maintaining overall measurement quality represent critical challenges in guaranteeing the safety of both products and processes. This requires constant monitoring, accuracy assessment, calibration, metrological verification, and control of measuring instruments. In this case, it should be carried out not with solutions prepared in any laboratory, but with certified reference materials (СRM) with appropriate regulatory framework, ensuring metrological observation. …

Nonlinear System Identification Based On Fuzzy Radial Basis Neural Network With Multi-Connected Weight Connections, Kabul Khudaybergenov

Chemical Technology, Control and Management

This paper builds on our earlier radial basis function network with multiple connections (RBFMC) by placing it within a fuzzy inference framework for nonlinear system identification. The idea is inspired by the diversity of neurotransmitters found in biological neurons: instead of a single hidden-to-output weight, RBFMC gives each hidden unit a multi-dimensional connection whose components act as independent filters. Once fuzzy logic is added, each hidden neuron becomes a fuzzy rule, and its antecedent is built from several Gaussian membership functions, one per connection. The resulting Fuzzy RBFMC produces an interpretable, multi-filter description of local regions of the input space …

Performance Evaluation Of Controllers Using Fuzzy Delphi And Ahp Techniques, Kamala. R. Aliyeva, Nihad Mehdiyev, Shamil Mehdi

Chemical Technology, Control and Management

This study introduces an enhanced decision-support framework that integrates the Fuzzy Delphi method with the Analytic Hierarchy Process (AHP) to improve controller tuning and performance evaluation in uncertain environments. Traditional tuning techniques typically depend on crisp expert judgments and deterministic performance indices; however, industrial control systems are characterized by nonlinear behaviors, uncertain parameter variations, and subjective expert evaluations that are often vague or inconsistent. The Fuzzy Delphi procedure is applied to systematically gather, filter, and consolidate expert insights, enabling a refined set of performance criteria such as stability margins, robustness to disturbances, settling time, overshoot, control effort, and energy consumption …

Documentation And Project Change Management System – Honeywell Trace, Farukh Adilov, N.R Yusupbekov, Maksim Fedorovich Astafurov, Kamola Rustamovna Abdullayeva

Chemical Technology, Control and Management

The article examines modern approaches to organizing documentation and managing changes in industrial automation projects using the Honeywell Trace software platform. The evolution of documentation tools from the Documentation Tool utility within the TDC 2000/3000 system to modern intelligent solutions is described. The architecture, functional capabilities, and supported interfaces of Honeywell Trace are analyzed. Particular attention is paid to automated configuration change tracking, comprehensive search by process tags, and the detection of potential errors. The possibilities of integrating the system with industrial process control systems, controllers, auxiliary systems, and industrial communication protocols are considered. The application of Honeywell Trace during …

Autoethnography: Understandings, Evolution, And The Influence Of Genai, Prokopis Christou

The Qualitative Report

Autoethnography occupies a central place within qualitative research because of its focus on lived experience, reflexivity, and meaning-making. In this paper, I critically examine the implications of generative artificial intelligence (GenAI) for autoethnographic inquiry through a reflexive and theoretically informed discussion situated within the contemporary AI-mediated era. By revisiting key understandings and developments of autoethnography while drawing on technological mediation theory, I explore how GenAI extends beyond a mere tool to become a mediating mechanism capable of profoundly shaping autoethnographic practice. Attention is given to how seemingly minor AI-generated alterations may transform lived experience into more polished, coherent, and emotionally …

Pengantar Dari Editor Paradigma: Jurnal Kajian Budaya Vol. 16 No. 2 (2026), Rahayu Surtiati

Paradigma: Jurnal Kajian Budaya

No abstract provided.

Pendidikan Sebagai Pengasingan: Politik Kolonial Terhadap Keluarga Singamangaraja Pasca-1907, Uli Kozok

Paradigma: Jurnal Kajian Budaya

This article examines the post-1907 trajectories of the family of Singamangaraja following the death of Ompu Pulo Batu and the final military campaign of the Dutch colonial state in the Batak lands. It traces how the colonial government integrated his widows and children into the colonial order through internment, Christianisation, exile, and education in Java. Drawing on colonial archives, contemporary newspapers, and mission reports, the article reconstructs the life trajectories of the five surviving sons of Singamangaraja and situates them within the framework of colonial strategies of conquest and stabilisation. The study shows that these policies combined elements of protection, …

Participatory Culture Fandom Nctzen: Studi Kualitatif Interaksi Penggemar Dalam Akun X (Twitter) “Hijau Bersama Indonesia” Pada Aksi Demo Agustus 2025, Fania D. Anjani, Nayla L. Augusty, Kayla Marsyanda, Dian K. Sari

Paradigma: Jurnal Kajian Budaya

This study examines participatory culture and fan activism practices within the NCTzen fandom community through the X (Twitter) account “Hijau Bersama Indonesia” during the August 2025 Demonstration. This study stems from the growing phenomenon of fandoms that are no longer limited to entertainment consumption, but also play a role as social actors in responding to environmental and humanitarian issues in the digital space. This research uses a qualitative approach with a virtual ethnography (netnography) method. Data was collected through online observation, in-depth interviews with actively involved fans, and digital documentation in the form of posts and interactions on the X …

Shaping Disease: Colonial Stigma And The Politics Of Health In Banyuwangi, The Early Twentieth Century, Rifa'i Shodiq Fathoni, Skriptyan Noor Hidayatullah Syuhri, Vini’Matu Hikmah, Ardhita Zahra Namira

Paradigma: Jurnal Kajian Budaya

This article examines the colonial stigma attached to Banyuwangi as an “unhealthy region” in the early 20th century, a label used to justify massive exploitation of its natural resources. Using a historical method, this research analyzes how this stigma not only served as a tool for colonial legitimation but also causatively created conditions that triggered ecological disasters and a public health crisis in a previously isolated area. Through an analysis of primary sources such as colonial reports, health journals, and newspapers, this article traces how large-scale plantation exploitation, enabled by the stigma, led to deforestation, uncontrolled labor migration, and poor …