A Case of FIBROADENOMA Cured with Individualized Homoeopathic Medicine- Evidence Based Homoeopathy

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Introduction: Fibro-adenomas are the most common benign tumor of female breast having distinct clinical and Histopathological findings. This case report of fibroadenoma highlights clinical presentation along with proper investigation reports like ultrasound, individualized homoeopathic treatment provided and ongoing follow-up. Palpable mass, nodular swelling, pain, redness and changes in the breast appearance along with fibrous and glandular tissue components are emphasized for proper diagnosis. Homoeopathic literature shows that case of fibro-adenoma had been successfully treated with individualized homoeopathic medicine. Individualized homoeopathic approach to breast fibro-adenoma ensures improved outcomes in mental, emotional as well as physical wellbeing.

Case summary: The case report presented here wasa 23 year old female patient, from Repertory OPD, Homoeopathy Hospital, North Eastern Institute of Ayurveda and Homoeopathy, Shillong. The patient was treated with individualized homoeopathic medicine (Phosphorous30, 200) for one year, with significant improvement and progressively decreases in size of tumor.

 

Improving Work Rehabilitation Program at PT. KALPRI

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The work rehabilitation program is one of the important efforts made by the company to help employees who are experiencing health conditions that disrupt work productivity to return to work optimally at PT. KALPRI, there has been an increase in the number of employees undergoing work rehabilitation programs accompanied by a low success rate in returning employees to their original positions after undergoing the program. Therefore, this study aims to identify the factors that cause this condition to occur. This research uses a descriptive quantitative approach, using a questionnaire instrument for 71 respondents and conducting in-depth interviews with 5 members of the rehabilitation committee at PT. KALPRI. The collected data is then analyzed to identify the key factors influencing the increase in rehabilitated employees and the program’s low success rate. The research results show that the internal factors causing the rise in the number of employees being rehabilitated are the employees’ unhealthy habits and lifestyles, such as smoking habits, irregular exercise, and rest, which trigger the emergence of various diseases such as cardiovascular, musculoskeletal, and obesity. Externally, the COVID-19 pandemic has also contributed to the increase in the number of employees being rehabilitated due to restrictions on activities that have impacted employee health. Meanwhile, the internal factors that cause the low success rate of the rehabilitation program are the employees’ habits and lifestyles that slow down the healing process, so some employees have to undergo a “long sick” program that extends the rehabilitation period. Externally, the activity restrictions due to the COVID-19 pandemic have also contributed greatly to the low reabsorption of employees after undergoing a rehabilitation program. The findings of this study indicate the need to increase more intensive health interventions and education to change employees’ habits and lifestyles, as well as the need for stronger coordination between the rehabilitation team and management in managing work rehabilitation programs, especially during the pandemic. These efforts are expected to help improve PT. KALPRI’s work rehabilitation program’s success.

Impact of Macroeconomic Indicators on The Indonesia Stock Exchange (IDX) Composite Index Performance

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This study examines the impact of macroeconomic indicators on the performance of the Indonesia Stock Exchange (IDX) Composite Index from 2014 to 2023, focusing on four key variables: interest rates, inflation, money supply (M2), and Gross Domestic Product (GDP). Using a Vector Autoregressive (VAR) model, the research investigates the short-term dynamics between these variables. The findings show that in the VAR estimation, only the lag 1 M2 value has a statistically significant coefficient. However, the Impulse Response Function (IRF) analysis reveals that shocks to the Bank Indonesia rate, inflation, money supply, and GDP initially cause significant fluctuations in the Jakarta Stock Exchange price index, but these effects are short-lived, with the index stabilizing around zero after several periods. These results provide valuable insights for policymakers and investors, emphasizing the importance of understanding macroeconomic conditions for making informed stock market decisions.

The Influence of Awareness of Consequences, Internal Locus of Control, and External Locus of Control on Pro-Environmental Behavior in Students

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The purpose of this research is to determine whether there is a relationship between Awareness of Consequences, Internal Locus of Control, and External Locus of Control with Pro-Environmental Behavior among students. This study is correlational and comparative, with data collected using a Likert scale consisting of scales for pro-environmental behavior, Awareness of Consequences, Internal Locus of Control, and External Locus of Control. The population of this study is students, and the sample taken was 320 individuals using proportional random sampling. Multiple linear regression analysis was used for data analysis. The results showed that there is no relationship between awareness of consequences and external locus of control with pro-environmental behavior among students, while there is a relationship between internal locus of control and pro-environmental behavior among students.

Optimizing Asset Management: Comprehensive Analysis and Innovative Strategy Design to Increase the Effectiveness of Life Cycle Delivery at PT Pembangkitan Jawa-Bali Services

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Asset management is the art and science of making the right decisions and optimizing the delivery of value from organizational assets. ( Institute of Asset Management , 2010). PT PLN Pembangkitan Jawa Bali Services, which is often abbreviated as PT PJB Services, is a subsidiary of PT Pembangkitan Jawa-Bali (PT PJB) . This company operates in the field of power plant operation and maintenance services, as well as supporting services related to power plants. The company has a strong focus on asset management, given its role in managing and maintaining critical power generation assets. This research examines the implementation of multidimensional strategies in optimizing asset management at PT Pembangkitan Jawa-Bali Services (PJB Services). The main focus of the analysis is to test the variables that influence the success of asset performance at PT Pembangkitan Jawa Bali Services based on group 3 ( Life Cycle Delivery ) consist of 11 key dimensions of asset management: Technical Standards & Legislation , Asset Creation & Acquisition , Systems Engineering , Configuration Management , Maintenance Delivery. Reliability Engineering, Asset Operation, Resource Management, Shutdown & Outage Management, Fault & Incident Response, Asset Decommissioning & Disposal. The main aim of the research is to design an integrated approach to improve the effectiveness of corporate asset management. The method used in this research is the Structural Equation Model with the Partial Least Square approach. The research results revealed that the accepted hypothesis is H1, H2, H3, H4, H9, H10, H12, H16, H17, H18, and H19 are acceptable because they have t-statistic values > 1.96 and p-values < 0.05. Meanwhile, the hypotheses H5, H6, H7, H8, H11, H13, H14, and H15 were rejected because they had t-statistic values > 1.96 and p-values > 0.05.

Various Analytical Methods for Analysis of Sitagliptin – A Review

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Sitagliptin is a dipeptidyl- peptidase inhibitor used to treat high blood sugar levels caused by type2 diabetes. Absorption of Sitagliptin is 87% orally bioavailable and taking it with or without food does not affect its pharmacokinetics. Sitagliptin reaches maximum plasma concentration in 2 hours. Now in this present analytical research world quality by design or design by expert technique is used to get improved method for method validation. This concise review work can guide an analyst to choose most appropriate method for a best analytical method development and validation. This assessment encompasses various analytical methods such as UV Spectrophotometry, High performance liquid chromatography [HPLC], Liquid chromatography – Mass spectrometry (LC-MS), High performance thin layer chromatography (HPTLC) and Ultra performance liquid chromatrography (UPLC) for the estimation of sitagliptin in single and/or in combination.

The Future of Women Entrepreneurship: Trends and Predictions

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Women entrepreneurship has emerged as a vital component of global economic growth, contributing to innovation, job creation, and socio-economic development. The empowerment of women entrepreneurs will undoubtedly be a catalyst for positive change and sustainable development worldwide. This article examines the current trends and future predictions in women entrepreneurship, highlighting technological advancements, access to funding, education and skill development, social and cultural shifts, policy support, and sustainable entrepreneurship. Through a comprehensive review of literature, this article provides an in-depth analysis and understanding of the evolving landscape and the factors that will shape the future of women entrepreneurship.

Service-Based Periodic Payment Provided/PBBL by the Government of Indonesia to Bayung Lencir – Tempino – Simpang Ness Toll Road

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In 2020, PT Hutama Karya (Persero), a state-owned enterprise mandated by the government to build the Trans Sumatra Toll Road, appointed a private consultant to conduct a feasibility study and for the proposed construction of the Betung – Tempino – Jambi Toll Road. However, due to the low traffic volume in the Jambi Province, the toll road was deemed financially not feasible to be developed. Given the substantial costs required for the development of the Betung – Tempino – Jambi Toll Road, this toll road segment was divided into several sections. Betung – Tempino – Jambi Toll Road is a segment of the primary route of the Trans Sumatra Toll Road, Phase 2, which spans 171 kilometers across the provinces of South Sumatra and Jambi. Bayung Lencir – Tempino – Simpang Ness Toll Road, which stretches 52 kilometers, is a part of the Betung – Tempino – Jambi Toll Road prioritized for construction and operation. According to Presidential Regulation of the Republic of Indonesia Number 131 of 2022, a funding scheme known as Service-Based Periodic Payments/Pembayaran Berkala Berbasis Layanan (PBBL) shall be provided to PT Hutama Karya (Persero) to enhance the financial feasibility and to ensure the funding, technical planning, construction execution, operation, and maintenance of the toll road.

This study will analyze and evaluate the financial feasibility of the Bayung Lencir – Tempino – Simpang Ness Toll Road before and after the implementation of PBBL provided to PT Hutama Karya (Persero) during the estimated duration of toll road concession for 50 years. The duration of the PBBL granted by the Government of Indonesia to PT Hutama Karya (Persero) is 15 years, with an annual payment of 880 billion Rupiah.

Based on the financial feasibility analysis without PBBL, the results indicate a negative NPV, an IRR lower than the Weighted Average Cost of Capital (WACC), a Discounted Payback Period exceeding the toll road concession period, and a Profitability Index below 1, indicating that the project is not yet financially viable. On the other hand, the financial feasibility analysis after PBBL implementation shows a positive NPV, an IRR greater than WACC, a Discounted Payback Period within the toll road concession period, and a Profitability Index above 1, indicating that the project is financially feasible. Therefore, PT Hutama Karya (Persero) shall develop the Bayung Lencir – Tempino – Simpang Ness Toll Road with PBBL scheme that contributed by the Government.

The Impact of Intermittent Fasting on Metabolic Health and Chronic Disease Prevention: A Comprehensive Review

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Intermittent fasting has gained attention as a dietary approach focusing on the timing of eating rather than the specific foods being consumed. Unlike the traditional calorie restriction, intermittent fasting involves alternating periods of fasting and eating. Several prevalent forms of IF exist, each with unique fasting durations and eating windows. For instance, the 16/8 method restricts food intake to an 8-hour window each day, followed by 16 hours of fasting. The 5:2 diet involves eating regular meals for five days a week and significantly reducing calorie intake to 500-600 calories on the remaining two non-consecutive days. Another popular method, Eat-Stop-Eat, includes one or two 24-hour fasts per week without calorie restriction on non-fasting days.The rising interest in IF is due to its potential health benefits, such as weight loss, chronic disease prevention, and improved metabolic health. IF may reduce the risk of obesity, diabetes, cardiovascular disease, and certain cancers. The increasing interest in IF is largely due to its potential health benefits, including the prevention of multiple chronic diseases, weight reduction, and improvements in metabolic health markers. A growing body of scientific evidence suggests that IF may positively impact metabolic health, potentially reducing the risk of obesity, diabetes, cardiovascular disease, and certain types of cancer. Intermittent fasting can enhance weight management and health improvement, but further research is needed to understand its long-term effects on people, optimal protocols, and potential risks. This will help guide informed decisions on the safe way and effective use.

Developing Teaching Procedure based on Communicative Language Teaching Principles to Teach Speaking

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Teaching procedure can be developed to achieve a better result, which is to improve students’ speaking skill. This research aims to find out whether the developed teaching procedure based on Communicative Language Teaching principles can improve students’ speaking ability. This is a quasi-experimental research design that conducts a quantitative method with 30 students as the subjects. The students were tested through the speaking test before and after the treatment. The finding shows that there is a significant increase between the pre-test and post-test. The t-value, which is 11.221 is higher than the t-table, which is 2.045. Or, the sig (2-tailed) is 0.000, which is lower than 0.05. Therefore, it can be concluded that the developed teaching procedure based on CLT principles can improve students’ speaking ability.