This study aims to analyze the access of small and medium enterprises (SMEs) to finance and on the performance in Indonesia. This study used the Enterprise Surveys World Bank (ESWB) panel data from 2009 and 2015. The results of the analysis show that small companies tend to be lower inaccessibility compared to medium-sized businesses. Companies that do not have financial constraints and also participate in financial markets perform better than other companies. Either by using value-added performance indicators or labor absorption the results shows the same direction.

Background: Spinal dysraphism refers to a group of developmental abnormalities that affect the spinal cord and its surrounding structures. The main goals of treatment of spinal dysraphism are to prevent further damage to the spinal cord and to improve the patient's neurological function and quality of life.Aim of the Study: The aim of this study was to assess the management of spinal dysraphism .Methods: This cross-sectional study was conducted in Department of Pediatric Neuro Surgery, Bangladesh Shishu Hospital and Institute, Sher E Bangla Nagar, Dhaka 1207, Bangladesh, during the period from 1st April 2020 to 31st March 2021. Total 1052 patients were admitted under Neurosurgery department (SU IV) from them 93 patients had spinal dysraphism. After excluding patients with encephalocele, lipomeningocele, meningocele and DORB, total 60 patients with myelomeningocele were included in this study.Result: Majority of the subjects (71%) were less than a week old. there was a slight female preponderance (54%) among the study subjects. The most affected (83.33%) region of the spine among the study subjects was lumbosacral. The data showed that 65% of the study subjects had no lower limb movement, while 35% of them had slight movement. In the study, all study subjects had abnormal bowel and bladder habits. In the study, the majority (62%) had a moderate ventricular index level before operation. About 83.33% of the study subjects had a satisfactory outcome after the surgery, while 6.66% had poor outcomes, and 1.66% of the study subjects died after the surgery. The data showed that 80% of the study subjects had a severe Ventricular Index after two weeks of surgery, while 20% had a moderate Ventricular Index. The data also indicated that 85% of the study subjects had a healthy wound after surgery, while 15% had an unhealthy wound.Conclusion:From the findings of our study, it can be concluded that for improving the quality of life of the patients with spinal dysraphism, surgery is the prominent treatment accompanied by optimal post-operative care. Surgery of spinal dysraphism is associated with higher satisfactory rate and lower post-operative complications.

Introduction: EA is characterized by agitation, inconsolable sobbing, disorientation, delusions, and hallucinations, decreased cognition and memory. Sevoflurane is widely used as an anesthetic agent for children because of its less pungent nature, lower solubility but it has a greater incidence of EA in preschool aged children. Propofol is a hypnotic amnestic agent with a short duration of action, commonly used for sedation, induction, and maintaining anesthesia and it has been used to prevent Emergence agitation. Aim of the Study: The aim of this study was to determine the efficacy of low dose propofol in reducing the incidence of EA at the end of face-mask sedation with sevoflurane. Methods: This was a prospective observational study and was conducted in the Department of Pediatric Anesthesia of Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh during the period from July, 2021 to December, 2021.In our study we took 220 children operated for hernia were randomized into two groups – Group A (Control group, n=110) and Group B (Propofol group, n= 110). Result: In total 220 patients from both the groups completed the study. In our study we found the mean age in group A & B was 6.3 ± 1.6 & 6.1 ± 1.9 years respectively. The mean PAED score was 14.41 ± 2.59 & 9.83 ± 3.51, the mean emergence time was 7.1 ± 2.0 & 13.4 ± 2.5, time in PACU was 44.5 ± 5.9 & 46.6 ± 7.6 mins in control & propofol group respectively. In contrast to the control group, no patient in the propofol group experienced EA beyond 15 or 20 minutes of emergence. Conclusion: In our study, we found that 0.5mg,/kg propofol was effective in preventing Emergence Agitation in children underwent herniotomy with caudal block and who’s sedation were maintained with sevoflurane.

On-the-job training (OJT) program is one of the most crucial programs in higher education and is an integral part of the educational system in the Philippines, specifically in tertiary. The study determined the relationship between the academic performance and practicum performance of 59 BSBA Marketing Management students at the College of Business, Systems Plus College Foundation, who had taken their practicum in 23 organizations. The research method used in this study was the descriptive-correlation method. Data was based on the Practicum Evaluation Report where student trainees were evaluated on 5 performance key area of assessment. It includes personal characteristics, attitude towards the job, job performance, adherence to company policy, and competence breakdown into 22 items. Findings showed that the student trainees got the highest rating on adherence to company policies rated as very good, followed by job performance, attitude towards, competence, and personal characteristics. The students were rated low in oral and written communication skills as an area for evaluation with a rating of good. Thereby creating an impression that this area should be improved by strengthening the communication skills in all courses by integrating interactive teaching-learning methods like presentations, role plays, debates, cases, written reports, portfolios, and reaction/ term papers to further their communication skills.

The goal of this study is to see if there is a link between online selling via social media and impulse purchases. The steps in the methodology are as follows: Quantitative research, particularly descriptive research, is used to design research that tries to characterize the existing state of variables. With a total of 387 Young Professional respondents from Angeles City, Pampanga, the researchers also gave self-made questionnaires and utilized a Likert scale as the foundation for responding to the survey. To correlate the link between social commerce and impulsive purchase decisions, the facts were studied using statistical analysis using mean rating and Pearson r correlation. It was discovered that the Young Professional's impulse purchase choice and social commerce (hedonic and social) had a substantial association. The researchers suggested that social commerce be more trustworthy to earn trust and credibility, that sales promotions be established to enhance customer retention, and that outstanding customer service is provided to offer customers a more pleasant experience and add value. The findings point to the necessity for more investigation into other elements that influence social commerce.

Discipline is an attitude and deed or behavior that can be supported by students in the form of students’ habit in performing and obeying regulations in an orderly manner in accordance with the existing rules. In addition, discipline is defined as a character that needs to be trained for all students, including teenage students who are in high school. The discipline quite often becomes the responsibility of all schools, both guidance and counseling teachers, assisted by subject teachers, class teachers, staffs and school principals. This study aims to determine the constraint and strategy of Guidance and Counseling teacher in increasing students' discipline in Sleman High School. This study is a qualitative research, a type of phenomenology, data collected by observation, interviews and questionnaires. Participants in this study were 15 guidance and counceling teachers, from high school level in Sleman Regency, Yogyakarta, Indonesia. Data analysis used is quantitative descriptive technique. The data was analyzed by Milles & Huberman with data reduction, data presentation, verification of the conclusion. The result of this paper showed that the strategy of Guidance and Counseling teacher had a positive impact in enhancing the students' disciplinary behavior as well as being able to shape the character of students to be better human being.

Background: Pierson syndrome comprises of congenital nephrotic syndrome (CNS) and peculiar ocular changes. LAMB2 gene mutation has been reported to be causative reason for this rare autosomal recessive disorder. Methods: An observational case series reports comprising of two children presenting with symptoms like heavy proteinuria, haematuria are being discussed. Physical examination along with ophthalmological assessment, hearing assessment, varied blood investigations, urinalysis, renal biopsy and gene testing were carried out to diagnose the condition. Results: Pearson syndrome was detected with mutations of LAMB2 gene detected by Whole Exom Sequencing test in one of the case study. The Ocular abnormality in both patients comprised of squint hypertropia, a new variant ocular finding related to Pearson syndrome. Conclusions: The clinical finding of squint hypertropia is a novel finding associated with Pearson syndrome, reported here for the first time.

Financial liberalization is a process that could be profitable for growth but it may pose serious problems to the development and economic prosperity. The objective of this paper thesis is to evaluate by using panel data, the effect of financial liberalization and institutional quality on banking development on a sample of 17 Arab countries over the period 1990-2012. The empirical findings suggest that financial liberalization could have a positive effect as well as the institutional quality on banking development for the Arab region.

The purpose of this study is to assess the impact of the online practicum program on students' professional development, personal growth, skills, and abilities at the College of Business, Systems Plus College Foundation in Angeles City, Philippines during the pandemic. The study included 28 practicum students from the College of Business of Systems Plus College Foundation, Angeles City, Philippines, who were studying Bachelor of Science in Accountancy and Bachelor of Science in Customs Administration. The research employed a structured questionnaire of 28 closed-ended items rated on a 5-point Likert scale on gender, course pursuing, reason and expectation from the practicum, and influence of practicum on the professional development, personal growth, skill, and abilities of the respondents. The gender, course pursuing, reasons, and expectations of respondents were analyzed using descriptive analysis. A reliability scale through Cronbach Alpha was used to assess the questionnaire's reliability. normality was evaluated employing univariate and multivariate normality of skewness and kurtosis, and a non-parametric test through Mann-Whitney test was used to calculate the p-value measuring the evidence against the null hypothesis. The evaluation on the influence of online practicum among the respondents was carried out through a non-parametric test using Mann Whitney test. The study's findings show the influence of internship programs on the professional and personal growth and skills of COB-SPCF business students.

The purpose of this study is to describe the social and moral values in the novel Bumi Manusia by Premoedya Ananta Toer. This research uses qualitative methods, namely research that pays attention to natural data, data in relation to the context of its existence. It is these ways that encourage qualitative to be considered as multi-method because research in turn involves a large number of relevant social phenomena, the object of research being a novel written by Pramoedya Ananta Toer entitled "Bumi Human". The most commonly found element in social values is the social value in the value of affection. This value is found a lot because there are values of devotion, caring, kinship, helping. The results of this study found that social value is something that is considered good or bad in community groups. To determine whether good or bad must go through a weighing process by analyzing what is observed in community groups. In social values, there is a value of compassion related to the affection bestowed by the creator to humans so that a value of compassion has been instilled in humans since they were born, the value of responsibility relates to an act carried out by each individual based on obligation or calling. a person, and the value of harmony in life is related to tolerance, cooperation, justice, and humanity. This of course can provide the value of knowledge that is not yet known by the public.

Purpose: Information extraction from big data is improved by either reducing the number of features in a data set or selecting features using intelligent data analysis. Generally, big data sets are complex to process using traditional approaches. Feature selection is highly essential in big data information extraction because it chooses the subset of features that influence the final classification. Reducing the number of selected features in the data leads to enhanced accuracy and efficiency of data extraction with other attributes used in the mathematical model. This work aims to improve the performance of the classifier using an enhanced binary bat algorithm-based effective feature selection model. formulated to enhance accuracy, efficiency of data extraction with other attributes. An enhanced binary bat algorithm (EBBA) proposed to solve the mentioned problem using local optimization and global optimization factor which improves the performance of optimization. Experiment carried out with different datasets selected to test effective performance of proposed algorithm and demonstrated performance is better with other algorithms. Design: The purpose of this paper is to provide, an effective feature selection model for big data information extraction. An enhanced binary bat algorithm has been proposed to improve attribute selection using local optimization and global optimization methods. Classification of multisource data using selected features using labeled approach. Particular Information extraction for multi view multi label (PIMM) approach is compared with EBBA algorithm. Further to enhance effectiveness of shared and specific information in big data [3] by setting the delta and omega factors in order to fuse different information from different view point, Online analysis of relevance with any redundancy analysis also been incorporated. Findings: All the experiments were carried out with different datasets on the number of iterations and fitness of the attributes to validate the effective performance of the proposed algorithm. Experimental results and graphs show that the proposed methodology improves the overall performance of optimization using PIMM models. Originality: A feature selection model based on the binary bat algorithm has been the focus of this paper. Subset selection and feature ranking are the two important methods used in this approach. Experiments were conducted on datasets to analyze the patterns in the number of iterations and fitness of the attributes over selection. The improvement in feature selection leads to better classification accuracy of the proposed model compared to other nature inspired techniques.

The present study attempts to evaluate the growth and performance of 21 private banks of the Indian banking system using indicators like credit, deposit, return on assets etc. The study also evaluates the overall technical efficiency, pure technical efficiency, scale efficiency, allocative efficiency and cost efficiency between 2009-10 to 2018-19 using non-parametric data envelopment analysis (DEA). The inputs and outputs have been specified using intermediation approach. The inputs used are sum of deposits and borrowings, number of employees and fixed assets. Investments, advances and other income are taken as outputs. Prices of inputs have also been used to evaluate allocative and cost efficiency. The findings of the study indicate that new private banks had better average overall technical efficiency, average pure technical efficiency, average scale efficiency and average cost efficiency. IDFC bank was the only bank efficient in all the types of efficiencies. Further, the negative effect of non-performing assets was also seen on the performance and efficiency of new and old private banks.

Introduction: Hair has accompanied human development since the ancient time as a symbol of power, dominance, and strength. It has been perceived as a thing of beauty and a tool for sexual communication. Over the years, anthropologists have studied the body hair distribution particularly phalangeal hair; this is because it shows variation in relation to race, nationality and ethnic groups. Clinicians have also shown great interest in the study of bodily hairs due to its many useful biological functions, including dispersion of sweat gland products. There are few reports of distribution of mid-digital hair among some tribes in Nigeria but there is paucity of data among the Idoma tribe of Benue State. Hence, this study aimed to investigate and document the frequency of distribution of mid-digital hair among Idoma tribe of Benue State. Method: The study was community-based, descriptive, and cross-sectional with a sample size of 401. Data was collected using a closed-ended questionnaire that was administered by an interviewer following an examination of the mid-digital hair. Result: mid- digital hairs was present in 113 (28.2%) of the participants and absent in 288(71.8%) of the participants. The only significant socio-demographic characteristics among participants were the educational level with 7.754(0.051). Conclusion: The study indicated that less than one-third of the participants had mid-digital hair. Furthermore, the mid-digital hair distribution was sexually dimorphic, as it was more prevalent among the males than the females (ratio of 8: 6). The reason for the higher distribution in the males than females could be attributed to the hormonal difference in both genders.

Bladder endometriosis is a rare location of endometriosis. We present a case of female patient with an inter vesical-uterine septum mass that was an incidental finding during the realization of a pelvis IMR to characterize an ovarian tumor. We performed a surgical resection. Histopathological examination revealed a bladder adenomyomas.

Objective: COVID-19 is a disease that, as of 2020, has affected the whole world. Its spread being rapid, early detection would contribute to its control. This study aims to determine the sociodemographic and clinical characteristics associated with this detection fast in Kinshasa. Material and methods: A cross-sectional, descriptive study with an analytical aim is carried out on 713 people suspected of COVID-19 upon their admission to the Covid Treatment Center of the University Clinics of Kinshasa (CTC / CUK) between 2020 and 2021 through the exploitation of the database registering these patients. Data are analyzed using jamovi software version 2.3.18. Frequencies, Fisher's Exact test then logistic regression with α = 0.05 are used. Results: In total, we recorded 713 cases, 459 or 64.4% tested positive at the first screening. The median age is 59.0 years. The sex ratio is 1.7 in favor of men. The following characteristics are associated with early detection of COVID-19: advanced age (OR = 2.9 *1.03 – 8.29+); arterial hypertension (OR = 1.7 *1.15 – 2.52]); diabetes mellitus (OR = 3.66 [1.92 – 6.98]); body aches (OR = 0.41 [0.20 – 0.83]) as well as signs of respiratory distress (OR = 2.4 [1.44 – 3.87]). Conclusion: This study shows that elderly patients, those with a history of hypertension, diabetes and signs of respiratory distress tested positive at the first screening upon arrival at the CTC/CUK, unlike those with body aches. These cases would therefore require special attention from all staff of the COVID-19 response team for appropriate care.