Miracle-dz/UniFAR-FTUs huggingface dataset:
Hubungan Tingkat Stres pada Pandemi Covid-19 terhadap Kualitas Tidur Tenaga Kesehatan RSI Unisma

Abstract. Introduction: The incidence of COVID-19 continued to increase due to human-to-human transmission. To prevent the transmission of COVID-19, the government applied self-quarantine regulation. However, health workers must continue to work, especially those located in big cities, such as Malang. One of the COVID-19 referral hospitals in Malang is the Rumah Sakit Islam Malang (RSI UNISMA). The high number of patients undergoing examination tests and handling COVID-19 treatment increased the workload of health workers at RSI UNISMA. Stress due to high workload had an impact on sleep quality disturbances. This study aimed to analyze the relationship between stress levels of health workers at RSI UNISMA on sleep quality during COVID-19.Methods: This type of research was an analytic observational study with a cross-sectional approach. The sampling technique used a simple random sampling method, with as many as 74 respondents. The questionnaire instrument was in the form of a google form regarding the Covid Perceived Stress Scale (COVID PSS-10 Items) which assesses stress levels and the Pittsburgh Sleep Quality Index (PSQI) which assesses sleep quality. Data analysis used SPSS 25.0 with fisher's exact test.Results: From a total of 74 respondents, there were 58 respondents who met the inclusion criteria. Based on statistical analysis, there was no relationship between stress levels and the sleep quality of UNISMA Hospital health workers during the COVID-19 pandemic (p > 0.05). Conclusion: There was no significant relationship between stress levels and the quality of sleep for health workers at RSI UNISMA during the COVID-19 pandemic. This can be caused by various factors, one of which is thought that the health worker is accustomed to doing work with a high level of stress or a deficiency in research methods such as classifying work units.
A new perspective for strategic facilities management in sustainable community development

Facilities management (FM) is well established in the corporate sector, driven by the big demand for cost efficiencies which has become standard for most FM strategies and plans. On the other hand, there is a new thinking focused on FM's role in the community setting, where a major emphasis has been placed on developing social approaches to FM. This new thinking is outlined by the emerging role of FM in providing the required quality and support that enable community facilities meet their social and economic objectives. In this research, the role of FM in the community setting is defined by stakeholder value rather than shareholder value, and therefore becomes crucial in translating the strategic plans of a community into operational reality. Hence, the aim of this study was to examine the role that FM could play in the community setting, focusing on developing a model for a facilities management approach to sustainable community development. This involved investigating new opportunities for FM to reshape regional growth, contribute to the social, environmental, and economic prosperity, enabled by the government's interest in empowering local communities. The research problem necessitated integrated between two multi-disciplinary topics, facilities management and community development, and thus the nature of knowledge creation in this research is conceptualized by theory building and knowledge development. This multi-layered investigation required the researcher to adopt a Grounded Theory approach, in which five Case Studies were explored, representing different types of communities. The data was collected and analysed through a triangulation of different tools. The emergent Codes, Themes, and Core Categories illustrated that the role of FM is an essential factor in the success of organisations and community facilities. The substantive theory of this research maps out the social structure of FM and its nexus with the practical applications. It provides a model for the use of FM in the community setting in order to increase the effectiveness of both Community-based Facilities and Community-based Organisations. Lastly, this model proposes a vision of the relationship between place, people, and process within the context of FM in the community setting.
Modelling computer assisted audit techniques (CAATs) in enhancing the Indonesian public sector

Background: This study aims to examine public sector auditors' tendency to use somputer assisted audit techniques (CAATs) in managing their audit works. Methods: A total of 400 questionnaires were distributed to auditors working in the public sectors in Central Java, West Java, and East Java. From the total, 225 questionnaires were returned and completed. The Structural Equation Modelling (SEM) and Partial Least Square (PLS) were used to analyze the data. Results: The empirical findings reveal that performance expectation and facilitating conditions have encouraged auditors to use CAATs in their works. Further, there is a positive influence between the intention to use and CAATs audit. This implies that auditors with an intention will be more open to using the CAATs optimally in achieving effective and efficient work. The utilization of CAATs in public services needs to have strong support from the government and positive attitudes from the auditors as the users of the system. Conclusion: This study covers broad areas of Central Java, West Java, and East Java. Further, the findings add to the literature on emerging markets specifically for Indonesian government auditors' intention and appropriateness of using CAATs. The use of CAATs help to provide auditors information on the highest number of auditees involved in corruption.
Possible association between Guillain-Barré syndrome and SARS-CoV-2 infection in children: A case report and literature review

Neurological manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been reported in adults and in children, varying from mild to more debilitant symptoms, including fatigue, headache and dizziness. A series of studies have revealed a possible association between Guillain-Barré syndrome (GBS), the most common cause of acute flaccid paralysis at all ages, and SARS-CoV-2 infection. Case reports of novel coronavirus disease 2019 (COVID-19)-associated GBS mainly include adult patients, while only a few pediatric cases have been reported. The present study describes a case of GBS in an Italian 9-year-old girl with previous SARS-CoV-2 infection as a possible trigger, and also conducts a literature review on pediatric COVID-19-associated GBS cases.
Exploring the Gap Between Patients’ Expectations and Perceptions of Healthcare Service Quality

Purpose This study aimed to explore the gap between patients’ expectations of healthcare service quality in ‎Jordanian hospitals against their perceptions of service received using SERVQUAL model. Methods The study used a cross-sectional design. The study data were collected randomly from 415 patients (participants) ‎who completed the SERVEQUAL questionnaire. The data were analyzed using ‎statistical procedures such as descriptive, t-test, and ANOVA. Results The results showed ‎that there is a gap between mean score of patients’ expectations of what should be available in the ‎hospital and patients’ perceptions of the service received in the hospital. Patients’ expectations were higher than their perceptions on all five SERVQUAL domains (Tangibles, Reliability, Responsiveness, Assurance, and Empathy). Conclusion Hospital managers should take necessary actions to improve healthcare services in their hospitals with respect to all SERVQUAL domains. These actions should be directed to reduce the gap between patients’ expectation and their perceptions in order to provide services meet patients’ needs.
Testing an Extended Social Cognitive Model of Occupational Turnover Intentions

Workforce shortages in the health and social care sectors are a relevant issue worldwide. One measure to mitigate workforce shortages is to improve working conditions and workers’ future prospects in order to encourage worker retention. Although studies have examined factors related to organizational turnover, less is known about the factors that lead to occupational turnover intentions. Drawing upon social cognitive career theory, this study examines the reasons behind health and social care workers’ occupational turnover intentions considering emotional exhaustion as an explanatory variable. The participants were 403 health and social care workers who responded to a questionnaire about 4 years after completing their vocational education and training at the upper-secondary level. Structural equation analyses revealed that affective occupational commitment showed the highest negative correlation with occupational turnover intentions. Furthermore, the results suggest that career-related outcome expectations, wellbeing, and supportive working conditions are crucial for designing effective interventions.
Telemedicine and virtual respiratory care in the era of COVID-19

The World Health Organization defines telemedicine as “an interaction between a healthcare provider and a patient when the two are separated by distance”. The coronavirus disease 2019 (COVID-19) pandemic has forced a dramatic shift to telephone and video consulting for follow-up and routine ambulatory care for reasons of infection control. Short message service (“text”) messaging has proved a useful adjunct to remote consulting, allowing the transfer of photographs and documents. Maintaining the care of noncommunicable diseases is a core component of pandemic preparedness and telemedicine has developed to enable (for example) remote monitoring of sleep apnoea, telemonitoring of COPD, digital support for asthma self-management and remote delivery of pulmonary rehabilitation. There are multiple exemplars of telehealth instigated rapidly to provide care for people with COVID-19, to manage the spread of the pandemic or to maintain safe routine diagnostic or treatment services. Despite many positive examples of equivalent functionality and safety, there remain questions about the impact of remote delivery of care on rapport and the longer term impact on patient/professional relationships. Although telehealth has the potential to contribute to universal health coverage by providing cost-effective accessible care, there is a risk of increasing social health inequalities if the “digital divide” excludes those most in need of care. As we emerge from the pandemic, the balance of remote versus face-to-face consulting, and the specific role of digital health in different clinical and healthcare contexts will evolve. What is clear is that telemedicine in one form or another will be part of the “new norm”. The #COVID19 pandemic has forced a dramatic shift to remote care and accelerated multiple telemedicine initiatives. As they evolve into the new norm, these initiatives must accommodate preferences and address the risk of increasing the digital divide. https://bit.ly/3sj5WYL
Self-regulated learning strategies and academic performance of accounting students at a South African university

Orientation: Knowledge of a subject and cognitive strategies are usually not enough to increase students’ academic performance; students need also to be motivated to use learning strategies and deal with test and examination anxiety to be successful, especially in their first year of study. Purpose: The purpose of the study was to measure first-year accounting students’ motivational aspects and learning strategies versus academic performance at a South African university. Research questions: Three research questions were used to determine if students were motivated and applied learning strategies to perform in the accounting course: 1) What motivational variables and learning strategies are related to academic performance measuring students’ final Accounting marks, controlling for admission requirements, gender, race, and degree choice? 2) Are prior knowledge demographic and degree choice related to motivational variables and learning strategies? 3) Are motivational variables related to learning strategy variables for Accounting students regarding their Degree choice? Method: A full scale “Motivated Strategies for Learning Questionnaire” (MSLQ) was used to assess accounting students’ (N=617) motivational orientations and their use of different learning strategies for an accounting course. Multiple regression analysis was applied to explore the relationship among the different variables. Findings: The findings of this study are relevant to learning in predicting academic performance of first-year accounting students and relationships between self-regulated learning and students’ degree choice, gender, race, academic performance and admission requirements. Limitation and further recommendation: This study was only deployed to accounting students at one South African university. A further recommendation would be to collaborate with other disciplines and universities to determine if motivational and learning strategies differ from those of accounting students at a South African university. Value of the study and practical implications: The value of the study provides insights and evidence on motivational beliefs and learning strategies of students in accounting studies and how students can improve their academic performance.
Comparison of Liquefaction Triggering Analysis Approaches for an Embankment Dam and Foundation

Success Dam is located on the Tule River, near the city of Porterville, California. The dam is a rolled earth-fill embankment approximately 145 feet high and 3,400 feet long. The embankment is comprised of a central impervious core protected by upstream and downstream outer pervious zones. A majority of the dam is founded on potentially liquefiable Holocene alluvium. Several analytical techniques of varying complexity have been used to determine the liquefaction potential of the foundation Holocene alluvium and the pervious embankment shells. The following analytical techniques were used on the Success Dam Remediation Project: (1) cyclic stress ratio (CSR) evaluation using peak shear stresses obtained from QUAD4M equivalent linear seismic response type analyses, (2) evaluation of QUAD4M element shear stress time histories using a cycle counting approach to approximate the potential excess pore water pressure ratios, and (3) more advanced non-linear dynamic FLAC analyses using UBCSAND to evaluate excess pore water pressure ratios for potentially liquefiable materials. This paper discusses the approaches taken to evaluate the liquefaction potential for the seismic assessment and remediation design of the existing dam. This paper also summarizes the advantages and limitations of each of each analytical approach used to evaluate liquefaction potential of the dam and foundation materials.
Symbiosis with Dinoflagellates Alters Cnidarian Cell-Cycle Gene Expression

In the cnidarian-dinoflagellate symbiosis, hosts show altered expression of genes involved in growth and proliferation when in the symbiotic state, but little is known about the molecular mechanisms that underlie the host’s altered growth rate. Using tissue-specific transcriptomics, we determined how symbiosis affects expression of cell cycle-associated genes, in the model symbiotic cnidarian Exaiptasia diaphana (Aiptasia). The presence of symbionts within the gastrodermis elicited cell-cycle arrest in the G1 phase in a larger proportion of host cells compared with the aposymbiotic gastrodermis. The symbiotic gastrodermis also showed a reduction in the amount of cells synthesizing their DNA and progressing through mitosis when compared with the aposymbiotic gastrodermis. Host apoptotic inhibitors (Mdm2) were elevated, while host apoptotic sensitizers (c-Myc) were depressed, in the symbiotic gastrodermis when compared with the aposymbiotic gastrodermis and epidermis of symbiotic anemones, respectively. This indicates that the presence of symbionts negatively regulates host apoptosis, possibly contributing to their persistence within the host. Transcripts (ATM/ATR) associated with DNA damage were also downregulated in symbiotic gastrodermal tissues. In epidermal cells, a single gene (Mob1) required for mitotic completion was upregulated in symbiotic compared with aposymbiotic anemones, suggesting that the presence of symbionts in the gastrodermis stimulates host cell division in the epidermis. To further corroborate this hypothesis, we performed microscopic analysis using an S-phase indicator (EdU), allowing us to evaluate cell cycling in host cells. Our results confirmed that there were significantly more proliferating host cells in both the gastrodermis and epidermis in the symbiotic state compared with the aposymbiotic state. Furthermore, when comparing between tissue layers in the presence of symbionts, the epidermis had significantly more proliferating host cells than the symbiont-containing gastrodermis. These results contribute to our understanding of the influence of symbionts on the mechanisms of cnidarian cell proliferation and mechanisms associated with symbiont maintenance.
Note on absolute sets of rigid local systems

In this note we give a description up to a quasi-ﬁnite morphism of the absolute sets of simple cohomologically rigid local systems on a smooth complex quasi-projective algebraic variety. In dimension one or rank two, this proves a conjecture of Budur–Wang on the structure of these sets.
Finite element model of mechanical imaging of the breast

Abstract. Purpose: Malignant breast lesions can be distinguished from benign lesions by their mechanical properties. This has been utilized for mechanical imaging in which the stress distribution over the breast is measured. Mechanical imaging has shown the ability to identify benign or normal cases and to reduce the number of false positives from mammography screening. Our aim was to develop a model of mechanical imaging acquisition for simulation purposes. To that end, we simulated mammographic compression of a computer model of breast anatomy and lesions. Approach: The breast compression was modeled using the finite element method. Two finite element breast models of different sizes were used and solved using linear elastic material properties in open-source virtual clinical trial (VCT) software. A spherical lesion (15 mm in diameter) was inserted into the breasts, and both the location and stiffness of the lesion were varied extensively. The average stress over the breast and the average stress at the lesion location, as well as the relative mean pressure over lesion area (RMPA), were calculated. Results: The average stress varied 6.2–6.5 kPa over the breast surface and 7.8–11.4 kPa over the lesion, for different lesion locations and stiffnesses. These stresses correspond to an RMPA of 0.80 to 1.46. The average stress was 20% to 50% higher at the lesion location compared with the average stress over the entire breast surface. Conclusions: The average stress over the breast and the lesion location corresponded well to clinical measurements. The proposed model can be used in VCTs for evaluation and optimization of mechanical imaging screening strategies.
Overview of Neuromuscular Disorder Molecular Diagnostic Experience for the Population of Latvia

Background and Objectives Genetic testing has become an integral part of health care, allowing the confirmation of thousands of hereditary diseases, including neuromuscular disorders (NMDs). The reported average prevalence of individual inherited NMDs is 3.7–4.99 per 10,000. This number varies greatly in the selected populations after applying population-wide studies. The aim of this study was to evaluate the effect of genetic analysis as the first-tier test in patients with NMD and to calculate the disease prevalence and allelic frequencies for reoccurring genetic variants. Methods Patients with NMD from Latvia with molecular tests confirming their diagnosis in 2008–2020 were included in this retrospective study. Results Diagnosis was confirmed in 153 unique cases of all persons tested. Next-generation sequencing resulted in a detection rate of 37%. Two of the most common childhood-onset NMDs in our population were spinal muscular atrophy and dystrophinopathies, with a birth prevalence of 1.01 per 10,000 newborns and 2.08 per 10,000 (male newborn population), respectively. The calculated point prevalence was 0.079 per 10,000 for facioscapulohumeral muscular dystrophy type 1, 0.078 per 10,000 for limb-girdle muscular dystrophy, 0.073 per 10,000 for nondystrophic congenital myotonia, 0.052 per 10,000 for spinobulbar muscular atrophy, and 0.047 per 10,000 for type 1 myotonic dystrophy. Discussion DNA diagnostics is a successful approach. The carrier frequencies of the common CAPN3, FKRP, SPG11, and HINT1 gene variants as well as that of the SMN1 gene exon 7 deletion in the population of Latvia are comparable with data from Europe. The carrier frequency of the CLCN1 gene variant c.2680C>T p.(Arg894Ter) is 2.11%, and consequently, congenital myotonia is the most frequent NMD in our population.
Students’ use of formalisations for improved logical reasoning

ABSTRACT Logical reasoning as part of critical thinking is becoming more and more important to prepare students for their future life in society, work, and study. This article presents the results of a quasi-experimental study with a pre-test-post-test control group design focusing on the effective use of formalisations to support logical reasoning. The participants were 163 pre-university secondary school students (11th and 12th graders). For the experimental group we designed a course in logical reasoning intending to develop students’ use of formalisations in formal reasoning and everyday reasoning tasks. We show that students learned to use the intended formalisations. Overall, students from the experimental group had significantly better results on the post-test compared to the control group. Positive correlations were found between item scores and the use of Venn and Euler diagrams and scheme-based strategies. Our results support our hypothesis that the use of formalisations improves logical reasoning skills.
Analysis of cortisol levels in breast milk and blood serum in women with symptoms of postpartum depression

Introduction and Objective. Scientific studies report that the risk of symptoms of postpartum depression (PPD) can significantly reduce breastfeeding time. It has not yet been shown whether there is a difference in cortisol levels in breast milk and serum cortisol levels in women at risk of PPD but without symptoms. The aim of the study was assessment of the levels of cortisol in breast milk and levels of serum cortisol in women at risk of PPD four weeks after birth. Materials and method. The study included 75 women who were recruited at a University Hospital and via social media. The proper study was conducted in the fourth week after delivery. The research tool used was The Edinburgh Postnatal Depression Scale (EPDS). Assessment of cortisol levels in breast milk was performed with the enzyme-linked immunosorbent assay CORTISOL saliva ELISA DiaMetra. Blood analysis was conducted in an ALAB Laboratory, one of a nationwide network of specialis laboratories. Results. The prevalence of the risk of PPD symptoms in the study sample was estimated at 28% in EPDS. The risk of PPD symptoms does not differentiate between cortisol levels in breast milk and serum cortisol levels (p>0.05). A correlation was shown between the level of cortisol in breast milk and in the blood serum of the study sample (p<0.03). Conclusions. The study indicates that the risk of PPD symptoms does not differentiate between serum cortisol levels and cortisol levels in breast milk. The level of cortisol in breast milk reflects the level of cortisol in the blood serum of the subjects.