bluuebunny/crossref_metadata_2025 huggingface dataset:
EXPERIÊNCIA DE INTEGRAÇÃO ENTRE GRADUAÇÃO E PÓS-GRADUAÇÃO NO ESTÁGIO SUPERVISIONADO DE ENFERMAGEM NA ATENÇÃO BÁSICA
Authors: Alves moreira Antonia Elizangela , Moreira Belém Jameson , Gonçalves Leonel Ana Camila , Coelho Sidrim Antonio , Rolim de Sena Aline Sampaio , Bezerra Gomes Emiliana , De Oliveira Célida Juliana , Lima Martins Alissan Karine
Published: January 2025

Introdução: A integração entre graduandos e pós-graduandos no contexto da formação acadêmica oferece benefícios para o processo ensino-aprendizagem e avanço na pesquisa. A enfermagem é uma área da ciência que tem avançado nas pesquisas para a formação profissional e a integração entre o ensino e a pesquisa tem ocasionado retornos positivos para o desenvolvimento de competências dos enfermeiros em formação. Objetivo: Relatar as etapas de uma atividade voltada à integração entre graduação e pós-graduação no contexto do estágio supervisionado de enfermagem na atenção básica. Materiais e métodos: Trata-se de um relato de experiência de uma pesquisa-ação que foi desenvolvido por quatro mestrandos durante a disciplina de Metodologia do Ensino Superior, do Programa de pós-graduação em Enfermagem numa Universidade pública no interior do Ceará, localizada na região do Cariri. Resultados: A partir da identificação de necessidades dos graduandos e Serviço, foram pensados roteiros que, alinhados ao método SOAP, pudessem ser utilizados no Prontuário Eletrônico do Cidadão (PEC). Os mestrandos articularam o planejamento das ações com base no referencial teórico de Bollela, com identificação das competências a serem desenvolvidas e/ou adquiridas na experiência educacional nas dimensões: cognitiva, procedimental, relacional, afetiva. Conclusão: As etapas de atividade na integração entre graduação e pós-graduação proporcionaram avanços no processo de aprendizagem e desenvolvimento de competências pelos alunos da graduação por meio da experiência educacional e construção de roteiros para consultas de enfermagem, assim como, pelos mestrandos que foram mentores e facilitadores durantes todas as etapas de desenvolvimento.
Palavras-chave: Educação em Enfermagem. Educação de Pós-Graduação em Enfermagem. Atenção Primária à Saúde. Enfermagem.
Mapping the potential of parasitoid species for biological control of Spodoptera frugiperda in Bali, Indonesia
Authors: USTRIYANA I NYOMAN GEDE , SUPARTHA I WAYAN , SUSILA I WAYAN , YULIADHI KETUT AYU , SUDIARTA I PUTU , MOKHTAR ANIS SYAHIRAH BINTI , JAMIAN SYARI BIN , MUTIAH BINTAN , YASA I WAYAN SANDIKA , UTAMA I WAYAN EKA KARYA , YUDHA I KADEK WISMA
Published: January 2025

Abstract. Ustriyana ING, Supartha IW, Susila IW, Yuliadhi KA, Sudiarta IP, Mokhtar ASB, Jamian SB, Mutiah B, Yasa IWS, Utama IWEK, Yudha IKW. 2024. Mapping the potential of parasitoid species for biological control of Spodoptera frugiperda in Bali, Indonesia. Biodiversitas 25: 3664-3671. Parasitoids are natural enemies that can play a role in controlling the Spodoptera frugiperda (J. E Smith) (Lepidoptera: Noctuideae) pest population. This research aims to determine the morphological and molecular characteristics of these pests as well as distribution patterns in the field. Samples of S. frugiperda eggs and larvae were taken from corn (Zea mays L.) plants from several locations in Bali using the purposive sampling method. Identification of the S. frugiperda parasitoid was carried out using morphological and molecular methods. Based on the morphological and molecular characteristics, the types of S. frugiperda parasitoids in Bali are Telenomus remus as an egg parasitoid and Microplitis prodeniae as a larval parasitoid. The results of molecular analysis of the two types of parasitoids show that T. remus Bali has the same genetic sequence as T. remus from China and the larval parasitoid M. prodeniae Bali has the closest genetic sequence to M. prodeniae China, Hong Kong and India. According to the results of haplotype analysis, it is known that the T. remus parasitoid has one haplotype group with the Chinese T. remus sequence, while M. prodeniae has its own haplotype group when compared with sequences from the same species from several countries. Every sampling location in the Bali cornfield had the distribution of T. remu. Based on the percent parasitism value at each location point, T. remus is a very promising and effective parasitoid as a field mortality factor for S. frugiperda eggs.
On the undecidability of Markov properties for Lie superalgebras
Authors: Najafizadeh Alireza , Zargeh Chia
Published: January 2025

In this note, we address an algorithmic problem for Lie superalgebras. As a starting point, we use the Theory of Gröbner-Shirshov bases in order to find a normal form for Higman-Neumann-Neumann-extension (HNN-extension, for short) of Lie superalgebras. Then by using HNN-extension we show that there is no algorithm to determine whether a finitely presented Lie superalgebra satisfies Markov properties.
Lifshitz tail states in non-Hermitian disordered photonic lattices
Authors: Longhi Stefano
Published: January 2025

In lattices with uncorrelated on-site potential disorder, Anderson localization near the band edges can exhibit anomalously weak localization in the form of Lifshitz tail states. These states correspond to clusters of contiguous sites with nearly identical on-site energies, allowing excitations to extend significantly beyond the characteristic localization length determined by the inverse of the Lyapunov exponent. Since Lifshitz tail states are rare events, with an exponentially small density of states, they are typically considered of limited practical importance. In this work, we demonstrate that when Anderson localization is induced by disorder in an imaginary on-site potential, Lifshitz tail states can dominate the system’s dynamics and become experimentally observable. This phenomenon is illustrated through the Anderson–Bernoulli model in a non-Hermitian photonic lattice, shedding light on the unique interplay between disorder and non-Hermiticity in such systems.
3D-printed demultiplexer circuits using suspended-in-air grating couplers for terahertz communications
Authors: Skorobogatiy Maksim , Yahyapour Babak , Gachiloo Roya , Marcotte Frédéric
Published: January 2025

Integrated photonic circuits are in great demand for the upcoming THz communications. This work explores 3D printing to realize high-quality, high-refractive-index-contrast integrated components and devices for demultiplexing terahertz channels within the Wavelength Division Multiplexing modality. Namely, by printing integrated circuits using Polypropylene filaments suspended in air, we profit from the high-refractive index contrast of such a material combination to realize relatively compact low-loss waveguides, bends, couplers, and fiber Bragg gratings. The two-nozzle FDM printer allows simultaneous printing with filaments of two distinct sizes of 800um and 400um, with the larger filament used to make waveguides and couplers, and the smaller one used to define high-quality fiber Bragg gratings containing as much as 100 periods and featuring stop bands as wide as 10 GHz. Furthermore, by employing judiciously designed mechanical supports we show how to integrate such subcomponents into functional components such as single-channel drop filters. Finally, we developed a low-loss splicing technique for joining several components into functional devices and demonstrated four-channel THz WDM demultiplexers with in-plane (horizontal) and a more compact out-of-plane (vertical) integration. Experimentally, three-channel demultiplexers of THz signals with individual data rates up to 6 Gbps were demonstrated. Using finite element numerical modeling, integrated circuits were optimized for operation in the 120-165 GHz frequency band featuring ~5 GHz individual channel bandwidths and ~3 GHz inter-channel spectral spacing, and good agreement with the experiments was observed. We believe that the suspended-in-air integrated terahertz circuits hold strong potential for developing various linear optic transformers that will play a key role in energy-efficient analog processing of data streams for the upcoming terahertz communications. This is because of the high quality of the resultant circuits, ease of fabrication, and low infrastructure costs necessary for their manufacturing, thus allowing low-cost fast turnaround prototyping and development of terahertz signal processing devices even with the simplest 3D printing systems.
Endocytosis of Wnt ligands from surrounding epithelial cells positions microtubule nucleation sites at dendrite branch points
Authors: Thyagarajan Pankajam , Mirshahi Hannah S. , Kothe Gregory O. , Kumar Nitish , Long Melissa , Abimbola Bowofoluwa S. , Weiner Alexis T. , Rolls Melissa M.
Published: January 2025

Microtubule nucleation is important for microtubule organization in dendrites and for neuronal injury responses. The core nucleation protein, γTubulin (γTub), is localized to dendrite branch points in Drosophila sensory neurons by Wnt receptors and scaffolding proteins on endosomes. However, whether Wnt ligands are important is unknown. We found that Wnt secretion from epithelial cells was required for γTub localization to dendrite branch points. Using RNAi and mutant approaches, we demonstrated that Wnt4 and wntD both position γTub. Moreover, injury-induced increases in neuronal microtubule dynamics required Wnt secretion from epithelial cells. Overexpression of Wnts in epithelial cells increased microtubule dynamics to the same extent as axon injury indicating surrounding cells have an instructive role in neuronal nucleation. To determine how Wnt ligands concentrate microtubule nucleation at dendrite branch points, we tested whether endocytosis is restricted to specific regions of dendrites. Markers of clathrin-mediated endocytosis localized to puncta at branch points. Behavior of these puncta was sensitive to inhibition of endocytosis suggesting they represented endocytic sites. In addition to previously described colocalization of Wnt receptors and scaffolds with Rab5 endosomes, we identified a separate set of Wnt signaling puncta that colocalized with clathrin in dendrites. Moreover, γTub and Wnt scaffolding protein recruitment to branch points was reduced by clathrin RNAi, and injury-induced up-regulation of microtubule dynamics was sensitive to clathrin reduction. We propose that the localization of Wnt endocytic sites to dendrite branch points results in the local generation of microtubule nucleating endosomes.
A scoping review of the electronic collection and capture of patient reported outcome measures for children and young people in the hospital setting
Authors: Alarilla Anne , Sebire Neil J. , Keith Josh , Cortina-Borja Mario , Wray Jo , Davies Gwyneth
Published: January 2025

Patient reported outcome measures (PROMs) capture patients’ views of their health status and the use of PROMs as part of standard care of children and young people has the potential to improve communication between patients/carers and clinicians and the quality of care. Electronic systems for the collection of or access to PROMs and integrating PROMs into electronic health records facilitates their implementation in routine care and could help maximise their value. Yet little is known about the technical aspects of implementation including the electronic systems available for collection and capture and how this may influence the value of PROMs in routine care which this scoping review aims to explore. The Joanna Briggs Institute review process was used. Seven databases were searched (Emcare, Embase MEDLINE, APA PsychInfo, Scopus and Web of Science), initially in February 2021 and updated in April 2023. Only studies that mentioned the use of electronic systems for the collection, storage and/or access of PROMs as part of standard care of children and young people in secondary (or tertiary) care settings were included. Data were analysed using frequency counts and thematically mapped using basic content analysis in relation to the research questions. From the 372 studies that were eligible for full text review, 85 studies met the inclusion criteria. The findings show that there is great variability in the electronic platforms used in the collection, storage and access of PROMs resulting in different configurations and fragmented approaches to implementation. There appears to be a lack of consideration on the technical aspects of the implementation such as the accessibility, useability and interoperability of the data collected. Electronic platforms for the collection and capture of PROMs in routine care of CYP is popular, yet, further understanding of the technical considerations in the use of electronic systems for implementation is needed to maximise the potential value and support the scalability of PROMs in routine care.
An E-Delphi study to facilitate animal welfare assessment in Italian zoos and aquaria
Authors: de Mori Barbara , Mercugliano Elena , Cerizza Adriana F. , Biasetti Pierfrancesco , Florio Daniela , Da Re Riccardo , Mazzariol Sandro , Usachova Olga , Basile Simone , Gili Claudia , Rota Nodari Sara
Published: January 2025

Ensuring animal welfare is a key aspect of animal management in zoological facilities and aquaria, representing a pivotal facet of their mission. Italy currently lacks a comprehensive and valuable assessment methodology for evaluating the welfare of captive animals. To address this gap, the present study aimed to identify the most important criteria that should be considered in the welfare management and assessment of animals housed in Italian zoos and aquaria. To pinpoint this issue, we engaged experts with diverse backgrounds, structuring their communication throughout an iterative process, by applying the Delphi methodology. A pilot and three Delphi rounds were administered online to 74 experts, asking them to a) validate relevant topics derived from current legislation and guidelines divided into three clusters: Care, Wellbeing, and Regulation; b) assess the relevance of these topics across taxonomic groups; c) propose and confirm indicators for each identified topic; d) suggest and refine a list of questions for animal welfare assessment. The results were three lists of questions, one for each cluster, with a total of 80 topics, 174 indicators, and 272 questions identified by the experts. The aspects included in these lists offer valuable insights into the main aspects experts consider relevant for captive animal welfare. Despite the complexity of animal welfare and the huge amount of species hosted in zoos limiting the possibility to cover this aspect with a single expert consultation, this project actively addresses the urgent need for standardization in animal welfare assessment, contributing to the ongoing development of zoological regulations in Italy. This is especially important given the current limited legislative framework, underscoring the link between animal welfare and successful ex-situ species conservation. These questions can be the basis of fine-tuned protocols to be tested in future projects aiming at animal welfare self-assessment, thus supporting authority inspection processes.
Barriers and missed opportunities in PrEP uptake, use and care among men who have sex with men with recent HIV infection in the Netherlands
Authors: Koole Jeffrey C. D. , Bedert Maarten R. D. , de la Court Feline , Bais Irene , Wit Ferdinand , Stalenhoef Janneke , Mudrikova Tania , Pogany Katalin , van Benthem Birgit , Prins Maria , Davidovich Udi , van der Valk Marc
Published: January 2025

Introduction

Oral pre-exposure prophylaxis (PrEP) prevents Human Immunodeficiency Virus (HIV) acquisition. In the Netherlands, PrEP is accessible through the national PrEP program (NPP) or general practitioners (GP). Still, some men who have sex with men (MSM) entering HIV care indicated having PrEP experience prior to diagnosis. We aimed to identify barriers and missed opportunities in PrEP uptake, care and use among MSM with HIV and previous PrEP experience.

Methods

Between March 2022-March 2023, we conducted semi-structured in-depth interviews on PrEP among MSM diagnosed with HIV from 2019 onwards with previous PrEP experience. Interviewees were recruited through their HIV treatment centers and social media.

Results

Of the 11 included MSM, most reported significant PrEP-uptake delay because of the limited NPP capacity and high threshold of accessing PrEP from GPs (e.g. stigma, lack of sexual health expertise). Additional uptake or use barriers included anticipated/experienced side-effects, burden of daily pill-taking or event-driven regimen complexity, the latter leading to PrEP discontinuation. Missed opportunities in counseling on adherence and safer sex alternatives after discontinuation were reported. Most interviewees considered informal PrEP unsuitable.

Conclusion

PrEP uptake delay played a crucial role in context of HIV infection among MSM with HIV and previous PrEP experience. HIV diagnoses at or shortly after PrEP initiation emphasize the importance of ensuring rapid and timely PrEP access. Uptake barriers at GPs, stigma on sexuality, lack of expertise, and missed care opportunities need to be addressed. Early detection of PrEP protocol/user-mismatch and counseling on safer sex alternatives after discontinuation are pivotal for sustainable HIV prevention.
High glucose couples DJ-1 with PTEN to activate PDGFRβ for renal proximal tubular cell injury
Authors: Das Falguni , Ghosh-Choudhury Nandini , Kasinath Balakuntalam S. , Sharma Kumar , Choudhury Goutam Ghosh
Published: January 2025

High glucose milieu in diabetes induces proximal tubular epithelial cells in the kidney to undergo hypertrophy and matrix protein expansion via Akt/mTORC1 signaling, leading to renal fibrosis. The familial Parkinson’s disease protein DJ-1 acts as a driver of Ras-dependent tumorigenesis and protects dopaminergic neurons from apoptosis. But its function and mechanistic basis to regulate renal fibrosis is not clear. Here, we identify DJ-1 as a high glucose-promoted protein in renal proximal tubular epithelial cells. Mechanistic interrogation revealed that DJ-1 formed complex with the lipid phosphatase PTEN in high glucose-stimulated cells, resulting in phosphorylation/activation of Akt and mTORC1. siRNAs against DJ-1 decreased high glucose-stimulated Akt/mTORC1 activation. In contrast, overexpression of DJ-1 mimicked all effects of high glucose. Interestingly, inhibition of DJ-1 blocked high glucose-induced hypertrophy of proximal tubular epithelial cells and, matrix proteins fibronectin and collagen I (α2) expression while overexpression of DJ-1 mimicked the high glucose effects on these phenomena. Previously, we reported a role of PDGFRβ in proximal tubular cell injury. In exploring the mechanism of DJ-1 function, we found that siDJ-1 inhibited high glucose-induced activating and PI 3 kinase docking site tyrosine phosphorylation of PDGF receptor-β (PDGFRβ) to block phosphorylation of PI 3 kinase. Interestingly, overexpression of PTEN mimicked these effects of siDJ-1. Together, our results reveal an important role of DJ-1-PTEN nodal point for PDGFRβ activation during high glucose-induced proximal tubular epithelial cell injury.
Dialysate and plasma meropenem concentrations in continuous intraperitoneal regimen during peritoneal-dialysis-related peritonitis
Authors: Srithongkul Thatsaphan , Raksasuk Sukit , Techajongnumchai Bulaporn , Sritippayawan Suchai , Koomanachai Pornpan
Published: January 2025

Background

A single dose of intraperitoneal (IP) meropenem is recommended for peritoneal-dialysis (PD)-related peritonitis stemming from extended-spectrum β-lactamase-producing organisms. However, data on IP meropenem is limited.

Methods

This prospective, descriptive study was conducted to examine plasma and dialysate meropenem levels during continuous IP meropenem administration in five patients with PD-related peritonitis. All patients received an IP meropenem loading dose of 500 mg, followed by IP meropenem at 125 mg/L, with four exchanges daily. The plasma and dialysate meropenem concentrations were measured at specified intervals for a 24-hour period utilizing a high-performance, liquid chromatography method.

Results

Five patients with PD related peritonitis were studied. The mean-maximum dialysate and plasma meropenem levels were 158.1 mg/L (standard deviation [SD] ± 62.9) and 29.4 mg/L (SD ± 15.9), respectively. The mean dialysate meropenem level was at its minimum of 32.6 mg/L (SD ± 19.1) at 24 hours. Throughout the period, the dialysate meropenem levels exceeded the minimal inhibitory concentration of the pathogenic resistance organism (> 8 mg/L). Four patients responded to the treatment, whereas one developed treatment failure from fungal peritonitis.

Conclusion

An IP meropenem loading of 500 mg, followed by 125 mg/L every 6 hours, provided an adequate dialysate meropenem concentration and is an effective treatment for PD related peritonitis.

Trial registration

Thai Clinical Trials Registry (TCTR20191121002) with date of first registration at 21/11/2019 (retrospectively registered).
Pain management practice and associated factors among nurses working in Ethiopia: A systematic review and meta-analysis
Authors: Munie Melesse Abiye , Taye Amsalu Baylie , Tilahun Befkad Derese , Alamaw Addis Wondmagegn , Abebe Gebremeskel Kibret , Tiruye Migbaru Endawoke , Abate Biruk Beletew
Published: January 2025

Background

Pain management is a crucial component of patient care that promotes relaxation, lowers complications, improves quality of life, and shortens hospital stays. Several studies assessed the nurses’ pain management practices in Ethiopia. However, the findings of these studies are highly variable and inconsistent. Therefore, the study aims to determine the overall prevalence of pain management practice and associated factors among nurses working in Ethiopia.

Method

The study included all observational quantitative research articles conducted among nurses in Ethiopia. We used Google Scholar, PubMed, Cochrane Library, and Scopus searching databases. The Newcastle—Ottawa Scale was used to check the study quality. Then I2 statistics and Cochran’s Q test were used to evaluate heterogeneity. The Funnel, Egger’s test, and non-parametric trim and fill effect tests were used to check publication bias by using a random effect model. Finally, we conducted subgroup analysis and sensitivity tests to evaluate statistical heterogeneity and the presence or absence of any influential study.

Result

In the final analysis, we included eighteen studies, and 4,213 nurses participated. The overall pooled prevalence of nurses with good pain management practice was 43.79% (95% CI: 38.52, 49.06%). In-service training AOR; 95% CI 3.21 (1.87, 4.54), good knowledge AOR; 95% CI 2.44 (1.78, 3.09), positive attitudes AOR; 95% CI 2.84 (1.24, 4.44), and pain management guidelines in health facilities AOR; 95% CI 3.46 (1.48, 5.44) were the significant associated factors with pain management practice among nurses in Ethiopia.

Conclusion

This study found that over half of Ethiopian nurses had poor pain management practices. Knowledge, attitude, training, and pain management guidelines in health facilities were significant factors. Therefore, health managers and stakeholders should prioritize pain management awareness, attitudes, availability of guidelines, and in-service training to improve patient care and outcomes.
Examining the moderating effects of biopsychosocial factors on the relationship between HIV-related depression and cognitive function among adolescents living with HIV in Tanzania: A protocol for an analytical cross-sectional study
Authors: Kitoki Siku , Seif Saada Ali , Masika Golden Mwakibo
Published: January 2025

Background

Adolescents living with HIV face unique challenges, including mental health issues such as depression and cognitive dysfunction. Despite this significant burden, there is a lack of evidence focusing on this population. This study therefore aims to examine the moderating effects of biopsychosocial factors on the bi-directional relationship between HIV-related depression and cognitive function among adolescents living with HIV in the Mbeya region, Tanzania.

Methods

The analytical cross-sectional study will be conducted in public healthcare facilities in the Mbeya region, involving 207 adolescents living with HIV who will be selected using a systematic random sampling technique. Depression will be assessed using a standardized PHQ-9 tool, while cognitive functioning will be evaluated using a validated Montreal Cognitive Assessment Tool Version 8.3. A biopsychosocial model will be used to guide this study. Descriptive statistics will be used to describe the frequency distribution of the study variables, a chi-square test will be used to describe the relationship between the variables and a binary logistic regression model will be used to predict the moderating effects of biopsychosocial factors on the relationship between HIV-related depression and cognitive function. The odds ratio and a 95% confidence interval will be reported, and the p-value of 0.05 will be considered statistical significance. This study is expected to be conducted for three months. The high prevalence of mental health issues among HIV-positive adolescents, the detrimental effect of HIV on cognitive development, and the lack of studies focused on this population raised the need to conduct this study.

Discussion

The findings of this study will inform the development of a comprehensive integrated care model that addresses both the mental and cognitive aspects of living with HIV during adolescence. Moreover, the identification of factors associated with depression and cognitive performance will help healthcare providers in identifying at-risk adolescents and proper management of the conditions. This study’s results will also help reveal areas that need in-depth exploration that will lead to a better understanding of the responsible factors.
LBNP: Learning features between neighboring points for point cloud classification
Authors: Wang Lei , Huang Ming , Yang Zhenqing , Wu Rui , Qiu Dashi , Xiao Xingxing , Li Dong , Chen Cai
Published: January 2025

Inspired by classical works, when constructing local relationships in point clouds, there is always a geometric description of the central point and its neighboring points. However, the basic geometric representation of the central point and its neighborhood is insufficient. Drawing inspiration from local binary pattern algorithms used in image processing, we propose a novel method for representing point cloud neighborhoods, which we call Point Cloud Local Auxiliary Block (PLAB). This module explores useful neighborhood features by learning the relationships between neighboring points, thereby enhancing the learning capability of the model. In addition, we propose a pure Transformer structure that takes into account both local and global features, called Dual Attention Layer (DAL), which enables the network to learn valuable global features as well as local features in the aggregated feature space. Experimental results show that our method performs well on both coarse- and fine-grained point cloud datasets. We will publish the code and all experimental training logs on GitHub.
Effects of two training workshops upon university students’ learning of critical thinking
Authors: Cornejo Carlos Ossa , Rivas Silva F. , Sánchez Carlos Saiz
Published: January 2025

We evaluated the effect of two workshops on learning about critical thinking amongst first- year university students. 66 Chilean pedagogy students participated, all female, with ages ranging between 18 and 37 years. Two experimental groups were organized, one with direct teaching (n = 22) and another one with semi-directed teaching (n = 19), plus a control group (n = 25). Pre- and post-tests were applied with an abbreviated Pencrisal critical thinking questionnaire. The results showed statistically significant differences in both experimental groups between the pre- and post-test, with a greater difference in experimental group 1, while the control showed no significant differences. The covariables evaluated were age and academic performance upon entering university, observing that even after controlling for the aforementioned variables, there are differences between the experimental groups and the control. We discuss the possible positive effect of direct teaching in critical thinking as a more effective strategy.
Pandemic disruptions: Social media and pandemic news work of divergent Arab journalists
Authors: Elareshi Mokhtar , Ziani Abdulkrim , Matthews Julian
Published: January 2025

The pandemic has produced forms of disruption to journalism around the world. However, understanding this disruption commonly as synonymous with negative impacts on normal journalism practice misses the observed complexities found in controlled media systems. This article provides a contrasting case of ‘disruption as diversion’ in the pandemic news work of divergent Arab journalists. Journalists surveyed (n = 1443), while negotiating their governments’ pandemic policies and information strategies, discuss the significant role of social media in their developing pandemic news work as divergent Arab journalists. Social media use as a variable practice among Arab journalists prior to the pandemic appears commonly performed by journalists surveyed in all countries and is explained as important to their newsgathering and story production. These observed journalistic work practices, it is argued, illustrate the importance of ‘disruption as divergence’ at this time alongside the added complexities of pandemic news work within controlled media systems.
Prevalensi Bising Inosen dan Proporsi Karditis Subklinis pada Anak Usia 6-12 Tahun
Authors: Rahmadhany Anisa , Ufairah Kamilia Rifani
Published: January 2025

Latar belakang. Penyakit jantung rematik merupakan komplikasi dari demam rematik akut. Pada tahap awal penyakit, pasien mungkin tidak menunjukkan keluhan klinis, tetapi kelainan jantung dapat terdeteksi melalui pemeriksaan ekokardiografi. Pemeriksaan klinis menjadi sangat penting untuk mendukung diagnosis dini penyakit jantung rematik, khususnya dalam mendeteksi bising jantung melalui auskultasi.Tujuan. Mengetahui prevalensi bising jantung inosen dan proporsi karditis subklinis pada anak usia 6-12 tahun.Metode. Penelitian potong lintang dilakukan terhadap 201 subyek anak usia 6-12 tahun di Sekolah Dasar. Subyek menjalani pemeriksaan fisik, laboratorium, dan ekokardiografi. Penilaian dan interpretasi ekokardiografi dilakukan oleh dokter kardiologi anak.Hasil. Terdapat 16 subyek yang memiliki bising jantung, tetapi hasil ekokardiografi menunjukkan kondisi normal. Proporsi murmur inosen adalah 7,9%. Karditis subklinis ditemukan pada 1 subyek dengan proporsi 0,5%. Terdapat korelasi signifikan antara murmur dan parameter ekokardiografi dengan nilai P < 0,001.Kesimpulan. Proporsi murmur inosen dan karditis subklinis masing-masing adalah 7,9% dan 0,5%. Selain itu, bising jantung memiliki makna yang signifikan dalam kaitannya dengan hasil ekokardiografi.
Faktor Prediktif Kegagalan Hasil High Flow Nasal Cannula pada Anak dengan Gagal Napas Akut
Authors: Prasetyo Medita , Martuti Sri , Salimo Harsono
Published: January 2025

Latar belakang. High Flow Nasal Cannula dapat membawa risiko keterlambatan saat intubasi diperlukan. Pentingnya memprediksi luaran HFNC agar eskalasi terapi dapat segera dilakukan.Tujuan. Menganalisis nilai HR, RR, SpO2, pH, pCO2, HCO3, laktat, FiO2, rasio SF dan indeks ROX sebagai faktor prediktif kegagalan terapi HFNC pada anak dengan gagal napas akut.Metode. Kohort retrospektif dilakukan di Unit Perawatan Intensif Anak/PICU Rumah Sakit Umum Daerah Dr. Moewardi pada bulan Desember 2023 sampai Februari 2024. Analisis data rekam medis menggunakan SPSS 23, nilai p<0,05 dianggap signifikan secara statistik.Hasil. Peningkatan HR (nilai p=0,001; RR=39; IK95%:3,48-437,49), peningkatan RR (nilai p=0,09; RR=16,33; IK95%:2,19-121,42), penurunan SpO2 (nilai p=0,04; RR=7; IK95%:1,20-40,83) dan peningkatan laktat (nilai p=0,04; RR=6,50; IK95%:1,09-36,63) signifikan pada 1 jam setelah HFNC. Peningkatan HR signifikan pada 2 jam dan 4 jam setelah terapi HFNC (p=0,004; RR=17,33; IK95%:2,36-127,34 dan nilai p=0,04; RR=6,50; IK95%:1,09-38,63). Peningkatan HR merupakan faktor prediktif yang signifikan pada 1 jam dan 2 jam setelah terapi HFNC serta peningkatan RR pada 1 jam setelah HFNC berdasarkan uji multivariat (masing-masing p=0,04; RR=42,67; IK95%:1,18-1.518,62, nilai p=0,02; RR=15,29; IK95%:1,42-164,19, dan nilai p=0,04; RR=44,41; IK95%:1,24- 1.595,89).Kesimpulan. Peningkatan HR dan peningkatan RR adalah faktor prediktif kegagalan terapi HFNC yang paling berpengaruh. Perlunya pemantauan ketat utamanya pada 1 jam setelah terapi HFNC sebagai pertimbangan eskalasi.
Perbedaan Kadar Vitamin D, Tinggi Badan, dan Status Gizi pada Anak Palsi Serebral dengan dan Tanpa Epilepsi di Rumah Sakit Umum Daerah Ulin, Banjarmasin
Authors: Amelia Mc Sitti , Bakhriansyah Muhammad , Ringoringo Harapan Parlindungan , Khairiyadi Khairiyadi , Hidayah Nurul
Published: January 2025

Latar belakang. Kurangnya pajanan sinar ultraviolet akibat keterbatasan gerak, efek samping obat antiepilepsi, dan kurangnya asupan diet dapat menyebabkan defisiensi vitamin D serta memengaruhi status gizi dan tinggi badan pasien palsi serebral. Tujuan. Mengetahui perbedaan kadar vitamin D, tinggi badan dan status gizi pada pasien anak palsi serebral dengan dan tanpa epilepsi di Rumah Sakit Umum Daerah BanjarmasinMetode. Penelitian ini merupakan penelitian potong lintang. Sampel terdiri dari 35 pasien dengan palsi serebral tanpa epilepsi dan 35 pasien dengan epilepsi. Kami melakukan pengukuran kadar vitamin D, tinggi badan dan status gizi. Analisis data dilakukan dengan uji chi-square untuk mengetahui perbedaan kadar vitamin D dan status gizi antara kedua kelompok. Uji Mann-Whitney dilakukan untuk mengetahui perbedaan tinggi badan antara kedua kelompok.Hasil. Berdasarkan data kadar vitamin D, tidak didapatkan perbedaan bermakna antara kedua kelompok (p=1,000). Namun, terdapat perbedaan tinggi badan yang bermakna antara kedua kelompok (p=0,032). Terkait status gizi, tidak didapatkan perbedaan bermakna antara kedua kelompok (p=0,473).Kesimpulan. Tidak terdapat perbedaan bermakna dalam kadar vitamin D dan status gizi antara kelompok anak palsi serebral yang memiliki epilepsi dan yang tidak. Namun, terdapat perbedaan bermakna dalam tinggi badan antara kelompok tersebut.
Neutrophil Gelatinase-Associated Lipocalin Plasma sebagai Prediktor Gangguan Fungsi Ginjal pada Anak dengan Penyakit Jantung Bawaan Asianotik di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh
Authors: Safrizal Safrizal , Dimiati Herlina , Amna Eka Yunita , Sovira Nora , Haris Syafruddin , Darussalam Dora
Published: January 2025

Latar belakang. Penyakit jantung bawaan asianotik merupakan kelainan struktur dan fungsi jantung sejak lahir yang tidak ditandai dengan sianosis. Morbiditas PJB asianotik signifikan, dengan prevalensi 69,3-78,5%. Pada PJB dapat terjadi gangguan fungsi ginjal yang dapat meningkatkan mortalitas pada anak. Neutrophil Gelatinase-Associated Lipocalin (NGAL) plasma merupakan penanda prediktor gangguan fungsi ginjal pada anak. Tujuan. Mengetahui kadar NGAL plasma sebagai prediktor gangguan fungsi ginjal pada anak dengan penyakit jantung bawaan asianotik.Metode. Penelitian ini merupakan studi observasional analitik dengan pendekatan prospektif pada anak usia 1 tahun sampai 10 tahun dengan diagnosis PJB asianotik yang melakukan rawat jalan maupun rawat inap di Rumah Sakit Umum Daerah dr Zainoel Abidin Banda Aceh pada bulan Februari hingga Juni 2024 yang memenuhi kriteria penelitian.Hasil. Dari 35 anak dengan PJB asianotik, terbanyak berusia usia 1 tahun sampai dengan kurang dari 5 tahun (41,7%). Sebanyak 31,2% anak dengan diagnosis defek septum atrium terdapat gangguan fungsi ginjal. Kadar NGAL plasma sebesar 100,18 ng/ml menjadi cut-off point gangguan fungsi ginjal pada anak dengan PJB asianotik. Pada nilai AUC sebesar 0,95 didapat nilai sensitivitas, spesifisitas, PPV dan NPV masing-masing sebesar 100%; 94,73%; 94,1%; dan 100%. Kadar NGAL plasma pada anak dengan PJB asianotik memiliki hubungan signifikan (p=0,001) dengan gangguan fungsi ginjal.Kesimpulan. Neutrophil Gelatinase-Associated Lipocalin plasma dapat digunakan sebagai prediktor gangguan fungsi ginjal pada anak dengan PJB asianotik.
Luaran Bayi Prematur dengan Pertumbuhan Janin Terhambat: Sebuah Penelitian Deskriptif
Authors: Sugiyarto Kanya Lalitya Jayanimitta , Oswari Jessica Sylvania , Sjahrullah Muhamad Azharry Rully , Marsubrin Putri Maharani Tristanita
Published: January 2025

Latar belakang. Pertumbuhan janin terhambat (PJT) adalah masalah kesehatan global yang kompleks, berkontribusi terhadap peningkatan morbiditas dan mortalitas pada neonatus. Ketidakmampuan janin untuk mencapai potensi pertumbuhan genetiknya, yang sering kali disebabkan oleh disfungsi plasenta menjadi penanda PJT. Kriteria diagnostik meliputi berat janin atau lingkar perut di bawah persentil ke-10, perlambatan trajektori pertumbuhan, dan sering disertai oligohidramnion. Prevalensi PJT pada neonatus berkisar antara 7-15%, meningkat menjadi 30% di negara berkembang. Bayi dengan PJT berisiko hipoglikemia, komplikasi respiratorik, dan masalah jangka panjang, seperti penyakit kardiovaskular dan gangguan metabolik.Tujuan. Penelitian ini bertujuan untuk memaparkan luaran klinis bayi prematur dengan PJT.Metode. Penelitian ini adalah studi kohort retrospektif yang mengamati luaran bayi prematur dengan PJT, mengumpulkan data rekam medis di RSUP Nasional Dr. Cipto Mangunkusumo dari Januari hingga Desember 2023. Kriteria eksklusi mencakup intra uterine fetal death (IUFD) dan rekam medis tidak lengkap. Variabel independen dalam penelitian ini adalah bayi prematur dengan PJT, sedangkan variabel dependen adalah mortalitas dan morbiditas bayi prematur.Hasil. Pada periode Januari hingga Desember 2023, terdapat 664 persalinan prematur, 79 di antaranya dieksklusi. Penelitian ini melibatkan 585 bayi prematur dengan prevalensi PJT sebesar 29,2%. Angka kejadian distres pernapasan dan kebutuhan dukungan respirasi non-invasif lebih tinggi pada kelompok PJT, masing-masing sebesar 81,4% vs 63,4% dan 62,9% vs 45,8%. Angka mortalitas dan morbiditas lainnya tidak berbeda signifikan antara kelompok PJT dengan non-PJT. Kesimpulan. Luaran pada bayi prematur dengan atau tanpa PJT tidak berbeda bermakna. Namun, bayi prematur dengan PJT lebih berisiko mengalami distres pernapasan saat lahir sehingga membutuhkan dukungan ventilasi lebih dibandingkan kelompok non-PJT.
Peran Heparan Sulfate, Chondroitin Sulfate, dan Hyaluronic Acid Sebagai Biomarker Diagnosis Sepsis Neonatus
Authors: Aswati Lydia , Yusrawati Yusrawati , Yani Finny Fitry , Ali Hirowati
Published: January 2025

Sepsis neonatus menyebabkan morbiditas dan mortalitas yang bermakna. Berdasarkan penelitian pada populasi di  dua dekade terakhir, diperkirakan insiden sepsis neonatus secara global adalah 2202 per 100.000 kelahiran hidup, dengan mortalitas antara 11-19%. Kultur darah masih menjadi gold standar untuk konfirmasi diagnosis sepsis neonatus, tetapi masih terbatas untuk mendapatkan hasilnya, diperlukan waktu sekitar 24-72 jam. Sepsis berhubungan dengan disfungsi sel endotel yang berat. Disfungsi endotel dapat disebabkan oleh oksidan, hiperglikemia, ROS, endotoksin bakteri serta sepsis. Disfungsi endotel pada sepsis neonatus terjadi penumpahan dari bahan-bahan yang menyusun lapisan glikokaliks endotel. Lapisannya  disusun oleh  proteoglikan, glikoprotein dan glikosaminoglikan. Komponen glikokaliks yang berada di  sirkulasi seperti syndecan-1, hyaluronan, heparan sulfate dan chondroitin sulfate dapat ditemukan di plasma/serum dan urin, diharapkan dapat digunakan  sebagai biomarker diagnosis sepsis neonatus.
Design of an Iraqi University’s Institutional Effectiveness Model and Participant Experiences with Team Coaching
Authors: Warren Scott Joseph , Gresk Rachel , Shankle Nancy , Farmakis Heather , Gathwal Krishna
Published: January 2025

As global university budgets fall due to inflationary and political pressures and international competition for students becomes increasingly fierce, it is increasingly important that these institutions are financially efficient and academically effective. While accrediting agencies guide the requirements of higher education structures necessary to achieve institutional effectiveness, the internal processes for evaluating and improving internal programs and courses are often less well described in the literature. This situation faced a relatively new university in Iraq that sought to develop its institutional improvement processes. Goals for the grant-funded project included designing a whole system educational program to improve institutional effectiveness in both academic and administrative aspects. In part, the university needed to redesign its educational processes and teach its faculty and administrators how to reduce the number of courses and curricular programs with low demand, decrease the number of credit hours to match international expectations better, and improve the quality of remaining courses with a goal of continuous improvement. Engaging in such a process requires local faculty training, engagement with such work, and expertise from faculty and administrators with experience engaging in such activities. This article presents both an overview of the design case and training methodology developed in collaboration with a U.S. non-profit and faculty from member institutions. Further, the piece provides findings from surveys with participants regarding the redesign as they took part in the work of systemic learning enhancements completed through a learning process meant to make the university more efficient and effective at achieving its educational mission.
Ghosts of the Argonne: Immersion, Presence, and Uncertainty in a Virtual Reality History Simulation
Authors: Prestopnik Nathan R.
Published: January 2025

Ghosts of the Argonne is an interactive virtual reality (VR) recreation of the World War 1 (WW1) M1897 “French 75” field artillery gun, intended to teach learners about WW1 and its impact on the world, the role of artillery and artillerymen in this war, and the stories of real soldiers who served. The Ghosts of the Argonne project is also an exploration of design-oriented challenges that arise when attempting to transport learners into virtual recreations of the past. In this design case, we address a variety of such challenges, including the realism and authenticity of VR environments and objects, the capabilities and limitations of contemporary VR technology, the difficult relationship between games, play, and historical representation, the impact of multi-user interactivity on virtual historical recreations, and the challenge of contending with historical uncertainty in the design of VR objects, events, and environments.
Gamifying Computational Thinking Skills with a Community of Practice of Teachers
Authors: Tagare Deepti , Watson William R.
Published: January 2025

This design case describes an online synchronous teacher training on computational thinking (CT) skills for a community of practice (CoP) of in-service teachers in India. The training used gamification, reflection, and localization as instructional strategies. The purpose of this training was to help in-service K-12 teachers identify subject-specific examples of CT that they could then integrate into an online teaching context. The PRADA model of CT constructs was used as a framework for this training. The design decisions were guided by the instructional design theory of gamification and CoP theory in situated cognition. The training was developed using Google suite tools to ensure ease of use and access, minimal technical onboarding, and no cost of technology integration. A two-pronged approach was taken post-evaluation of the first iteration leading to remediation and second-iteration design.
Designing a Novice Teacher Training Program for Project-Based Learning
Authors: Clark Ni , Shin Sungwon
Published: January 2025

This design case highlights how two instructional designers initiated, designed, and implemented a K-12 novice teacher training program to address three known challenges teachers face when understanding, designing, and implementing project-based learning (PBL). The design framework comprised three areas: trainees, training program design, and trainees’ work environment. The training was delivered in three phases: teachers as learners, teachers as enactors, and teachers as independent designers. Over ten weeks of design implementation in the fall semester of the 2020-2021 school year, we learned three design elements that led to successful training: the phase-based design, the three-area framework, and the project’s management documents. We also encountered challenges that hindered the transfer of training as novice teachers attempted to integrate PBL in their classrooms: teachers’ lack of classroom management skills, heavy workload, and the impact of COVID-19. In reflection, we plan to improve our design by embedding training for classroom management, adopting multidisciplinary design if feasible, and boosting longer mentorship.
FONA-Forum 2024: Ein ko-kreativer Ansatz für Transformation
Authors: Bernert Philip , Arends Lena , Beyers Felix , Lange Ulf , Lawrence Mark , Martin Laura , Sasse Romi , Schönwitz-Palm Tobias , Bruhn Thomas
Published: January 2025

Das vom Bundesministerium für Bildung und Forschung geförderte FONA-Forum 2024 hat mit einem neuen Format experimentiert: Es lud die Teilnehmenden ein, aktiv mitzuwirken, und schuf einen ko-kreativen Raum für lösungsorientierte Diskussionen. In das Experiment
sind Prinzipien und Erfahrungen aus der Gestaltung transformativer Räume und aus Dialogprozessen der inter- und transdisziplinären Forschung eingeflossen.
Suffizienz im Stadtquartier ‐ Praktiken und Formate zur sozialen Diffusion in den Bereichen Wohnen, Mobilität, Ernährung
Authors: Brischke Lars-Arvid , Hunecke Marcel , Stieß Immanuel , Hüppauff Tilmann
Published: January 2025

Lebensweisen in Stadtquartieren ressourcenschonend und nachhaltig zu gestalten, war das Ziel des Verbundprojekts Lebensqualität, Teilhabe und Ressourcenschonung durch soziale Diffusion von Suffizienzpraktiken in Stadtquartiere (SuPraStadt). In Reallaboren in Heidelberg,
Dortmund und Kelsterbach wurden Suffizienzansätze wie gemeinschaftliches Wohnen, Nahmobilität und nachhaltige Ernährungspraktiken erprobt. Eine Toolbox mit praktischen Anleitungen für Bürger(innen), Quartiersmanager(innen) und lokale Initiativen unterstützt die
Verbreitung der Ansätze, um Suffizienz im Alltag erlebbar und für Kommunen anwendbar zu machen.
Sustainability4U: 15 Jahre universitäre Kooperation für Nachhaltigkeit
Authors: Diethart Mario , Gartler Lissa , Steinwender David , Getzinger Günter , Risopoulos-Pichler Filippina
Published: January 2025

Bereits 2008 schlossen sich die vier Grazer Universitäten zu einer Kooperation zusammen, um nachhaltige Entwicklung voranzutreiben. Unter dem Titel Sustainability4U etablierten sie ein Aktionsgremium, dessen wegweisende Aktivitäten die steirische Hochschullandschaft
prägten und inzwischen auf alle Hochschulen der Region ausgeweitet wurden. Im Folgenden wird Bilanz gezogen, es werden Projekte vorgestellt und künftige Vorhaben skizziert.
Challenging techno-solutionism in engineering education. Ethical and pedagogical reflections for sustainability
Authors: Banwell Nicola , Roelens Camille
Published: January 2025

Techno-solutionism in engineering education presents important ethical questions and risks to sustainability. It is necessary to reframe the role of technology in engineering education by evaluating the ethical implications of technologies; thus shifting the focus from “is it
technically possible to develop this technology?” to the question “should we develop this technology?”. Ethical engineering education must foster critical and open discussion on the role of technology in (un)sustainability to challenge techno-solutionism.