bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of Field Pea (Pisum sativum var. arvense) Genotypes for Morphological Traits, Quality Traits and Molecular Characterization using SSR Marker
Authors: . Satyendra , Sharma Vijay , Kumar Mukul , Mishra Anuj , . Kamaluddin , Sharma Priya , Singh Shalesh Kumar , Kumar Nitin , Prajapati Pawan Kumar
Published: February 2025

Background: Field pea is an important cool season grain legume crop. This study was conducted on field pea to explore phenotypic and molecular diversity among field pea genotypes, catering to current and future crop improvement. Methods: In this investigation forty-six genotypes of field pea were evaluated in randomized block design to assess phenotypic diversity for morphological and quality traits, alongside molecular characterization using simple sequence repeat (SSR) markers. Result: Variability analysis displayed substantial variability for all traits among test genotypes. Cluster analysis grouped the all genotypes into three distinct multi-genotypic clusters with clusters II and III having highest inter-cluster distance. Molecular characterization revealed the detection of 43 repeatable alleles by 14 polymorphic SSR markers, spanning a size range of 150 bp (AA122) to 970 bp (AA504), with a maximum of 4 fragments intensified by AD147, D21, AA504, AA122 and A9. Utilizing Jaccard dissimilarity coefficients and UNJ methods, all forty-six genotypes were grouped into three clusters. This study on field pea facilitates the identification of diverse parent selections capable of producing desirable segregants in future breeding programs.
PENGARUH MODEL PROJECT BASED LEARNING TERHADAP HASIL BELAJAR SISWA PADA MATA PELAJARAN GEOGRAFI
Authors: Zanah Nova Lailatul , Suwito Suwito , Nikmatullah Onik Farida
Published: February 2025

The Project Based Learning model is very closely related to improving student learning outcomes. Where through this model encourages students to learn actively, creatively, and collaboratively through real projects that are relevant to students' lives. So that students are able to connect theory with direct practice and have a positive impact on learning outcomes. The purpose of this study was to determine the effect of the Project Based Learning model on student learning outcomes in geography subjects for class XI at SMAN 1 Talun. The research design is Quasi Experimental, with pre-test post-test control group design. The subjects of this study were students of class XI B SMAN 1 Talun. Class B1 as the control class, while class B2 as the experimental class with 34 students per class. Data collection techniques were obtained from essay questions through validity and reliability tests. The data analysis technique used the independent sample t-test with a sig level of 0.05 using SPSS 25.0. The average post-test score in the experimental class reached 86, with an N-Gain Score test of 62.4%, while the control class showed an average post-test score of 74 and an N-Gain Score of 38%. Based on the t-test results, the Sig (2-tailed) is 0.000 < 0.05.
ABSTRAK
Model Project Based Learning sangat erat dengan peningkatan hasil belajar siswa. Dimana melalui model ini mendorong siswa untuk belajar secara aktif, kreatif, dan kolaborasi melalui proyek nyata yang relevan dengan kehidupan siswa. Sehingga siswa mampu menghubungkan teori dengan praktik langsung dan berdampak positif terhadap hasil belajar. Tujuan dari penelitian ini untuk mengetahui pengaruh model Project Based Learning terhadap hasil belajar siswa pada mata pelajaran geografi kelas XI di SMAN 1 Talun. Desain penelitian yaitu Quasi Experimental, dengan pre-test post-test control grub design. Subjek penelitian ini adalah siswa kelas XI B SMAN 1 Talun. Kelas B1 sebagai kelas kontrol, sedangkan kelas B2 sebagai kelas eksperimen dengan jumlah siswa per kelas 34 orang. Teknik pengumpulan data diperoleh dari soal esai melalui uji validitas dan uji reliabilitas. Teknik analisis data menggunakan uji independent sample t-test taraf sig 0,05 menggunakan SPSS 25.0. Nilai rata-rata post-test pada kelas eksperimen mencapai 86, dengan uji N-Gain Score sebesar 62,4%, sedangkan kelas kontrol menunjukkan nilai rata-rata post-test sebesar 74 dan N-Gain Score sebesar 38%. Berdasarkan hasil uji-t menunjukkan Sig (2-tailed) sebesar 0,000 < 0,05.
The Politics of Social Assistance in Lebanon: Social Protection, Sectarianism, and Lebanon’s Fragmented Social Contract
Authors: Proudfoot Philip , Zoughaib Sami
Published: February 2025

This working paper explores the contemporary politics of social assistance (and social protection more broadly) in Lebanon, filling multiple gaps in existing academic and policy literature on Lebanon’s ongoing financial crisis. First, it tests common but hitherto unevidenced assumptions that the country’s worsening protracted crisis would either discredit or, conversely, expand Lebanon’s underlying socio-political system, which is characterised by sectarian-clientelism and fractured sub-state loyalties. We show that, in fact, both assumptions are false and instead the status quo is largely being maintained. Second, by drawing on evidence from focus groups with economically vulnerable Lebanese citizens, we demonstrate that one of the means by which this has been achieved has been through Lebanon’s splintered social protection regimes, which both reflect and uphold the country’s broken social contract. Third, we focus on both formal (internationally supported) assistance and informal politically motivated responses alike, whereas previous research has explored these modalities in isolation. The informal, we argue, hinges on relational dynamics, meaning that even if assistance might have slowed, an expectation of future support remains. By contrast, even where formal social protection responses have assisted vulnerable people, they have not altered those informal relational dynamics that bind individuals to local actors rather than the national government. Finally, we conclude the paper by exploring the implications of the government’s National Social Protection Strategy (adopted in February 2024). The strategy, if implemented fully, represents the first potential policy avenue that might begin to strengthen Lebanon’s social contract through cohesive rights-based social protection reform.
The Politics of Social Assistance in Lebanon
Authors: Proudfoot Philip , Zoughaib Sami
Published: February 2025

This brief examines the politics of social protection amid ongoing financial crisis in Lebanon. It finds that Lebanon’s political settlement remains characterised by sectarian-clientelism and fractured sub-state loyalties, and that a fractured formal social protection system exists alongside longstanding traditions of political party-led social assistance. It argues that Lebanon’s new National Social Protection Strategy provides a rare opportunity to foster a new social contract that is inclusive and rights-based.
Precision agriculture for sustainability Second edition
Authors:   Silsoe Solutions
Published: February 2025

By using resources more efficiently, precision agriculture (PA) can make agriculture more productive and sustainable.

This new edition of Precision agriculture for sustainability provides a comprehensive review of the key components of PA, from information gathering to delivery systems, as well as the wide range of applications from precision tillage and seeding to site-specific irrigation and nutrition, as well as crop protection and weed management. The book also considers the emergence of new approaches and technologies, including multi-sensor fusion, artificial intelligence and big data.
THE RELATIONSHIP BETWEEN ORGANIZATIONAL AMBIDEXTERITY, PROCESS INNOVATIVENESS, PRODUCT INNOVATIVENESS AND FIRM PERFORMANCE
Authors: TURKCAN Hulya
Published: February 2025

This study aims to investigate the relationship between organizational ambidexterity, process
innovativeness, product innovativeness and firm performance. For this purpose, data were collected from
219 managers who work in the manufacturing sector in Kocaeli and Istanbul in Turkey. Findings reveal
that organizational ambidexterity is positively related to process innovativeness, product innovativeness
and firm performance. Moreover, it is found that product innovativeness is positively associated with firm
performance whereas process innovativeness is not.
The Structural Relationship between Supervisor’s Multicultural Competence, Role Conflict, Working Alliance, and Supervisees’ Non-disclosure
Authors:   The Association of Korea Counseling Psychology Education Welfare, PARK Hyun-Jung , CHO Eun-Yi , SHIN Seo-Won
Published: February 2025

The purpose of this study was to investigate the structural relationship between supervisor’s multicultural competence, role conflict, working alliance, supervisees’ non-disclosure. A structural equation model including the four variables was formulated based on previous studies. 207 counselors-in-training who experienced non-disclosure in supervision within 2 years answered a survey. Results indicated that supervisor’s multicultural competence was negatively related to supervisees’ non-disclosure in total effect. Supervisor’s multicultural competence was negatively related to role conflict, and positively related to working alliance, which mediated the relationship between supervisor’s multicultural competence and supervisees’ non-disclosure. However, supervisor’s multicultural competence directly increased on supervisees’ non-disclosure when excluding indirect effects. Based on the results, the ways to reduce supervisees’ non-disclosure were discussed.
Legal Support of China’s Foreign Policy: Strengthening Global Status and Protecting National Interests
Authors: Denisov I.
Published: February 2025

This article explores the intersection of law and politics in China’s foreign policy, focusing on how legal frameworks are being utilized to advance the country’s international ambitions. The research emphasizes the significance of “foreign-related law” (涉外法律) and “legal governance in external relations” (涉外法治) as innovative concepts that encapsulate China’s approach to blending legal rigor with strategic policymaking. The 2023 Foreign Relations Law serves as a central case study, illustrating how China is integrating its domestic legal principles into its foreign policy framework to reinforce its global standing and protect its national interests. The law is part of a broader effort to develop a comprehensive legal system that supports China’s modernization and international objectives, particularly in the context of rising geopolitical tensions. This research highlights the escalating influence of party organs in the foreign policy process, uncovers the key features of the counter-sanction policies enshrined within the law, and probes the unique characteristics of China’s approach to international relations. The study examines how China’s leadership views law not just as a tool for domestic governance but as a means to assert its position in international affairs. Through a detailed examination of the law’s provisions, the legislative process, and the political context, the paper sheds light on China’s approach to integrating its domestic legal standards with its foreign policy goals. The interdisciplinary approach, combining legal analysis with political science insights, highlights the complexity of China’s legal-political integration and its implications for global governance. The findings suggest that China’s legal diplomacy, as exemplified by this law, is a critical component of its broader strategy to reshape the international legal order in a manner that favors its interests.
Effect of flipped classroom on student perceptions, academic scores and study practices
Authors: Wali Othman , Vanka Shanthi , Vanka Amit
Published: February 2025

Aim.  To evaluate the educational impact of two flipped classroom models.
Material and methods.  Traditional lectures were followed by Flipped classroom (FC) with face to face(F2F) session (cohort of 2019-20) and online (cohort 2020-21).  Students’ perceptions were collected by questionnaire  after lectures and FC. Historic academic scores on selected topic  were compared  scores after introduction of FC. The learning management system(LMS)  was used to monitor student usage of learning resources.
Results. Students perceptions for cohort 2019-20 were significantly higher(p>0.05) for FC(F2F)  compared to lecture. Students’ perceptions for cohort 2020-21 were also significantly higher for FC(online) compared to online lecture. Academic scores did not show significant difference between lecture and FC. Increased hits on LMS for online resources were associated with FC or summative assessment.
Conclusions. Students were overwhelmingly positive on FC for both: with F2F and online , and academic scores were similar to lecture. FC can possibly improve student study habits but needs further research.
Intimate Partner Violence, Perempuan Korban Kekerasan Dalam Masa Pacaran : Sebuah Laporan Kasus
Authors: Fatdiansyah Endra , Utomo Raden Panji Uva , Rohmah Intarniati Nur
Published: February 2025

Latar belakang :   Kekerasan pada perempuan terutama dalam konteks Intimate Partner Violence (IPV) (kekerasan hubungan intim), merupakan suatu masalah serius dan posisi perempuan sebagai pihak yang rentan (vulnerable) sering menjadi target dari kekerasan yang dilakukan oleh pasangan. Sistem hukum di indonesia belum mengenal pola hubungan berdasarkan kekuasaan pada IPV, namun pengetahuan ahli forensik dalam hal tersebut  dapat memberi petunjuk dalam proses penegakan hukum dan intervensi dalam membantu korban.
Presentasi Kasus :  seorang perempuan berusia 29 tahun, mengaku dianiaya oleh pacar, mengalami luka memar  pada kepala, pipi, leher, punggung, pinggang, anggota gerak atas; luka lecet pada pipi, anggota gerak atas, dan anggota gerak bawah kiri.
Pembahasan : Laporan kasus ini berfokus pada kasus IPV pada perempuan di posisi rentan dan melihat kaitannya Intimate Partner Violence (kekerasan pasangan intim). Tujuan dari tulisan ini adalah untuk mengkaji kasus IPV berdasarkan posisi korban dan pelaku dapat diterapkan pada kasus untuk perempuan rentan dan memberikan petunjuk mengenai intervensi tatalaksana kasus. Korban mengalami pola hubungan Physical Violence.
Simpulan : Sistem hukum di Indonesia belum mengenal pola hubungan berdasarkan kekuasaan pada IPV, namun pengetahuan ahli forensik dalam hal tersebut  dapat memberi petunjuk dalam proses penegakan hukum dan intervensi dalam membantu korban.
Kata kunci: kekerasan pasangan intim, perlindungan hukum, kelompok rentan
Strategi Intervensi Peningkatan Ketaatan Minum Obat Antihipertensi: Sebuah Tinjauan Pustaka
Authors: Rahmawati Riana
Published: February 2025

Latar Belakang: Ketaatan pengobatan hipertensi merupakan prediktor penting dalam keberhasilan terapi hipertensi. Namun, data menunjukkan rendahnya ketaatan minum obat pada pasien, yang berdampak pada peningkatan risiko komplikasi (misal, stroke) dan menurunkan kualitas hidup Tujuan: menggambarkan hasil publikasi terkini mengenai metode intervensi peningkatan ketaatan minum obat antihipertensi di Indonesia.
Metode: Penelusuran artikel dilakukan dengan pendekatan untuk Scoping Review dengan pencarian kata kunci di Garuda (“kepatuhan hipertensi”, “ketaatan hipertensi” dan PubMed ((adherence OR compliance) AND (hypertension OR blood pressure) AND Indonesia), untuk artikel terpublikasi di tahun 2017 sampai Juli 2023.
Hasil: Terdapat 39 artikel yang memenuhi kriteria, 2 diantaranya dipublikasikan di jurnal internasional. Proporsi artikel yang dipublikasi di jurnal nasional terakreditasi adalah 75,7% (28 dari 37 jurnal nasional). Sebagian besar penelitian dilakukan pada pasien puskesmas baik yang termasuk di program pelayanan penyakit kronis (prolanis), rawat jalan maupun rawat inap. Selain di puskesmas, rumah sakit/klinik, penelitian dilakukan pada pasien di apotek. Program posyandu dan posbindu menjadi wahana penelitian intervensi ketaatan pengobatan di masyarakat. Intervensi edukasi melalui berbagai pendekatan dan media merupakan metode yang paling banyak dilaporkan; berupa edukasi saja atau kombinasi dengan metode lain. Pemberian edukasi terutama dilakukan oleh apoteker. Layanan kunjungan rumah (pharmacy home care) dilaporkan efektif meningkatkan ketaatan pengobatan. Selain media edukasi konvensional (poster, leaflet), dilaporkan juga penggunaan video dan media interaktif lain berbasis digital. Sistem pengingat minum obat diberikan antara lain melalui self-reminder card, kotak obat harian, kalender fungsional serta pengingat melalui layanan pesan singkat di gawai. Pendekatan intervensi yang disesuaikan dengan faktor penghambat ketaatan (targeted and tailored intervention) dilaporkan efektif untuk meningkatkan ketaatan pengobatan. Selain ketaatan pengobatan, beberapa penelitian melaporkan juga luaran lain seperti penurunan tekanan darah atau peningkatan pengetahuan pasien. Terdapat 2 artikel yang melaporkan tidak efektifnya intervensi edukasi saja untuk meningkatkan ketaatan minum obat.
Simpulan: Hasil review ini menunjukkan intervensi peningkatan ketaatan minum obat terutama dilakukan melalui metode edukasi, dengan apoteker memegang peran utama. Pemanfaatan teknologi dan kombinasi metode intervensi yang sesuai dengan pasien perlu dikembangkan di penelitian selanjutnya.
Pencapaian Standar Pelayanan Minimal Kesehatan pada Masa Pandemi COVID-19 di Puskesmas Mlati I
Authors: Hartaya Azka Pramudya , Sunarto
Published: February 2025

Latar Belakang: COVID-19 merupakan penyakit menular yang disebabkan oleh virus SARS-CoV-2. Penyakit tersebut telah dinyatakan sebagai pandemi pada 11 Maret 2020 oleh WHO. Dampak yang terasa pada bidang kesehatan, terutama terkait dengan SPM kesehatan, yaitu perubahan seluruh prosedur pelayanan kesehatan sehingga akan terjadi penurunan jumlah pasien yang berkunjung maka akan berimbas ke ketercapaian target SPM kesehatan.
Tujuan Penelitian: Untuk mengetahui pencapaian standar pelayanan minimal bidang kesehatan pada masa pandemi COVID-19 di Puskesmas Mlati I,
Metode Penelitian: Penelitian ini merupakan penelitian kualitatif studi kasus. Pengambilan data dilakukan dengan pendekatan wawancara dan dokumentasi. Pada penelitian ini terdapat sembilan narasumber, yaitu kepala puskesmas, kepala sub bagian tata usaha, dan tujuh penanggungjawab program SPM kesehatan. Pemilihan kesembilan narasumber dilakukan dengan metode purposive sampling. Setelah pengambilan data selesai akan dilaksanakan analisis data secara tematik.
Hasil: Perbedaan pencapaian SPM kesehatan terbagi menjadi 3 topik, yaitu pelaksanaan, faktor pendukung, dan faktor kendala. Puskesmas melakukan beberapa penyesuaian selama pandemi, salah satunya terkait komunikasi antar jejaring hanya dengan daring.
Kesimpulan: Puskesmas dalam peranannnya terdapat beberapa perbedaan, yaitu anggaran yang direlokasi ke penanganan COVID, jam operasional tidak menentu, dan perubahan alur pelayanan di dalam maupun di luar gedung, serta tiga poin kendala, yaitu pembatasan interaksi, edukasi, dan kesadaran masih rendah di masyarakat, dan kekhawatiran resiko penularan COVID yang itu semua didapatkan pada saat pandemi berbanding terbalik dengan saat sebelum pandemi terjadi.
Kata Kunci:COVID-19, Standar Pelayanan Minimal, pelaksanaan, pendukung, kendala.
Tingkat Kepuasan Pasien Terhadap Pelayanan di Rumah Sakit Umum Daerah (RSUD) Muntilan
Authors: Ridho Muhammad , Sunarto
Published: February 2025

Latar Belakang:Pada Profil RSUD Muntilan Tahun 2019, didapatkan bahwa beberapa pelayanan masih belum mencapai kepuasan pelanggan sesuai dengan standar Peraturan Menteri Kesehatan (Permenkes). Hal ini menunjukkan bahwa evaluasi terhadap pelayanan menjadi penting untuk meningkatkan kualitas dan kepuasan pasien. Faktor-faktor yang memengaruhi kepuasan pasien perlu diidentifikasi untuk memberikan solusi yang lebih tepat sasaran. Peningkatan kualitas pelayanan menjadi kunci dalam mempertahankan kepercayaan masyarakat terhadap fasilitas kesehatan.
Tujuan Penelitian:Untuk mengetahui gambaran tingkat kepuasan pasien terhadap pelayanan di RSUD Muntilan.
Metode Penelitian:Penelitian ini adalah studi observasional deskriptif dengan desain cross-sectional menggunakan teknik non-probability accidental sampling. Data dikumpulkan melalui kuesioner yang mengukur kepuasan pasien berdasarkan lima dimensi kualitas pelayanan. Penelitian dilaksanakan pada bulan Mei 2022.
Hasil:Hasil penelitian menunjukkan bahwa pelayanan di RSUD Muntilan secara umum telah sesuai dengan harapan pasien, karena mayoritas responden merasa puas. Kepuasan ini didasarkan pada lima dimensi kualitas pelayanan, yaitu keandalan, daya tanggap, jaminan, empati, dan bukti fisik. Meskipun demikian, masih terdapat beberapa aspek yang memerlukan peningkatan untuk mempertahankan tingkat kepuasan pasien.
Kesimpulan:Pasien merasa puas dengan pelayanan di RSUD Muntilan berdasarkan lima dimensi kualitas pelayanan. Peningkatan berkelanjutan dalam aspek yang masih lemah diperlukan untuk memastikan kepuasan yang merata di seluruh dimensi pelayanan.
Kata Kunci:Kepuasan pasien, kualitas pelayanan, lima dimensi kualitas, RSUD Muntilan, evaluasi pelayanan.
Menstrual cycle and hormonal contraception: regulation, efficacy and safety
Authors:   Patrice Lumumba Peoples' Friendship University of Russia (RUDN), Moscow, Russian Federation, Radzinsky V.E. , Orazov M.R. ,   Patrice Lumumba Peoples' Friendship University of Russia (RUDN), Moscow, Russian Federation, Dolgov E.D. ,   Patrice Lumumba Peoples' Friendship University of Russia (RUDN), Moscow, Russian Federation
Published: February 2025

Menstrual disorders are one of the most urgent problems in gynecology. Abnormal uterine bleeding (AUB), heavy menstrual bleeding (HMB) and intermenstrual bleeding (IMB) encompass a wide range of nosologies under the umbrella term “menstrual disorders”. According to the current national clinical guidelines «Abnormal uterine bleeding» (2024), combined oral contraceptives (COCs) are one of the most effective treatments for HMB with a high level of evidence (B-2). High efficacy and safety of COCs based on E4/DRSP in the correction of HMB, AUB and IMB in a patient cohort was demonstrated.
Key words: abnormal uterine bleeding, heavy menstrual bleeding, intermenstrual bleeding, estetrol, drospirenone
New insights in the pathogenesis of endometriosis: the role of stem cells
Authors:   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Kosova D.A. , Aleksandrov L.S. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Davydov A.I. ,   Patrice Lumumba Peoples' Friendship University of Russia (RUDN), Moscow, Russian Federation, Ishchenko A.I. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Nikonov A.P. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Ishchenko A.A. ,   Treatment and Rehabilitation Center, Moscow, Russian Federation, Ageev M.B. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Zholobova M.N. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Berishvili M.V. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Proklova G.F. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Svidinskaya E.A. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Khabarova M.B. ,   S.S.Yudin City Clinical Hospital, Moscow, Russian Federation
Published: February 2025

This review analyzes the hypothesis of the role of stem cells in the pathogenesis of endometriosis. The source of these cells can be both the uterine endometrium itself and the red bone marrow. Stem cells forming ectopic foci must have several features: the ability to migrate, attach and potentiate angiogenesis at the site of implantation, as well as differentiate into both glandular and stromal cells. Despite numerous studies, the cells responsible for the development of endometrioid lesions have not yet been identified. If an ectopic endometrial progenitor cell is found, it will be possible to use its features to predict the course of disease and the efficacy of therapy.
Key words: endometriosis, endometrium, stem cells, side population cells
Analysis of international guidelines for the prevention of thromboembolic complications during pregnancy and in the postpartum period
Authors:   S.D.Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan, Issenova S.Sh. , Babasheva A.M. ,   S.D.Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan, Amirova Zh.O. ,   S.D.Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan
Published: February 2025

According to WHO, about 830 women die every day from preventable causes related to pregnancy and labor. One such situation is venous thromboembolism (VTE).
Objective. To analyze the prevention strategies for VTE and existing guidelines.
Articles on pregnancy and VTE risks published over the last 10 years were searched in PubMed, Wiley, Scopus, and Google scholar databases. The search included varicose veins of lower extremities, obesity, thrombophilia, history of VTE, and cesarean section. No restrictions were placed on the study design. Materials were searched by key words using MESH. Inclusion criteria: publications of A and B evidence levels. Exclusion criteria: promotional articles and information notes.
The efficacy of the RCOG risk assessment model for identifying women with postpartum VTE, as well as prevention strategies such as low-molecular-weight heparin (LMWH) administration to reduce the risk of VTE, was established. RCOG guidelines were found to be the most acceptable questionnaire for early diagnosis of VTE in the antepartum and postpartum periods among developed countries. Such guidelines play an important role in improving the diagnosis and prevention of VTE, which helps to reduce the risk of serious complications and maternal mortality.
Key words: pregnancy and VTE, thrombosis, thrombophilia, thromboprophylaxis, pulmonary embolism, DVT
PEMAHAMAN ISU GENDER MELALUI PEMBELAJARAN BERDIFERENSIASI BERBANTUAN LEARNER GENERATED DIGITAL MEDIA (LGDM )
Authors: Gusti Ririn , Putra Ari
Published: February 2025

Penelitian ini bertujuan untuk mengeksplorasi penggunaan Learner Generated Digital Media (LGDM ) dalam meningkatkan pemahaman mengenai isu gender dalam mata kuliah Gender dalam Pendidikan. Menggunakan pendekatan kualitatif. Data dikumpulkan melalui wawancara mendalam dengan pembelajar, observasi langsung selama sesi pembelajaran, dan analisis terhadap dokumen digital yang dihasilkan pembelajar. Temuan penelitian mengungkapkan bahwa LGDM  pembelajar dapat berpartisipasi lebih aktif dan terlibat secara mendalam dalam proses pembelajaran. Penggunaan media digital yang dihasilkan sendiri oleh pembelajar meningkatkan pemahaman terhadap isu gender secara signifikan. Selain itu, LGDM  juga membantu peserta pembelajaran dalam mengembangkan keterampilan kritis dan reflektif yang lebih baik melalui produksi dan analisis media digital yang berkaitan dengan isu gender. Penelitian ini menjadi solusi bahwa penerapan LGDM  dalam pembelajaran dapat memperkaya pengalaman belajar dan memperdalam pemahaman peserta pembelajaran tentang isu gender, serta merekomendasikan integrasi metode ini dalam kurikulum pendidikan gender yang lebih luas.
Identifikasi Kesenjangan Kinerja Konsultan Pengawas Konstruksi Di Kota Denpasar
Authors: Damayanti Tirtha , Ni Kadek Sri Ebtha Yuni  , Ni Putu Indah Yuliana  , I Gede Bambang Wahyudi
Published: February 2025

Penelitian ini bertujuan untuk menganalisis upaya peningkatan hasil kerja jasa konsultan pengawas konstruksi di Kota Denpasar, dengan fokus pada evaluasi gap antara tingkat kepentingan dan pelaksanaan kebutuhan konsultan pengawas pada proyek pemerintah dan swasta. Data dikumpulkan melalui survei yang mengukur tingkat kepentingan dan pelaksanaan pada 10 kebutuhan konsultan pengawas yang diuji validitas dan reliabilitasnya. Hasil analisis gap menunjukkan bahwa pada proyek pemerintah, sebagian besar kebutuhan konsultan pengawas masih memerlukan perbaikan dalam pelaksanaannya, dengan gap yang berkisar antara 0,016 hingga 0,231 atau berada pada kategori gap rendah hingga sangat tinggi. Sebanyak 5 dari 10 kebutuhan konsultan pengawas pada proyek pemerintah masuk dalam kategori gap sedang, 1 kebutuhan dalam kategori gap sangat tinggi, dan 4 kebutuhan dalam kategori gap rendah. Pada proyek swasta, gap berkisar antara -0,037 hingga 0,138, dengan 1 kebutuhan pada kategori gap tinggi, 3 pada kategori gap sedang, dan 6 pada kategori gap rendah. Selanjutnya, penelitian ini menganalisis solusi peningkatan melalui focus group discussion (fgd), yang menghasilkan rekomendasi peningkatan seperti pendidikan dan pelatihan (untuk 4 kebutuhan), pelatihan manajerial, pembuatan prosedur kerja standar, dan sertifikasi keahlian. Upaya-upaya ini diharapkan dapat meningkatkan kualitas dan kinerja konsultan pengawas konstruksi di Kota Denpasar sesuai dengan harapan pengguna jasa.
Beneficial use of dredged material for submerged aquatic vegetation habitats : overcoming challenges and seeking new opportunities
Authors: Russ Emily , Yarnall Amy , Balazik Matthew , Blanche J. , Draper Austin , Altman Safra
Published: February 2025

There is a critical need to maintain and create conditions that are conducive for longterm survival of submerged aquatic vegetation (SAV) habitats, which provide multiple ecosystem services, using dredged material. This technical note (TN) was developed by the US Army Engineer Research and Development Center (ERDC)–Environmental Laboratory (EL) to address the specific challenges US Army Corps of Engineers (USACE) practitioners at the district and division level face that impede the development of beneficial use of dredged material (BUDM) projects to restore, conserve, and expand SAV habitats. Different ways to overcome these challenges and opportunities that should be further explored are also addressed. The information in this TN was synthesized from discussions at a virtual workshop for USACE practitioners.
Interspecific Association Of Seagrass Enhalus Acoroides With Macrozoobenthos In Seagrass Meadow Ecosystems In The Eastern Part Of Pramuka Island
Authors: Angellica Angellica , Septiya Celsi Anggun , Klarisa Fransiska Tika , Mulyaningsih Linda , Reza Mu'amar Huzaifi , Safinatunnaja Nazhifa , Nuraulia Renasya , Putri Viranti Kartika , Agustina Aprilia Dwi , Rasyid Fadhli Muhammad , Razan Haidar Fauzi , Kelana Sania Anugrah
Published: February 2025

ABSTRACTThe seagrass community structure on Pramuka Island is declining due to human activities. The condition of the seagrass community structure can be seen from the stability of the ecosystem, where the diversity of macrozoobenthos in it can be one of the indicators that describe the condition of the seagrass. This study aimed to investigate the association between seagrasses and macrozoobenthos, as well as the distribution of macrozoobenthos in the eastern part of Pramuka Island. The quadrant transect method was used at three observation points with a 100 m transect and 1x1 m² plots at 10 m intervals. The physical and chemical parameters were measured at the start, middle, and end points of each transect using water and sediment samples. Enhalus acoroides dominated four seagrass species found in three transects. Plots near the shoreline and mangrove ecosystems harbored Macrozoobenthos due to sediment richness in the organic matter. The results showed that the correlation between Enhalus acoroides and the macrozoobenthos Holothuria atra had a perfect level of association. Enhalus acoroides plays an important role in providing habitat and food for macrozoobenthos on Pramuka Island. This symbiotic relationship maintains the balance of the seagrass ecosystem on Pramuka Island. The diversity of macrozoobenthos species found on Pramuka Island indicates that this ecosystem is relatively healthy and able to provide various resources for organisms residing in seagrass beds.Keywords: Association, macrozoobenthos, seagrass beds.
Percepción del proceso de identificación de víctimas humanas en casos de desastres en odontólogos de una universidad privada de Lima
Authors:   , Nuñez De La Cruz Diana Yulissa
Published: February 2025

Objetivo: Determinar la percepción del proceso de identificación de víctimas humanas (DVI) en casos de desastres en odontólogos de una universidad privada de Lima. Materiales y métodos: Este estudio observacional transversal se realizó en una muestra de 134 odontólogos de 24 a 62 años (56,7% mujeres, edad media 34,38 ± 7,23) de una universidad privada de Lima. Un cuestionario de 18 preguntas de percepción de DVI valorado de 0 a 90 puntos incluyó las dimensiones: plan y guías de procedimientos (D1), métodos de identificación odontológicos (D2) y odontología forense (D3). Las covariables fueron sexo, edad y sector laboral. El cuestionario se evaluó con validación de constructo (KMO=0,776 y significación de esfericidad de Bartlett ≤0,001) y confiabilidad de Alfa de Cronbach (0,849). Las pruebas de Chi-cuadrado y Exacta de Fisher fueron utilizadas a un p<0,05). Resultados: La percepción DIV tuvo un puntaje de 38,0 (RIQ=8,0) y fue frecuente en el nivel regular (58,2%) y deficiente (41,8%). Los puntajes por dimensiones de mayor a menor se obtuvieron con D3 (8 de 20 puntos), D2 (15 de 35 puntos) y D1 (13 de 35 puntos), siendo frecuentes en el nivel regular (44% a 63,4%) y deficiente (35,1% a 54,5%). La percepción DIV solo se asoció con la covariable edad mostrando asociaciones positivas en odontólogos con edades de 24 a 36 años en el puntaje total y las dimensiones D2 y D3 (P=0,017 a P=0,047). Conclusiones: La percepción de los odontólogos sobre la identificación de víctimas humanas en casos de desastres fue inadecuada y se asoció a la edad.
Evaluación del efecto del tecnosol con residuos de construcción en el crecimiento del maíz (Zea mays)
Authors:   , Moreno Sanchez Luisa Fernanda , Velasquez Sanchez Ana Karina
Published: February 2025

El proceso de urbanización repercute en la disposición de residuos de construcción y demolición (RCD), los cuales generan un impacto en la capacidad reproductiva de los suelos debido a que son una de las principales causas de degradación y contaminación de este recurso. Por tal motivo, el presente trabajo tuvo como objetivos determinar la contribución de los RCD, suministrados por Construcciones Ecológicas cuyo alcance es todo Lima Metropolitana, para la elaboración de un tecnosol; evaluando su calidad mediante parámetros fisicoquímicos y analizar la dosis más eficiente en el crecimiento de maíz híbrido (Zea mays) bajo condiciones controladas. Los resultados de la caracterización de los tecnosoles para cada uno de los tres tratamientos (T) T1, T2 y T3 demostraron que a mayor RCD en su composición, se tiene una mayor cantidad de carbonatos, CIC y fósforo; además que posee un pH básico y mayor densidad aparente. De esta forma, el tratamiento seleccionado para la dosificación es el T3; en donde se evaluaron los indicadores físicos en el crecimiento del maíz híbrido utilizando estos tratamientos en diferentes dosis (D) de 3,33%, 6,67% y 10% (p/p) (D1, D2 y D3), los cuales demostraron que la D2 posee mayores valores en PHPA, AP, PSR y TR respecto a las demás dosis en los demás indicadores. Por lo tanto, el presente trabajo concluye que el tecnosol elaborado con los RCD brinda condiciones favorables para el tamaño de la raíz cuando se usa un 45% de RCD en su composición (T3) y se implementa en una dosis de 6,67% (p/p).
WITHDRAWN: Insights into microbial contamination in paddy field ecology: matagenomic analysis of the abundances, diversity, and distribution of antibiotic resistance genes, virulence factors, and their potential bacterial hosts
Authors: Chen Yan , Chu Shanshan , Xu Zhuoqun , Zhou Jie , Li Keyu , Li Sisi , Zhang Yaru , Han Jianzhong , QU DAOFENG
Published: February 2025

The full text of this preprint has been withdrawn by the authors in order to comply with an institutional policy on preprints. Therefore, the authors do not wish this work to be cited as a reference.
Resilience and its relation to Alexithymia and personality traits in Egyptian medical students: A Cross-Sectional Study
Authors: Azzam Hajer , Awad Kariem , Ata Ahmed H. , Elagouz Mennatullah , Nabih Mariam H. , ElKaffas Mahmoud E. , Hafiz Mohamed , Ibrahim Ibtihal M.A.
Published: February 2025

Background: Mental health issues among medical students are increasingly prevalent. Resilience, the ability to positively adapt in the face of adversity, is crucial for reducing psychological distress and enhancing overall well-being. About half of students in Egypt have low resilience. Alexithymia, the difficulty in identifying and describing emotions, alongside personality traits, influences resilience. This study aims to assess the level of resilience in medical students at Mansoura University and to explore the effects of alexithymia and personality traits on resilience.
Methods: A uni-centre descriptive cross-sectional study with an analytical component was conducted at the Faculty of Medicine, Mansoura University from December 2023 to May 2024. A sample of 598 students was selected using a convenience method. Our survey consisted of the Connor-Davidson Resilience Scale (CD-RISC-10), the Toronto Alexithymia Scale (TAS-20), and the NEO Five-Factor Inventory (NEO-FFI). IBM SPSS version 25 software was used for data analysis. Significance was set at p≤ 0.05.
Results: Almost half of the students showed low resilience (50.8%). Alexithymia was present in 25.3%. Significant associations were found between resilience and gender (p = 0.003), academic program (p < 0.05), and alexithymia (p = 0). Multivariate analysis revealed that positive predictors of high resilience were high levels of extraversion [ AOR= 4; CI= 1.29 – 12.46; p= 0.02] and conscientiousness (AOR= 8.203; CI= 2.58 – 26.13; p= 0.00), while high neuroticism was a negative predictor of high resilience (AOR= 0.5; 95℅CI= 0.01– 0.22; p= 0.00).
Conclusions: The majority of medical students exhibited low resilience, associated with higher levels of alexithymia and neuroticism and lower levels of extraversion and conscientiousness. Gender and the academic program also influenced resilience levels. Future research should examine the long-term relationship between resilience, alexithymia, and personality traits, and assess the effectiveness of resilience-building strategies. Strategies to enhance resilience and mental health programs are needed.
Characterisation of between-cluster heterogeneity in malaria cluster randomised trials to inform future sample size calculations
Authors: Biggs Joseph , Challenger Joseph , Dee Dominic , Elobolobo Eldo , Chaccour Carlos , Saute Francisco , Staedke Sarah , Vilakati Sibonakaliso , Benjamin-Chung Jade , Hsiang Michelle , Dabira Edgard , Erhart Annette , D’Alessandro Umberto , Tripura Rupam , Peto Thomas , von Seidlein Lorenz , Mukaka Mavuto , Mosha Jacklin , Protopopoff Natacha , Accrombessi Manfred , Hayes Richard , Churcher Thomas , Cook Jackie
Published: February 2025

Cluster randomised trials (CRTs) are important tools for evaluating the community-wide effect of malaria interventions. During the design stage, CRT sample sizes need to be inflated to account for the cluster-heterogeneity in measured outcomes. One such measure of heterogeneity, the coefficient of variation (k), is typically used in malaria CRTs yet is often estimated without prior data. Underestimation of k undermines study power and increases the probability of CRTs generating null results. We conducted a meta-analysis of cluster-summary data from 24 malaria CRTs and calculated true k values for prevalence and incidence outcomes using methods-of-moments and regression modelling approaches. Using random effects regression modelling we investigated the impact of empirical k values on original trial power, effect size uncertainty and explored associated factors. Results revealed empirical estimates of k often exceeded those used in sample size calculations which heavily contributed to compromised study power and effect size precision. Increased between-cluster heterogeneity of outcomes was associated with outcome measures (i.e. incidence or prevalence), lower endemicity, seasonality of surveys and uneven intervention coverage across clusters. Study findings can be used to inform future malaria CRT sample size calculations and trial design to help ensure malaria interventions are effectively and feasibly evaluated.
CO2 emissions due to melt-carbonate interactions triggered the Miocene Climatic Optimum
Authors: Zhang Guibin , Liu Shuaiqi , Zhang Lifei , Webb Alex , Bauer Kohen , McKenzie Neil , Guo Hongcheng
Published: February 2025

The Miocene Climatic Optimum (ca. 17−14 Ma) is an enigmatic climatic reversal that interrupted the long-term cooling trending of the Cenozoic. The forcing for this warming event remains unclear. Here we present direct evidence of melt−carbonate interactions in the Himalaya that produced globally significant CO2 emissions, and quantify resulting contributions to the atmosphere. The interactions occurred at high temperatures (685−828°C) in the lower crust (1.2−1.4 GPa) during the middle Miocene. Decoupled Sr−O isotope ratios suggest that calc-silicate zones were produced by infiltration of eclogite-derived granitic melts into carbonates during exhumation. Carbon budget estimates indicate that ~1270 kg of CO2 was liberated during the formation of each cubic meter of calc-silicates, and <4% of the carbon remained at the reaction site. Area extents of granite plutons vary from <10−1705 km2 in the Himalaya and each pluton contributed to carbon outfluxes of up to 1361× 103 kg/yr. As such, deep Earth degassing due to melt−carbonate interactions in the Himalayan orogen released 0.14−0.18 Pg/yr CO2 during the middle Miocene. With such degassing rates sustained over 0.1 Myr, corresponding atmospheric CO2 levels reached 400–600 ppmv within 0.1–0.3 Myr, ultimately enough to trigger the Miocene climate warming.
Investigation and analysis of life-related factors affecting the occurrence of colorectal adenomas and initial stages of colorectal cancer
Authors: Wang Ying , Zhong Hua , Li Yingying , Yang Dong
Published: February 2025

OBJECTIVE: To investigate the effects of different lifestyle habits on the occurrence of different types of colorectal adenomas and their initial stages of cancer.
Methods: 276 patients with colorectal tubular adenomas, 67 patients with colorectal serrated adenomas, and 70 patients with colorectal tubular adenomas with high-grade intraepithelial neoplasia, and 194 patients(control group ) underwent colonoscopy and were confirmed by pathology in the First Affiliated Hospital of Dalian Medical University during June 2023-December 2023. Lifestyle habits’ information was collected by questionnaire.
RESULTS: Males had a higher risk of developing colorectal tubular adenomas than females (OR 2.705, 95% CI 1.654, 4.426), P<0.001, whereas colorectal tubular adenomas evolving into high-grade intraepithelial neoplasia had no statistically difference (P>0.05). Smoking increased the risk of colorectal serrated adenoma development (OR 2.38, 95% CI 1.136, 4.984), P=0.022. Alcohol consumption raised the risk of colorectal tubular adenoma development (OR 1.447, 95% CI 1.033, 2.026) and it evolving to high-grade intraepithelial neoplasia (OR 1.75, 95% CI 1.257, 2.436). Chronic sleep duration of less than 6 hours per night increased the risk of developing colorectal tubular adenomas (OR 2.501, 95% CI 1.333, 4.692), P=0.004. Hypertension increased the risk of colorectal tubular adenomas evolving into high-grade intraepithelial neoplasia(OR 1.879, 95% CI 1.033, 3.417), P=0.039.
CONCLUSION: Males have a higher risk of developing colorectal tubular adenomas than females. Alcohol consumption and chronic sleep deprivation increase the risk of colorectal tubular adenoma development. Alcohol consumption and hypertension escalates the risk of initial-stage carcinoma of tubular adenoma. Smoking escalates the risk of developing serrated adenomas.
Effectiveness of Rapid Verbal Persuasion to Promote Influenza Vaccination: A Randomized Controlled Trial
Authors: Xu Dong , Luo Huanyuan , Liu Siyuan , Chen Xiaoshan , He Tianfeng , Gong Wenjie , Liang Huijuan , Zhang Nan , Jin Yingying , Wu Dan , Bishai David , Zhang Dexing , Gong Wenfeng , Cai Yiyuan , Wang Duolao , Bai Yanping , Zhu Jiayu , Li Qing-Qing , He Wenjun , Zhao Qing , Zhang Lanping , Li Xiuzhen , Zhu Xiaoqing
Published: February 2025

Background
Influenza vaccination rates remain suboptimal globally, particularly in China, highlighting the need for effective, low-cost interventions. This randomized controlled trial aimed to evaluate the effectiveness of a 30-second Rapid Verbal Persuasion intervention in promoting influenza vaccination uptake among individuals visiting vaccination centers in China.
Methods
The study was conducted from November 13 to December 7, 2023, across eight primary healthcare centers in three Chinese cities (Ningbo, Hohhot, and Shaoyang). Participants visiting for non-influenza vaccinations were randomly assigned to either the intervention or control group. In the Rapid Verbal Persuasion group, doctors delivered a 30-second theory-driven message promoting influenza vaccination immediately before administering other vaccines. The control group received standard care without active influenza vaccine promotion. The primary outcome was influenza vaccination uptake within one month.
Findings
Among 1,922 participants (1,040 intervention, 882 control), the influenza vaccination rate was 14.62% in the intervention group compared to 0.91% in the control group (RR=16.11, 95% CI: 7.96-32.62), indicating a significant increase due to the rapid intervention. Subgroup analyses revealed greater effectiveness among younger, female, better-educated, and urban participants or their companions.
Interpretation
This 30-second Rapid Verbal Persuasion intervention significantly increased influenza vaccination rates, demonstrating its potential as a simple, cost-effective strategy to address suboptimal vaccination coverage, particularly in resource-limited settings. Future research should explore ways to enhance its impact further, such as combining the intervention with strategies to improve vaccine availability and affordability, targeting adults accompanying children, and testing even shorter messaging.
Trial registration number: ChiCTR2300077506
The Effect of Culinary Medicine to Enhance Protein Intake on Muscle Quality in Older Adults: A Randomized Controlled Trial
Authors: Galyean Shannon , Alcorn Michelle , Chavez Justin , Niraula Surya Raj , Childress Allison
Published: February 2025

Background
Age-related muscle loss can be decreased with increased protein intake. Recent evidence suggests that increasing animal-based protein such as lean beef can be the most effective for age-related muscle repair and growth. Culinary medicine (CM) is a science-based field to teach people the art of food and cooking with the science of medicine to improve health.
Aim
This study aimed to assess the impact of a digital culinary medicine education program emphasizing lean beef on protein intake and muscle quality among community-dwelling senior adults.
Methods
A 16-week randomized study compared a culinary medicine intervention group (CM) to a control group (CN). Among 47 senior adults assessed for eligibility, 28 participants completed the intervention. The CM invention included weekly cooking demonstration and nutrition education videos. Protein intake, cooking effectiveness, physical activity, and nutrition knowledge were assessed with questionnaires while muscle quality, vitamin B12, folate, and creatinine levels were objectively measured.
Results
Muscle quality measurements showed a significant difference in change in muscle mass between groups (P = 0.041). Higher protein intake was seen in the CM group compared to a decrease in protein intake seen among the CN group. However, there was no between-group difference in protein intake from the pre-study (P = 0.454). Similar results were seen with the other measurements from baseline.
Conclusion
The results suggest that this CM intervention was associated with improved muscle mass. There is also potential for this type of intervention to increase protein intake.
Clinical Trials ID: NCT06157385