bluuebunny/crossref_metadata_2025 huggingface dataset:
Personas mayores y espacios comunes de vivienda colectiva en Chile: Desafíos para los instrumentos normativos e indicativos
Authors: Herrmann-Lunecke Marie Geraldine , Figueroa-Martínez Cristhian , Ríos-Peters Roxanna , Zumelzu-Scheel Antonio
Published: January 2025

The world’s population is aging rapidly, and in Chile, it is foreseen that one in three people will be 60 or over in 2050. In this context, a key challenge of urban and architectural design is promoting built environments that are friendly for old age. In general, research on built environments and old age has tended to focus on neighborhood public spaces and the accessibility of homes and residences for older adults, paying little attention to the common spaces of collective housing, which can be important places for the daily activities of older people. In this framework, this research aims to analyze the extent to which regulatory and indicative instruments in Chile consider older people in the design of collective housing common spaces. 3 treaties and conventions, 10 regulatory instruments, and 7 indicative instruments were reviewed for this, using the qualitative analysis software atlas.ti. The results show that common spaces are not conceived for purposes beyond people’s circulation in the regulatory instruments. These are spaces that must be obstacle-free and whose features do not involve daily practices that entail social interaction or remaining in these. The analysis also shows that older people are absent from regulatory instruments. On the other hand, indicative instruments recognize and look to safeguard their rights and diversity. Finally, the findings indicate that efforts are needed so that the requirements of older people, which have been included in indicative instruments, are also integrated into regulatory instruments. This would promote active aging and allow older people to remain in their homes and neighborhoods.
Percepción de valores biofílicos en el humedal Rocuant Andalién, Concepción, Chile
Authors: Rojas-Quezada Carolina , Villagra Paula , Jorquera Felipe
Published: January 2025

This study analyzes the perception of biophilic values in the Rocuant-Andalién wetland, located in the Concepción Metropolitan Area, Chile, and examines how these perceptions vary according to neighborhood typologies. The main objective is to understand how different urban and sociodemographic characteristics influence the valuation of this natural space. For this purpose, a geo-referenced questionnaire was applied to 326 residents of different neighborhood typologies, assessing nine types of biophilic values (utilitarian, naturalistic, ecological-scientific, aesthetic, symbolic, humanistic, moralistic, dominionist, and negativist). A Public Participation Geographic Information Systems (PPGIS) approach and hot spot analysis were used to identify perception clusters. Results revealed that wetland perceptions vary significantly by neighborhood typology, with a higher valuation of utilitarian and aesthetic values in low-density areas standing out. Hotspots were identified that indicate areas with a high valuation of certain biophilic values. The integration of PPGIS and biophilic values demonstrates how spatial patterns influence the perception of urban wetlands. The results suggest that improving infrastructure and accessibility could strengthen residents' connections to these natural spaces. The findings underscore the importance of developing inclusive and effective conservation and urban planning policies to promote a more favorable perception and management of urban wetlands.
Estudio térmico de muros ventilados tradicionales en condiciones climáticas tropicales del Catatumbo, Norte de Santander, Colombia
Authors: Díaz-Fuentes Carmen Xiomara
Published: January 2025

The research proposal is oriented to identify a series of typologies of traditional ventilated cladding walls of the construction market, such as fretwork, lattice and metal panels in order to develop a thermal study under climatic conditions of Catatumbo in Norte de Santander, Colombia. The methodology is theoretical through heat transfer simulations under the finite element method in ANSYS to identify the relationship between the permeability of surfaces and the incidence in the behavior of temperatures and heat fluxes. The results show that the more permeable typologies, such as fretwork and lattice, register less energy and temperature transfer to the less permeable typologies, such as metallic panels. It also showed that there are other factors such as shape and thermal properties of the materials that make up the construction units. Finally, the thermal study of ventilated walls consolidates technical information on traditional enclosure alternatives as a guide for the design and planning of housing and buildings in post-conflict zones, with the aim of promoting comfort and habitat quality in the aforementioned population.
Análisis costo-beneficio de estrategias para eficiencia energética en vivienda, aplicando la normatividad vigente en el Noroeste de México
Authors: Galindo-Borbón Cecilia , Borbón-Almada Ana , Ochoa-de-la-Torre José M. , Marincic-Lovriha Irene
Published: January 2025

Climate change has disproportionately affected the most vulnerable sectors, and energy efficiency in buildings emerges as a key to mitigate and adapt to these effects. In Mexico, hot dry climates predominate in 53% of the territory, especially in the north, and although there are regulations for energy efficiency in buildings, they have a limited impact. This study evaluates the costs and benefits of said regulations considering ordinary homes in different climates in a state in northern Mexico, analyzing 180 models and concluding that complying with the regulations would increase the cost of housing by 1.93%, reduce electricity consumption by 26% and decrease CO2e emissions by 16.95%. These benefits were obtained without changing the most used construction systems, and prioritizing shading systems. The results can guide public policies that are more appropriate to local contexts.
Análisis térmico de muros de quincha alivianada para diferentes temperaturas de diseño en Argentina
Authors: Cuitiño-Rosales Maria Guadalupe , Domínguez Alejandro , Vaccaro Gabriel , Di-Cesare Victoria
Published: January 2025

The thermal performance of lightweight wattle and daub walls is analyzed in different bioclimatic zones of Argentina, presenting them as a sustainable alternative to other construction materials. The thermal conductivities of the wattle and daub (0.07 W/mK) and plaster (0.34 W/mK) infill were experimentally determined, yielding an overall thermal transmittance of 0.79 W/m²K for walls with a thickness of 15.6 cm. In situ measurements conducted in a dwelling demonstrated the ability of lightweight wattle and daub walls to maintain interior thermal stability with significantly lower thermal amplitude than outside. A comparative analysis with solid and hollow bricks concluded that wattle and daub walls require less thickness to achieve optimal insulation levels, making them suitable for different bioclimatic zones. This construction technique is replicable within the Argentinian context, with its thermal efficiency, sustainability, and indoor comfort standing out, with future opportunities to explore its fire resistance.
The Application of Hadhanah Rights for Muallaf Parents and Its Consequences on Child Welfare in Malaysia (An Analysis of Federal Court Decision No. 02-19-2007 (W))
Authors: Hanapi Agustin , Binti Zakri Nur Afifah , Amalia Jihad Azka
Published: January 2025

There is a discrepancy between Malaysia's positive law which stipulates that the right to hadhanah (custody) of a child must be given to Muslim parents, and the court ruling that gives non-Muslim mothers the authority to take care of the child. Therefore, there needs to be a deep understanding of how the decision contributes to the best interests of the child and the protection of the child. This article aims to analyze the implementation of hadhanah rights for parents of converts in Islamic family law in Malaysia. This study uses qualitative methods and normative legal approaches, focusing on the Federal Court decision No. 02-19-2007 (W) on the right of hadhanah for parents of converts in Malaysia. Data sources include laws, judges' decisions, and legal literature. Data were collected through literature studies and analyzed inductively. The results of the study show that the Federal Court's decision emphasizes the importance of mutual consent in decision-making related to custody, where the welfare of the child is the top priority. The decision underlines that child protection should include various aspects, such as collaborative custody, emotional well-being, appropriate religious education, and protection from negative influences. Thus, this research contributes to the development of Islamic family law and emphasizes the importance of child protection in the legal system.
Determinants Of Satyagraha Msme Performance In Bali Province
Authors: Yogapramana I Wayan Bayu , Widiana I Nyoman Wahyu , Yuliantari Pande Putu Ida
Published: January 2025

This research was conducted with the aim of determining the influence of financial literacy, capital aspects, quality of human resources, and marketing on the performance of Satyagraha MSMEs in Bali Province, both partially and simultaneously. The sample size was calculated using the Slovin method, resulting in 93 units of Satyagraha MSMEs from a population of 1,250 units of Satyagraha MSMEs in Bali Province. The selection of respondents was carried out by purposive sampling. The research method used is quantitative with data collection through the distribution of questionnaires. This research was conducted on Satyagraha MSMEs located in Bali Province. The data used is sourced from primary and secondary data. The data processing method used is multiple linear regression analysis. The results shown in this study are financial literacy, capital aspects, quality of human resources, and marketing have a positive and significant partial and simultaneous effect on the performance of Satyagraha MSMEs in Bali Province. The researcher's advice to Satyagraha MSME actors is to maintain and improve financial literacy, capital aspects, quality of human resources, and marketing owned. And the next researcher is advised to consider other variables that allegedly affect the performance of Satyagraha MSMEs.
The Effect of Profitability and Liquidity on Firm Value with Financial Distress as a Mediating Variable
Authors: Arief Harefan , Oktaviar Chairiel , Saratian Eko Tama Putra , Soelton Mochamad , Yuliantini Tine
Published: January 2025

Financial distress is a phase that precedes the state in which a business faces incapacity or failure, which can even lead to bankruptcy. If a company experiences a lack of funds for internal financing, a solution can be found by utilising debt as a source of external funding from other parties. Business failure and the risk of bankruptcy are often fears in a competitive business environment. Financial distress arises when a company is unable to fulfil its payment obligations or repay its debts. For internal companies, bankruptcy analysis is useful as an early warning against potential bankruptcy, providing an opportunity to maintain business continuity or sustainability. Therefore, the risk of bankruptcy can be minimised through proper analysis, allowing for a quick improvement. Some commonly used models to analyse corporate financial distress include the Altman, Springate, and Zmijewsk models. This study aims to analyse and identify the influence of fundamental factors represented by ratios, such as ROA Ratio, Current Ratio, and Firm Value, on the condition of Financial Distress in mining sector stocks on the Indonesia Stock Exchange. The research will focus on the impact of Profitability and Liquidity on Firm value, with Financial Distress as a mediating variable.The research results can be described as follows ROA has no effect on Firm Value. Current Ratio has no effect on Firm Value. ROA has no effect on Financial Distress. Current Ratio has a positive and significant effect on. Financial Distress, Financial Distress has a significant positive effect on Firm Value. Financial distresscannot mediate the relationship of Profitability (ROA) to Firm Value. Financial distress cannot mediate the relationship of Liquidity (Current Ratio) to Firm Value.
Understanding the Appeal of Local Cosmetics of Mustika Ratu Cosmetics in Shaping Indonesian Generation Z Purchase Intentions
Authors: Annisa Nur , Hanafiah Ali
Published: January 2025

Indonesia is a promising market for cosmetics and personal care products, providing opportunities for domestic and international manufacturers. The Indonesian cosmetics market is estimated to have reached around US$8.8 billion in 2021 and is expected to continue growing. One of the prominent local cosmetic companies is PT Mustika Ratu Tbk, which is renowned for its natural-based beauty products that combine traditional Indonesian ingredients with modern technology. However, Mustika Ratu faces challenges in maintaining its market position, particularly among Generation Z consumers, who represent a significant and growing demographic in Indonesia. This study aims to examine the factors influencing the purchase intention of Mustika Ratu's products among Indonesian GenZ, focusing on brand image, product quality, and price perception. Using a quantitative approach, data were collected through structured questionnaires from 168 respondents in the Jabodetabek area and analyzed using Partial Least Square (PLS) software version 3.2.9. The results of this study indicate that Brand Image, Product Quality, and Price Perception has a positive and significant influence on purchase intention of Mustika Ratu cosmetic products in Indonesian Generation Z.
Returned migrants and trasnational families
Authors: Santamaria Velasco Carlos Alberto , Martínez Curiel Enrique , Montañez Moya Gloria Silviana
Published: January 2025

Este estudio examina el papel de los enfoques empresariales de los padres deportados a la hora de fomentar la reunificación familiar en el contexto de las familias transnacionales. Objetivo: La investigación explora cómo las personas deportadas utilizan el espíritu empresarial para hacer frente a la separación familiar y evalúa la influencia del género en la dinámica empresarial. Metodología: A través de un análisis cualitativo de historias digitales del proyecto Humanizing Deportation, se examinaron las narrativas de madres y padres deportados para identificar estrategias de sostenibilidad económica, reconexión familiar y apoyo comunitario. Este enfoque permite comprender mejor los aspectos humanizadores de la deportación y los mecanismos de supervivencia de las familias afectadas. Resultados: Los resultados revelan que las mujeres deportadas a menudo muestran una mentalidad empresarial más fuerte en la reunificación de sus familias en comparación con los hombres. Las emprendedoras demostraron resiliencia aprovechando sus habilidades y oportunidades para crear pequeñas empresas u organizaciones sociales, afrontando los retos personales y sociales derivados de la separación familiar. El estudio pone de relieve las variaciones en las respuestas empresariales influidas por las normas de género y las expectativas culturales. También subraya el doble impacto de la deportación, que presenta tanto dificultades -como depresión e inestabilidad económica- como oportunidades de crecimiento y adaptación. Conclusiones: Al enmarcar el espíritu empresarial como una herramienta para la supervivencia y la reunificación, esta investigación contribuye al discurso más amplio sobre la migración, la deportación y la dinámica familiar, con implicaciones para los responsables políticos que pretenden apoyar a las familias desplazadas y fomentar su reintegración. Futuros estudios deberían adoptar marcos multidisciplinares para profundizar en la comprensión de estos fenómenos.
Responsabilidad Social Universitaria
Authors: Fernandez Argandoña Regis Andre Junior , Toni Hanccoccallo Zenovia Andrea , Cutipa Yllachura Dilma Rosa , Vargas Valderrama Edward
Published: January 2025

El presente estudio tiene como principal objetivo analizar la responsabilidad social universitaria a través de la evaluación de la situación actual de la empleabilidad de los graduados universitarios en el sur del Perú. Se identificaron barreras para la titulación, como dificultades financieras y falta de tiempo por responsabilidades externas, que impiden que los estudiantes completen sus estudios. Además, los estudiantes perciben que la universidad no es efectiva en brindar recursos y orientación para la inserción laboral, lo que evidencia la necesidad de mejorar los servicios de empleabilidad. Por otro lado, si bien los estudiantes valoran la formación recibida, consideran insuficientes las oportunidades de prácticas profesionales, lo que sugiere un desajuste entre la preparación académica y la experiencia práctica requerida por el mercado laboral. No obstante, los estudiantes reconocen el papel crucial de la educación universitaria para obtener empleo, aunque con margen de mejora. Esto implica que las universidades deben fortalecer su articulación con el mercado laboral, como parte de su responsabilidad social. En conclusión, el estudio revela oportunidades de mejora en los servicios y programas de empleabilidad ofrecidos por las universidades, a fin de fortalecer la transición de los graduados al mundo laboral y contribuir a su desarrollo profesional.
Aprender a emprender con IA y método de talento digital
Authors: Sánchez-Bayón Antonio , Alonso-Neira Miguel A. , Gallego Morales Daniel J.
Published: January 2025

Se comparten aquí las claves de una exitosa experiencia de responsabilidad social universitaria orientada al aprendizaje para el emprendimiento digital, de modo que pueda ayudar a otros en su implementación. Se trata de una experiencia de innovación docente, aprendizaje activo, aula invertida y gamificación, que se viene realizando durante años en diversas titulaciones y campus de la Universidad Rey Juan Carlos (España). Se articula desde los marcos teóricos y metodológicos de la Escuela Austriaca de Economía y Neoinstitucionalistas. Primero, se aclara en qué consiste la experiencia y cómo se ha venido realizando, para luego ofrecer los avances con la incorporación de la inteligencia artificial en el proceso. Esta experiencia ha permitido a los estudiantes a estar preparados para el emprendimiento digital, conforme al sentido original de la responsabilidad social universitaria, atendiéndose por igual al ambitio dignitatis et ambitio pecuniae (el compromiso con la formación de ciudadanos y de profesionales).
Direktivna regulatorna osnova Zagreba 1953. – rasprava unutar Narodnoga odbora grada Zagreba
Authors: Jurić Zlatko , Bencetić Lidija
Published: January 2025

Urbanistički dokument naziva Direktivna regulatorna osnova Zagreba 1953., otisnut na osam stranica, i karta veličine 71 × 99 cm čine prijedlog urbanističkoga rješenja grada Zagreba iz 1953. godine. Prijedlog je izradio Zavod za urbanizam Narodnoga odbora grada Zagreba, a potpisnik prijedloga je direktor Zavoda ing. Vlado Antolić. Osnova iz 1953. nastavak je urbanističkoga prijedloga iz 1949., a povezuju ih glavni urbanist ing. Antolić te suradnici inženjeri Josip Seissel i Stjepan Hribar. Na objavu prijedloga reagirali su pojedini stručnjaci analizama u periodičkim publikacijama te Narodni odbor grada Zagreba, koji je prijedlog trebao prihvatiti ili odbaciti. Narodni odbor formirao je Komisiju Savjeta za komunalne poslove za izradu regulatorne osnove grada Zagreba, koja je prijedlogu dala negativnu ocjenu. Članak analizira tijek nastanka Direktivne regulatorne osnove Zagreba 1953., rasprave na sjednicama i izvještaj Komisije Savjeta za komunalne poslove za izradu regulatorne osnove grada Zagreba te razloge njezina odbacivanja.
Solar Energy Datasets of Deep Learning Models Incorporating with GK-2A and ASOS Ground Measurements
Authors: Ha Jong-Sung , Jeong Seungtaek , Min Seyun , Lee Yejin , Kim Suhwan , Han Doehee , Yeom Jong-Min
Published: January 2025

This study presents the construction and evaluation of a dataset for estimating solar energy using the GK-2A satellite and deep learning. The GK-2A is currently utilized in real-time for weather observations over the Korean Peninsula. The GK-2A satellite features 16 channels, producing radiative channel images at spatial resolutions ranging from 500 m to 2 km, with temporal intervals as short as 2 minutes depending on the area. These satellite data are used in various fields, including meteorology, oceanography, vegetation monitoring, and renewable energy. In this study, we used spectral channel data from the GK-2A expended local area satellite from January 2021 to December 2022. For training and evaluating the accuracy of the deep learning model, we utilized data from 98 automated synoptic observing system ground observation sites operated by the Korea Meteorological Administration. A back-propagation neural network model, which showed meaningful results in estimating solar energy, was applied. Various hyperparameters were optimized, and data preprocessing and separation were conducted to optimize the model. The study also compared the performance of the deep learning model with physical models. The BPNN deep learning model achieved a statistical accuracy of root mean squared error (RMSE) 77.32 Wm-2, mean bias error (MBE) -0.48 Wm-2, and R2 0.91, indicating high accuracy. In contrast, the physical model showed an RMSE of 132.01 Wm-2, MBE -76.51 Wm-2, and an R2 of 0.74, displaying relatively lower accuracy compared to the deep learning model. Additionally, the spatio-temporal map of solar energy generated by the deep learning model successfully captured the attenuation of radiation due to clouds and the variation in solar energy based on the position of the sun. The solar energy data produced in this study are expected to be useful as input data for various fields such as meteorology, agriculture, environmental monitoring, and marine sciences.
Tirzepatide Associated With Reduced Albuminuria in Participants With Type 2 Diabetes: Pooled Post Hoc Analysis From the Randomized Active- and Placebo-Controlled SURPASS-1–5 Clinical Trials
Authors: Apperloo Ellen M. , Tuttle Katherine R. , Pavo Imre , Haupt Axel , Taylor Rebecca , Wiese Russell J. , Hemmingway Andrea , Cherney David Z.I. , Sattar Naveed , Heerspink Hiddo J.L.
Published: January 2025

OBJECTIVE

Tirzepatide, a long-acting, glucose-dependent insulinotropic polypeptide/glucagon-like peptide 1 receptor agonist, reduced urine albumin-to-creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) decline in people with type 2 diabetes and high cardiovascular risk in the SURPASS-4 trial. To examine the generalizability of these findings, we assessed change from baseline in UACR for tirzepatide (5, 10, and 15 mg) compared with active and placebo treatment in a broad population from the SURPASS-1–5 trials.

RESEARCH DESIGN AND METHODS

This post hoc analysis examined data from the overall pooled SURPASS-1–5 population and subgroups defined by baseline UACR ≥30 mg/g. A mixed model for repeated measures was used to analyze on-treatment data from baseline to the end-of-treatment visit. Study identifier was included in the model as a covariate.

RESULTS

The adjusted mean percent change from baseline in UACR for tirzepatide 5, 10, or 15 mg compared with all pooled comparators was −19.3% (95% CI −25.5, −12.5), −22.0% (−28.1, −15.3), and −26.3 (−32.0, −20.0), respectively, at week 40/42. Results were similar across pooled placebo, active, and insulin comparator studies. UACR lowering appeared more pronounced in subgroups with UACR ≥30 mg/g. Mediation analysis findings suggested that approximately one-half of the reduction in albuminuria associated with tirzepatide may be weight loss related. There was no difference in eGFR between tirzepatide and pooled comparators at week 40/42.

CONCLUSIONS

In this post hoc analysis in people with type 2 diabetes, including those with chronic kidney disease, tirzepatide was associated with a clinically relevant decreased UACR versus comparators, suggesting a potential kidney-protective effect.
Proteomic and metabolomic signatures in prediabetes progressing to diabetes or reversing to normoglycemia within one-year
Authors: Barovic Marko , Johanna Hahn Joke , Heinrich Annett , Adhikari Trishla , Schwarz Peter , Mirtschink Peter , Funk Alexander , Kabisch Stefan , FH Pfeiffe Andreas , Blüher Matthias , Seissler Jochen , Stefan Norbert , Wagner Robert , Fritsche Andreas , Jumpertz von Schwartzenberg Reiner , Chlamydas Sarantis , Harb Hani , S. Mantzoros Christos , Chavakis Triantafyllos , Schürmann Annette , L. Birkenfeld Andreas , Roden Michael , Solimena Michele , R Bornstein Stefan , Perakakis Nikolaos
Published: January 2025

Objective: Progression of prediabetes to type 2 diabetes has been associated with beta cell dysfunction, whereas its remission to normoglycemia has been related to improvement of insulin sensitivity. To understand the mechanisms and identify potential biomarkers related to prediabetes trajectories, we compared the proteomics and metabolomics profile of people with prediabetes progressing to diabetes or reversing to normoglycemia within a year.

Research Design and Methods: The fasting plasma concentrations of 1389 proteins and the fasting, 30 min and 120 min post-oral glucose tolerance test plasma concentrations of 152 metabolites were measured in up to 134 individuals with new-onset diabetes, prediabetes or normal glucose tolerance. For 108 participants the analysis was repeated with samples from one-year before, when all had prediabetes.

Results: The plasma concentrations of 14 proteins were higher in diabetes compared to normoglycemia in a population with prediabetes one-year before and they correlated with indices of insulin sensitivity. Higher levels of Dicarbonyl/L-xylulose-reductase and Glutathione S-transferase A3 at prediabetic state were associated with increased risk of diabetes one-year later. Pathway analysis pointed towards differences in immune response between diabetes versus normoglycemia that were already recognizable at prediabetic state one-year prior, at baseline. The Area-under-the-curve during OGTT of the concentrations of Intermediate-Density-Lipoprotein (IDL)-particles, IDL-Apolipoprotein B, IDL-Cholesterol was higher in new-onset diabetes compared to normoglycemia. The concentration of glutamate increased in prediabetes progressing to diabetes.

Conclusions: We identify new candidates associated with the progression of prediabetes to diabetes or its remission to normoglycemia. Pathways regulating immune response are related to prediabetes trajectories
Prescribing trends of anti-diabetes medications near end-of-life among adults with type 2 diabetes: a cohort study
Authors: Kutz Alexander , Hyun Kim Dae , Liu Jun , N Munshi Medha , Patorno Elisabetta
Published: January 2025

Objective

To assess prescribing trends of anti-diabetes medications in the last year of life among older adults with type 2 diabetes (T2D) and explore whether frailty is associated with differential prescribing.

Research design and methods

In this observational cohort study of Medicare beneficiaries aged ≥67 years (2015-2019) with T2D, we assessed temporal trends in prescribing an anti-diabetes medication, stratified by frailty. The main outcome included anti-diabetes medication fills within 1 year of death.

Results

Among 975,407 community-dwelling Medicare beneficiaries with T2D, the use of anti-diabetes medications within 1 year of death slightly increased from 71.4% during the first 6-month period in 2015 to 72.9% (standardized mean difference [SMD], -0.03) during the second 6-month period in 2019. The most pronounced increase in use was observed for metformin (40.7% to 46.5%; SMD, -0.12), whereas the largest decrease was observed for sulfonylureas (37.0% to 31.8%; SMD, 0.11). Overall anti-diabetes medication use decreased from 66.1% in the 9 to 12 months before death to 60.8% in the last 4 months of life (p<0.01; SMD, 0.11), driven by reduced non-insulin medication use. The use of both short-acting and long-acting insulin increased near death, with frailer individuals more likely to receive insulin. Sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists, though less common, became more frequent in more recent years.

Conclusions

The use of anti-diabetes medications declined in the last year of life, mainly due to reduced non-insulin use. Insulin use increased near death, particularly among frailer individuals, highlighting the need for careful “end-of-life” management.
Media Animasi Cerita Rakyat ‘Siap Sangkur Mataluh Mas’ Di Sekolah Dasar
Authors: I Made Dedy Setiawan  , Ni Komang Ayu Leonita  , I Ketut Setiawan
Published: January 2025

Generasi muda saat ini kurang meminati cerita rakyat karena dianggap kurang relevan dengan perkembangan zaman. Padahal cerita rakyat merupakan salah satu karya sastra yang mempunyai nilai kearifan lokal. Menyikapi fenomena terkait popularitas cerita rakyat di kalangan siswa sekolah dasar, maka dipandang perlu adanya media pembelajaran alternatif.  Media pembelajaran ini diharapkan bisa mengakomodasi siswa dalam melestarikan cerita rakyat sebagai salah satu kearifan lokal dan sumber pendidikan karakter di tengah pesatnya perkembangan teknologi. Subjek penelitian sebanyak 17 orang terdiri dari 2 orang guru sebagai ahli materi, 14 orang siswa kelas 3 SDN Kedewatan, dan seorang ahli media. Metode pengumpulan data menggunakan metode observasi, wawancara, kepustakaan, dan kuisioner. Analisis data kualitatif deskriptif digunakan untuk mengolah data observasi, wawancara, dan studi pustaka, sementara data kuisioner diolah secara kuantitatif. Implikasi penelitian ini adalah memberikan wawasan bagi para pendidik mengenai efektivitas media animasi sebagai alat bantu pengajaran yang menarik dan interaktif, khususnya dalam menyampaikan nilai-nilai budaya lokal kepada siswa.  Tujuan penelitian ini adalah merancang media animasi cerita rakyat yang layak untuk diimplementasikan. Analisis data kualitatif deskriptif digunakan untuk mengolah data observasi, wawancara, dan studi pustaka, sementara data kuisioner diolah secara kuantitatif. Hasil penelitian menunjukkan bahwa media animasi sangat layak digunakan berdasarkan hasil uji ahli materi, uji coba kelompok, dan uji ahli media dengan kualifikasi sangat baik.
The Effectiveness of Implementing Webinar Tutorials for Primary School Mathematics Learning Subjects
Authors: Husnaeni  , Lince Ranak , Burga Muhammad Alqadri
Published: January 2025

Courses during the COVID-19 pandemic had to be carried out online. Meanwhile, not all students are ready to take part in online learning. The Webinar Tutorial (Tuweb) is designed to facilitate the implementation of online courses. This research aims to analyze the influence of implementing Tuweb on student learning outcomes. This type of research is ex post facto, with a mixed method (quantitative and qualitative) and a descriptive approach. This research sample was taken from the entire population of 70 students. The research subjects consisted of four tutors. Data collection techniques use observation, questionnaires, and documentation. The collected data was analyzed using descriptive-qualitative and descriptive-statistical techniques. The research results show that the implementation of Tuweb is in the very good category. Even though the tutor's course tool documents are not yet complete, the implementation of Tuweb shows that the tutor's performance is very good. Meanwhile, the implementation of Tuweb is in the very good category and has a perfect (very close) correlation with student learning outcomes. This research has implications for the importance of developing tutorial-based learning media so that course material can be accessed and studied by students anytime and anywhere.
Correlações entre os diferentes registros de representação das quádricas no Ambiente de Matemática Dinâmica do GeoGebra:
Authors: Guimarães Núbia , Notare Márcia Rodrigues
Published: January 2025

Esse artigo apresenta a análise teórica de uma abordagem informática para discriminação dos possíveis casos de elipsoides. Conforme a Hipótese Fundamental de Aprendizagem de Duval, a compreensão de um conceito matemático depende da coordenação de ao menos dois registros de representação. E, essa coordenação entre registros, depende da correlação entre as diferentes representações semióticas. Esse estudo vem apresentar uma proposta que combina o uso do Ambiente de Matemática Dinâmica do GeoGebra com a abordagem de Duval, para viabilizar a correlação entre os diferentes registros de representação dos elipsoides. A análise realizada evidenciou que a proposta cumpre as condições necessárias para a correlação entre esses registros de representação.
O conceito de frações e os significados apresentados nos materiais curriculares da Secretaria Estadual de Educação de São Paulo
Authors: Santos Eli Ferreira dos , Passos Ana Maria Amorim , Borelli Suzete Souza
Published: January 2025

Este artigo tem como objetivo analisar as sequências de atividades para o ensino de frações no material digital do professor da Secretaria Estadual de Educação de São Paulo proposto para o 6º ano dos anos finais do ensino fundamental de 2024. A metodologia utilizada para o desenvolvimento deste trabalho foi a pesquisa qualitativa descritiva de cunho documental, uma vez que os materiais do professor foram disponibilizados pela Secretaria Estadual de Educação, a partir do Currículo Paulista. Para essa análise nos apoiamos em Bertoni (2009), Almeida e Ribeiro (2019), entre outros que discutem o conceito de número racional na forma fracionária, juntamente com os seus significados. Como resultado, destacamos as fragilidades encontradas nas sequências de atividades elaboradas que podem dificultar a formalização do conceito de fração parte-todo.
A New Superabsorbent Polymer Derived from Acrylamide and Fine Coal
Authors: Khotib Mohammad , Mas'ud Zainal Alim , Eriza Nurul , Subastiar Ian , Nasrudin M Fikry
Published: January 2025

The fine coal was a by-product of the mechanical coal processing used at the coal mine, that can be converted to added value materials. The objective of this study to obtain the new superabsorbent polymers (SAP) derived from fine coal. The SAP synthesis was conducted via a free radical polymerization with various percentage of fine coal is 10; 25; and 40% of acrylamide and fine coal total. The copolymerization was carried out for 3 h at 70 °C, followed by subsequent saponification with 1 M NaOH for 2 h. The superabsorbent composite was characterized by Fourier-transform infrared (FTIR) spectroscopy and scanning electron microscopy (SEM). FTIR spectra revealed that the acrylic acid was successfully grafted onto the fine coal backbone. As shown by SEM imaging, the resulting surface was homogeneous and exhibited an interconnected pore structure. The maximum absorption capacity was found for SAP C2, which had a composition of 25% fine coal, 75% acrylamide, 0.11% N,N-methylene-bis-acrylamide (MBA), and 1.11% ammonium persulfate. The absorption capacities for the unsaponified and saponified SAPs were 42.36 and 617.86 g/g, respectively. The maximum water absorption capacity of the superabsorbent polymer was achieved at pH 6.5. Based on water absorption capacity, this product is suitable for soil conditioner or agricultural application.
Lukiolaisten ja ammattikoululaisten hammashoitoon liittyviä tietoja, mielipiteitä ja käytäntöjä
Authors: Pohjola Jaana , Helin Heidi , Ojanlatva Ansa
Published: January 2025

Tämän työn tarkoituksena oli selvittää lukiolaisten ja ammattikoululaisten tapoja, tietoja, asenteita ja mielipiteitä hammashoitoa kohtaan sekä niissä mahdollisesti tapahtuneita muutoksia, ja heidän saamaansa ja toivomaansa terveyskasvatusta. Hoitokäytännöissä saadut vastaukset vahvistivat sen, että terveyskasvatus hampaiden hoidossa oli omaksuttu osaksi arkea. Haluttiin myös tietää, oliko nuorilla tietopohjaa käyttäytymiselleen, ja todettiin, että karieksen kohdalla tieto oli laajaa, mutta jäi muilta osin vähäisemmäksi.
Suuri osa nuorista kokee edelleen hammashoidon vastaanotolla epäilyttäväksi, mutta muutosta positiivisempaan suuntaan oli havaittavissa. Nuoret vastasivat saaneensa riittävästi terveyskasvatusta, mutta kiinnostusta lisätietoon ilmeni runsaasti, ja myös viitteitä siitä, että perustiedon antamisen jälkeen terveyskasvatusta tulisi antaa enemmän hammaslääkärin vastaanotolla kuin koulussa. Tulevaisuudessa nuoret aikovat sijoittaa hampaidensa hoitoon mahdollisuuksiensa mukaan. Mieluiten nuoret valitsevat naispuolisen hammaslääkärin.
Erittäin vanhojen tamperelaisten elinolot ja terveydentila
Authors: Haavisto Matti
Published: January 2025

Vuosina 1977-78 tarkastettiin 85-vuotiaat tai vanhemmat tamperelaiset. Tutkimukseen sisältyi postikysely ja haastattelu, lääkärintarkastus, laboratoriotutkimuksia, rintakehän röntgenkuvaus ja sydänfilmi. Elossa olevat vanhukset kutsuttiin uudelleen vuonna 1982 samoin menetelmin. Viiden vuoden aikana oli sairaalapotilaiden osuus seurantaryhmästä kolminkertaistunut. Seuranta-aikana oli harmaakaihien, anemian, sekavuuden ja tylsistymisen sekä reisiluunkatkoksen murtumien vallitsevuus lisääntynyt merkittävästi. Suurimmat muutokset vanhusten toimintakyvyn edellytyksissä olivat tapahtuneet henkisessä vireydessä, liikuntakyvyssä ja näössä.
Naisten työ ja rasitusoireet Helsingin seudun kokoonpanoteollisuudessa
Authors: Honkasalo Marja-Liisa , Kandolin Irja
Published: January 2025

Artikkelissa tarkastellaan pääkaupunkiseudun kokoonpanoteollisuudessa työskentelevien naisten työn ja heidän kokemiensa rasitusoireiden välisiä kytkentöjä kyselyaineiston pohjalta (n = 120). Oireprevalenssit ovat korkeampia kuin useissa aikaisemmissa työelämätutkimuksissa, vaikka tarkkoja vertailuja ei ole voitu suorittaa mittareissa esiintyvien erilaisuuksien vuoksi. Työn koettua sisältöä luonnehtivat yksipuoliset työliikkeet, aikapaine ja epämukavat työasennot sekä vaikuttamis- ja etenemismahdollisuuksien puute ja henkinen rasittavuus. Koeilluilla työympäristöhaitoilla ja objektiivisella työympäristöllä vaikuttaa olevan keskinäinen yhteys. Tärkeimmät coping-mekanismit ovat välttymisreaktiot sekä lääkkeiden ja alkoholinkäyttö. Myös alkoholin yleinen käyttö ja humalakäyttö ovat merkittävässä korrelaatiossa koettujen rasitusoireiden kanssa. Artikkelissa pyritään problematisoimaan työelämätutkimuksen stressikonseptia. Työntekijöiden kokemien terveysoireiden taustalla saattavat olla "koetun ristiriidan" ohella useat samanaikaiset ja/tai samansuuntaisesti toimivat mekanismit. Koettu terveys tutkimuskohteena edellyttää tieteenvälisen tutkimusotteen kehittämistä sekä sellaisia metodisten valmiuksien pohdintaa, joilla päästäisiin syvemmälle tutkittavien ihmisten elämänkatsomukseen ja kokemusmaailmaan.
Psykiatristen potilaiden mielenterveyspalveluiden käyttö viiden vuoden seuranta-aikana Pohjois-Hämeen mielisairaanhuoltopiirin alueella
Authors: Nieminen Heli
Published: January 2025

Tutkimuksessa tarkasteltiin 100:n Pohjois-Hämeen mielisairaanhuoltopiirin keskussairaalassa ja 100:n mielenterveysasemalla hoidossa olleen potilaan mielenterveyspalveluiden käyttöä. Noin puolet mielenterveysaseman aineiston potilaista jäi pois tutkittujen hoitopalveluiden piiristä jo ensimmäisen seurantavuoden aikana. Sairaala-aineiston potilaista noin puolet palasi ensimmäisen seurantavuoden jälkeen mielisairaalahoitoon. Mielenterveyspalveluiden käyttö oli yhteydessä diagnoosiin ja tilan kehitykseen.
Keuhkokuumeet sairaaloiden lähtökirjausdiagnooseina 1979
Authors: Kokkola Keijo
Published: January 2025

Keuhkokuume-diagnooseilla vuonna 1979 idänkirjatut potilaat käyttivät n. 380.000 hoitopäivää. Keskimääräinen hoitoaika oli 41,9 päivää. Suuri sairaalakäyttö johtunee pääasiassa pitkäaikaishoidossa olleiden potilaiden hoidosta, joilla keuhkokuume oli ilmeisesti vain kuolinsyy. Kuolleina idänkirjattujen potilaiden keskimääräinen hoitoaika oli 125,7 päivää ja elossa idänkirjattujen 13,1 päivää. Keuhkokuumediagnoosilla idänkirjattujen pitkäaikaishoitopotilaiden tavallisin hoitopaikka oli terveyskeskussairaala. Elossa idänkirjattujen potilaiden hoitoaika oli suurin piirtein sama kaikissa sairaalatyypeissä. Tulokset korostavat sairaaloiden poistoilmoitusaineiston kriittisen tarkastelun tärkeyttä. Myös idänkirjausmenettelyyn tulee sairaaloissa kiinnittää entistä suurempaa huomiota; päädiagnoosiksi tulee kirjata hoidon varsinainen syy eikä esimerkiksi välitön kuolinsyy.
Terveyden sosiologian kehitys ja asema Suomessa
Authors: Riska Elianne , Lahelma Eero
Published: January 2025

Muun sosiaalitutkimuksen tavoin terveyden sosiologinen tutkimus on lisääntynyt Suomessa kahdenkymmenen vuoden aikana. Tällöin tutkimus on ollut luonteeltaan epäpoliittista ja valtiollista. Toisin kuin alan johtavissa maissa, kriittinen terveydenhuollon ja lääketieteen analyysi on puuttunut Suomesta. Kirjoituksessa esitetään terveyden sosiologisen tutkimuksen taustaan, tieteen sisäiseen kehitykseen ja ulkoisiin yhteyksiin liittyviä näkökulmia, joiden avulla voidaan tarkentaa käsitystä alan tutkimuksesta Suomessa 1960- ja 1970-luvuilla.
Palveluyhteiskunnan patologiat?
Authors: Eräsaari Risto
Published: January 2025

Palveluyhteiskunnan käsite ja sen mahdollisuus on asetettu kyseenalaiseksi. Sosiaalivaltion palvelujärjestelmä on laajentuessaan tuottanut ehkä odottamattomia seuraamuksia. Tässä kirjoituksessa kysytään, uhkaako sosiaalibyrokratian laajeneminen yksilöiden itsemääräämisoikeutta ja onko se rapauttamassa sitä inhimillisempää näkökulmaa, joka joskus on ollut palvelujärjestelmien ydinkohtana. Kirjoituksessa esitellään palvelujärjestelmiltä kypsyneempien maiden kokemuksia sekä joitakin kriittisen tutkimuksen teemoja.
Akateemisesti koulutettujen henkilöiden elämäntilanne ja mielenterveys
Authors: Lehtinen Ville , Holmström Reijo , Vauhkonen Kauko
Published: January 2025

Tässä raportissa vertaillaan akateemisesti koulutettuja henkilöitä samanikäiseen ja samoilla paikkakunnilla asuvaan normaaliväestöä edustavaan otokseen. Akateemisesti koulutetut naiset olivat verrokkinaisia harvemmin naimisissa ja useammin eronneita. Opiskelleilla miehillä oli verrokkimiehiin nähden vähemmän ystäviä, he olivat tyytyväisempiä avioliittoon ja heidän somaattinen terveydentilansa oli parempi. Normaaliväestöllä oli opiskelleihin verrattuna enemmän somatisaatiotaipumusta, he käyttivät enemmän psykiatrisia hoitopalveluja ja heillä oli jonkin verran enemmän psyykkisiä oireita.
Suun terveydenhuollon tuottavuuseroja terveyskeskuksissa 1992 tehokkuusluvuilla mitattuna
Authors: Nordblad Anne , Linna Miika , Luoma Kalevi , Niskanen Tapani
Published: January 2025

Tutkimuksen tavoitteena oli selvittää, oliko terveyskeskusten suun terveydenhuollossa tuottavuuseroja tehokkuusluvuilla mitattuna. Tehokkuusluvut laskettiin Data Envelopment -analyysin (DEA) avulla. DEA sopii hyvin suun terveydenhuollon tuottavuustarkasteluun, koska se sallii moniulotteisen tuotos-panos-mittauksen tutkittavista yksiköistä. Terveyskeskuksia oli 225 vuonna 1992. Toiminnan alueellisia eroja oli siinä, miten suuri osa väestöstä oli palvelujen piirissä. Tutkimuksessa analysoitiin terveyskeskukset erikseen väestöpohjan perusteella kolmessa suuruusluokassa (yli 40 000 asukasta, 20 000–40 000 asukasta ja alle 20 000 asukasta). Panoksina käytettiin toiminnan käyttökustannuksia, ja tuotoksia kuvattiin tarkastettujen potilaiden ja hoitokäyntien määrällä. Tutkimus osoitti, että terveyskeskusten suun terveydenhuollossa oli huomattavia tuotannon tehokkuuseroja. Hoidossa olevien ikärakenne ei selittänyt tehokkuuslukujen eroja. Tehokkaimmassa osiossa yliedustettuina olivat pienet terveyskeskukset. On kuitenkin epäselvää, miten suuri osa eroista selittyy tämän tutkimuksen tuotosmittareihin liittyvillä ongelmilla.
Lääkäripalvelujen käyttö laman aikana
Authors: Häkkinen Unto , Rosenqvist Gunnar , Aro Seppo
Published: January 2025

Tutkimuksen tavoitteena on arvioida, mitkä tekijät ovat vaikuttaneet lääkäripalvelujen käyttöön 1990-luvun alkuvuosina. Erityisesti pyritään arvioimaan, miten palvelujen käyttö on muuttunut taloudellisen laman ja terveydenhuollon muutosten aikana. Ekonometristen mallien avulla tarkastellaan lääkäripalvelujen käytön rakenteellisia ja tason muutoksia. Tutkimus perustuu tietokoneavusteisella puhelinhaastatteluilla vuosina 1991–1994 kerättyihin tietoihin. Tutkimuksessa käytettiin kaksivaiheista mallia, jossa ensimmäisen osan muodostaa logistinen regressio ja toisen osan nolla-katkaistu negatiivinen binomiregressio.
Lääkärissäkäyntien määrä väheni neljänä vuotena 16 %. Väheneminen johtui lähes kokonaisuudessaan hoitoon hakeutuneiden pitkäaikaissairaiden lääkärissäkäyntien määrän laskusta. Omalääkäri ja hoitosuhteen jatkuvuutta kuvaavat tekijät olivat useampia muita palvelujen saavutettavuutta kuvaavia muuttujia ja sosioekonomisia tekijöitä tärkeämpiä lääkäripalvelujen käytön selittäjiä. Erityisesti hoitoon hakeutuneiden pitkäaikaissairaiden palvelujen käyttö väheni vuosien 1991 ja 1992 välillä.
Popular attitudes toward the health system in St. Petersburg Russia
Authors: Rusinova Nina , Brown Julie
Published: January 2025

This article examines attitudes among the adult population of St. Petersburg, Russia toward health, illness, and the health care system. The analysis is based upon the results of a survey which was conducted In mld-1992. The survey is part of an ongoing collaborative project in which the authors are currently engaged on the social organization of health and illness in present day Russia. In this phase of the project we are examining the relationship between social status and health. The survey instrument includes a broad range of questions on objective and subjective health status, lifestyle, personal and family health behavior, attitudes to ward health and illness, the role of informal networks In medical help-seeking, as well as utilization of and attitudes toward the health care system.
Mielenterveysongelmat ja huonoksi koettu taloudellinen toimeentulo
Authors: Hintikka Jukka , Viinamäki Heimo , Niskanen Leo , Tanskanen Antti , Koivumaa-Honkanen Heli
Published: January 2025

Selvitimme tutkimuksessamme huonoksi koettuun taloudelliseen toimeentuloon liittyviä tekijöitä vaikeista mielenterveysongelmista kärsivillä psykiatrisen erikoissairaanhoidon potilailla (n=1131). Heistä 39 % koki taloudellisen toimeentulonsa huonoksi. Huonoksi koettu toimeentulo oli yhteydessä sekä kehitystaustaan, terveydentilaan että ajankohtaisesta syrjäytymisestä kertoviin tekijöihin.
Monimuuttuja-analyysissa huonoksi koettua taloudellista toimeentuloa selittivät itsenäisesti työttömyys tai sairauslomalla olo (Odds ratio (OR) 2.70, 95 % luottamusväli 2.02 - 3.60), tupakointi (OR 2.43, 95 % luottamusväli 1.84 - 3.22), hankittu ammattikoulutus (OR 1.73, 95 % luottamusväli 1.31 - 2.28) sekä masentuneisuutta arvioiva Beck-pistemäärä (OR 1.08, 95 % luottamusväli 1.06 - 1.10).
Huonoksi koettuun taloudelliseen toimeentuloon olivat yhteydessä myös koettu sosiaalisen tuen puute ja epävarmuus tulevaisuuden suhteen. Diagnoosiryhmittäisiä eroja huonoksi koettua taloudellista toimeentuloa selittävässä tekijöissä olivat peruskoulutuksen huonon koulumenestyksen merkitys skitsofreniassa, huonoksi koetun terveydentilan merkitys vakavissa mielialahäiriöissä, muita alhaisemman iän merkitys neuroottisissa häiriöissä ja hankitun ammattikoulutuksen merkitys persoonallisuushäiriöissä.
Hoitohenkilökunta ja lääkärit kuvasivat taloudellisen toimeentulonsa huonoksi kokevien psykiatrisen hoidon ongelmalliseksi. Totesimme psykiatrisilla potilailla huonoksi koetun taloudellisen toimeentulon ja psyykkisen hyvinvoinnin välillä monia yhteyksiä, joilla saattaa olla myös kliinistä merkitystä. Todettujen yhteyksien tarkempi arviointi edellyttää kuitenkin prospektiivisia seurantatutkimuksia.
Syömisen taito
Authors: Tuomisto Terhi , Tuomisto Martti T.
Published: January 2025

Lihavuus on yhä yleisempi ongelma vauraissa maissa. Laihduttaminen on kuitenkin vaikeaa, ja painon pitäminen normaalina laihduttamisen jälkeen on usein vielä vaikeampaa; elämäntapoja muutetaan tilapäisesti, ja vaikeita lihavuuden vaaratilanteita vältetään. Ongelmatilanteisiin sopivia uusia käyttäytymismuotoja ei opita, ja lihavuuden keskeinen ongelma — uuden taidon luominen — jää ratkaisematta. Lihavalla hoidon tavoitteena pitäisi olla normaalia parempi syömiskäyttäytyminen, ongelmanratkaisu ja itsehallinta.