bluuebunny/crossref_metadata_2025 huggingface dataset:
Challenges of Spine Surgery in Obese Patients: A Case Report with a Review of the Literature
Authors: Pratiwi Riska , Ibrahim Sabri , Kausar T Akmal
Published: January 2025

Introduction: Obese patients face unique challenges across all phases of spine care and surgery, including preoperative, intraoperative, and postoperative periods. Significantly higher risks are associated with spinal surgery in obese patients. This study explores the challenges of managing spinal conditions in obese patients and offers strategies to mitigate these risks.
Case report: A 56-year-old female with a BMI of 42 was referred for evaluation of chronic lower back pain and radicular leg pain. Imaging results were lumbar fusion for degenerative disc disease at the L4-5 and L5-S1 levels. During surgery, the patient required a prolonged operating time due to her increased soft tissue, which made visualization more difficult. The surgical team had to use longer instruments to navigate through the deeper tissue layers. Fluoroscopy was employed to ensure accurate placement of the fusion hardware. Postoperatively, the patient developed delayed wound healing, which required close monitoring and wound care interventions. She had significant reduction in back pain and improved mobility at her 6-month follow-up.
Conclusion: Obese patients present numerous challenges to spine surgeons, ie. elective and non-elective surgeries, anesthetic issues, operative challenges, post-operative issues, complications, and outcomes. To mitigate associated risks and optimize outcomes, specific precautions can be taken during the preoperative, intraoperative, and postoperative phases.
Artificial intelligence technologies in the Russian educational context: educators views
Authors:   Kazan (Volga Region) Federal University, Sadykova Gulnara V. , Kayumova Albina R. ,   Kazan (Volga Region) Federal University
Published: January 2025

Introduction. Intelligent technologies for processing and generating natural language, machine learning
and deep learning have the potential to qualitatively change both teaching methods and techniques and the
education management system. Meanwhile, there is a question of whether the teaching community is ready for
the conscious and effective implementation of artificial intelligence (AI) in educational programs. The purpose
of the study is to examine the degree of educators’ awareness about modern intelligent technologies, to
understand their attitude towards AI and their proficiency in these technologies.
Materials and Methods. Data collection was carried out by means of a survey. The questionnaire was
completed by 132 respondents including university professors of humanities (13%), schools teachers (15%)
and pre-school and kindergarten educators (72%). Based on the survey data, the researchers conducted a
content analysis of responses to open-ended questions and a quantitative analysis of responses to closed-
ended questions. In addition, the chi-squared test was employed to identify the relationship between the age
category and the level of AI competence.
Results. The study demonstrates that the majority of respondents do not have a clear understanding
of the concept of artificial intelligence and do not have the competencies and experience sufficient to
effectively implement AI in the educational process, which is especially typical for respondents over 40
years of age. Artificial intelligence is perceived as something interesting, promising and useful, although
complex and requiring solutions to respond to negative cognitive and emotional impact on learners. Only
11% of respondents rate their level of competence as high, while the majority consider it average (56%),
below average (19%) or low (14%). Statistical analysis shows a significant relationship between the age of
respondents and the level of competence (χ 2 =8.852; the critical value of χ 2 at the significance level of p=0.05
is 7.815). The younger generation (20-40 years old) is more likely than the older generation (41-60 years
old) to assess their level of AI competence as high. The study shows that the use of AI in teaching practice
is unsystematic and often experimental in nature due to the lack of knowledge and practical skills, which
might be explained by the novelty of the AI technologies as well as the scarcity of research-based and tested
pedagogical models for their implementation.
Practical Significance. The results of the study will have practical application in training and professional
development programs for educators, as well as in improving digitalization of education. Further research
should be aimed at creating and testing methods and techniques for integrating AI into educational programs
of all levels and forms.
МЕТОДОЛОГІЧНІ АСПЕКТИ ПРОБЛЕМИ РОЗВИТКУ ПІДПРИЄМНИЦЬКИХ ЕКОСИСТЕМ В УМОВАХ ІНФОРМАЦІЙНО-МЕРЕЖЕВОГО СУСПІЛЬСТВА
Authors: Мішустіна Т.С.
Published: January 2025

У статті досліджено методологічні аспекти розвитку підприємницьких екосистем в умовах інформаційно-мережевого суспільства, яке є ключовим викликом цифрової трансформації економіки. Автор аналізує концептуальні положення екосистемного підходу як еволюцію кластерної ідеології, підкреслюючи важливість поєднання механістичних та органічних управлінських підходів у формуванні сучасних організаційних моделей. На основі теоретичних та емпіричних джерел висвітлюються інструменти та практики, що сприяють інноваційному розвитку, створенню цінностей та формуванню мережевої взаємодії. Особлива увага приділяється аналізу доменів екосистем підприємництва на макро-, мезо- та мікрорівнях, ідентифікації їх компонентів та зв'язків. Розглянуто приклади провідних світових компаній та досвід вітчизняних дослідників. Висвітлено роль стейкхолдерів у розвитку підприємницьких процесів, а також запропоновано інтеграційні заходи для синхронізації взаємодії елементів екосистем. Автор акцентує на необхідності адаптації екосистемного підходу до специфічних умов України, враховуючи асиметрію регіонального розвитку та соціокультурний контекст. У роботі запропоновано методологічні підходи до проєктування екосистем підприємництва, що базуються на принципах емерджентності, конвергенції та партнерства. Зроблено висновок, що ефективна синергія доменів сприятиме активізації інновацій та підвищенню конкурентоспроможності національної економіки.
ПРОБЛЕМИ ВІДОБРАЖЕННЯ ІННОВАЦІЙ У ЗВІТНОСТІ ПІДПРИЄМСТВА
Authors: Пилипенко Л.М. , Воськало В.І. , Сороковий П.М.
Published: January 2025

Стаття присвячена тематиці проблем репрезентації компонентів інноваційного потенціалу та інноваційної діяльності підприємств у їхній бухгалтерській звітності з метою задоволення інформаційних потреб різних груп стейкхолдерів. Проаналізовано особливості методики відображення інновацій в балансі (звіті про фінансовий стан), звіті про фінансові результати (звіті про сукупний дохід), примітках до річної фінансової звітності та звіті про управління. Наведено характеристику особливостей розкриття інформації про інноваційний потенціал та інноваційну діяльність підприємства у формах статистичної звітності за напрямами «інновації» та «наука». Виявлено недоліки бухгалтерської звітності щодо репрезентації відповідної інформації про інновації. Запропоновано шляхи вирішення означуваної проблематики.
Model Pembelajaran Interaktif dalam Meningkatkan Keterampilan Literasi Membaca dan Menulis Siswa di Sekolah Dasar
Authors: Tangkudung Mutmain , Zakarina Uznul , Gafur Dea Amanda , Maladja Elsa Daeng , Akuba Adelia
Published: January 2025

The learning model is a support for the learning process, for this reason, its use is important in the implementation of learning. This study aims to describe the use of interactive learning models in elementary schools in improving students' reading and writing skills. The method used in the study is qualitative descriptive to determine the use of interactive media in learning in elementary schools. The results of the study show that the application of the interactive learning model in schools is carried out quite optimally and has contributed positively to improving students' reading and writing skills. Schools that implement an interactive learning model carry out teacher training, and provide facilities to support the implementation of the program.
Studi Kasus Motion Comic Patriot Praha sebagai Media Hiburan
Authors: Mugia Sultan Tanu , Susanti Elizabeth
Published: January 2025

Motion comics combine static images with visual effects that produce the illusion of moving images. This media is rarely used in Indonesia, but its success in other countries can be proof that motion comics have potential in the Indonesian market. This case study aims to research and analyze how a motion comic is formulated and presented. The research method will use a qualitative method by conducting in-depth observations of motion comics through literature reviews as references and analyzing the Patriot Prahara motion comic. This case study will produce a guide on creating motion comic content that is interesting for young people or Generation Z as a means of entertainment
Global Trends in E-Service-Learning Framework: A Systematic Literature Review
Authors: Tirza Juliana
Published: January 2025

The e-Service-Learning (e-SL) model is an option in implementing quality learning even in online learning situations. The problem that still often arises regarding the implementation of e-SL is related to how to implement e-SL in learning. This study aims to find out the design framework of the e-SL model in various parts of the world, so that it is hoped that it can become an inspiration for universities that want to implement this model. The method of this research uses a systematic literature review with the help of publish or perish (PoP) in the data search process. The selection process used PRISMA in 2020. There were 18 articles that were successfully reviewed to answer the problem on how does the framework (O) e-Service-Learning (I) compared to universities (P) globally (C) during the COVID-19 pandemic (T)? Result of this research describe that the e-SL framework for the Asian region, partner cultural conditions need to be given more attention. The Americas region the framework prioritizes communication with partners and then student training. And the e-SL framework in the European region shows more importance in the reflection aspect of this e-SL process. The implication for the practitioners and researchers, they can use these insights to customize e-SL models and examine regional influences on student learning outcomes.
Representasi Budaya Tionghoa dalam Film Kung Fu Panda 4: Analisis Semiotika Roland Barthes
Authors: Dewi Utari Yosephina Agitya Intan , Delijar Ressi Maulidina
Published: January 2025

Representation is the use of signs that can be symbolized by image, writing, and sound. Representation is related to culture and there are tools to represent culture, through films, which is the Kung Fu Panda 4 movie. The purpose of this research is to determine the represent ation of Chinese culture in the Kung Fu Panda 4 movie. The method used is descriptive qualitative with Roland Barthes' semiotic analysis and observation techniques in the Kung Fu Panda 4 movie. The research results show the strong Chinese culture in the Kung Fu Panda 4 movie, which is packaged in a sign and symbol, and the meaning of cultural symbols can be found.
Establishment of Land Rights on Lar Land in Critical Forest Areas as a Strategy for Sustainable Forest Management
Authors: Dianto Dianto , Gunawan Jasardi
Published: January 2025

Land criticism in forest areas is a significant issue faced by many countries. This study analyzes the development of Lar land rights as a strategy for sustainable forest management in Sumbawa. Through empirical methods, the study shows that the integration of Lar with communal grazing and livestock can increase economic, ecological, and social growth. From a regulatory perspective, the implementation of Lar is supported by regional regulations and decisions of the Regent and Minister regarding forest areas. The study results indicate that the Lar scheme effectively deals with critical land while supporting sustainable forest management. As a next step, it is recommended that a more in-depth study be conducted on the long-term effectiveness of the Lar scheme, including its impacts on ecosystem sustainability and the active involvement of local communities in forest management
Perbedaan Sengaja dan Tidak Sengaja dalam Hukum Pidana
Authors: Irawati Sri Ayu
Published: January 2025

In criminal law, the element of intent is one of the important elements that determines criminal liability. The distinction between acts committed intentionally (dolus) and acts unintentionally (culpa) has significant implications for determining sanctions and the level of guilt of the perpetrator. �Deliberately� refers to an act done with will and full knowledge of the consequences of that act. This includes intentionality as a goal, intentionality as a certainty, and intentionality as a possibility. On the other hand, 'Unintentional' refers to actions that occur due to negligence or carelessness, where the perpetrator does not intend the consequences to occur, but these consequences arise due to a lack of attention or violation of the expected standards of care. These differences are important to identify because they influence the type and severity of punishment, as well as indicating the degree of moral and legal culpability of the perpetrator. This article examines the differences in the concepts of intent and negligence in criminal law, as well as their implications for legal decisions and law enforcement policies.
Role of Surface Active Agents in Transferosome for Systemic Drug Delivery
Authors: Mohsin Hussein Abdulameer  , Nidhal Khazaal Maraie  , Zainab H. Mahdi
Published: January 2025

أظهر الاستخدام الحديث للترانسفيروسومات، وهو نوع من النظام الحويصلي الناقل للأدوية، نتائج واعدة في تعزيز نقل الأدوية عبر الجلد عند تناولها موضعيًا. تشكل الدهون الفوسفاتية والعوامل النشطة السطحية المكونات الأساسية لهذه الكيانات. تلعب العوامل النشطة السطحية، والمعروفة غالبًا باسم المواد الخافضة للتوتر السطحي، دورًا حاسمًا في تعزيز نفاذية ومرونة طبقات الدهون الثنائية. يدرس البحث الحالي بشكل نقدي الدراسات السابقة لاكتساب نظرة ثاقبة حول تأثير العوامل النشطة السطحية على خصائص وأداء الناقلات. على وجه التحديد، فإنه يركز على آثار هذه العوامل على حجم النقل، وكفاءة الانحباس ، وإمكانات زيتا، والاستقرار، والتدفق عبر الجلد. عادةً ما يكون لنوع العامل النشط السطحي تأثير ملحوظ على حجم الحويصلات وكفاءة الانحباس وإمكانات زيتا. يمكن أن تعزى هذه الظاهرة إلى الاختلافات في التوازن المحب للماء والدهون ، ومحبة العامل النشط السطحي، وطول سلسلة الكربون. لذلك، لا بد من دراسة تأثير خصائص العامل النشط السطحي في تطور الترانسفيروسومات. تم أيضًا دمج تقييم التوافق الخلوي للمركبات النشطة السطحية في الدراسة.
Theoretical Aspects of Increasing the Competitiveness of the Organization by Managing the Public Relations System
Authors:   Educational and Scientific Institute «Karazin Banking Institute» of V. N. Karazin Kharkiv National University, Morozova Nadiia L. , Kardash Mariya M. ,   Educational and Scientific Institute «Karazin Banking Institute» of V. N. Karazin Kharkiv National University, Petrykiva Taisiia V. ,   Educational and Scientific Institute «Karazin Banking Institute» of V. N. Karazin Kharkiv National University
Published: January 2025

The article highlights issues related to the formation of demand for products, emphasizes the importance of developing an effective strategy for promoting a product or service. Attention is focused on the importance of public relations for new organizations that have not yet found their niche in a competitive market and for existing ones. The paper pays considerable attention to the competitiveness of a banking institution. The article considers the concept of bank competitiveness from the point of view of scientists in terms of determining the key aspects of the bank's activities, including: competition, diversity, evaluation, leadership, system. Based on the analysis of existing interpretations of the concept of bank competitiveness, it is determined that none of them includes aspects of effective management of the public relations system, which is currently important in promoting a banking product to a client. To confirm this statement, the paper examines in detail the essence of PR, provides historical examples of public relations that have become the prototype of current PR campaigns, and considers the main advantages of public relations in comparison with other means of influencing the consumer. The paper notes that PR is a long-term process that requires clear planning, time and step-by-step implementation and involves not only building a reputation but also strengthening trust in the organization. The article defines and reveals the essence of the main stages of PR, which include: setting its tactical goals, assessing the external communication environment, planning a PR campaign; its implementation, control and evaluation of the effectiveness of PR activities. Based on the study, it is noted that an effective PR strategy is the foundation of an organization's growth and competitiveness and therefore it is proposed to expand the main indicators of competitiveness and add an effective PR strategy of the bank to them. The paper examines the impact of external and internal factors on the bank's competitiveness to operate successfully in today's environment and proves that organizations must be able to adapt to changes in the external environment and the banking market, improve strategic management and invest in development for further long-term success.
Cardiovascular Science and Physical Therapy: Improving Heart Health Through Tailored Rehabilitation Programs
Authors: Shivangi Chaughule
Published: January 2025

Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality worldwide, necessitating innovative strategies for prevention, treatment, and recovery. Physical therapy has emerged as a cornerstone in cardiovascular rehabilitation, offering tailored programs that enhance heart health and overall quality of life. This paper explores the intersection of cardiovascular science and physical therapy, emphasizing the role of individualized rehabilitation programs in improving cardiac function, reducing risk factors, and promoting sustainable lifestyle changes. Key elements such as aerobic and resistance training, patient education, and psychological support are highlighted. Furthermore, advancements in technology, including wearable devices and telemedicine, are discussed as tools to enhance adherence and outcomes. The integration of evidence-based practices in physical therapy offers a pathway to reducing the burden of CVDs and optimizing patient-centered care.
Factors Related To The Coverage Of The Chronic Disease Management Program (Prolanis)
Authors: Suciawati Anni , Kundaryanti Rini , Nursyifa Miea
Published: January 2025

Latar Belakang : Menopause adalah masa yang rentan terhadap penyakit Hipertensi dan DM tipe 2, salah satu upaya yaitu dengan mengikuti prolanis. Rendahnya jumlah wanita menopause yang mengikuti prolanis di UPTD Puskesmas Marga Jaya menjadikan latar belakang penelitian ini.Tujuan : Untuk mengetahui faktor-faktor yang berhubungan dengan cakupan prolanis di UPTD Puskesmas Marga Jaya tahun 2024Metodologi : Rancangan penelitian ini yaitu analitik cross sectional. Sampel berjumlah 249 lansia wanita dengan penyakit hipertensi dan DM Tipe 2. Teknik pengambilan sampel dengan teknik purposive sampling. Instrument menggunakan kuisioner yang telah lolos uji validitas dan reliabilitas. Analisa data menggunakan analisa chi square.Hasil penelitian : Ada hubungan yang signifikan antara tingkat pengetahuan (p=0,001), Sikap Lansia (p=0,001), dukungan keluarga (p=0,037), Jarak (p=0,001), dan Sumber informasi (p=0,019) dengan cakupan prolanis.Kesimpulan : Ada hubungan yang signifikan antara tingkat pengetahuan, sikap, dukungan keluarga, jarak, dan sumber informasi terhadap cakupan prolanis di UPTD Puskesmas Marga Jaya Kota Bekasi Tahun 2024.Saran : Peneliti selanjutnya dapat menggunakan variabel dan sampel yang lebih banyak agar dapat mewakili populasi. Kata kunci :  dukungan keluarga, jarak,  lansia, prolanis, sikap, sumber informasi, tingkat pengetahuan ABSTRACT Background: Menopause is a period that is susceptible to hypertension and type 2 diabetes, one of the efforts is by following prolanis. The low number of menopausal women who follow prolanis at the UPTD Marga Jaya Health Center is the background of this study.Objective :To determine the factors related to prolanis coverage at the UPTD Marga Jaya Health Center in 2024Methodology :The design of this study is analytic cross sectional. The sample consisted of 249 elderly women with hypertension and Type 2 DM. The sampling technique used purposive sampling technique. The instrument used a questionnaire that had passed the validity and reliability tests. Data analysis used chi square analysis.Research result :There is a significant relationship between the level of knowledge (p=0.001), Elderly Attitude (p=0.001), family support (p=0.037), Distance (p=0.001), and Information Source (p=0.019) with Prolanis coverage.Conclusion :There is a significant relationship between the level of knowledge, attitude, family support, distance, and sources of information on the coverage of prolanis at the UPTD Marga Jaya Health Center, Bekasi City in 2024.Suggestion :Further researchers can use more variables and samples to represent the population. Keywords :  Family support, distance, elderly, prolanis, attitude, source of information, level of knowledge
ANALISIS PENERAPAN STANDAR AKUNTANSI KEUANGAN PESANTREN DI PONDOK PESANTREN AMANATUL UMMAH SURABAYA
Authors: Ghofirin, S.Pd., M.Pd Mohammad , Dina Anggraeni Susesti
Published: January 2025

Islamic boarding schools are non-profit entities and have a very important role inpreparing financial reports. Until now, there are still many Islamic boarding schools that recordfinancial reports simply. This can be influenced by several factors, the lack of understanding byHR regarding the presentation of financial reports is the main factor. Bank Indonesia has initiatedIslamic Boarding School Accounting Guidelines (PAP) as a solution to the problem of preparingfinancial reports in Islamic boarding schools. This research aims to determine the form of recordingfinancial reports and to analyze the implementation of recording financial reports based onFinancial Accounting Standards (SAK) at the Amanatul Ummah Islamic boarding school inSurabaya. The method used in this research is qualitative with a descriptive approach. Datacollection techniques will be carried out by observation and interviews.
Metamodel-based Optimization of Anisotropic Rotor Axial Flux Permanent Magnet Synchronous Motors
Authors: Nyitrai Attila , Kuczmann Miklós
Published: January 2025

Axial flux motors have some significant advantages over radial flux motors in high torque-density applications. However, the optimization of axial flux permanent magnet synchronous motors is a challenging task; the analysis usually requires 3D finite element analysis or the application of the 2D multi-slice method. In this paper a novel single-surrogate multi-slice method (SS-MSM) is proposed for modeling anisotropic rotor axial flux permanent magnet motors. However, the general methodology can be applied to other axial flux motors as well. A model calibration methodology has been described where the SS-MSM parameters have been determined using a 2D finite element approach as a reference. The SS-MSM was found to be suitable for a fast and reasonably accurate approximation of the motor performance. Based on the described analysis method, an efficient optimization approach is proposed.
Neuroeducación: una mirada para potenciar el aprendizaje de la física en estudiantes de segundo año de bachillerato
Authors: Bozada Morales Elva Alexandra , Suárez Lombeida María Magdalena , Mesa Villavicencio Paulina
Published: January 2025

Introducción: El artículo aborda la influencia de la neuroeducación en el aprendizaje de la física en estudiantes de segundo año de Bachillerato. Objetivo: identificar estrategias didácticas que promuevan un aprendizaje significativo de la física mediante la integración de conceptos de la neuroeducación. Metodología:  La investigación se desarrolló mediante una metodología mixta que incluyó la aplicación de encuestas a 37 estudiantes y entrevistas a docentes que imparten la asignatura de física, con la finalidad de conocer las percepciones sobre las prácticas pedagógicas, y la motivación en el aula.  Este enfoque permitió recopilar información cualitativa y cuantitativa para fundamentar los hallazgos. Resultados: mostraron puntos favorables y no favorables. Lo favorable es la percepción de los estudiantes de la enseñanza de la física, y la evidencia no favorable es la necesidad de estrategias que estimulen la memoria, la atención y la motivación en los estudiantes. Se diseñó una propuesta educativa basada en ejercicios prácticos y trabajo experimental en principios neuro educativos, fomentando el aprendizaje experiencial y colaborativo. Estas actividades no solo buscan fomentar el aprendizaje significativo, sino también desarrollar habilidades como el pensamiento crítico y la resolución de problemas. Conclusión: En conclusión, la neuroeducación puede ser una herramienta clave para mejorar la calidad educativa, promoviendo la comprensión profunda y el desarrollo integral de los estudiantes. Área de estudio general: Educación. Área de estudio específica: Neuroeducación. Tipo de estudio:  Artículos originales.
Elaboración de una guía de ejercicios terapéuticos en la displasia de la cadera en la clase de educación física
Authors: Espinoza Acosta José Luis , Coello Sánchez Ángel Miguel , Maqueira Caraballo Giseya de la Caridad , Rodríguez Vargas Antonio Ricardo
Published: January 2025

Introducción: la displasia de cadera (DDC) se trata de una afección en la que la articulación de la cadera no se desarrolla adecuadamente, impidiendo una movilidad articular poco estable y equilibrada para llevar una vida saludable.  El presente artículo realizará una guía de ejercicios físicos para el estudiante que presenta esta patología permitiéndole la estimulación y el desarrollo de habilidades en la clase de educación física (EF). Objetivo: el objetivo de este artículo es elaborar una guía de ejercicios terapéuticos en la DDC en la clase de EF para tratar su condición, preservar o mejorar el desarrollo psicomotor y funcional que puede verse afectado por esta patología, abordando aspectos prácticos y metodológicos que ayudan a tener una ventaja favorable para el estudiante a nivel educativo. Metodología: En este caso se aplicará el método de diagnóstico con una entrevista y control observacional para investigar factores de riesgo aplicando el método cualitativo, en las investigaciones de otros estudios se considerará realizar análisis biomecánicos no experimental para comprender mejor las alteraciones en la articulación de la cadera. Resultados: una guía de ejercicios terapéuticos en la DDC en la clase de EF tiene un impacto remediar a nivel educativo favorable de ventajas para el estudiante y no a nivel clínico. Conclusiones: estos ejercicios han demostrado la efectividad en su proceso, como la estudiante que presenta esta patología ha comprobado, que realizando actividad física conlleva a una vida saludable presentando una movilidad articular pélvica funcional a un porcentaje más elevado de lo que ella presentaba al inicio. Área general del conocimiento: Educación física. Área específica del conocimiento: Fisioterapia. Tipo de estudio: Artículos originales.
Empathy and tolerance of ambiguity in medical students and doctors participating in art-based observational training at the Rijksmuseum in Amsterdam, The Netherlands: a before-and-after study
Authors: Bult Stella Anna , van Gulik Thomas
Published: January 2025

Purpose: This research presents an experimental study using validated questionnaires to quantitatively assess the outcomes of art-based observational training in medical students, residents, and specialists. The study tested the hypothesis that art-based observational training would lead to measurable effects on judgement skills (tolerance of ambiguity) and empathy in medical students and doctors.Methods: An experimental cohort study with pre- and post-intervention assessments was conducted using validated questionnaires and qualitative evaluation forms to examine the outcomes of art-based observational training in medical students and doctors. Between December 2023 and June 2024, 15 art courses were conducted in the Rijksmuseum in Amsterdam. Participants were assessed on empathy using the Jefferson Scale of Empathy (JSE) and tolerance of ambiguity using the Tolerance of Ambiguity in Medical Students and Doctors (TAMSAD) scale.Results: In total, 91 participants were included; 29 participants completed the JSE and 62 completed the TAMSAD scales. The results showed statistically significant post-test increases for mean JSE and TAMSAD scores (3.71 points for the JSE, ranging from 20 to 140, and 1.86 points for the TAMSAD, ranging from 0 to 100). The qualitative findings were predominantly positive.Conclusion: The results suggest that incorporating art-based observational training in medical education improves empathy and tolerance of ambiguity. This study highlights the importance of art-based observational training in medical education in the professional development of medical students and doctors.
Multidecadal changes in home range characteristics of grey seals in a context of environmental changes and population growth in the Northwest Atlantic
Authors: Cusson PO , Bordeleau X , Hammill MO , Pelletier F
Published: January 2025

Most marine ecosystems are experiencing increasing cumulative impacts from climate change, fishing, shipping and land-based pollution. The resulting ecosystem responses are challenging to monitor. Studying the space use of top marine predators may provide insight into how these ecosystems react to these impacts. However, natural populations are composed of unique individuals that differ in many ways, including how they use space. Here, we used data from a multidecadal biotelemetry research program on grey seals in the Northwest Atlantic to investigate temporal changes in space use in the context of environmental changes and increasing population size. We quantified temporal changes in monthly home range size, shape and distribution of grey seals in the Gulf of St. Lawrence between 1992 and 2022, while also quantifying interindividual differences. We found that the monthly home ranges of grey seals have increased in size and shifted in distribution over the last 3 decades, indicating that the seals appear to have expanded their space use. We detected individual differences in mean home range characteristics and their level of variability, suggesting that individual identity plays a role in the large-scale space use of grey seals. We also found negative correlations between the mean and level of variability in both home range size and shape, hinting at the potential presence of different tactics within the population. This study highlights how top marine predators can modify their behaviour to adapt to environmental changes and illustrates the importance of considering interindividual differences when exploring population space use patterns.
Impacts of climate change on Bering Sea copepod phenology and reproductive strategy
Authors: Sullaway GH , Cunningham C , Kimmel DG , Nielsen JM , Pilcher D , Pinchuk AI , Stabeno PJ
Published: January 2025

Rapid environmental changes in high-latitude marine ecosystems have led to warmer ocean temperatures and shifts in zooplankton abundance, community composition, and life history. Variations in zooplankton abundance and phenology (inferred changes in egg production timing and differences in developmental rates that result in changes to observed life stage composition) are tightly coupled to climate processes. Furthermore, zooplankton represent a critical trophic foundation for commercially valued fish communities. To better understand how zooplankton phenology has responded to recent climate perturbations, we used generalized additive models to examine changes in life stage composition for 2 copepod species groups in the Eastern Bering Sea—Calanus spp. (C. glacialis and C. marshallae) and Neocalanus spp. (N. plumchrus and N. flemingeri)—across a 20 yr time series. We found that annual shifts in Calanus spp. and Neocalanus spp. phenology are mediated by temperature and spring southwesterly wind frequency. Specifically, warmer temperatures and reduced spring southwest wind frequency were associated with younger copepod life stages, suggesting an earlier spring phenology. We also tested if an extended zooplankton growing season has enabled the production of a second Calanus spp. generation. We found evidence of earlier spring Calanus spp. reproduction and observed high proportions of younger life stages in the fall, suggesting a second generation in some warm years. Collectively, these results suggest fundamental climate-linked changes to copepod phenology and reproduction, which impact the population dynamics of copepods and could consequently disrupt elements of the Bering Sea trophic structure that rely upon these energetically dense species.
Assessing and minimizing the risk of cerebrospinal fluid leakage after intradural surgery
Authors:   , Kinaci Ahmet
Published: January 2025

This thesis evaluated the effectiveness of current sealants in preventing incisional
CSF leakage. Subsequently, we developed a new dural sealant patch (Liqoseal) which
should ultimately prevent incisional CSF leakage in patients. However, before clinical application, the effectiveness and the safety of this sealant in preclinical studies had
to be evaluated. In this thesis the in vitro effectiveness and in vivo safety of Liqoseal
have been studied.
KAJIAN KEBUTUHAN ANGKUTAN SEKOLAH BAGI SISWA SEKOLAH DASAR DI KOTA BEKASI
Authors: Hardani Dwi Aris , Chaniago Sabirin , Nuryati Sri
Published: January 2025

Angkutan sekolah merupakan pelayanan untuk mengantar jemput siswa sekolah atau sering disebut angkutan antar-jemput. Keunggulan dari angkutan sekolah ini adalah bersifat door to door dan jadwal disesuaikan dengan jadwal masuk dan pulang sekolah. Namun demikian masih terdapat beberapa kekurangan pada kualitas pelayanan angkutan sekolah. SD Ananda Bekasi Timur kota adalah salah satu sekolah yang siswanya banyak menggunakan jasa angkutan antar jemput sekolah. Tujuan dari penelitian adalah untuk mengidentifikasikan adanya kebutuhan angkutan sekolah ditinjau dari karakteristik orang tua dan anak, pelaku jasa angkutan sekolah, karakteristik pengguna dan pengemudi, serta kualitas pelayanan angkutan sekolah. Data yang digunakan adalah data hasil survei langsung dengan menyebarkan kuisoner pada 100 orangtua siswa sekolah dasar. Hasil penelitian menunjukkan bahwa respodnden angkutan sekolah terdiri dari 36% konsumen aktual dan 31% konsumen potensial. Kepemilikan kendaran pribadi dan ketersediaan waktu luang merupakan karakteristik orangtua yang paling mempengaruhi adanya kebutuhan terhadap angkutan sekolah. Faktor pelayanan angkutan sekolah yang paling dibutuhkan terhadap konsumen aktual (konsumen yang mempunyai kendaraan pribadi) adalah kelengkapan kendaraan, sedangkan konsumen potensial (konsumen yang tidak memiliki kendaraan pribadi) lebih membutuhkan angkutan sekolah yang dapat menjamin keselamatan dan kenyamanan.
Kata Kunci : Angkutan sekolah, pelayanan, karakteristik pengguna
Penguatan Kesadaran Tentang Pentingnya Pendidikan Formal Bagi Masyarakat Bajo di Desa Bajo Indah, Kecamatan Soropia, Kabupaten Konawe
Authors: Aslim Aslim , Hadara Ali , Hayari Hayari , Ahmad Ahmad , Sarman Sarman
Published: January 2025

Sosialisasi ini bertujuan untuk meningkatkan kesadaran masyarakat Bajo di Desa Bajo Indah tentang pentingnya pendidikan formal. Pendidikan formal tidak hanya penting untuk pengembangan pribadi, tetapi juga membuka peluang ekonomi dan memberdayakan komunitas. Saat ini, masyarakat Bajo menghadapi berbagai tantangan dalam mengakses pendidikan, seperti isolasi geografis, keterbatasan ekonomi, dan pengaruh budaya. Oleh karena itu, perlu ada usaha bersama untuk mengatasi hambatan-hambatan ini. Pentingnya pendidikan formal terletak pada kemampuannya untuk meningkatkan keterampilan hidup, membuka peluang kerja, dan memperkuat posisi komunitas dalam berpartisipasi dalam pembangunan lokal. Pendidikan juga dapat disesuaikan dengan budaya dan nilai-nilai lokal untuk memastikan penerimaan yang lebih baik. Langkah-langkah yang dapat dilakukan meliputi keterlibatan masyarakat dalam inisiatif pendidikan, dukungan dari pemerintah, serta integrasi pendidikan dengan budaya lokal. Melalui pendekatan ini, diharapkan masyarakat Bajo di Desa Bajo Indah akan lebih memahami dan menghargai pentingnya pendidikan formal bagi masa depan mereka. Ajakan untuk bertindak disampaikan kepada masyarakat untuk lebih memprioritaskan pendidikan dan berpartisipasi aktif dalam program-program yang ada, demi masa depan yang lebih baik bagi generasi mendatang.
Workshop Penulisan Kritik Sastra pada Kelompok Belajar HMPS Sastra Indonesia Fakultas Ilmu Budaya Universitas Halu Oleo
Authors: Malik Elmy Selfiana , Sofian Nur Israfyan , Raemon Raemon , Qadriani Nurlailatul , Marhini La Ode
Published: January 2025

Kritik sastra sangat penting dilakukan untuk menilai kelebihan ataupun kekurangan dari suatu karya sastra. Penilaian terhadap karya sastra dengan melakukan kritik sastra salah satunya dapat dilakukan oleh mahasiswa peminatan sastra. Namun, kurangnya pemahaman akan kritik sastra membuat kritik sastra yang dihasilkan tidak semasif pembuatan karya sastra. Oleh karena itu, pengabdian kepada masyarakat ini mengambil judul Workshop Penulisan Kritik Sastra pada Kelompok Belajar HMPS Sastra Indonesia FIB UHO. Tujuan dari workshop ini adalah untuk mengukur pemahaman Kelompok Belajar HMPS Sastra Indonesia FIB UHO akan kritik sastra dan memotivasi Kelompok Belajar HMPS Sastra Indonesia FIB UHO agar dapat membuat kritik sastra terhadap karya sastra. Hasil dari pengabdian kepada masyarakat ini adalah dari 5 kelompok peserta, 4 kelompok belajar mahasiswa telah menuliskan penilaian terhadap karya sastra yang mereka kritik dengan baik dan sistematis, analisis, dan penafsirannya berdasarkan teori dan metode yang mereka gunakan. Sementara 1 kelompok masih kurang dalam mengelaborasikan penafsiran mereka terhadap karya sastra yang mereka kritik dengan teori yang mereka gunakan.
PELATIHAN DAN PENYULUHAN TOLEA DAN PABITARA DI KELURAHAN TUDAONE KECAMATAN KONAWE KABUPATEN KONAWE
Authors: Melamba Basrin , Basri La Ode Ali , Fatma Fatma , Hisna Hisna , Khabiirun Khabiirun , Suddin Suharni , Hasan Hasni
Published: January 2025

Pelatihan dan penyuluhan Tolea dan Pabitara di Kelurahan Tudaone, Kecamatan Konawe, Kabupaten Konawe bertujuan memberikan pengetahuan dan wawasan yang mendalam mengenai tata cara pelaksanaan tugas-tugas mereka. Kegiatan ini dilaksanakan dengan harapan dapat meningkatkan kualitas pelayanan kepada masyarakat serta memperkuat peran Tolea dan Pabitara dalam menjaga adat dan budaya lokal. Selama kegiatan pelatihan, nanti para peserta akan diberikan materi yang mencakup etika, protokol adat, dan teknik komunikasi efektif yang esensial dalam menjalankan tugas-tugas mereka. Pelatihan juga meliputi simulasi situasi nyata yang sering dihadapi oleh Tolea dan Pabitara, seperti mediasi konflik adat dan penyelenggaraan upacara adat. Hal ini bertujuan agar para peserta dapat lebih siap dan percaya diri dalam melaksanakan tugas mereka di lapangan. Selain itu, penyuluhan ini juga menekankan pentingnya pemahaman terhadap nilai-nilai budaya lokal serta bagaimana cara menjaga dan melestarikannya. Tolea dan Pabitara diberi pengetahuan tentang sejarah dan makna simbol-simbol adat, yang diharapkan dapat memperkuat identitas budaya mereka. Dengan pelatihan ini, diharapkan Tolea dan Pabitara dapat menjalankan tugas mereka dengan lebih profesional dan berdedikasi, serta mampu menjadi teladan dalam masyarakat. Kegiatan ini juga diharapkan dapat mendorong partisipasi aktif masyarakat dalam menjaga dan melestarikan budaya lokal, sehingga warisan budaya dapat terus diwariskan kepada generasi mendatang.
SOSIALISASI PENGEMBANGAN PROGRAM PARIWISATA BERKELANJUTAN YANG MEMANFAATKAN WARISAN SEJARAH DAN BUDAYA LOKAL DI KELURAHAN MATA KOTA KENDARI SULAWESI TENGGARA
Authors: Melamba Basrin , Sarman Sarman , Suddin Suharni , Hermina Sitti , Koso Halijah
Published: January 2025

Pengabdian kepada masyarakat ini membahas tentang Sosialisasi Pengembangan Program Pariwisata Berkelanjutan yang Memanfaatkan Warisan Sejarah dan Budaya Lokal Di Kelurahan Mata Kota Kendari Sulawesi Tenggara. Pengabdian ini dilakukan karena terdapat beberapa permasalahan mitra yang perlu mendapatkan solusi terkait dengan pemanfaatan warisan sejarah dan budaya lokal. Kelurahan Mata saat ini merupakan bagian dari pusat infrastruktur tujuan wisata bahari toronipa. Namun yang menjadi masalah adalah tidak adanya program pengembangan ekonomi lokal yang memanfaatkan warisan sejarah dan budaya lokal. Pengembangan pariwisata berkelanjutan harusnya memberikan manfaat ekonomi kepada masyarakat setempat. Solusinya adalah dengan merancang program pengembangan ekonomi lokal yang melibatkan pelaku usaha lokal, pelatihan keterampilan, pemberdayaan perempuan, dan penguatan sektor ekonomi kreatif. Dengan demikian diperlukan tim pengabdian dalam melakukan sosialisasi terkait dengan permasalahan dan solusi tersebut.
Hasil kegiatan sosialisasi pengembangan program pariwisata berkelanjutan yang memanfaatkan warisan sejarah dan budaya lokal di Kelurahan Mata menunjukkan antusias masyarakat yang di sambut baik oleh Kepala Kelurahan Mata. Program sosialisasi yang dilakukan oleh tim pengabdian masyarakat memberikan sumbangsih pemikiran yang nantinya berguna dalam pengembangan wilayah Kelurahan Mata sebagai wilayah yang memiliki daya tarik wisata dalam aspek sejarah nya. Keberadaan situs sejarah di Kelurahan mata merupakan nilai penting dalam pengembangan wisata sejarah yang memiliki prospek kedepan sebagai daerah wisata.
Pelaksanaan pengabdian masyarakat ini dilakukan di Kelurahan Mata Kecamatan Kendari Kota Kendari Sulawesi Tenggara dengan menggunakan peserta dari masyarakat setempat. Pengabdian ini menggunakan metode pelaksanaan berupa langkah-langkah yang akan dilakukan dalam memberikan pelatihan melalui tahapan persiapan materi, pelaksanaan kegiatan, serta tahapan evaluasi kegiatan.
Kata Kunci : Pariwisata, Sejarah dan Budaya, Kelurahan Mata
SOSIALISASI PENGGUNAAN GOOGLE DRIVE DALAM PENYIMPANAN DOKUMEN PADA PEMBELAJARAN MATA KULIAH MANUSIA DAN KEBUDAYAAN OLEH MAHASISWA FAKULTAS ILMU BUDAYA UNIVERSITAS HALU OLEO
Authors: Wulandari Kiki Reski , Marhini La Ode , Rihu Agus , Samiel Edy , Ustianti Ustianti
Published: January 2025

Kegiatan pengabdian ini bertujuan untuk memberikan pengetahuan kepada mahasiswa sehingga mereka memiliki penguasaan ilmu pengetahuan dan teknologi (IPTEK)  khususnya dalam hal  proses digitalisasi penggunaan Google Drive pada penyimpanan dokumen. Dengan adanya kegiatan pengabdian ini diharapkan mahasiswa dapat memahami dan menguasai proses penyimpanan data elektronik sehingga ke depannya mahasiswa akan memiliki pemahaman dan menggunakan Google Drive sebagai tempat penyimpan dokumen penting dan dokumen dengan kapasitas yang besar. Metode pengabdian yang digunakan dalam pelatihan ini yaitu dengan sistem pembelajaran tatap muka yang disertai materi pelatihan yang dianggap paling mutakhir dalam perkembangan ilmu pengetahuan dan teknologi (IPTEK). Proses pelaksanaan pengabdian ini melibatkan mahasiswa secara langsung pada proses digitalisasi penggunaan Google Drive dalam penyimpanan dokumen elektronik sehingga mereka dipersiapkan menjadi lulusan yang kreatif, inovatif dan berkualitas.
Host cell responses to Candida albicans biofilm-derived extracellular vesicles
Authors: Kulig Kamila , Wronowska Ewelina , Juszczak Magdalena , Zawrotniak Marcin , Karkowska-Kuleta Justyna , Rapala-Kozik Maria
Published: January 2025

Candida albicans is a prevalent fungal pathogen responsible for infections in humans. As described recently, nanometer-sized extracellular vesicles (EVs) produced by C. albicans play a crucial role in the pathogenesis of infection by facilitating host inflammatory responses and intercellular communication. This study investigates the functional properties of EVs released by biofilms formed by two C. albicans strains—3147 (ATCC 10231) and SC5314—in eliciting host responses. We demonstrate the capability of C. albicans EVs to trigger reactions in human epithelial and immune cells. The involvement of EVs in pathogenesis was evidenced from the initial stages of infection, specifically in adherence to epithelial cells. We further established the capacity of these EVs to induce cytokine production in the epithelial A549 cell line, THP-1 macrophage-like cells, and blood-derived monocytes differentiated into macrophages. Internalization of EVs by THP-1 macrophage-like cells was confirmed, identifying macropinocytosis and phagocytosis as the most probable mechanisms, as demonstrated using various inhibitors that target potential vesicle uptake pathways in human cells. Additionally, C. albicans EVs and their cargo were identified as chemoattractants for blood-derived neutrophils. After verification of the in vivo effect of biofilm-derived EVs on the host, using Galleria mellonella larvae as an alternative model, it was demonstrated that vesicles from C. albicans SC5314 increased mortality in the injected larvae. In conclusion, for both types of EVs a predominantly pro-inflammatory effect on host was observed, highlighting their significant role in the inflammatory response during C. albicans infection.
Association between D-dimer to lymphocyte ratio and in hospital all-cause mortality in elderly patients with sepsis: a cohort of 1123 patients
Authors: Long Xinguang , Hu Zhenkui , Song Chao , Zhang Jinhui
Published: January 2025

Background

The D-dimer to lymphocyte ratio (DLR), a novel inflammatory biomarker, had been shown to be related to adverse outcomes in patients with various diseases. However, there was limited research on the relationship between the DLR and adverse outcomes in patients with infectious diseases, particularly those with sepsis. Therefore, this study aimed to explore the association between the DLR and in hospital all-cause mortality in elderly patients with sepsis.

Methods

A total of 1123 patients admitted in intensive care unit (ICU) were included in this study. The patients were categorized into quartiles (Q1-Q4) based on their DLR values. The primary outcomes included hospital mortality and ICU mortality. Kaplan-Meier analysis was conducted to compare all-cause mortality among the four DLR groups. The association between DLR and all-cause mortality in patients with sepsis was further elucidated using the receiver operating characteristic (ROC) curve and Cox proportional hazards regression analysis.

Results

The study included participants with a median age of 75 (65-84) years, with 707 (63.0%) being male. The rates of hospital mortality and ICU mortality were 33.7% and 31.9%, respectively. Kaplan-Meier analysis highlighted a significantly increased risk of all-cause mortality among patients with elevated DLR values (log-rank p < 0.001). ROC curve analyses revealed that DLR had a stronger ability to predict hospital mortality and ICU mortality in patients with sepsis than D-dimer or Lym. Multivariable Cox proportional hazards analyses revealed DLR as an independent predictor of hospital death [per 1 SD increase in DLR: HR (95% CI): 1.098 (1.020-1.181); p = 0.013] and ICU death [per 1 SD increase in DLR: HR (95% CI): 1.095 (1.017-1.180); p = 0.017] during the hospital stay.

Conclusions

A higher DLR value was associated with hospital and ICU all-cause death in elderly patients with sepsis. This finding demonstrated that the DLR could be a convenient and useful prognostic marker for sepsis prognosis.