bluuebunny/crossref_metadata_2025 huggingface dataset:
ปัจจัยที่สัมพันธ์กับการเกิดและการเสียชีวิตจากภาวะเลือดเป็นกรดจากการคั่งของแลคติกในผู้ป่วยเบาหวานที่ได้รับเมทฟอร์มิน ณ โรงพยาบาลแพร่
Authors:   , กระแสร์ชล นินนาท
Published: February 2025

Metformin is a biguanide, which the 2017 Diabetes Practice Guidelines recommend as first-line treatment for people with type 2 diabetes. Therefore, this drug is widely used in Thailand. However, Metformin has serious adverse event called Metformin associated lactic acidosis (MALA) from, which has a high mortality rate even though the incidence is low. The aims of this study were to investigate factors associated with occurrence and mortality of lactic acidosis in patients receiving Metformin. The case control study was conducted by collecting data from Phrae hospital’s electronic medical record on patients who were admitted with MALA between 1st January 2020 and 31st December 2020. Results: A total of 228 patients were divided into study group (MALA) 39 patients and 189 patients were included in the control group. One hundred and fifteen patients were male (50.4%) with an average age of 63.6±11.4 years. The average daily dose of Metformin was 1,500±656.1 mg. The average baseline eGFR level was 88.7±24.0 ml/min/1.73m2 and average baseline Scr level was 0.9±0.7mg/dl. The most common underlying disease was hypertension (195 patients, 85.5%) and the most common history of drug use was ACEIs/ARBs (145 patients, 63.6%). The statistical analysis was performed with multiple logistic regression. Positive and negative factors were statistically significant associated with occurrence of lactic acidosis, including patients with history of chronic liver disease, chronic heart failure, and dyslipidemia, respectively. But no factors were found to be statistically significant associated with mortality from lactic acidosis.
ความชุกของการใช้ยาแอสไพรินโดยไม่มีข้อบ่งใช้ชัดเจนในผู้ป่วย โรคหัวใจห้องบนสั่นพริ้วที่ได้รับยาวาร์ฟาริน ณ โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย
Authors:   , แย้มหรั่งทรัพย์ กมลลักษณ์
Published: February 2025

In the past, there were no definitive indications for the concurrent use of aspirin and warfarin. Since 2016, there have been clear practice guidelines for using both medications together when patients have atrial fibrillation ( AF) with acute coronary syndrome ( ACS). However, there are still cases where both drugs are prescribed together without an apparent indication, leading to potential bleeding. This study aims to evaluate the prevalence of using aspirin without an apparent indication in patients with AF receiving warfarin. A retrospective cohort study was performed using data from King Chulalongkorn Memorial Hospital. The study collected data from patients diagnosed with AF who received a combination of aspirin and warfarin between January 2017 and December 2022, totaling 167 individuals. The results found that the prevalence of patients who received aspirin in the combination with warfarin for AF without an apparent indication was 85% ( 142 patients). This included three reasons: firstly, patients with AF and coronary artery disease who continued using both medications after surgery or acute coronary syndrome for more than one year accounted for 47. 9% ( 68 patients) ; secondly, patients who initially used both medications without an apparent indication for aspirin accounted for 43.7% (62 patients); lastly, patients who initially used both medications within a year but later switched to aspirin alone accounted for 8. 5% ( 12 patients). In addition, when comparing each year, the highest prevalence of patients using the combination of aspirin and warfarin without an apparent indication was found in 2018 at 36. 6% ( 52 patients), and this trend has continuously decreased over time. Common bleeding complications discovered include gastrointestinal haemorrhage, haemorrhagic disorder due to circulating anticoagulants, and haematuria, respectively. In conclusion, patients with AF who received the combination of aspirin and warfarin without an apparent indication exhibited a higher prevalence than those who had an apparent indication.
ทัศนคติของนิสิตที่ศึกษาในจุฬาลงกรณ์มหาวิทยาลัย ต่อการสูบบุหรี่ไฟฟ้า
Authors:   , ชาญธวัชชัย วรรณพร
Published: February 2025

Presently, there is a growing number of young people who are using electronic cigarettes, which contain toxic substances that can adversely affect the health of both the users and those around them. The decision to use electronic cigarettes is influenced by different thoughts and attitudes compared to those who do not use them. However, research focusing on the thoughts and attitudes of students who use electronic cigarettes at Chulalongkorn University is limited. This study's primary objective is to study the prevalence of electronic cigarette use among Chulalongkorn University students and to investigate their attitudes and behaviors towards electronic cigarette smoking. Additionally, the secondary objective aims to examine students' knowledge levels regarding the risks of electronic cigarette use and to compare attitudes towards electronic cigarette smoking among students, categorized by various factors. This study adopts a cross-sectional descriptive research design. Data were collected from students currently studying at Chulalongkorn University. The findings are based on responses from a total of 410 respondents participated in the questionnaire survey. The majority were female (58.5%). Most of the respondents were studying in the Faculty of Pharmacy (14.6%) and were in their second year of study (29%). The average age was 20.5 years. Based on the study results, the majority of students either never smoked or had quit smoking, totaling 392 individuals (95.61%). Among the smokers, 18 individuals (4.39%) were identified, with the majority preferring electronic cigarettes (38.89%). Seven individuals (33.33%) smoked both traditional cigarettes and electronic cigarettes, while five individuals (27.78%) smoked traditional cigarettes exclusively. In terms of health attitudes, the majority of participants exhibited negative attitudes towards electronic cigarette smoking. Regarding social perceptions, participants generally held negative attitudes towards electronic cigarette smoking. In terms of legal attitudes, participants showed moderate to positive attitudes towards electronic cigarette smoking. The results of the study measuring students' knowledge levels about electronic cigarettes found that there were statistically significant differences in knowledge levels among different groups of participants. Comparing students' attitudes towards electronic cigarette smoking, categorized by gender, faculty, academic year, and electronic cigarette smoking behavior, these factors resulted in statistically significant differences in knowledge levels among different groups of participants. Based on the research findings, it can be concluded that the majority of Chulalongkorn University students do not smoke cigarettes and have negative attitudes towards electronic cigarette smoking in terms of health and social perceptions.
Kepuasan Mahasiswa Terhadap Layanan Pendidikan dan Layanan Administrasi di Stikes Gunung Maria Tomohon
Authors: Womboiang Felni Gemma Nucifera
Published: February 2025

Dalam suatu institusi pendidikan tentu tidak terlepas dari Layanan Pendidikan di dalamnya tentang kegiatan belajar-mengajar yang melibatkan pengajar dan pembelajar di sini istilah pembelajar disebut Dosen dan pembelajar disebut Mahasiswa. Dalam tridharma perguruan tinggi yaitu pendidikan, penelitian dan pengabdian kepada masyarakat. Kualitas layanan yang baik memberikan tingkat kepuasan yang tinggi dari mahasiswa yang ada di Sekolah Tinggi Ilmu Kesehatan Gunung Maria Tomohon. Menyadari akan pentingnya hal ini, maka dilakukan penelitian dengan tujuan untuk mengetahui bagaimana kepuasan mahasiswa terhadap Layanan Pendidikan dan layanan administrasi. Populasi penelitian adalah seluruh mahasiswa baru STIKes Gunung Maria Tomohon Tahun Akademik Ganjil 2024/2025. Hasil penelitian menunjukkan kualitas layanan pendidikan dan layanan administrasi memiliki pengaruh positif terhadap kepuasan mahasiswa. Lembaga pendidikan tinggi tetap harus meningkatkan kualitas pelayanan guna lancarnya kepengurusan di dalamnya pun bisa menjadi sarana promosi.
Pemanfaatan Potensi Wisata terhadap Tumbuh Kembang Umkm Desa Mela-II Tapian Nauli
Authors: Sinaga Nelly Azwarni , Tambunan Yenni Sofiana , Hasibuan Nur Ainun , Basriyani Anna
Published: February 2025

Letak strategis Desa Mela-II Tapian Nauli, Kabupaten Tapanuli Tengah, yang berada dikaki bukit dan ditepi pantai Teluk Tapian Nauli, didukung oleh kuliner asli daerah pesisir, dapat membuat Desa Mela-II menjadi salah satu tujuan wisata yang potensil di Kabupaten Tapanuli Tengah, Provinsi Sumatera Utara. Pengembangan Pariwisata di Desa Mela-II akan memberikan dampak postif dan memacu masyarakat untuk ikut berpartisipasi dalam penyediaan industri pariwisata sekaligus memotivasi masyarakat mengembangkan Usaha Mikro Kecil dan Menengah (UMKM) karena terbukanya peluang usaha bagi masyarakat. Kegiatan dilakukan melalui kegiatan pengabdian kepada masyarakat (PKM) yang bertujuan untuk menggali dan mempromosikan potensi wisata Desa Mela-II Tapian Nauli, sehingga berdampak pada peningkatan Usaha Mikro, Kecil dan Menengah di desa tersebut. Selain itu penelitian ini juga bertujuan untuk menganalisis bagaimana proses pengembangan pariwisata mampu memberikan dampak bagi Usaha Mikro, Kecil dan Menengah dari sektor pendapatan maupun pertumbuhan usaha.Kata kunci : Potensi, Wisata, Perkembangan, UMKM.
Pengaruh Ekspor, Impor, Nilai Tukar dan Inflasi Terhadap Pertumbuhan Ekonomi Di Indonesia Tahun 2008-2018
Authors: Wiratmoko Danar
Published: February 2025

Pengaruh Ekspor, Impor, Nilai Tukar Dan Inflasi Terhadap Pertumbuhan Ekonomi Di Indonesia Tahun 2008-2018: Pertumbuhan ekonomi menjadi sebagian tujuan bangsa agar dapat meningkatkan pembangunan nasional yang dapat meningkatkan kualitas sumber daya manusia Indonesia yang dilakukan secara berkelanjutan berdasarkan kemampuan nasional. Oleh karenanya, tujuan dari penelitian ini adalah untuk menguji dan menganalisis pengaruh ekspor, impor, nilai tukar dan inflasi terhadap pertumbuhan ekonomi di Indonesia. Dengan menggunakan metode analisis regresi dan data time series, maka di peroleh hasil penelitian sebagai berikut: 1. Bahwa secara parsial, variabel Ekspor, Inflasi dan Nilai Tukar memiliki pengaruh yang signifikan terhadap Pertumbuhan Ekonomi dan Impor tidak berpengaruh signifikan terhadap pertumbuhan ekonomi di Indonesia. 2. Namun demikian jika diuji secara simultan, keempat variabel tersebut memiliki pengaruh yang signifikan terhadap pertumbuhan ekonomi di Indonesia
Critical Data Discourses: A Lecture Series on the Ethics of Research Data
Authors: Rothfritz Laura , Frisch Katrin
Published: February 2025

In a time when research data is increasingly at the heart of research integrity, discussions about data sharing, openness, and reusability have gained prominence. Yet, the ethical complexities surrounding research data—who collects it, how it is used, and whose interests it serves—are often sidelined.
The global (South) projection of Brazil
Authors: Agulló Juan , de Souza
Published: February 2025

Brazil, the 8th largest global economy, has a territory with continental dimensions (measuring the double of the European Union) and a population that surpasses, easily, 200 million inhabitants. Its strategic role is obviously prominent in the contemporary world and especially in the Global South. Indeed, if we add to the aforementioned big numbers some key dynamic variables (such as its production of food and biofuels, its enormous reserves of drinking water, oil, gold, diamonds, critical minerals, biodiversity, precious woods etc.) it will be easier understood why the geopolitical value of this South American country is something more than outstanding (and also, why the U.S. understood that long time ago). On the other hand, it is necessary to add the Brazilian will to grow, influence, and project itself abroad which seems only possible in a multi-polar world order characterized by structures and dynamics different to the current one. It is for all those reasons, objective and subjective, that studying and understanding Brazilian reality is so relevant, and that is what this introductory article is about. For this purpose, we will begin by contextualizing the issue, by placing it in its strategic environment and by reviewing, finally, its internal contradictions. From there, all the chapters that make up this special issue will be introduced trying to explain the specific field of Brazilian reality that is questioned or explained in each text.
Brazil and USA: A declining relationship?
Authors: Nascimento Forner , Fernando Gallo
Published: February 2025

Over the past few decades, there has been extensive discussion regarding the perceived decline of United States hegemony. These discussions often attribute such decline to external factors, such as the rise of emerging powers like China and Russia, as well as domestic forces - chiefly represented by the growing political influence of far-right movements. Within this intricate and challenging context, it becomes pertinent to inquire about the impacts of these transformations on the bilateral relationship between the United States and Brazil, a relationship often considered a cornerstone of both countries' foreign policies. However, contemporary events, such as the increasing influence of China in Latin America and the recent political transformations undergone by both nations, present new challenges for these relations. This article aims to delve into these events, focusing specifically on the administrations of Donald Trump (2017-2021), Jair Messias Bolsonaro (2019-2022), the early years of the Biden administration (2021-2024), and the beginning of Luiz Inácio Lula da Silva's presidency (2023-2024). Methodologically, the article will draw upon content analysis and literature review.
Democracy, the language of rights, coalitions and political system in Brazil
Authors: de Faria
Published: February 2025

The Brazilian political system is organized according to a complex popular sovereignty: the 1988 Citizen Constitution is the landmark language of human rights in the country. It establishes a multi-party Congress aimed at the expression of minorities, in coexistence with the executive and judiciary powers. At the same time, it coexists with an electoral system of direct representation, and indirect representatives in an open list, which imposes difficulties on the formation of a majority and the need for coalitions. The recent universal suffrage and the longtime standing historical social inequality is combined with a federative system of unequal units, in which local, regional, and international economic groups and land ownership weigh on the national political situation and decisions. Understanding recent crises involves analyzing the ways in which the country incorporates or does not incorporate social demands to mitigate these systemic inequalities.
Oral anticoagulant therapy in patients with atrial fibrillation and end-stage chronic kidney disease
Authors: Simić Jelena , Mihajlović Miroslav
Published: February 2025

Patients with end-stage kidney failure have an increased risk of atrial fibrillation (AF). Chronic kidney disease (CKD) and AF share several common risk factors for the onset of the disease, as well as an increased risk of stroke, systemic thromboembolism, major bleeding and mortality. Adverse events are most common in patients with end-stage kidney disease. The risks of thromboembolism and bleeding increase with increasing severity of CKD in patients with AF. Evaluation of the advantages of oral anticoagulants (OAC) for thromboprophylaxis in patients with advanced kidney dysfunction, is a big challenge due to its deficiency of high-quality evidence from randomized clinical trials and conflicting data from observational studies. In this review, we considered the use and effects of specific OAC agents in patients with AF and end-stage kidney disease. In addition, we provide an expert opinion on the choice of optimal OAC therapy for the prevention of stroke in these patients. Patients with AF and end-stage kidney disease should benefit from the use of OAC. The use of OACs should be considered in patients with AF and end-stage kidney disease and those on dialysis or kidney replacement therapy who are at increased risk of stroke or systemic embolism in all patients eligible for OACs with AF and end-stage kidney disease (ie. those without a prosthetic mechanical heart valve or moderate to severe mitral valve stenosis). However, the effect of non-vitamin K oral anticoagulants (NOACs) on kidney function has not been sufficiently investigated. More data are needed to better understand the mechanisms of NOAC effects on kidney function, which requires clear clinical guidelines derived from randomized clinical trials.
An assessment of Factors Affecting General Insurance Penetration in Lusaka District of Zambia
Authors: Mwale Stephen , Mwange Austine
Published: February 2025

Background: Zambia's insurance industry faces challenges, as evidenced by low penetration rates and a 2019 report from the Insurance Association of Zambia. A 2020 Price Waterhouse Coopers survey highlighted issues such as premium debt recovery and a lack of understanding of insurance benefits among the population. This research aimed to investigate barriers to insurance awareness and uptake.
Methods: A mixed-method approach combined quantitative and qualitative elements to assess insurance penetration in Lusaka District. Guided by pragmatism, the study utilized simple random and purposive sampling, collecting data through structured questionnaires (n=33) and in-depth interviews (n=5). Quantitative analysis employed various statistical techniques, while qualitative data were analyzed through Thematic Framework Analysis.
Findings: Results indicated a high level of insurance awareness (mean score 3.9) with a significant association (p = 0.02) between awareness and uptake. Although insurance products were deemed suitable (mean score 3.9), no significant correlation with uptake was found (p = 0.67). Awareness and understanding were identified as key factors influencing insurance uptake, with an adjusted odds ratio of 3.7 (p = 0.04).
Conclusion: Awareness and understanding are critical drivers of insurance uptake in the Lusaka District. Recommendations include enhancing educational campaigns, simplifying insurance products, tailoring marketing strategies, and improving regulatory support. Limitations of the study include reliance on self-reported data. Future research should examine how digital literacy affects insurance uptake among diverse demographic groups.
Examining the Project Success Antecedents of Public Private Partnerships (PPP) in Public Infrastructure Works of Zambia
Authors: Mwanaumo Erastus , Msimuko Alexander C. , Msimuko Alexander , Gebremedhin Fikadu , Ngoy Steve , Nyimbili Penjani , Mwanaumo Ethel Tembo
Published: February 2025

Infrastructure development has long been considered a catalytic factor in a country's economic development. Zambia has experienced a deficit in infrastructure that has prevented developmental and economic growth. For far too long now, policy makers have aimed at reducing the national debt, and find a better financing method for infrastructure projects, and have now turned to Public Private Partnerships (PPP) to finance these projects. However, the problem of PPPs has been that of poorly implemented critical success factors that have led to deprived financing of infrastructure, budget constraints, inefficiencies in managing infrastructure on the side of the public sector, and poor public spending poor public spending and inefficiencies in managing infrastructure on the public sector side. This study examined the influence of PPP success antecedents on actual PPP project success. A quantitative research design was employed with data collected using a structured questionnaire from a sample of 90 PPP practitioners drawn from both the public and private sector organisations. Data collected was analysed using correlation and hierarchical regression models. The findings indicate that the institutional theory and the Human capital theories are applicable in the Zambian context. Further, favourable business environment factors, reliable concessionaire consortium factors, sound financial factors and economic viability and appropriate risk allocation factors are significant determinants with a combined large effect size of (0.917) and a coefficient of determination of 82.8%. More so, finds revealed that the largest predictors of actual PPP project success in Lusaka are sound financial factors, economic viability and appropriate risk allocation factors.
PROFESIONALNI RAZVOJ I SAVREMENE KOMPETENCIJE NASTAVNIKA – NOVI IZAZOVI OBRAZOVANJA
Authors: Kasumović Alman , Gadžić Rahim , Kasumović Aida
Published: February 2025

Savremeno doba u kojem živimo i radimo postavlja visoke i izazovne standarde u svim sferama društvenih odnosa, pa i u obrazovanju. Obrazovne ustanove se nalaze pred velikim izazovima savremenih trendova u odgoju i obrazovanja. Tehnološki napredak i globalizacijska kretanja pred odgoj i obrazovanje stavljaju zaista ozbiljne i izazovne ciljeve i zadatke. Svaka profesija, uključujući i nastavničku profesiju, podrazumijeva određen sistemski, planiran, organizovan i vođen profesionalni razvoj sa kontinuiranim vidovima stručnog usavršavanja. Profesionalni razvoj podrazumijeva na neki način posjedovanje i usvajanje potrebnih znanja, vještina, sposobnosti, iskustava, kvalifikacija, standarda i normi potrebnih za uspješno obavljanje neke profesije. Nastavnička profesija ima veliki društveni značaj i odgovornost, jer direktno utiče na razvoj ličnosti, društva i društvenih odnosa. Pomenute činjenice ukazuju na potrebu novog pristupa sistematičnijem, efikasnijem i korisnijem profesionalnom razvoju nastavnika, temeljenom na konceptu cjeloživotnog učenja.
PREKID RATNIH SUKOBA KROZ REFLEKSIJU EMOCIJA
Authors: Milojković-Čović Dragana
Published: February 2025

Pretpostavka da je potpisivanjem primirja nakon oružanog sukoba stvoren mir, je pogrešna percepcija u realnosti. Društvo nakon oružanog sukoba može biti opasno i nasilnički nastrojeno kao tokom rata. Dominiraju emocije straha, mržnje, bijesa i želje za osvetom, a one se vrlo brzo šire sa direktnih počinioca na sve osobe iste nacionalnosti, a takve uslovljene reakcije se veoma teško gube, a brzo stvaraju, lako šire i generaliziju.
Motivacija i volja jesu od središnje važnosti za dolaženje do pomirenja između naroda koji su bili u sukobu. Pomenuta voljnost jeste subjektivna psihološka kategorija i neophodna je da bi do pomirenja došlo. Jedan od mogućih oblika ratne strategije jeste silovanje i drugi oblici seksualnog zlostavljanja. Rad psihologa sa tom kategorijom je kompleksan, poverljiv, zahtijeva izraženu senzibilnost, jer tu ulazimo u intimno polje ličnosti koje je traumatizovano i gdje najčešće postoje različiti mehanizmi odbrane ličnosti.
Reviews and Responses for Investigation of Point Merge Utilization Worldwide Using Opensky Network Data
Authors: Hardell Henrik , Polishchuk Tatiana , Smetanová Lucie , Sáez Raúl , Spinielli Enrico , Trzmiel Aymeric
Published: February 2025

See detailed reviews and responses in the PDF file.
DOI for the original paper: https://doi.org/10.59490/joas.2025.7729
How affinity with places affects the indirect experience of climate extreme weather events
Authors: Keller Elias , Marsh John E. , Richardson Beth H. , Ball Linden J.
Published: February 2025

When news media talk about climate change, they often report on extreme weather
in places around the world. One factor that may explain perceptions of such
reports and reactions to them is people’s relationships with affected places. We
test a framework of place affinity, as indicated by several place beliefs, to
describe these people-place relationships. Based on previous research and two
pilot studies, we employed a three-condition between-participants experiment to
test whether place affinity helps explain reactions to news reports.
Participants (N = 972) were either shown one of two reports on
extreme flooding events in high-affinity and low-affinity countries or a general
article on climate change and flooding (control condition). Reading about
extreme weather in a high-affinity place invoked stronger emotional reactions
than for other conditions. There were no differences in risk perception, policy
support or behaviour between conditions. Participants’ open responses to news
articles provided evidence of emotion-focused, problem-focused and
meaning-focused strategies, as well as an absence of emotion-regulation. Our
study thus contributes to the literature by testing our theoretical framework of
place affinity and by investigating factors shaping the effectiveness of climate
coverage.
World beliefs predict self-reported sustainable behaviors beyond Big Five personality traits and political ideology
Authors: Hämpke Janna , Kerry Nicholas , Clifton Jeremy D. W.
Published: February 2025

Generalized beliefs about the world—termed ‘primal world beliefs’ or ‘primals’—have been hypothesized to affect behavior, since they contain information which influences the perceived costs, benefits, and justifications for different behaviors. For example, people who see the world as highly improvable may view prosocial behaviors as having more benefits and therefore be more inclined to work harder on making things better. Three preregistered studies (N = 1,534 US participants) investigated the relationship between primals and several measures of people’s propensity toward sustainable behavior. Beliefs that the world is less hierarchical, but more improvable, cooperative, harmless, meaningful, and abundant were weakly to moderately associated with self-reported ethically-minded consumer behavior, pro-environmental behavior, and behavioral intentions. These relationships were largely robust to controlling for Big Five traits and political ideology, although some of the relationships were subsumed by the more general belief that the world is good. Changes in two world beliefs (cooperative, harmless) over a three-week period weakly predicted pro-environmental behavior intentions when controlling for people’s previously reported pro-environmental behavior. These correlational findings suggest some possible avenues for future research: if these beliefs are found to be causally prior to environmental attitudes, they may offer a promising target for interventions aimed at increasing sustainable behavior.
Determinants of Quality of Nursing Care Using a HealthQual Model and its Impact on Patient’s Satisfaction and Loyalty
Authors: Hamida Amin  , Baig Mirza Kashif
Published: February 2025

The healthcare sector is undergoing significant transformations, emphasizing patient-centered care and service quality. Patient satisfaction emerged as a key indicator of healthcare quality, extending beyond clinical outcomes to encompass interactions, facility conditions, and perceived empathy from healthcare providers, ultimately influencing patient loyalty. This study examines the factors affecting patient satisfaction within the HealthQual Model, with a particular focus on nursing care quality. Utilizing a cross-sectional approach, 150 inpatients from a private hospital were surveyed through Google Forms. The collected data were analyzed using Smart PLS to evaluate the relationships between these variables. The findings indicate that tangibility, empathy, safety, efficiency, and care improvements significantly impact patient satisfaction. Moreover, a strong positive correlation between patient satisfaction and loyalty was observed, reinforcing the proposed hypotheses. These results suggest that nursing care quality plays a critical role in shaping the overall patient experience and fostering long-term commitment to healthcare providers. This study provides valuable insights into the interplay between nursing care quality, patient satisfaction, and loyalty. The findings have practical implications for healthcare administrators and practitioners, underscoring the need for targeted improvements in nursing services to enhance patient experiences and strengthen relationships with healthcare providers.
Recycler la ville afin de mieux la projeter ?
Authors: Devisme Laurent , Quin Naïs , Barraud Marion
Published: February 2025

L’urbanisme est toujours hanté par son histoire. Si recycler la ville est depuis un quart de siècle au frontispice du renouvellement urbain – reconstruire la ville sur elle-même pour économiser l’espace – cette maxime est plutôt délicate en pratique car l’héritage est souvent problématique.

Que nous apprennent donc différentes tentatives de reconquête, requalification et restauration des espaces dont l'heure de gloire (de fréquentation et d'attraction) est passée ? À partir des enseignements d’un workshop intitulé « une semaine, une ville », le texte propose une réflexion sur le recyclage de figures et modèles pour faire la ville.
La biomasse : le matériau de construction du futur pour un développement durable et responsable
Authors: Amziane Sofiane , Morelle Marie , Joly Pierre , Scherding Philippe
Published: February 2025

La biomasse, matériau organique végétal, représente une alternative durable aux matériaux de construction traditionnels comme le béton purement minéral. Le béton bio-sourcé utilise diverses formes de biomasse, telles que les granulats pour bétons végétaux, les fibres renforçant enduits et isolants, et le biochar pour décarboner le ciment.
Disciplinas del Derecho Humano de la Salud. Un caso en la legislación costarricense
Authors: Valerio Monge Carlos José
Published: February 2025

Health jurists in the European Union have led the debate on these issues, as has been the case more recently with regard to the need to regulate artificial intelligence. For this reason, European studies on Health Law, particularly Spanish ones, are the most exemplary in approaching this issue and proposing its knowledge, debate and correct application.It must be made clear that there is no general consensus on this proposal, and it is common for some authors to defend slightly different positions. However, the legal theory formulated here is the one that has the greatest support due to its coherence from the point of doctrinal rigor. However, academic efforts such as this one attempt to provoke discussions with educational, reflective and debate-generating purposes towards the consolidation of a Costa Rican theory on these issues to become the subject of law classrooms, the development of regulations, the issuance of administrative and judicial resolutions and, more contributions published in books and journals of Costa Rican law.

Los juristas de la salud de la Unión Europea han conducido el debate de estos temas, como ha sido más recientemente respecto de la necesidad de regular la inteligencia artificial. Es por este motivo, que los estudios europeos del Derecho de la Salud, particularmente los españoles, resultan los más ejemplarizantes para acercarse a este tema y proponer su conocimiento, debate y aplicación correcta.Debe quedar claro que no existe un consenso general sobre esta propuesta, siendo común que algunos autores defienden posturas ligeramente distintas. Sin embargo, la teoría jurídica que aquí se formula es la que cuenta con el mayor respaldo debido a su coherencia desde el punto del rigor doctrinario. Empero, esfuerzos académicos como el presente intentan provocar discusiones con propósitos educativos, reflexivos y generadores de debate hacia la consolidación de una teoría costarricense sobre estos temas para constituirse en materia de las aulas de Derecho, la elaboración de normas, la emisión de resoluciones administrativas y judiciales y, más aportes publicados en libros y revistas del Derecho costarricense.
Integration of Islamic Values ​​in Competency-Based Curriculum
Authors: Farikhah Iftitakhul , Suwignya Miftahul Ilmi , Ulwiyah Nur
Published: February 2025

This research examines the implementation of a competency-based curriculum that is integrated with Islamic values at the Early Childhood Education (ECE) level, especially at Al Iman Kindergarten in Jombang. (ECEP), especially at Al Iman Kindergarten in Jombang. Islamic values, such as obedience to worship, honesty and responsibility, are integrated through experiential learning and habituation approaches. experiential learning and habituation approaches. The research uses a qualitative method with a case study approach, involving observation, in-depth interviews, and curriculum document analysis. The result of the research showed that the integration of Islamic values not only serves as a moral foundation, but also supports the formation of character, intelligence and moral foundation, but also supports the formation of children's character, intelligence, emotional emotional intelligence, and children's skills in facing the demands of globalization. The curriculum at Al Iman Kindergarten is designed to create active and relevant learning, with the vision of building a human being who is relevant, with the vision of building Islamic, creative, and integrity people. The implementation strategy involves habituation methods, integration of Islamic values in daily activities, and values in daily activities, and the support of all stakeholders. This research contributes to the development of ECEP curriculum curriculum development based on Islamic values as a holistic education model that supports children's children's growth in spiritual, intellectual, and moral aspects.
A Case Report of Nodular Lymphocyte Predominant Hodgkin Lymphoma: A Rare Lymphoma in Myanmar
Authors:   Department of Pathology, No (1) Defence Services General Hospital, Mingalardon, Yangon, Myanmar, Myat OO Win , Win Sein ,   Department of Clinical Haematology, North Okkalarpa General and Teaching Hospital, Yangon, Myanmar, Aung Nyein Chan ,   Department of Pathology, Defence Service Medical Academy, Yangon, Myanmar
Published: February 2025

Nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL) is a germinal center–derived B-cell neoplasm. It is made up of scattered large neoplastic B cells with multilobulated nuclei (lymphocyte-predominant [LP] cells) located within nodules that are predominantly occupied by mantle zone B cells and follicular dendritic cells (FDCs). It manifests with lymph node involvement, and approximately 60% of all cases are attributed to early-stage disease.

We presented the case of a 23-year-old young man with left axillary lymph node enlargement for two weeks. He has no loss of appetite, no weight loss, and no fever during this period. Two days prior to consultation, he got tender sensation from these nodes along with a fever and consulted a surgeon. He had history of pulmonary tuberculosis infection and got complete anti-TB drugs at the age of 8 years old. The ultrasound examination of the left axilla shows multiple matted lymph node enlargement, and the largest one is 3.2 x 2.1 cm. The surgeon performed an excisional biopsy and sent it for histopathological examination. The histological section shows complete architectural effacement by a nodular proliferation with diffuse areas containing scattered large cells. Immunohistochemistry confirmed the diagnosis of NLPHL, with LP cells positive for CD20, BCL6, and EMA, and negative for CD30, CD15, CD3, CD4, MUM1, TIA1, and CD56. The true incidence of NLPHL in Myanmar is unknown due to a lack of reported cases. This case highlights the importance of early diagnosis and to give proper immediate management for the disease. A definite diagnosis was achieved through careful histopathological evaluation combined with immunohistochemical analysis.
काव्यशास्त्रे रसतत्त्वविमर्शस्य महत्वम्
Authors: सुरभि घोष
Published: February 2025

रसः काव्यस्य आत्मा इति मन्यते।  रसः काव्यस्य अत्यावश्यकः तत्त्वः अस्ति यः जनानां हृदयेषु परमं आनन्दं जनयति। संस्कृतकाव्यशास्त्रे रसशब्दः रसः, आनन्दः, काव्यानुभवः, काव्य- परिणामादिः इति अर्थे गृह्यते। भरतः रसनिषपट्टिसूत्रं व्याख्याय विभावानुभवव्याभिचारिभवयोः संयोगेन रसः उत्पन्नः इति उक्तवान्। रससूत्रस्य मुख्यव्याख्यकाः चत्वारः आसन्, ये सन्धिफलं च व्याख्यायन्ते स्म।
Quantum Genesis: Redefining Humanity, Technology, and the Future by 2100
Authors: Pasupuleti Murali Krishna
Published: February 2025

Abstract:
The rise of quantum technology is set to redefine humanity, intelligence, and global civilization by 2100. This chapter explores how quantum computing, quantum artificial intelligence (QAI), and quantum cryptography will revolutionize industries, geopolitics, and scientific discovery. As quantum AI surpasses classical computing, it will unlock self-learning intelligence, breakthroughs in medicine, finance, and space exploration, and the potential for human-machine integration and neural augmentation. However, the rapid acceleration of quantum advancements also presents existential risks, from autonomous quantum warfare to loss of human control over artificial superintelligence (ASI). The chapter examines the ethical dilemmas of post-quantum civilization, exploring whether quantum technology will lead to a post-scarcity utopia or an unprecedented existential crisis. By analyzing the technological, philosophical, and societal implications of the quantum revolution, this chapter presents a future-forward roadmap for ensuring that quantum intelligence remains aligned with human progress, ethics, and sustainability.

Keywords:
Quantum computing, quantum AI, artificial superintelligence, QAI, neuromorphic computing, post-quantum cryptography, quantum singularity, human-machine integration, quantum biotechnology, post-scarcity economy, quantum-driven civilization, quantum cosmology, quantum warfare, AI ethics, post-human intelligence, existential risks, future of intelligence, interstellar expansion, self-learning AI, neural augmentation.
Keistimewaan Al-qur'an sebagai Sumber Ilmu Pengetahuan bagi Manusia pada Program Praktek Pengalaman di Universitas Sunan Giri Surabaya
Authors: Ghoniyah Bibi , Maulana Elyunusi M. Yusron
Published: February 2025

The specialty of the Qur'an as a source of knowledge for humans is the discussion of scientific insights that are interesting to study. The author connects this with the theory (knowledge) possessed by students so that it is increasingly honed, accompanied by the learning skills needed in Field Experience Practice (PPL) as training for students at Sunan Giri University, Surabaya. The Postgraduate PAI Study Program of UNSURI Surabaya in order to maintain its commitment and advance its quality always tries to renew and update various strategies (Amatillah toha: 2024), so that the programs and curriculum are always dynamic, one of which is through student PPL training. This writing aims to explain about student training When PPL as evidence of learning obtained by students, so that students can better understand the meaning of the specialty of the Al-Qur'an as a source of knowledge for humans., This study uses a qualitative research type with a library research method, the data collection technique used is the document study technique, The results of the discussion show that the Al-Qur'an as a source of knowledge of all knowledge for humans by understanding the definition of the meaning of the Al-Qur'an, revelation, inspiration and the meaning of science and discussing the names of the Al-Qur'an and evidence of the truth of its verses through I'jazul Al-Qur'an because the Al-Qur'an as a miracle of the Prophet Muhammad which still exists today and can bring many benefits to humans as a source of knowledge.
Pendidikan Agama Islam: Pondasi Etika Dan Tanggung Jawab Sosial Dalam Bermasyarakat
Authors: Fauzi Fauzi , Masnawati Eli
Published: February 2025

Islamic Religious Education in Indonesia has a long and very deep history along with the entry of Islam into the archipelago. The orientation of Islamic education is not limited to teaching about religious knowledge, but also an integral part of the formation of the character and identity of the Indonesian people. The urgency of Islamic education is very instrumental in the development and development of good character especially in modern times our noble values and culture are beginning to be degraded by trends and cultures that are not beautiful. This paper analyzes the role of Islamic religious education in building good moral and ethical values in individuals as the initial foundation for forming a positive social society. This research reviews the role of Islamic religious education in building character and morality so as to create future generations who are intelligent and also have a good personality. Islamic religious education is expected to help students understand Islamic ethical principles such as honesty, justice compassion and hard work. Students are taught to internalize the values in their daily actions both in social interactions and in personal life. The positive impact of Islamic Religious Education on the formation of ethics and morality also extends to society more broadly students who are equipped with an understanding of Islamic ethics are likely to be responsible citizens who have ethical behavior and make a positive contribution to improving morale and social integrity. This research stimulates thinking about how Islamic religious education can play a role in shaping a more ethical and moral society where Islamic values guide individual behavior and collective action. In conclusion, Islamic religious education has great potential to shape noble morals and ethics in society, creating a more just, ethical, compassionate, and responsible society
Upaya Guru dalam Mengatasi Kesulitan Membaca Permulaan Pada Siswa Kelas 1 MI Islamiyah Taman-Sidoarjo
Authors: Nurul Nazilah Siti , Isma Nuriza Khusnul
Published: February 2025

Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang mempengaruhi  kesulitan membaca permulaan pada siswa dan bagaimana upaya guru dalam mengatasi kesulitan membaca permulaan pada siswa. Dalam penelitian ini menggunakan pendekataan kualitatif dan jenis penelitian ini mengunakan deskriptif. Subjek penelitian ini siswa kelas 1 MI Islamiyah Taman-Sidoarjo dengan jumlah 38 siswa dengan pengumpulan data yaitu berupa observasi, wawancara dan dokumentasi. Hasil penelitian ini menunjukan bahwa  faktor-faktor yang mempengaruhi kesulitan membaca permulaan kelas 1 MI Islamiyah Taman-Sidoarjo ialah: Kurangnya perhatian dari orang tua, seringnya lupa huruf, lingkungan dari teman, kurangnya percaya diri, sulit mengeja. Selain itu dari hasil penelitian ini menunjukan bahwa upaya guru dalam mengatasi kesulitan membaca permulaan kelas 1 MI Islamiyah Taman-Sidoarjo yaitu sebagai berikut: Mengunakan metode suku kata, ketika jam pelajaran berlangsung guru memperhatikan dan mengarahkan, memberikan motivasi, meminjamkan buku di perpustakaan, memeberikan jam tambahan. Maka dapat disimpulkan bahwa upaya guru dalam mengatasi kesulitan membaca siswa sangat berpengaruh pada siswa yang berkesulitan membaca permulaan.
Aplikasi Strategi Project Based Learning (PjBL) dalam Pembelajaran Al-Qur’an Hadits Untuk Meningkatkan Perkembangan Sosial Emosional Siswa MI As-Shibyan Gresik
Authors: Ita Puspa sari Harum
Published: February 2025

Penelitian ini berawal dari latar belakang pembelajaran Al-Qur’an Hadits yang membosankan dan kurang menarik. Apalagi dalam menghafalkan surat-surat pendek, mereka jenuh karena selalu diminta gurunya untuk mengahafal dan menerjemahkan aja. Pembelajaran yang monoton, dikarenakan kurang bervariasi dalam memberikan strategi atau metode, sehingga motivasi belajar anak menurun. Selain itu sikap perkembangan sosial dan emosional siswa kurang meningkat, sehingga interaksi dan sikap simpati serta empati siswa kepada orang/teman tidak muncul. Untuk  itu, peneliti mencoba menerapkan strategi project based learning untuk meningkatkan perkembangan sosial dan emosional siswa, sehingga pembelajaran lebih menyenangkan.
Rumusan masalah dalam penelitian ini adalah (1) Bagaimana perencanaan pembelajaran Al-Qur’an Hadits untuk meningkatkan perkembangan sosial dan emosional siswa dengan strategi Project Based Learning (PjBL)? (2) Bagaimana aplikasi pembelajaran Al-Qur’an Hadits untuk meningkatkan perkembangan sosial dan emosional siswa dengan strategi PjBL? (3) Bagaimana efektivitas pembelajaran Al-Qur’an Hadits dengan strategiPjBL untuk meningkatkan perkembangan sosial dan emosional siswa?
Jenis penelitian ini adalah penelitian kuantitatif. Penelitian kuantitatif merupakan penelitian yang dalam prosesnya banyak menggunakan angka-angka dari mulai pengumpulan data, penafsiran terhadap data, serta penampilan dari hasilnya. Hasil penelitian yang diperoleh di sekolah MI As-Shibyan Gresik melalui strategi PjBL ditunjukkan dengan skalapretest skor perolehan 63 dengan persentase rendah 16,67%, terjadi karena siswa memiliki motivasi rendah saat pembelajaran. Sedangkan untuk skala posttest skor perolehan 84,33 dengan persentase 88,88%, siswa sudah terkondisikan dan motivasi belajar mereka lebih meningkat dibanding pembelajaran sebelumnya. . Sehingga Pengembangan strategi PjBL dalam pembelajaran Al-Qur’an Hadits dapat meningkatkan perkembangan sosial dan emosional siswa kelas V MI As-Shibyan.
Implementasi Nilai-Nilai Akhlak Tasawuf melalui Hadist dalam Pembentukan Karakter Siswa di Madrasah Ibtidaiyah
Authors: Diana Rahayu Nur , Sufiatin Nur Lina , Choiriyah Ma’rifatul , Habibullah M. Romadlon
Published: February 2025

This article discusses the implementation of Sufism moral values through hadith in character building of students in Madrasah Ibtidaiyah (MI). This study aims to identify Sufism moral values that are relevant for MI students, analyze the influence of hadith in character education, and explore how to implement them in learning. The method used in this study is a literature study by reviewing various sources on Sufism morals and their application through the hadith of the Prophet Muhammad SAW. The results of the study show that Sufism moral values such as patience, sincerity, tawakkal, and self-confidence have great relevance in character building of MI students. The hadiths of the Prophet that teach about these noble qualities can be used as a foundation in the character education process. The application of these hadiths in learning at MI not only enriches students' knowledge, but also helps shape their morals and ethics, making them more disciplined, empathetic, and have a positive attitude in everyday life. Character education based on Sufism morals provides a strong moral foundation for students in facing various challenges in life. Therefore, the implementation of the moral values of Sufism through the hadith needs to be applied more widely in MI to ensure that students not only excel in academic aspects but also in the formation of noble character. Sufism education through the hadith is very important in the formation of the character of MI students, which not only focuses on academic intelligence, but also morality and noble morals.