bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship between Emotional Intelligence and Parenting Style with Dental Fear and Anxiety in Children Aged 6 - 15 Years
Authors: Zarebidoki Fatemeh , Bahrololoomi Zahra , Baqdad Abad Milad Hazeri , Salari Fateme , Zarebidaki Zahra
Published: May 2024

Introduction: The child's relationship with the dentist is the product of complex interactions between the patient, parents, and the dentist. Therefore, the aim of this study was to investigate the effect of emotional intelligence and parenting style on the child's dental anxiety and fear.
Methods: In this descriptive cross-sectional study, the patients aged 6 to 15 years with their parents who referred to Shahid Sadoughi Dental School in Yazd were selected through simple method. The MCDAS and CFSS-DS questionnaires were used to measure anxiety and fear, respectively, and the level of emotional intelligence and parenting style were measured by the Shering and Baumrind questionnaires, respectively. Data were analyzed via SPSS16, and T_Test, ANOVA were utilized.
Results: Out of 120 participants, 39 were boys and 81 were girls. The mean age range of the children was 9.31 ± 2.46 years and parents' mean age was 37.60 ± 4.82. There was no significant relationship between parenting style and child's dental fear and anxiety (P=0.492 and P=0.769, respectively) and between parent's emotional intelligence and child's dental anxiety (P=0.053), but there was an inverse and significant relationship between parent's emotional intelligence and child's dental fear (r=0.274 and P=0.003).
Conclusion: The results of the present study showed that the parenting style has no significant relationship with child's dental fear and anxiety and also the parent's emotional intelligence with the child's dental anxiety, but the parent's emotional intelligence has an inverse and significant relationship with the child's dental fear.
Determining the Effectiveness of Lactobacillus Casei in Camel Milk on Lipid and Sugar Parameters in Type 1 Diabetic Rats
Authors: Abarghoei Soheila Azimi , Raisi Mohammad , Nejad Sajjad Sadeghi , Mosaddegh Mohammad Hossein
Published: May 2024

Introduction: Nutritional interventions are one of the most effective methods of diabetes prevention and control. Along with usual treatments, camel milk has had positive effects on the blood sugar of diabetic patients. The present study was conducted with the aim of investigating the effect of lactobacillus casei present in camel milk on the sugar and lipid profile of type 1 diabetic rats.
Methods: This was of an intervention study and carried out by an experimental trial method. 32 mice were randomly divided into four groups of eight. After making diabetic, the rats were gavage with 2cc of the product prepared for each group every other day. Evaluations (weight, serum concentrations of glucose, FBS, urea, creatinine, uric acid, LDL, HDL, TG, cholesterol, as well as liver enzymes AST, ALT, and ALP) were performed after 30 days of receiving gavage. In order to analyze the data, SPSS16 software was used.
Results: The mean weight and serum concentration of LDL in the treatment group with standard and native Lactobacillus casei probiotics was significantly lower than the diabetic control group (P<0.05) and the mean HDL in the treatment group with standard and native Lactobacillus casei probiotics was higher than the diabetic control group (P<0.05), but there was no significant difference between the native Lactobacillus casei probiotic group and the standard. Urea, uric acid, FBS, Cr, TG, cholesterol, AST, ALT and ALP was not significantly different between the standard and native Lactobacillus casei probiotic group and the diabetic control one (P>0.05).
Conclusion: It seems that lactobacillus casei probiotics from camel milk may be able to improve weight loss and improve lipid profile (increase in HDL, decrease in LDL and LDL/HDL ratio) in type 1 diabetic rats, which requires more extensive studies in this field.
Identifying the Research Extent of Medical Tourism in the World and the Components of Attracting Medical Tourists in Iran
Authors: Dehghani Mahmoudabadi Mohammad , Masoudi Asl Iravan , Mahfoozpour Soad , Hessam Somayeh
Published: May 2024

Corrigendum notice: In the above article, which was published in the Volume 31, Issue of 8,Year 2023, the correspounding author has been changed.
Invasive micropapillary type male breast cancer: a case report
Authors: Acar Muhammet Sefa , Şimşek Sercan , Urfalı Furkan Ertürk , Korkmaz Mehmet
Published: May 2024

Male breast cancer is rarely seen and peaks at the age of 71. Hyperestrogenism, gonadal dysfunction, obesity, and alcohol are among the risk factors for male breast cancer. In hereditary cases, BRCA2 mutation is often observed. The most common symptom is a painless mass that is palpable behind the nipple. Most male breast cancers are ductal carcinomas (81%), papillary carcinomas (13%), and mucinous carcinomas (6%). The invasive micropapillary carcinoma of the breast is important due to its high rate of lymphnode metastasis, recurrence, and distant metastasis. Mortality is 50% higher in men with lymphnode involvement compared to non-involved cases. Furthermore, as the number of affected lymphnodes increases, the prognos is worsens. In this study, we examined a case of invasive micropapillary type male breast cancer with clinical presentation as a palpable mass, lymphnode involvement, and aimed to highlight the radiological considerations that need attention.
HUMAN EXISTENCE IN THE POEM "MUKHODH LIL WILADAH FI AL AKHDHARAR"
Authors: Fauziyah Agesta Nurul , Al Anshory Abdul Muntaqim
Published: May 2024

Poetry is a type of literature that's more than just words on a page; it carries deep significance. One way to understand the meaning of poetry is by applying Riffaterre's semiotic theory as an analytical tool. Michael Riffaterre’s theory of semiotic poetry analysis highlights the need to focus on a poem’s language structure and elements. This approach helps to comprehend the overall meaning of the poem in three steps. The aim of this study is to understand the heuristic and hermeneutic reading process as well as identify instances of discontinuous expression in the poem "Mukhodh Lil Wiladah Fi Al Akhdharar.". This study is qualitative descriptive research that uses Michael Riffaterre's theory as a conceptual framework for analyzing poetry as a source of data. The method of analysis employed in this study is the technique developed by Mills and Humberman. The heuristic and hermeneutic analyses reveal that the poem "Mukhodh lil wiladah fi al akhdhahrar" by Ahmad Binmaimun broadly addresses matters related to life and humanitarian concerns. In the heuristic reading, the poem largely reflects the author's fascination with the concept of birth. Generally, the hermeneutic interpretation of Ahmad bin Maimun's poem "Mukhadh lil wiladah fi al akhdhahrar" conveys life's meaning and is rich with metaphorical language about human existence. The writer aims to communicate to the reader a profound desire to experience rebirth. Fueled by dreams and unwavering resolve, the writer expresses readiness to rise once more, striving to enhance all conditions for the better. The discontinuity of expression indicates that there are 13 instances of word meaning substitution, including 3 similes, 3 metaphors, 2 instances of personification, 1 allegory, 1 synecdoche, 2 metonymies, and 1 epic parable. As for the deviation of meaning, it includes 1 ambiguity, 1 contradiction, and 1 nonsensical expression. In terms of meaning creation, there is 1 instance of enjambement.
LANGUAGE POLITENESS STRATEGY IN DRAMA "HARUT AND MARUT" BY ALI AHMAD BAKATSIR
Authors: Diyanah Fahma Hurrosatud , Yusuf Kamal , Efendi Nasikul Mustofa
Published: May 2024

Language is the primary communication tool that people always use. In increasingly modern developments, language is often used without considering the politeness established in communication. This is what makes researchers want to research language politeness strategies in drama. This research aims to examine the application of language strategies and politeness in the drama text "Harut and Marut" by Ali Ahmad Bakatsir. The research method used is a qualitative descriptive approach with data collection through the method of reading, taking notes, and then analyzing it. The results of this research reveal various strategies and principles of language politeness applied in the drama Harut and Marut. As for the results of research on language politeness strategies, according to Brown and Levinson in the drama Harut and Marut by Ali Ahmad Bakatsir, there are 12 types of Bald-on record strategies, eight negative politeness strategies, five positive politeness strategies, and 6 Bald-off record strategies. The implications of this research include the importance of language development in society and how to speak well to create an environment that pays attention to effective language politeness. The results of this research provide practical guidance for the community in improving quality and harmonious language communication..
WOMAN’S EXISTENCE IN THE NOVEL “KHUBZUN ‘ALAA TAWILATI AL-KHAL MILAD” BASED ON AN EXISTENTIALIST FEMINIST PERSPECTIVE
Authors: Shalihah Imroatus , Basid Abdul
Published: May 2024

One country that experiences gender inequality is Libya. Libyan had made women objects in decision-making, marginalized, and subordinated. This study aims to investigate the forms, factors, and impacts of women’s existence in the novel Khubzun ‘alaa Thawilati al-Khaal Milad by Muhammad al-Naas based on Simone de Beauvoir’s theory. This type of research is descriptive qualitative research. In analyzing the data, researchers read and understand the text in the novel and then record the data. The results of this study: are (1) the forms of women existence, namely ideal women, rejecting their femininity, free women, independent women, mystical women, and women images; (2) the factors of women existence, namely demands of having children, stereotypes, violence, domination, marginalization, objectification of decisions, community stigma and standardization of beauty; (3) the impacts of women existence: a) the impact of women existence on individuals is self-care, self-disappointment, resistance, smart women, not taking care of herself, being recognized, and attention, b) the impact of women existence in the family is not being appreciated by others, masculinity, family demands, and betrayal, c) the impact of women existence on society is not being appreciated by others, stereotypes, and exploitation.
OPTIMALISASI PENDIDIKAN AGAMA ISLAM DI SEKOLAH MELALUI PENGEMBANGAN BUDAYA RELIGIUS (Studi pada SMK Darul Ulum Bungbungan Bluto Sumenep)
Authors: Laisa Emna
Published: May 2024

Artikel ini mendeskripsikan upaya SMK Darul Ulum dalam mengembangkan budaya religius di sekolah. Dengan menggunakan pendekatan kualitatif dan studi kasus, diketahui bahwa  pengembangan budaya religius dilakukan di sekolah, di luar sekolah bersama warga, dan terhadap lingkungan/alam. Strategi pengembangan budaya religius dilakukan dengan cara merekrut guru lokal, menyemarakkan kegiatan keagamaan di luar kegiatan rutin sekolah, pelibatan guru untuk mengawasi praktik budaya religius, menjadikan kegiatan keagamaan sebagai kegiatan wajib, menggunakan metode pembelajaran yang menarik, pemberlakuan absensi siswa, dan penggunaan simbol-simbol budaya sebagai penguat. Faktor pendukung dalam pengembangan budaya religius adalah dukungan dari warga sekolah, orang tua, dan tokoh masyarakat. Sedangkan faktor penghambatnya adalah lingkungan sosial yang tidak kondusif dan pengaruh negatif iptek. Dampak positif budaya religius bagi siswa di SMK Darul Ulum, yaitu memupuk sikap istiqamah dalam beribadah, membentuk generasi Islam yang berjiwa pemimpin, menjadi wadah pengembangan bakat, serta meminimalisasi berbagai bentuk kenakalan re
KEBIJAKAN SEKOLAH DALAM PENGEMBANGAN MUTU PENDIDIKAN AGAMA ISLAM DI SMPN 1 OMBEN SAMPANG DAN SMPN 2 PAMEKASAN
Authors: Sahlan Moh
Published: May 2024

Artikel ini mendeskripsikan kebijakan sekolah pengem­bangan mutu PAI, khususnya di SMPN 1 Omben Sampang dan SMPN 2 Pamekasan. Dengan menggunakan pendekatan kualitatif dan studi studi kasus, diketahui bahwa pertama; Proses perumusan kebijakan sekolah dalam pengembangan mutu PAI di SMPN 1 Omben Sampang menggunakan pedekatan school based sedangkan di SMPN 2 Pamekasan menggunakan pendekatan home based, Kedua; imple­mentasi kebijakan sekolah dalam pengembangan mutu PAI baik di SMPN 1 Omben Sampang dan SMPN 2 Pamekasan sama-sama berjalan efektif, bedanya di SMPN 1 Omben dilaksanakan di luar jam efektif sedangkan di SMPN 2 Pamekasan dilaksanakan di luar dan di dalam jam efektif,  ketiga; evaluasi kebijakan sekolah dalam pengem­bangan mutu PAI di dua sekolah tersebut sama-sama dilakukan secara terus-menerus dan berkesinambungan untuk menjamin mutu PAI.
UTILIZATION OF MUSLIM PUBLIC SPACES AS A MEDIUM FOR DISCUSSION OF HALAL FOOD PRODUCTS IN INDONESIA
Authors: Azizah Mella
Published: May 2024

Public space is formed from the development of communication and information ztechnology involving internet users in cyberspace. Public space is utilized as a forum for discussion related to halal food products in Indonesia by the Muslim community. This discussion related to Muslim public space uses a case study method to examine phenomena that exist on Instagram social media. The discussion results show that mass media can be used effectively to exchange information between individuals included in the cyber community to discuss various aspects of halal food products in Indonesia. The role of public space as a forum for discussion of halal food products can add insight and improve the quality of consumers in choosing halal food products.
Persepsi Peserta Didik Tentang Efektivitas Komunikasi Pembelajaran dan Selera Humor Pada Pembelajaran Daring
Authors: Wibawanto Hilmawan , Prihatin Relly
Published: May 2024

Evolusi di bidang teknologi pendidikan memicu transisi dari metode pembelajaran tradisional ke pembelajaran daring. Hal ini mendorong guru berinovasi dalam menciptakan proses pembelaajran yang efektif. Guru menghadapi tantangan dalam memanfaatkan teknologi dan melakukan komunikasi pembelajaran. Tujuan penelitian ini adalah untuk mengetahui efektifitas komunikasi pembelajaran dan selera humor pada pembelajaran daring. Penelitian ini menggunakan pendekatan kuantitatif dengan kuesioner untuk pengumpulan data. Responden merupakan peserta didik kelas XII Sekolah Menengah Kejuruan yang ditentukan dengan teknik purposive sampling. Analisis data penelitian menggunakan teknik deskriptif dengan grafik untuk penyajian data. Hasil penelitian menunjukkan bahwa komunikasi pembelajaran dengan metode diskusi atau sharing secara efektif dapat meningkatkan keterampilan sosial peserta didik. Selipan humor pada proses pembelajaran juga secara efektif dapat meningkatkan motivasi belajar peserta didik saat pembelajaran daring. Guru perlu terus berinovasi dan kreatif dalam memanfaatkan teknologi yang ada, serta menerapkan komunikasi pembelajaran daring yang optimal.
Simultaneous Determination of Isoniazid and Pyridoxine Hydrochloride in Tablet Dosage Forms using Ratio Subtraction Spectrophotometry
Authors: Tarigan Rida Evalina , Mendrofa Ester Lince Fiani , Surbakti Chemayanti
Published: May 2024

The study focused on the simultaneous quantification of Isoniazid (INH) and Pyridoxine Hydrochloride (PRD) in tablet form, commonly used in antituberculosis treatments. Assessing the accurate concentration of both INH and PRD in tablets is vital to ensure their effectiveness, safety, and quality. Using the ratio subtraction spectrophotometry method, the study analyzed INH and PRD in Pehadoxin forte® tablets (batch no. 36057007, PT. Phapros, Indonesia), with 0.1 N HCl as the solvent. The method involved obtaining ratio absorption spectra by dividing the absorption spectra of INH and PRD, respectively, to derive zero-order spectra for each drug. Method validation parameters included linearity, accuracy, precision, Limit of Detection (LOD), and Limit of Quantification (LOQ). The results showed linearity values of 0.9985 for INH and 0.9988 for PRD. Accuracy was 98.1838% for INH and 100.0205% for PRD, while precision was 1.8769% for INH and 0.2037% for PRD. LOD and LOQ for INH were 0.8116 µg/mL and 2.7053 µg/mL, respectively, and for PRD, 1.3127 µg/mL and 4.3757 µg/mL. The levels of INH and PRD in the tablets were found to be 102.1157% and 101.3874%, aligning with the Indonesian Pharmacopoeia's standards. This methodological approach provides a reliable analytical tool for the simultaneous assessment of INH and PRD in tablets, potentially extendable to other drug combinations and formulations, thereby contributing to pharmaceutical quality control processes.  
Doença de Dupuytren em Mulheres: Experiência em um Hospital Terciário
Authors: Carvalho Thiago Lacerda de , Bonfim Jorge Garcia , Barbosa Leonardo Palermo de Souza , Gesteira Rafael Maschietto Lavigne , Serrano Sara Dadona Correia , Rezende Luis Guilherme Rosifini Alves
Published: May 2024

Introdução. A Doença de Dupuytren é uma condição hereditária, benigna, crônica e progressiva que se caracteriza por alterações fibróticas da fáscia palmar e digital, levando a limitação de movimentos dos dedos, bem como deformidades e contraturas. Na literatura, há descrição de incidência aumentada no sexo masculino, porém existem poucos estudos que avaliam suas nuances no sexo feminino, como sua prevalência e particularidades. O estudo pretende, ainda, correlacionar estes dados com a evolução pós-operatória dos pacientes do sexo feminino na doença de Dupuytren. Métodos. Estudo retrospectivo baseado na revisão de prontuário que analisará pacientes do sexo feminino, portadoras de doença de Dupuytren e avaliação daquelas submetidas ao tratamento cirúrgico da doença de Dupuytren para melhor compreensão do desfecho. Foi realizada uma revisão de literatura sobre o tema. A partir dos dados analisados, buscou-se correlacionar fatores individuais com a prevalência da doença, bem como com os resultados pós-operatórios. Resultados. Das 24 mulheres analisadas, 91,6% possuíam indicação cirúrgica e 78,2% foram operadas. Destas, 62,5% das pacientes foram classificadas com Tubiana 3 ou 4. Destes, 33,3% da amostra com a síndrome do túnel do carpo. Conclusão. A doença de Dupuytren em casos cirúrgicos aparenta uma evolução mais grave em pacientes do sexo feminino.
Analysis of labor productivity in reinforced concrete structures using time study methods
Authors: Santiana I Made Anom , Sujahtra I Wayan , Tapayasa I Made , Wibawa I Gede Sastra , Sudiasa I Wayan
Published: May 2024

The source of the success of a project in fulfilling the three aspects namely cost, quality, and time from one of the existing resources is the productivity of its workforce. The time study method is the right method used to determine the standard time of a job. The average value of productivity on column formwork is 10.65 m2/OH, beam formwork is 46.89 m2/OH, and plate formwork is 73.29 m2/OH. Column reinforcement work 204.51 kg/OH, beam reinforcement work 349.93 kg/OH, plate reinforcement work 287.57 kg/OH. Column casting work 7.96 m3/OH, beam casting work 25.31 m3/OH, plate casting work 15.81 m3/OH. Several factors greatly affect labor productivity. Comparison of the work productivity of reinforced concrete structures in the Ubud Market project based on the calculation results obtained the average productivity coefficient in the field of labor.
Transforming Poverty Alleviation Policies: Adapting the Regional Innovation Architecture Approach
Authors: Bangsawan Gema
Published: May 2024

Poverty, defined as the inability of individuals to fulfill their basic needs, poses a significant challenge to achieving community welfare in many regions. Addressing this challenge requires a holistic and integrated approach that considers Indonesian society's diverse cultural and socio-economic contexts. Adapting innovative architecture is crucial in confronting Indonesia's various cultural and socio-economic landscapes. This approach provides new alternatives for regional development strategies and opens up new opportunities for transforming and adapting innovation to tackle poverty holistically and sustainably. This research aims to restructure innovation architecture and examine its potential to transform regions in poverty alleviation efforts. The study employs a qualitative research method with a literature review analysis. It explores novel approaches for developing a solution-oriented and applicable analysis and recommendations for communities. Additionally, the research analyzes several regions that have successfully implemented regional innovation and reduced local poverty levels. Data is collected through a literature search strongly relevant to the research objectives. The findings indicate that innovation architecture can drive regional transformation in poverty alleviation through 1) Enhancing collaboration and synergy among stakeholders, 2) Creating a conducive innovation ecosystem, and 3) Developing contextual and sustainable innovative solutions. These findings demonstrate the substantial potential of innovation architecture in transforming regions to achieve poverty alleviation. This aligns with existing theories emphasizing stakeholder collaboration and synergy as key factors in creating effective, innovative solutions. Innovation architecture can serve as an effective tool in transforming regions towards poverty alleviation. Proper and sustainable implementation of innovation architecture can assist regions in crafting contextual, innovative solutions and enhancing community welfare.
E-Readiness Analysis to Accelerate Transformation Towards E-Government in Regional Government in Indonesia: Case Study of the Government of Indragiri Hulu Regency of Riau Province
Authors: Zubaidah Evi , Monalisa Monalisa , Rusadi Sylvina , Handoko Tito
Published: May 2024

This research aims to evaluate the readiness of the Indragiri Hulu Regency government, especially Satpol PP and KPBD, to implement the Si ATAN BEDA application, which has been implemented. E-Readiness analysis was carried out using the STOPE approach. The Si ATAN BEDA service application functions as a channel for public complaints, making it easier for the public to submit reports and complaints regarding disturbances of peace, public order, and regional disasters. Implementing the Si ATAN BEDA application service has not shown optimal results due to the government's lack of understanding regarding E-Readiness and making decisions without adequate consideration of the facts. The research method uses a qualitative approach with a descriptive research type. After the field data was collected, the data was processed using NVivo 12 to provide a visual depiction of the field findings and analyzed based on the theory that supports the findings. The results and discussion concluded that the STOPE framework model, which consists of strategy, technology, organization, people, and environment, is the most appropriate model for evaluating the E-Readiness of the Indragiri Hulu Regency government. In the strategy domain, there is a lack of leadership roles in providing direction and supervision, as well as weaknesses in application development planning. The technology domain shows that there are obstacles in application use and security that still need to be strengthened. The lack of cooperation between the government and the private sector in implementing applications is a challenge in the organizational domain. The human resources domain shows that officers' skill qualifications are not aligned with their educational background, and their understanding of applications still needs to be improved. Meanwhile, in the environmental domain of public knowledge, the lack of public knowledge about the application shows a lack of socialization by the government, so the community has not fully felt the benefits.
Opposition and stability in Jemmy Piran’s works: An intertextuality study
Authors: Darussalam Zulfardi
Published: May 2024

This study seeks to explain how opposition is portrayed in Jemmy Piran's fiction works entitled Surat Dari Seorang Tawanan, Pertempuran Jarak Dekat, and Pertempuran Kedua and to describe how the characters exhibit consistent characterizations. This article adopts Julia Kristeva's intertextuality, the so-called ideologeme, and McHale's heterotopia zone. Piran's three short stories with their socio-historical themes are the main data sources. Data analysis is carried out by looking at the suprasegmental elements and synchronous relations between the short story and socio-historical readers outside the short story. The results demonstrate that, first, it seems that Piran's three fictions are interconnected, exploring socio-historical phenomena suggested by Kristeva's intertextual concept. The socio-historical elements depicted in the three short stories are closely connected to the struggle for East Timor, specifically the conflict between the Indonesian army and Fretilin during the annexation of East Timor from 1980 to 2002. This opposition between the Indonesian military and Fretilin during the annexation of East Timor from 1980 to 2002 is extended to the narratives of civil war. Secondly, intertextuality refers to the process of emphasizing space within the text structure through the utilization of characters and characterizations borrowed from one text to another. McHale has named it the Retour de Personage. In this case, the primary and peripheral characters exhibit a consistent naming pattern and stable characterizations.
Setaman flower lexicons in the Nyekar rite: Anthropolinguistics of Javanese society
Authors: Salamah Salamah , Nazilah Halimah Milladunka , Agistina Fanya Indah , Zakiyah Millatuz
Published: May 2024

The tradition of carrying setaman flowers in the nyekar rite success to be a part of local wisdom that has survived through various periods, but on the other hand, documents about it are still limited.  This study aims to describe the lexicons in kembang setaman in the nyekar rite from the Javanese perspective. Adopting qualitative  method with a focus on ethnographic approach, data is collected through interview and literature study and examined using semiotic and lexical-semantic analysis. The result show seven plants that make up the setaman, including (1) roses (mawar or mawi-arsa, a sincere intention to live up to noble values), (2) jasmine (melati or melat ing ati, the sincerity of the heart), (3) white chrysolite flower (kanthil or tansah kumanthil-kanthil, uninterrupted devotion), (4) ylang (kenanga or kenangen ing angga, always remembering the ancestral heritage), (5) tuberose (sedap malam or harum dhalu, always remembering the sacred teachings of the ancestors even in the dark of the night), (6) rose balsam (pacar air or pacar banyu, prosperity continues to flow), and (7) pandan leaves (liaison with the deceased). Kembang setaman functions as a symbol of gifts accompanied by prayers sent when visiting graves which are considered homes for people who have died, and contemporary Javanese society is still carrying out this tradition. This research expands the limited field of Anthropolinguistics studies, and on the other hand, can be used as cultural documentation that encourages the intention to better conserve the local wisdom over a long period.
Discrepancies between students' and teachers' expectations of purposeful foreign language learning
Authors: Wijaya Henry
Published: May 2024

Motivation has been found to play a pivotal role for the success of foreign language learning. Students generally stay motivated if they appreciate the purposefulness of their learning process, so if they did not share the same expectations with their teachers of the process, these discrepancies might affect their motivation and disrupt their learning. This mixed-method research uses online questionnaires to examine four major topics, namely program, curriculum, teachers, and students, and employs comparative analysis to the views of the two respondent groups to investigate such discrepancies. The results show discrepancies exist among the respondents, especially in what the students expect to learn, the line of work that they desire to take, and the different factors that affect their motivation. These results signify the need to better align the students’ and the teachers’ expectations of foreign language learning in order to maintain the students’ motivation and to improve the effectiveness of the learning process.
Suluk pedalangan literature in a semiotic perspective
Authors: Sukisno Sukisno
Published: May 2024

Suluk pedalangan is a form of Javanese literary work, a type of poetry sung by a dalang (puppeteer) in a wayang kulit (shadow puppet) performance. Semiotically, Suluk functions to explain the characterization of scenes whether they are grand, tense, sad, or happy in accordance with the pathet (arrangement of notes) in karawitan (traditional Javanese gamelan music). This research aims to identify and understand the characteristics of suluk from a semiotic perspective. The method used is descriptive qualitative. The data source is Suluk Pedalangan which was collected by Padmosoekotjo (1978). The results of the research show that the suluk pedalangan texts use the Old Javanese language krama alus and krama madya. The results of the research show that the sulukan in wayang kulit performances has the characteristics of being one of the puppetry literature performed (sung) by puppeteers adapted to the pathet and time. When sung by the puppeteer, the sequence of sulukan is adjusted to the time, rhythm (pathet), and kempyung note sequence (beating two notes together with a distance of two notes). Semiotically, the meaning and function of sulukan in setting the atmosphere hold an important position, broadly serving to intensify, embellish, enhance, and shape the atmosphere in various scenes. Textually, sulukan basically refers to the scenes presented. However, if you do not know the meaning of the words, symbols and figures of speech used in sulukan, the aesthetic value and dramatic atmosphere of the scenes presented in wayang kulit performances will be less meaningful. Philosophically, the meaning of sulukan in relation to the sequence of kempyung notes and the time they are expressed symbolizes the journey of a human life, from birth, childhood, adolescence, adulthood, and old age.Keywords: Puppetry literature, semiotics, sulukan, wayang
Applying the fuzzy homotopy analysis method to solve fuzzy initial value problems with variable coefficients
Authors:   Ministry of Education, Baghdad, Iraq, Khwayyit Raad I. , Suhhiem Mazin H. ,   Department of Mathematics, University of Sumer, Al-Rifa'i District, Iraq
Published: May 2024

In this study, we applied the fuzzy homotopy analysis method to find an approximate but analytical solution to initial value problems that have fuzzy variable coefficients. These coefficients were represented by triangular fuzzy functions. This approach lets us solve the fuzzy differential equations as an endless series of fuzzy numbers, where each fuzzy component can be determined without much difficulty. Based on the numerical data we analyzed, the series solutions we arrived at are both precise and closely match the exact analytical solutions for fuzzy problems.
Development of Interoperable Computable Phenotype Algorithms for Adverse Events of Special Interest to Be Used for Biologics Safety Surveillance: Validation Study
Authors: Holdefer Ashley A , Pizarro Jeno , Saunders-Hastings Patrick , Beers Jeffrey , Sang Arianna , Hettinger Aaron Zachary , Blumenthal Joseph , Martinez Erik , Jones Lance Daniel , Deady Matthew , Ezzeldin Hussein , Anderson Steven A
Published: May 2024

Background

Adverse events associated with vaccination have been evaluated by epidemiological studies and more recently have gained additional attention with the emergency use authorization of several COVID-19 vaccines. As part of its responsibility to conduct postmarket surveillance, the US Food and Drug Administration continues to monitor several adverse events of special interest (AESIs) to ensure vaccine safety, including for COVID-19.

Objective

This study is part of the Biologics Effectiveness and Safety Initiative, which aims to improve the Food and Drug Administration’s postmarket surveillance capabilities while minimizing public burden. This study aimed to enhance active surveillance efforts through a rules-based, computable phenotype algorithm to identify 5 AESIs being monitored by the Center for Disease Control and Prevention for COVID-19 or other vaccines: anaphylaxis, Guillain-Barré syndrome, myocarditis/pericarditis, thrombosis with thrombocytopenia syndrome, and febrile seizure. This study examined whether these phenotypes have sufficiently high positive predictive value (PPV) to ensure that the cases selected for surveillance are reasonably likely to be a postbiologic adverse event. This allows patient privacy, and security concerns for the data sharing of patients who had nonadverse events can be properly accounted for when evaluating the cost-benefit aspect of our approach.

Methods

AESI phenotype algorithms were developed to apply to electronic health record data at health provider organizations across the country by querying for standard and interoperable codes. The codes queried in the rules represent symptoms, diagnoses, or treatments of the AESI sourced from published case definitions and input from clinicians. To validate the performance of the algorithms, we applied them to electronic health record data from a US academic health system and provided a sample of cases for clinicians to evaluate. Performance was assessed using PPV.

Results

With a PPV of 93.3%, our anaphylaxis algorithm performed the best. The PPVs for our febrile seizure, myocarditis/pericarditis, thrombocytopenia syndrome, and Guillain-Barré syndrome algorithms were 89%, 83.5%, 70.2%, and 47.2%, respectively.

Conclusions

Given our algorithm design and performance, our results support continued research into using interoperable algorithms for widespread AESI postmarket detection.
Impact of Digital Inclusion Initiative to Facilitate Access to Mental Health Services: Service User Interview Study
Authors: Oliver Amy , Chandler Ella , Gillard Julia A
Published: May 2024

Background

Digital exclusion, characterized by a lack of access to digital technology, connectivity, or digital skills, disproportionally affects marginalized groups. An important domain impacted by digital exclusion is access to health care. During COVID-19, health care services had to restrict face-to-face contact to limit the spread of the virus. The subsequent shift toward remote delivery of mental health care exacerbated the digital divide, with limited access to remote mental health care delivery. In response, Camden and Islington National Health Service Foundation Trust launched the innovative Digital Inclusion Scheme (DIS).

Objective

This study aimed to examine the impact of facilitating digital inclusion in mental health access. Camden and Islington National Health Service Foundation Trust implemented the trust-wide DIS for service users who were digitally excluded, that is, were without devices or connectivity or reported poor digital skills. The scheme provided access to a loan digital device (a tablet), internet connectivity devices, and mobile data, as well as personalized digital skills support.

Methods

The DIS went live in October 2021 and received 106 referrals by June 2022. Semistructured interviews were conducted with 12 service users to ask about their experience of accessing the DIS. A thematic analysis identified themes and subthemes relating to the extent of their digital exclusion before engaging with the scheme and the impact of accessing a scheme on their ability to engage with digital technology and well-being.

Results

There were 10 major themes. A total of 6 themes were related to factors impacting the engagement with the scheme, including digital exclusion, relationship to the trust, the importance of personalized digital support, partnership working, device usability and accessibility, and personal circumstances. The remaining 4 themes spoke to the impact of accessing the scheme, including improved access to services, impact on well-being, financial implications, and a greater sense of empowerment.

Conclusions

Participants reported an increased reliance on technology driving the need for digital inclusion; however, differences in motivation for engaging with the scheme were noted, as well as potential barriers, including lack of awareness, disability, and age. Overall, the experience of accessing the DIS was reported as positive, with participants feeling supported to access the digital world. The consequences of engaging with the scheme included greater perceived access to and control of physical and mental health care, improved well-being, and a greater sense of empowerment. An overview of the lessons learned are provided along with suggestions for other health care settings that are looking to implement similar schemes.
Exploring How Youth Use TikTok for Mental Health Information in British Columbia: Semistructured Interview Study With Youth
Authors: Turuba Roxanne , Cormier Willow , Zimmerman Rae , Ow Nikki , Zenone Marco , Quintana Yuri , Jenkins Emily , Ben-David Shelly , Raimundo Alicia , Marcon Alessandro R , Mathias Steve , Henderson Jo , Barbic Skye
Published: May 2024

Background

TikTok (ByteDance) experienced a surge in popularity during the COVID-19 pandemic as a way for people to interact with others, share experiences and thoughts related to the pandemic, and cope with ongoing mental health challenges. However, few studies have explored how youth use TikTok to learn about mental health.

Objective

This study aims to understand how youth used TikTok during the COVID-19 pandemic to learn about mental health and mental health support.

Methods

Semistructured interviews were conducted with 21 youths (aged 12-24 years) living in British Columbia, Canada, who had accessed TikTok for mental health information during the COVID-19 pandemic. Interviews were audio-recorded, transcribed verbatim, coded, and analyzed using an inductive, data-driven approach.

Results

A total of 3 overarching themes were identified describing youth’s experiences. The first theme centered on how TikTok gave youth easy access to mental health information and support, which was particularly helpful during the COVID-19 pandemic to curb the effects of social isolation and the additional challenges of accessing mental health services. The second theme described how the platform provided youth with connection, as it gave youth a safe space to talk about mental health and allowed them to feel seen by others going through similar experiences. This helped normalize and destigmatize conversations about mental health and brought awareness to various mental health conditions. Finally, the last theme focused on how this information led to action, such as trying different coping strategies, discussing mental health with peers and family, accessing mental health services, and advocating for themselves during medical appointments. Across the 3 themes, youth expressed having to be mindful of bias and misinformation, highlighting the barriers to identifying and reporting misinformation and providing individualized advice on the platform.

Conclusions

Findings suggest that TikTok can be a useful tool to increase mental health awareness, reduce stigma, and encourage youth to learn and address their mental health challenges while providing a source of peer connection and support. Simultaneously, TikTok can adversely impact mental health through repetitive exposure to mentally distressing content and misleading diagnosis and treatment information. Regulations against harmful content are needed to mitigate these risks and make TikTok safer for youth. Efforts should also be made to increase media and health literacy among youth so that they can better assess the information they consume online.
Building a Client Resource and Communication Platform for Community-Based Organizations to Address Health and Social Needs: Co-Design Study
Authors: Lyles Courtney , Berrean Beth , Buenaventura Ana , Milter Svetlana , Hernandez Dayana Daniel , Sarkar Urmimala , Gutierrez Christian , Palmer Nynikka , Brown III William
Published: May 2024

Background

Connecting individuals to existing community resources is critical to addressing social needs and improving population health. While there is much ongoing informatics work embedding social needs screening and referrals into health care systems and their electronic health records, there has been less focus on the digital ecosystem and needs of community-based organizations (CBOs) providing or connecting individuals to these resources.

Objective

We used human-centered design to develop a digital platform for CBOs, focused on identification of health and social resources and communication with their clients.

Methods

Centered in the Develop phase of the design process, we conducted in-depth interviews in 2 phases with community-based organizational leadership and staff to create and iterate on the platform. We elicited and mapped participant feedback to theory-informed domains from the Technology Acceptance Model, such as Usefulness and Ease of Use, to build the final product and summarized all major design decisions as the platform development proceeded.

Results

Overall, we completed 22 interviews with 18 community-based organizational leadership and staff in 2 consecutive Develop phases. After coding of the interview transcripts, there were 4 major themes related to usability, relevance, and external factors impacting use. Specifically, CBOs expressed an interest in a customer relationship management software to manage their client interactions and communications, and they needed specific additional features to address the scope of their everyday work, namely (1) digital and SMS text messaging communication with clients and (2) easy ways to identify relevant community resources based on diverse client needs and various program eligibility criteria. Finally, clear implementation needs emerged, such as digital training and support for staff using new platforms. The final platform, titled “Mapping to Enhance the Vitality of Engaged Neighborhoods (MAVEN),” was completed in the Salesforce environment in 2022, and it included features and functions directly mapped to the design process.

Conclusions

Engaging community organizations in user-centered design of a health and social resource platform was essential to tapping into their deep expertise in serving local communities and neighborhoods. Design methods informed by behavioral theory can be similarly employed in other informatics research. Moving forward, much more work will be necessary to support the implementation of platforms specific to CBOs’ needs, especially given the resources, training, and customization needed in these settings.
Testing 3 Modalities (Voice Assistant, Chatbot, and Mobile App) to Assist Older African American and Black Adults in Seeking Information on Alzheimer Disease and Related Dementias: Wizard of Oz Usability Study (Preprint)
Authors: Bosco Cristina , Shojaei Fereshtehossadat , Theisz Alec Andrew , Osorio Torres John , Cureton Bianca , Himes Anna K , Jessup Nenette M , Barnes Priscilla A , Lu Yvonne , Hendrie Hugh C , Hill Carl V , Shih Patrick C
Published: May 2024

BACKGROUND

Older African American and Black adults are twice as likely to develop Alzheimer disease and related dementias (ADRD) and have the lowest level of ADRD health literacy compared to any other ethnic group in the United States. Low health literacy concerning ADRD negatively impacts African American and Black people in accessing adequate health care.

OBJECTIVE

This study explored how 3 technological modalities—voice assistants, chatbots, and mobile apps—can assist older African American and Black adults in accessing ADRD information to improve ADRD health literacy. By testing each modality independently, the focus could be kept on understanding the unique needs and challenges of this population concerning the use of each modality when accessing ADRD-related information.

METHODS

Using the Wizard of Oz usability testing method, we assessed the 3 modalities with a sample of 15 older African American and Black adults aged >55 years. The 15 participants were asked to interact with the 3 modalities to search for information on local events happening in their geographical area and search for ADRD-related health information.

RESULTS

Our findings revealed that, across the 3 modalities, the content should avoid convoluted and complex language and give the possibility to save, store, and share it to be fully accessible by this population. In addition, content should come from credible sources, including information tailored to the participants’ cultural values, as it has to be culturally relevant for African American and Black communities. Finally, the interaction with the tool must be time efficient, and it should be adapted to the user’s needs to foster a sense of control and representation.

CONCLUSIONS

We conclude that, when designing ADRD-related interventions for African American and Black older adults, it proves to be crucial to tailor the content provided by the technology to the community’s values and construct an interaction with the technology that is built on African American and Black communities’ needs and demands.

CLINICALTRIAL
Bioethical, medical, and social problems in children with growth hormone deficiency
Authors: Aryayev M.L. , Senkivska L.I.
Published: May 2024

Background. Medical and practical advancements have brought about new possibilities for providing healthcare to people, but with it comes new bioethical challenges. In many pediatric medical institutions, consultations on pediatric ethics have become common practice. However, the bioethical problems related to short children have not been studied enough yet. The purpose of this study is to identify and analyze bioethical, medical, and social issues in children with growth hormone deficiency (GHD), which can potentially hinder timely diagnosis and adherence to replacement therapy. Materials and methods. The identification of bioethical, medical, and social problems was conducted at the Odesa Regional Children’s Hospital between 2012 and 2020. The study involved a cohort of 94 children with GHD and short stature (SDS 3.4 ± 0.1), aged 7.2 ± 0.4 years, as well as their parents (124 individuals). The study was based on a questionnaire survey, history taking, interviews, objective examination of patients, and analysis of medical records. Results. The study found evidence of violations of the Hippocratic principle of help and assistance (“do good”) in the form of delayed or incorrect diagnosis in 10.6 % of cases and incomplete adherence to local protocols for managing sick children in 6.4 % of cases. Violations of the Hippocratic principle of non-harm (“first, do no harm”) were evidenced by adverse events (16.0 %) and serious adverse events (3.2 %) during replacement therapy. Children with GHD were subject to violations of social justice, such as neglect (8.5 %), socio-economic problems in the family (12.8 %), and external environmental restrictions (9.6 %). Violations of the personal autonomy of children with GНD inclu­ded physical and psychological abuse in the family (29.8 and 38.3 % of cases, respectively), stigmatization (25.5 %), school bullying (27.2 %), medical neglect (5.3 %), medical paternalism (6.4 %), and overprotection (10.6 %). Conclusions. In the management of children with GHD, various bioethical, medical, and social issues have come to light. Low adherence to recombinant human growth hormone therapy can be considered an independent bioethical problem associated with medical paternalism and medical neglect.