bluuebunny/crossref_metadata_2025 huggingface dataset:
Engagement patterns and clinical outcomes across primary substance use categories after 12 and 24 weeks of treatment with a prescription digital therapeutic for substance use (Preprint)
Authors: Enggasser Justin , Xiong Xiaorui , Braun Stephen , Stitzer Maxine , Shafai Gigi , Maricich Yuri
Published: March 2023

BACKGROUND

The effectiveness of reSET®, a prescription digital therapeutic (PDT) for substance use disorder (SUD), has been demonstrated in clinical trials and real-world studies. However, it is not clear if engagement and abstinence outcomes among those who use the PDT differ according to the primary substance used.

OBJECTIVE

This study compared real-world PDT engagement and clinical outcomes across groups of patients categorized by the primary substance involved in an SUD diagnosis.

METHODS

Evaluated was an all-comer population of patients who used an initial 12-week prescription (N=1908) and a subset (n=426) who used a second 12-week prescription (24 total weeks of treatment). Patients were classified by primary substance used (alcohol, opioid, cocaine/stimulant, cannabis, other). Measures were PDT engagement (any activity), retention (any PDT activity during the final 4 weeks), and end-of-treatment abstinence measured via urine drug screen and self-report. Outcomes were compared across primary substance groups using logistic and linear regression analyses.

RESULTS

Overall, 69.5% were retained in the final 4 weeks (weeks 9-12) of a first prescription, 56.7% met criteria for abstinence, and no significant differences were observed across primary substance groups. Weekly rates of PDT engagement were consistent across primary substance groups, with 52% of patients active during the final week of the first prescription (range 49% - 53% across primary substances). Patients treated with a second 12-week prescription (24 weeks total) showed continued high rates of retention (range 86% - 93%) and abstinence (range 63% - 80%) across all primary substance groups.

CONCLUSIONS

Levels of engagement with the PDT and clinical outcomes were consistent across patients with substance use disorders involving alcohol, opioids, cocaine or other stimulants, and cannabis. Patients receiving a second PDT prescription had continued high rates of retention and abstinence through 24 weeks of treatment.
Propensity score matching methodology
Authors: Mercuri Eugenio
Published: March 2023

Learn more about propensity score matching and how it is used to evaluate data in observational studies that do not have an internal comparator in this animated video. To find out more about how the methodology was used to evaluate effectiveness data from a patient drug registry and an open-label study, please refer to the two research articles cited below, which were originally published in the Journal of Comparative Effectiveness Research.
Propensity score matching is a method used to estimate treatment effect when random assignment of patients to treatments is not possible through matching patients receiving treatment in the study of interest with patients from an external comparator group according to patient characteristics, or covariates.
La Frailesca, «el granero de Chiapas»: destrozos y alternativas
Authors: González Cabañas Alma Amalia ,   CIMSUR-UNAM, Fletes Ocón Héctor Bernabé , Nigh Nielsen Ronald Byron , Pizaña Vidal Hugo Adrián , Caballero Salinas Juan Carlos , Barrera Aguilera Óscar Javier , Guevara Hernández Francisco , Fonseca Flores María de los Ángeles , La O Arias Manuel Alejandro , Ovando Cruz Jesús , Rodríguez Larramendi Luis Alfredo , Arias Yero Iliana , Díaz José Julio , Martínez Aguilar Franklin B , Cadena Íñiguez Pedro , González Chávez Humberto , Vargas Vencis María Perla , Linck Thierry
Published: March 2023

Este libro muestra sin eufemismos «los destrozos» causados por el modelo productivo y económico global que se impone casi ineluctablemente en todas las regiones del orbe. Al mismo tiempo recoge las alternativas construidas desde lo local que podrían llamarse metafóricamente «los recovecos verdes» de La Frailesca, donde se constata la puesta en marcha de innovaciones tecnosociales, por las cuales se puede eliminar la dependencia artificial a los insumos químicos con una serie de técnicas orientadas a considerar la biología como factor productivo del suelo, las cuales, a su vez, pueden suprimir las cargas económicas y ambientales innecesarias asumidas por los productores. En esta obra los coordinadores se posicionan con una acción concreta para remarcar la importancia de dar voz, de tomar en cuenta y de poner en valor lo que están haciendo los agricultores, ganaderos y la población de los territorios rurales para hacer posibles los procesos de reconfiguración agroecológica en esta fecunda región llamada La Frailesca, «el granero de Chiapas».
Gestación por sustitución en México: ¿cuáles son los problemas a la luz de los estándares internacionales en materia de derechos humanos?
Authors: Bollinger Ríos Victoria
Published: March 2023

El artículo expone la problemática presente en México al celebrarse acuerdos de gestación por sustitución en un contexto de vacío legal, y las consecuentes violaciones a los derechos humanos de las personas con voluntad procreacional, la mujer gestante y el interés superior de la niñez, debido a la ausencia de mecanismos que supervisen y fiscalicen el actuar de las clínicas de reproducción asistida que fungen como intermediarias en la relación contractual. En ese sentido, se revisarán y analizarán los criterios expuestos por la Corte Interamericana de Derechos Humanos acerca de los alcances, límites y deberes estatales que emanan de los derechos humanos contrapuestos, a efecto de presentar una estrategia de prevención que permita la buena práctica de la gestación subrogada en el país.
La desconexión laboral como nuevo derecho humano. Un análisis de derecho comparado y México
Authors: Faz Garza Oscar , Malagón Monroy David Iván
Published: March 2023

Los objetivos del presente artículo se centran examinar la regulación del derecho a la desconexión en las legislaciones europeas y americanas para contrastar su contenido y alcance con la legislación mexicana, así como para demostrar que el derecho a la desconexión guarda una relación fundamental con el derecho a la vida privada y la intimidad, entre otros. El método seguido es el de análisis de las legislaciones extranjeras y el proceso de reforma propio de la legislación mexicana a modo de comparación y descubrimiento tanto de los fundamentos teóricos de este derecho como de las motivaciones fácticas que llevaron a su reconocimiento. De la lectura de las exposiciones de motivos se desprende esta relación entre desconexión e intimidad. Asimismo, se realiza una exposición dogmática del contenido del derecho a la vida privada y la intimidad en el que se exponen los asideros teóricos de la relación planteada. Los resultados obtenidos permiten comprobar este planteamiento. Posteriormente, se realiza un análisis de los medios de defensa legal con que se cuenta para la protección de este nuevo derecho digital en la legislación mexicana actual. El propósito de esta sección es exponer las posibilidades de defensa ante la falta de regulación expresa, dado el plazo de 18 meses concedidos para la expedición de la normatividad administrativa correspondiente para la protección de este derecho y la regulación específica del teletrabajo.
Low Level Design: An Online Judge
Authors: Girdhar Kunal , Arora Lakshay , Sharma Siddharth
Published: March 2023

Abstract: Online judges are systems designed for the reliable evaluation of algorithm source code submitted by users, which is next compiled and tested in a homogeneous environment. Online judges are becoming popular in various applications. Thus, we would like to review the state of the art for these systems. We classify them according to their principal objectives into systems supporting organization of competitive programming contests, enhancing education and recruitment processes, facilitating the solving of data mining challenges, online compilers and development platforms integrated as components of other custom systems. Moreover, we introduce a formal definition of an online judge system and summarize the common evaluation methodology supported by such systems. We will create an online judge for low level design, that can test multiple classes in one time and also check the code quality and we will also add visual representation of output for multiple input. We will check security of all classes. Main aim of the project is that student / user can test his/her low level design code quality, and the compiler will report errors/bugs if code has any
Strategi Pemasaran Melalui Media Sosial Instagram Pada Masa Pandemi Covid-19 di The Kayon Resort
Authors: Putra I Kadek Permana
Published: March 2023

The Kayon Resort merupakan resort berbintang lima berskala internasional yang terkena dampak dari adanya pandemi covid-19. Dalam era yang serba digital ini dapat dimanfaatkan sebagai sarana promosi yang efektif untuk meningkatkan penjualan pada resort. Sehingga tujuan dari penelitian ini adalah untuk mengetahui bagaimana strategi pemasaran di media sosial Instagram yang dilakukan The Kayon Resort pada masa pandemi covid-19. Metode pengumpulan data yang digunakan adalah observasi, studi dokumentasi dan wawancara. Untuk Metode analisis data yang digunakan adalah metode deskriptif kualitatif dan kuantitatif. Hasil penelitian menunjukan strategi promosi di media sosial Instagram yang digunakan The Kayon Resort sesuai dengan acuan teori Singh (2010) yang berjudul The Impact of Social Media Marketing on Brand Equity: An Empirical Study on Mobile Service Providers in Jordan menyatakan bahwa social media marketing memiliki beberapa dimensi yaitu Online Communities, Interaction, Sharing Of Content, Accessibility, Credibility. Kesimpulan yang didapat adalah hasil dari strategi promosi yang digunakan sesuai dengan apa yang diharapkan, insight dari akun Instagram The Kayon Resort cenderung stabil selama pandemi.
 
The Kayon Resort is an international five-star resort that has been affected by the COVID-19 pandemic. In this all-digital era, it can be used as an effective promotional tool to increase sales at resorts. So the purpose of this study was to find out how the marketing strategy on Instagram social media was carried out by The Kayon Resort during the covid-19 pandemic. Data collection methods used are observation, study documentation and interviews. The data analysis method used is descriptive qualitative and quantitative methods. The results of the study show that the promotional strategy on Instagram social media used by The Kayon Resort is in accordance with Singh's (2010) theory reference entitled The Impact of Social Media Marketing on Brand Equity: An Empirical Study on Mobile Service Providers in Jordan which states that social media marketing has several dimensions, namely Online Communities, Interaction, Sharing Of Content, Accessibility, Credibility. The conclusion obtained is that the result of the promotional strategy used is in accordance with what is expected, the insight from The Kayon Resort's Instagram account tends to be stable during the pandemic.
Pengaruh Kualitas Pelayanan dan Persepsi Harga Terhadap Kepuasan Tamu di The Trans Resort Bali
Authors: Jaya I Kadek Adi Anan , Wiyasha Ida Bagus Made , Wardana Miko Andi
Published: March 2023

Penelitan ini membahas tentang kualitas pelayanan dan presepsi harga yang berada di The Trans Resort, Bali. Tujuan dilakukannya penelitian ini yaitu untuk mengetahui apakah kualitas pelayanan dan presepsi harga mempunyai pengaruh yang positif dan signifikan terhadap kepuasan tamu pada The Trans Resort, Bali. Teknik pengumpulan data dalam penelitian ini menggunakan kuisoner dengan sampel para wisatawan yang berjumlah 35 orang. Penelitian ini menggunakan pendekatan kuantitatif dengan metode dan teknik analisis data yang digunakan yaitu uji asumsi klasik (uji normalitas, uji multikolinearitas, uji kelayakan model) dan analisis data Regresi Linier Berganda. Hasil penelitian analisis Regresi Linier Berganda adalah kepuasan tamu dipengaruhi olah kualitas pelayanan dan presepsi harga. Dari hasil uji F bahwa secara Simultan kualitas pelayanan dan presepsi harga berpengaruh signifikan terhadap kepuasan tamu. Secara Parsial kualitas pelayanan berpengaruh signifikan. Presepsi harga berpengaruh signifikan terhadap kepuasan tamu Nilai Koefisien Determinasi (R2=0,953) ini berarti pengaruh kualitas pelayanan dan persepsi harga terhadap kepuasan tamu sebesar 95,3% sedangkan sisanya sebesar 4,7% dipengaruhi oleh faktor lainnya.
 
This research discusses the quality of service and price perceptions at The Trans Resort, Bali. The purpose of this study is to determine whether service quality and price perception have a positive and significant influence on guest satisfaction at The Trans Resort, Bali. The data collection technique in this study used a questionnaire with a sample of 35 tourists. This study uses a quantitative approach with data analysis methods and techniques used, namely classical assumption test (normality test, multicollinearity test, model feasibility test) and Multiple Linear Regression data analysis. The results of the analysis of Multiple Linear Regression is that guest satisfaction is influenced by service quality and price perception. From the results of the F test that simultaneously service quality and price perception have a significant effect on guest satisfaction. Partially the quality of service has a significant effect. Price perception has a significant effect on guest satisfaction. The value of the coefficient of determination (R2 = 0.953) means that the effect of service quality and price perception on guest satisfaction is 95.3% while the remaining 4.7% is influenced by other factors.
Pengaruh Gaya Kepemimpinan dan Motivasi Kerja Terhadap Kinerja Karyawan di Plagoo Holiday Hotel Nusa Dua
Authors: Widiarsa Jennifer , Sudarmawan I Wayan Eka , Wardana Miko Andi
Published: March 2023

Penelitian ini bertujuan untuk mengetahui pengaruh gaya kepemimpinan (X1) dan motivasi (X2) baik secara langsung atau bersama – sama mempengaruhi kinerja karyawan (Y) di Plagoo Holiday Hotel Nusa Dua. Responden yang digunakan dalam penelitian ini adalah karyawan Plagoo Holiday Hotel Nusa Dua dengan total 85 responden. Data yang digunakan pada penelitian ini merupakan data primer yang berasal dari kuesioner, selanjutnya kuesioner diuji menggunakan uji validitas dan reliabilitas dilanjutkan dengan uji asumsi klasik dan hipotesis dibuktikan menggunakan analisis regresi linear berganda. Berdasarkan hasil penelitian secara simultan gaya kepemimpinan (X1), dan motivasi (X2) memiliki pengaruh yang signifikan terhadap kinerja (Y).
 
This study aims to determine the influence of leadership style (X1) and motivation (X2) either directly or jointly affect employee performance (Y) at Plagoo Holiday Hotel Nusa Dua. Respondents used in this study were employees of Plagoo Holiday Hotel Nusa Dua with a total of 85 respondents. The data used in this study are primary data derived from questionnaires, then the questionnaires were tested using validity and reliability tests followed by classical assumption tests and hypotheses were proven using multiple linear regression analysis. Based on the research results simultaneously leadership style (X1) and motivation (X2) have a significant effect on performance (Y).
Монгол улсад цөмийн ба устөрөгчийн эрчим хүчийг хослуулан хөгжүүлэх асуудалд
Authors: Н Норов , Б Хөхсувд
Published: March 2023

Өндөр температурын гелийн модуль реактороос гарах 900°C температуртай гелийн хийг ашиглан усыг дулаан химийн аргаар задалж болон хүрэн нүүрсийг уураар хийжүүлж хамгийн хямд үнэтэй устөрөгч үйлдвэрлэн устөрөгчийн эрчим хүчийг Монголд хөгжүүлэх нь дэлхий дахины эрчим хүчний шилжилт ба тогтвортой хөгжлийн бодлогод нийцэж байгаа юм. 2040 оноос манай улсад түүхий нүүрсний хэрэглээг халж, устөрөгчийн түлшний элементийн технологи бүхий хүрээлэн буй орчинд зөвхөн ус ялгарах экологийн үнэмлэхүй цэвэр альтернатив устөрөгчийн эрчим хүч буюу устөрөгчийн эдийн засгийг хөгжүүлэх асуудлыг энэ өгүүлэлд дэвшүүлэн тавьж байгаа юм.
Türkiye'de Alabalık Yetiştiriciliğinin Tarihsel Süreci
Authors: Korkut Ali , Gamsız Kutsal , Yurga Levent
Published: March 2023

Tüm dünyada olduğu gibi Türkiye’de de su ürünleri yetiştiriciliği büyük bir hızla gelişmektedir. Türkiye’de yetiştirilen türler arasında alabalık ilk sıralarda yer almaktadır. Genel olarak Türkiye’de alabalık üretimi için ticari yatırımların 1970’li yıllarda başladığı bildirilmişse de aslında ilk deneme üretimlerinin ve göllerde balıklandırma çalışmalarının 1950’li yıllarda gerçekleştirildiği dikkati çekmektedir. Prof. Dr. Curt Kosswig öncülüğünde yapılan ilk denemeler ile Abant gölünde 1954 yılında Salmo trutta abanticus Tortonese 1954, türü alabalık yumurtalarından yavru üretilerek göle balıklandırma yapılmıştır. Daha sonraları alabalık, 1980’li ve 1990’lı yıllarda giderek artan bir ilgiyle üretilmiş ve 2000’li yıllarda sayıları artan balık çiftlikleriyle yetiştiricilik içerisinde büyük önem kazanmıştır. Başlangıçta yurt dışından getirilen gökkuşağı alabalığı yumurtaları ile başlayan üretim, özellikle kuluçkahanelerin sayılarının artması ve modernizasyonu ile gelişmiş ve önemli bir sektör haline gelmiştir. Ayrıca son dönemlerde Türk Somonu adı altında Karadeniz için önemli bir üretim hamlesi ile birlikte ihracat konusunda değerli bir katma değer yaratan ürün haline gelmiştir. Bu çalışma ile önemli bir tür olan alabalık yetiştiriciliğinin Türkiye’deki tarihi gelişimi konusunda bilgiler derlenmiştir.
AN INTEGRAL TRANSFORM TOGETHER WITH TAYLOR SERIES AND DECOMPOSITION METHOD FOR THE SOLUTIONONLINEAR BOUNDARY VALUE PROBLEMS OF HIGHER ORDER
Authors: Akinola E. I. , Owolabi Johnson Adekunle , Alao S. , Sangoniyi O. S.
Published: March 2023

This work aims to determine the approximate solutions of nonlinear boundary value problems of higher order obtained through the Aboodh Transform Series Decomposition Method (ATSDM), a method designed to find the integral and the inverse transform of the problems, expand the exponential function, and simultaneously decompose the nonlinear terms. The results obtained demonstrate that ATSDM is an excellent and trusted approximate method that can be employed to obtain accurate results for any problem similar to the one presented in this work.
STUDY OF FECAL GLUCOCORTICOID METABOLITE IN BEARS: A REVIEW
Authors: Zoumin Elden , Hj. Abdul Mawah Siti Sarayati , Wai (Dr.) Lo Chor , Jasnie Farnidah
Published: March 2023

Fecal glucocorticoid metabolite (FGM) analysis is a non-invasive method to monitor animals' welfare in captivity and wild environments. Glucocorticoid also known as cortisol is a hormone that indicates the level of stress in animals and humans. This paper reviews the use of FGM analysis on bears and the methodologies used to study this hormone in every species of bear. The review method used was descriptive review. The bears that were included in this review are the brown bear (Ursus arctos), Polar bear (Ursus maritimus), Asiatic black bear (Ursus thibetanus), American black bear (Ursus americanus), Malayan sun bear (Helarctos malayanus), sloth bear (Melursus ursinus), Andean spectacled bear (Tremactos ornatus), and giant panda (Ailuropodia melanoleuca). Studies of FGM on polar bears showed that zoo-to-zoo transportation could cause an increase in FGM level during transportation and FGM is not suitable to be used to differentiate between pseudo-pregnancy and true pregnancy. In Malayan sun bear, FGM level is high in female bears that show agonistic behavior and is associated with low progesterone levels. In addition, studies on Malayan sun bear show that not only FGM can be analyzed from fecal samples, but also the reproductive hormones of estrogen and progesterone. In Asiatic black bears, FGM is higher in bears that live in a bile farm than forage outside the forest reserve. High parasite load in giant pandas is associated with a high level of FGM since parasite infection is considered a stressor that can elicit a stress response. Also both male and female panda have high FGM during the breeding season to increase metabolism to generate energy required for reproductive activities. The Alopecia syndrome in Andean spectacled bear has no significant relation to FGM level. Brown bears with several types of food in their diet have lower FGM than those with only one type of food. There is no specific study of FGM that focused on sloth bear and American black bear, but there were several studies on glucocorticoid in black bears that are not extracted from fecal samples. FGM can be analyzed using both enzyme-immunoassay (EIA) and radioimmunoassay (RIA) but, EIA is preferable due to safety reasons.
THE SOCIOGRAPH: FRIENDSHIP-BASED GROUP LEARNING IN THE MATHEMATICS CLASS
Authors: Widodo Sri Adi , Turmudi Turmudi , Dahlan Jarnawi Afgani , Watcharapunyawong Somchai , Robiasih Hasti , Mustadin Mustadin
Published: March 2023

Mathematics class can cause many problems if students do not organize diversity and habits correctly. Using a sociograph to form a mathematics study group is one way to organize assortment in the mathematics class. Sociograph is a friendship pathway that appears in a math class. In this sense, this study aims to determine the impact of forming study groups based on friendship in a mathematics class on problem-solving abilities. A quasi-experimental research design with 30 students was used. A friendship questionnaire and a problem-solving test were used as instruments. In addition, an independent t-test was used to analyze the data. The study results indicate that study groups formed through friendship pathways (sociograph) have a more significant effect than those formed through other means. As a result, the formation of heterogeneous groups based on friendship can be used as an alternative to the formation of study groups.
IMPLEMENTATION OF ONLINE LEARNING AND ITS IMPACT ON LEARNING ACHIEVEMENTS OF MATHEMATICS EDUCATION STUDENTS
Authors: Panjaitan Simon M. , Hutauruk Agusmanto J. B. , Sitepu Christina , Gultom Sanggam P. , Sitorus Parlindungan , Marbun Melati Riani , Sinaga Cahyana Hotmauli
Published: March 2023

Implementing online learning in a higher education environment requires an analysis of learning outcomes and their impact on students, lecturers, and the institutions that administer the learning. The implementation of online learning shows that the learning process takes place and the readiness of lecturers and students to implement online learning. The impact given by online learning is in the form of GPA and student perceptions of the learning process they experience. Based on the research results, various findings were obtained, including that mastery of online learning LMS was not optimal, learning outcomes in the form of GPA were relatively high, students' perceptions of online learning were still low, especially in terms of lecturer readiness and students' confidence in their competence after participating in learning.
The role of civil society in social transformation: the case of Ukraine
Authors: Florez Cubillos Ligia Andrea
Published: March 2023

The revolutions that have taken place in Eastern Europe and the beginning of the century were a first element considered to identify the potential of social movements in the transformation of the realities of the states in different latitudes and the importance of globalization in this type of manifestations. However, the achievements of civil society in this scenario have been overshadowed by theresurgence of conflicts. In this sense, this article studies the particular case of Ukraine and then raises  how the orange revolution was a milestone in the awakening to democracy of a communist state but that the claim of civil society lacked structural elements that allowed the consolidation of an economic, political and social model adjusted to its own conditions
Active Surveillance and Clinical Analysis of anaphylaxis Based on China Hospital Pharmacovigilance System
Authors: Wang Chengcheng , Li Zejing , Yu Yingying , Feng Maoyan , Liu Anchang
Published: March 2023

Objective This study aimed to construct active surveillance
programs for anaphylaxis based on China Hospital Pharmacovigilance
System(CHPS) and analyze the characteristics, allergens, and management
for anaphylaxis in a tertiary hospital in China. Methods The
anaphylaxis cases reported to the National Adverse Drug Reaction
Monitoring System in our hospital from 2014 to 2021 were retrospectively
analyzed. Characteristic medical orders, progress notes, and diagnoses
in these cases were recorded to obtain initial anaphylaxis trigger
entries. According to the initial entries, the questionnaire was
designed, and the Delphi method was used to develop consensus entries
for anaphylaxis triggers. The CHPS was used to program these trigger
entries and construct active surveillance programs. The programs were
then ran on the 238,194 discharged patients to evaluate their
performance and analyze the relevant clinical data. Results A
total of 10 anaphylaxis triggers and 3 active surveillance programs were
finally identified. 309 cases were obtained by the active surveillance
program, and 94 cases were identified as anaphylaxis after the manual
screening. After removing duplicates,76 patients with 79 times of
anaphylaxis were finally obtained. The positive rate of triggers and the
positive predictive value (PPV) of the programs were 0.13% and 30.42%,
respectively. The incidence of anaphylaxis in our study was 0.03%, and
the number of anaphylaxis cases detected by the active surveillance
programs was 5.64 times higher than that by the spontaneous reporting
system. Anaphylaxis was more common in female patients. Antibacterial
drugs, antineoplastic drugs, and contrast media were the most common
allergens in clinical practice, and the proportion of anaphylaxis to
antineoplastic drugs was highest (0.6%) when compared with patients
admitted during the same period. Significant underuse of epinephrine and
overuse of second-line therapy (glucocorticoids and antihistamines)
existed in the management of anaphylaxis, and the usage and dosage of
epinephrine were irrational. Conclusion CHPS can effectively
use both structured and unstructured data to construct anaphylaxis
active surveillance programs, and this could compensate for the
under-reporting by spontaneous reporting system, which was the primary
adverse reaction monitoring method in China. The treatment and
management of anaphylaxis are inappropriate and needed to be improved to
reduce the risk of death.
The effect of sex education and counseling based on ex-plissit model on sexual life of pregnant women
Authors: ALTUNBAŞ Nermin , GÖLBAŞI Zehra
Published: March 2023

Aim: In this study, sex education and counseling intervention
was applied to pregnant women by using the Ex-PLISSIT model.
Methods: This study was an experimental study with a
pretest-posttest control group. The research involved primigravidas. The
intervention was two times the application of sex education and
counseling developed for pregnant women according to the Ex-PLISSIT
Model (Experimental group: 35, Control group: 35). The haphazard
sampling method, one of the non-random sampling methods, was used in the
study. In the evaluation of sexuality, measurement tools were applied to
all pregnant women three times. Results: It was observed that
the training and counseling given to pregnant women according to the
Ex-PLISSIT model significantly increased the scores of attitudes towards
sexuality and quality of sexual life during pregnancy. It was found that
it increased sexual function and sexual distress scores, but did not
create a significant difference compared to the control group.
Conclusion: Sex education and counseling developed according to
the Ex-PLISSIT model for pregnant women are effective in developing a
positive attitude towards sexuality and increasing the quality of sexual
life during pregnancy. Sex education and counseling developed according
to the Ex-PLISSIT model should be given to primigravidas.
Felső üregrendszeri myxoid high-grade urothelialis karcinóma ritka és előrehaladott esete
Authors: Komjáti Klaudia , Giba Nándor , Kovács László , Eizler Kornélia , Fekete Zoltán
Published: March 2023

Bevezetés: A húgyúti hámeredetű daganatok egy ritka szövettani változatát mutatjuk be egy esetismertetés kapcsán. Tárgyaljuk a klinikai, szövettani szempontokat, illetve az eset sajátosságait. Esetismertetés: Idős, korábban egészséges férfibeteg vérvizelés, nehéz vizelés miatt jelentkezett urológia járóbeteg-rendelésünkön. Első ultrahangvizsgálat során a húgyhólyagban egygócú, bal uréterszájadékból kiinduló növedék és kétoldali felső üregrendszeri tágulat volt látható részleges vizeletrekedéssel. Gyenge vesefunkciós értékek miatt kontrasztanyagos has-kismedence CT nem készült, hólyagkatéter viselése a vesefunkciós értékeket érdemben nem javította. TUR és TUIP történt egy ülésben, a hólyagtumor low-grade urothelialis karcinómának bizonyult. A beteg általános állapota romlott, többször került visszavételre vérvizelés, felhasi-bal oldali hasi fájdalmak miatt. Kontroll-UH-vizsgálat során a bal oldali veseüregrendszerében többgócú daganatos elváltozás, a perinephricus tér inhomogén átépülése és hílusi tumoros gócok voltak láthatók, fizikális vizsgálattal a bal vese tapinthatóvá vált. A beteg fájdalmai miatt bal oldali, nyitott uretero-nephrectomiát végeztünk relatív sürgősséggel. A bal oldali uretero-nephrectomia kórszövettani feldolgozása során myxoid high-grade urothelialis karcinóma igazolódott. A műtét utáni szakban a beteg állapota tovább romlott, majd elhunyt. Első megjelenés, tünetek és a beteg elvesztése között alig négy hónap telt el. Megbeszélés: Myxoid high-grade urothelialis karcinóma rendkívül alacsony esetszámban közölt daganat, amelynek terápiája – legyen az húgyhólyagban, vagy felső üregrendszerben – eddigi tapasztalatok alapján elsősorban sebészi. Áttekintjük a klinikopatológiai jellemzőket, immunfenotipizálást, diagnosztikus lépéseket, felmerülő differenciáldiagnosztikai nehézségeket, hogy a patológus és klinikus számára megkönnyítsük a betegség felismerését. Következtetések: Ez idáig dokumentált esetek száma igen kevés, leginkább hólyagban leírt urothelialis daganattípus, egyértelmű konzekvenciákat összegyűjtött adatokból nem tudunk levonni. A diagnózis felállítása és a radikális sebészi ellátás gyorsasága életmentő lehet ezen betegek számára. Általánosságban elmondható, amennyiben felső húgyúti daganat gyanúja betegünk esetében felmerül, mielőbbi diagnosztikus és terápiás törekvéseinket forszírozni kell.
The Potential Role of through the Needle PIVC Insertion in Reducing Early Catheter Contamination
Authors: Anstett Michael , Brainard Robert E.
Published: March 2023

Highlights

Aim:

To compare a traditional over-the-needle peripheral intravenous catheter device to a through-the-needle (TTN) peripheral intravenous catheter device for early bacterial contamination during insertion.

Methods:

Five TTN test devices (OspreyIV 20g SkyDance Vascular, Inc) and 5 OTN comparative devices (Insyte Autoguard 20g Becton Dickinson) were aseptically inserted through targeted zones inoculated with 1 mL aliquot suspension of approximately 1 × 10 CFU of Staphylococcus aureus among 3 healthy sheep. Immediately after insertion, each study catheter was surgically removed from the surrounding tissue and cultured for the presence of Staphylococcus aureus inoculum that may have been transferred to the catheter during insertion.

Results:

Final culture results of the 5 test articles found no bacterial colonies. Final culture results of the 5 comparative articles revealed 2 of 5 were contaminated with bacterial colonies. The absolute risk reduction is 40%, or a 40% rate of contamination drops to a 0% rate of contamination when the TTN catheter deployment was used. The risk ratio achieved was 1.67, indicating catheters placed using the OTN deployment were 1.67 times more like to be contaminated than the TTN deployed catheters.

Conclusion:

In this present ovine study, the data revealed that use of a novel TTN approach resulted in less contamination than the more traditional OTN approach. Traditional OTN devices, developed over 70 years ago, are at inherent risk of insertion-related contact contamination. The results of this research, as well as previously published studies, point toward considering physical catheter protection strategies such as TTN devices as a potential alternative to OTN devices.
The accuracy of artificial intelligence–based virtual assistants in responding to routinely asked questions about orthodontics
Authors: Perez-Pino Anthony , Yadav Sumit , Upadhyay Madhur , Cardarelli Lauren , Tadinada Aditya
Published: March 2023

Objectives

To evaluate the utility and efficiency of four voice-activated, artificial intelligence–based virtual assistants (Alexa, Google Assistant, Siri, and Cortana) in addressing commonly asked patient questions in orthodontic offices.

Materials and Methods

Two orthodontists, an orthodontic resident, an oral and maxillofacial radiologist, and a dental student used a standardized list of 12 questions to query and evaluate the four most common commercial virtual assistant devices. A modified Likert scale was used to evaluate their performance.

Results

Google Assistant had the lowest (best) mean score, followed by Siri, Alexa, and Cortana. The score of Google Assistant was significantly lower than Alexa and Cortana. There was significant variablity in virtual assistant response scores among the evaluators, with the exception of Amazon Alexa. Lower scores indicated superior efficiency and utility.

Conclusions

The common commercially available virtual assistants tested in this study showed significant differences in how they responded to users. There were also significant differences in their performance when responding to common orthodontic queries. An intelligent virtual assistant with evidence-based responses specifically curated for orthodontics may be a good solution to address this issue. The investigators in this study agreed that such a device would provide value to patients and clinicians.
Vad är och kan högskolepedagogisk forskning vara? Respons på Sverre Wides diskussionsinlägg
Authors: Scheja Max , Bolander Laksov Klara
Published: March 2023

Artikeln tar sin utgångspunkt i Wides beskrivning; att se utvecklingen av högskolepedagogisk forskning som nära förbunden med den verksamhet som bedrivs inom pedagogiska utvecklingsenheter vid landets lärosäten, d.v.s. i hur stöd för högskolepedagogisk utveckling vuxit fram. Den avgränsning av högskolepedagogisk forskning författarna föreslår tecknar dock framväxten av ett potentiellt betydligt större fält. De menar: ”att den högskolepedagogiska forskningen har som primärt syfte att genom den systematik som befintliga och nya forskningsmetoder erbjuder skapa grund för förståelse, reflektion och utveckling av den högskolepedagogiska praktiken och dess processer”. De menar vidare att högskolepedagogisk forskning är ett ”tvärvetenskapligt forskningsfält vars syfte är att bidra till förståelsen och utvecklingen av den högre utbildningens villkor, innehåll, form och funktion”. Det särskilda med detta tvärvetenskapliga forskningsfält utgörs då av den nära kopplingen mellan pedagogisk utveckling, forskning och teoretiska bidrag. Scheja och Bolander Laksov lyfter fram att forskningen ska bidra såväl med underlag för högskolepedagogisk utveckling som med en vetenskaplig teoriutveckling, vilken även ska kunna skapa en grund för sammanhang inom och en integration av forskningsresultaten inom det växande fältet.
ENGLISH ABSTRACT
What is and what could higher education research be? A Response to Sverre Wide's PositionThe point of departure of this article is Wide’s description of the development of educational research in higher education as being closely linked to the work carried out within educational development units at higher education institutions around the country. In other words, emphasis is on how higher education development has grown over time. However, the authors proposed delimitation of higher education research marks the emergence of a potentially much larger research field. In addition, they argue that higher education research is an “interdisciplinary research field and that its aim is to contribute to the understanding and development of the conditions, content, form and function of higher education”. A salient feature of this interdisciplinary field of research is the close connection between higher education development, research, and theoretical contributions. Bolander Laksov and Scheja highlight the multifaceted functions of higher education research stating that it should not only contribute to different higher education development initiatives but also to the development of theory that can serve as a framework for interdisciplinary meaning-making and as a platform for integrating results within this growing field of research.
Pandemic mutilated pedagogy: Teaching "in there" without my hearing body
Authors: Brodin Eva
Published: March 2023

Although students with disabilities have generally been identified as a vulnerable group during the pandemic, the specific experiences of those with impaired hearing have not yet gained attention within the debates and literature on online teaching. Since the same condition holds for academic teachers, I will in this essay contribute an original and critical perspective by sharing my own story. Embraced by the phenomenology of Merleau-Ponty, the reader will be invited into my world of hearing differently, and be able to see what this means when teaching online. Through significant embodied experiences of having been born with impaired hearing, and concrete situations from my own online teaching, I reveal how academia is normatively structured around people with normal hearing, and how this norm has become even more strengthened during the pandemic. Against this background, my essay ends with suggesting a more inclusive “new normal” than is currently practiced and portrayed in the post-pandemic future.
Det emosjonelle interkulturelle møtet
Authors: Sjøen Martin
Published: March 2023

Denne intervjustudien drøfter hvordan internasjonal praksismobilitet i lærerutdanning kan bidra til utvikling av lærerstudenters emosjonelle og interkulturelle kompetanse. Problemstillingen tar utgangspunkt i hvordan lærerstudenter fra Norge beskriver sine emosjonelle og interkulturelle erfaringer fra et gjennomført praksisopphold i Tanzania. Funnene viser at lærerstudentene opplever en utvikling i retning av økt interkulturell kompetanse på bakgrunn av praksismobilitet. Analysen indikerer at emosjoner medierer interkulturelle erfaringer og at regulering av emosjoner er sentralt i styrkingen av lærerstudentenes interkulturelle kompetanse. I studien avdekkes det at studentene bruker ulike emosjonsregulerende strategier. Et gjennomgående funn er at støtte fra sosiale omgivelser er blant de viktigste emosjonsregulerende strategiene på vei mot økt interkulturell kompetanse.
ENGLISH ABSTRACT
The emotional intercultural meetingThis interview study discusses how international practicums in teacher education can contribute to the development of teacher-training students’ emotional and intercultural competence. The research is based on how teacher-training students from Norway describe emotional and intercultural experiences from a completed international practicum in Tanzania. A key finding is that international practicums may help students in the development of their intercultural competence. Furthermore, the analysis indicates that emotions mediate intercultural encounters and, thus, regulating emotions is central for teachertraining students’ intercultural competence. The study shows that the students use different emotion regulating strategies. Support from social environments appears to be among the most important emotion regulation strategies towards increased intercultural competence.
Knowledge Management Practices in the Public University Libraries: Librarian's Perspective
Authors: Roslina Othman  , SK Mamun Mostofa
Published: March 2023

Some libraries play an essential role in teaching and learning but there are some constraints. It causes universities to be able to identify various factors and overcome the challenges of implementing KM in libraries. This study aims to explore current Knowledge Management (KM) practices in Public University Libraries (PUL). This type of research is qualitative. The methods used in collecting qualitative data are observation, interviews, and questionnaires. The instrument used is the interview sheet. The sample of this research is 11 people using purposive sampling. The collected data were analyzed using content analysis. The findings reveal no formal KM program in any of the selected universities. This study found that a prudent strategy for KM implementation, recruiting skilled personnel, ongoing training programs for staff and users, leadership, ICT infrastructure, higher authority decisions, budgets, and lack of qualified personnel are critical success factors for KM implementation in PUL. This research identified many challenges that PUL usually faces in their efforts to implement KM: lack of budget, lack of user awareness, lack of trained staff, and outdated technology.
Learning Independence Towards Mathematics Learning Outcomes Based on Education Level
Authors: Tusaadia Amina , Abdillah Abdillah , Mahsup Mahsup , Mandailina Vera , Syaharuddin Syaharuddin
Published: March 2023

Learning independence is very influential in improving student learning outcomes. But at this time, many students still need an independent attitude in learning, which impacts low student learning outcomes. This study aims to analyze the level of learning independence towards improving mathematics learning outcomes based on educational level. This type of research is meta-analysis. This study uses a meta-analysis method, where data is collected from relevant research results, including the Fisher's test, t-test, correlation test, number of participants, and classical completeness. Data collection and research instruments were taken from relevant journals in this study. The data collection technique that can be carried out in this study is by looking for articles that match the predetermined criteria. Data were analyzed using JASP software with each data's input effect size and standard error values. The results of data analysis showed that there was a significant influence between learning independence on mathematics learning outcomes at all levels of SD, SMP, SMA, and PT by 20% (sufficient category), besides that at the SD level by 17% (low category), at the SMP level by 22% (enough category), at the high school level by 25% (good category) and PT level by 11% (low class). So the effect of independent learning on student learning outcomes at the SMA level is higher than at the SD, SMP, and PT levels.
Students’ Errors in E-Learning Discussion in TEFL Course and Their Responses
Authors: Ratminingsih Ni Made , Santosa Made Hery , Ana I Ketut Trika Adi
Published: March 2023

Lack of knowledge, practice, and forgetfulness can also contribute to typographical errors. Writing errors will impact the information presented and cannot be appropriately channeled. This research aims to analyze the types of mistakes made by students using English and identify their responses to the errors made. This type of research is qualitative. The research method is a qualitative descriptive method. The sample was determined purposively, namely students in class 3A who were categorized as having superior English skills among other classes. The methods used in collecting data are observation and interviews. The instrument used is a questionnaire sheet. The data analysis technique used is qualitative and quantitative analysis. The study's results proved that there were 7554 errors from 1875 conversations. 3332 (44.11%) lexical errors, 474 (6.27%) grammatical errors, and 419 (5.54%) spelling errors. Additional findings include grammar or mechanics errors, as much as 3329. (44%). Student responses varied towards the mistakes made, including limited knowledge, forgetting English grammar concepts, accustomed to thinking in the native language (mother tongue) or translating, lack of using tenses in everyday life, the assumption that one does not need to master grammar, and limited time and rush in writing answers, as well as lack of accuracy.
Sexual Harassment: A barrier to Girls Education
Authors: Yasin Khan Anbreen , Rachmah Ida  , Javaid Aslam  , Fikry Zahria Emeraldien
Published: March 2023

There are several instances where inequality is shown against women. Education is one sector where the enrollment of women is far less than the enrollment of men. While there are many factors behind it, the current research will look at one of the least researched phenomena of sexual harassment as the cause behind the lack of registration. The issue of sexual harassment is the least studied in Muslim countries. The purpose of this research is to investigate the impact of patriarchal social norms, long distance to school, the presence of female teachers, and sexual harassment as factors causing the enrollment of girls. This type of research is quantitative. The sample for this study was 200 respondents collected through a multistage sampling technique from eight rural locations. The methods used in collecting data are observation and questionnaires. The instrument used in collecting data is a questionnaire sheet. The technique used for data analysis is descriptive qualitative and quantitative analysis. The study results show that society plus culture, especially in rural areas, causes low literacy in girls. These social and cultural boundaries create obstacles for women in social action. As a result, most girls are confined to the confines of their homes. The majority of respondents said that traditional cultural values influenced girls' education. The community does not agree to send their daughters to school to work because of the unsafe environment.
The Influence of Transformational Leadership on Teaching Performance and Subjective Well-being of Lecturers
Authors: Harefa Agnes Renostini , Sitanggang Nathanael , Nainggolan Elizon
Published: March 2023

Improving the quality of education cannot be done partially but must be comprehensive and sustainable.  A capable leader is needed to improve the quality of education in schools. This research aims to analyze the effect of transformational leadership on teaching performance. This type of research is quantitative by using quantitative methods. Respondents in this study were permanent lecturers in the Teaching and Education Faculty, totaling 62 people. Data collection was carried out by distributing closed questionnaires to the respondents. The data analysis technique uses SPPS 25 analysis. Namely, the data that has been collected is analyzed quantitatively using path analysis, then proceed with a qualitative description to obtain a clearer picture of the results. This study's results indicate no significant effect of transformational leadership on the teaching performance of lecturers. These results suggest that the variable Transformational leadership has no significant effect on Lecturer Teaching Performance. Transformational leadership has no significant impact on the subjective well-being of lecturers. These results conclude that in structural II regression, the variable Transformational Leadership (X) has no significant effect on the Lecturer's Subjective Well-being (Y2). These results conclude that in structural II regression, the variable Lecturer Teaching Performance (Y1) has no significant effect on Lecturer Subjective Well-being (Y2).