bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementasi Manajemen Pendidikan Karakter Berbasis Islam Melalui Kegiatan Ekstrakurikuler Kepramukaan Dipesantren Modern Misbahul Ulum
Authors: Marpaung Dian Pratiwi Br. , Tanjung Rama Satya , Budi Budi , Zulqaidah Zulqaidah , Harahap Hasriyati , Nurroyian Nurroyian
Published: January 2025

Pendidikan karakter berbasis Islam merupakan upaya untuk menanamkan nilai-nilai moral, etika, dan akhlak yang baik kepada peserta didik. Salah satu media yang efektif dalam menanamkan karakter ini adalah melalui kegiatan ekstrakurikuler kepramukaan. Pesantren Modern Misbahul Ulum, sebagai lembaga pendidikan Islam, memanfaatkan ekstrakurikuler kepramukaan sebagai salah satu saluran untuk menanamkan nilai-nilai karakter kepada santri. Penelitian ini bertujuan untuk mengkaji implementasi manajemen pendidikan karakter berbasis Islam melalui kegiatan ekstrakurikuler kepramukaan di Pesantren Modern Misbahul Ulum. Penelitian ini menggunakan pendekatan kualitatif dengan studi kasus di Pesantren Modern Misbahul Ulum. Hasil penelitian menunjukkan bahwa kegiatan ekstrakurikuler kepramukaan di pesantren ini telah berhasil mengintegrasikan nilai-nilai karakter Islam, seperti kejujuran, kedisiplinan, tanggung jawab, dan rasa hormat kepada sesama. Proses manajerial yang diterapkan mencakup perencanaan, pelaksanaan, dan evaluasi kegiatan yang melibatkan seluruh elemen pesantren, mulai dari pengasuh, pembina, hingga santri. Kegiatan ini tidak hanya berfokus pada aspek jasmani, tetapi juga pada aspek rohani dan sosial, menciptakan lingkungan yang mendukung pengembangan karakter yang islami.
Adjacent Segment Infection After Posterior Lumbar Fusion Surgery.
Authors: Bao MD Yi , Chen MD Jiayu , Zhou MD Tiannan , Peng MD Zhi , Zhong MD Hui , Sun BD Xianrun , Lu MD,PhD Sheng ,   Department of Orthopedic Surgery, The First People’s Hospital of YunNan Province, Kunming,Yunnan,China,   The Affiliated Hospital of Kunming University of Science and Technology, Kunming,YunNan,China,   KeyLaboratory of Digital Orthopaedics of Yunnan Province, Kunming,YunNan,China, Bao MD Yi ,   Kunming Medical University, Kunming,YunNan,China, Han BD Gonghai ,   Pain Department,The Third people’s Hospital of Yunnan Province, Kunming,YunNan,China
Published: January 2025

Study Design: Retrospective study.
Objectives: Adjacent segment infection after posterior
lumbar fusion for noninfectious spinal surgery is rare. The
incidence, etiology, and treatment of adjacent segment
infections are rarely reported, and the objective of this study
was to investigate the incidence, risk factors, diagnosis,
and treatment of adjacent segment infection(ASI) in
patients undergoing posterior lumbar fusion surgery for
noninfectious spinal surgery.
Methods: This retrospective study included patients who
underwent lumbar decompression fusion surgery for the
treatment of noninfectious lumbar spine diseases between
2008–2020. Clinical data collected from the First People’s
Hospital of Yunnan Province included sex, age, comorbidities,
visual analog scale (VAS) scores, Oswestry disability index
(ODI) scores, and adjacent segment infections (ASIs).
Results: A total of 6,325 patients undergoing posterior
lumbar fusion surgery for noninfectious spinal surgery met
the inclusion criteria. Seven patients (0.11%) developed ASIs.
Five patients underwent posterior debridement, autologous
iliac bone grafting, and prolonged internal fixation. Two
patients were cured with combined anti-infectious therapy.
Before the operation, the VAS score was 8.57 ± 0.98, the ODI
score was 42.86 ± 3.85, the last follow-up VAS score was 2.0
± 0.82, and the ODI score was 13.29 ± 2.92. At the last followup, all patients had an ASI segment that achieved bony fusion,
and posterior lumbar fusion surgery for noninfectious lumbar
spine diseases was associated with a 0.11% risk of ASI.
Conclusions: Surgeons should be aware of the risk factors for
site infection to be able to avoid its occurrence. Early diagnosis
is based on the patient’s symptoms, signs, laboratory tests,
MRI examination.Timely application of sensitive antibiotics,
intervertebral space debridement, autologous iliac bone graft
fusion, and prolonged internal fixationare effective treatment
measures.
Development of IPAS Teaching Modules Using the SETS Approach (Science, Environment, Technology, and Society) to Enhance Cognitive Learning Outcomes of Fourth Grade Elementary School Students
Authors: Lestari Tania Puji , Suharini Erni , Ahmadi Farid
Published: January 2025

Natural and Social Science (IPAS) learning at the elementary school level plays a vital role in shaping students' scientific understanding and environmental awareness. However, conventional teaching methods often fail to integrate science, technology, environment, and society contextually, resulting in less meaningful learning experiences. This study aims to develop a SETS (Science, Environmental, Technology, and Society)-based teaching module to enhance the cognitive learning outcomes of fourth-grade elementary students. The study employed the ADDIE development model with a quantitative pre-experimental approach, involving fourth-grade students from SD Negeri 1 Ngawen. The module was validated by content, media, and language experts, achieving high validity scores (92%-95%). The module’s effectiveness was evidenced by an increase in pretest scores (65.8) to posttest scores (85.4). Furthermore, teacher and student responses demonstrated the module's practicality, appeal, and high engagement levels, at 100% and 92%, respectively. The findings indicate that the SETS-based module is effective and practical for use as an innovative teaching aid aligned with the Independent Curriculum, with the potential to foster critical thinking and environmental awareness

Keywords: SETS Approach, Teaching Modules, Cognitive Learning Outcomes, Independent Curriculum, IPAS
How to Create the Best SWOT Analysis
Authors: Karadzhov Vladimir
Published: January 2025

This article explores the principles and advanced techniques of conducting an effective SWOT analysis, emphasizing its role as a versatile tool for strategic decision-making. By examining its origins, theoretical foundations, and practical applications across diverse fields, the study highlights best practices for structuring and refining the analysis. Advanced methods such as quantified scoring, TOWS matrix integration, and iterative approaches are discussed to enhance the analytical depth and practical utility of SWOT. Through case studies, including applications in virtual tourism and student labor migration, the article demonstrates how SWOT analysis can provide actionable insights for addressing internal strengths and weaknesses while leveraging external opportunities and mitigating threats. This comprehensive guide aims to equip readers with the knowledge and tools to create impactful SWOT analyses tailored to dynamic organizational and industry environments.

Keywords: SWOT analysis, strategic planning, TOWS matrix, quantified SWOT, decision-making tools, organizational strategy, virtual tourism, student labor migration, advanced SWOT techniques, strategic frameworks
A STUDY ON G20 Perspective Digital Financial Inclusion in the Indian Banking System
Authors: AABID AHMAD RESHI
Published: January 2025

The potential it has to empower people and promote economic progress has given the idea of digital financial inclusion a lot of traction around the globe. Digital financial inclusion has emerged as a key element of the G20's objective to promote equitable and sustainable development in the context of India, a nation with a sizable and diversified population. Through the G20's eyes, the Indian banking system's efforts to utilize digital technology and achieve financial inclusion. the key tenets of India's digital financial inclusion plan, which span a wide range of programmes including the Pradhan Mantri Jan Dhan Yojana (PMJDY), a major financial inclusion effort, and Aadhaar-enabled biometric authentication. Through these initiatives, banking services are now supplied in a whole new fashion, opening up financial goods to even the most isolated regions of the nation. The noteworthy progress India has achieved in incorporating digital financial inclusion into the world's financial system. It goes through how the G20 members have acknowledged and valued India's efforts to advance digital financial inclusion as a crucial step towards reaching the Sustainable Development Goals (SDGs) of the United Nations by 2030. India's innovative path to financial inclusion in the digital age and how it aligns with the G20's objective to encourage equitable growth. To guarantee that digital financial inclusion remains an effective tool in improving the lives of billions of people throughout the world, it reinforces the need for ongoing collaboration, innovation, and regulatory support.
The effect of Dimethoate on oxidative stress and antioxidant responses of Pontastacus leptodactylus
Authors: Aydın Ayşe Nur , Bulut Hilal , Serdar Osman
Published: January 2025

Dimethoate (DMT) pesticide is one of the chemicals used to protect some agricultural areas from harmful organisms. DMT residues released directly or indirectly to the environment cause serious problems in nature. DMT residues mixed with the aquatic environment adversely affect aquatic organisms and this effect is carried to humans through the food chain. In this study, oxidative stress responses induced by DMT pesticide in Pontastacus leptodactylus were investigated. For this purpose, oxidative stress and antioxidant parameters Thiobarbituric acid reactive substances (TBARS), Glutathione (GSH), Superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPX) caused by dimethoate (DMT) pesticide in P. leptodactylus at 17.5, 35, and 70 mg·L-1 concentrations at 24 and 96 hours were investigated. Results were determined using ELISA kits. No significant difference was observed in GSH levels and SOD activities compared to control. Statistically significant differences were observed between decreases in CAT and GPx activities and increases in TBARS levels. SPSS 24.0 package program one–way ANOVA (Duncan 0.05) was used in the evaluation of biochemical analyzes. As a result, it was determined that DMT caused oxidative stress formation in P. leptodactylus and caused changes in enzyme activities.
Implementation of Spinning Wheel Moped Media to Increase Enthusiasm of Class XII Students at SMK Bhakti Praja Adiwerna
Authors: Muzakki Akhmad , Ishlah Amaladini Muhammad , Hani Umi , Jannah Roikhatul , Barus Efvelin
Published: January 2025

This study aims to understand the implementation of Spinning Wheel Moped media in increasing the enthusiasm of students of class XII TJKT 1 at SMK Bhakti Praja Adiwerna towards Guidance and Counseling services. The research method used is qualitative with a field research approach, where data is collected through in-depth interviews and participatory observation of 33 students involved in the Guidance and Counseling program. The results showed that the use of Spinning Wheel Moped media provided a more interesting and interactive learning experience for students. Students revealed that this media helped them feel more engaged and motivated to attend Guidance and Counseling sessions, as well as increased their understanding of the importance of self-development. Through more active interaction with the media, students were able to explore various themes of self-development in a fun way, so their enthusiasm in attending Guidance and Counseling services increased significantly. This study provides implications for counselors to consider using innovative media in Guidance and Counseling services to create a more creative and engaging learning environment. In addition, the results of this study can serve as a foundation for further research on innovations in education. As suggestions or recommendations from this study, counseling teachers are expected to carry out counseling services in a creative way to avoid boredom and improve communication between clients and counselors.
Monitorização de parâmetros hemodinâmicos na reabilitação de pacientes pós-COVID-19: revisão sistemática
Authors: Chaves Filho Admilson de Castro , Perez Amanda Maria da Conceição , Inocêncio Ana Vitória de Morais , Ferreira Kétura Rhammá Cavalcante , Cunha Naelso Alves , Dutra Rosa Fireman , Rodrigues Marco Aurélio Benedetti
Published: January 2025

A pandemia da doença causada pelo novo coronavírus 2019 (COVID-19) tornou-se um dos grandes desafios, afetando a população mundial. É definida como uma doença infecciosa causada pelo SARS-CoV-2, o vírus da síndrome respiratória aguda grave 2. A COVID-19 foi uma doença que afetou principalmente o sistema respiratório, causando grandes problemas de saúde às pessoas, levando à hospitalização ou deixando sequelas significativas em pessoas que foram afetadas pelo vírus. Alguns dos sintomas mais importantes causados pela doença foram o comprometimento do sistema respiratório e funcional do paciente, impactando diretamente na sua qualidade de vida. A fisioterapia contribui atuando na reabilitação de sequelas e limitações decorrentes da doença, que por vezes são realizadas em domicílio devido a problemas de locomoção decorrentes do comprometimento dos pacientes. Diante disso, realizou-se uma revisão sistemática relacionada à monitorização de parâmetros hemodinâmicos que devem ser acompanhados nos indivíduos que foram submetidos ao processo de reabilitação de sequelas tardias ou crônicas proveniente da COVID - 19.  Os artigos foram retirados das bases de dados IEEE, PubMed, Springer e Science direct. Diante do exposto, a presente revisão tem como objetivo analisar a literatura publicada nos últimos 5 anos.Os estudos selecionados abordaram a importância da monitorização dos parâmetros hemodinâmicos (frequência cardíaca, saturação de oxigênio e eletrocardiograma) em pacientes que passaram pelo processo de reabilitação após a infecção por COVID-19.
Research on the Surface Movement Law and The Inversion of Surface Subsidence Prediction Parameters of Repeated Mining in Shallow Buried Deep Coal Seams
Authors: Li Tong
Published: January 2025

In order to explore the surface deformation law of multi-coal seam mining under repeated mining conditions, and deepen the understanding of the estimated parameters of surface subsidence in the mining area, in order to provide a technical reference for the " Mining under three" pressed coal mining in the mining area. Based on the measured data of the 22208 working face of the live chicken and rabbit mine; Two methods, curve fitting method and surface fitting method, were used to obtain the estimated parameters of surface subsidence; The results show that under the condition of repeated mining, the protective coal pillars left after the excavation of the upper coal will hinder the surface settlement of the lower coal mining, and the surface subsidence curve will be lifted. During the mining process of the working face, it is affected by repeated mining, which leads to the breaking of the overlying rock layer and the activation and development of fractures, so that the maximum subsidence of the surface exceeds the actual mining thickness of the coal seam of 22208. Comparing the fitting results of curve fitting and surface fitting, it is found that the accuracy of the fitting parameters of the inclined sinking coefficient, the main influence tangent of the tendency, the offset distance of the trend inflection point and the offset distance of the inclined left inflection point obtained by the surface fitting method are improved by 3.9%, 5.6%, 4% and 3.1%, respectively, and the accuracy of the fitting parameters of the inclined horizontal movement coefficient is significantly improved to 13.2%, which is not affected by the layout of the observation line, which is more in line with the actual needs of the project. The research results can provide a technical reference for repeated mining in shallow buried deep multi-coal seam mining areas.
Enhancing Supercapacitor Performance with Biomass-Derived Carbon Materials: A Review of Dimensional Innovations
Authors: M Gowtham , N Senthil Kumar , Balaji Murugan , Sivakumar Chandrasekar
Published: January 2025

Supercapacitor high-power density, rapid charge/discharge rates, long lifespan, and environmental friendliness have positioned them as extremely promising energy storage options. This study examines the physical and chemical characteristics of several biomass materials and their impact on supercapacitor performance. Additionally, we delve into the classification and fundamental concepts of supercapacitors. Biomass-derived carbon compounds exhibit abundant surface features and naturally occurring hierarchical structures that enhance electrochemical reactions, including diffusion and ion transfer. Historically, biomass has been the primary raw material for synthesizing innovative porous carbon compounds, representing a significant advancement in electrode materials for supercapacitors. Our study emphasizes the potential applications of one-, two-, and three-dimensional carbon compounds derived from biomass as electrode materials for supercapacitors by reviewing the latest research in this field. Additionally, we discuss the challenges faced today and the opportunities for enhancing the efficiency of carbon-based supercapacitor electrodes in the future.
Role of Hyperglycemia on Outcomes of Traumatic Brain Injury among Patients Admitted in Tertiary Level Hospital
Authors: Ali Roshan , Memon Khalida Naz , Soomro Fatima , Shah Imran Ali
Published: January 2025

Various factors contribute to unfavorable outcomes of Traumatic Brain Injuries (TBI) and hyperglycemia is one of them. It occurs frequently at an early stage after having traumatic brain injuries and previous studies have identified that hyperglycemic patients encounter worse outcomes in terms of disability and death. Objectives: To determine the association of hyperglycemia to prognosis of traumatic brain injury patients with distinct blood glucose levels and co-morbidities. Methods: A cross-sectional study was conducted from June 2022 to October 2022 at Liaquat University Hospital, Hyderabad on 171 young to middle aged participants, admitted patients of TBI with GCS scores 3-13 selected through purposive sampling technique. Data were collected on a multi-sectioned questionnaire and analyzed by SPSS version 26.0. The results were analyzed by chi-square test at p=≤0.05 as the cut-off level of significance. Results: 44.4% of participants were hyperglycemic. Four times greater mortality rate was recorded in hyperglycemic patients as compared to normoglycemic patients. No patient could survive who had hyperglycemia at 72 hours of injury. Hyperglycemia at 24 hours as well as at 72 hours of TBI was significantly associated to poor prognosis (p<0.01). Conclusions: Hyperglycemia at 24 hours of injury resulted in four times greater mortality as compared to normoglycemic TBI victims, therefore blood glucose level should be maintained between 70-180 mg/dl for a favorable outcome of TBI. Moreover, patients with persistent hyperglycemia and comorbidities of hypertension, diabetes mellitus, and ischemic heart disease have shown more tragic outcomes of TBI so it should be investigated on a large scale sample size in different populations
Seismic technologies in oilfield management: A conceptual approach to improving operational efficiency in dynamic reservoirs
Authors: Ogu Elemele , Egbumokei Peter Ifechukwude , Dienagha Ikiomoworio Nicholas , Digitemie Wags Numoipiri
Published: January 2025

Seismic technologies have long played a pivotal role in oilfield management, enabling efficient reservoir characterization, production optimization, and risk reduction. This study presents a conceptual approach to advancing seismic technologies, aiming to enhance operational efficiency in dynamic reservoirs. The proposed framework integrates cutting-edge seismic imaging techniques with real-time data analytics to improve decision-making and operational workflows throughout the reservoir lifecycle. The framework emphasizes the use of advanced seismic methods, such as full-waveform inversion (FWI) and time-lapse (4D) seismic monitoring, to capture high-resolution subsurface data and track reservoir changes over time. By continuously updating reservoir models, these techniques provide a comprehensive understanding of reservoir behavior, enabling more accurate predictions of fluid movement, reservoir depletion, and production potential. In addition, the integration of machine learning algorithms with seismic data enhances automated pattern recognition and predictive modeling, offering greater insights into reservoir dynamics and optimizing well placement. The study further explores the role of real-time seismic data transmission and cloud-based analytics in improving operational efficiency. Cloud platforms enable seamless integration of seismic data with geological, geophysical, and production data, fostering collaboration among multidisciplinary teams and expediting decision-making processes. Furthermore, the framework highlights the importance of automated monitoring and adaptive seismic surveying to minimize downtime, reduce operational costs, and increase production reliability. The environmental impact and sustainability of seismic technologies are also considered. The proposed approach seeks to minimize environmental disruption by utilizing non-invasive seismic techniques, ensuring compliance with regulatory standards, and optimizing data collection methods to reduce operational footprints. By offering a comprehensive conceptual framework, this study aims to enhance oilfield management practices through the innovative application of seismic technologies. The findings provide valuable insights for improving operational efficiency, risk management, and production optimization in dynamic reservoirs.
DESCRIPTIVE STUDY OF LEISHMANIASIS IN HEALTH REGION I OF PARÁ, 2012 TO 2022
Authors: Saab Kátia Victória Parente , Castro Marcela dos Santos , Virgolino Rodrigo Rodrigues , Gonçalves Evonnildo Costa , Gonçalves Evonnildo Costa , Souza Thaissa Souza de , Barros Bruno de Cássio Velosos de , Aguiar Délia Cristina Figueira
Published: January 2025

The main objective of the study is to perform a descriptive analysis of cases of Cutaneous and Visceral Leishmaniasis in humans in the Metropolitan Health Region I, which is made up of Belém, Ananindeua, Benevides and Marituba, in the State of Pará, in the period from 2012 to 2022. Data on reported cases were collected from the database of the State Health Department. In the studied period, 235 cases were analysed, 179 of TL and 56 of VL. In Belém, 46.7% of cases occurred in individuals under 19 years of age, indicating a significant impact on the younger population, while Ananindeua had 68.5% with 30 years or older, suggesting a higher risk for older individuals there, as well as in the neighbouring cities of Marituba and Benevides. Belém had more cases in the low education category and Ananindeua had more cases with intermediate education. Regarding the medications used in treatment, Pentavalent Antimonial was the most common, accounting for 77.1% of the total use of medications of choice. Regarding the origin of the cases, the "Autochthonous" category was more prevalent in Ananindeua. Most cases were laboratory confirmed. Of the cases in Ananindeua, 44.9% were work-related, and Belém had the highest proportion of cured patients (66.2%). The differences in incidence rates between municipalities indicate local influences, such as deforestation and socioeconomic characteristics. Autochthonous cases alert to the presence of local vectors, highlighting the need for increased surveillance measures. The presence of records with missing data reinforces the need for improved data collection, which is crucial for analyses that generate indicators that lead to the development of public policies to combat leishmaniasis.
ALTO RISCO DE MALFORMAÇÃO CONGÊNITA POR FENDA LÁBIA E PALADAR EM RECÉM-NASCIDOS QUE VIVEM EM IMPORTANTE REGIÃO DO AGRONEGÓCIO BRASILEIRO: ANÁLISE ESPACIAL
Authors: Lotufo Marcelo Neves , Moi Gisele Pedroso , Ferreira Alexsander Pippus , Fernandes Vander , Silva Ageo Mário Cândido da
Published: January 2025

Objective: To evaluate the association between exposure to pesticides and the occurrence of cleft lip and palate in the municipalities of the State of Mato Grosso, Brazil. Methods: An exploratory ecological study investigated the global spatial autocorrelation of exposure to pesticides and the occurrence of cleft lip and palate in the municipalities of the State of Mato Grosso, Brazil (n =141) in the period 2010-2015, using the "global" and "local" Moran statistic method and a multiple spatial regression, having as variables of exposure the consumption of pesticides, as covariables the epidemiological aspects and, as a response variable, the occurrence of cleft lip and palate. GeoDa 1.12 and Stata 12.0 were the software used for statistical and spatial analysis. Results: The spatial distribution of non-syndromic cleft lip and palate rates was not random and showed high spatial autocorrelation and predominance of significant spatial groupings in the Central-South region of Mato Grosso, Brazil. In the multiple regression, statistically positive associations were observed among consumption of pesticides by municipalities, percentage of population aged 25 and over with incomplete secondary school, high average value per capita income and congenital malformation due to non-syndromic cleft lip and palate (p-value<0.05).Conclusions:  The result of this study suggests that the high consumption of pesticides in regions of high agribusiness productivity may be related to the higher occurrence of live births with non-syndromic cleft lip and palate malformation in the state of Mato Grosso, Brazil.
A Review on Machine Learning Based Models for Credit Card Fraud Detection
Authors:   Department of Information Technology1,2  MIT, Ujjain, India, Malviya Manisha
Published: January 2025

With increased internet usage, online transactions have been on the rise. One of the most prevalent problems faced is credit cards frauds. While web applications and mailing services are heavily spammed, the upsurge of handheld mobile devices has led to an outburst of heavy mobile credit card spamming. The matter is more severe in mobile devices due to lesser sophisticated filtering mechanisms in built in mobile operating systems. Recent advancements in electronic commerce and communication systems have significantly increased the use of credit cards for both online and regular transactions. However, there has been a steady rise in fraudulent credit card transactions, costing financial companies huge losses every year. The development of effective fraud detection algorithms is vital in minimizing these losses, but it is challenging because most credit card datasets are highly imbalanced. Traditional rule-based systems are often insufficient to handle the sophisticated and evolving techniques fraudsters use. Machine learning (ML) provides more dynamic, scalable, and effective methods for detecting fraudulent activities. This paper presents a comprehensive review on credit card datasets, imbalanced nature of datasets and existing baseline techniques in the domain.

Keywords— Credit Card Fraud Detection, Machine Learning, Feature Selection,  Imbalanced  Datasets, Classification Accuracy
EFFECT OF CUSTOMER RELATIONSHIP MANAGEMENT (CRM) PROGRAM ON CUSTOMER LOYALTY
Authors: Lutpiyani Lutpiyani , Prahesti Riska Tyas
Published: January 2025

The existence of competition among companies today, which can no longer be avoided, has made Public Relations (PR) one of the vital components in the success of modern companies in this digital era. One of the main roles of PR is to implement Customer Relationship Management (CRM) and maintain and enhance consumer loyalty. A business needs to implement CRM to enhance the overall customer experience throughout the organization. This includes all interactions, whether in-person or online, and covers everything from pre-sales activities to the experience with products and services, as well as post-sales support. As such, existing customers will be able to influence other customers that the company's service is good. PT. Telkom Indonesia implements a CRM to better recognize and understand their customers so that the business can respond to customer needs quickly and accurately. PT. Telkom Indonesia provides a product called IndiHome and continues to innovate to meet the community's need for better internet services. This research aims to determine whether there is an influence of the Customer Relationship Management (CRM) Program on Customer Loyalty. This research uses a positivistic paradigm with a quantitative method, employing non-probability sampling techniques with specific criteria to determine the sample and distributing questionnaires through Google Forms, followed by data processing using SPSS. The sample in this study consisted of 100 respondents using the Taro Yamane formula. The results of this study prove that Customer Relationship Management (CRM) has a very strong influence on customer loyalty at PT. Telkom Indonesia.
THE EFFECT OF JOB STRESS AND LOCUS OF CONTROL ON EMPLOYEE PERFORMANCE (Study on Employees of PT Bank Tabungan Negara Medan Branch Office)
Authors: Sitinjak Rihot , Marpaung Nicholas
Published: January 2025

The aim of this study is to examine how work stress and locus of control impact the performance of employees at PT Bank Tabungan Negara (Persero) Medan Branch Office. This research utilises a quantitative approach with an associative methodology. The target population includes 158 employees at the Medan branch office of the state savings bank. Sampling was conducted using probability sampling techniques and the slovin formula, resulting in a total of 61 respondents. Data was collected through primary sources such as observation, interviews, and questionnaires, while secondary data was obtained through a review of existing literature. The analytical methods used are validity testing, reliability testing, classical assumption testing, multiple linear analysis, and hypothesis testing the results of the research conducted show that the variables of work stress and locus of control have a partial and significant effect on employee performance. The work stress variable and locus of control have a simultaneous and significant effect on employee performance. The resulting coefficient value shows that the relationship between the work stress variable and locus of control on employee performance is very strong with an r value of 0.885 or 88.5%. The adjusted r square value also shows that work stress and locus of control variables can explain employee performance variables by 77.6% while the remaining 22.4% is influenced by other variables not explained in this research.
Artificial intelligence-driven strategies for managing renal and urinary complications in inflammatory bowel disease
Authors: Guo Ya-Xiong , Yan Xiong , Liu Xu-Chang , Liu Yu-Xiang , Liu Chun
Published: January 2025

In this editorial, we discuss the article by Singh et al published in World Journal of Nephrology , stating the need for timely adjustments in inflammatory bowel disease (IBD) patients' long-term management plans. IBD is chronic and lifelong, with recurrence and remission cycles, including ulcerative colitis and Crohn's disease. It's exact etiology is unknown but likely multifactorial. Related to gut flora and immune issues. Besides intestinal symptoms, IBD can also affect various extraintestinal manifestations such as those involving the skin, joints, eyes and urinary system. The anatomical proximity of urinary system waste disposal to that of the alimentary canal makes early detection and the differentiation of such symptoms very difficult. Various studies show that IBD and it's first-line drugs have nephrotoxicity, impacting the patients' life quality. Existing guidelines give very few references for kidney lesion monitoring. Singh et al 's plan aims to improve treatment management for IBD patients with glomerular filtration rate decline, specifically those at risk. Most of IBD patients are young and they need lifelong therapy. So early therapy cessation, taking into account drug side effects, can be helpful. Artificial intelligence-driven diagnosis and treatment has a big potential for management improvements in IBD and other chronic diseases.
Optimizing chronic kidney disease management: The potential of a multi-strain probiotic formulation
Authors: Chafekar Deodatta
Published: January 2025

Chronic kidney disease (CKD), which represents a significant global health concern, is characterized by a gradual decline in kidney function, leading to complications such as electrolyte imbalance, cardiovascular disease, and immune dysfunction. Standard CKD management includes dietary modifications, ketoanalogues supplementation, blood pressure and blood glucose control, hydration maintenance, and treatment of the underlying causes. Emerging evidence has indicated a significant role of the gut microbiota in CKD, and that dysbiosis of the gut microbiota contributes to the progression of CKD towards end-stage renal disease. Probiotics and prebiotics have recently garnered attention owing to their potential to enhance gastrointestinal health and well-being by restoring the balance of the gut microbiota. Specific probiotic strains, including Lactobacillus and Bifidobacterium , promote beneficial bacterial growth, suppress harmful bacteria, and exert anti-inflammatory, antihypertensive, and antidiabetic effects. The combination of Streptococcus thermophilus , Lactobacillus acidophilus , Bifidobacterium longum , and Bacillus coagulans has demonstrated potential as a therapeutic formulation for CKD management in various studies, highlighting its promise in treating CKD; however, supporting evidence remains limited, making it crucial to conduct further investigations to determine the specific effects of different probiotic formulations on outcomes in patients with CKD.
Current understanding of adult nephrotic syndrome: Minimal change disease
Authors: Govindarajan Krishna Kumar
Published: January 2025

The underlying molecular changes that result in minimal change disease (nephrotic syndrome) require an in-depth analysis. Current molecular studies have shown the involvement of zinc fingers and homeobox transcriptional factors in its pathogenesis. The application of therapeutic drugs relies on understanding the cascade of molecular events to determine their efficacy in managing the clinical condition.
Longitudinal assessment of measured and estimated glomerular filtration-rate in autosomal dominant polycystic kidney disease: Real practice experience
Authors: Fernandez Juan M , Rodriguez-Pérez José C , Lorenzo-Medina M Mercedes , Rodriguez-Esparragon Fancisco , Quevedo-Reina Juan C , Hernandez-Socorro Carmen R
Published: January 2025

BACKGROUND

Equations for estimation glomerular filtration rate (eGFR) have been associated with poor clinical performance and their clinical accuracy and reliability have been called into question.

AIM

To assess the longitudinal changes in measured glomerular filtration rate (mGFR) in patients with autosomal dominant polycystic kidney disease (ADPKD).

METHODS

Analysis of an ambispective data base conducted on consecutive patients diagnosed with ADPKD. The mGFR was assessed by iohexol clearance; while eGFR was calculated by three different formulas: (1) The chronic kidney disease epidemiology collaboration (CKD-EPI); (2) Modification of diet in renal disease (MDRD); and (3) The 24-hour urine creatinine clearance (CrCl). The primary end-points were the mean change in mGFR between the baseline and final visit, as well as the comparison of the mean change in mGFR with the change estimated by the different formulas.

RESULTS

Thirty-seven patients were included in the study. As compared to baseline, month-6 mGFR was significantly decrease by -4.4 mL/minute ± 10.3 mL/minute (P = 0.0132). However, the CKD-EPI, MDRD, and CrCl formulas underestimated this change by 48.3%, 89.0%, and 45.8% respectively, though none of these differences reached statistical significance (P = 0.3647; P = 0.0505; and P = 0.736, respectively). The discrepancies between measured and estimated glomerular filtration rate values, as evaluated by CKD-EPI (r = 0.29, P = 0.086); MDRD (r = 0.19, P = 0.272); and CrCl (r = 0.09, P = 0.683), were not correlated with baseline mGFR values.

CONCLUSION

This study indicated that eGFR inaccurately reflects the decline in mGFR and cannot reliably track changes over time. This poses significant challenges for clinical decision-making, particularly in treatment strategies.
Current role of biomarkers in the initiation and weaning of kidney replacement therapy in acute kidney injury
Authors: Sodhi Kanwalpreet , Chanchalani Gunjan , Tyagi Niraj
Published: January 2025

The occurrence of acute kidney injury (AKI) in critically ill patients is often associated with increased morbidity and mortality rates. Despite extensive research, a consensus is yet to be arrived, especially regarding the optimal timing and indications for initiation of kidney replacement therapy (KRT) for critically ill patients. There is no clear guidance available on the timing of weaning from KRT. More recently, various biomarkers have produced promising prognostic prediction in such patients, regarding the need for KRT and its termination. Most of these biomarkers are indicative of kidney damage and stress, rather than recovery. However, large-scale validation studies are required to guide the cutoff values of these biomarkers among different patient cohorts so as to identify the optimum timing for KRT. This article reviews the kidney biomarkers in detail and summarizes the individual roles of biomarkers in the decision-making process for initiation and termination of the KRT among critically ill AKI patients and the supportive literature.
Kesiapan Mahasiswa PPG Penjas Universitas PGRI Adi Buana Surabaya dalam Penerapan Pembelajaran Berdifferensiasi untuk PPL 2 di Sekolah
Authors: Muhyi Muhammad , Hakim Luqmanul , Utomo Gatot Margisal , Hanafi Moh
Published: January 2025

Mahasiswa PPG penjas sudah menyelesaikan mata kuliah pembelajaran differensiasi dan PPL 1, tahap selanjutnya mahasiswa PPG penjas akan terjun ke sekolah untuk melaksanakan PPL 2, pertanyaan yang menjadi fokus adalah bagaimana tingkat kesiapan mahasiswa dalam ppl 2 di sekolah yang berbasis pembelajaran differensiasi. Metode penelitian menggunakan penelitian survey, instrumen menggunakan angket yang dikembangkan peneliti berbasis validitas isi dan validitas konstruksi. Subjek penelitian mahasiswa PPG penjas Universitas PGRI Adi Buana Surabaya tahun 2024 sebanyak 52 mahasiswa. Teknik analisis data deskriptif kuantitaif. Hasil penelitian menunjukkan bahwa dari 12 butir item pernyataan menunjukkan 10 butir item atau 98 % mahasiswa sangat siap,  sedangkan 2 butir item pernyataan atau 2 % siap,. Kesimpulan hasil penelitian dapat dinyatakan bahwa mahasiswa PPG penjas secara umum sudah sangat siap melaksanakan PPL2 dengan berbasis pada penerapan pembelajaran differensiasi
Evaluasi Penerapan Peraturan Mahkamah Agung Republik Indonesia Nomor 1 Tahun 2020 Tentang Pedoman Pemidanaan Pasal 2 dan Pasal 3 Undang-Undang Pemberantasan Tindak Pidana Korupsi: Disparitas Putusan dalam Pengadilan Tindak Pidana Korupsi di Pengadilan Negeri Medan
Authors: Puteh Ibrahim , Chaniago Hidayat
Published: January 2025

The disparity of decisions in corruption trials has become a significant issue in the Medan District Court. The purpose of this study is to examine and analyze the factors that cause disparities in decisions in cases of corruption in that court. The research method used is a qualitative approach by collecting data through interviews with judges, prosecutors and lawyers involved in corruption cases. The results of the study indicate that there are several factors that contribute to the disparity of decisions in the Medan District Court. These factors include subjective interpretation of facts and law, judges' knowledge and awareness of existing guidelines, limited resources, and the quality of evidence and various investigative processes. The disparity of decisions in trials of corruption can threaten justice and public trust in the justice system. Therefore, efforts are needed to overcome this disparity. Recommendations resulting from this research include more intensive training and education for judges, increased coordination and collaboration between stakeholders, allocation of adequate resources, and regular evaluation of the implementation of existing guidelines. This research is expected to provide a more in-depth understanding of the problem of decision disparity in corruption trials at the Medan District Court. Through this understanding, it is hoped that corrective steps can be taken to achieve harmonization of decisions and ensure justice that is in line with legal objectives and the interests of society.
REALIDADE VIRTUAL E APRENDIZAGEM EXPERIENCIAL: UM “CANTEIRO DIDÁTICO” PARA (RE)INTEGRAR CONSTRUÇÃO E PROJETO NO ENSINO DE ARQUITETURA
Authors: Castro Gabriel de Sousa
Published: January 2025

Este artigo discute como a educação em Arquitetura pode se beneficiar de um “canteiro didático” em realidade virtual para integrar teoria e prática no ensino de construção. Fundamentado em teorias educacionais (Dewey, Kolb, Freire e Schön), o texto analisa a lacuna recorrente no aprendizado técnico, frequentemente dissociado das disciplinas de projeto. Apresenta-se um protótipo de canteiro virtual desenvolvido no Unity, com interações guiadas e livres que permitem vivenciar procedimentos construtivos e, simultaneamente, relacioná-los a decisões projetuais. A pesquisa foi aplicada em uma disciplina optativa com alunos de diferentes semestres de um curso de Arquitetura. Resultados apontam maior engajamento, reflexão crítica e entendimento prático das etapas de obra, ampliando a autonomia estudantil e a correlação entre projeto e execução. Discutem-se as potenciais contribuições para a formação de profissionais mais completos, os desafios técnicos (como ciberdoença e infraestrutura) e as possibilidades de expansão para além do campo de Arquitetura, sinalizando caminhos para outras áreas educacionais interessadas em práticas imersivas e metodologias ativas de ensino.
Quality of Life in Patients with Chronic Kidney Disease: A Nursing Approach
Authors: Centurión Carmen , Foco Daiana
Published: January 2025

Introduction: Chronic Kidney Disease (CKD) represented a global public health challenge due to its progressive impact on renal function and health-related quality of life (HRQoL) of patients. Hemodialysis (HD), as a replacement treatment, demanded a high commitment of time and effort, significantly affecting the physical, psychological and social dimension of those who received it.Development: We analyzed how CKD, as it progressed to end-stage renal disease, generated profound alterations in patients' lifestyles. Treatment dependence, work restrictions and emotional problems, such as anxiety and depression, were recurrent findings. Furthermore, it was observed that HD, although essential, increased patients' stress and frailty due to its impact on physical and social domains. The reviewed studies highlighted the fundamental role of nursing professionals in Hemodialysis Units (HDU), who implemented comprehensive care strategies, encouraged self-care and offered emotional support.Conclusion: It was concluded that CKD and HD demanded an interdisciplinary approach focused on improving HRQOL. The role of nursing was essential to meet the physical, psychological and social needs of patients, contributing to personalized care and improving their overall well-being.
Body perception, dissatisfaction and quality of life in university women in Pereira, Colombia
Authors: Londoño Valencia Ana María , Rincón Bejarano Laura Lucia , Cubillos Lizcano Yessica , Acevedo Osorio German Oved , Acosta Daniel Roman
Published: January 2025

Objective: To establish the degree of dissatisfaction and distortion of body image in university women in the municipality of Pereira, ColombiaMethods: The Standard Figural Stimuli (SFS) scale was used to identify the degree of body dissatisfaction, the SCOFF questionnaire to determine the presence of eating disorders (ED) and the Rosenberg self-esteem scale for the degree of distortion of the body. body image.Results: It was possible to characterize socio-demographically the population under study, the mean age was 23.3 and the single marital status with a percentage of 85%, it was possible to identify the degree of dissatisfaction and distortion of the body image presented In the women who participated in the study, 24% of the women with overweight or some type of obesity, considered themselves with a normal silhouette, for which we can infer that there is a degree of distortion of the body image, it was established that the 28% of the population suffers from eating disorders and it was finally established that 71.2% of the population has high self-esteem, the remaining percentage medium and low self-esteem.Conclusions: Multiple truly significant data were found, the results of this study lead us to consider that there is really a significant degree of dissatisfaction and distortion in the body image of many university women, because the image with which they identify differs from that of image they wish they had
Study of the normoglycaemic effect in experimental animals between aqueous extract and ethanolic extract of banana flower stalk (Musa acuminata Colla)
Authors: Jimenez Granizo Francisca Patricia , Sarmiento Tomalá Glenda Marcela , López Barrera Alexandra , Burbano Gómez Zoraida , Soledispa Cañarte Pilar Asunción , García Moncayo María Guadalupe
Published: January 2025

Since time immemorial the need for people to seek a balance for their health, has led to the search for new natural remedies based on the existing medicinal flora worldwide. For this reason, in this experimental study, the efficacy of the Banana Flower Peduncle (Musa acuminata Colla) and Aqueous Extracts in the reduction of blood Glucose levels of diabetic mice by alloxan was verified both extracts. For this study we performed 9 groups of 5 mice each. Basal glycemia was determined for all animals; the treatments were administered for 10 days as follows to the groups: # 1 Normal Control (No Treatment); # 2 Negative Control (No Treatment + Alloxanic Induction); # 3 Positive Control (Metformin + aloxanic induction); # 4, 5 and 6 (Alloxanic Induction + Aqueous Extract Treatment), in the dose of 100, 200, 400 mg/kg; # 7, 8 and 9 (Aloxanic Induction + Treatment of Ethanol Extract), in the dose of 100, 200, 400 mg/kg. On day 11 Diabetes was induced by alloxan (150 mg/kg); after 48 hours the final glycemia was determined in all groups. The results showed that Group # 7 (Ethanolic Extract of 100 mg/kg) regulated blood glucose levels by 109.6 mg/dl compared to the Group # 3 (metformin) value of 97.6 mg/dl and with Group # 2 Negative Control, which was 376 mg/dl, with respect to the values of groups # 8 and 9 (Ethanolic Extract) and all groups treated with Aqueous Extract did not decrease glycemia levels.