bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrasi Pendidikan Karakter Dalam Pembelajaran Kurikulum 2013 di Sekolah Dasar
Authors: nofianti malka
Published: July 2023

Penelitian ini menggunakan metode studi literatur dalam mempelajari integrasi pendidikan karakter dalam pembelajaran kurikulum 2013 di sekolah dasar. Metode ini bertujuan untuk mempelajari dan menyelidiki suatu kejadian atau fenomena secara rinci, tajam, dan mendalam. Data dalam penelitian ini dikumpulkan melalui teknik data pustaka. Hasil penelitian menunjukkan bahwa Pendidikan karakter dan integrasinya dalam pembelajaran merupakan aspek penting dalam sistem pendidikan di Indonesia. Penelitian dan artikel yang dikemukakan menyajikan berbagai hasil penelitian dan pandangan terkait integrasi pendidikan karakter dalam pembelajaran kurikulum 2013 di sekolah dasar. Dalam konteks ini, nilai-nilai karakter diintegrasikan ke dalam semua mata pelajaran dan kegiatan pembelajaran. Selain itu, strategi penguatan pendidikan karakter dilakukan melalui tiga basis utama: berbasis kelas, berbasis kultur sekolah, dan berbasis komunitas. Guru juga memainkan peran penting dalam mengintegrasikan nilai-nilai karakter dan menjadi contoh yang baik bagi siswa. Melalui integrasi pendidikan karakter dalam pembelajaran, diharapkan siswa dapat membentuk karakter yang baik dan bermoral. Proses ini melibatkan kolaborasi antara guru, sekolah, dan komunitas untuk menciptakan lingkungan yang mendukung dalam pembentukan karakter yang positif pada siswa.
Social Network Negativity and Physical Activity: New Longitudinal Evidence for Young and Older Adults 2015-2018
Authors: Dubash Soli , Schafer Markus
Published: July 2023

Purpose: Physical activity (PA) has considerable public health benefits. Positive aspects of the interpersonal environment are known to affect PA, yet few studies have investigated whether negative dimensions also influence PA. This study examines the link between changing social network negativity and PA, net of stable confounding characteristics of persons and their environments.Method: Polling respondents in the San Francisco Bay Area over three waves (2015-2018), the UCNets project provides a panel study of social networks and health for two cohorts of adults. Respondents were recruited through stratified random address sampling, and supplemental sampling was conducted through Facebook advertising and referral. With weights, the sample is approximately representative of Californians aged 21-30 and 50-70. Personal social networks were measured using multiple name-generating questions. Fixed effects ordered logistic regression models provide parameter estimates. Results: Younger adults experience significant decreases in PA when network negativity increases, while changes in other network characteristics (e.g., support, size) did not significantly predict changes in PA. No corresponding association was found for older adults. Results are net of baseline covariate levels, stable social and individual differences, and select time-varying characteristics of persons and their environments.Conclusion: Leveraging longitudinal data from two cohorts of adults, this study extends understanding on interpersonal environments and PA by considering the social costs embedded in social networks. This is the first study to investigate how changes in network negativity pattern PA change. Interventions which help young adults resolve or manage interpersonal conflicts may have the benefit of helping to promote healthy lifestyle choices.
RENCANA KEGIATAN PEMBELAJARAN IPS MENGGUNAKAN MODEL PEMBELAJARAN VALUE CLARIFICATION TECHNIQUE (VCT)
Authors: Sulfemi Wahyu Bagja
Published: July 2023

Kajian ini dilakukan untuk mengembangkan pembelajaran IPS dengan menggunakan model pembelajaran Value Clarification Technique (VCT). Metologi digunakan adalah studi literatur. Metode studi literatur adalah serangkaian kegiatan yang berkenaan dengan metode pengumpulan data pustaka, membaca dan mencatat, serta mengelolah bahan penelitian Dengan menggunakan model pembelajaran VCT peserta didik dapat mengungkapkan isi materi, memahami nilai-nilai yang ada dalam kehidupan,mengembangkan potensi diri peserta didik terutama mengembangkan nilai sikap, memberikan sejumlah pengalaman belajar dari bebagai kehidupan, memadukan berbagai nilai-nilai moral dalam sitem nilai dan moral yang ada dalam diri seseorang,memberi gambaran nilai moral yang patut diterima dalam masyarakat. Penguunaan teknik pendidikan nilai dimana peserta didik dilatih untuk menemukan, memilih, menganalisis, membantu peserta didik dalam mencari dan memutuskan mengambil sikap sendiri mengenai nilai-nilai hidup yang ingin diperjuangkannya. Kata kunci: Rencana Pembelajaran; IPS; Value Clarification Technique
Sejarah birokrasi Indonesia Sejak Zaman Kerajaan sampai zaman kemerdekaan
Authors: NURDIN M NURWANDI
Published: July 2023

Artikel ini memaparkan sejarah birokrasi Indonesia dari masa kerajaan hingga kemerdekaan. Sebagai negara dengan sejarah panjang kerajaan-kerajaan yang berkuasa, Indonesia telah mengalami banyak perubahan dalam struktur dan sistem birokrasi pemerintahannya selama berabad-abad. Artikel ini menjelaskan tentang perkembangan agama Hindu Budha, Islam, dan birokrasi pemerintahan dari era kerajaan kolonial Belanda hingga era pergerakan nasional dan Proklamasi Kemerdekaan. Faktor-faktor yang mempengaruhi perubahan tersebut juga dianalisis, termasuk budaya, agama, institusi politik, dan pengaruh kolonial. Selain itu, artikel tersebut juga membahas peran birokrat pemerintah dalam mendukung atau menghambat proses kemerdekaan Indonesia dan bagaimana warisan birokrasi kolonial dijalankan selama era kemerdekaan. Dengan memahami sejarah birokrasi pemerintah Indonesia, artikel ini memberikan wawasan yang lebih dalam tentang perkembangan dan tantangan yang dihadapi negara dalam membangun dan mengelola birokrasi pemerintah yang efektif dan responsif.
The ways of the world? Cross-sample replicability of personality trait-life outcome associations
Authors: Stewart Ross David , Díaz Alice , Hou Xiangling , LIU Xingyu , Vainik Uku , Johnson Wendy , Mõttus René
Published: July 2023

Research in (mostly) Western samples has indicated that personality domains’ associations with life outcomes are replicable but often driven by their facets or nuances. Using three diverse samples (English-speaking, N = 1,232; Russian-Speaking, N = 1,604; Mandarin-speaking, N = 1,216), we compared personality trait-outcome associations at domain, facet, and nuance levels, both within and among samples. Trait-outcome associations were at least moderately consistent among samples for all trait-hierarchy levels (average intraclass correlations .64 to .74). Nuances provided the strongest predictive accuracy, both within and among samples. Trait-outcome associations were higher among English-speakers than Mandarin and Russian-speakers. Our observations suggested moderate generalizability among diverse samples, with nuances providing unique and replicable information. This offers potential to improve understanding of trait-outcome patterns.
Body image disturbance, interoceptive sensibility and the body schema across female adulthood: A pre-registered study
Authors: Naraindas Akansha , Cooney Sarah Maeve
Published: July 2023

Women with high levels of body image disturbance (BID) typically show altered processing of internal bodily signals (interoception) and also demonstrate disturbances in the body schema: an implicit sensorimotor representation of the body, including mental simulation of a movement such as motor imagery. We examined the relationship between BID, interoceptive sensibility (IS) and the body schema across different age cohorts of adult women. 1214 women took part from the following age groups: Young adults (18-24), Adults (25-39), Middle-aged adults (40-59), and Older aged adults (60-75). BID was indexed by questionnaires measuring body objectification, state, and trait body dissatisfaction. IS was measured using the MAIA-2. The body schema was indexed through a body-based motor imagery task. Results show that while body objectification and trait body dissatisfaction decreased from young to older adulthood, state body dissatisfaction showed a marked increase. A negative relationship between IS and BID across all age groups was also evidenced. Finally, age, BID and orientation of the presented body were significant predictors of the time taken to make an embodied transformation. These findings suggest that disruptions in body image have the potential to impact implicit sensorimotor representations of the body, even in non-clinical populations across female adulthood.
THE PRIMACY OF MORPHOSYNTACTIC CONSTRAINTS IN SENTENCE PROCESSING — Bridging Parsing Models With Weighted Probabilities
Authors: Lai Isabella
Published: July 2023

This paper presents a parsing model that reconciles the garden-path and constraint-based models of sentence processing, emphasizing the primacy of morphosyntacticconstraints. Departing from the lexicalist hypothesis that underlies both models, our approach views parsing as a process of probabilistic reasoning built upon a categoricalconstraint, which is the structural dependency generic to all languages. In addition to structural dependency, morphosyntactic constraints that manifest differently in different languages, as well as non-syntactic factors like semantic fit, are inherently probabilistic. The proposed model upholds the incremental and hierarchical nature of parsing, prioritizing morphosyntactic constraints over other constraints, and treating different aspects of linguistic input as constraints for deriving deterministic interpretations. We conducted an eye-tracking study with 60 native Russian speakers to investigate morphosyntactic and semantic constraints in parsing ambiguous sentences. Three conditions were used: (1) unambiguous sentences, (2) morphosyntactically congruent ambiguity disambiguatedby animacy, and (3) morphosyntactically congruent ambiguity disambiguated by animacy and accusative case. Data analysis employed linear mixed-effects models, accounting for individual reading patterns and item variability. Our primary hypothesis predicts the fastest reading times for unambiguous sentences, and quicker reading times for sentences disambiguated by both morphosyntactic and semantic constraints compared toanimacy alone. If confirmed, these findings support morphosyntactic constraints' primacy in sentence processing and enhance our understanding of morphosyntactic and semantic constraints' interplay during sentence comprehension.
Developing Virtual Reality and Computer Screen Experiments One to One Using Selective Attention as a Case Study
Authors: Wulff-Abramsson Andreas , Hansen Rasmus Ahmt , Topor Marta , Henriksen Anne Husted , Wienecke Jacob
Published: July 2023

Designing cognitive experiments that allow for meaningful comparisons between different types of displays presents significant challenges. In the current study, we successfully implemented a number of solutions to conduct a virtual reality (VR) selective attention experiment with a personal computer (PC) control condition. We focused on three aspects: input hardware, multisensory experience and the perceived output, which have posed difficulties in previous research. Input hardware pertains to how users interact with the displays, multisensory experience involves the integration of senses within the experiment, and perceived output concerns the software configurations ensuring visually equivalent scenarios. A multisensory selective attention paradigm for six-seven-year-old children was developed for VR and PC environments. We found no evidence of differences in experienced task difficulty and participant distraction measured as off-task behaviours between the conditions. However, the overall reaction time was faster for the PC control condition than the VR but this reaction time difference is unlikely to impact cognitive effects of interest. There was no evidence to suggest different multisensory attentional processing between the two conditions. We demonstrate a robust approach for effectively minimising and controlling confounding technological variables inherent in the disparities between VR and PC conditions. Practical guidance for future development of PC control conditions for VR studies are provided.
A House is Not a Home? Gender and Housework in Young Adults’ Roommate Households
Authors: Ophir Ariane
Published: July 2023

Decades of sociological research consistently find that women do more housework than men. However, existing research almost exclusively focuses on families and couples, thus overlooking non-familial households and the life stage of young adulthood. In this paper, I offer an alternative setting for studying gender inequality in housework - shared living households where people live together but do not share romantic or kinship relationships (i.e., "roommates"). Using a nationally representative sample from the American Time Use Survey (2003-2019), I describe young adults' housework investment by type of living arrangement, paying particular attention to the household's gender composition and type of housework task. Specifically, I ask whether living with men roommates is associated with more housework investment for young adult women in the US. The results suggest that gender organizes housework time for young adults, mainly cleaning – young adult women invest more time cleaning than young adult men across all living arrangements. However, women living with men roommates did not invest more in housework than young adult women in other living arrangements. The results suggest that the contractual roommate relationship does not promote equality or prevent "doing gender." However, it does hinder an intensified gender display. Meaning, housework in roommate households may not carry a meaning of caring and love, but it is still charged with gendered expectations, albeit being a non-familial context.
Sick as a Dog? The Prevalence, Politicization, and Health Policy Consequences of Canine Vaccine Hesitancy (CVH)
Authors: Motta Matt , Motta Gabriella , Stecula Dominik
Published: July 2023

Canine vaccine hesitancy (CVH) can be thought about as dog owners’ skepticism about the safety and efficacy of administering routine vaccinations to their pets. CVH is potentially problematic not only because it may inspire vaccine refusal – which may in turn facilitate infectious disease spread in both canine and human populations – but because it may contribute to veterinary care provider burnout. While anecdotal reports suggest that CVH may be widespread, few have made an effort to assess its prevalence, socio-political correlates, or animal/human health consequences. In a nationally representative survey of the US adult population (N = 2,200), we introduce a novel survey-based instrument for measuring CVH. We document pervasive CVH in dog owner subpopulations, with 53% expressing concerns about the safety (37%), efficacy (22%), and/or necessity (30%) of canine vaccination. We further provide evidence of vaccine “spillover” effects; such that dog owners who hold negative attitudes about human vaccines – views which tend to be over-represented on the ideological right – are significantly more likely to express CVH. Troublingly, we find that CVH is associated with rabies non-vaccination, as well as opposition to evidence-based vaccine policies. We conclude by discussing the human and animal health consequences of CVH, and outline a research agenda for future opinion-based research on this important topic.
Riverkin: seizing the moment to remake vital relations in the UK and beyond
Authors: Cohen Joshua Benjamin , Dannreuther Charles , Fraundorfer Markus , Mackie Colin , Martin-Ortega Julia , Mdee Anna , Sutil Nicolas Salazar
Published: July 2023

1.We show how the dire state of the Earth's rivers entangles intimately with ‘thingifying’ processes at the heart of colonial modernity. Known in many precolonial and Indigenous contexts as person-like kin, we describe how rivers the world over have been re-done primarily as thing – amoral, controllable, a potential commodity like anything else. 2.We develop and work with a provisory concept of kin as those constituents of environments that reciprocally nurture, and contribute to the substance of, one another’s life and well-being. 3.We show how kinship with rivers figures centrally in primarily Indigenous-led struggles in various regions of the globe for the recognition and enforcement of river personhood and rights. This is partly because people are motivated to fight passionately for their kin. 4.With some careful caveats, we argue that associating river kinship exclusively with Indigenous worlds undermines its potential for global impact. Thus, as an apposite case study, the latter part of the paper focuses on some of the social-ecological trends which we suggest are opening up the possibility for the re-establishment of ‘riverkinship’ in the United Kingdom. 5.We reflect on the potential for riverkinship to help cultivate political constellations fitting to the challenges of the Anthropocene
How do Climate Change and Environmental Degradation contribute to Violence against Children?
Authors: Datzberger Simone , Howard-Merrill Lottie , Iorfa Steven Kator , Parkes Jenny
Published: July 2023

This scoping review of the literature explores the interlinkages between two pressing crises: violence against children (VAC) and climate change (CC) together with environmental degradation (ED). Only recently have research and policy begun to shine a light on the magnifying effect of CC on children’s exposure to violence, exploitation, and abuse, with the role of ED remaining under-explored. To spur academic and political movement in this area, our research aims to help establish the magnitude, direction, and pathways of the relationship between CC, ED, and VAC. We showcase the complexity of that relationship and illustrate, in the form of case studies, why context-specific approaches and more research are needed. Doing so, we cover five thematic areas: 1) Hazards and Disaster Risk Reduction, 2) Gender, 3) Im/mobility, 4) Child Labour and 5) Health. Taking all five thematic areas together, structural violence against children emerged as a cross-cutting theme, creating and reinforcing the conditions for multiple forms of VAC in the context of CC and ED.
Central Corneal Thickness and Intraocular Pressure Changes Post- Phacoemulsification Surgery in Glaucoma Patients with Cataract
Authors: Hong-Kee Ng , Ahmad-Marwan Abdul-Aziz , Julieana Muhammed , Mei Fong Chong , Vivian-Gong Hee-Ming , Liza-Sharmini Ahmad Tajudin , Azhany Yaakub
Published: July 2023

Aims: To compare the changes of central corneal thickness (CCT) and intraocular pressure (IOP) post-phacoemulsification between cataract patients with and without pre-existing glaucoma.
Materials and methods: A prospective cohort study of 86 patients with visually significant cataract: 43 with pre-existing glaucoma (GC group) and 43 without pre-existing glaucoma (CO group). CCT and IOP were evaluated at baseline (pre-phacoemulsification), as well as at 2 hours, 1 day, 1 week and 6 weeks post-phacoemulsification.
Results: The GC group have significantly thinner CCT pre-operatively (p = 0.003). There was a steady increase of CCT with the highest peak at 1 day post-phacoemulsification, followed by a steady decline of CCT and back to baseline at 6 weeks post-phacoemulsification in both groups. The GC group demonstrated a significant difference in CCT at 2 hours (mean difference 60.2 μm, p = 0.003) and 1 day (mean difference 70.6 μm, p = 0.002) post-phacoemulsification, compared to the CO group. There was a sudden increase in IOP at 2 hours post-phacoemulsification measured by GAT and DCT in both groups. This was followed by a gradual reduction of IOP, with significant reduction at 6 weeks post-phacoemulsification in both groups. However, there was no significant difference in IOP between the two groups. IOP measured by GAT and DCT showed strong correlation (r > 0.75, p < 0.001) in both groups. There was no significant correlation between GAT-IOP and CCT changes; nor between DCT-IOP and CCT changes in both groups.
Conclusions: CCT changes post-phacoemulsification in patients with pre-existing glaucoma were similar, in spite of having thinner CCT pre-operatively. IOP measurement was not affected by CCT changes in glaucoma patients post-phacoemulsification. IOP measurement using GAT is comparable with DCT post-phacoemulsification.
Laser Therapy of Retinal Tears
Authors: Kristian Petr , Cholevík Dalibor
Published: July 2023

Aim: To report the clinical results of treatment of patients with retinal tears or holes, including rhegmatogenous retinal detachment, who were treated primarily with laser retinopexy.
Material and methods: The effect and results of the therapy of patients with one or more retinal tears who underwent therapy with the green laser IQ 532 IRIDEX between December 2019 and August 2022 at our center with a follow-up observation period of at least 3 months were retrospectively evaluated.
Results: A total of 14 eyes of 14 patients were treated by this method during the monitored period. All the tears found were primarily successfully repaired. The overall success rate of prophylaxis of rhegmatogenous retinal detachment was 93% in our cohort. In one patient, subsequent pars plana vitrectomy was required due to the progression of retinal detachment from another biomicroscopically inaccessible hole, which was part of lattice degeneration in the peripheral part of the retina. This pathology was only verified during intraocular surgery. Postoperatively, the retina was attached with a very good anatomical and functional effect. The other patients did not require any adjuvant therapy. Visual functions improved or remained stable in all patients in the cohort. The follow-up observation period ranged from 3 to 36 months.
Conclusion: Laser retinopexy is a sparing, safe and effective method of retinal tear therapy. From our clinical experience, the technique is also applicable in the case of partial vitreous hemorrhage or incipient rhegmatogenous detachment. We did not record any complications of perioperative or postoperative treatment among our patients.
Giant Prolactinoma. A Case Report
Authors: Šulavíková Zuzana , Krásnik Vladimír
Published: July 2023

Aim: Prolactinoma is a pituitary adenoma that secretes prolactin. Approximately 40% of all pituitary adenomas are prolactinomas. According to size, they are divided into micro, macro and giant prolactinomas. In women, prolactinomas cause irregularities of the menstrual cycle such as amenorrhea, galactorrhea, weight gain, in both sexes they cause sterility, hypogonadism, decreased libido and depression. In macroadenomas, symptoms due to the compression of the surrounding structures are also manifested, such as headache, vomiting, lower chiasmatic syndrome and ophthalmoplegia. Loss of the visual field due to compression of the optic chiasm is caused by a tumor larger than 10–15 mm with suprasellar spreading, which breaks through the diaphragma sellae. Giant prolactinomas are larger than 40 mm and make up 1–5% of all prolactinomas.
Case report: In this article I present the case of a 38-year-old woman from Ukraine with advanced chiasmatic syndrome caused by a giant prolactinoma. The tumor is infiltrating the left cavernous sinus, causing left-sided amaurosis and right-sided temporal hemianopsia.
Conclusion: Inferior chiasmatic syndrome is characterized by bitemporal hemianopsia, a deterioration of visual acuity, bilateral bow-tie descendent atrophy of the optic nerve disc, and hemianopic rigidity of the pupils. Macroprolactinomas occur more frequently in men than in women. The diagnosis is often delayed, probably because the symptoms of hyperprolactinemia are less obvious in men, while women tend to present earlier due to menstrual cycle irregularities. Prolactinomas usually have a good prognosis. Effective medical treatment with dopamine agonists is available. Knowledge of the prolactinoma symptoms could help the diagnosis of compressive lesions of the optic chiasm.
Bilateral Acute Macular Neuroretinopathy in Acute COVID-19 Infection: A Case Study
Authors: Ferková Nina , Hudečková Henrieta , Barnau Anna
Published: July 2023

Introduction: Acute macular neuroretinopathy (AMN) is a rare disease of uncertain etiology that mostly affects young women.
Aim: The aim of the present paper is to describe the case study of a female patient with bilateral AMN, suffering from active acute infection with COVID-19.
Methods: A 32-year-old female patient with impaired vision bilaterally persisting for 2 days reported to the emergency Department of Ophthalmology at the Central Military Hospital in Ružomberok, Slovakia. The patient manifested symptoms of COVID-19 infection persisting for 3 days before the onset of visual complaints.
Results: At the primary examination, initial uncorrected central visual acuity was 20/40 bilaterally, paracentral scotomas were present more in the right eye. Upon examination of the ocular fundus, the edges of the optic nerve disc were out of focus more in the left eye; brownish-red petaloid lesions were present around the fovea, the periphery was without pathological findings. OCT and OCTA were performed, with a conclusion of bilateral AMN upon a background of COVID-19 infection. Low molecular weight heparin (LMWH) was administered in a preventive dose.
Conclusion: The number of documented ocular complications of COVID-19 infection, including microvascular events, is currently increasing.
Pathogenesis and Current Methods of Treatment of Secondary Uveitic Glaucoma. A Review
Authors: Škrlová Eva , Svozílková Petra , Heissigerová Jarmila , Fichtl Marek
Published: July 2023

Secondary uveitic glaucoma is a serious sight-threatening complication of intraocular inflammation (uveitis). It develops in approximately 10–20% of patients with uveitis (although this figure may be higher depending on the type of inflammation). It is more commonly associated with chronic forms of uveitis, especially anterior uveitis. Elevation of intraocular pressure (IOP) and the development of secondary glaucoma arise as a direct or indirect consequence of uveitis, and may develop further in association with therapy for intraocular inflammation. Several types of uveitic glaucoma are distinguished according to the mechanism of development: open-angle secondary glaucoma (including steroid-induced secondary glaucoma), angle-closure secondary glaucoma, and a combination of both. It is necessary to determine the pathogenesis of uveitis and target the treatment of the inflammatory process according to it. Subsequently, it is necessary to determine the type of secondary glaucoma, which influences the choice of therapy. Compensation for IOP should be achieved as quickly as possible, before irreversible damage to the optic nerve and visual field occurs. In the first instance, we choose conservative pharmacological therapy. However, this therapy fails more often in secondary uveitic glaucoma than in primary open-angle glaucoma. For this reason, surgical or laser therapy is necessary for refractory glaucoma. Trabeculectomy remains the gold standard in surgical therapy for secondary uveitic glaucoma, but other surgical techniques can also be used (Ahmed drainage implants, goniotomy in the paediatric population, surgical iridectomy, and synechiae for angle closure etc.). The choice of method is individualised according to the clinical findings of the patient and previous ocular procedures. However, the main factor influencing the success and efficacy of filtration surgery is adequate therapy and control of the intraocular inflammatory process.
Integration of Nursing Care as Education Approach in the Implementation of Flexible Learning During the COVID-19 Pandemic
Authors: C. Olapane Elias , C. Contreras Rosario Clarabel , F. Cataluña Mary Jean , Delariarte Gabriel , Cataluña Engr. Magdalena , C. Contreras Fritz Gerard
Published: July 2023

Background: Flexible learning has become the most viable strategy to survive the education industry across the globe and at all levels since the pandemic. The abrupt shift of modality imposes various agendas, either beneficial to improve learning delivery or, to some extent, a disadvantage, especially among technologically challenged educators. Curative traits are attributed to meeting the education requirements and needs of learners while the pandemic disrupts its core implementation. Integration of nursing care as such involves various key stakeholders, understandably because of its newness in form. In developing countries, continuity of teaching and learning has been affected by the abrupt transition, which further at-risks higher academic institutions' ability to provide quality professional education. The study aimed to document pandemic-induced stories encountered by the stakeholders among higher institutions' implementation as cornerstones to developing a caring-inspired strategy to approach education. Methods: The narratives of stakeholders such as students, faculty, parents, and the school administration are extracted during their elemental months of learning design, innovation, and transition phases. Analyses using NVivo 12 Plus on the participant’s experiences and coping were transcribed, and themes were generated thereafter. Pseudonyms of the 28 participants assigned were obtained prior to researcher-assisted key informant interviews to ensure the ethicality of the qualitative research design. Results: Significant themes as expressions of a caring-inspired approach to flexible learning range from identifying challenges and changes to coping with the implementation of technology-modified learning modalities. In the context of learning material development, digital literacy, curriculum-related concerns, and breaches of academic veracity are themes that surfaced among all participants within the first three months of pandemic adjustments. Conclusion: The study recommends the inclusion of flexible learning as a strategy even in the post-pandemic era as input to strategic planning during management reviews and to sustain technological and educational evolution, ensuring a learning continuum amidst crises
Association Between Socio-Dynamic and Other Individuals Characteristics on Perceptions of Occupational Safety Among Workers in Kathmandu, Nepal
Authors: Ghimire Subash , Kumar Mishra Anjay , Bhaumik Amiya
Published: July 2023

Background: Occupational safety is questioned in developing countries like Nepal. Health-care workers have been exposed to potential risks due to different kinds of hazards at their workplace. They are responsible for providing a safe climate for others, which is why their safety should be given high priority, ensuring that they feel safe. Objective: This study has aimed to provide insight into overall healthcare workers perceptions of the available hospital safety facilities and strategies adopted in the hospitals of Kathmandu, Nepal. Methods: The findings of this study are anticipated to assist the hospital industry and agencies to formulate plans and policies to improve safety precautions in hospital duties. For the perception and attitude of workers and nurses towards the safety and health status of workers, the primary data were collected from workers and nurses based on a questionnaire of two different sets, including demographic data. Data from workers and nurses was collected based on the questionnaire ranking the causes of accidents. Results: The study results indicate that several perception-based and socio-demographic variables were found to be significantly associated with the safety perception of workers and nurses. Among the perception-related variables, work motivation and education and training were found to significantly shape the workers’ and nurses' perceptions during hospital duties. These results suggest that the management could increase the incentives and rewards for the workers and deliver safety education and training to make them feel safe working in a hospital. Conclusion: Among socio-demographic variables, gender, household size, household income, and personal income were statistically significant, and worker types, marital status, and possession of permanence were marginally significant predictors of workers’ safety perceptions.
Experiences of Midwives in Providing Respectful Maternity Care During Childbirth in Jos, Nigeria
Authors: Daniel Grace , Afolaranmi Tolulope , Mfuh Anita , Wina Folashade , III Dioso Regidor
Published: July 2023

Background: Respectful maternity care is acknowledged as necessary for reaching higher levels of care quality for women during labour and delivery. In Nigeria, the problem of disrespect and maltreatment during childbirth is quite high; midwives have been acclaimed as agents in this regard. Understanding the experiences of midwives in providing respectful maternity care during childbirth is critical to its promotion. This study therefore aimed at exploring and documenting the experiences of midwives in providing respectful maternity care during the birth of a child. Methods: This research was performed using a qualitative, phenomenological approach involving in-depth interviews conducted on purposefully selected midwives providing services in the labour ward of a Nigerian hospital. The thematic analysis procedure was used to create descriptive accounts of the study information, which was analysed using NVivo software. Study Sample: In total, 10 nurses or midwives currently working in the labour ward of the selected hospital participated in the study. Results: Midwives expressed expectations from pregnant women during childbirth that aligned with their belief in the preservation of patients’ dignity. Additionally, the opinion of the midwives pointed to the justification of disrespect with some patients acting outside of acceptable behaviours and composure in labour. Furthermore, health system constraints were also expressed to influence the experience of the midwives. Conclusion: Midwives are favourably disposed to providing respectful care during childbirth, but when their expectations are not met, their care becomes limited, and there are health system constraints. Several strategies could improve the experiences of midwives, including system-level changes and a collaborative shared model of care delivery between the antenatal clinic and labour wards.
Care-Seeking Behavior in Cervical Cancer Screening among Gwafan Community Women, Jos, Plateau State
Authors: Samuel Ari Eunice , Poblete Dioso Regidor III , Sotunsa John Obafemi
Published: July 2023

Background: Most people are infected with human papillomavirus (HPV) shortly after their sexual debut. Cervical cancer is preventable through screening, yet the screening rate is lower than the 70% WHO target. This study aimed to assess the care-seeking behavior of Gwafan community women in cervical cancer screening participation. Methods: A convergent mixed method was adopted for this study. Thematic analysis was used for qualitative data, while SPSS was used for quantitative data analysis. Results: The results show a significant relationship between age group and screening where older women were the most screened (X2=6.290; P-value=0.012), and no significant difference in screening participation amongst women who experienced gynecological symptoms and those that did not experience (X2=1.168; P-value=0.281). Most women (77.4%) have fears of diagnosis, uncovering the private areas of their bodies, painful procedures, and the feelings of shamefulness. They agreed that having more than one sexual partner is the risk cause, they moderately agreed that the outcome of cervical cancer is death. Majority agreed that a woman must obtain consent from her husband before going for screening and that husbands do not allow another person to touch their wives’ private areas. Conclusion: The majority of the community women did not screen for cervical cancer, which may result from low income, feelings, social norms, negative beliefs and expectations, and past experiences. Screening participation among older women was higher, and experiencing gynecological symptoms has no positive influence on screening participation. This study formed the baseline for care-seeking behaviour interventions to improve screening participation.
A Review on Nursing Care of Severe Head Injury Patients Who Undergo Late Versus Early Tracheostomy
Authors: Mohamed Ludin Salizar
Published: July 2023

Introduction: A severe head injury is an illness that causes temporary or permanent neuronal damage. Tracheostomy is one treatment option for critically ill patients, especially severe head injury patients, who require long-term mechanical ventilation. Outcomes for mechanically ventilated patients with severe brain injury have improved, but tracheostomy practices for patients with severe brain injury are still being debated in Malaysia. Objective: This review highlights the pros and cons of early versus late tracheostomy among patients suffering from severe head injuries. Method: The Medical Subject Heading (MeSH) terms were used to search the previous articles related to the early and late tracheostomy. The database was searched for articles published after 2000. Result: Early tracheostomy brings more beneficial aspects to severe head injury patients. A good prognosis was shown in previous articles. Conclusion: This study seeks to explore whether it is true that early tracheostomy among severe head injury patients will reduce the duration of the Intensive Care Unit (ICU) stay, wean patients off the use of ventilators faster, help in resource utilization, bring down the death rate, and reduce the likelihood of ICU readmission. Additionally, improved functional outcomes, aggregate quality of life, and rehabilitation compliance are all expected benefits of performing an early tracheostomy.
Factors Influencing Family Acceptance of People with Schizophrenia Receiving Care at Home: A Systematic Review
Authors: Priasmoro Dian Pitaloka , S. Dradjat Respati , Zuhriyah Lilik , Lestari Retno
Published: July 2023

Background: People with schizophrenia require long-term care and treatment. The high cost of treatment for sufferers makes many families decide to do their treatment at home. Government programs and policies such as Community Mental Health Nursing (CMHN) are one of the hopes of families to help them. Changes in the situation due to caring for people with schizophrenia need to be balanced with psychological adaptation by family members so that family acceptance characterizes an adaptive response. Objective: This article will provide information about factors related to family acceptance. Methods: This research used the systematic review method by utilizing eight electronic databases such as Scopus, DOAJ, ProQuest, Web of Science, ScienceDirect, PubMed, and SAGE from January 2012 to 2022. Articles obtained from electronic databases are related to relevant topics in a total of 79 articles, displaying only 20 articles analyzed that meet the criteria. The keywords used are "family acceptance" and "schizophrenia", "schizophrenia OR family OR acceptance". Results: Acceptance is an essential aspect of the family's psychological adaptation journey. Acceptance is related to a person's ability to face and undergo situations that are presented to him voluntarily. Stigma can reduce family confidence in caring for sufferers, thus requiring expectations, attitudes, experiences, social support, and convenience in health services. Conclusions: Other efforts are needed, apart from the sufferer's family, but also the support of other people and the community. In addition, health professionals like physicians or nurses are needed as role models not to discriminate against and stigmatize families and sufferers.
Preparedness for the Future Pandemic: Understanding the Impacts of Risk Perception in Public Health Emergencies
Authors: Aung Khin Thandar , Razak Rafiza Abdul , Mohd Nazry Nor Nazrina
Published: July 2023

This paper emphasizes the significance of risk perception in public health emergencies and its impact on preparedness for future pandemics. It investigates the influence of risk perception on individual and community behaviors during previous outbreaks, highlighting factors that shape people's perceptions of risk. Effective risk communication strategies are identified as crucial in shaping risk perception and promoting proactive preparedness measures. It is believed that tailored interventions addressing psychological, cultural, and socioeconomic factors are required to address the diverse risk perceptions among different populations. Understanding risk perception dynamics enables policymakers and public health practitioners to develop targeted strategies for enhanced preparedness and response efforts in future pandemics, ultimately mitigating the impact on public health and society.
Superior discrimination of the Risk Analysis Index compared with the 5-item modified frailty index in 30-day outcome prediction after anterior cervical discectomy and fusion
Authors: Bowers Christian A. , Varela Samantha , Naftchi Alexandria F. , Kazim Syed Faraz , Hall Daniel E. , Ng Christina , Rawanduzy Cameron , Spirollari Eris , Vazquez Sima , Das Ankita , Graifman Gillian , Asserson Derek B. , Dominguez Jose F. , Kinon Merritt D. , Schmidt Meic H.
Published: July 2023

OBJECTIVE

The objective of this paper was to compare the predictive ability of the recalibrated Risk Analysis Index (RAI-rev) with the 5-item modified frailty index-5 (mFI-5) for postoperative outcomes of anterior cervical discectomy and fusion (ACDF).

METHODS

This study was performed using data of adult (age > 18 years) ACDF patients obtained from the National Surgical Quality Improvement Program database during the years 2015–2019. Multivariate modeling and receiver operating characteristic (ROC) curve analysis, including area under the curve/C-statistic calculation with the DeLong test, were performed to evaluate the comparative discriminative ability of the RAI-rev and mFI-5 for 5 postoperative outcomes.

RESULTS

Both the RAI-rev and mFI-5 were independent predictors of increased postoperative mortality and morbidity in a cohort of 61,441 ACDF patients. In the ROC analysis for 30-day mortality prediction, C-statistics indicated a significantly better performance of the RAI-rev (C-statistic = 0.855, 95% CI 0.852–0.858) compared with the mFI-5 (C-statistic = 0.684, 95% CI 0.680–0.688) (p < 0.001, DeLong test). The results were similar for postoperative ACDF morbidity, Clavien-Dindo grade IV complications, nonhome discharge, and reoperation, demonstrating the superior discriminative ability of the RAI-rev compared with the mFI-5.

CONCLUSIONS

The RAI-rev demonstrates superior discrimination to the mFI-5 in predicting postoperative ACDF mortality and morbidity. To the authors’ knowledge, this is the first study to document frailty as an independent risk factor for postoperative mortality after ACDF. The RAI-rev has conceptual fidelity to the frailty phenotype and may be more useful than the mFI-5 in preoperative ACDF risk stratification. Prospective validation of these findings is necessary, but patients with high RAI-rev scores may benefit from knowing that they might have an increased surgical risk for ACDF morbidity and mortality.
Cross-cultural adaptation, reliability, and validity of the Russian version of the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0)
Authors: Zaborovskii Nikita , Denisov Anton , Shapton John , Schlauch Adam , Ptashnikov Dmitrii , Masevnin Sergei , Smekalenkov Oleg , Murakhovsky Vladislav , Mytyga Pavel , Kondrashov Dimitriy
Published: July 2023

OBJECTIVE

The most validated health-related quality-of-life (HRQOL) questionnaire specific to the metastatic spine cancer population is the Spine Oncology Study Group Outcomes Questionnaire version 2 (SOSGOQ2.0). The purpose of this study was to translate and validate a Russian version of the SOSGOQ2.0.

METHODS

The SOSGOQ2.0 was translated into Russian and cross-culturally adapted. In this study, 64 eligible patients completed the SOSGOQ2.0_RUS along with the EQ-5D 5 Level, SF-36 quality-of-life questionnaires, and visual analog scale for pain assessment scale (VAS). Internal consistency was measured using Cronbach’s alpha, in which a score of 0.65 or higher is acceptable. Test-retest reliability was evaluated by examining the intraclass correlation coefficient (ICC).

RESULTS

Included in this study were 64 Russian-speaking patients (median age 59 years) with metastatic spine disease. The most common primary tumors were breast, kidney, and prostate cancers. The overall Cronbach’s alpha was 0.87, indicating high internal consistency. The overall ICC for the SOSGOQ2.0_RUS was 0.88 (95% CI 0.81–0.93), indicating high reliability and consistency of the measure. The physical function, pain, and mental health domains of the SF-36 moderately correlated with the same domains of the SOSGOQ2.0_RUS, with correlation coefficients ranging from 0.65 to 0.71.

CONCLUSIONS

The SOSGOQ2.0_RUS is a reliable and valid questionnaire for assessing the HRQOL in patients with metastatic spinal tumors. The questionnaire showed high internal consistency, test-retest reliability, and good construct validity when compared with other established questionnaires.
Improving blended learning in higher technical education institutions with mobile and cloud-based ICTs
Authors: Rashevska Natalya V. , Kiianovska Nataliia M.
Published: July 2023

This research aims to refine the model of blended learning in higher technical education institutions using cloud-based information and communication technologies (ICTs). The study objectives include determining the role of cloud technologies among contemporary ICTs, analyzing the utilization of cloud technologies in traditional, online, and blended learning, and augmenting the blended learning model with mobile and cloud technologies. The research focuses on the implementation of ICTs in the higher education system of Ukraine. The subject of investigation encompasses the use of cloud technologies and other ICT learning tools in traditional, online, and blended learning. The research methods employed involve analyzing educational programs, monographs, dissertations, articles, conference materials, and online resources. Additionally, targeted pedagogical observations, interviews with educators and students, and analysis of teachers' practical experiences are conducted. The findings emphasize that among various ICTs available for instructional purposes, cloud technologies stand out as facilitators of harmonious integration between the components of traditional education and technology-mediated learning. A promising approach to organizing the learning process, referred to as blended learning, involves the integration of traditional, distance, electronic, mobile, and cloud technologies. The study explores the model of blended learning in higher mathematics education for students in technical institutions, leveraging innovative ICTs. The primary conclusions and recommendations highlight the prevailing trend of transitioning towards blended learning in higher education and the need for further development of cloud technologies in instructional settings. Cloud technologies are particularly valuable for fostering student autonomy, enabling distance learning, and facilitating collaborative research, thereby supporting ongoing monitoring of learning outcomes and timely adjustments to optimize learning experiences.